Application Form For Home Loan - Pradhan Mantri Awas Yojana
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1
2
3MODEL BANK
APPLICATION FORM FOR HOME LOAN
PHOTOGRAPH
PHOTOGRAPH
UNDER PRADHAN MANTRI AWAS YOJANA
OF
OF
APPLICANT
CO-APPLICANT
Signature or Thumb
Signature or Thumb
Impression
Impression
To,
THE BRANCH MANAGER
MODEL BANK
------------------------------------
I/We request for a loan of Rs.________________ for Purchase of Flat/House / Construction of House /
Extension/(Improvement) of House. I/We furnish our particulars as below:
A. PERSONAL INFORMATION
APPLICANT
CO-APPLICANT
1.
Name (in block letters)
First
Middle
Last
First
Middle
Last
Fathers’/Husbands’ name
2.
Mothers’ Maiden Name
3.
4.
Relationship of Applicant
XXXX
with Co-Applicant
5.
Age & Date of Birth
_____ yrs. DD/MM/YY
_____ yrs. DD/MM/YY
6.
Sex
MALE / FEMALE/ TRANSGENDER
MALE / FEMALE/ TRANSGENDER
SC/ST/OBC/GEN/Minority/PWD/
SC/ST/OBC/GEN/Minority/PWD/
7.
Category
Manual Scavengers/Others
Manual Scavengers/Others
8.
Religion
9.
Marital status
[Married / unmarried/Others]
[Married / unmarried/Others]
10.
No. of Dependents
Children
Others
[Household Size]
PAN Card / Aadhaar No./ Voter’s Card
PAN Card / Aadhaar No./ Voter’s Card Driving
11.
Unique Identification No.[any
Driving License /MNREGA No./
License / MNREGA No./
one]
Any Other Number or A Certificate of
Any Other Number or A Certificate of house
house ownership from Revenue
ownership from Revenue Authority of
Authority of Beneficiary’s Native
Beneficiary’s Native District, etc.
District, etc.
12.
Nationality & Identification
Proof
13.
Employment Category
Salaried / Self Employed / Others
Salaried / Self Employed / Others
14.
Residential Address with Pin
Code
(a) Current Address
(b) Permanent Address
15.
Tel. No. & Mobile No.
16.
Period of stay at the above
Address
17.
Educational/Professional
Non-Matriculate/Matriculate/
Non-Matriculate/Matriculate/
Qualification
Under graduate / Graduate/Others
Under graduate / Graduate/Others
18.
Annual Income (in Rs.)
19.
Income
Proof
Source
Proof
Source
20.
Household Income Category
(EWS)
/ (LIG)
21.
Existing Loan Details (if any)
Loan 1
Loan 2
Loan 3
Loan 4
22.
- Type and Size
House/Flat/others
Carpet area <30 sq.m. /<60 sq.m/Others _______
23.
Ownership details of existing
Owned
Rent
Inherited
Otherwise
house
24.
Code
Property Address with Pin
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