Photo of the Photo of the

Applicant with Self Guarantor (in case of

Attestation need) with Self
Attestation

APPLICATION FOR
INDIAN BANK VEHICLE LOAN SCHEME

To
The Branch Manager, Indian Bank……………………………..………….. Branch.

I hereby request for sanctioning of VEHICLE LOAN for Rs……………………. towards purchase of 2 / 4 Wheeler (New/
Second Hand Vehicle) repayable in ……… equated monthly Instalments. I give below my following information:

S.B or C.A/c No. (for Existing Customers)

RESIDENT NRI

1 Name Mr / Mrs / Mx

Date of Birth
2
and Age Age……………. Yrs
Father’s /
3 S/o or W/o
Spouse Name

4 Sex  Male  Female  III Gender

5 Martial status : Married / Unmarried (Please tick applicable)

6 Current Residential Address: Whether  Owned  Rented  Leased  Company provided  Others

Address………………………………………………………………………………………………………………………………………………………

…………………………………. City…………………………………. Pincode:……………………… Residing since………………

Mobile No……………………………Aadhaar No…………………………………………… PAN No………………………..........

E-Mail Id…………………………………………….

Permanent Address (if any) :

…..…………………………………………………………………………………………………………………………….

………………………………..……………… City …………………………………………Pin……………………………

7 Occupation
Employed Self Employed Professional Business
Others
8 Details of Employment
(with reference to
Col.7) with full address Whether Confirmed Yes No Completed years of Service: …………..
of Employer / Office
with Telephone / fax /
email.
Designation, Employee
No etc to be entered

9 If Self-employed /
Professional/ Business / Nature of Profession / Business etc. …………………………………………………………………………….
Others – Furnish
Details
(with reference to
Col.7) with full address
/ Telephone / fax / Capital Employed in the Business – Rs.
email
10 Present Monthly Income: Gross Net Other Income, if any

a. Applicant

b. Spouse

c. Total

11 Description of Vehicle to be Purchased

2 / 4 Wheeler: 2 Wheeler 4 Wheeler Make: ………………………………………………….

Model Name: ……………………………………………………………..

Dealers Name and Address:
New
Bank, Branch, IFSC & A/c no
of the Dealer: Phone: TIN No.:
Invoice Amount : Rs. (On Road Price – Excluding accessories)
Year and month of Age Value of the
Manufacture (mm / yyyy) Vehicle As per
Rs.
Old …….…yrs ……. m the Valuer

Seller details Name ……………………………………………………. Bank …………………………….. Branch ……………

IFSC ……………………………………………….. A/c No. …………………………………………………….

12 Details of Family Members: Name Relationship Age

1. ……………………………………….……………. ……………………………………. ……………….
2. …………………………………………….………. ……………………………………. ……………….
3. …………………………………….………………. ……………………………………. ……………….
4. ………………………………………….…………. ……………………………………. ……………….

5. ……………………………….…………………. ……………………………………. ……………….

13 Any relative working / nominated as Director in the Bank : No Yes. If yes, Relationship :
(If yes, declaration in the format (F 172) should be obtained.)

14 Details of SB / Current Account maintained by the Account Nos. : (SB / Current / OD / OCC Account)
applicant with Other Banks Bank: Branch :

15 I hereby declare that all the particulars given in the application form are true in all respects. I confirm that no litigation has been
initiated against me by other banks / Financial Institutions. I request you to sanction the loan.

Place :
Date : Signature of the Applicant.
Details & Consent from the proposed Guarantor: (KYC requirements to be complied)

Name :……………….……..……..…………………..………… S/o;D/o;W/o ………….…….………..….……………. Date of Birth …………..……..

Address: (Residence) …………………………………………………………………………………………………………………..………………………

Monthly Income : Rs……………………. Source : Service / Business / Profession / Others
Details of Bank A/c held: ……………………………

(Office Address) …………………………………………………………………………………………………………………………………………………

Phone No…………………………….. Mobile:………………………………… Relationship with Borrower: ……………………...…………

I hereby give my consent to stand as Guarantor to Sri / Smt ……………….…………………………..…..……………………………… for the Vehicle
Loan of Rs. ……………………….. applied by the applicant.

Date: …………………… Place:…………………………… Signature of Guarantor…………………………………..

List of Enclosures:
1. KYC Documents.
2. Proof of Employment for a minimum period of 2 years experience for 4-wheeler loans and one-year experience for 2-wheeler loans.
3. Where service in the current employment is less the above stipulation - proof of the previous employment experience.
4. If employed in a private concern, company profile of the employer to ascertain the Standing /status of the company
5. For all the salaried class applicants - a copy of the confirmation letter.
6. Proof of business address in respect of businessmen / industrialists
7. For NRI applicants, latest employment contract indicating residual contract period of not less than 3 years and undertaking
letter as to the usage of vehicle in India.
8. Quotation / Performa Invoice.
9. Copy of Driving Licence (Wherever applicable).
10. Salary Certificate for 6 months if employed and Latest ITR or Form 16 for 2 years for Self Employed / Professional /
Businessman.
11. A & L Statement from Borrower and Guarantor.
12.In case of 2nd hand vehicle, valuation report by AAI / Reputed Automobile Engineer / Valuer acceptable to the Bank .
For Office Use Only PRE – SANCTION APPRAISAL PROCESS:
Date of Receipt :

[1] Check List [1a] CIBIL Verification Done : Yes No If Yes, Score Obtained :
Whether at Acceptable Level : Yes No
[1b] EXPERIAN Verification Done : Yes No If Yes, Score Obtained :
Whether at Acceptable Level : Yes No
[2] Scoring Done : Yes No If Yes, Score Obtained :

[3] Credit Report prepared obtaining A & L (Mandatory): Yes

[4] Pan Card (Applicant & Guarantor) verification done : Yes (KYC compliant)
[5] DUE DILIGENCE :[Mandatory for 4 Wheeler & high end 2 Wheelers; Optional for 2 Wheelers of normal Vehicles]
[a] Verification of the Dealer’s Address done through Internet / website / visit : Yes No
[b] Whether the Quotation / Invoice contains Bank’s name : Yes No
[c] Name of the person contacted at Dealer’s Office : Mr/Ms.
[d] Name of the Bank Official who made the above enquiry : Mr/Ms.

[6] In case, Loan amount exceeds Rs.25 Lakhs - Whether

[a] Collateral Security equal to the amount exceeding Rs.25 Lakh obtained : Yes No
[b] If ‘NO’ to [6][a]Whether approval for relaxation from Zonal Office obtained Yes (Mandatory)

[7] Margin money brought in by the Applicant : Yes No

[8] Loan Component :

Cost of New/Old Vehicle incl. insurance: Rs. Gross Income/Salary : Rs.

Regn. Charges & Road Tax : Rs. Net income/Salary : Rs.
Less Applicable Margin@ % :Rs. Proposed EMI : Rs.
Eligible amount (A) : Rs. Net income after EMI : Rs.

48 times of Gross monthly income (for salaried class):Rs. (B) % to Gross income : Rs.
36 times of Gross monthly income (for Pensioners): Rs. (minimum 40%)
Max. 3 times of average Net annual income for last 2 years (for individuals including P & SE)
as per latest ITR (for P &SE/Businessmen/Firms & Companies):Rs.
DSCR of 1.5 to 2.00 in case of non-
individuals like Partnership Firms, Limited
Companies etc.
ELIGIBLE LOAN AMOUNT (Lower of [A] & [B]) : Rs.…………………….

Date : Appraising Officer

Branch Manager’s Sanction
Vehicle Loan (2 Wheeler/ 4 Wheeler) Sanctioned for Rs. ……………………………………………….. Repayable in ……………. EMI of
Rs………….………. each commencing from ……………………… with Repo rate @ …….…..% p.a. (List of Documents to be executed by the
Borrower/Guarantor is Attached)

Date : Signature of the Branch Manager

LOAN TRACKING No. …………………………………………………….
 POST SANCTION COMPLIANCE

Loan A/c No. …………………………………………. Dated ………………………….. for Rs. …………………………

Payment details – [@] Demand Draft No: Date : Amount : Rs.

Favouring M/s………………………………………………………………………………….
[@] vide NEFT / RTGS to the credit of A/c No. ……………………………………………………..
payable to …………………………………………….. Bank favouring M/s …………………………………………………………….

Whether the covering letter mentions about our Bank’s loan towards the above vehicle : Yes No
[i] Photograph of the vehicle with the borrower taken / obtained : Yes No
[ii] RC Book copy with Bank’s Name (attested by borrower) submitted : Yes No
[iii] Whether our Bank’s Name included as the financier Invoice : Yes No

[iv] [iv] Insurance Policy – bearing our Bank’s clause obtained : Yes No

@ Strike out whichever is not applicable

Documents to be Obtained :

Document /
S No. Name of the Document
Form No.
1. D127 Agreement of hypothecation of vehicles
2. D19A Form 29 – Form of note of transfer of ownership of motor
vehicle
3. D19B Form 30 – Report of transfer of ownership of motor vehicle
4. D19C Form 28 – Form for application for NOC
5. D19D Declaration in the absence of “No objection Certificate”

6. D20 True copy of the Certificate of Registration

7. D57 Agreement of Guarantee (wherever applicable)

8. F19 Letter from borrower to dealer

9.  Irrevocable Standing Instruction (SI) for recovery of the EMI from the salary
account if salary account is with us.
 NACH mandate/ ECS mandate from customer, if the salary account is
maintained with other Bank.
10. Appropriate documents related to collateral security, wherever applicable.

.........................................................................................................................................................................................
ACKNOWLEDGMENT TO THE APPLICANT
Received the Vehicle Loan application from Sri/Smt/Mx ........................................................................ on ........................

Loan Tracking No: .....................................................

Date: Signature of the Bank Official.