VIJAYA BANK
Branch :
APPLICATION FOR HOME LOAN
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Affix recent
Photograph of Co-Applicant with
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A] PERSONAL AND EMPLOYEMENT/PROFESSION/ BUSINESS DETAILS
 
APPLICANT
Name (surname, first name, middle name)
: _____________ | _____________ | _____________
Current Residential Address
: __________________________________________
__________________________________________
Pincode : __________________________________
Phone Number :  
E - Mail :  
Date of Birth : __________________________ Age : __________
Sex :
 
Male
 
Female
Martial Status :
 
Single
 
Married
 
Other
Status :
 
Resident
 
Non - Resident
Number of Dependents : __________ Children __________ Others
Category :
 
Sc
 
St
 
Minority
 
Others
Pan Number : _________________________________________
Occupation :
 
Employed
 
Self-employed / Business
Designation :  
Qualifications :  
Monthly Income : Rs. ______________________________________
Other Income : Rs. ______________________________________
Source : __________________________________
Employer / Profession / Business  
Name & Address :

__________________________________________
__________________________________________
__________________________________________
Pin Code : _________________________________
Office Phone Number : ____________ Extn __________ Fax ___________
Number of Year in Present Occupation : ____________ Years
Retirement Age : ____________ Years
Department : __________________________________________
Employee No : __________________________________________
...
 
 
 
CO - APPLICANT
Name (surname, first name, middle name)
: _____________ | _____________ | _____________
Current Residential Address
: __________________________________________
__________________________________________
Pincode : __________________________________
Phone Number :  
E - Mail :  
Date of Birth : __________________________ Age : __________
Sex :
 
Male
 
Female
Martial Status :
 
Single
 
Married
 
Other
Status :
 
Resident
 
Non - Resident
Number of Dependents : __________ Children __________ Others
Category :
 
Sc
 
St
 
Minority
 
Others
Pan Number : _________________________________________
Occupation :
 
Employed
 
Self-employed / Business
Designation :  
Qualifications :  
Monthly Income : Rs. ______________________________________
Other Income : Rs. ______________________________________
Source : __________________________________
Employer / Profession / Business  
Name & Address :

__________________________________________
__________________________________________
__________________________________________
Pin Code : _________________________________
Office Phone Number : ____________ Extn __________ Fax ___________
Number of Year in Present Occupation : ____________ Years
Retirement Age : ____________ Years
Department : __________________________________________
Employee No : __________________________________________
...
 
 
B] SPOUSE INCOME IF EMPLOYED / PROFESSION / BUSINESS : Rs ____________ Per Month
 
C]
(1) LOAN REQUESTED
  Amount : Rs _____________________________ Term : Yrs ____________________________
Your monthly expenditure Rs ______________________________________________________
Instalment you and co-applicant (if any) can pay to the Bank per month Rs ________________
(2) TYPE OF LOAN
 
 
Home Loan (Fixed Rate)
 
Land Purchase Loan
 
Home Extension Loan
 
Home Improvement Loan
 
Home Loan Floating Rate
 
Short term briding Loan
(3) LOAN DETAILS
 
 
Construction
 
Improvement
 
Purchase
 
Any other (please specify)
 
Extension
    
  ESTIMATE OF REQUIREMENTS OF FUNDS
 
1. Total purchase price/construction cost
Rs ____________
2. Incidential costs (if any)
 Rs ____________
3. Other costs (please specify)
 Rs ____________
 
 
 Total requirement of funds
  
A. (Sum of 1 to 3) Total
 Rs ____________
  ESTIMATE OF SOURCES TO MEET REQUIREMENT OF FUNDS
 
4. Loan requested from Bank
Rs ____________
5. Savings from Bank
Rs ____________
6. Disposal of investments (fixed deposits/shares etc)
Rs ____________
7. Amount already spent (source ............................)
 Rs ____________
8. Provide fund (refundable / non-refundable)
Rs ____________
9. Other specify ( …………………………………………)
 Rs ____________
 Estimates of sources of funds
 
B. (Sum of 4to 9) Total
 Rs ____________
 
Note :
 'A'' which is the total requirement of funds should equal estimate of sources, 'B' which indicates the sources from where the cost will be met.
It is important that you indicate in detail the sources from where the cost will be met in order to help us process your application faster.
 
D] Previous employment Details (last 5 years)
Number of Offices of Services
 : ____________________________________________________
Income (Salaray drawn)
: Rs __________________________________________________