Application Form For Transport Loan: Branch Office: Existing Client: New Client: Passport Photo (2 Nos)

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Branch Office: ………………………………

Existing client: New client: Passport


photo
APPLICATION FORM FOR TRANSPORT LOAN (2 nos)

1. PERSONAL DETAILS

Name ________________________ Application Date ________________________

Date of Birth ________________________ Father’s Name ________________________

C.I.D Card No. ________________________ House No. ________________________

Thram No. ________________________ Thram Holder Name ________________________

Village ________________________ Geog ________________________

Dzongkhag ________________________ Marital Status ________________________

Name of Spouse________________________ Spouse C.I.D Card No ________________________

Contact Person _________________________ Name & Address ________________________

________________________
2. MAILING ADDRESS
Present Address Telephone No.
Mobile No.
Fax No.
Email Address

3. PROPOSED VEHICLE TO BE PURCHASED


Type
Make
Name of Agent / Dealer
Purchase Price
4. MEANS OF FINANCING
Equity Contribution (Nu.)
Loan Requested (Nu.)

5. REPAYMENT SOURCES
Business Income (Nu.) Other Income (Nu.)
Rental Income (Nu.) Salary (Nu.)

6. SECURITY DETAILS
MOVABLE ASSETS
Type of Assets Registration No. Insurance Value Ownership Details

7. DETAILS OF EXISTING LOANS WITH BDBL AND OTHER FINANCIAL INSTITUTIONS


(if any)
Types of Loan Loan Account No. Loan Balance Existing Security

LIST OF DOCUMENT TO BE SUBMITTED


Photocopy of C.I.D
Quotation of the vehicle to be purchased
Route approval for passenger transport
Advance booking receipt (For new purchase)
Consent Clause

The Parties hereunto in their respective capacities as hereinabove mentioned do hereby declare that all the
information furnished herewith is correct to the best of my/our knowledge and ability and do hereby
consent to disclose and share all or such information required by the bank to do such acts, deed or things
that are deemed necessary to facilitate Credit Information Bureau to ascertain accuracy/ correctness of
information. The parties hereunto mentioned do hereby give consent to use my/our demographic and
credit information by the Credit Information Bureau and other credit reporting entities.

I hereby, further agree and authorize the bank to register the movable asset which I pledge as collateral
with Central Registry System for secured Transaction (CRST).

Affix Legal
Stamp
(Nu. 10)

Signature/LTI of Applicant

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