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LOAN APPLICATION FORM(Please fill the form in CAPITAL letters in blue or black ink)

Amount (in Rs.): Tenure:

Months

Loan Rate:

Fixed Floating

Loan Type:

Home Loan Loan against Property Balance Transfer

Name of the Buyout Bank

Please affix recent

photograph

of Co-applicant

Please affix recent

photograph

of 1st Applicant

I PERSONAL DETAILS OF 1ST APPLICANT

Applicants Name: (Please leave a blank box between two words)

F I R S T N A M E

M I D D L E N A M E

L A S T N A M E

Fathers/ Spouses Name:

Date of Birth:

Marital Status :

Single Married

D D M M Y Y Y Y

Gender:

M F

No. of Dependants:

FIRST NAMEMothers Maiden Name:

Current Residential Address:

City:

Residence Phone:

MIDDLE NAME / INITIAL LAST NAME

PIN Code: Land Mark: No. Of Years at Current Residence:

Mobile:

+ 9 1

Residential Details:

Own Parental Rented Co-Provided Others

TD CODE

Permanent Address:

City: PIN Code: Preferred Mailing Address:

Current Residence Permanent Address Current Office Address

Qualification:

High-School Graduate Post-Graduate Professional

Others

How many Credit Cards do you have? Frequently Used Credit Card Number:

Type of Profession:Doctor Architect CA

OthersLawyer

Lawyer

Existing Loans

Vehicle Owned:Two -Wheeler

Car None

Have you applied to us before?

Mortgage Personal Loans Car Two-Wheeler Others

EMPLOYMENT DETAILSIIOccupation:

Salaried Self Employed Housewife

Student RetiredOCCUPATION DETAILS:f Service:

Central Govt. State Govt. Public/ Private Sector NGO

tatutory Body Professional

Others (Pls specify)

in Government Service, please specify:

Civil Police/ Enforcement Defence Services PSU Others

Self-employed:

Business Profession Other Nature of Business-(Products/ Services provided):

Nature of Business

ame & Address:

Tel. No.: Fax No.:Name of the Organisation:

PAN/GIR No.: Gross Annual IncomeFINANCIAL DETAILS

Other Source of Income

Yes No

Networth:

Immovable (in Rs)

Securities (in Rs)

Other investments(in Rs)

Total (in Rs)

Income Range per Annum:

Below Rs. 1,00,000

Rs. 1,00,001 to Rs. 2,00,000

Rs. 2,00,001 to Rs. 5,00,000

Rs. 5,00,001 to Rs. 10,00,000

Rs. 10,00,001 to Rs. 25,00,000

More than Rs. 25,00,000

Proof of Financial Deatials:Copy of ITR acknowledgment Copy of annual accounts Copy of Form 16

Salary slip Bank accounts statement for last 6 months

Net worth certificate Address:

City:

PIN Code: Land Mark: Office Phone:

STD CODE EXITN.

Yes No

00000 .

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II

CO-APPLICANT EMPLOYMENT DETAILSV

Occupation:Salaried Self Employed Housewife

Student Retired

OCCUPATION DETAILS:f Service:

Central Govt. State Govt. Public/ Private Sector NGO

Statutory Body Professional

Others (Pls specify)

f in Government Service, please specify:Civil Police/ Enforcement Defence Services PSU Others

f Self-employed:

Business Profession Other Nature of Business-(Products/ Services provided):

Nature of Business

Name & Address:

Tel. No.: Fax No.:

PAN/GIR No.: Gross Annual Income Other Source of Income

Yes No

Networth:

Immovable (in Rs)

Securities (in Rs)

Other investments(in Rs)

Total (in Rs)

Income Range per Annum:

Below Rs. 1,00,000

Rs. 1,00,001 to Rs. 2,00,000

Rs. 2,00,001 to Rs. 5,00,000

Rs. 5,00,001 to Rs. 10,00,000

Rs. 10,00,001 to Rs. 25,00,000More than Rs. 25,00,000

Proof of Financial Deatials:Copy of ITR acknowledgment Copy of annual accounts Copy of Form 16

Salary slip Bank accounts statement for last 6 months

Net worth certificate

00000 .

IV CO-APPLICANTS PERSONAL DETAILS

Applicants Name: (Please leave a blank box between two words)

F I R S T N A M E

M I D D L E N A M E

L A S T N A M E

Fathers/ Spouses Name:

Date of Birth:

Marital Status :

Single Married

D D M M Y Y Y Y

Gender:

M F

No. of Dependants:

FIRST NAMEMothers Maiden Name:

Current Residential Address:

City:

Residence Phone:

MIDDLE NAME / INITIAL LAST NAME

PIN Code: Land Mark: No. Of Years at Current Residence:

Mobile:

+ 9 1

Residential Details:

Own Parental Rented Co-Provided Others

STD CODE

Permanent Address:

City: PIN Code: Preferred Mailing Address:

Current Residence Permanent Address Current Office Address

Qualification:

High-School Graduatepost-Graduate Professional

Others

How many Credit Cards do you have? Frequently Used Credit Card Number:

Type of Profession:

Doctor Architect CA

OthersLawyer

Lawyer

Existing Loans

Vehicle Owned:

Two -Wheeler

Car None

Have you applied to us before?

Mortgage Personal Loans Car Two-Wheeler Others

Yes No

Type of Industry:

Manufacturing/ Engineering/ Construction Banking/Financial Services Media / Entertainment / Hospitality Central/state Govt. FMCG Education Retail

IT/ITes/Telecom Others

Type of Organisation

Proprietorship Partnership Public Limited Private Limited Govt. PSU MNC

Designation:

Department:

E-Mail ID:

Previous Organisation (If current employment is less than a yrear):

Work Experience in the current job (in Years) Total Work Experience (In Year):

Employee ID

City:

EMPLOYMENT DETAILS (CONT...)

BANK DETAILSIII

Name of the Bank.

Branch Address:

Type of Account:

Savings CurrentAccount No.:

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Name of the Organisation:

City:

PIN Code: Land Mark: Office Phone:

STD CODE EXTN.

Type of Industry:

Manufacturing/ Engineering/ Construction Banking/Financial Services Media / Entertainment / Hospitality Central/state Govt. FMCG Education Retail

IT/ITes/Telecom Others

Type of OrganisationProprietorship Partnership Public Limited Private Limited Govt. PSU MNC

Designation:

Department:

E-Mail ID:

Previous Organisation (If current employment is less than a yrear):

Work Experience in the current job (in Years) Total Work Experience (In Year):

Employee ID

City:

CO-APPLICANTS EMPLOYMENT DETAILS (CONT...)V

CO-APPLICANTS BANK DETAILSVI

Name of the Bank.

Branch Address:

Type of Account:

Savings CurrentAccount No.:

DOCUMENT CHECKLISTor quick approval and disbursement, please make sure to submit the below documents

Identity Proof

Residence Address proof

Income proof

Bank Statement

Asset Documents

Photographs

Valid passport, valid driving Licence, voters id card, pan card,Driving License (Valid), Utility Bill (latest Passport (Valid), Voters ID card, Ration Card, Affidavit duly attested by Magistrate (in case of

Co-applicants only)

Salaried (Latest Form 16/ITRs, Salary Slips for MNC, PSU, renowned Pvt. Ltd companies & Govt. Employees only) Self- Employed

(2 yrs ITRs, Balance sheet & P&L accounts)

Last six months statements

Photocopy of original Sale Deed/ Lease Deed, Allotment/ Possession Letter, NOC from Society & other Documents as per legal Report

Passport size photographs for all applicants & co-applicants.

or any other options, our sales executive will be happy to help you

und required

Construction/ Purchase Estimate

Sale Agrerment

Registration/ Stamp duty charges

ncidental expenses

otal

Sources of Funds

Amount already spent (Personal Savings)

Amount already spent(Business)

Other borrowing/ Loans

Loan Applied for

Others

Total

PROPERTY DETAILSVII

Home Loan:

Purchase Self Construction Improvement/ Reapairs

Purchase of Loan:

Plot Purchase Construction Bunglow / Row-House Purchase

Type of Construction:

Ready Under-Construction Residential

Property Usage:

CommercialStatus of Property:

Self-Occupied Partly rented Partly Vacant

Name of the Current Owner:

Property Address:

City Landmark:PIN Code:

Total Purchase Price:

Loan against Property:

Asset Purchase Extra Cash Business Use Others

Balance Transfer:

Cash-Out Other Bank Payout

Flat Purchase Improvement/ Extension

Mixed Usage

Estimated Property Cost:

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PROPERTY DETAILS (CONT...)

nitial Payment Detailsnitial Payment Bank A/c Name:

VII

Branch:

Cheque No. Amount: Date:

D D M M Y Y Y Y

REFERENCESVIII

. Name:

Address:

City: PIN:

Mobile:

. Name:

+ 9 1

Phone:

STD CODE

Relation:

Address:

City:PIN:

Mobile:

+ 9 1

Phone: Relation:

STD CODE

KEY LOAN FEATURES

Tenure up to 20 years

Rate of interest based on credit evaluation process

Repayment through Equated Monthly Instalments (EMIs)

Applicable Charges as per the schedule of charges valid at the time of loan approval

We understand that sanction of the loan is at the sole discretion of IIHFL which reserves its right to reject Application without assigning any reason. I represent that I am a citizen of India. I represent that I have not been declared insolvent nor have any

solvency/bankruptcy proceeding been initiated against me. I represent that information furnished by me in this application is true and correct. I represent that I / We have not defaulted on any loan repayments. I / We agree and accept that may share the

formation provided by me with its group company and/or with any of its subsidiaries/ affiliates/ assigns. I undertake to furnish any other documents as and when required by . I / We agree and accept that may by its self or through authorised

ersons, Lawyers, agencies, bureau, etc. Verify any information given, check credit references, employment details and obtain credit reports to determine any creditworthiness. 0.5% of loan amount will be charged as initial margin Deposit (IMD). I have read

rough the terms and conditions of the grant of loan which was provided to me in English and ___________________ (language) In which I am conversant and comfortable with and have understood the implications of the terms and conditions. The

orementioned details in application and other documents have been explained to me/us in the language understood by me/ us and I/We have understood the entire meaning of the various clauses and executed the same.

IIHFL

IIHFL IIHFL

DECLARATION

Borrowers Signature/

Thumb Impression and

Seal (If applicable):

Date:

Place:

D D M M Y Y Y Y

Co-applicants Signature/

Thumb Impression and

Seal (if applicable):

FOR OFFICE USE

Source:

Exec. Code:

Client Risk Categorization High Medium Low

Fulfilment Channel:

Team Leader Code:

DSA Code:

We acknowledge the receipt of your loan application to India Infoline Housing Finance Ltd (IIHFL). We will get back to you either in writing (Letter or e-mail) or via telephone with statusof your loan application with us within 60 working days. This is subject to you furnishing all the necessary documents as mentioned in the application form or as communicated to youby IIHFL during the loan appraisal process.

LOAN APPLICATION ACKNOWLEDGEMENT

Customer Name:Date of Birth:

Mobile No. of the Sales Executive:+

Note: This is a preprinted acknowledgement & does not require signatures. Website : http:/www.iiflfinance.com

India Infoline Housing Finance Limited

12A-10, 13th floor, Parinee Crescenzo, C-38 and C-39, G Block, Behind MCA,

Bandra Kurla Complex, Bandra East, Mumbai-400051

Tel.: (91-22) 67881000. Fax : (91-22) 67881010 Email: reach@indiainfoline.com Website: www.iiflfinance.com

Registered & Corporate Office: