Application for loan under Union Cash

Date:
The Branch Manager
Union Bank of India
Branch

I wish to apply for loan of Rs. ( Rupees ) under Bank’s Union Cash Scheme. My particulars are as under:
Name of the Applicant:

Address of the applicant:
*Current Residential Address:

*if period of stay at current residential address is less than 2 years, please furnish previous address also.

Permanent Address:

Date of Birth:

Age:

Telephone No (with STD code)
Mobile No.

Tel No (With STD Code) at permanent address:

SB account number to which pension is credited Monthly pension credited to the SB account (mention in rupees)
Name of Organization/ Department from which retired.

Pension Account No.

Whether family pension available

Purpose of Loan

Loan amount requested

Repayment period

Mode of Repayment

Security offered (mention the type of security like bank deposits, NSCs, shares, debentures, bonds etc, preferred)

Guarantor details
(guarantor should be spouse or the nominee to the pension account) a) Name:
b) Profession :
c) Monthly / Annual Income:
d) Bank a/c details
e) Assets owned
f) Liabilities
Details of accounts maintained with the Branch/Bank and with other Banks by the applicant

Declaration by the Applicant

! declare that I am having SB account No: with your Branch, where in pension is credited every month. I agree to repay the loan of Rs. in equated monthly installments inclusive of interest @ %p.a. with monthly rests.

L/We authorize Union Bank of India to exchange, share or part with all the information relating to my/our loan details/repayment history/information to other Union Bank Branches/Banks/Financial Institutions/Reserve Bank of India/CIBIL/Credit Bureau/Agencies/Statutory Bodies as may be required and shall not hold Union Bank of India and/or its agents liable for use of this information.

I further declare and agree that the information furnished hereinabove is true to the best of my knowledge and belief and in case any information is found to be false at a later date, the bank has right to recall the advance and initiate appropriate action as may be deemed fit.
Yours faithfully,

Name:
SB account no:
:
Declaration by the Guarantor:

I am agreeable to stand as guarantor and to execute letter of guarantee if loan of Rs.____________________is sanctioned to Shri/Smt_____________________________

Place: Signature:
Date: Name :
Address:
List of Documents Attached:

-List showing securities Offered viz. Deposit Receipt(s)/NSC(s) etc. (wherever applicable)