Government of Goa -Application Form For Personal Loan

Company Name(s): 

EDC Limited
EDC House, Dr. A. B. Road,
Panaji-Goa
1. PERSONAL LOAN APPLICATION FOR INDIVIDUALS
Name in full – Applicant
Name in full – Spouse
Name of Father
. FIRST NAME MIDDLE NAME SURNAME
PARTICULARS Applicant Spouse of the Applicant
1. Detail Residential Address
(House No., Road Name, ,
City, PIN, District, State)
2. Office Address (House No.,
Road, Name, Locality, City,
PIN, State)
3. Email address
4. Date of Birth (DD/MM/YYYY)
5. Telephone No. Office Residence Office Residence
6. Mobile No. /Fax No.
7. Sex M F M F
8 Marital Status (Please also tick Single Married
Single if no living spouse)
9. Particulars of Identification (a) Voter ID No. (a) Voter ID No.
Please indicate name of the
Document at (d) if any ( b) Pass Port No. (b) Pass Port No.
Of the Document at d, if any.)
(c) Driving License (c) Driving License
(d) Others (d) Others
10. PAN, Card No
PARTICULARS Applicant Spouse of the Applicant
1. Source of Income (Income
Proof): (Pease tick and enclose
Supporting document) Salary Certificate Inc Tax Returns Salary Certificate Inc. Tax Returns
2. Annual Gross Salary/Income
3. Annual Net Salary/Income
4. Other Annual Income as per IT
Returns.
5. Annual Income as per I. T. Returns
EDC Limited
EDC House, Dr. A. B. Road,
Panaji-Goa.
Signed photograph of
Applicant
2. PERSONAL INFORMATION OF THE APPLICANT
1. PERSONAL LOAN APPLICATION FOR INDIVIDUALS
3. FINANCIAL/INCOME INFORMATION OF THE APPLICANT
PARTICULARS Applicant Spouse of the Applicant
1. Name of the Employer
& Address
2. Name of the Department
3. Designation & Employee No.
(If available)
4. No of Years in present
Employment (If current
Employment is less than 5 years
Details of earlier employment
Going back to a period of 5
Years be disclosed)
5. Date of Retirement
Amount of Loan applied for.
Purpose of Loan
Repayment Period
APPLICANT SPOUSE
PARTICULARS (Rs. In Lakhs) Detail (A/c. No., etc) Amount Detail (A/c. No., etc) Amount
1. Saving in Bank (Saving Bank +
Fixed Deposits)
2. Investment in NSCs/Shares/Debentures
Bonds/Mutual Fund,/LIC etc
3. Current PF Balance (your contribution)
4 Immovable property
(Details like S.No./Bldg.No./Tax receipt
5 .Moveable assets
6. Other Investments
7. Total Assets*
Purpose Name of Creditor- (Bank/ Loan Amt. EMI Mode of Repayment Security charged
Name, A/c. No. & (Rs. In lakhs)
date of sanction
1. Housing Loan
2. Car Loan
3. PF Loan
4. Personal & Others
(Please Specify)
5. Total Liabilities
4. EMPLOYMENT DETAILS OF THE APPLICANTS
5. LOAN REQUEST
6. DETAILS OF FINANCIAL WORTH OF THE APPLICANT
7. DETAILS OF EXISTING LOANS
SPOUSE OF THE APPLICANT
1. Housing Loan
2. Car Loan
3. PF Loan
4. Personal & Others
(Please Specify)
5. Total Liabilities
8. DETAILS OF LEGAL HEIRS
Sr. No. Names Address Age
1.
2.
3.
9. NAME AND ADDRESS OF GUARANTOR
1)
10. NAME AND ADDRESS OF TWO REFERENCES
Sr. No. Name Address
1.
2.
Bank statement for the last 6 months (borrower only).
2 passport size photographs
Latest salary certificate
IT returns for the last 3 financial years and form no. 16 ( borrower only)
Letter from the employer, consenting to deduct EMIs for remission directly to EDC, as per the format of EDC
(borrower only)
Proofs of Residence - Recent Telephone Bill/Electricity Bill/House tax receipt/Passport/Voters ID.
Proof of Identity – PAN Card/Voters ID/Passport/Driving License
The Managing Director,
EDC Ltd,
Sir,
I hereby apply for a loan from EDC Limited to the extent indicated in the Loan request section of this application form. I declare that the foregoing particulars and information furnished in this application form are true, accurate and complete and that they shall form the basis of any loan EDC Limited, may decide to sanction to me. I confirm that I have / had no insolvency proceedings against me nor have, I been adjudicated insolvent. I further confirm that I have read the terms and conditions and understood the contents therein. I am aware that if I opt for loan at floating rates of interest, the Equated Monthly Insatallments will comprise Principal and Interest based on EDC Rates which is subject to change from time to time.
I agree that EDC Limited may at its discretion conduct discreet inquiries in respect of this application. I undertake to inform any change in my /our occupation / employment, residential address and to provide any further information that the EDC may require.
EDC limited will be at liberty to take such action as it may deem necessary if my / our above statements are found to be untrue. I / We agree that EDC Limited shall have the sole discretion to reject / reduce loan amount my loan application without assigning any reason thereof I further agree that my loan transactions shall be governed by the rules of EDC Limited which may be enforced from time to time
Place: ____________
Date_____________ Applicants Signature
11. DOCUMENTS REQUIRED (FOR APPLICANTS & GUARANTORS)
12. DECLARATION