Personal Loan

Date (dd-mm-yyyy):

1.Online Application Sl. No.

2.I hereby apply for a Personal Loan(Term Loan) of Rs. *

for (purpose)*

3.Name in full*

4.Date of Birth*

5.Gender*

6.Father's/Husband's name*

7.Occupation/Profession*

8. Marital Status*

9.Adderss a) Present Residence*

b) Permanent Residence*

c)Office

d)Telephone No* (One is Mandatory)

10.Income Tax PAN No*

11.Occupation Type*

12. Name & Address of Organization where working

13.House Ownership*

Owned(self/spouse)
Other

14. Is the House mortgaged*

15. Collateral Security /Guarantee offered*

If Collateral, value thereof Rs.

16.Name of Bank/ Branch from where salary drawn

17.In case salary being credited in account with PNB, name of that branch

18.PNB branch, nearest to the place of residence

19.PNB branch, nearest to the place of working

20.Select State where loan is required

21.Select District where loan is required

22.PNB branch where loan is required.

23.Gross Income per month*

Rs.

24.Obligation of other loan repayments per month

Rs.

25.Net Income per month*

Rs.

26.Monthly income of spouse

Rs.