Annexure - A
UNITED BANK OF INDIA
APPLICATION FOR UNITED CONSUMER
AND CAR LOAN
To
The Chief Manager/Manager,
United Bank of India,
……………………. Branch |
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| Dear Sir, I/We request you to sanction a loan of Rs.
……………… (Rupees
…………………..……………
……………………… only) for purchase
of……………………………………
……………………………. costing Rs.
…………………………… {Description of
Article(s)}
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Name of Article(s) |
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Value (Rs.) |
| i) |
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| ii) |
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| iii) |
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……………………………………. |
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{Name
& Address of supplier(s)}
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I/We undertake to repay the loan in …………… monthly instalments of
Rs. ………… each
starting from
………………………………….. |
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PARTICULARS OF BORROWER
1. Name in full (in Block Letters)
2. Age
3. Whether married
4. No. of dependents
5. Name of father/husband
6. Address (with telephone no)
i) Residence
ii) Office |
APPLICANT 1 |
APPLICANT 2 |
-1- |
7. For salaried applicant
i) Name & address of
employer
ii) Designation/position & period
since when employed |
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8. For professional &
self-employed
applicant
i) Particulars of profession and
name & address of
his/her
firm/co and details
ii) Designation/position & period
since when engaged |
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9. Name, address, occupation &
worth
of guarantor(s), if any
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10. Income (year-wise for last 2 years)
Gross Income
Net Income
Less: Personal drawings
Income Tax Paid
Net Surplus
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11. Income Tax assessed/paid for the
last 2 years (enclose supporting
documents)
Income assessed
Tax assessed
Tax paid
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12. Nature of account(s) maintained
with UBI |
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-2- |
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13. Names and addresses of other banks
with whom any account is
maintained (Particulars of
borrowings, if any, to be given)
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14. For salaried applicant
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Particulars of monthly emoluments for the month of _______________ (a copy of the pay-
slip/employer’s certificate to be attached)
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| Applicant
1 |
Applicant
2 |
| Gross Salary
(in Rs.) |
Deductions (in
Rs.) |
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| Gross Salary
(in Rs.) |
Deductions (in
Rs.) |
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Common
for all applicants
(Particulars of each applicant to be given
separately) |
15. Description of Property, if any, owned
(a) Particulars of Real Estate
Location
Area
Unencumbered (Yes/No)
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(b)
Particulars of Shares held, if any
Name of the
Company
i)
ii)
iii)
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No. of shares |
Market Value |
(c) Life
Insurance Policy held :
Policy No.(s)
i)
ii)
iii)
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Date of Maturity |
Sum Assured |
(d) National
Savings Certificates,if any.
Certificate No. |
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Date of Maturity |
Face Value |
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-3- |
16. Borrowings
(i) Borrowing against (a), (b), (c) & (d) above
(Details to be
given in separate sheet) |
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Rs. …………………………….. |
(ii)
Present Outstanding Balance
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Rs.
……………………………. |
17. Other liabilities
(i) Any Unsecured Liabilities (Details to be
given in separate
sheet) |
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Rs. ……………………………. |
(ii)
Present Outstanding Balance
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Rs.
……………………………. |
18. Statement of
Financial Positions as on
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LIABILITIES
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ASSETS
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Capital |
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Land & Buildings |
| Trade
Creditors |
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Furniture & Fittings |
| Other
Creditors |
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Stock-in-Trade |
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Others |
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Trade Debtors |
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Surplus |
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Cash in Hand & Bank |
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(Assets - Liability) |
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Others |
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Deficit |
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(Liability - Assets) |
| _______________ |
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_______________ |
| TOTAL |
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TOTAL |
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19. OTHER PARTICULARS
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Name and address of the persons who can be referred to for information (a)
(b)
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I/We hereby |
(i) declare that the statements
given above are true and correct.
(ii) further declare that no part of the loan will be utilised for any purpose other
than that stated.
(iii) agree to abide by all the terms and conditions of the loan, if sanctioned.
(iv) further agree to the Bank recalling the entire loan or the balance thereof if
the Bank comes to know of any incorrect statement on my
part. |
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Signature of Applicant 1
Signature of Applicant 2 |
Date :
Place : |
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-4- |
20. Chief Manager's / Manager's findings and sanction/recommendation :
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| Dy.
Manager /Asstt. Manager |
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Chief Manager / Manager |
Date : |
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…………………………….Branch
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RO’s observations and sanctions. |
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Regional Manager |
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-5- |
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