[~~J 3L(25)-O1-06-Master .r - Canara Bank

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[~~J 3L(25)-O1-06-Master
I:~~ ~-;m~ /C AN A RA B AN K
ji:.a! '-hIGI~I'-h 'i"~i!~I'i"1
ii,~J. (~~"CfiT~)/(AGovt.oflndiaUndertaking) Photograph Photograph
~:~~ ~.'fiT. 112,'::if.m.. m, ~-2/H.O: 112,J.C.RC.1d, Bangalore-2
~ ~~ -~/ LOAN APPLICATION
(~~~~, ~3fp,'R1q;T~~~;;ft;t-q;'i;f~m-:?;fi1:;:r~it ./~~)
(Please complete all columns, use BLOCK letters and tick.appropriate box wherever applicable)
.~/~~~Uq;"{aT ~#/TO: ~~/CanaraBank, {/~~~~~m"\jf~~G~Tftz~/~~~~~1 : ~
l/We request you to grant me/us the loans/credit facilities indicated below as perthe Bank's Scheme.
W{fl~/~/~-~
Applicant .Jt. ApplicantlGuarantor/Co.obligant
3frq:ffi ~ / HOUSING LOAN D ~ ~&R ~ / HOME IMPROVEMENT LOAN D
~/CANRENT.O ~~~I~i1~/CANMORTGAGE D
3ffq~% ~ ~ ~ ~ 1[/:IT ~ / The necessary particulars are furnished hereunder:
I. ~ ~ ~~/~/~-3m:m1'
PARTICULARS APPLICANT JT. APPLICANT/GUARANTOR/CO-OBLIGANT
~ fit"ifT/qffi-q;-r~ / NAME : ...,...,.,.,., !!it/~ /wit , /Mr/Mrs/Ms , ,..".,.",
!!it /~ /wit /Mr/Mrs,!Ms
ijfrq"rnNqrnrr/OATE FATHER'S/HUSBAND'SNAME: OF BIRTH & SEX: m/Mr I I II I.. I I ~/MAl.ED m/Mr I ,I II I I I ~/MALED
./ FEMALE D ./ FEMALE D
q1j/CATEGORY: 3f~/SC D 3f-::;r-;tT/STD 3f~/SC D 3f-::;r~/ST D
fq~ / BC D ~ / OTHERS 0 fq~ / BC D ~ / OTHERS D
~~/MINORITYCOMMUNITY: ~~/MINORITYC'QMMUNITY:
~/ Christian D ~ / Muslim D ~/ Christian D ~ / ~uslim D
~/Parsi D fu'3/Sikh D ~/parsi D ~/Sikh 0
"'1~1Ft:'.f"/Zorastrian 0 "'1~1Ft:'.f"/Zorastrian 0
~~/RESIDENTIALSTATUS: mrm/RESIDENT 0 mrm/RESIDENT 0
3f-~/NON-RESIDENT 0 3f-~/NON-RESIDENT [J
~Tf~ ~ / EDN. QUALIFICATIONS: ~ / UNDER GRADUATE 0 ~ / UNDER GRADUATE D
~/ GRADUATE D ~/ GRADUATE 0
~~~/POST-GRADUATE 0 ~1

~~'it~. /VOTER ID CARD No.
Q""f~. / PAN No.:
~ ~. / PASSPORT No
~ 3{T'q"rn" m~ / Owned 0 m~ / Owned 0
PRESENT ACCOMMODATION q,'-j'11 -:.-A ~ ~/ Company provided 0 q,'-j'1. -:.-A ~ ~ / Company provided . 0
3{T'q"rn"
,,- "
~/Family 0 ~/Family D
miit-q;r / Rented 0 ~-q;r / Rented. 0
~~/RentPaid(Rs ;...) ~~/RentPaid(Rs , )
" ,
3f":r/ Others 0 3f":r/ Others D
tt'ffT / ~ / .~ / P .
Residential Address
C4{1'1I'1 Present. C4{1'1I'1 resent. .." ,.",.., ,..",.,."...".
, , ",..;..~ :, , , '.'...".'..
m/PINIII ,., Illr~/~;NI"llr , " , '.' '..' 'III ,
,.. ", "' ,
~ 'Cfi';f~W~~/ ~. / / Mobile Telephone No. No. , ;"'." c",:";", , ,...,.., , ~: ::. ;~ ,
Since how long at the above address qff/Vears , qff/Vears
~/Permanent: ~., " : : , , ; ~ ; , ~/Permanent: ...;, ' , , ; ,..!., '...; ,... ;
,
" j ~ ,...,..,..',,"'..""..
m / PIN 1 r II 1 .ll ; m /PIN
t-~ -" ~ 'iT / -Co- E-MaiIID Coo- : ~ .: , ,., , , :.. , ,
/ ~ / Residence 0 -/ Residence 0
~ tt'ffT~~~I~{1Iq,I-4I~Q :
Communication to be mailed to : ~q-(1T / Permanent Address 0 ~:q-(1T / Permanent Address 0
~ / Office 0 ~ / Office D
II: ~'tit1ft ("qQfiil-4l~{1/~ ~u II. ~~ ("qQfiil-4l~(1/~ ~
SALARIED- SELF EMPLOYED-/BUSINESS- MISCELLANEOU SALARIED- SELF EMPLOYED-/BUSINESS. MISCELLANEOUS
~Tif(1cf; D R+ifUI"Cf;dT0 i=t~ D ~Tif(1cf; D R+ifUlctJdT D i=t~D
Multinational Co Manufacturing'" Retired Multinational Co ' Manufacturing Retired
~fu.cf;; D" ctJl~IG!I~1 D ~ 0 ~fu.cf;' D ~ D ~
Public Ltd Co Trading, Housewife Public Ltd Co Trading Hous~wife
~~/ ~ ~ ~~/ ~ ' ~
~~/Govt'D:'D Services 0, Student 0 ~~/Gcwt:-O Services 0 Student D
mWfu. cf;. 0 ~ 0 ~ 0 mWfu.cf;. D ~ D FD
Pvt Ltd. Co '.. Agriculture Others.. Pvt Ltd. Co C , Agriculture Others*.
~/~D .*~~ ~/~D *.~~
* Prop./Partnership ~ / ~ -q;r "frff, Specify * Prop./Partnership ~ / ~ -q;r "frff
Specify
~ *Name / of Designation: Organisation/Concern , ,; , , *Name ~ / of Designation: Organisation/Congern , , ,
~ / Length of Service qff /;Yrs. ~ / Length of Service ., qff /Vrs.
~~~~/Date ~q-(1T / Office Address: of retirement: , , .,
, ,. ~qIA~re~~/Date ~q-(1T / Office Address: of retirement :., :..;..' ; , " :...;
2
D

~- / ~~ '\ " "
~ ~it~~~.; ~ Iq~I-1 ~. Department ~. / /Employee EPF No No ; : , :... ~ ~itct1~-qII~~I~~.
~ Iq~ I-I / ~. Department ~. / /Employee EPF No No ;;;..; ;,...;; : ;...: ; ; ;::.,., " ' ; ;;...;;
No. ~ of employees /qTfij'q; 3fI!f in / the Monthly/Annuallncome organisation : , , , m-fuq; No.ofemploy~es /qTfij'q;3fI!f in / the Monthly/Annuallncome organisation
;
Q./As qffi /1fffiq;(Jl"~ /m~ ~/Source / Is Spouse working: tr /~. YES/NO. : Q./As qffi /1fffiq;(Jl"~ ,..., /m~ ~/Source / Is Spouse working; tr /~. YES/NO. ,
~ ':fRm, q;Tf ~3n"lfQ. ~. / Credit / If Card Yes, monthly No. income As ':fRm, ~ q;Tf ~3rmQ. ~. / Credit / If Card Yes, mon~ly No. income As
m"'fir mm/ Limit: ~ / Issued by ; ;., ; , , , m ~/Limit; "'fir ~ / Issued by : ,
3nQ'~(~.) /INCOME DETAILS (As.) 3nQ'~ (~.) /INCOME DETAILS (As.)
~ ~ /~M ~~~~/ ~ ~ /~M ~~~~/
SALARIED PERSONSIPENSIONERS OTHER THAN SALARIED/PERSONS SALARIED PERSONSIPENSIONERS OTHER THAN SALARIED/PERSONS
mfuq;¥~/~R ~~3fT/f mfuq;~~/~R ~~3fT/f
MonthlyGrossSalary/Pension: Annual Gross Income : Month~GrossSalary/Pension: Annual Gross Income;
mfuq;~~/~R ~~3fT/f mfuq;~~/~R ~~3fT/f
Month~ Net Salary/Pension: Annual Net Income : Month~ Net Salary/Pension: Annual Net Income :
~3fT/f(~~) ~3fT/f~,~q;)f ~3fT/f(~~), ~3fT/f~,~q;)f
Other l..:orne (specify) : Income Tax paid. if any: Other Income (specify) : Income Tax paid, if any:
~it~~~~~t' ~it~~~~~t'
"1m PRESENTLY mm ~ BANKING WITH: "1m PRESENTLY mm ~ BANKING ; WITH:
DEPOSIT A/c DETAILS: DEPOSIT A/c DETAILS:
~, ~q;)f ~,':fRq;1'{
Liabilities, if any: LIABILITIES, IF ANY:
1I1.3nfffiq~~~/DETAILSASSETS&LlABILITIES: ~. it/in As.)
-~ ~ .~/~/ .~ .~/~/
01 11t'(1"4 I ~-~/ ~ ~-~/
ASSETS APPLICANT JT. APPLICANT / LIABILITIES APPLICANT JT. APPLICANT /GUARANTOR/
~ ~. , ~/~~/
IMMOVABLE BANK/S/FINANCIAL
PROPERTY INSTITUTION/S
~T .~/
INVESTMENTS EMPLOYEA
~it~ 3{i'lJ/OTHEAS
SAVINGS WITH BANK/S (~~/ Specify)
~/OTHERS
( ~ q;{ / Specify )
~/TOTAL ~/TOTAL
UARANTOR/CO-OBLIGANT CO-OBLIGANT
IV. -qi) W~ /.~ /~-3fr'TrU /~~~ /~q;l{~~~~~~it~~ I ~t;T, m~~:~
a) ~~ WHETHER APPLICANT/JT. APPLICANT/GUARANTOR IS RELATED TO CHAIRMAN/DIRECTORS OF OUR BANK/ANY OTHER BANK, ANY EMPLOYEES OF
OUR ::~ ~ BANK? -q;r ar4 IF YES, ~ ~ DETAILS ~ ~TTfi:I(;r OF RELATIONSHIP ~ qffi -~ , mr, : 11T(IT (m:am ~ ~TTffl

~~
v. ~~~~/PURPOSEOFLOAN:
~-"~'" ~.- -
.~ ~~~~~
~/';;11f\'f~/PURCHASEOFPLOT/SITE D 1"'1IUI/CONSTRUCTION D TAKE OVER OF HLLlABILITY D
~~/ PURCHASE OF FLAT 0 ~/~/EXTENSION/ADDITIOND ~/~ft D
~~/ PURCHASE OF HOUSE .,qlCt"-UI ~ RENOVATION/REPAIRS (~:;~~q~'1'1IGlI"1~~
D -A.- / / D PERSONAUDOMESTIC'
~/FURNISHING D For Canrent & Canmortgage only)
~~~~\:iqfu~~q-ar
FULLADDRESSOFTHEPROPERTY
~~ /.~
~~.. c'"
/ IS THE HOUSE/FLAT .
~/~ISTHEPLOT/SITE
TO BE FINANCED ~~~~/READYFORBUYiNG D ~~/FREEHOLD D
~ ~ ~ ~ / PROPOSED TO BE BIJi[i'l
1.:.:J q-2lq"(/LEASE HOLDD
~~~ / UNDER CONSTRUCTION D '
.,:m: ~ ~, ~ q,l-{/ DETAILS OF ENCUMBERANCE, IF ANY 1 I
~~~/~(~)/AREAOFPLOT/SITE(SFT) I I
~-q;r~~~~/m~~\I1I~'III1I~(" I I
BUILT UP AREA OF HOUSE/FLAT TO BE FINANCED (Sq) I I
31q,I\'1IC1IC1 ~ 3fi"ffu/UNEXPIRED LEASE PERIOD: [==~J~~~~~=J ~/YEARS.
31Tl!-~RfiTa~~~~/AGE INCASEOFREADYBUILTHOUSE: [=~~J~==J qf{/YEARS
~~~~~(~.)/MARKETVALUEOFEXISTINGPROPERTY (RS.)! I
~~~~~/STATUSOFOWNERSHIPOFPROPERTY: ~/SOLE D ./JOINT D
~~~/TYPEOFHOUSE: -.;i1r(;rr/BUNGALOW D qm-~/ROW.HOUSE 0
~/ APARTMENT D ~/FLAT D ~/OTHERS D
3t~~/ESTIMATEDCOST ~T(~.) ~-_.~_-:.- ~T(~.)
AMOUNT (Rs) ""!...".,,' ~1(1/ESTIMATEDSOURCES AMOUNT (Rs)
~/~~~ ~(~~)
COST OF SITE/PLOT SAVINGS (SPECIFY)
~~m1Rr .~T~~ (~~)
COST OF CONSTRUCTION DISPOSAL OF INVESTMENTS (SPECIFY)
~/~~m1Rr 'l:rfi'r-~-crT;:r/3f-~ffiR
COST OF FLAT/APARTMENT PF -REPAYABLE/NON -REPAYABLE
q"'Iq,~UIm1Rr(~~'q;1~l~'Cfi'{) ~~~
REGISTRATION COST (INCLUDING STAMP DUTY) LOAN FROM EMPLOYER
~'O!fQ' (~~) OTHER EXPENSES ~ (~~) OTHERS
mh~~~
(SPECIFY) , (SPECIFY)
HL FROM CANARA BANK
~/TOTAL "Cji{;r/TOTAL
"f3.-if~1T1ft~T(~.)/ AMOUNT ALREADY SPENT (Rs): II ~/SOURCE :Ic I
3fm-.rq; ~~ arqfu (qf{) / REPAYMENT PERIOD REQUIRED (YEARS) I 1
~~~~T,~q,l-{(~)/INITIALREPAYMENTHOLlDAy,fFANY(MONTHS) II
~~~~/MODEOFREPAYMENT I I
~~~/RATEOFINTERESTOPTED: ~/FLOA:rING D ~/FfXED D
~~/~~q"(~"Cf:T~~/ISTHEHOUSEfFLATPROPOSEDTOBERENTED: riT/YES D ~/NcO
~riT, ~~ 1"'iT / IF YES, RENT EXPECTED: ~. / Rs. ~~ / PER MONTH
4

-, ~~~~~/INSURANCEASPERBANK'SSCHEME: ~/OPTED D ~/NOTOPTED qJ
~~~ I~. I~ ~~,m~~q;T~Trfi1{;r~~I

0 ~ ~~ w ~ / ~ ~ ~3t ~ ~ / ~ ftq)t
Detailed cost estimate / valuation report from Bank's Panel Chartered Engineer / Architect
0 ~ 3{lqffi ~ /~ ~ ~ / 3{lqffi ;;i'ri ~ ~ ~
Allotment letter of Co-operative Housing Society / Apartment Owners' Association / Housing Board.
0 ~/~/~/aw;mr;;i'ri~ 6A111fu ~~IUIY"'1 / NOC from the Society / Association / Builders/ Housing Board
0 ~OO&1Tftq)t, ~ 13~q;r~ ~~luIY"'1, "fioqfu-q:;"{~~, ~~~~3n"(;f~"I:fCfi"m~~fuv,~
Legal Scrutiny Report, EC for the past 13 years, Property Tax paid receipt, Khata and permission for mortgage wherever
necessary
0 ~ ~ ~~ ~ ~ ~ / Copy of the approved plan of the building
0 ~ ~ ~ ~ / Copy of lease deed
0 ~~"CfiT~~IUIY"'1,~-6qfu~~~~~/fi'f~./m-cr~~;aoM~
Certificate of outstanding loan, if availed against the property from any other bank / FI / source
0 ~2~"CfiT~-~~~q-c;TR~ (~/~~fuv,)
Balance Sheet and P&L account for the past 2 years (for firms / companies)
~~~3ff(ff{ifff, ~~~~(1 ~~~ / In addition to the above documents, following are to be submitted by
~ ~ "[R"T / Salaried persons -
0 ~~~~~~ ~~IUIY"'1 ~1:f;rJf~. 16/Latest Salary certificate with details of deductions and Form No. 16
m -~/~ -~ q1f"[R"T / Self-employed/non-salaried class -
0 ~"GT ~ ~ ff;r::r ~ fif;m ~ 3frq -q:;"{ W~ ~ ~ /IT returns filed for the past two years & acknowledged
by IT authorities.
0 ~it~m,~~~fif;m~~ / ITAOif,assessed
0 ~/~~~,~~IY'1lqrf,~"CfiT~31TRq"{m~~
A brief note on the nature of business/service, year of establishment, constitution, etc...
0 ~ m-rr ~"CfiT ~ ~ ~ ~ q ~ ~ / Balance Sheet and P&L Account for the past three years.
~ / DECLARATION
1. ~~W~~~~~~1)~~~a"Cf;"~~~~~~fuv,~~tl
l/We hereby apply for a loan from Canara Bank to the extent indicated in the Loan Request column of this application form.
2. ~~~t~w~~1)~~~~~~, ~~~~~~~~"CfiTmUR~~~
~~~~m~~~~~ I
l/We declare that the foregoing particulars and information furnished in this application form are true, accurate and
complete and that they shall form the basis of any loan Canara Bank may decide to sanction me.
3. ~T!fi!~t~~~~~"Cii~~~, ;:rm~"CfiT~~~1T1:fT~ I
l/We confirm that I have/had no insolvency proceedings against me, nor have I been adjudicated insolvent.
4. ~/~T!fi!~t/ ~~~ ., 3frq"{UT~~~~~~~T!fi!~~~~~~1
l/We confirm having received a copy of Fair Practice Code and confirm having read the same.
5. ~/~3fT1rT!fi!~t/~~ ~~~raTCI1l"~~~~~~-~CI1l"~~1
l/We further confirm that I have read the terms and conditions and understood the contents therein.
6. # /~T!fi!~V~~~~~~1)~-6qfu~~1)~~~~~ I
l/We confirm that no litigation is pending in the matter of property offered as security.
c6,.~
~!,~ '-
I

--,. ,-
7. rr~~t~~~, 3fq"=:t~~ctll~~I~, ~3rOO~~Uit~::;rR-q;"{~% I
1/We hereby agree that Canara Bank may, at its discretion, conduct discreet enquiry in respect of this application.
8. rr~~t~~~/~, ~tJaTit~~~~cfi't~{lTT~~~~~U~
~ ~ "':I;13f1q~"/:fq;dT % I
l/We undertake to inform as to any change in my occupation/employment, residential address and provide any further
information that the Bank may require.
9. ~ ~ "':1;1 ~ m 3f1q~'(fq; ~ ~ ~ ~ cfi't ~ %, ~ ~ ~ ~ ~~3fT ~ ~ qfI:IT ;:;rmT % 1
Canara Bank will be at liberty to take such action as it may deem necessary, if my/our above statements are found to be untrue.
10.1 l/We agree that Canara Bank shall have the sole discretion to reject this application/reduce the loan amount without
assigning any reason therefor.
11. rr /3fT1't~t/ ~ ~~~~-~~~~~~~~;jj)~~-~q"{~~~1
l/We further agree that my loan transactions shall be governed by the rules of Canara Bank which may be in force from
.time to time.
.
,
~-
~~~~ .~/~~~~
Signature of the Applicant Signature of the Jt-Applicant / Guarantor/Co-obligant
~/PLACE: ~/PLACE:
~/DATE: ~/DATE:
CtlI~T~~~mf/FOR OFFICE USE
mwftq1t~. / CREDIT REPORT No. ~ /DATE: ~ mf it/CUSTOMER ID :
f;:t~"4tffr ~ ~ ~Tffi ~ ~ ~ ~;jf1#f %/ The followlnglimit is sanctioned on the terms and conditions detailed below:
.r;
~ ~ ~ ctI ~ q;1 ~TTfir(;r
"4tffr'f:r~ ~T(~.) ~ ~'G'

~ ~m / Other terms & conditions:
~~~ ~" T~~-
1) ~"\3"~~~~~~~~r:r{~~'iTm1)~1iUf~~~/~-q;""{-eq;m~1 ~~1fI:IT ~
2)
3)
4)
~mm"qjTw~cfiT~~6~~~~~,~, ~~3f11:f~~~1
The Bank may revoke in part or in full or withdraw/stop financial assistance at any stage by giving reasonable notice to the
borrower. Credit facilities sanctioned are to be availed within 6 months from the date of this letter, failing which, the limits will
automatically stand cancelled.
~'i1"qj' /qfu?; ~~ /~ ~~
MANAGER/SENIOR MANAGER/CHIEF MANAGER
~ ~ ~fT ~Tffi q;) ~ ~ 11m
Accepted all the terms and conditions of sanction.
~ / BORROWER
8
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