Application for Loan under
Indian Bank Vehicle Loan Scheme (IBVL)

To The Branch Manager, Indian Bank,…………………….Branch
i. Please complete all the columns in BLOCK LETTERS and
wherever applicable
ii. Please refer next page for enclosures required
1. Name of the Applicant
2. Date of Birth and Age Age……………….Years
3. Father’s / Husband’s Name
4. Sex Male Female 5. Marital Status Married Unmarried
6a. Current Residence Owned Rented Company Lease Others
Address:…………………………………………………………………………..
……………………………………………………………………………
CITY: ………………………………PIN…………………Telephone: Office:
E Mail: Mobile: Res:
6b. Permanent Address
Address:…………………………………………………………………………..
……………………………………………………………………………
CITY: ………………………………PIN…………………
7. Occupation Employed Self-Employed Profession Others
8. If employed, whether confirmed
Details of Employment with full address of
Employer / Office with Telephone / Fax / Email
9. If self-employed / profession / business, furnish details
10. Present Monthly Income (Rs.
(Furnish documentary a. Applicant
Proof) b. Spouse
c. Total
Gross
Net Other Income Total
11. PAN / GIR No. (if available)
12. Details of Assets & Liabilities (Details to be enclosed, if required)
ASSETS (Rs.) LIABILITIES (Rs.)
Cash and Bank balance Loans from Banks / Institutions / NBFCs
Investments in Shares/NSC/LIC Etc. Loans from Friends / Relatives / Private Sources
Jewellery Others
Fixed Assets
13. Details of existing Vehicle/s owned
14. Description of Vehicle to be purchased
New Old {Mfg year……… Month………}
Cost of Vehicle
Cost of Regn
Insurance
Road
Tax
Total
15. Amount of Loan required: Rs……………….. Repayable in ……………… monthly instalments
Photograph of the applicant
1
16. Any close relative working in the Bank No Yes If Yes, Relationship:
(If Yes, declaration in the format as prescribed by HO should be obtained)
17. Details of Deposits / any other account maintained with this branch /
other branch / other bank
18. Details of Guarantor, if any with Address, Phone No. E-mail (Encl. Income
& Assets / Liabilities statement)
I declare that all the particulars given in the application form are true in all respects. I confirm that no litigation has
been initiated against me by other Banks / Financial institutions. I request you to sanction the loan.
Place:
Date: Signature of the Applicant
List of Enclosures Required
1. Quotation / Proforma Invoice
2. Copy of Driving License (wherever applicable)
3. Salary Certificate (for employed) (or) Latest Personal ITR acknowledged by ITO (or) Latest copy of TDS in Form 16
4. Copy of IT Assessment Return acknowledged by ITO for Self-employed / Professional / Businessman
5. In case of 2nd hand vehicle, valuation of vehicle by AAI / Reputed Automobile Engineer / Valuer acceptable to the
Bank
FOR OFFICE USE ONLY Date of Receipt of application:
Cost of *New/*Old Vehicle including Gross Income / Salary:
Insurance, Regn charges & Road Tax: Rs. Net Income / Salary:
Less applicable margin @ % Rs. Proposed EMI Rs.
----------------- Net income after EMI:
Eligible Loan Amount: Rs. % to Gross Income:
-----------------
Rate of Interest-Fixed:……………% per annum with ……………..rests
Repayment: In …………………. Equated Monthly Instalments of Rs………………… commencing from ……………………….
Names of Reference Persons for enquiry and particulars gathered, if any:
Date: Appraising Officer
Branch Manager’s observations and sanction
Date: Signature of the Branch Manager