Car Loan Application Form

Personal Banking and Business Banking Accountholders

NOTE: This form is supposed to be filled electronically, otherwise the field options will not be shown. * Indicates mandatory field

Date * Branch *
D D M M Y Y Y Y Code Name

Account Details (For existing accountholders only)

Account Name *

Account Number * Customer ID *

Basic Information

Name * (As per ID / Passport)

Gender * Marital Status *

Date of Birth * Nationality *

D D M M Y Y Y Y

Current Residence Address and Contact Details in UAE

Apartment / Villa No. * Community Name *

Building / Villa Name *

Street Name and No. *

Area Name *

P.O. Box No. * Residence Type*

Annual Rent
Emirate / City * Dubai (If rented)

Country * United Arab Emirates (UAE) Living since *

Mobile No. * Telephone No. *

Email Address *

Permanent and/or Home Country Address and Contact Details

Apartment / Villa No. * Community Name *

Building / Villa Name *

Street Name and No. *

Area Name *

P.O. Box No. * Residence Type*

Annual Rent
City * (If rented)

Country * Living since *

Mobile No. * Telephone No. *

Email Address *

Employment and Income Details

Monthly Salary/
Source of Income * Income *
Other Monthly
Source of Other Income Income

Employment Type * Designation *

Length of Service (Current) * Department *

Total Work Experience * Employee No. *

HBL-UAE-CLAF-EF-05112017/1

Company Name *

Company Category * Company Type*

Company Industry *

Page 1 of 6 Applicant’s Signature

 Car Loan Application Form
Personal Banking and Business Banking Accountholders

NOTE: This form is supposed to be filled electronically, otherwise the field options will not be shown. * Indicates mandatory field

Employer and/or Company Office Address

Office No. * Suite Name/Floor No. *

Building Name and No. *

Street Name and No. *

Area Name *

P.O. Box No. * Emirate / City *

Country * United Arab Emirates (UAE) Telephone No. *

Additional Information (For Salaried Applicant only)

HR Manager Name *
Mobile No. * Telephone No. *

Email Address

Additional Information (For Self-Employed Applicant only)

Trade License No. * Annual Sales (AED) *

Trade License Issuing Date * Annual Net Profit (AED) *

Trade License Expiry Date * No. of Employees *

Trade License Emirate * No. of years in business *

Name(s) of Partners / Directors / Shareholders (if any) Percentage Share in Company

1)

2)

3)

4)

5)

Name(s) of UAE Sponsor(s) (if any) Percentage Share in Company

1)

2)

References in UAE

(1) Name

Mobile No. * Telephone No. *

Employer / Company Name * Designation *

Relationship *

(2) Name
Mobile No. * Telephone No. *

Employer / Company Name * Designation *

Relationship *
HBL-UAE-CLAF-EF-05112017/1

Page 2 of 6 Applicant’s Signature

 Car Loan Application Form
Personal Banking and Business Banking Accountholders

NOTE: This form is supposed to be filled electronically, otherwise the field options will not be shown. * Indicates mandatory field

Details of Existing Liabilities in Other Banks/ Financial Institutions in UAE and Overseas *

I hereby undertake and confirm that all the details given below of my existing exposure from all the banks liabilities in other Banks/ Financial
Institutions in UAE and Overseas as of (DD-MM-YYYY) are true and correct and agree that the
bank has the right to verify all the below details by any means it deems appropriate.

Details of Credit Card(s) being availed from other banks/institutions in UAE *:

Name of Bank / Institution Credit Card Limit (AED) Monthly Instalment (AED) if any
1)

2)

3)

Details of Personal Loan(s) being availed from other banks/institutions in UAE *:

Name of Bank / Institution Loan Amount (AED) Monthly Instalment (AED)

1)

2)

3)

Details of Car Loan(s) being availed from other banks/institutions in UAE *:

Name of Bank / Institution Loan Amount (AED) Monthly Instalment (AED)

1)

2)

3)

Details of Home Loan(s) being availed from other banks/institutions in UAE *:

Name of Bank / Institution Loan Amount (AED) Monthly Instalment (AED)

1)

2)

3)

Details of Other Loan(s) being availed from other banks/institutions in UAE *:

Name of Bank / Institution Loan Amount (AED) Monthly Instalment (AED)

1)

2)

3)

Details of Overseas Loan(s) repaid from UAE Income/ Salary only *:

Name of Bank / Institution Type of loan Loan Amount (AED) Monthly Instalment (AED)

1)

2)
HBL-UAE-CLAF-EF-05112017/1

3)

Page 3 of 6 Applicant’s Signature

 Car Loan Application Form
Personal Banking and Business Banking Accountholders

NOTE: This form is supposed to be filled electronically, otherwise the field options will not be shown. * Indicates mandatory field

Car Details

Name * (E.g. CL 63, S 63, 750 Li, Land Cruiser, etc.)

Make * Type *

Model Year * Color *

Condition * Mileage in KM *

Car Evaluation Details (Mandatory for used car)

Evaluator Company Name

Evaluation Date Telephone No.

Evaluated Value in AED Emirate /City

Car Loan Details

AED Installment
Car Value * Payment via * HBL Account (Preferred)

Down Payment Percentage * 20.00 % Processing Fee * % AED

Down Payment Amount * AED Interest Rate * %

Loan Amount * AED Loan Tenor *

Seller Details

Seller Type * Emirate / City *

Seller / Company Name *

Contact Person Name * Mobile No. *

REQUEST FOR CAR REGISTRATION UNDER THIRD-PARTY

(Only fill-in this section if the car is required to be registered under a Third-Party which is not the Applicant of this Car Loan Application. Please select
any one of the below given options, and fill-in the required details accordingly)

Request for Car Registration under an Individual as Third-Party

I, Mr./Mrs./Ms. ,
request that the Car Loan be processed under my personal name and the car to be registered in the name of the below mentioned third-party.
The required documentation of the Third-Party is also submitted with this application.

Name of Third-Party *

Relationship with Third-Party * Emirate / City *

Documents of Third-Party * Copy of the first page and signature page of valid passport (For Expatriates only)
Copy of valid residence visa (For Expatriates only) Copy of Emirates ID and Driving License

Request for Car Registration under a Company as Third-Party (The applicant must be a Partner/ Director / Owner)

I, Mr./Mrs./Ms. ,
request that the Car Loan be processed under my personal name and the car to be registered in the name of the below mentioned third-party.
The required documentation of the Third-Party is also submitted with this application.

Name of the Company

Applicant’s Status in the Company Other, please specify:

Name of Authorized Signatory

Documents of Authorized Copy of the first page and signature page of valid passport (For Expatriates only)
Signatory of the Company Copy of valid residence visa (For Expatriates only) Copy of Emirates ID Copy of POA

Name of the Driver

HBL-UAE-CLAF-EF-05112017/1

Documents of Driver Copy of the first page and signature page of valid passport (For Expatriates only)
Copy of valid residence visa (For Expatriates only) Copy of Emirates ID and Driving License

Page 4 of 6 Applicant’s Signature

 Car Loan Application Form
Personal Banking and Business Banking Accountholders

NOTE: This form is supposed to be filled electronically, otherwise the field options will not be shown. * Indicates mandatory field

Declaration

I declare and confirm that all the information stated herein and in other documents provided to the bank by me is true and accurate in all
respects. My loan liabilities to all sources, institutions and persons have been fully and accurately reported in this application form and there are
no liabilities on me other than the ones stated herein. Further, I declare that I have not been a defaulter of any financial institution in the past
either in my personal capacity or as a proprietor/ partner of any business concern. I hereby agree to have read, understood, and declare to uncon-
ditionally agree to the Terms and Conditions of HBL which are available to me through HBL Branches and/or Website.

I hereby authorize HBL and any relevant third parties to exchange information for the purpose of processing my application including conduct of
my account. Further, I authorize the Bank to disclose and share information / data about my account / liabilities to / with any other credit bureau,
agent, bank, financial institution or company as the Bank considers appropriate from time to time. I understand that in the event of approval of
my loan application, I will be supplied with the terms and conditions of the contract between us in respect of my loan. Such terms and conditions
will be binding upon me and in the event that I do not accept these terms and conditions, HBL will be authorized to immediately revoke the
contract and recover the disbursed fund.

Applicant’s Name

Signature Date
D D M M Y Y Y Y

JOINT ACCOUNTHOLDER(S) DECLARATION AND AUTHORITY

(Only fill-in this section if the accountholder has a joint account with other operators as part of the Account Mandate)

I/We the undersigned as joint accountholder(s) of the Account Number ,

hereby declare and authorize Mr./Mrs./Ms. ,
who is also a joint accountholder of the aforementioned account, to avail the Car Loan Facility from Habib Bank Limited and mortgage the
vehicle in the name of Habib Bank Limited. I/We declare to have reviewed all the details of the request car loan as per the aforementioned
details on all the pages of this application form and hereby declare that I/we do not have any objection to the car loan requested in this
application form. It is further confirmed that I/we will also be responsible for payment of car loan to Habib Bank Limited.

Sincerely,
Joint Accountholder(s)

Name Passport Number Emirates ID / Secondary ID No. Signature

For Bank Use only

Checklist Description / Document Name / Additional Form Name Completed and Submitted
(By CSO/Relationship Manager)
Car Loan Application Form
Yes
Checklist for Salaried / Self-Employed Applicant
Yes
Eligibility Calculator and Income Determination (For Self-Employed only) Yes
Signature Verified and Stamped (For existing customers)
Yes No NA
Signature Admitted and Stamped (For new customers)
Yes No NA
Account Opening Application Form (For new customers)
Yes No NA

Name Signature Date

HBL-UAE-CLAF-EF-05112017/1

CSO/Relationship Manager

Branch Manager /
Business Head

Page 5 of 6
 Car Loan Application Form
Personal Banking and Business Banking Accountholders

FOR APPLICATION APPROVAL USE ONLY

Name Signature Date

Reviewed by

Exceptions (if any)

Remarks (if any)

Name Signature Date

Approved by (1)

Remarks (if any)

Name Signature Date

Approved by (2)
(If exceptions)

Remarks (if any)

FOR APPLICATION PROCESSING USE ONLY

Name Signature Date

Processed by

Supervised by
HBL-UAE-CLAF-EF-05112017/1

Remarks (if any)

Page 6 of 6