INDIAN OVERSEAS BANK
……………………..BRANCH

APPLICATION FORM FOR CLEAN LOANS

To
The Manager
Indian Overseas Bank
………………….Branch

Dear Sir,
I apply for a loan of Rs…………………..… under Clean Loan Scheme, repayable in 36/60 equated monthly instalments.

PARTICULARS OF APPLICANT
First Name Middle Name Last Name
1. Name of the applicant : Mr. / Mrs. / Miss ………………………………………………………..
2. Father / Husband’s Name: ………………………………………….…………….
3. Age & D.O.B. of the applicant: ……………………………………………. ………..
4. Address : Office…………………. Residence ………………
……………………. …………………… ………
…………………….. ………………….…………
……………………… ………………….…………
E-mail ID : ……………………………………………………..
5. Phone No. : Office ………………….. Residence ……………..
6. Applicant’s I.T. PAN No/Voters ID No. : …………………………………………………………
7. Passport No. : ………………………………………………………….
8. Name of the Employer & his address : …………………………………………………………
9. Position held / Occupation : ………………………………………………………..
10. No. of years of service put in so far : ………………………………………………………….
11. Whether confirmed : ………………………………………………………….
12. Date of Retirement : ……………………………………………………………
13. a) Gross Salary per month : …………………………………………………………..
b) Total Deductions per month : ………………………………………………………….
c) Net Salary per month : ………………………………………………………….
(Salary Certificate enclosed)
14. Name, Address, Age & Occupation of the : 1………………………….. 2. …………………………
Proposed guarantors ………………………….. …………………………
………………………….. …………….…………
15. Particulars of property / investments owned
A) LIC Policies Sum assured:
B) Shares :
C) Deposits :
D) Particulars of land and building with value :
E) Any others :
16. Details of Bank Accounts held, if any : …………………………………………………………
17. Particulars of other liabilities :
Purpose of Loan Availed from Amount of Loan Present O/S
i) ………………………….. ………………………. …………………….. ... ………………….
ii) ………………………… ………………………. …………………….. ……………………..
iii) ………………………… ………………………. …………………….. …………………….
I hereby confirm that the particulars furnished by me herein above are true and correct and I have not withheld any
information which is likely to affect the acceptance of my application for the loan. I have read and understood the terms and
conditions relating to the Clean Loan Scheme.
Station:
Date : Applicant’s Signature
PARTICULARS OF SURETY
First Name Middle Name Last Name
1. Name of the Surety : ………………………………………………………………………
2. Father / Husband’s Name : …………………………………………………………………………
3. Age & D.O.B. of the Surety :
4. Address : Office…………………………. Residence ………….……………
………………………………… …………………………………..
………………………………… …………………………………..
………………………………… ………………………….…………
E-mail ID : ……………………………………………………………………….
5. Phone No. : Office…………………………… Residence…………………………
6. Surety’s I.T. PA No. /Voters ID No : …………………………………………………………………..
7. Passport No. : ………………………………………………………………………
8. Name of the Employer & his address ……………………………………………………………………….
9. Position held / Occupation : ………………………………………………………….
10. No. of years of service put in so far :…………………………………………………………………….
11. Whether confirmed : ………………………………………………………………………..
12. Date of Retirement : ………………………………………………………………………
13. a) Gross Salary per month : ……………………………………
b) Total Deductions per month : ……………………………………
c) Net Salary per month : ……………………………………
(Salary Certificate enclosed)
14. Particulars of property / investments owned
A) LIC Policies Sum assured
B) Shares
C) Deposits
D) Particulars of land and building with value
E) Any others
15. Details of Bank Accounts held, if any : ……………………………………………
16. Particulars of other liabilities : ………………………………………….
Purpose of Loan Availed from Amount of Loan Present O/S
i) …………………………… ………………………. ………………………… ... ………………...
ii) ………………………….. ……………………….. ………………………… ……………………...
iii) ………………………….. ……………………….. ………………………… ……………………..
17. Details of other guarantee executed by me:
Name of Principal debtors Name of Bank/Institution Amount
i) …………………………………. ………………………………….. ………………………..
ii) ………………………………… ……………………………………. …………………………
iii) ………………………………… …………………………….………. …………………………
I hereby confirm that the particulars furnished by me herein above are true and correct and I have not withheld
any information likely to affect the acceptance of my guarantee by you for the loan to be granted to Mr. / Mrs. /
Miss. ……………………………….. I know the applicant for …………………… years
Station:
Date : Signature of surety