Application For Financing Property Owners Against Future Lease Rentals

(Please read the application form carefully before filling. All fields are mandatory.)

   
Online Application Sl. No.- Date-
PERSONAL BACKGROUND OF APPLICANT
Borrower Gurantor
12. Name 
34. Father's/Husband's Name 
56. Date Of Birth           
78. Age 
910. Residential Address 
Location
City
District
Country
Pincode
Location
City
District
Country
Pincode
1112. Office Address 
1314. Phone 
Residence
Office
Mobile
Residence
Office
Mobile
1516. FAX(Office)
1718. E-Mail 
1920. Category(Resident Indian Individual,Non-Resident Indian or Forreign National) 
Resident Indian Individual
Non-Resident Indian or Foreign National
Resident Indian Individual
Non-Resident Indian or Foreign National
2122. Gender 
2324. Qualification 
2526. Occupation 
Business
Salaried
Retired
Others
Business
Salaried
Retired
Others
a. If Business Enterprice(Indicate Details Of Constitution & Business)
a)Constitution
b)Nature Of Activity
c)Designation(Director/Partner/Sole Prop./Trustee,etc)
d)Per Cent Control
 
b. If Salaried (Attach Proof) 
Govt./Public Sector
Public Ltd. Co.
Pvt. Ltd. Co.
Others
Govt./Public Sector
Public Ltd. Co.
Pvt. Ltd. Co.
Others
. Employer Name & Address 
. Designation 
. Length Of Service With Present Employer 
2728. Indicate PAN No. 
2930. Voter ID No. 
3132. Passport No. 
3334. Driving Licence No. 
3536.
a)Total Annual Income(Attach Proof)
b)Groos Salary/Income
c)Statutory Deductions
d)Other Loan Instalments
e)Net Salary/Income
f)Other Income,If Any (Attach Proof)
 
3738. Net Worth 
  FOR BORROWER ONLY
3940. Ownership Of Residence 
Owned(Self/Spouse)
Rented
Company Lease
Other  specify
4142.
Details Of Spouse
a)Name
b)Occupation
c)If Employed,Salary/Income
d)Employer's Name,,Address & Tel. No.
4344. DETAILS OF ASSETS AND LIABILITIES
Outstanding Loans/Advances Amount
Assets Amount
Bank           
Immovable Properties     
Employer  
Land                 
Provident Fund
Building            
Relatives & Friends  
Movable Properties       
Others       
Cash                 
Deposit With Banks         
Investment in Govt. Securities   
Others             
Total
Total                
4546. Purpose Of Loan 
4748. Amount Of Loan 
4950. Repayment Period 
5152. Details of Property Rented On Lease 
5354. Names Of Lessee(s) & Address  
5556. Details of Lease & rent 
5758. Details of Immovable Property Offerred 
5960. Description Of Property 
6162. Market Value 
6364. Select State where loan is required 
6566. Select District where loan is required 
6768. PNB Branch From where Loan is required(Optional)
6970. I/We request for sanction of loan of Rs.for meeting my/our business/personal needs against future lease rentals on the basis of information given above.
I/We confirm that above information is correct. I/We have read and have been advised the terms and conditions relating to Financing Against future Lease Rentals Scheme and I/We hereby agree to be bound by these rules or by the revised additional terms and conditions which may at any time here after be made while the loan obtained by me/us is still outstanding.