RETAIL LOAN APPLICATION FORM

The Manager
The Federal Bank Ltd. d d m m y y y y
Retail Hub / Branch: ....................................................................................................................................................... Date
Dear Sir / Madam,
I / We hereby request that a Housing Loan/ Property Power/Auto Loan (Strikeout whichever is Not Applicable) of `............................................................only)
may be granted to me/us. Necessary particulars for consideration of this application are given below. I am ready to submit more details/documents/
securities as required by the Bank.

Type of Loan applied for : Housing Property Power Auto Loan Others specify ....................................................................................................

Preferred Branch: ......................................................................................................

Personal Details
Applicant

Title: Mr. Ms. Mrs. Dr. Others .............................

Name: .........................................................................................................................................................................................................................................................................

Name of Father/ Husband: ....................................................................................................................................................................................................................................

Gender/ Date of Birth Marital Status Education Qualification Category Religion

Male Female Married Undergraduate Graduate General OBC Christian Hindu

DOB:.......................................... Single Post Graduate Professional SC ST Muslim Sikh

Qualification (Specify) ............................... Others............................ Others.............................

Nationality: Indian Others Residential Status: Resident NRI PIO

Communication Address ( For NRIs, mention Overseas Address) Permanent Address

Address ....................................................................................................................... Address .......................................................................................................................

...................................................................................................................................... ......................................................................................................................................

City....................................... State...................................... PIN................................. City....................................... State...................................... PIN.................................

Res.Tel.no (Landline):................................................................................................. Res.Tel.no (Landline):.................................................................................................

Mob.No........................................................................................................................ Mob.No........................................................................................................................

E-mail:.........................................................................................................................

No. of years in current address .............................................................................

Current Residence: Owned Inherited/Family Owned Rented Company Provided No. of Houses Owned:..................................

No. of Dependents No. of Working Members

Family Details
(Excluding Self): .......................... (Excluding Self): .......................... Related to Staff/ Director: Yes No
If Yes, Name of Staff
Occupation and monthly income of spouse ..........................................................................................................

Proof of Identity: Proof of Identity:

PAN Card Driving License Passport AADHAAR PAN Card Driving License Passport AADHAAR

Voter’s ID Others........................................................................................ Voter’s ID Others........................................................................................

PAN No AADHAAR No
 Additional Details for NRIs

Passport No: Visa Type: Visa Validity:

Passport expiry date:

Job/Profession/Occupation Details

Salaried Self-Employed

You Work For Your Firm is Profession

Government Public Co. Job Title ...................................................... Proprietorship C.A.

Public Sector Pvt.Ltd.Co Employee no ............................................. Partnership Doctor

MNC Others........ Work Period with Present Firm:............ Private Limited Others...............................................

Retirement Age:....................................... No. of Years in Present Business:...........................................

Office Address Name of Firm/ Employer and Dept...........................................................................................................................................................

Address............................................................................................................................................................................................................

...........................................................................................................................................................................................................................

City ........................................................................... State ................................................................. PIN ....................................................

Office Tel.No(Landline) .......................................................... Fax No. ............................................. Extension No..................................

E-mail ..............................................................................................................................................................................................................

Income Details Annual Salary/Income (latest) : Whether Income of Spouse/Children/Parents to be taken for

Loan Repayment: Yes No, If Yes, then;

Gross ....................................... Net............................................
Annual Salary/Income (latest) :
Other Approved Income.............................................................
Gross ........................................... Net.................................................
Deductions(PF+TDS+Prof.Tax)..................................................
Other Approved Income ....................................................................

Deductions(PF+TDS+Prof.Tax) ..........................................................

Co-Borrower/
Co-Obligant/Guarantor Yes No
to the loan
If Yes, give Name of all the Parties joining the loan (Separate Co-borrower/ Co-obligant/ Guarantor form to be filled)

1)................................................................................................... 2).................................................................................................................

3)................................................................................................... 4).................................................................................................................

Salary/Operative Bank Account Details

Bank Name & Branch

Account Number

Account Type

Account Since
 Loan Details

Type of Loan Housing Loan Personal Car Loan Property Power Others (Specify)

Scheme category (Specify) ..............................................................................................................................................................................................................................

Purpose of Loan ..............................................................................................................................................................................................................................

Repayment
Loan Amount .................................................... Mode of Repayment: Auto Recovery from Federal Bank ECS

Period: .................................................. months Bank A/c Number.......................................................................................................

Cushion period, if any ...................................... Bank Name ............................................................Branch .....................................

Pre-EMI option required Yes No IFSC

Credit linked Life Insurance funding required Yes No

Existing Loan Details

Total EMI Paid: .................................. No.Of.Loans..............

Attach additional sheet is required

Sl No. Type of Loan Name of Financial Institution Loan Amount Present balance EMI paid

1
2
3

Estimated fund requirements (for Housing Loans) Sources to meet fund requirements

Land cost : Rs...................................................................... Loan Applied for : Rs..............................................................................

Total Purchase price/

Construction Cost Rs...................................................................... Savings/ Personal Funds : Rs..............................................................................

Incidental Costs(if any) : Rs......................................................................

Other Costs(please specify) : Rs...................................................................... Others : Rs..............................................................................

Registration Costs/Serv. Tax : Rs......................................................................

Total : Rs...................................................................... Total : Rs............................................................................

SECURITY details

Property given as: Primary Security Collateral Security Others ......................................................................................................................

(Details of additional Collateral / Interim Security, if any, to be provided in separate Asset/Liabilty statement)

Property Type: Residential Commercial Residential cum Office Leasehold

Built-up area of property ................................... Age of Building ..................... years Value of Property ...............................................

Present Ownership: Sole Joint

Name of Present Owner(s) /Developer/ Builder ................................................................................................................................................................................................

Proposed Owner(s)...................................................................................................................................................................................................................................................

Property address (with Survey No.) ......................................................................................................................................................................................................................

......................................................................................................................................................................................................................................................................................

City/Town.......................................................... District........................................................... State.......................................................PIN.......................................................

Nearest Landmark....................................................................................................................................................................................................................................................
 Auto Loan Details

Vehicle Details Dealer’s Particulars

Brand Name: Dealer’s Name:

Manufacturer: Dealer’s Address:

Year of Manufacture: Dealer’s Phone Number:

Invoice Details Dealer’s Bank Account Number:

Ex-Showroom Price: Bank Name:

Tax,Insurance & Reg. Charges: Branch:

Total On-Road Price:

Date of Invoice: IFSC Code:

Advance Amount Paid(if any):

Relation with Federal Bank

Banking with Federal Bank since ................................... Customer ID .........................................................A/c No.........................................................................................

Have you availed any other Loan from Federal Bank Yes No. If Yes, Type of Loan ............................A/c No.........................................................................................

Non-Family References

Name: .......................................................................................................................... Name: ..........................................................................................................................

Address:....................................................................................................................... Address:.......................................................................................................................
Telephone:................................................................................................................... Telephone:...................................................................................................................

Declaration
I/We declare that all the particulars and information given in the application form are true, correct and complete and updated in all respects and I/We
have not withheld any information and that the information furnished by me/us shall form the basis of any loan Federal Bank may decide to grant me/
us. I/we confirm that the loan shall be used only for the purpose mentioned in this application. I/We confirm that there are no insolvency proceedings
instituted or pending against me/us nor have I/We ever been adjudicated insolvent. I/We further confirm that I/We have read the brochure, terms and
conditions applicable to this loan and understood the contents therein. I/We also undertake to inform Federal bank regarding change in my/our occupation/
employment /address/phone numbers/e-mail and to provide any further information that the Bank may require. I/We further agree that my/our loan shall
be governed by the instructions in vogue and/or that may be amended by the Federal Bank from time to time. I/we shall not hold Federal Bank responsible
for the quality of construction, delay in completion of construction, change in specifications and delivery of the property for which the loan is applied for. I/
We further agree that the Bank in its sole discretion may reject my/our application without providing any reasons whatsoever, and the decision of the bank
in this regard shall be final and conclusive. I/We have read, understood, acknowledge and agree that Federal Bank may refer my/our name to any institution
or credit referencing agency/ies and/or make such references and enquiries as the Bank may consider necessary. I/We hereby authorize Federal Bank to
disclose such information relating to my/our credit facility to such parties/agencies as deemed necessary at its sole discretion.
Further, all fees and charges payable in connection with the aforesaid credit facility including the Processing fee are made known to me/us by the bank
and I/We undertake to pay the PF & other charges as per the Bank’s norms. I/we understand and agree that the fees paid by me are non refundable and
if my/our application is rejected by the Bank for any reason whatsoever, or the same being withdrawn by me, I/We shall not be entitled for refund of the
same either in part or in full.

Statutory Dues (if any): ........................................................................................................................ Name & Signature of the Applicant
Date & Place:

For Bank Use Only

Sourcing Channels: Branch DSA/DST Fedfina Others (Specify) .................................................................. Date: ..........................................

If Branch Sourced, Name of Branch: ........................................................................................................................ SOLID

For Other Channels, Name of Sourcing Agent: ..................................................................................................... Agent Code ......................................................................
Branch/Agent remarks, if any:

LTS Number: Signature of Branch Manager/Sourcing Agent

Date & Place: