Residence Visit Report

Prospect ID HL00000000________________ Date of Visit (DD/MM/YYYY) ______/______/_________

Name of Applicant

Applicant Mobile No. (mandatory)

Alternate/Co-applicant Mobile No. (mandatory)

Name of Co-applicant-1 (with relationship of applicant) Mr/Mrs

Name of Co-applicant-2 (with relationship of applicant) Mr/Mrs

Name of Co-applicant-3 (with relationship of applicant) Mr/Mrs

Name of Co-applicant-4 (with relationship of applicant) Mr/Mrs

Type of Residence Self-Owned Rented
Parental Owned Company Provided
Other (pls specify) _____________________

Current Residence Address with Pin Code

State ______________________ Pin Code _____________

Permanent Residence Address with Pin Code
(if customer is residing on rented house so permanent
address is mandatory)

State ______________________ Pin Code ____________

No. of years in current address Years Months
No. of years in Area/City Years Months
No. of Total Family Members Female Male

Neighbour-1 Name and Contact No.

Neighbour-1 Current Address with Pin Code

Neighbour-2 Name and Contact No.

Neighbour-2 Current Address with Pin Code

Remarks
_______________________________________________________________________________________________

_______________________________________________________________________________________________

Visited by

Name of Employee _______________________________ Designation ______________________________________

Employee ID ____________________________________ Signature with date ________________________________

 House Photographs with GPS (Google Co-ordinates)
(2 External, 2 Internal, 1 Locality, 1 Kitchen and 1 Toilet)
1 Photograph with customer/buyer and loan/credit officer/manager in front of
House