ONLINE APPLICATION FORM FOR HOUSING LOAN BORROWERS

(Please read the application form carefully before filling. All fields are mandatory.)
To,
The Manager,
Punjab National Bank 		 
Online Application Sl. No.- Date-
1. I hereby apply Loan of Rs. 
2. For purchase of  
3. Property located at  
4. Value of the Property(Rs)(As per Agreement to Sale/Allotment Letter/Estimate of Construction cost)  *
5. Amount of Loan required(Rs.)  
6. Select State where loan is required 
7. Select District where loan is required 
8. PNB Branch From where Loan is required(Optional)
  PERSONAL BACKGROUND OF APPLICANT
9. Applicatnt's Name 
Last: First: Middle:
10. Father's/Husband's Name 
11. Email 
12. Address  *Residence
City/Location: 
District:           
Country:         
13. Address  Office
City/Location: 
District:           
Country:         
14. Telephone No(with STD Code)
Residence: 
Office:          
Mobile:         
15. Income Tax Pan No. 
16. Individual Type   Salaried  Professional  Self Employed  Other
17.
a) Age
b) Gender
c) Date of Birth
d) Marital Status
e) Number of dependents in household
18. Residence Ownership 
    Give following details in case the house/property is owned by self/spouse/dependent children
a) Whether Housing Loan from PNB or any other Bank/HFI has been raised for this House/Property  Yes  No
a) If yes, details to be given
Amount of loan: 
EMI of loan:        
Amt O/s:             
As on:                
a)Collateral security provided ?  Yes  No
19. If yes,Value of collateral(Rs.) 
  Occupation/Profession  
20. Profession 
 
 If Salaried
 he/She works for
 Name of the employer
 Years with current employer
 Years with previous employer(s)
 Designation.
 Total Annual Income (Rs)
 Address 
 Years   Since  
 Years   From             To  
 Since            
 Gross   Net 
 
 If Other
 Occupation
 Total Annual Income(Rs)
 Gross   Net                
21. Annual deductions(statutory savings,IT etc in Rs) *
 
 Other loans taken(including previous loans from PNB)
 Limits(Rs)
 Present Outstanding (Rs)
 Whether regular
 Monthly Repayment(Rs)
 
 Yes  No 
22. Spouse/co-borrower Information   
   Name   
   Address with telephone nos    Office Address            
   Date of Birth  
   Occupation/Profession  
   Total Annual Income    Gross  Net                
   Is she/he furnishing guarantee?    Yes  No 
   Income Tax PAN no.  
23. Details of Housing Loan requested from PNB *  
  a)Name of the seller(s)  
  b) Address of the seller(s)  
  c) Whether the place where the property is/will be situated is served by some Municipal Body/other agency?  
  d)total cost of house/flat/construction  
  e)Margin/Applicant(s) Contribution  
  f)Loan Amount  
      Amount already paid:(Rs) Amount to be paid:(Rs)
24. Repayment Period (yrs)