HOUSING LOAN APPLICATION FORM (INDIVIDUAL)
PERSONAL AND EMPLOYMENT DETAILS
NAME
APPLICANT CO-APPLICANT
Surname First Name Middle Name Surname First Name Middle Name
Current Residential
Address
Pin code:
Pin code:
Phone No. Relationship with applicant
e-mail Adress
Date of Birth Age Yrs Age Yrs
Sex ı Male ı Female ı Male ı Female
Marital Status ı Single ı Married ı Single ı Married
Status ı Resident ı Non-Resident ı Resident ı Non-Resident
No. of Dependants ___ Children ___ Others ___ Children ___ Others
PAN Card No.
Qualifications Matric /Under-Graduate/Post-Graduate/ PhD Matric /Under-Graduate/Post-Graduate/ PhD
Occupation ı Employed ı Self-Employed ı Employed ı Self-Employed
Employer / Business
Name & Address
(Please mention the
address of the office
you are based at)
Pin code:
Pin code:
Designation and
Department
Employee No.
Employee No.
Office phone no. Ext. Fax: Ext. Fax:
Monthly Salary Income Rs. Rs.
Other Income Rs. Source Rs. Source
No. of years in present
Occupation
_______ Yrs
Retirement Age: _______ Yrs
_______ Yrs
Retirement Age: _______ Yrs
Status of present
accommodation
Own / Rented / Family / Employer
LOAN REQUESTED
Amount of Loan Nature of Facility required [TL/SOD ] Purpose of Loan Tenure
EXISTING HOME LOAN DETAILS
Name of the Borrower [s]
Date of Sanction of Loan
Amount of Loan Rs.
Repayment Schedule No. of EMIs: Amount of EMI
Date of commencement of Repayment
Details of mortgaged property
1. Address of the House mortgaged to the Bank
2. Name of the owner
3. Date of Mortgage
4. Whether 2nd charge is created on the same
property? If yes, furnish details
Yes / No
5. Details of other loans availed from the Bank
against extension of EM of the same property
Nature of facility & limit Amount outstanding
6. Present market value
BANK ACCOUNT DETAILS
Name of the Account Holder Name of the Bank Branch Name CD / SB a/c Account No.
DECLARATION
I/We declare that all the particulars and information given in the application are true and correct , which
form the basis for UBI to decide to grant top up loan to me/us. I/ we declare that we shall abide by the
declaration given at the time of availing Housing Loan. I/we further declare that I/we shall abide by the rules of
UBI and terms and conditions of the said loan, which may be in force from to time.
Applicant’s Signature Co-applicant’s Signature
[For Office Use only]
PROCESS CUM SANCTION
1.Details of installments remitted No. of installments_ Total Amount [Rs.]
2. Whether the Installments are paid regularly
as per stipulated repayment schedule
YES / NO
3. Whether the account figured in EAS/ SMA
at any point of time ? [If yes, the
applicants are not eligible for top up loan]
YES / NO
4. Eligible amount of loan Rs.
5. Amount of Top up loan recommended Rs.
6. Nature of facility Term Loan / Secured Overdraft
6. Repayment Schedule [in case the facility
sought is in the form of Term Loan]
a. Number of EMIs :
b. Amount of EMI : Rs.
c. Repayment to commence from:
7. Rate of Interest
8. Margin 50%
9. Security:
Extension of EM of House Property
situated at -
10. Details of personal guarantee Name: Means: Rs.
11. Documents to be obtained 1. DP Note
2. Letter of Extension of Mortgage
3.Declaration
12. Processing Charges 0.50% of the loan amount
Recommended for sanction
[Name of the Officer/ Designation ]
Sanctioned/Declined
[Name of the Officer/Designation]
Branch Seal
DECLARATION
[To be stamped with appropriate stamp duty as applicable in the respective States as per Stamp Act of
those States]
The Branch Manager,
Union Bank of India,
________________Branch,
Dear Sir/ Madam,
Sanction of Loan under UNION TOP UP LOAN SCHEME
In consideration of Union Bank of India having sanctioned a loan of Rs._________________
[Rupees _____________________________________] under Union Top-up Loan Scheme, I / we
hereby declare and state that the said loan amount will be utilized for the purpose of carrying out
repairs/renovation/furnishing/face lifting of my/our house situated at
___________________________________________________
_______________________________________________________________________.
Yours faithfully,
Signature of the Borrower [s]
Place:
Date:
Address of the Borrower: