| VIJAYA BANK |
| Branch
: |
| APPLICATION FOR BANK FINANCE UNDER V-CASH
/ EQUIP |
|
|
| Sl.
No |
Details |
Information |
| 1. |
Name |
|
| 2. |
Age |
|
| 3. |
S/O, W/O,
D/O |
|
| 4. |
PAN / GIR
Number |
|
| 5. |
Residential
address with phone number |
| a. Present address |
Phone No : |
| b. Permanent address |
Phone No : |
| 6. |
SB / C.A/c
|
No :
Date of Opening : |
| 7. |
Particulars
of other deposits / accounts held with Vijaya Bank / Any
other Bank |
| Nature & Number of
deposit |
Depositor’s name |
Relation with the applicant |
Due
date |
Balance (Rs) |
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
| | |
| 8. |
Existing
liabilities |
| Lender’s name |
Nature of facility |
Amount outstanding |
Security offered |
| |
|
|
|
| |
|
|
|
| |
|
|
| | | | | |
| |
| 9. |
Name &
address of two references not related to the
applicant |
1.
2.
|
| 10. |
In case of
salaried persons |
| a. |
Name
of institution, where the applicant is
working |
Amount outstanding |
| b. |
Address of the institution |
|
| c. |
Name
of Salary disbursing Authority with his / her
designation & phone number |
| Name |
: |
________________________ |
| Designation |
: |
________________________ |
| Phone No |
: |
________________________ | |
| d. |
Monthly salary [Attach latest pay
slip] |
Rs. | | |
| 11. |
In case of
non-salaried persons |
| a. |
Occupation |
Amount outstanding |
| b. |
Annual income |
Rs. |
| c. |
Net
worth as per enclosed Statement of Assets &
Liabilities (2-26(a)) – [Applicable in case of
Non-IT assessees] |
|
| d. |
Year
up to which IT returns are filed [Attach a
copy] |
|
| e. |
Year
up to which assessment is done [Attach a
copy] |
|
| f. |
Office address with phone
number |
Address :
Phone No
: | | |
| 12. |
Purpose of
the loan |
|
| 13. |
Amount of the
loan |
Rs. |
| 14. |
Instalments
sought [Maximum of 60 months] |
|
| 15. |
Securities
offered and its value |
| | | |
| |
| 16. |
| Guarantor/s |
I
Guarantor |
II
Guarantor |
| a. |
Name |
|
|
| b. |
Age |
|
|
| c. |
Son /
Wife / Daughter of |
|
|
| d. |
Occupation |
|
|
| e. |
Annual income [Attach Salary Certificate
/ Copy of IT assessment order] |
Rs.
|
Rs. |
| f. |
Net
worth as per enclosed Statement of Assets &
Liabilities (2-26(a)) – [Applicable in case of
Non-salaried persons] |
Rs.
|
Rs. |
| g. |
I
agree to stand as a guarantor for the above
applicant. The information furnished above by me
is true and correct to the best of my knowledge
and
belief.
GUARANTOR/S
Date: | | |
| 17. |
Declaration /
Authorisation: |
I have read
the rules of the scheme, understood the contents and
agree to abide by. The information furnished above is
true and correct to the best of my knowledge. I hereby
request and authorise you to remit the proceeds of the
loan directly to the dealer / vendor collecting margin
money from my account. All the instalments, interest and
/ or other charges may be debited to my above account/s.
In case of foreclosure / advance payment, I authorise
you to collect 1%
penalty.
APPLICANT
Date: |
| 18. |
SPACE FOR
PROCESSING / FORWARDING REMARKS (including gist of
credit reports from the Banks & market
reports)
OFFICER /
MANAGER / SENIOR
MANAGER | | | |
| |
| 19. |
Finally I do
sanction the following : |
| Sanction No: |
|
| Rate
of interest |
_________ % p.a. |
| Terms
of repayment/EMI |
|
| Facility |
|
| Amount |
Rs. |
| Security with margin |
|
| Other
conditions |
|
| Date |
| |
SANCTIONING
AUTHORITY
NAME:
DESIGNATION:
| | | |