INDIAN OVERSEAS BANK
…………………………. Branch

APPLICATION FOR LOAN UNDER “SHUBH YATRA”

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

I apply for a loan of Rs…………………… under the “Shubh Yatra” scheme for
undertaking overseas travel. I have read the terms and conditions for the
scheme and agree to abide by the same. The particulars about me are given
below and I confirm their correctness and I have not withheld any information that
may be vital in appraising the loan proposal.
1. Name of the applicant: ………………………………………………………………..
2. Age of the applicant: ……………………………………………………………
3. Address: Office ……………………. Residence ………………………
…………………….. ……………………….
……………………. ……………………….
4. Phone No.: …………………. …………………
5. Name, Age and relationship to the applicant of those who are accompanying
the applicant in the overseas travel.
Name Age Relationship
5.1. ………………………………………………………………………………
5.2. ………………………………………………………………………………
5.3. ………………………………………………………………………………
5.4. ………………………………………………………………………………
6. For salaried persons:
6.1. Name of employer: …………………………………………………………
6.2. Position held: ……………………………………………………………….
6.3. Number of years of service: ………………………………………………
6.4. Whether confirmed in service: Yes/No.
6.5. Monthly gross salary Rs………… Deduction Rs………..Net Rs………
6.6. Any other income (source and proof to be enclosed): …………………..
7. For professionals, self-employed etc.
7.1. Line of activity: …………………………………………………………….
7.2. No. of years experience in the line of activity: ………………………….
7.3. Average monthly income: ………………………………………………….
8. Details of passport ( for applicant and those who accompany)
PP No. …………….. Date of issue ………….Issued at …………. Expiry ……...
Affix Passport
size photo
9. Visa particulars:
9.1. Country/countries to be visited ……………………………………………
9.2. Whether valid visa obtained for visiting the countries: Yes/No.
9.3. Period of stay in each country: ………………………………………..
10. Travel details:
10.1. Date of departure ……………………………….
10.2. Whether confirmed ticket obtained ………………………….
10.3. Date of Return …………………………….
11. Amount of loan required: Rs………………………
11.1. Purpose and break-up of loan requirement:
Purpose of visit:…………………………………….
Cost of Air ticket Rs. ……………………………………
Hospital expenses Rs.…………………………………
Incidental expenses Rs. ………………………………..
Total expenses Rs…………………………… Margin @ % Rs……..
12. If the loan is required for Medical treatment,
12.1. Nature of ailment ………………………………………..
12.2. Name and place of hospital
where treatment is to be taken: ……………………………………
12.3. Approximate cost of Treatment: Rs. …………………………..
13. If the Travel is for taking up employment,
13.1. Name of employer and address: …………………………………
………………………………….
13.2. Position offered: …………………………………………………
13.3. Whether appointment letter, work permit etc. obtained: …………..
13.4. Salary offered: Rs………………………………….
14. Security
14.1. Nature of security offered:
Nature Location/Details Value
15. Guarantee
15.1. Name of guarantor with address: ……………………………
……………………………
……………………………
15.2. Details of employment/profession
of guarantor ……………………………………………………….
15.3. Monthly income of guarantor ………………………………….
15.4. Details of unencumbered assets held by guarantor:
Nature Location/Details Value
16. Details of Assets & Liabilities of the applicant:
Nature of Asset Location/Details Value
………………………………………………………………………………
……………………………………………………………………………….
……………………………………………………………………………..
……………………………………………………………………………..
Loan taken from Purpose Present outstanding
…………………………………………………………………………….
…………………………………………………………………………….
…………………………………………………………………………….
…………………………………………………………………………….
Signature of the applicant…………………………………Date…………………..
Place: ………………..