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    F No - 135

    Uploaded by

    Treena Majumder Sarkar
    This document contains a loan application form requesting personal and financial details. It requests information such as the applicant's name, age, occupation, address, contact details, annual income, assets including property and investments, liabilities including existing loans, legal heirs, and nomination details. The applicant is asked to declare that they are not involved in any litigation or blacklisted. Supporting documents such as financial statements, employment records, property documents, and tax returns are also requested.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    F No - 135

    Uploaded by

    Treena Majumder Sarkar
    268 views3 pages
    This document contains a loan application form requesting personal and financial details. It requests information such as the applicant's name, age, occupation, address, contact details, annual income, assets including property and investments, liabilities including existing loans, legal heirs, and nomination details. The applicant is asked to declare that they are not involved in any litigation or blacklisted. Supporting documents such as financial statements, employment records, property documents, and tax returns are also requested.

    Original Description:

    BOB INDIVIDUAL FORM 135

    Original Title

    F No -135

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    This document contains a loan application form requesting personal and financial details. It requests information such as the applicant's name, age, occupation, address, contact details, annual income, assets including property and investments, liabilities including existing loans, legal heirs, and nomination details. The applicant is asked to declare that they are not involved in any litigation or blacklisted. Supporting documents such as financial statements, employment records, property documents, and tax returns are also requested.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    268 views3 pages

    F No - 135

    Uploaded by

    Treena Majumder Sarkar
    This document contains a loan application form requesting personal and financial details. It requests information such as the applicant's name, age, occupation, address, contact details, annual income, assets including property and investments, liabilities including existing loans, legal heirs, and nomination details. The applicant is asked to declare that they are not involved in any litigation or blacklisted. Supporting documents such as financial statements, employment records, property documents, and tax returns are also requested.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    F.No.

    135

    BANK BANK OF BARODA


    (HEAD OFFICE : MANDVI. BARODA)
    Branch:
    PARTICULARS TO BE SUPPLIED BY THE APPLICANT FOR ADVANCES

    I give below the particulars of my self , my family and my Assessts & Liabilities as at ________.

    1. Name in Full: _________________________________________ 2. Age : _______________.

    3. Father’s/ Husband’s Name : ____________________________________________________.

    4. Residential Address :

    PERMANENT PRESENT
    _________________________ ________________________
    _________________________ ________________________
    _________________________ ________________________
    _________________________ ________________________

    5. Telephone Numbers. : Office/Shop : ________ Residence: ________

    6. Occupation/ Line of Business : _____________________________________

    A. If in service :
    Name of employer and Address : _____________________________________
    _____________________________________
    _____________________________________
    Designation : _____________________________________

    B. If in Business/Professional :
    i) Name/s of the firm/company : ____________________________________
    and its Address ____________________________________
    ____________________________________
    ii) Line/s of activities : ____________________________________
    iii) Since when established : ____________________________________
    iv) In which capacity he/she is : ____________________________________
    representing

    7. Annual Income : Rs. ________________________________

    8. PAN (if an Income Tax Assesses) : ____________________________________

    9. Details of Assets :

    9.1 Details of immovable properties (held in own name / joint name):

    A. Nature of properties (Please tick which ever applicable):

    i) Plot of land : __________________________________

    ii) Agriculture Land : __________________________________

    iii) House / Godowns : __________________________________

    iv) Others : __________________________________

    B. Location : _________________________ Survey / House No: __________

    Area / Locality : _________________________________________________

    Village / Town : _____________________ District : ___________________

    C. Property in whose name? : _________________________________

    D. Cost (at the time of purchase) : Rs. _______________________________

    E. Present estimated market value of the property/ies : Rs. _______________

    F. Whether encumbered/un-encumbered/partially : __________________


    encumbered/un-encumbered/partially : __________________
    with whom. Consideration and major terms
    and conditions.
    9.2 Details of movable properties in my name :

    A. LIC policies
    Policy No. Date of issuance Sum assured Branch Name Annual Premium Premium Pai
    Of Policy (Rs.) (in Rs.) up to what per.
    (1) (2) (3) (4) (5) (6)

    B. Shares/ Debentures etc.


    Name of Total No. of Shares Certificate No. Total Amount Whether fully Cur. Market
    Company Shares held A/C No. Rs. (Face Value) Paid (yes/No) Value Rs.

    C. Term Deposits
    FDR/RD/YSJY Date Fvg. Amount Name of Bank Due date Maturity
    A/c No. Rs. Branch Value Rs.

    D. Investment in Govt. Securities like Bonds/NSC etc.


    Bond/Cert- Date of Purchase Issuing Office/Post Amount Due Maturiy Value
    ificate No. Office Add.(including- Rs. Date Rs.
    Mutual Funds)

    9.3 Details like Reg. No. type and value of vehicle/s : ____________________________________
    owned by me.

    9.4 Capital investment in business. Name of Firm/ : ____________________________________


    Company (As on latest sheet date)

    9.5 Full details of other investments if any : ____________________________________


    (i.e. Jewellery, Investment in other firm etc.)

    9.6 Total of all assets (9.1 to 9.5) : Rs. _________________________________

    10. Details of Loans in individual name/firms Name /Company’s Name :

    A. Name/s of the Bank /other Institution and its branch : ____________________________________

    B. Purpose and amount of Loan availed : ____________________________________

    C. Security & repayment schedule/rate of interest : ____________________________________

    D. Present balance outstanding : ____________________________________

    E. Liabilities other than to bank and Financial Institution : ____________________________________


    11. Other Details

    Details of personal guarantee given for any person/firm : ___________________________________


    If so furnish details (i.e. Name of Bank /Institution, on
    whose behalf amount of guarantee present status of a/c etc.)

    12. (A) Particulars of Legal Heirs :


    Sr. No Name Relationship Age Present Address
    (1) (2) (3) (4) (5)

    (B) Nomination particulars


    Sr.No. Description of Asset Bank/Organisation Accont/certi- Amount (at
    (Bank Dep., Co. Dep., ficate No. present /at
    Terminal Benefits etc.) maturity)
    (1) (2) (3) (4) (5)

    In support of my above declaration, I enclose

    1. Balance sheet, Profit and Loss Accounts, Trading Account, Capital Account (audited/unaudited).

    2. Copy of employment certificated with details of salary drawn.

    3. Copies of agreement/revenue records/society certificates in respect of land/ building/flat owned by me.

    4. Copies of Income Tax/Wealth tax returns/ Assessment Order.

    13. I declare that.

    I am/I am not (tick as applicable) a Director in ____/any Bank . There is no litigation against me or the firm/ Co. in which I am the
    proprietor/ a partner/ a Director.

    The name of the firm /Co. or the name of the partners/Proprietor/Director of the firm/ Co. is not the caution list of RBI/ECGC.

    The proprietor/partners/directors of the firm/Co. is/are not the Directors in any Co-operative Bank.

    I also declare that the above information is complete, true and correct.

    Signature of the Applicant


    Encls:

    Place:

    Date:

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