Application Form for HOME LOAN. Please Affix Recent Photograph. I/We request you to grant me/us a loan facility of Rs. under Home Loan Scheme for

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Application Form for HOME LOAN Bank of Baroda btìgò Atéßò btq tèvt Please Affix Recent Photograph 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: Are you a BOB staff (Y/N): Education (tick mark): Matric or below matric Under Graduate/Higher secondary Graduate Post-graduate Doctorate 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 (excluding spouse): No. of children: Earning member in family, if any (Y/N): Mention branch where loan account should be opened: Reason for choosing the branch (tick mark) Near location of target property Near place of work/business Near place of present residence Branch maintains salary account Other: Income and expenses Primary monthly income Other income details Monthly expenditure Gross income: Deduction: Rent received: Agriculture: Others: Description: Loan repayment: Rent paid: Others:

Salaried: Please tell about your work: Employer name: Department: Address: City: State: Pin code: Phone no: Extn No: Fax no: Company email: Designation: Executive/Managerial/Clerk Years with employer: Contact person: Name of previous employer: Retirement age: Working with: Govt./Public sector Public Ltd Private Ltd Partnership Proprietorship MNC 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 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 (including credit facilities, if any): Name of Bank Branch Branch telephone number Number of years account held Account type Account Number Account balance (Rs.) As on date Outstanding Loan details in individual name : Source Purpose Date of sanction Loan Amount Outstanding EMI Overdue amount, if any Overdue since 2

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) present) About your Co-applicant: Name : Date of birth: (DD/MM/YYYY) Father s/husband s name: Relation with Applicant: Address: City: Pin code: State: Occupation: Phone/Fax: Email: PAN/GIR Number: Net Annual Income (Rs.): Details of other present immovable Properties (Other than proposed as security for housing loan) Nature of properties: Plot of Land Agricultural Land House/ Godowns 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. Whether encumbered: If yes, give detail: Information on Guarantor/Co-applicant (if About your Guarantor: Name : Date of birth: (DD/MM/YYYY) Father s/husband s name: Relation with Applicant: Address: City: Pin code: State: Occupation: Phone/Fax: Email: PAN/GIR Number: Net Annual Income (Rs.): Net worth In Rs. Applicant Co-applicant, if present Guarantor, if present 1. Total movable 2. Total immovable 3. Total assets (1+2) 4. Total liabilities 5. Net assets (3-4) 6. Amount of collaterals 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 %: Details of Movable Assets in my name: (A) Life insurance Policies Policy No. Date of issuance Sum Assured Co. & Branch name Annual Premium Premium paid or surrender value 3

(B) Shares/ Debentures/ Term deposits / Govt Securities (NSC etc) Co./ Bank/ Post Office Date of Instrument Face Value Present value Due date Whether encumbered (C) Other movable assets: Descriptions Year of acquiring Purchase price Market Value Valuation date (D) Details of Liabilities: Details Of Loan In Firms Name/ Company s 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. 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. Further I give below particulars about myself, dependants & legal heirs Name/Age of dependents/ Relationship with Address Occupation / Vocation Legal heirs the borrower of Legal heirs I/We hereby declare that all the particulars and information furnished in the application form are true, correct and complete and up-to-date 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 -------------------------------------------------------------------------For office use only------------------------------------------------------------------------------ Warm lead No: Sales executive code: Borrower number: Branch name and alpha code where parked : 4

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 ) : Builder s/seller s Name: Area details: Total area- Sq. ft. Built up area - Sq. ft. Location / Address: 5

Particulars about Co- Borrower / Guarantor (wherever applicable) Name: Father s / Husband s Name: 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 Distt: Area / Size of the property: Present market value: Rs. Whether encumbered: If yes, give detail: Details of Movable Assets in my name: (A) Life insurance Policies Policy No. Maturity Date Sum Assured Co. & Branch name 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 Purchase price Market value Valuation date (D) Details of liabilities: Details Of Loans / advances availed from Bank s / Institutions & other liabilities: Name of Bank/ Institution: Purpose : Amount of Loan P/O overdue if any. Details of Personal Guarantee given, if any: Name of the person on whose behalf Bank / Institution Amount of commitment Overdue if any - Particulars of Legal Heirs: Sr. No. Name Relationship Age Present Address 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 6

FOR INFORMATION OF HOME LOAN APPLICANT : A. UNIFIED PROCESSING CHARGES: Unified processing charges includes processing charges, documentation charges, document verification charges and pre & one time post sanction inspection charges to be levied as detailed below: Loans upto Rs. 30/- lacs : 0.50%.(min Rs 5000/-) Loans above Rs. 30/- lacs : 0.40% (min Rs 15000/- & max Rs Rs 50000/-) (service tax to be recovered separately in addition to above) Charges in respect of Advocate fee for legal opinion and valuation charges are to be levied separately in addition to above Unified Processing charges. In case of takeover of Home loan: 0.10% (without maximum limit) B. FULL PREPAYMENT/ PREMATURE CLOSURE CHARGES: No penalty is payable if loan is prepaid partly or fully from own sources. In other cases, @ 0.5% of balance outstanding for each year of the residual period of home loan subject to maximum of 2.00% including any such amount prepaid in the last financial year C. LIST OF DOCUMENTS TO BE OBTAINED FROM THE CUSTOMER : Passport size photograph of all the applicants Residence and age verification, which may be established from the PAN card, Election ID, Passport, Driving License or Ration card. Proof of Business / office address. Bank statements for the last six months Copy of IT Returns for last 3 years alongwith assessment order. Salary slips for last 3 months (Minimum) in case of salaried class applicants. Copy of LIC premium receipts, if any, and / or copies of other investments. Certified copies of Balance Sheets and Profit and Loss accounts, copy of IT Return alongwith assessment orders, advance tax challans (for both company/firm and personal account) for the last three years in case of self-employed / business category applicants Brief profile of the company / firm in case of self-employed applicants Guarantor Details Copy of property documents Cheque for unified processing charges ACKNOWLEDGEMENT TO THE APPLICANT FOR APPLICATION: We have received home loan application from Mr. S/o of For Rs. on. Seal of the Branch / RLF For Bank of Baroda Branch Date