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Home FAQs
* marked fields are mandatory
Online Loan Application for Personal LOAN: Part - A (Mandatory)
Whether maintaining a/c with the bank* Yes No
If Yes, enter Account No.* Cust-Id    
Name of the Applicant*
Date of Birth(dd/mm/yyyy) *
E-mail Id
Telephone No.
Mobile No.*
Gender*
Address : State  *
District*
Sub-District *
Town/Village *
House No.
Social Category*
If under minority category
Residential Status*
PAN
UID No.
Id Proof
Id Proof No.
Issuing Authority
Date of Issue(dd/mm/yyyy)
Valid up to(dd/mm/yyyy)
Address Proof
Address Proof No.
Issuing Authority
Date of Issue(dd/mm/yyyy)
Valid up to(dd/mm/yyyy)
Security Key*  
 
Online Loan Application for Personal LOAN: Part - B (Mandatory)
Application No.
Purpose of Loan *
Amount of loan required *
Repayment period (in Years)*
Monthly Installment Amount(Rs)*
Mode*
Branch preference, where Loan is required
a)State*
b)District *
c)Branch Office *
 
Online Loan Application for Personal LOAN: Part - C (Optional)
Application No.
Additional information of the applicant
Whether relative of staff/director of the Bank. Yes No
Applicant Statement of Assets and Liabilities, if any
Liabilities Assets
Outstanding Loans/Advances Amount Immovable properties Amount
Bank Land
Employer Building
Provident Fund Moveable properties
Relatives and friends Cash
Others Deposits with Bank
Investment in govt. securities
Others
Total Total
Current Status of Residence.
Is the house mortgaged:: Yes No
Value of House    :Cost/Market Value Amount   
Years at current residence
Period of stay at present posting
Collateral security provided Yes No
Type of collateral Value of collateral(in Rs.)
Property
NSC/LIC Policy/Gov. securities
Shares
Others
Vehicles owned
Make and Model of vehicle Vehicle Number
Two Wheeler
Four Wheeler
Additional Information (in case of army officers)
IC no.
Rank
Identity Card/Pay Book No.
Pay Account No.
Name Of Unit
Employer information and annual income details.
Employed at
Name of the employer
Postal Address of Employer
Type of Employment Permanent Temporary/Contractual
Years with current employer (in years) Since
Years with previous employer(s)(in years) From To
Designation Since
Total Annual Income: Gross Salary: Net Salary:
Date of retirement (dd/mm/yyyy)
Annual deductions(statutory savings, IT etc in Rs)
Average savings/ salaried a/c balance in last six months
Name of Bank: Name of Branch   
Other loans Yes No
If yes, Name of the bank:: Name of Branch   
Limits(Rs)
Present Outstanding (Rs)
Whether regular:: YesNo
Monthly Repayment (Rs)
Spouse Information
Name of the spouse Office Tel No.      
Occupation/Profession Office Address      
Total annual Income   :Gross    Net   :   
Is she /he furnishing guarantee YesNo
PAN No.
Two references Details
Name Name
Residential Address Residential Address
Landline No Landline No
Mobile No. Mobile No.
PAN No. PAN No.
Declaration :
The information given in the loan application is true and nothing has been concealed. The undersigned undertakes to inform the Bank any change in residence/ office address and to provide any further information that the Bank may require. The undersigned is aware of the charges/ fee to be levied by the Bank and agrees to pay upfront fee, documentation charges, etc. as applicable and charged by the Bank. The undersigned hereby agree to be bound by these terms and conditions or by the revised additional terms and conditions which may at any time hereafter be made while the loan obtained by me/us is still outstanding. Applicant authorises the bank to contact through mobile/SMS/email for the purpose of above Loan Application. Bank reserves the right to call for any other information/documents, if necessary, and/or reject the proposal without assigning any reason thereof
     
Online Loan Application for Personal LOAN: Final Submit (Mandatory)
     
Online Loan Application for Personal LOAN: Final Submit (Mandatory)
Application No.
@Copy right PNB