@php $compName = $data->companyName; $compAdd1 = $data->address .' '; $compAddsub = $data->city .', '. $data->state .', '. $data->country .', '. $data->pin .', '; @endphp {{-- --}} {{ $compName }} {{-- bootstrap link --}} {{-- --}} {{-- border: 1px solid rgba(138, 137, 137, 0.253); --}}
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@if($data->logo != null) @endif

Loan Application Form

PLEASE FILL INFORMATION IN CAPITAL LETTRS AND BACK INK
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Basic Details :

Loan Application Form No :

{{$data->memberApplicationFormNo}}
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Customer ID

Branch

Branch Code

@for($i=1;$i<=6;$i++) @endfor @for($i=1;$i<=12;$i++) @endfor @for($i=1;$i<=4;$i++) @endfor
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Loan Details :

Loan Type

Personal Loan

Business Loan

Loan Amount Applied (Rs.) ......................

Tenure (months) ..................
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EMI Rs. ..........................................................
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End use of loan
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Personal Details (Individual) Co-applicant /Relationship with borrower __________
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Applicant Guarantor
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Name

Name

@for($i=1;$i<=14;$i++) @endfor @for($i=1;$i<=14;$i++) @endfor
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Gender :

Male

Female

Transgender

Gender :

Male

Female

Transgender
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Father's Name

Father's Name

@for($i=1;$i<=14;$i++) @endfor @for($i=1;$i<=14;$i++) @endfor
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Mother's Name

Mother's Name

@for($i=1;$i<=14;$i++) @endfor @for($i=1;$i<=14;$i++) @endfor
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Spouse's Name

Spouse's Name

@for($i=1;$i<=14;$i++) @endfor @for($i=1;$i<=14;$i++) @endfor
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Date of Birth

Date of Birth

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Marital Status Marital Status
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Gender :

Single

Married

Widow

Divorcee

Separated

Gender :

Single

Married

Widow

Divorcee

Separated
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Religion

Hindu

Muslim

Sikh

Christian

Religion

Hindu

Muslim

Sikh

Christian

Zoroastrian

Buddhist

Jain

Other _________

Zoroastrian

Buddhist

Jain

Other _________
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Category

SC

ST

OBC

General

Other

Category

SC

ST

OBC

General

Other
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Citizenship

Indian

Other

Citizenship

Indian

Other
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Residential Status

Resident Individual

Residential Status

Resident Individual

Non Resident Indian

Foreign National

Non Resident Indian

Foreign National

Person of Indian Origin

Person of Indian Origin

Person with Disability

Yes

No

Occupation Type :

Service

Private Sector
@for($i=1;$i<=10;$i++) @endfor

Highest Academic Qualification

Govt. Sector Others

Professional

Self-Employed
@for($i=1;$i<=10;$i++) @endfor

Retired

Housewife

Student

Business

Not Categorised
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Person with Disability

Yes

No
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PAN Number

Highest Academic Qualification

@for($i=1;$i<=15;$i++) @endfor @for($i=1;$i<=11;$i++) @endfor

GSTIN

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GSTIN ARN

PAN Number

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UID No.

UID No.

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Applicant Guarantor
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Date of Issue

Date of Issue

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VID No.

VID No.

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Date of Issue

Date of Issue

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Pass No.

Pass No.

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Date of Expiry

Date of Expiry

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Driving Licence

Driving Licence

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Date of Expiry

Date of Expiry

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Present Address

Preffered Address for Communication

Present Address

Preffered Address for Communication
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House Number

House Number

@for($i=1;$i<=12;$i++) @endfor @for($i=1;$i<=12;$i++) @endfor
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Street/Area

Street/Area

@for($i=1;$i<=12;$i++) @endfor @for($i=1;$i<=12;$i++) @endfor
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Landmark

Landmark

@for($i=1;$i<=12;$i++) @endfor @for($i=1;$i<=12;$i++) @endfor
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City

City

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District

District

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State

State

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Pin Code

Pin Code

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House Type

Owned

Leased

Rented

Year of Stay

House Type

Owned

Leased

Rented

Year of Stay
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Alternative Mobile No.

Alternative Mobile No.

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E-mail _________________________________________

E-mail ___________________________________________
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Business Details Non (Individual) Applicant
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Name of the Enterprise

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Proprietor/Partner/Director Details ( For Partnership/Private Ltd./Public Ltd. Co. only)
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Name

Date of Birth

PAN No

Education Background

Profit Sharing/
Stake Holder%

Total Experience

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House Number

Landmark

@for($i=1;$i<=13;$i++) @endfor @for($i=1;$i<=13;$i++) @endfor
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Street/Area

State

@for($i=1;$i<=12;$i++) @endfor @for($i=1;$i<=13;$i++) @endfor

Type of Business

@for($i=1;$i<=14;$i++) @endfor @for($i=1;$i<=16;$i++) @endfor

City

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District

Type of Entity:

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District

Private Ltd

Public Ltd

Proprietor Ship Concern
@for($i=1;$i<=6;$i++) @endfor

Pin Code

Registered Partnership

Unregistered Partnership
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Is this business being finance/assessed for the proposed loan?

If Yes, Registration No. of the business

@for($i=1;$i<=17;$i++) @endfor

Yes

No

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Date of Incorporation

ROC Registration No./Partnership Deed No.

@for($i=1;$i<=19;$i++) @endfor

Place of Incorporation

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Applicant Guarantor
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City

No. of Permanent Employees

@for($i=1;$i<=14;$i++) @endfor @for($i=1;$i<=17;$i++) @endfor

State

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Financial Performance of the Enterprise : Past Year

Mobile No.

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Total Turnover

GST No.

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PAN No.

GST ARN

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SSI No.

CIN No.

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Details of Business being financed
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Purpose of loan : Business :
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Type of business :

Manufacturing

Trading

Other Serivce

Khadi, Village or cottage industry

Exact business ___________________________________

Purchase cost of plant & machinary/ equipment : Rs. _____________________________________

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Bank Account Details for Loan Amount Disbursement :
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Account Holder

Applicant

Co Applicant

Bank Account Details

Self

Joint

Enterprise
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Bank Account Name

Other ________________________________
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Beneficiary Account Holder Name

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Bank Branch Name

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IFSC Code

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Account Number

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Banking Service Being Used by the Applicant

CA

SA

Credit Card

Vehicle Loan

Others ___________________

Family Information & Household Income Declaration :

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Name

Age

Relation with
Applicant

Education
Level

NGP*

Occupation

Income /
Contribution

Health (H/U/D)**

*N - Non-School, G - Government, P - Private** H- Healthy, U - Unhealthy, D - Disabled

Declaration :

“I/We,...............................................................& ................................................... & ...................................................., hereby declare that the particulars furnished above are true and correct to the best of my/our knowledge and that no information has been withheld/supressed. I/we understand that the sanction of the loan is at the sole discretion of {{ $compName }} upon fulfilment of the other terms and conditions as required by {{ $compName }}. I/we agree that {{ $compName }} shall be encompNamed to reject my application without giving any reason what so ever. I/we confirm that the loan shall be used for the stated purpose and will not be used for any speculative or anti-social purpose. I/we declare that I/we will not take loan from any other bank for the purpose as stated in the application form without permission from {{ $compName }}. I/we authorize {{ $compName }} to conduct such credit checks, references and make enquires in respect of the application as it may consider necessary in its sole discretion and also authorize {{ $compName }} without any notice to me/us to share and disclose the information relating to the loan to any credit bureau, financial institution or any other authority for proper verification and other administrative services. I/we undertake to inform {{ $compName }} regarding any change in my/our occupation/postal address/telephone number and to provide any further information that may be required. I/we hereby give my consent to {{ $compName }} to carry out my/our Aadhaar EKYC authentication and to fetch EKYC data from Aadhaar data base. I/we confirm that {{ $compName }} may call for additional documents other than those already submitted along with the application form. I/we confirm that I/we have read the terms and conditions applicable to this loan and/or they have been read to me/us in _________________________________________ (vernacular language) by ______________________________________Mr./Ms. _________________________________________son/daughter of _____________________________________and I/we understand, accept and acknowledge the contents herein, and hereby accept the terms and conditions herein. I/we agree that these terms and conditions may be changed by {{ $compName }} at any time. {{ $compName }} reserves the right to retain the photograph and the documents submitted with the application and may not return the same to the applicant. I/we acknowledge that information given in the loan application shall form the basis of any loan {{ $compName }} may decide to grant to me/us. {{ $compName }} may use the services of agents in sales/marketing/service etc. and the promotional/service/transactional calls/messages may be sent by such agents on behalf of {{ $compName }} .”

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Agree :

Yes

No
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Applicant's Photo

Paste photo here and sign across such that your signature is on the photo as well as on the form)

Name :

Date :

Signature :

Co-Applicant's Photo

Guardian

Paste photo here and sign across such that your signature is on the photo as well as on the form)

Name :

Date :

Signature :

I/ We hereby certify that I/We have done due diligence on the information given above and certify that the same is correct. I/We have also satisfied myself/ourself that the customer intends to us the loan for the stated purpose only.

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Referred by

Staff Designation ......................................................................)

Customer

Others
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Referred Name

Referred ID

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Relationship Officer

Emp. ID

Signature: ..........

D

D

M

M

Y

Y
{{-- table start --}} @for($i=1;$i<=12;$i++) @endfor @for($i=1;$i<=6;$i++) @endfor

Cluster Manager

Emp. ID

Signature: .........

D

D

M

M

Y

Y
{{-- table start --}} @for($i=1;$i<=12;$i++) @endfor @for($i=1;$i<=6;$i++) @endfor

Credit Officer

Emp. ID

Signature: .........

D

D

M

M

Y

Y
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Acknowledgement of Loan Application

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Loan Application Form No.

{{$compName}}: acknowledges the receipt of loan application from________________________________________________

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LName of Relations officer_______________________

Signature

Date

{{ strtoupper($compName) }}

Registerd Office {{$compAdd1}}

{{$compAddsub}}