VARASHAKTI HOUSING FINANCE PVT LTD

Registered Office: New No.33, Old No. 14,

48th Street, 9th Avenue, Ashok Nagar,
Chennai - 600 083, Tamil Nadu, India.

Branch: Proposal No.

Applicant Co-Applicant

INSTRUCTIONS
1. All columns must be filled in. If not applicable, please write N.A. (Not applicable)
2. In order to ensure faster processing, applicants should ensure that the application is complete in Pass Port Pass Port
every respect and all the required documents are submitted with this application. Size Photograph Size Photograph
3. Application to be submitted along with Processing fee @ 2.5% + GST for the amount applied. with signature across with signature across
4. Please take photocopies of all the documents before submitted to VSHFL

Signature of Branch Manager / Incharge Signature of Borrower:

To: The Branch Manager, Varashakti Housing Finance Pvt Ltd.

I / We request that a loan of Rs. (Rupees only )
may be granted to me / us for the following purpose against the security of mortgage of property and such other securities as may be required
by VSHFL. Necessary particulars for consideration of this application are give below:

Construction / Purchase : Independent House / Flat Plot purchase Improvement

Purpose:
Extension Loan Takeover & Topup Loan against property
Interest Type : Fixed / Floating Mode of Payment of EMI : NACH / PDC

Loan Tenure :

Particulars Applicant Co-Applicant

Name
Father’s / Husband’s Name
Relationship with co-applicant / applicant
Date of Birth & Age DOB: Age: DOB: Age:
Marital Status & Sex Sex: Sex:
Religion / Community
Educational Qualification
Current Residential Address
Applicant:
E-Mail ID:
Mobile:
PAN No.:
Co-Applicant:
E-Mail ID:
Mobile: Pincode: Pincode:
PAN No.: Phone: Phone:
Communication to be sent to: Residential Address Property Address Office Address

No. of years in current residence

Owned / Family / Rented / Qtrs.
If rented, Monthly Rent Rs.

Relationship with Name of School / College Monthly Income

Sl.No. Name Age Marital Status
applicant & Class / Course Studying (Rs.)
 Particulars Applicant Co-applicant
OCCUPATION: Employed Professional Business Employed Professional Business
If Salaried :
Name of Employer
Office Address
If Business :
Name of Business
Business Address
Pin Code: Fax: Pin Code: Fax:
Office / Business Phone No.
Designation
Yrs Date Yrs Date
No. of years in Present service of retirement / / of retirement / /

Previous Employment /
Business details
Line of Business / Profession

Financial Details
INCOME
Gross Monthly Income Rs. Rs.
Rental Income Existing Rs. Rs.
Proposed Rs. Rs.
Other Income - Specify Rs. Rs.
Average Monthly Expenses Rs. Rs.
Net Monthly surplus available Rs. Rs.
E M I you can pay p.m. Rs.
ASSETS:
Immovables: Describe
Market Value
Other Investments:
Bonds & Securities
LIC Polices: Policy No.
Sum Assured
Annual Premium
Maturity Date

Balance Balance Term Monthly

LIABILITIES: Name of Institution Purpose (Rs.) (Months / Repayment
Outstanding Years) (Rs.)

Applicant:

Co-Applicant

Details of Credit Cards

Name of the Issuer Credit Card No. Limit Credit Card No. Limit
1.

2.
3.
Bank Account Details
Current / Account
Particulars Name of the Bank / Branch & Address Savings A/c No.

Applicant

Co-Applicant:
 Funding Details

Estimated requirement of funds Estimated Source of funds

Cost of Construction / Improvement/
Extension } Rs. Loan amount required
Amount already paid / spent
Rs.
Rs.
Cost @ Rs. per sq.ft. for an area of sq.ft)
(source )
In case of Purchase specify:
Rs. Disposal of Investments /
Purchase Cost Rs.
Assets
Registration Cost Rs.
Savings from Banks Rs.
Stamp duty Rs.
PF (refundable / non-refundable) Rs.
Other Costs: Please specify Rs. Other: Please specify Rs.
Rs. Rs.
Loan outstanding (for Take over) Rs. Rs.

A. Total requirement of funds Rs. B. Total source of funds Rs.

Details of Property
Address: (Mention dwelling unit No, street, city, Developer Name:
nearest landmark and pin code) Area of Land
Built-up area
Age of Property
Proposed owners Name: (In case of Purchase)
Pin code: Name 1:
Nearest landmark Name 2:
In case of Construction / Improvement /Extension / Mortgage)
Owner of the Property: Applicant Co-applicant
Guide line Value:
Market Value :
Please draw route map of the Property

N
W E
S

Details of Guarantor
1. Name of Guarantor: Office / Business details:
Name :

Residential Address: Address:

Pin code: Pin code:

Mobile: Phone: Mobile: Phone:

E-Mail ID Gross Income P.M.

2. Name of Guarantor: Office / Business details:

Name :
Residential Address: Address:

Pin code: Pin code:

Mobile: Phone: Mobile: Phone:
E-Mail ID Gross Income P.M.
 General (Applicable to Applicant and Co-Applicant)

1. Have you or your spouse earlier applied to VSHFL for a loan? Yes No
If yes, Loan Account No.
2. Have you or your spouse given guarantee(s) for any borrower(s) of VSHFL? Yes No
If yes, Loan Account No. & Name of Borrower(s)
Declaration
I / We declare that all the information and particulars furnished in this application form by me / us are true, correct and
complete and that they shall form the basis of any loan VSHFL may decide to grant me / us. I / We confirm that I / We
had no insolvency proceedings against me / us nor have I / We ever been adjudicated insolvent and further confirm that
I / We have read the brochure and understood the contents. I / We / am / are aware that the Equated Monthly
Installment comprising principal and interest is calculated on the basis of monthly rests. I / We agree that VSHFL may
take up such references and make such enquires with credit bureau like CIBIL / High Mark or any other Agencies as
required in respect of the application as it may deem necessary from time to time. I / We undertake to inform VSHFL
regarding any change in my / our occupation / employment and to provide any further information that you may
require. I / We also undertake to authorize my / our employer(s) to deduct Equated Monthly Installments from my / our
salary and remit the same to VSHFL directly every month. I / We agree that ownership of the loan may be transferred
to successor or assignee of the company without notice to me / us and / or the administration of the loan account may be
transferred to an agent successor or assignee of the company with prior notice to me /us. I / We shall advice you in
writing of any change in my / our resident status. We further agree that my / our loan shall be governed by rules of VSHFL as
may be in force from time to time and VSHFL shall keep me / us informed on the status of my/our application in writing/digital mode
with the reasons thereof.

Signature of Applicant Signature of Co-Applicant

Date : / / Date : / /
For Office Use

Date of receipt of application : / / Date of Credit Interview: / /

Interviewed by:
(Name & Designation)
Fee Particulars:
Processing Fee Amount: Cash / Cheque / DD No. Date : / /

Bank / Branch: Loan scheme recommended:

List of documents required (Personal)

Particulars Salaried Individuals / Professionals / Businessmen
Age proof 1. School Leaving Certificate; 2. Passport; 3. Driving Licence; 4. Voters ID;
(any one document) 5. Birth Certificate; 6. LIC Policy, 7. PAN Card, 8. Aadhaar Card
Identity & 1. Bankers Sign Verification; 2. Passport; 3. Driving Licence; 4. Pan card,
Signature
(any one document) 5. Employer ID
1. Pass port; 2. Ration card; 3. Voters ID; 4. Employer ID; 5. Driving Licence,
Address Proof 6. Telephone Bill; 7. Gas Bill, 8. Aadhaar Card
Banking history Last 1 year Bank statement & 3 months credit card statement
I / We, hereby give voluntarily at my own discretion my
Aadhaar number as issued by Government of India to VSHFL along with my other KYC documents for the purpose of availing
Aadhaar declaration
loan based relationship and voluntarily give my consent to use my Aadhaar details for the purpose of authentication with
UIDAI. I am enclosing a copy of my duly self-attested Aadhaar card / e-Aadhaar for your record. The Aadhaar card details
voluntarily furnished by me are true, correct and complete.

Signature of Applicant Signature of Co-Applicant

Salaried Individuals Professionals / Businessmen

1. Latest Salary slip

1. IT returns for the last 3 years
2. Salary Certificate
2. Audited financial statements for the last 3 years & Projections for
Income Proof 3. Form 16 or IT returns with next 2 years
computation of Income for
the last 3 years (along with P&Land Balance sheet with all schedules)
4. Appointment Letter 3. Write up about the business.
 VARASHAKTI HOUSING FINANCE PVT LTD
Registered Office: New No.33, Old No. 14,
48th Street, 9th Avenue, Ashok Nagar,
Chennai - 600 083, Tamil Nadu, India.
Loan Application Form - Co-Applicants
Co-applicant Co-applicant

This is part of

Pass Port Pass Port

Proposal No. Size Photograph Size Photograph
with signature across with signature across

Name of the Applicant:

Personal and Employment Details

Particulars Co-Applicant Co-applicant
Name
Father’s / Husband’s Name
Relationship with co-applicant / applicant
Date of Birth & Age DOB: Age: DOB: Age:
Marital Status & Sex Sex: Sex:
Religion / Community
Educational Qualification
Current Residential Address
Co-Applicant:
E-Mail ID:
Mobile:
PAN No.:
Co-Applicant:
E-Mail ID:
Mobile: Pincode: Pincode:
PAN No.: Phone: Phone:
OCCUPATION: Employed Professional Business Employed Professional Business
If Salaried:
Name of Employer
Office Address
If Business:
Name of Business
Business Address
Pin Code: Fax : Pin Code: Fax :

Office / Business Phone No.

Designation

No. of years in Present service Yrs Yrs

Date of retirement / / Date of retirement / /
Previous Employment /
Business details

Line of Business / Profession

Details of Credit Cards

Name of the Issuer Credit Card No. Limit Credit Card No. Limit
1.

2.
3.
 Funding Details
INCOME Co-applicant Co-applicant

Gross Monthly Income Rs. Rs.

Rental Income Existing Rs. Rs.

Proposed Rs. Rs.

Other Income - Specify Rs. Rs.

Average Monthly Expenses Rs. Rs.
Net Monthly surplus available Rs. Rs.

ASSETS:
Immovables: Describe
Market Value
Other Investments:
Bonds & Securities
LIC Polices: Policy No.
Sum Assured
Annual Premium
Maturity Date

Balance Balance Term Monthly

LIABILITIES: Name of Institution Purpose (Rs.) (Months / Repayment
Outstanding Years) (Rs.)

Co-Applicant:

Co-Applicant

Bank Account Details

Current / Account
Particulars Name of the Bank / Branch & Address Savings A/c. No.

Co-Applicant

Co-Applicant

General (Applicable to both Co-applicant)

1. Have you or your spouse earlier applied to VSHFL for a Loan? Yes No

If Yes, Loan Account No.

2. Have you or your spouse given guarantee(s) for any borrower(s) of VSHFL? Yes No

If Yes, Loan Account No. & Name of Borrower(s)

Signature of Co-Applicant Signature of Co-Applicant

Date: / / Date: / /