Personal Loan Application Form
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1HSBC Bank Middle East Limited
Personal Loan Application Form
Application ID:
Rate Type:
FIXED RATE LOAN
VARIABLE RATE LOAN
FLEXITERM LOAN
Amount Requested AED: _______________________________________________
Number of Installments: ________________months
Purpose of Loan: ____________________________________________________
Next installment date: dd
mm
yy
Promotion: Yes
No
Personal Data
Full Name (First): ____________________________________________(Middle): ___________________________________(Last): ________________________________
Nationality: ________________________________________________________
Date of Birth: dd
mm
yy
Gender: Male
Female
Marital Status: Single
Married-Family in UAE
Married-Family outside UAE
Widowed / Divorced / Seperated
Education Level: Primary
Secondary
Graduate
Post-Graduate
No. of Dependents: ___________________________________________________
Passport / ID Card No.: ________________________________________________
Date of Expiry: dd
mm
yy
Visa Type: __________________________________________________________
Visa Number: _______________________________________________________
Visa Expiry Date: dd
mm
yy
Residential Details in UAE
Accomodation Type: Apartment
Labour camp
Villa
Others
Accomodation Provided: Yes
No
No of years at current address: ___________________________________________
Email: ____________________________________________________________
Address: ___________________________________________________________
Home Telephone: ____________________________________________________
_________________________________________________________________
Mobile Number: _____________________________________________________
_________________________________________________________________
_________________________________________________________________
Details of a Relative or Friend in the UAE
Full Name: _________________________________________________________
Address: ___________________________________________________________
Telephone Number: ___________________________________________________
_________________________________________________________________
Mailing Address
Name: ____________________________________________________________
Address: ___________________________________________________________
_________________________________________________________________
_________________________________________________________________
*Permanent Address in Home Country
Name: ____________________________________________________________
Telephone Number: __________________________________________________
Address: ___________________________________________________________
_________________________________________________________________
_________________________________________________________________
Occupation / Employment Details
Type of Employment: Salaried
Self employed
Both
Name of Organisation: _________________________________________________
Industry Code: _______________________________________________________
Business Sector: Armed forces
Government
NGO
(nature of business)
Partnership
Private company
Proprietorship
Address: ___________________________________________________________
_________________________________________________________________
_________________________________________________________________
Occupation: ________________________________________________________
Confirmed: Yes
No
With Employer Since: _________________________________________________
Employee Number: ___________________________________________________
Contracted: Yes
No
Contract Period (months): _______________________________________________
Contract Expiry Date: dd
mm
yy
Office Telephone Number: ______________________________________________
Fax Number: ________________________________________________________
Income Details
Monthly Basic Salary AED: ______________________________________________
Allowances AED: ____________________________________________________
HSBC Relationship Details
Account No.: ________________________________________________________
HSBC Outstanding Loan Amount: _________________________________________
Particulars of borrowings from other Banks / Finance Co. (s) Employer
Monthly Repayments AED: ______________________________________________
For Bank Use Only
Application Type: New
Buy-out
Top-up
Conversion
Conversion: From ________________________ To _________________________
*(for Expatriate customer only)
I confirm that the information given by me is complete, true and correct, and agree that the
bank has the right to verify any or all the above, by any means it deems appropriate.
S.V.
____________________________________________________
Applicant Signature
All loans are subject to specific approval of the Bank. The Bank reserve the right to reject any loan application without assigning any reason.
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