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* marked fields are mandatory
Online Loan Application for Housing LOAN: Part - A (Mandatory)
Whether maintaining a/c with the bank* Yes No
If Yes, enter Account No.* Cust-Id    
Name of the Applicant*
Date of Birth(dd/mm/yyyy) *
E-mail Id
Telephone No.
Mobile No.*
Address : State  *
Sub-District *
Town/Village *
House No.
Social Category*
If under minority category
Residential Status*
Id Proof
Id Proof No.
Issuing Authority
Date of Issue(dd/mm/yyyy)
Valid up to(dd/mm/yyyy)
Address Proof
Address Proof No.
Issuing Authority
Date of Issue(dd/mm/yyyy)
Valid up to(dd/mm/yyyy)
Security Key*  
Online Loan Application for Housing LOAN: Part - B (Mandatory)
Application No.
Purpose of Loan *
Property Located At*
Cost of the Property(Rs)(As per Agreement to Sale/Allotment Letter/Estimate of Construction cost)*
Margin/Applicant(s) Contribution* Margin: %
Amount of loan required *
Branch preference, where Loan is required
a)State *
b)District *
c)Branch Office *
Online Loan Application for Housing LOAN: Part - C (Optional)
Application No.
Spouse/ parents/ son/ daughter/ others co-borrower Information:
Resident Address
Contact No.
Office Address   
Date of Birth (dd/mm/yyyy)
Total annual Income   :Gross Net   :
Is she /he furnishing guarantee
Details of Housing Loan requested from PNB *
Name of the seller(s)
Address of the seller(s)
Whether the place where the property is/will be situated is served by some Municipal Body/other agency? Yes/ No
Loan Amount already paid: (Rs) Amount to be paid:(Rs)
Repayment period (in Years)
Guarantor Details
Landline No
Mobile No.
Total Annual Income
Net worth
Two references Details
Name Name
Residential Address Residential Address
Landline No Landline No
Mobile No. Mobile No.
Applicant Statement of Assets and Liabilities, if any
Liabilities Assets
Outstanding Loans/Advances Amount Immovable properties Amount
Bank Land
Employer Building
Provident Fund Moveable properties
Relatives and friends Cash
Others Deposits with Bank
Investment in govt. securities
Total Total
Additional details of the Applicant
Residence Ownership
Give following details in case the house/property is owned by self/spouse/dependent children:
Whether Housing Loan from PNB or any other Bank/HFI has been raised for this house/ Property
EMI of Loan
Amt O/s
As On
Collateral security provided Yes No
Value of collateral(in Rs.)
If Salaried he/ she works for
Name of the employer
Years with current employer (in years) Since
Years with previous employer(s)(in years) From To
Designation Since
Total Annual Income: Gross Salary: Net   :
Date of retirement (dd/mm/yyyy)
If Others,Occupation
Total Annual Income: Gross Salary: Net   :
Annual deductions(statutory savings, IT etc in Rs)
Other loans taken(including previous loans)
Present Outstanding (Rs)
Whether regular:: YesNo
Monthly Repayment (Rs)
Declaration :
The information given in the loan application is true and nothing has been concealed. The undersigned undertakes to inform the Bank any change in residence/ office address and to provide any further information that the Bank may require. The undersigned is aware of the charges/ fee to be levied by the Bank and agrees to pay upfront fee, documentation charges, etc. as applicable and charged by the Bank. The undersigned hereby agree to be bound by these terms and conditions or by the revised additional terms and conditions which may at any time hereafter be made while the loan obtained by me/us is still outstanding. Applicant authorises the bank to contact through mobile/SMS/email for the purpose of above Loan Application. Bank reserves the right to call for any other information/documents, if necessary, and/or reject the proposal without assigning any reason thereof
Online Loan Application for Housing LOAN: Final Submit (Mandatory)
Online Loan Application for Housing LOAN: Final Submit (Mandatory)
Application No.
@Copy right PNB