Consumer Finance Application Form Personal Loan

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Consumer Finance Application Form
Personal Loan
Date:_____/ _____ / 20___
I/we hereby wish to apply for a loan of NPR ______________ (Nepalese Rupees __________________________________
________________________ ) under the bank’s personal loan scheme for a period of ______
months/
years.
for the following purpose. (Please
Tick)
Travel Loans
Purchase of Consumer Durable
Social Events
Repayment of Personal Debts
___________________
Home Furnishing/ Household Expenses
Others (Please Specify)
to be repaid in ______
months/
years against the security of:
a. Registered Mortgage on Land/ Building
b. Others (Please Specify)________________________________
I/We hereby provide the following particulars as required by your bank. Please
tick boxes as appropriate in each section and
write N/A (not applicable) where necessary. Please write in BLOCK
Please provide all relevant details solicited in this form. Incomplete disclosure may result in the application being disqualified.
1. Personal Details
Applicant
Co-applicant
Name:
Date of Birth:
Citizenship/
Passport Number:
Father’s Name:
Grand Father’s Name:
Marital Status:
Name of Spouse:
No of Dependents:
Children
Parents
Children
Parents
Spouse
Others
Spouse
Others
Current
Residential Address:
Mailing Address:
Permanent Address:
(If different from
Residential Address)
Home Telephone:
Office Telephone:
Mobile:
E-mail:

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