APPLICATION FORM FOR UNION MORTGAGE
PHOTOGRAPH OF
APPLICANT
WITH
SIGNATURE
PHOTOGRAPH OF
CO-APPLICANT
WITH
SIGNATURE
I/we request for a loan of Rs._________________ under Union Mortgage scheme for the purpose of
________________________________________________________________________
I/we furnish my/our particulars as below:
PERSONAL INFORMATION
SR.
NO.
PARTICULAR APPLICANT CO-APPLICANT
1
Name
( In block letters)
2
Father’s / husband’s
name
3
Relationship with
applicant /
co-applicant
4 Pan number
5
Address (Res):
Telephone No.
Mobile No.
e-mail ID:
Permanent Address:
Telephone No.
Office Address::
Telephone No.
Fax No.
e-mail ID
6
Date of birth (dd/mm/yy)
Age (yrs.)
7 Sex Male/Female Male/Female
8
Marital Status
Single/Married Single/Married
9 No. of dependents Children: Others: Children: Others:
10 Status Resident/Non Resident Resident/Non Resident
JOB RELATED INFORMATION
11 Occupation Employed/Self-employed Employed/Self-employed
12 In case employed
Name of Employer with address
Telephone numbers:
Designation: Employee number:
No. of yrs in present employment: Length of service:
Date of retirement: Any other details:
13
In case of selfemployed
Name of firm:
Nature of business/profession:
Address of Firm:
Telephone numbers:
No. of yrs in line of business: Years in present business:
LOAN REQUESTED
Amount of loan (Rs)
Type of facility
(Term Loan/SOD)
Margin Purpose
DETAILS OF PROPERTY TO BE MORTGAGED
Names of owners of property
Description of property
( house/flat/commercial/industrial )
Survey Nos./D. No of the property
Address/location of property
Market value of property and basis of
valuation
If the property is partially let out
/leased out, details there of such as
period of lease, terms of lease etc.
(enclose a copy of lease agreement)
Details of insurance of property
Age of building
Residual life of building
Distance of property from financing
branch
Whether the property to be mortgaged ?
Non-agricultural
Free from all encumbrances
Has a clear & marketable title
Use
Yes / No
Yes / No
Yes / No
Yes / No
Self occupied/rented out
Any litigation is pending against the
property in question before any court
of law ( including suits under Rent
Control Act) ?
INCOME DETAILS
Gross monthly salary/ Annual income Rs.
Net monthly/ annual salary Rs.
Monthly/annual expenditure/deductions Rs.
Monthly surplus/annual surplus Rs.
( Salaried class to show income ,expenditure, surplus details on monthly basis whereas non-salaried class on annual basis.
Non-salaried applicants, should attach a separate sheet showing annual income less expenses and available surplus)
DETAILS OF ASSETS & LIABILITIES
Assets Rs. Liabilities Rs.
Cash on hand
Loan taken from:
• Bank
• Employer
• Provident fund
• Credit society
• Family/friends
• Others
Bank Deposits
Bank Name
Savings
Bank Name
Fixed deposits
Details of other liabilities
Shares & Bonds
(give name & description)
Whether stood as
guarantor, if so the extent
of liability
Investments in
• PPF
• NSCs
• LIC policy
(give surrender value)
• Others
Immovable properties
(give details) such as
address, original purchase
price, present market
value
Movable assets
(give details )
Other assets
(give total)
Total
Total
CREDIT CARD DETAILS
Name of issuing Bank: Credit Card number: Expiry date:
Credit Limit: Present outstanding: Amount overdue:
BANK ACCOUNT DETAILS
Name of the a/c holder Name of the bank & branch CD/SB A/c No:
Avg. balance
maintained
EXISTING BANK BORROWING DETAILS
Name of the bank & branch Nature of facility
Amount of limit
(Rs. in lacs)
Present
outstanding
(Rs. in lacs)
Overdues, if any
(Rs. in lacs)
GUARANTOR DETAILS:
1 2
Full name Full name
S/o
S/o
Address (Residence / employment)
Employment / Business details
Address (Residence / employment)
Employment/ Business details
Telephone(Res) Telephone(Off)
Telephone(Res) Telephone(Off)
Age Sex: Male / Female Age Sex: Male / Female
INCOME DETAILS OF GUANTOR
Gross Monthly / Annual
Net Monthly / Annual
Deductions/expenditure
Monthly/Annual
Surplus
Monthly/Annual
Rs.
Rs.
Rs.
Rs.
Gross Monthly / Annual
Net Monthly / Annual
Deductions/expenditure
Monthly/Annual
Surplus
Monthly/Annual
Rs.
Rs.
Rs.
Rs.
(Enclose statement of assets & liabilities of the guarantor/s)
DECLARATION BY THE APPLICANT(S)
I/we declare that all the particulars and information given in the application form or true, correct and they shall form the basis of any loan Union Bank of India may decide to grant me / us. I/we confirm that I/we have no insolvency proceedings against me / us nor have I/we ever been adjudged insolvent and further confirm that I/we confirm have read the brochure and understood the contents. I/we am /are aware that the equated monthly installments comprising principal and interest is calculated on the basis of monthly rests.
I/we agree that Bank may take up such reference and may make such enquiries in respect of this application as it may deem necessary. I/we undertake to inform the Bank regarding any change in my/our occupation/employment and to provide any further information that you may require. I/we also undertake to
authorize my /our employers to deduct EMIs from my/our salary and remit the same to the Bank directly every month. UBI may make available any information contained in this form , other documents submitted to UBI and information pertaining to the loan to any Institution or body. The Bank may seek r/receive
information from any source/person to consider this application. I/we further agree that my/our loan shall
be governed by rules of Union Bank of India which may be in force from time to time.
I/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/we further declare and agree that the information furnished hereinabove is true to the best of our knowledge and belief and incase any information is found to be false at a later date, the bank has right to recall the advance and initiate appropriate action as it may deem fit.
SIGNATURE OF APPLICANT SIGNATURE OF CO-APPLICANT
DECLARATION OF GUARANTOR
I/We am/are willing to stand as guarantor/s for the proposed advance as per the above request
Signature of guarantor
LIST OF DOCUMENTS TO BE ATTACHED
1) Completed application form
2) Passport size photograph of each applicant
3) Proof of income, salary certificate, Income tax returns etc.
4) Proof of Identity – PAN Card/ Voters ID/ Passport/ Driving License
5) Proof of Residence – Recent telephone bill/ electricity bill/ property tax receipt/ passport/ voters ID
6) Proof of business address in respect of businessmen/industrialists
7) Sale Deed, Agreement of Sale, Letter of Allotment, Non encumbrance certificate, Land/ Building Tax paid
receipt etc. (as applicable and subject to satisfaction report from our empanelled lawyer)
8) Copy of approved plan and approval from the local body
9) Statement of bank account/ pass book for last 6 months
10) Original NOC under the provisions of ULC Act
11) Copy of the order permitting land conversion in case of conversion of agricultural land
12) Non-Encumbrance Certificate for 30 years
13) Copy of the land tax receipt/building tax receipt
14) Copy of the allotment letter of housing board/builder/co-op. society
15) Statement of assets and liabilities of the guarantor.