Experiment No 6

Aim: collect loan application forms of nationalise bank/other financial institutions

Application-cum-Appraisal/Sanction Form for Personal Loan

Branch Office: Date of Application:
Part - I Applicant/Co- Applicant information
1. Applicant’s Name Last: First: Middle:

2. Father’s/Husband’s Name
3. a) Residence*: _______________________________________
Present
City/Location Recent Self Attested
District Photograph
Pin Code Country of the applicant

b) Residence*: _______________________________________
Permanent
City/Location
District Pin Code
Country
4. Category of Applicant
c) Office: _______________________________________ (Tick appropriate)
_______________________________________
City/Location Physical Handicapped Y/N
District Pin Code Ex- Serviceman Y/ N
Country Minority Y/ N
SC/ST Y/N
5. Telephone No. (With STD code)
d) E-Mail id
a) Residence:
e) Mobile: b) Office:
6.(a) Income Tax Pan No.* Aadhar No.*
(b)(ii) Voter ID No.*
(iii) Passport No.* Any one of
(iv) Driving Licence No.* these
7. Individual Type:  Salaried  Professional  Self Employed  Other
8. a) Age (yrs)
b) Date of Birth (dd/mm/yyyy)*:
c) Gender (male/female/Thirdgender)
d) Marital Status  Single  Married
e) Number of dependents in the
household
f) Earning Member of family, if any,
excluding applicant
g) Banking with us Yes/No, if yes, a/c no. /Customer Id.

9. Qualification/Education* Matriculation Intermediate Graduation PG Ph.D.

10.Whether relative of Staff /Director Yes No
of bank
11. a) Residence Ownership Owned (self /spouse ) Owned (Parents) Other
b) Is the house mortgaged Yes No
c ) Value of House  At cost 、  Market value 、
12. a)Years at current residence*
 b) Period of stay at Present Posting
13. a) Collateral security provided? Yes No
b) Type of collateral Property NSC/LIC Policy/Govt. security Shares Other
、
c) Value of collateral ( ) 、 、 、 、
14 a) Vehicle Two Wheeler Four Wheeler
b) Make and age of vehicle

c) Number
1 5 . Profession, Please Specify

16. Additional IC NO.

informatio RANK
n (in case IDENTITY CARD/PAY BOOK
of Army NO
Officers) PAY ACCOUNT NO.
NAME OF THE UNIT
17. If Self His/her firm is Proprietorship Partnership Pvt. Ltd. Co. Others
Employed / No of yrs in Business/ ________________________________________________________________
Professiona Profession ________________________________________________________________
l Line of Activity
Income in Last 3years( )* 、 Current Year: Last year : Year before last :
18. If He/she works for Govt./Public Sector  Public Ltd.Co.  Private Ltd.Co.  Others
Salaried Salary account with PNB Yes/No, If yes, 16 Digit account no. and if no details of Salary Account with Bank,
Employer . Branch and Account No
informatio
n and Name of the employer Address
annual Years with current employer Years ; Since when:
income ________________________
details. Years with previous Years; From To
employer(s)
________________________________________________________________
Total Length of Service
Date of Retirement
Designation Since: .
、
Annual Income ( )* Gross: Net:

19. If Other Occupation

、
Total Annual Income ( )* Gross: . Net .
20. Annual deductions (statutory savings, IT etc in 、)*
21. Other loans taken (including previous loans from PNB):
、
Limit ( ) : ________________________________________________________
、
Present Outstanding ( ) : ________________________________________________________
Whether regular:  Yes  No
Monthly Repayment ( ) : 、
22. Statement of Assets and Liabilities (Amount in 、)
Liabilities Assets
Outstanding Amount Amount
Loans/Advances
Immovable properties:
Land
Bank Building
Employer Movable properties:
Provident fund Cash
Relatives and friends Deposits with banks
Others Investment in Govt. Securities
 Others
Total Total
Net Worth (Actual in 、)
2 3 . Spouse Information:
a) Name of the spouse: Office Tel No. :
b) Occupation/Profession: Office Address :

c) Annual Income*: Gross: Net:

d ) Is she/ he furnishing guarantee? Yes No
e) Income Tax PAN no.

24. Details of Personal Loan requested from PNB:

a. Purpose of Loan
b. Amount of Loan
25. Repayment Period (yrs)
26. Monthly installment a) Amount (Rs.)
b) Mode  Advance Cheques  Standing instructions

2 7 . Guarantor: Whether available? Yes , Furnish details in Part II  No

28. Name, Address and telephone numbers of two references
REFERENCE 1 REFERENCE 2
a) b)

29. Pending court cases of Banks/Financial Institutions

against Applicants/As Partner/ As Director:
(Enclose details on an annexure, if needed)

3 0 I request for sanction of loan of 、 as Personal Loan on the basis of information given above. It
is declared that:
The information given in the loan application is true and nothing has been concealed. The undersigned undertakes to inform
the Bank any change in my residence / office address and to provide any further information that the Bank may require. The
undersigned has been informed of the charges / fee to be levied by the Bank and agrees to pay upfront fee, documentation
charges, etc. as applicable and charged by the bank. The undersigned hereby agree to be bound by these terms and
conditions or by the revised additional terms and conditions which may at anytime hereafter be made while the loan
obtained by me/us is still outstanding.

I have read the attached Most Important Terms and Conditions (MITC) annexed to the application form carefully and
agree to the same.

Yours faithfully,

Signature and name of applicant