Loan Application Form - Ujjivan Small Finance Bank · Ujjivan Small Finance Bank Ltd. (USFB)...

Tick if same as Current Address

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Loan Application FormPlease fill information in capital letters and in black ballpoint pen only(Note:- All field in "*" are mandatory)

Open Market Existing Customer Staff

Co-Applicant

Relationship with Applicant

Individuals Non Individuals

Mr. Ms. Mrs. M/s.

Father’s Name OR Spouse Name

General OBC SC* ST* NT

Others Minority*

Male Female Transgender

S.S.C H.S.C Graduate / Diploma

Post Graduate Others

Married Single Widowed Divorced

(Including Children)

Owned Family Rented Company Leased

If Rented, Rent P.M.

Indian NRI Other

Hindu Muslim Sikh ChristianZoroastrian Buddhist Jain Other

Home Improvement Loan Composite Loan

Staff Loan

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Last Name*

Requested Loan DetailsProduct Name Home Loan Ready Purchase

Home Self Construction Loan

Home Top-up Loan

Home Equity Loan

Category Semi-Formal Informal

Loan Purpose

Loan Amount Applied for (In Rs.)

Tenure (In Months) Preferred EMI (In Rs.)

Date

Customer ID

Branch Name

Branch Code

Lead Type

Applicant’s Details(in block letter)

Applicant Type

Salutation*

First Name*

Middle Name

Mother’s MaidenName (If any)

First Name*

Last Name*

Category*

Gender*Date of Birth/Incorporation*

Incorporation*Qualification*

Marital Status*

No. of Dependents

Applicant

Individuals Non Individuals

Mr. Ms. Mrs. M/s.

Father’s Name OR Spouse Name

General OBC SC* ST* NT

Others Minority*

Male Female Transgender

S.S.C H.S.C Graduate / Diploma

Post Graduate Others

Married Single Widowed Divorced

(Including Children)

Current Residential Address*

Address line 2

Address line 1*

Address line 3

Area Name

City/Town/Village*

District*

State*

Pincode*

Mobile No.*

(+91)Alternate Mobile No.

Phone No. (with STD Code)

E-mail ID* (Personal)

Current Residence

Period of Stay

Permanent Address

Owned Family Rented Company Leased

If Rented, Rent P.M.

Address line 2

Address line 1*

Address line 3

Area Name

City/Town/Village*

District*

State*

Pincode*


Home Under Construction Purchase

Religion Hindu Muslim Sikh ChristianZoroastrian Buddhist Jain Other

Nationality Indian NRI Other

Nationality Indian Non Resident Indian Person of Indian Origin

Others

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Occupation Details

Occupation Category*

Employer / BusinessName*

Address line 2

Address line 1*

Address line 3

Area Name

City/Town/Village*

District*

State*

Pincode*


E-mail ID* (Official)

Salaried

Farmer

Business

Others

Professional Retired Salaried

Farmer

Business

Others

Professional Retired

If Salaried*

If Business*

If Professional*

Entity Type*(Business / Professional)

Central / State Govt.

Public Sector Undertaking

MNC

Pvt. Ltd. Public Ltd.

Educational Inst.

Proprietor / Partnership Others

Designation

Current Work Experience

Total Work Experience

Trader Manufacturer Wholesaler

Service Provider Others

Doctor CA/CWA/CS Architect Lawyer

Others

Date of Commencementof Business / Profession

Proprietary

Public Ltd.

Partnership LLP Pvt. Ltd.

Trust Society HUF Individual



MNC


Educational Inst.


Designation






Others


Proprietary

Public Ltd.



CorrespondenceAddress*

Current Permanent Office

Yes No


Yes NoRegistered with GST

If yes, GSTIN

Loan and Property Details.

Land Area (Sq. Mtr.)

Ownership

Property Address

City / Town

District

State

Sole Joint

Built up Area (Sq. Mtr.)

Land Type Freehold Leasehold .Carpet Area Sq.Mtr.

(`)(`)

Pincode Landmark

Agreement Value Cost of Plot & Construction

ApplicantProof of Identity* Co - Applicant

PAN No.*

Aadhaar No.

Passport No.

Driving License No.

Voter ID

NREGA Job Card

Others (Any document notified

by the Central Government)

ID No.

KYC Document

Proof of Address*

Voter ID

Passport

NREGA Job Card

AadhaarDriving License

Others

Voter ID

Passport

NREGA Job Card

AadhaarDriving License

Others

Bank Account Details

Applicant Co - Applicant

Bank Name

A/C Type

A/C No.

Savings Current Over Draft Savings Current Over Draft

*Has/Have applicant(s) given Guarantee to any loan with USFB

Loan Repayment Mode NACH/SI Post Dated Cheque Cash

Yes No

Family Information & Household Income Declaration

Name AgeRelationship with

ApplicantID

TypeID

NumberEducation

LevelNGP* Occupation Income/

ContributionHealth

(H/U/D)**

For office use only

Application Through Direct Sales Team Connector Customer Referral USFB Staff

Referrer ID:Referrer Name

Login Fees

Amount in Rs. Cheque OnlineCash Cheque No. Date

Others

Employ ID: UJJ DesignationLoan Officer

Employ ID: UJJ DesignationApprover from Business

Employ ID: UJJ DesignationApprover from Credit

Employ ID: UJJ DesignationLoan Officer

Connector Name Connector Code

Acknowledgement of Loan Application

Ujjivan Small Finance Bank Ltd. (USFB) acknowledge the receipt of loan application form (Applicant’s Name).

We shall convey our decision on this application within 30 days from here off.

Name of Loan Officer Signature Date

Applicant’s Name

Applicant’s Signature

DateApplic

ant’s

Photo

Co-A

pplic

ant’s

Photo

Co-Applicant’s Name

Co-Applicant’s Signature

Date

“I/we authorize Ujjivan Small Finance Bank Ltd. to use my/our contact number mentioned in the form for transactional/promotional/service calls/massages.”

Declaration

Co-Applicant / Guarantor

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Occupation Category*

Employer / BusinessName*

Address line 2

Address line 1*

Address line 3

Area Name

City/Town/Village*

District*

State*

Pincode*


E-mail ID* (Official)

Extension No.

Salaried

Farmer

Business

Others

Professional Retired

If Salaried*

If Business*

If Professional*

Entity Type*(Business / Professional)



MNC


Educational Inst.


Designation






Others


Proprietary

Public Ltd.



Guarantor Co-Applicant

Guarantor / Additional Co-Applicant FormPlease fill information in capital letters and in black ballpoint pen only

Personal Details (Individual)Relationship with Applicant

Name

Gender Male Female Transgender

Father’s Name

Mother’s Name

Spouse Name

Date of Birth

Marital Status

Religion Hindu Muslim Sikh Christian

Zoroastrian Buddhist Jain Other

Category SC ST OBC General Other Person with Disability

Highest Academic Qualification

PAN Number

UID No.

VID No.

Passport No.

Driving Licence

Date of Issue

Date of Issue

Date of Expiry

Date of Expiry

Occupation Details

Present Address

House No.

Street/Area

City

District

State

Pin code

House Type

Mobile No.

Owned Leased Rented Years of saty

Permanent Address

Same as applicant

Same as applicant Preferred Address for Communication

House No.

Street / Area

Landmark

City

District

State

Pin code

House Type

Mobile No.

Owned Leased Rented

Nature of Employment Self Employed

Wage Worker

Salaried

Contract Worker Farming

Nationality

Single Married Widow Divorced Separated

Indian NRI Other

Mother’s MaidenName

Name of Loan Applicant

Co-Applicant / Guarantor

Savings Current Over Draft

Bank Account Details.

CorrespondenceAddress*


Yes No


Yes NoRegistered with GST

If yes, GSTIN

Bank Name

Account Type

Account No.

IFSC Code

Co-A

pplic

ant’s

Photo

Name

Date

Signature

Loan Officer

Cluster/Program Manager

Credit OfficerNote: This form is an addendum to the Home Loan Application form.

Emp. ID UJJ

Emp. ID UJJ

Emp. ID UJJ

Declaration

“I/we authorize Ujjivan Small Finance Bank Ltd. to use my/our contact number mentioned in the form for transactional/promotional/service calls/massages.”

Loan Applicant Form - AnnexurePlease fill information in capital letters and in black ballpoint pen only

Any litigation and Disputes on the Property

Loan Purpose

Loan Amount Requirement:

Cost of Estimate (For Home Improvement, Under-Const., Self-Const.)

Cost of Home Purchase

Details of the Property offered as Security

CompleteAddress of theProperty

House No.

Property Type

Street / Area Name

Landmark

City / District

State

PIN Code

Approximate value of the property (Rs.)

Is the Property Mortgaged / Held as Security at Present

No

No

Yes (Pls Specify )

Yes (Pls Specify )

Property Type

Residential

Commercial Others (Pls Specify )

Mixed (Residential and Commercial)

Name of the Property Owner

Relationship of the Property Owner with the major income earning member

Will the property be offered as security to Ujjivan Yes No

List of document submitted in support of ownership of the property

Applicant’s Signature

Name of the main applicant

Signature

Signature

Name of property owner (if different from main Applicant)

Date

Composite LoanStaff Loan

Home Top-up LoanHome Equity Loan

Home Improvement Loan

Home Loan Ready PurchaseHome Self Construction Loan

Home Under Construction Purchase

Flat Individual House Vacant Site Plot

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DECLARATION FOR SIGNING IN VERNACULAR LANGUAGE

I, Son/Daughter of

residing at do hereby state and declare on solemn affirmation as under:

I have read out and explained the contents of the loan application and all other documents incidental to availing the loan

from Ujjivan Small Finance Bank L td. to M r./Mrs Mr./Mrs.

and Mr./Mrs. in the language known to him/her/there and

he/she/they have understood the same and agreed to abide by all the terms and conditions of the loan and the clause

He/she/they have affixed his/her/there signature/ thumb impression here in below pursuant to the same.

I declare that whatever I have stated herein above is true and correct to the best of my knowledge and belief the same.

Solemnly affirmed at on this day of

Witness

Name:

Name:

Signature:

Date:

Borrower (Sig) Co-Borrower (Sig) Co-Borrower (Sig)

Borrower Name Co-Borrower Name Co-Borrower Name

For Ujjivan Small Finance Bank Ltd.

of the same

Emp. ID:

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PROPERTY VISIT REPORT

Visit Date

Applicant Name:

Co - Applicant Name:

Property Owner Name (as per property document):

Loan Type:

Loan Amt:

Property Address (as per property document):

Tenor: Months

Property Address (as per visit):

Property Land Mark:

Proximities of Civic Amenities:

Development in the Area:

Property Description:

Remarks:

Opinion:

(Property Visited By)

Employee Name: Employee ID:UJJ

Signature with Date:

Property photographs along with the customer (one each - out side with street and in side)

Login Cum Customer Screening Sheet

Basic Details

Branch Name:

Applicant Name:

Product Name:

Date of Visit:

Contact Number:

Applied Loan Amount:

Login Checklist

Document

Guideline for filling the checklist: Y - Yes, N - No. NA - Not Applicable

Loan Officer Credit Officer

HL Application Form

Application Form Annexure

2nd Co-Borrower and Guarantor Sheet (If Applicable)

ID Proof for Applicant and Co-Applicants (2 Copies including 1 for Insurance)

Residence Proof for Applicant and Guarantor (2 Copies including 1 for Insurance)

Signature Proof Applicant, Co-Applicant and Guarantors

Passport Size Color Photos (1 each for Applicant, Co-Applicant and Guarantors)

Business Address Proof (If applicable)

Uptaded Passbook or Bank Statement Showing Transactions of the past 06 months. Borrower / Co-Borrowers

Proof of Income - Business / Salary for Applicant, Co-Applicant and Guarantors

Photograph of the Borrower with Business Unit in the background

Photograph of the Borrower with property (to be mortgaged) in the background

Photocopy of Property Document (Title/Chain/Revenue documents)

Cost Estimate (for Self-Construction / Home Improvement Loan)

Guarantor Details if applicable (KYC / Application / Income Documents)

Product Feature Slip

Customer Screening Details

Income Details

Name Relation with Applicant Income Source Monthly Net Income Experience (Years)

Existing Loan Details

Total Household Income

Lender Name Loan EMI Total Loan Amount Tenor Outstanding Loan Amount Tenor

Is there any closed loan? If yes, Loan Amount of closed loans

Is there any late payment in existing or closed loan? If yes mention reason:

Loan Purpose Details

Loan Purpose:

Total Estimated / Purchase Cost:

Work Start / Registration date - Planned:

Loan Amount Required

Margin Money

Source of Margin Money

Boundry Matching? (Yes / No):

Title Chain Availability (Years):

Road width to the House (Feet)

Property Owner Name

Relation with Applicant

Building Plan Approval (Yes/No)

Legal / Technical Aspects

Other Details

Assets created in last 10 years

Amount invested in asset creation in last 10 years

How much EMI can this applicant pay comfortably after factoring all expenses

Is property owner ready to mortgage property with USFB?

Reference Checks (to be done by Loan Officer)

Response from Reference Check

Neighbour Reference Check

Employment/Business Reference Check

LO Name:

Credit Visit Report Date of visit

If the details provided by LO does not match with credit assessment/checks, mention the same as below

Mismatch Details Reason for mismatch

CO/CM Name CO/CM ID CO/CM Signature

PRODUCT FEATURE - HOME LOANS

Ujjivan Small Finance Bank LimitedHome Loan Product Features:

Ujjivan Small Finance Bank LimitedHome Loan Product Features:

Acknowledgement

Date & Place:Customer’s Signature:

I hereby acknowledge that

the entire features of the loans described above & the cost and charges associated with the

same have been explained to me by USFB official.

2,00,000- 30,00,000

Product TypeLoan Amount(In Rs Lakhs)

Other Cost & Charges(Non - Refundable)

Home Improvement Loan(Secured)

Home Purchase Loan

Home Construction Loan

Home Equity Loan(Non - Housing Loan)

Composite Loan

2,00,000- 25,00,000

2,00,000- 75,00,000

2,00,000- 75,00,000

3,00,000- 25,00,000

36 - 240

36 - 240

36 - 240

36 - 180

36 - 120

Tenure (In Months)

Log in Fees,Rs 3000 + GST (Informal) &

Rs 2000 + GST (Semi - Formal)

Interest rate and Legal & Documentation Charges

as per sanction letter issued tocustomer

Life insurance premium asApplicable

Stamp duty as appliacble inState / UT

CERSAI Charges

Rs.50 5 Lakhs (Ex. GST)Rs.100 5 Lakhs (Ex. GST)

2,00,000- 30,00,000

Product TypeLoan Amount(In Rs Lakhs)

Other Cost & Charges(Non - Refundable)

Home Improvement Loan(Secured)

Home Purchase Loan

Home Construction Loan

Home Equity Loan(Non - Housing Loan)

Composite Loan

2,00,000- 25,00,000

2,00,000- 75,00,000

2,00,000- 75,00,000

3,00,000- 25,00,000

36 - 240

36 - 240

36 - 240

36 - 180

36 - 120

Tenure (In Months)

Log in Fees,Rs 3000 + GST (Informal) &

Rs 2000 + GST (Semi - Formal)

Interest rate and Legal & Documentation Charges

as per sanction letter issued tocustomer

Life insurance premium asApplicable

Stamp duty as appliacble inState / UT

CERSAI Charges

Rs.50 5 Lakhs (Ex. GST)Rs.100 5 Lakhs (Ex. GST)

CUSTOMER COPY

OFFICE COPY

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CLSS - Eligibility Form

Applicant Name:

Property Owner Name:

Relationship between the Applicant and the Property Owner:

Product:

Loan Amount:

Tenure: ROI:

Eligibility Criteria for CLSS

1. How many members are there in the family of the applicant ? (A family consists of Husband, Wife and unmarried children)

Ans.

2. Is there any adult female member in the family ?

Yes No

3. The property comes under which area ?

Municipal Limits

Grampanchayat Limits

Any other (Mention here)

4. Does the applicant or any member of his/her family (viz., spouse or unmarried children) own a pucca house in any part of India ?

Yes No

5. Family Income of the applicant (per annum) ?

Up to Rs. 3,00,000

Rs. 6,00,001 to 12,00,000

Rs. 3,00,001 to Rs. 6,00,000

Rs. 12,00,001 to Rs. 18,00,000

6. Whether the Beneficiary Family has availed central assistance under any Housing Scheme from Government of India ?

Yes No

7. Expected Carpet area of the property ?

Up to 30 Sq. Mtr (323 Sq. Ft.)

Up to 160 Sq. Mtr (1722.23 Sq. Ft.)

Up to 60 Sq. Mtr (646 Sq. Ft.)

Up to 200 Sq. Mtr (2152.78 Sq. Ft.)

8. Copy of Identity proof of all the adult family members have been collected: (Aadhar Card, PAN Card, Voter ID Card, Passport for

any other please mention type and number in blank space)

Member - 1

Member - 2

Member - 3

Member - 4

Proof Type UID No.

9. Is the customer eligible for CLSS ? (to be verified by CO)

Yes No

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To,Ujjivan Small Finance Bank Ltd., Branch.

I/We,

1_________________, aged _________years, son / wife of______________________(“the Borrower” or “the Beneficiary”)

2_________________, aged _________years, son / wife of______________________

3_________________, aged _________years, son / wife of______________________ (“the family members”)4_________________, aged _________years, son / wife of______________________ (“the Guarantor”) all residing at________________________, ________________________, ________________________state, declare undertake and agree as follows:

1)

2)3)

SL. No.Name of family

membersAge Sex

Relationship with

the beneficiary

Aadhaar Number

Source of Income

Annual Income (In Rupees)

Self

Total

4)

5)

6)

7)

8)

9)

10)11)

12)

13)

This Letter/Undertaking shall be treated as part and parcel of the loan documents executed/to be executed by me/us in favour of the Bank in connection with the loan sanctioned/to be sanctioned under the Scheme.

Names & Signatures of the Beneficiary, his Family Members and the Guarantor

Place :

Date : We state that the above statements are true and correct.

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Loan Application Form - Ujjivan Small Finance Bank · Ujjivan Small Finance Bank Ltd. (USFB)...

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Transcript of Loan Application Form - Ujjivan Small Finance Bank · Ujjivan Small Finance Bank Ltd. (USFB)...