LOAN APPLICATION FORM
UCO Shelter Loan Scheme

UCO Bank
Application form - UCO Shelter Loan Scheme 1
To
The Manager
UCO Bank
……………………..Branch
Sir / Madam,

Sub: - Application for Term Loan under UCO Shelter Loan Scheme

I / We apply for sanction of a term loan limit of Rs ……………….. in favour of me/ us under UCO
Shelter Loan Scheme and furnish below the necessary information & relevant particulars:-
Applicant Co-Applicant
First Name Middle Name Surname First Name Middle Name Surname
Name
(In Block letter)
Father’s Name
Husband’s
Name
Date of Birth
(dd/mm/yyyy)
Age
(years)
Date of Birth
(dd/mm/yyyy)
Age
(years)
Gender ( √ ) Male/Female Male/Female
Marital Status
( √ )
Married/ Bachelor/Widow/Widower/ Divorced Married/ Bachelor/Widow/Widower/ Divorced
Category ( √ ) Gen/SC/ST/OBC Gen/SC/ST/OBC
CURRENT ADDRESS
Applicant Co-Applicant
Address
(Holding/
Premises no.
Flat/floor no.
Street
Ward no. etc.)
Municipality
/Corporation /
Panchayat
Village/Town
Municipality
/Corporation
/ Panchayat
Village
/Town
City Post- Office City Post-
Office
District State District State
Pin Code E mail Pin Code E mail
Phone Mobile Phone Mobile
No. of years in
Current Address
Passport size
Photograph
Applicant
Passport size
Photograph
Co-Applicant
UCO Bank
Application form - UCO Shelter Loan Scheme 2
PERMANENT ADDRESS
Applicant Co-Applicant
Address
(Holding/
Premises no.
Flat/floor no.
Street
Ward no. etc.)
Municipality
/Corporation /
Panchayat
Village/Town
Municipality
/Corporation
/ Panchayat
Village
/Town
City Post- Office City Post-
Office
District State District State
Pin Code Phone Pin Code Phone
RELATIONSHIP WITH ANY MEMBER OF UCO BANK STAFF
Applicant Co-Applicant
Relationship with
any Member of UCO
Bank Staff ( √ )
Yes / No
If yes,
Nature of
relationship
Relationship
with any
Member of
UCO Bank Staff
( √ )
Yes / No
If yes,
Nature
of
relations
hip
Name of the UCO
Bank Staff
PFM No. Name of the
UCO Bank Staff
PFM No.
Category of the
UCO Bank Staff
( √ )
Officer/Clerk
/ Sub-staff
Present
Place of
Posting
Category of
the UCO Bank
Staff ( √ )
Officer/Clerk
/Sub-staff
Present
Place of
Posting
EDUCATIONAL QUALIFICATION
Applicant Co-Applicant
Academic
Qualification
Professional
Qualification
Academic
Qualification
Professional
Qualification
FAMILY MEMBERS
Applicant Co-Applicant
Minors (No.) Adults (No.) Minors (No.) Adults (No.)
No. of
Family
Members
No. of
Dependents
No. of
Family
Members
No. of
Dependents
OTHER INFORMATION
Applicant Co-Applicant
Pan Card/ GIR
no.
Ration Card
no.
Pan Card/
GIR no.
Ration Card
no.
Voter Id Card
no.
Passport no. Voter Id
Card no.
Passport no.
Driving License
no.
Office
Identity
Card no
Driving
License no.
Office
Identity
Card no
Relationship
between the
Applicant &
Co-applicant
UCO Bank
Application form - UCO Shelter Loan Scheme 3
OTHER INFORMATION Applicant Co-Applicant
Age of Banking Relationship with
UCO Bank
New Customer / …………(Months)
/ …………. (Years)
New Customer / …………(Months)
/ …………. (Years)
Whether you are guarantor of
someone else? ( √ )
Yes / No
Yes / No
SB/Current a/c no. with UCO BANK
(CBS Branch)
OCCUPATION PARTICULARS:-
Applicant Co-Applicant
Occupation
( √ )
Service/Business/Professional/Selfemployed/
Agriculture/Retired/House
wife/Student/Others
Service/Business/Professional/Selfemployed/
Agriculture/Retired/House
wife/Student/Others
Designation
Department Designation Department
No. of years in
Present
Occupation
Emp / PF No. No. of years
in Present
Occupation
Emp / PF
No.
Date of
Retirement
(As per Employer’s
certificate)
Retirement
Age
Date of
Retirement
(As per Emp.
certificate)
Retirement
Age
Name of the
Employer /
Business
Organization
Address of the
Employer /
Business
Organization
Village/Town/
City
Post-
Office
Village/Town/
City
Post-
Office
District State District State
Pin Phone Pin Phone
Fax E mail Fax E mail
Nature of
Employment ( √ )
Transferable / Non- Transferable
Transferable / Non- Transferable
No. of years in
the present
occupation
INCOME PARTICULARS:-
Applicant Co-Applicant
Monthly Income from
Occupation (A)
Rs……………..
Rs…………….. (A)
Other Regular Income per
month (B)
Rs……………
Source Other Regular
Income per
month (B)
Rs………..
Source
Total Monthly Income
(C=A+B)
Rs……………..
Rs…………….. (C=A+B)
Monthly Deductions /
Expenses (D)
Rs……………..
Rs…………….. (D)
Net Income (E=C-D)
Rs……………..
Rs…………….. (E=C-D)
Monthly Repayment (EMI)
of any outstanding loan/s
Rs……………..
Rs……………..
`
UCO Bank
Application form - UCO Shelter Loan Scheme 4
LOAN PARTICULARS
PURPOSE OF LOAN
a. Purchase ( √ )
1. Independent house/ready built flat for residential purpose.
2. Old house/flat not more than 30 yrs old, & free from tenancy
3. Flat from Regd. Co-op Society
4. Flat from builders
5. Purchase of Land from Urban Development Authorities/Govt. Bodies
b. Construction ( √ )
Yes/ No
c. Extension /Repair/ Renovation ( √ )
Yes/ No
d. Take over ( √ )
Yes/ No
e. Furnishing ( √ )
Yes/ No
f. Shelter In Old Age Home ( √ )
Yes/ No
g. Shelter against liquid Securities
( √ )
Yes/ No
h. Second Shelter Loan for Extension
/Repair/ Renovation ( √ )
Yes/ No
REQUIREMENT & SOURCE OF FUND
Estimate of Funds Requirement Amount in Rupees Estimate Of Source To
Meet Requirement Of
Funds
Amount in Rupees
1. Proposed Purchase price of Land
from Urban Development
Authorities/Govt. Bodies only.
a)
NSC/KVP/FDRS
2. Total Purchase Price of House/Flat b) SB Deposits
3.
Construction Cost of House c) Surrender Value of LICI
Certificate
4. Cost of
Repair/Extension/Renovation
d) Other Source … (specify)
5.
Cost of Registration e) Loan Applied from UCO
Bank
6. Repayment of Housing Loan as
takeover from other Bank/FIs
7. Cost of Furnishing
8. Shelter for Old Age Home
9. Shelter against Liquid Securities
10. Insurance Charges (one time)
11. Amount already spent
A. Total (1 To 10) - (11) B. Total (1 TO 5)
OTHER INFORMATION
1. Proposed Repayment Period (Months)
2. Proposed Moratorium Period within the above
Repayment Period (Months)
Rs……………..
3. Rate of Interest opted ( √ ) Fixed / Floating
4. Proposed Equated Monthly Instalment (EMI) for Term
Loan
Rs……………..
5. Proposed Mode of Repayment for Term Loan Deduction from monthly salary/ Post dated Cheques
6. Amount of Instalment the borrower / co-applicant can
pay
Rs. ……………………. per month
UCO Bank
Application form - UCO Shelter Loan Scheme 5
PARTICULARS OF THE IMMOVABLE PROPERTY OFFERED AS SECURITY
Name of the present owner/s of the
property
Description of the property
Location of the property (√) Metro/Urban/Semi-Urban/Rural
Marketability (√) Very Good/ Good/ Fair/ Poor
Area of the Land
Built up area of the Building, if any
(sq.ft.)
Age of the Building ……….. years
POSTAL ADDRESS OF THE
PROPERTY
(Holding/ Premises no./Flat/
floor no. Street, Ward no. etc.)
Village/Town
City
Municipality /Corporation /
Panchayat
Post- Office
Police Station District
State Pin Code
Property Schedule
Title Deed No Book no
Volume No Page No
Year of Registration/
Purchase
Registry Office
Purchase Price Rs. ……………… Survey/Circle/Mouza
J L No Khaitan no
Dag/plot no Class of Land
OTHER INFORMATION (For the Immovable Property Offered as Security)
1. Monthly Maintenance Cost of the Properties (Monthly
fixed costs like Maintenance Costs, Property
Insurance (pro-rata), property taxes etc)
Rs……………..
2. Name of the vendor/ builder/ developer
3. Do you propose to rent the dwelling unit? ( √ )
If so., amount of rent expected per month
Yes/ No
Rs……………..
4. Are you sole owner of the dwelling unit? ( √ ) Yes/ No
5. Is the legal title to the dwelling unit clear? ( √ ) Yes/ No
6. Whether bank is able to obtain 1st mortgage of
dwelling unit? ( √ )
Yes/ No
7. Whether you want to avail housing loan- With Life Risk
/ Accident Benefit ( √ )
Yes/ No/ (Yes both 7 & 8)
8. Whether you want to avail housing loan- With
Accident Benefit / House Risk ( √ )
Yes/ No/ (Yes both 7 & 8)
UCO Bank
Application form - UCO Shelter Loan Scheme 6
PARTICULARS OF COLLATERAL SECURITIES OFFERED
A. Personal guarantee offered, if any
Name of the Guarantor Nature of Relationship with the applicant/s, if any
1
2
B. Collateral Securities offered, if any
Description of Collateral Securities offered Present value of Collateral Securities
1
Rs……………..
2
Rs……………..
3
Rs……………..
DECLARATION
I/We declare that all particulars and information given in the application form are true, correct and
complete and that they shall form the basis of loan under UCO Shelter Loan Scheme to be availed
from UCO Bank.
I/We confirm that we have had no insolvency proceedings against me/us nor have I/we ever been
adjudicated /insolvent.
I/we also agree to UCO Bank making enquiries in respect of the loan application made by me/us.
I/We further agree that my/our loan if sanctioned shall be governed by the rules of UCO Bank which
may be in force from time to time.
(Applicant’s Signature) (Co-Applicant’s Signature)
Date:- Date:-
Place:- Place:-
List of Enclosure:- As per Annexure
UCO Bank
Application form - UCO Shelter Loan Scheme 7
Annexure
LIST OF DOCUMENTS TO BE SUBMITTED BY THE APPLICANT
{A} Statement of means of Applicant/s (format enclosed)
{B} Two passport size photographs of Applicant/s
{C} Proof of Identity/Age
Any two of the following documents but one document as mentioned in 1 – 5 below is mandatory
1. Ration Card
2. Voter’s Identity Card
3. PAN Card
4. Pass Port
5. Driving Licence
6. Office Identity Card
7. Birth Certificate
8. School Leaving Certificate
• Bank’s Pass Book/ Statement of accounts for last six month
** Submission of Bank’s Pass Book / Statement of accounts (of both for Applicant/s and Guarantor/s) for last six
month is COMPULSORY.
{D} Proof of Employment/Income
1. Employment Verification Certificate (Format enclosed)
2. Salary Slip for the last three months
3. Form 16 issued by the office
4. Income Tax Return/Assessment Order.
{E} Proof of undertaking the business (For Non-Salaried Class people)
a) Trade license
b) The statement of accounts (CA/CC)
c) Financial statements
{F} Documents for Take Over Loans
1. Statement of Loan account with other bank/institution.
2. Copy of the sanction advice issued by the bank/institution
{G} Additional documents, if any, as per the terms & conditions of UCO Shelter loan scheme as well as
norms & guidelines of the Bank.
DOCUMENTS TO BE SUBMITTED BY THE APPLICANT AFTER RECEIVING ‘IN PRINCIPLE SANCTION’ LETTER.
(i) FOR PURCHASE/ REPAIR/EXTENSION
1. Agreement for Sale/Allotment Letter
2. Mother title deed/Link Deed of the property
3. Sanction Plan issued by Corporation/Municipality/Panchayat authority
4. Receipt of Initial Payment made to the seller for executing the agreement for sale.
5. Certificate from the Bank’s empanelled Chartered Engineer regarding the age
of the house/ flat and its residual life in case of repurchase.
(ii) FOR CONSTRUCTION
1. Title Deed of the land
2. Mutation Certificate
3. In case the land has been inherited, Gift Deed/Partition Deed
4. Sanction Plan valid for implementation
5. Estimate for Construction by Civil Engineer or approved Valuer of Corporation / Municipality
6. Statement of Expenditure incurred for construction so far
UCO Bank
Application form - UCO Shelter Loan Scheme 8
(iii) FOR TAKE OVER (copies to be submitted)
1. Title deed of the land in case house constructed.
2. Mutation Certificate
3. Deed of conveyance in case of purchase of flat/house.
4. Sanction Plan.
5. Municipal Tax Receipt.
6. Parcha
7. Any other document submitted to the bank for creation of Mortgage.
(iv) COMMON DOCUMENT
1. Mutation in the Name of present owner (Municipal/BLRO)
2. Mortgage Permission from the Housing Board/ Co-operative Society
3. Parcha, Municipal Tax Receipt
(vi) DOCUMENTS TO BE OBTAINED BY THE BRANCH BEFORE FINAL SANCTION
In addition to the above documents (mentioned under Part A & B) above the branch should also obtain the
following :
1. Legal opinion / Search Certificate / Certificate on the marketability of the property to be financed.
2. Certificate from the Bank’s Empanelled Chartered Engineer / Valuer regarding the age of the house / Flat and
its residual life in case of repurchase.
3. Estimate of the cost of construction / repair / extension from the Bank’s Empanelled Valuer / Chartered
Engineer where the amount of loan is above Rs.10 lac.