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Application Form for HOME LOAN

Bank of Baroda
I/We request you to grant me/us a loan facility of Rs. _____________ under Home Loan Scheme for _______________________________ To enable you to consider the proposal, I/We submit the following particulars.

Please complete all sections in BLOCK LETTERS and tick options wherever applicable
Name: _______________________ _______________________ ________________________ (First name) (Middle name) (Last name) PAN/GIR No. : ____________________ Date of Birth : ______ ____ ______ (DD) (MM) (YYYY) Age: _______ (years) Sex : Male/Female Marital Status: Single/Married/Divorced/Widowed E-mail:_______________________________ Employment status (tick mark): Salaried Self-employed Professional House wife Others Previous address: Address: _____________________________ __________________________________ _________________________________ City: ___________ State: _______________ Pin code: ___________ ___ Present address: Address: __________________________________ __________________________________ _______________________________ __ City: ____________State: ________________ Pin code: ___________ ___ Phone number: (O)_____________(R) __________ Years in current address: _________________ Mobile phone no: _______________ Fax no: ___________________ Changed Residence in past 3 years : Not Changed Once More than Once Permanent address: Address: __________________________________ __________________________________ _______________________________ __ City: ______________ State: ________________ Pin code: ___________ ___ Phone number: ________________

Father's/Husband's name: ____________________ ____________________

Education (tick mark): Matric or below matric Under Graduate/Higher secondary Graduate Post-graduate Doctorate Professional Category: SC/ST/OBC/OTHERS/MINORITY COMMUNITY Passport No: ______________

Banking with us (Y/N): ______ If yes, then fill the following: Banking with us since: _______ (YYYY) Account type:____________ Account number: ___________ Branch name: ______________

Are you a BOB staff (Y/N): _____

No. of dependents (including spouse): ________ No. of children: ________ Earning member in family, if any (Y/N): __________

SPOUSE DETAILS:-

NAME:-______________________OCCUPATION____________

EMAIL ID:-______________PAN NO:-_______________MONTHLY INCOME(Net): _________

2 Mention branch where loan account should be opened: Near location of target property Near place of work/business Near place of present residence Branch maintains salary account Salaried: Please tell about your work: Other: __________________ Employer name: ___________________Department: ______________________ Designation: ________________Years with employer: _________ Retirement age: ____ Address: _________________________ __________________________ Primary monthly income Other income details Monthly expenditure City: __________ State: ___________ Pin code: _________ Income and expenses Reason for choosing the branch (tick mark)

Gross income: ____________ Rent received: ____________ Loan Phone no: ___________ Extn No: _____Fax no: ____________________ repayment: __________ Agriculture: ______________ Rent paid: _______________ Company email:____________________ Deduction: ______________ Others: _______________ Others: _____________ Description: ______________ Contact person in office __________________Designation_____________________ _______________ Mobile No:-____________________________Mail Id__________________________ Working with: Total Years of service: Govt./Public previous employer: Currently reporting to:sector Name of ___________________________Years with employer____________ Public Ltd Name:Private Ltd Designation:Partnership Mobile No:Proprietorship Mail Id__________________________ MNC

3 Self-employed/Professionals: Please tell about your work: Name of company/firm: _____________________________________ Activity: _______________________________ Address: _________________________________ _________________________________ City: ____________ State: _____________ Pin code: _________ Phone no: ____________ Fax no: ____________________ Company email: ___________________________ Designation: Executive/Managerial/Professional If professional, then choose one of the following: Doctor Architect CA MBA Engineer Lawyer Others: ________ Years in business/profession: _________ Contact person: __________________ Retirement age: ____ Business details: Private Ltd Partnership Proprietorship Others: ___________ Established since: ________________

Credit card details for applicant Credit Cards Owned : ______ Card Issuer: ________ Card No. : _____________________________

Other assets Colour TV Refrigerator Car Two Wheeler

Telephone Cellular Phone Personal Computer Washing Machine

About bank accounts (SB, C/A, C/C, OD) Name of Bank Branch Branch telepho ne number Number of years account held Accoun t type Accoun t Number Accoun t balance (Rs.) As on date

Outstanding Loan details in individual name : Source Purpos Date of Loan Outstandi e sanctio Amount ng n

EMI

Overdu e amount , if any

Overdue since

4 Income Details: 1. Gross Monthly Income (Rs.) : _________ 2. Salaried Person (I) Monthly Basic (Rs.) : _________ (ii) % of PF deduction : _________ 3. Annual Professional Tax : ________ 4. For Tax Purpose (i) Total Annual Savings under s/88:__________ (ii) 100% Rebate Amount : __________ (iii) Deduction under chapter VI A : __________ (iv) Other Rebate /Deduction claimed: _________ 5. Net Annual Income of other Family members: _____________________________________ (Excluding co applicant & Guarantor Whether encumbered: If yes, give detail:
Details of other present immovable Properties (Other than proposed as security for housing loan)

Nature of properties: Plot of Land House/ Godowns Agricultural Land Others

Location: Survey / House No.____________ Street / locality_______________ ________ Village/ Town_________ Distt:__________ Property in whose name?____________ Area / Size of the property: ____________ Cost (at the time of purchase): Rs._______ Present estimated market value: Rs._____

Details of Movable Assets in my name: Applicant (A) Life insurance Policies Policy No. Date of Sum Co. & Branch Maturit Assure name y d

Last premium paid date

Annual Premiu m

Premium paid or surrender value

(B) Shares/ Debentures/ Term deposits / Govt Securities (NSC etc) Co./ Bank/ Post Office Date of Face Value Present value Due date Instrument

Whether encumbered

(C) Other movable assets: Descriptions Year of acquiring Car Two Wheeler Jewels

Purchase price

Market Value

Valuation date

(D) Details of Liabilities:

Details Of Loan In Firms Name/ Companys Name where you are interested as Prop, Partner/ Director

a) Name of the Bank/ institution and its branch :____________________________________ b) Purpose and amount of loan/ credit facilities :____________________________________ c) Security / Repayment schedule :_______________________________________________ d) Present outstanding :________________________________________________________ e) Liabilities other than to Bank and Financial Institutions: ___________________________ Details of Personal Guarantee given for any person/firm. If yes, furnish details (i.e. Name of the Bank/ Institutions, on whose behalf, amount of guarantee, present status of a/c etc.) I enclose / Submit documentary proof in support of the above submissions.
Further I give below particulars about myself, dependants & legal heirs

Particulars of Legal Heirs: - Applicant Sr. No . Name Relationship Age Present Address/Occupation

Information on Co-applicant/Guarantor (if present)

Name : _______________________Date of birth: _________________ Fathers/husbands name: ___________________ Relation with Applicant: _____________________ Address: ____________________________ ________________________________________________________

City: __________ Pin code: _________State: _______________ Occupation: _______________________ Phone/Fax: _______________________ Email: ________________________ PAN/GIR Number:________________________ Net Annual Income (Rs.): ____________________ Education (tick mark): Matric or below matric Under Graduate/Higher secondary Graduate Post-graduate Doctorate Professional Category: SC/ST/OBC/OTHERS/MINORITY COMMUNITY Passport No: ______________ Banking with us (Y/N): ______ If yes, then fill the following: Banking with us since: _______ (YYYY) Account type:____________ Account number: ___________ Branch name: ______________ No. of dependents (including spouse): ________ No. of children: ________ Earning member in family, if any (Y/N): __________

SPOUSE DETAILS:-

NAME:-_______________OCCUPATION________________

EMAIL ID:-________PAN NO:-__________________MONTHLY INCOME(Net):-_________

About bank accounts (SB, C/A, C/C, OD) Co-Applicant/Guarantor Name Branch Branch Number Accoun Accoun Accoun of telepho of t type t t Bank ne years Number balance number account (Rs.) held

As on date

Outstanding Loan details in individual name : Co-Applicant/Guarantor Source Purpos Date of Loan Outstandi EMI Overdu e sanctio Amount ng e n amount , if any

Overdue since

6 Salaried: Please tell about your work: Co-Applicant/Guarantor Employer name: ___________________ Department: ______________________

Company email:____________________Designation: ________________________ Address: _________________________ __________________________City: __________ Pin code: _________

State: ___________

Phone no: ___________ Extn No: _____Fax no: ____________________ Years with employer: _________ Retirement age: ____ Contact person at office: __________________Mobile_____________Mail Id________ Designation of contact person:-__________________________ Working with: Govt./Public sector Public Ltd Private Ltd Partnership Proprietorship MNC Total Years of service from the beginning:Currently reporting to:Name:Designation:Mobile No:Mail Id__________________________ Credit card details for Co-

Name of previous employer: __________Years with employer____________

applicant/Guarantor Credit Cards Owned : ______ Card Issuer: ________ Card No. : _____________________________

Details of other present immovable properties (Other than proposed as security for housing loan in case of co borrower) Nature of properties: Plot of Land / Agricultural Land / House/ Godowns / Others Location: Survey / House No.__________Street / locality_________________ Village/ Town___________ Area / Size of the property: Whether encumbered: If yes, give detail: Distt:____________ Present market value: Rs.

7 Details of Movable Assets in my name: Co-applicant/Guarantor (A) Life insurance Policies Policy No. Maturity Sum Co. & Annual Date Assured Branch name Premium Amt.

Last premium paid up to

Total Premium paid or surrender value

(B)Investments(Shares/ Debentures/ Term deposits / Govt Securities like,NSC etc) Description Face value No of units Present market value

(C)Other movable assets: Descriptions Car Two Wheeler Jewels

Purchase price

Market value

Valuation date

Particulars of Legal Heirs:-Co-Applicant/Guarantor Sr. No . Name Relationship Age Present Address/Occupation

I/We hereby declare that all the particulars and information furnished in the application form are true, correct and complete and up-todate in all respects. I/We have not withheld any information. I/We confirm that I/We have had no insolvency proceedings initiated against me/us nor have I/We ever been adjudicated insolvent. I/We also authorize Bank of Baroda or its agent to make references and enquiries relative to information in this application which Bank of Baroda considers necessary. I/We also authorize Bank of Baroda to exchange, share, part with all information relating to my/our loan details and repayment history information to other Banks/Financial institutions/ Credit Bureaus/Agencies as may be required and shall not hold Bank of Baroda liable for use of this information. I/We undertake to inform Bank of Baroda regarding any change in my/our residence/employment/Occupation/Transfer and to provide any other information that Bank of Baroda may require. I/We further agree that my/our loan shall be governed by the rules of Bank of Baroda which may be in force from time to time. Bank of Baroda reserves the right to reject any application without providing any reason. I further declare that I am not a Director in any Bank. There is no litigation against the firm or me / co. in which I am the proprietor / a partner/ a Director. I am / was not interested as Proprietor / partner/ Director in any firm/ company whose name is listed in caution list of RBI/ ECGC. I/we under take to bear processing, service, documentation charges etc. stipulated by the bank from time to time. I/we agree, note and understand that Bank of Baroda shall be entitled at its sole discretion to call back, the entire loan/advance whether due and payable or not at any time without assigning any reason and enforce its rights, remedies and securities.

Yours faithfully, Place : __________________________________ Date __________________________________ Signature of the Applicant/s / Co - Applicant

I am willing to stand as guarantor for the above loan ( details as per enclosed sheet) Place : ______________________________

Date : _____________________________

Signature of the Guarantor/s

8 Proposed Loan Details: Tenure in Months: _______________________ Purpose: ______________________________ (a) Purchase Price (Rs): __________________ (b) Stamp Duty (Rs): _____________________ (c) Registration Fee (Rs): _________________ (d) Other (Rs): __________________________ Total (a+b+c+d) (Rs): ____________________ Outside Borrowings (Rs): ___________________ Loan Amount requested (Rs):________________ Rate of Interest %:_________________________ Floating / Fixed: ________________ Margin %: _______________________________

Property Details Proposed for the Loan (For Office use ): 1. Stage of construction (For New Construction): Final / Intermediate / Foundation / Plot 2. Age of Building/Flat in years (For Existing Construction ) : __________________ Builders/Sellers Name: _____________________________________________________________ Area details: Total area- PLOT SIZE OR UDS SURVEY NO:Location / Address: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____________ Sq. ft. Built up area - _____________ Sq. ft.

Summation of Net worth as per declaration of Applicant/Co-Applicant/Guarantor In Rs. Applicant Co-applicant, if Guarantor, if present present 1. Total movable 2. Total immovable 3. Total assets (1+2) 4. Total liabilities 5. Net assets (3-4) 6. Amount of

collaterals
The loan applied for as above for Rs.(Rupees) under Direct Housing Finance Scheme is repayable in monthly instalments of Rs.each. I / We note that the rate of interest applicable on the loan will be at ..% p.a. which would be applied at quarterly / monthly interval or as applicable from time to time. I undertake to contribute Rs..towards margin money being % of the project cost.

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I enclose / submit documentary proof in support of the above submissions. I further declare that the information submitted above is true and correct to best of my knowledge and belief.

Place: Date:

Signature of the Applicant

Place: Date:

Signature of co-applicant/guarantor

FOR OFFICE USE ONLY-FORWARDING LETTER CUM CHECK LIST To, The Chief Manager, CPC, Retail Loan Factory, Bank of Baroda, Coimbatore RE: HOME LOAN APPLN OF ____________________________________(RESIDENT/NRI) AMT- Rs.__________________FOR THE PURPOSE OF_______________________ FILE NO:SALES NO:DATE DATE LEAD REGN NO: :DATE:

NAME OF THE BRANCH WHERE LOAN TO BE PARKED:-_______________________ PARTICULARS Application Duly filled/signed Photographs (Two) Address ProofRation Card/Voter ID/Phone Bill Originals verified by ID & Age Proof Pancard/Driving Licence/ Passport Originals verified by 3 years continuous Employment Salary Slips(Latest 3 months) & Form 16 & IT Returns latest 2 years Applicant Co-App Guarantor

Originals verified by Self attested by the applicant/co-applicant/Guarantor OTHERS:- 1. 3 years audited/Certified B/S & P/L A/cs 2. 3 years ITR with computation of income 3. 3 years Adv.Tax challan Self&Company Bank statement(latest 6 months) Salary A/c or Main A/c Originals verified / Self Attested Pl. Specify whether cheque returns/loan deductions any PROPERTY DOCUMENTS PLEASE TICK IF AVAILABLE 1.Agreement for Sale & Construction 2.Estimate for construction 3.Approved /Sanctioned plan/layout/building 4.Certified/duplicate sale deed copy(Take Over) 5.Parent Documents EC FOR 30 YEARS FROM TO FROM TO 1. 2. 3. 4.

PROCESSING FEE + LEGAL VALUATION CHARGES CHEQUE NO/ DATE DRAWN ON(BANK/BRANCH) DEBIT AUTHORITY IN LIEU OF CHEQUE AS ABOVE WHETHER PAID CASH :WHETHER ELIGIBILITY SHEET AVAILABLE:-

AMOUNT(RS.)

FOR NRIs PLEASE TICK FOR AVAILABILITY 1.Passport / Visa (Notarised/Attested) 2.Residence Proof (Notarised/Attested) 3.Work Contract (Notarised/Attested) 4.Pay Slips 6 months (Notarised/Attested) 5.Bank Statement-6 months (Notarised/Attested) 6.Tax Returns (2 years) (Notarised/Attested) 7.POA Executed/Adjudicated I find the proposal prima-facie in order and request for further processing and sanction. SIGNATURE OF THE SALES-EXECUTIVE CIBIL OBSERVATIONS:APPLICANT CO-APLICANT/GUARANTOR

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DETAILS OF DEVIATION

OTHER REMARKS

SOURCE OF THE LEAD:SALES EXECUTIVE:ADVOCATE:PSI ALLOTTED TO:-

SIGNATURE OF SALES-COORDINATOR MOBILE NO:ARCHITECT:-