Interview with the Prospective Borrower ( For Retail loans )

Date :
The details of the prospective Borrower & the details of his loan requirements :

1. Name - ___________________________________________________________________________________

Surname First Name Middle Name

2. Contact Number - _____________________________, Mail id:------------------------

3. Date of Birth______ DD_____ MM________ _ _YYYY

4. Permanent residentialAddres_____________________________________________________________

_____________________________________________________________________________________

5. Present Address –( If different from above )_______________________________________________

____________________________________________________________________________________

6. The Residence where you currently live is : self-Owned /Owned by parent /Rented / Share rented

7. Marital Status - Married / Unmarried

8. Qualification : ________________

9. No of Dependents __________ , No of children ___________

10. Source of Income Salaried _ Self employed/Businessman/ Professional/Other ________

11. If salaried Basic Salary Rs. Gross Salary Rs___________Net Salary Rs.

12. Name of employer _____________________________________________________

13. Working since

14. Details of salary bank a/c.

15. Details about the Business/self employment/professional : Nature of activity

Bankers & credit facilities availed

Net Profit/loss for last Financial Year Rs._______ ___,(In case of Loss , whether book loss or cash loss ),
- The reasons for the same.

16. Name of Spouse -__________________________________Occupation -__________________________

Monthly Income of spouse _______________________________________________________________

17. Demand of Loan : Purpose :- __________________________________________________________

Amount of Loan Required Rs.__________________Expected Repayment period _____ months

18. Name of Present Bankers - ___________________________________________________________

Facilities enjoying with present Banker :- Locker / Term Deposit / Loan / other______________
___________________________________________________________________________________
19. Any present loan obligations____________________________ EMI for the same_________________
20. Have you filed Income Tax Returns regularly ? ______Income tax paid last year Rs.________________
21. Guarantors which can be offered for this loan are :- Salaried or businessman ___________________

Name of guarantors :- ___________________________________________________________

22. Whether you are Member of Cosmos Bank ? Details _____________________________________

Whether the guarantors offered for this loan are Member or Nominal member of bank : Yes/no
23. Have you or your spouse have given guarantee for any loan in Cosmos Bank ? if yes, provide details
__________________________________________________________________________________
24. Whether any one of you have offered guarantee , in case of other financial institutions ___________
Details _____________________________________________________________________________

25. How you came to know about Cosmos Bank ? Through Internet / News paper advertisement /
existing account holder ? details _______________________________________

26. Have you or any of your family members have availed any services from Cosmos Bank ? details :
__________________________________________________________________________________
 27. Any other additional information:-
__________________________________________________________________________________

28. Details of collateral security offered(in case of unsecured loans)_________________________

Signature of the prospective borrower : _______________________________________

Signature of the Bank officer : _______________________________________________