16. Other Liabilities in Brief :
Friends and Relatives : Rs. _____________
Employers : Rs. _____________
Banks/F.I.s : Rs. _____________
Others : Rs. _____________
Total : Rs. _____________
17. Purpose of Loan : _____________________________________________
18. Loan Amount: : Rs. ________________________
Proposed Repayment Period : ___________________________ Months / Years
Proposed Monthly Repayment : Rs. ________________________
(II) Details of Bank Account : Self
19. Name of the Branch ____________
Telephone No. : ____________
Type of Account: ____________ _____________
Account Number : ____________ _____________
Year of Opening : ____________ _____________
(III) Two Personal Reference :
1) Name: ________________________ 2) Name : ____________________
Address : ________________________ Address : _____________________
_________________________________ _____________________________
Tel. No. __________________ Tel. No. _______________________
(IV) Declaration :
I/We declare that all the particulars and information given in the application form are true, correct
and complete and that they shall form the basis of any loan, State Bank of India may decide to
grant me/us.
I/We undertake to inform State Bank of India regarding change in my/our occupation/employment
/residential address and to provide any further information that the bank may require.
I/We confirm that I/we do not have any other credit facilities with any bank other thatn that
mentioned above. I/We confirm that if I/we avail of any credit facilities with any other bank in
future, I/ we will furnish the details to State Bank of India immediately. I/We further authorize the
bank to credit all sums received by the bank or standing to the credit in my/our name jointly or
severally to the loan account, if necessary. I/We confirm that the funds will be used for stated
purpose and will not be used for speculative purpose. I/We confirm that we are resident Indians.
I also understand that the sanction of the loan is subject to the execution of documents as per the
Bank’s requirements. I agree that the Bank has a right to make such enquiries about me as it/they
think(s) fit.
_______
Place :_______________ Signature of
Date :_______________