Application For Financing of Two Wheeler to Public (vehicle for personal use only)

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

 
   
 
  Date (dd-mm-yyyy):
     
 
12.Online Application Sl. No.
     
 
34. Loan of Rs*, for purchase of New Old
     
 
                                          Make: Model:
     
 
56.Cost of the vehicle Rs.*     No of vehicles*
     
 

PERSONAL BACKGROUND OF APPLICANT

 

 

  Applicant's Details   Co-obligant's Details
78.Name in full*  
910.Date of Birth*            
1112.Gender*  
1314.Father's/ Husband's name*  
1516.Occupation/ Profession*
Salaried.
Professional
Self Employed
Other
 
Salaried.
Professional
Self Employed
Other
1718.Marital Status*  

1920. Address* a) Present Residence.

 
b) Permanent Residence.  
c)Office  
d)Telephone No* (One is Mandatory)
Residence
Office
Mobile

 

e)E-mail Id*  
2122. Name & Address of Organization where working      
2324.Identity Proof*
Select Identity Proof*
Identity No
 

2526.Customer Id (If already existing customer)

     
2728.House OwnerShip*
Owned
Other
     
2930. Is the House mortgaged*      
3132. Collateral Security*   If yes,value thereof Rs.
3334.Guarantee Offered*      
3536.Name of Bank/Branch from where salary Drawn      

3738.In case salary being credited in account with PNB,name of that branch

Search Branch

3940.PNB branch,nearest to the place of residence

Search Branch

4142.PNB branch,nearest to the place of working

Search Branch
4344.Select State where loan is required* 4546.Select District where loan is required*

4748.PNB branch where loan is required.

4950.Own Contribution* Rs.      
5152.Gross Income per month* Rs.      
5354.Obligation of other loan repayments per month* Rs.      
5556.Other Deduction* Rs.      
5758.Net Income per month* Rs.      
5960.Annual Income* Rs.      
6162.Monthly income of spouse* Rs.      
Security code    
                              
Application is subject to production of documentary proof of KYC requirements fixed by RBI i.e. Latest photographs, Proof of residence and proof of identity