Serial No. HOME LOAN APPLICATION FORM Please fill in the form in CAPITAL/BLOCK letters and tick the boxes wherever applicable. If applicant is an existing customer of Deutsche Bank AG, please quote the Customer ID: Recent Photograph of Applicant 1. Personal Details: Applicant Title Mr. Ms. Mrs. Dr. Prof. Others (Please specify) Name First name Middle name Last name Date of Birth Gender M F Mother s maiden name Nationality Marital status Single Married Others, please specify Number of dependents Residential address/present address: The address is PO Box address APO address Residential telephone No. (mandatory) Telephone No. is Landline C/o No. 2nd Residential telephone No. Residential fax No. E-mail Mobile Permanent address (if different from residential address) Phone No. (L) Mobile Residential status Self-owned Rented house Parent-owned Company provided Mortgaged Paying guest/hostel/chummery Other Period of residence in current home years months Period of residence in current city years months Education High School Diploma Graduate Postgraduate and above Professional Others Degree issued Name of institution Vehicle owned Two-wheeler Four-wheeler Age of vehicle years months Is the vehicle Owned Financed Company provided
Make of vehicle Vehicle No. Preferred address for correspondence Home Office PAN/GIR No. Passport No. Driving licence No. (If not available, please attach Form 60/61 FORM 60/61 attached Electoral ID No. 2. Employment/Profession Details: Applicant Nature of employment Salaried Self-employed Retired Profession CA Lawyer Doctor Consultant Engineer Banker Academician Others, please specify Type of industry/business IT/Telecom Government Transport Construction/Real Estate Consumer Goods Textiles Export-Import Manufacturing Hotels/Restaurants Entertainment Medical Agriculture Advertising Banking and Finance Law Travel/Tourism Office address Other, please specify Name of employer/business E-mail Phone No. (D) Mobile Phone No. (L) Extn. Fax No. Gross monthly income Rs Net take home income (monthly) Rs Other income (monthly) Rs EMI affordable Rs Name of last employer Years of service with last employer years months a. Salaried Type of employer Public Sector Public Limited Company MNC Private Limited Company Partnership/Proprietorship Government Designation Department Years at current job years months Years of total employment years months Retirement age years b. Self-employed Type of firm Private Limited Company Partnership Proprietorship Designation Years at current business years months Total years in business years months Years at previous job (if applicable) years months Investment (Rs lacs) Turnover (Rs lacs)
If co-applicant is an existing customer of Deutsche Bank AG, please quote the customer ID: Recent Photograph of Co-applicant 3. Personal Details: Co-applicant Title Mr. Ms. Mrs. Dr. Prof. Others (Please specify) Name First name Middle name Last name Date of Birth Gender M F Mother s maiden name Nationality Marital status Single Married Others, please specify Number of dependents Residential address/present address: The address is PO Box address APO address Residential Telephone No. (mandatory) Telephone No. is Landline C/o No. 2nd Residential telephone No. Residential fax No. E-mail Mobile Permanent address (if different from Residential address) Phone No. (L) Mobile Residential status Self-owned Rented house Parent-owned Company provided Mortgaged Paying guest/hostel/chummery Other Period of residence in current home years months Period of residence in current city years months Education High School Diploma Graduate Postgraduate and above Professional Others, Degree issued Name of institution Vehicle owned Two-wheeler Four-wheeler Age of vehicle years months Is the vehicle Owned Financed Company provided Make of vehicle Vehicle No.
Preferred address for correspondence Home Office PAN/GIR No. Passport No. Driving licence No. (If not available, please attach Form 60/61 FORM 60/61 attached Electoral ID No. 4. Employment /Profession details: Co-applicant Nature of employment Salaried Self-employed Retired Profession CA Lawyer Doctor Consultant Engineer Banker Academician Others, please specify Type of industry/business IT/Telecom Government Transport Construction/Real Estate Consumer goods Textiles Export-Import Manufacturing Hotels/Restaurants Entertainment Medical Agriculture Advertising Banking and Finance Law Travel/Tourism Other, please specify Office address Name of employer/business E-mail Phone No. (D) Mobile Phone No. (L) Extn. Fax No. Gross monthly income Rs Net take home income (monthly) Rs Other income (monthly) Rs EMI affordable Rs Name of last employer Years of service with last employer years months a. Salaried Type of employer Public Sector Public Limited Company MNC Private Limited Company Partnership/Proprietorship Government Designation Department Years at current job years months Years of total employment years months Retirement age years b. Self-employed Type of firm Private Limited Company Partnership Proprietorship Designation Years at current business years months Total years in business years months Years at previous job (if applicable) years months Investment (Rs lacs) Turnover (Rs lacs)
5. Banking relationships: Applicant/Co-applicant 1. Primary bank account (salary account for salaried individuals) 2. Other bank account details Name of bank Address of bank Name of bank Address of bank Account No. Type of account Account No. Type of account 6. Credit card details: Applicant/Co-applicant If you have a credit card, kindly fill in the following details: CARD 1 CARD 2 Bank Card No. Bank Card No. Valid from to Valid from to M M Y Y Y Y M M Y Y Y Y M M Y Y Y Y M M Y Y Y Y Member since Member since M M Y Y Y Y M M Y Y Y Y Credit limit Rs Credit limit Rs 7. Loan details If you have any other loan, kindly fill in the following details: LOAN 1 LOAN 2 Bank/Financier Nature of loan Bank/Financier Nature of loan Loan amount Rs Loan amount Rs Loan tenor years months Loan tenor years months Loan taken since Loan taken since M M Y Y Y Y M M Y Y Y Y Monthly EMI Rs Monthly EMI Rs Current outstanding loan Rs Current outstanding loan Rs 8. Loan requirement I hereby apply for a loan as follows: Loan amount required Rs Loan tenor required years Product option Home Purchase Loan Home Construction Loan Home Plot and Construction Loan Home Extension Loan Home Improvement Loan Loan against Home Balance Transfer Balance Transfer with top-up Loan Interest type Fixed Rate Floating Rate Flexi: Fixed %, Floating % Repayment option Standard EMI Max saver (only floating rate) Growing/Step-up EMI Step-down EMI I wish to pay my monthly installment by Debit from my/our Current/Savings Account, with Deutsche Bank, No. Post-dated cheques (PDC) Electronic Clearing Service (ECS)
Estimated funds required (Rs) Estimated sources of funds (Rs) 1. Land cost 1. Loan requested 2. Total purchase price/construction cost 2. Savings from Bank 3. Incidental costs, e.g., stamp duty, 3. Investments (FD, Shares) registration 4. Other costs 4. Amount already spent (Please specify) (Source) 5. Loan outstanding (for balance transfer) 5. Provident Fund ( Refundable Non-refundable) 6. Top-up/others 6. Others (Please specify) Total requirement of funds Total sources of funds Requirement of funds should match with the sources of funds. 9. Details of property (to be purchased/constructed/extended/improved) Area of land sq. ft. Built-up area sq. ft. Cost per sq. ft. Freehold Lease-hold Stage of construction/extension/improvement: % The property to be financed is for Self-use Giving it on rent Is the legal title to the property clear? Yes No Who is the owner of the property? Applicant Co-applicant Jointly owned Joint owner s name (if applicable) Developer s/builder s name (Please specify relationship with Co-owner) Project s name 10. Financial information Assets (Rs) Liabilities (Rs) Outstanding Balance Applicant Co-applicant amount (Rs) EMI (Rs) term (months) 1. Savings Applicant in Bank 2. Motor Loan from vehicles Employer 3. Fixed Loan from Deposits Bank 4. Current Other loans balance in PF 5. Other Co-applicant investments (Bonds/Securities) 6. Sum assured Loan from of LIC Employer 7. Immovable Loan from property (Specify ) Bank Total Other loans
11. Financial references (other than family) 1. Name: Mr./Ms./Mrs. First name Middle name Last name E-mail Phone No. (L) Mobile How do you know him/her? 2. Name: Mr./Ms./Mrs. First name Middle name Last name E-mail Phone No. (L) Mobile How do you know him/her? 12. Declaration I/We certify that all the information/details provided by me/us in this application are true, correct and complete and shall form the basis of any loan that Deutsche Bank AG (the Bank) may decide to grant me/us. The Bank reserves the right to seek any information from any source or to give any information and/or to assign any work to any third party at its sole discretion. I/We further agree that the loan that maybe provided to me shall be governed by the rules of the Bank that may be in force from time to time. I/We are aware that Deutsche Bank offers loans under a fixed interest rate option and a variable interest rate option, and that I/we have selected the option in the application form. I/We confirm that the funds sanctioned shall be used for the stated purpose only and shall not be used for speculative/anti-social purposes. I/We further certify that I/we am/are citizen(s) of India. I/We undertake to inform the Bank of any change in residential status forthwith. I/We agree to give post-dated cheques for the repayment of the loan and I/We am/are are fully cognizant that dishonour of the cheque is a criminal offence under the law. I/We confirm that I/we have seen the present Schedule of Interest and Charges of the Bank, which are available at the branches and the website of the Bank. I/We agree and undertake that the said Schedule of Interest and Charges are acceptable to me/us. I/We hereby confirm that no insolvency proceedings have been instituted against me/us nor have I/We ever been adjudicated insolvent. I/We also confirm that no litigation has been filed or is pending against me/us for recovery of any amount from me/us by any bank, financial institution, Non-Banking Financial Corporation or any other entity. I/We hereby agree and give consent for the disclosure by the Bank of all or any information and/or data relating to me/us; the information and/or data relating to any credit facility availed of/or to be availed by me/us; and default, if any, committed by me/us, in the discharge of my/our such obligations, as the Bank may deem appropriate and necessary, to disclose and furnish to the Credit Information Bureau (India) Ltd and/or any other agency authorized in this behalf by the Reserve Bank of India (RBI). I/We have perused the Bank s General Terms & Business Conditions and hereby confirm the acceptance thereof. I/We give the right to the Bank to set off against other accounts in case of default on this account. Applicant s Signature (Sign within the box & use black ink for signature.) Name Location Date D D M M Y Y Y Y Co-applicant s Signature (Sign within the box & use black ink for signature.) Name Location Date D D M M Y Y Y Y
For Bank Use Only Sales Reference No. Promotion Code Application received on Complete supporting document set received on Submitted completed application documents to bank on DSA/dealer/ Distribution Point stamp Authorized signatory (for DSA/dealer/ Distribution point) I am proposing this case for Credit Approval. Sales/Channel Manager s Name: Signature Date Application Reference No. Date of entering information 11/05