Application Form For Home Loan - Pradhan Mantri Awas Yojana Page 3
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3F. LOAN DETAILS ; Purchase of Flat/House / Construction of House / Extension
/(Improvement) of House
1.
Estimate Of Uses Of Funds
Amount
Estimate Of Sources Of Funds
Amount
(Rs)
(Rs)
2.
Cost Of Purchase
Loan Requested
/Construction/Repairs/
Improvement/Extension.
3.
Registration Fees
Savings In Bank
4.
Stamp Duty
Encashable Investments
5.
Any Other Costs
Amount Already Spent
6.
Incidental Costs
Loan From Relatives
7.
Insurance
Other Source (If Any)
8.
Total
Total
9.
Option For Payment of Interest
Fixed Rate Basis / Floating Rate Basis
10
Mode of Repayment
ECS/ SI/ PDC/ NECS/ CASH
11
Number of Years
10 / 15 / 20 / 25
12
Existing Loans / borrowing
Asset owned
G. REFERENCE
Name, Address & Contact Nos.
Relation
1.
2.
DECLARATION
I/We certify that the information provided by me/us above and in annexure are true, accurate, complete and up to
date in all respects. I /We have not withheld any information. Bank is at liberty to verify and take any such action
as it may deem fit if my/our statements are found to be untrue. I/We understand that all of the above-mentioned
information shall form the basis of my/our loan/subsidy that Bank may decide to grant to me/us at its sole
discretion. I/We confirm that the copies of Financials, Bank Statements, Title/Legal Documents, etc. submitted
by me/us along with my/our loan application are true copies. I/We further acknowledge Bank has right to seek any
information from any other source in this regard. I/We further acknowledge that I / We have read, understood and
agree with the Most Important Terms and Conditions governing the home loan product chosen by me/us. I/We are
bound by the terms and conditions of the facility/ies that may be granted to me/us. I/We authorize Bank to debit
my home loan account with the Bank for any fees, charges, interest etc. as may be applicable, other than the
processing fee. I/We also agree and acknowledge that Bank remains entitled to assign any activities to any third
party agency at its sole discretion. I/We further acknowledge the right of Bank to provide details of my/our
account to third party agencies for the purpose of availing support services of any nature by Bank without any
specific consent or authorization from me/us. I/we authorize Bank to exchange, share, or part with all the
information relating to my/our loan details/repayment history / information to other Bank branches / Banks /
Financial Institutions / RBI / CIBIL / Credit Bureau / Agencies / Statutory Bodies as may be required and shall not
hold Bank or/& its agents liable for use of this information.
Place:
Date:
Signature 1
Signature 2
Acknowledgement Receipt
Loan application No. __________________________ received on DD/MM/YYYY. Complete document set
received on DD/MM/YYYY.
Institution did not charge any for processing fee for the housing loan. Application will be disposed-off and
acceptance/rejection notification would be intimated within 15 days from date of receipt of completed application
form with supporting documents.
Place:
Date:
Signature
Seal
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