tails required

S/No for login process form customer end. (Fill all the details in CAPITAL LETTERS only
1 Applicant Name siddhant roshan
2 Applicant DOB (Date of Birth) 23-Jan-89
3 Mobile No 9729531649
4 PAN card No AXIPR3184M
5 Aadhar card No 973431027888
6 Father’s Name Prem kumar
7 Mother Name indu kumari
8 Spouse Name with DOB ashwani
9 Education (Qualifiaction) greduation
10 Personal E-mail ID roshan.siddant@gmail.com
11 Residence Address mahesh
with Landmark
enclave near bharat dharam kata gautam budha nagar charpola dadri gaziabad 2
12 If possible-landlind no of residence address
13 Residence type Is -
14 No. of years at above residence (Current Add).
15 Permanent Address with Landmark
04 gora house sati mata mandir ke paas airport road jodhpur rajasthan 342001
16 Parmanent Add mobile no required 9871726156
17 Company Name\Present Employer (If Salaried) northern railway
18 Office Address with Landmark jodhpur divisional railway hospital
19 Official landlind no
20 Official E-mail ID
21 Occupation Type government
22 No. of years at current Job 5
23 Department railway
24 Designation running lp shunter
25 Name of Previous Organisation
26 Two References Required
27 Reference 1 (Relative) father
28 Name Prem kumar
29 Mobile No 9509530932
30 Address with landmark
04 gora house sati mata mandir ke paas airport road jodhpur rajasthan 342001
31 Reference 2 (Friends or Relative) friend
32 Name subodh kumar
33 Mobile No 9871726156
34 Address with landmark
04 gora house sati mata mandir ke paas airport road jodhpur rajasthan 342001
35 BANK DETAILS
36 Salary account bank name punjab national bank
37 Bank A/C no. 232001500015889
38 Bank Branch name jodhpur airforce
Type of Loan require (Personal loan or OD) pl
Require Loan Amount 15 lakh
Tenure 6 year
a nagar charpola dadri gaziabad 201009

road jodhpur rajasthan 342001

road jodhpur rajasthan 342001

road jodhpur rajasthan 342001