LOAN APPLICATION FORM

(Please fill the form in CAPITAL letters in blue or black ink)

Amount (in Rs.):

Tenure: Months

Loan Rate: Please affix recent photograph of 1st Applicant Please affix recent photograph of Co-applicant Fixed Loan Type: Home Loan Loan against Property Balance Transfer Floating

Name of the Buyout Bank

I
F M L I I A

PERSONAL DETAILS OF 1ST APPLICANT Date of Birth: D D M M Y Y Y Y Marital Status : Single Married R D S S D T T L E N A N A N M E A M E Gender: M F No. of Dependants:

Applicants Name: (Please leave a blank box between two words)

M E

Fathers/ Spouses Name: FIRST NAME Mothers Maiden Name: Current Residential Address: MIDDLE NAME / INITIAL LAST NAME

City: Residence Phone:

STD CODE

PIN Code: Mobile: + 9 1

Land Mark: Residential Details: Parental Own

No. Of Years at Current Residence:

Rented

Co-Provided

Others

Permanent Address:

City: Qualification: High-School Others

PIN Code: Type of Profession: Doctor Architect Lawyer Others

Preferred Mailing Address: Current Residence Permanent Address Current Office Address Vehicle Owned: Two -Wheeler Car Existing Loans Mortgage Personal Loans Car Two-Wheeler Others None Have you applied to us before? No Yes

Graduate

Post-Graduate

Professional

CA

Lawyer

How many Credit Cards do you have? Frequently Used Credit Card Number:

EMPLOYMENT DETAILS II Occupation: Self Employed Housewife Salaried Retired Student OCCUPATION DETAILS: If Service: Central Govt. State Govt. Public/ Private Sector Statutory Body Professional Others (Pls specify)

FINANCIAL DETAILS PAN/GIR No.: Gross Annual Income 0 Income Range per Annum: Below Rs. 1,00,000 Rs. 1,00,001 to Rs. 2,00,000 Rs. 2,00,001 to Rs. 5,00,000 Rs. 5,00,001 to Rs. 10,00,000 Rs. 10,00,001 to Rs. 25,00,000 More than Rs. 25,00,000 Proof of Financial Deatials: Copy of ITR acknowledgment 0 0 . 0 0 Other Source of Income Yes No

NGO

If in Government Service, please specify: Civil Police/ Enforcement PSU Others Defence Services If Self-employed: Business Profession Other Nature of Business-(Products/ Services provided): Nature of Business Name & Address: Tel. No.: Fax No.: Name of the Organisation:

Networth: Immovable (in Rs) Securities (in Rs) Other investments(in Rs) Total (in Rs)

Copy of annual accounts

Copy of Form 16

Salary slip Bank accounts statement for last 6 months Net worth certificate Address: City:

PIN Code:

Land Mark:

Office Phone:
STD CODE EXITN.

II

EMPLOYMENT DETAILS (CONT...) Banking/Financial Services Media / Entertainment / Hospitality Central/state Govt. FMCG Education Retail

Type of Industry: Manufacturing/ Engineering/ Construction IT/ITes/Telecom Others Type of Organisation Proprietorship Partnership Designation: Department:

Public Limited

Private Limited

Govt.

PSU

MNC Total Work Experience (In Year):

Work Experience in the current job (in Years) Employee ID

E-Mail ID: Previous Organisation (If current employment is less than a yrear): City:

III

BANK DETAILS

Name of the Bank. Branch Address: Type of Account: Savings Current Account No.:

IV
F M L I I A

CO-APPLICANTS PERSONAL DETAILS Date of Birth: D D M M Y Y Y Y Marital Status : Single Married R D S S D T T L E N A N A N M E A M E Gender: M F No. of Dependants:

Applicants Name: (Please leave a blank box between two words)

M E

Fathers/ Spouses Name: FIRST NAME Mothers Maiden Name: Current Residential Address: MIDDLE NAME / INITIAL LAST NAME

City: Residence Phone:

STD CODE

PIN Code: Mobile: + 9 1

Land Mark: Residential Details: Parental Own

No. Of Years at Current Residence:

Rented

Co-Provided

Others

Permanent Address:

City: Qualification: High-School Others

PIN Code: Type of Profession: Architect Doctor Lawyer Others

Preferred Mailing Address: Current Residence Permanent Address Current Office Address Vehicle Owned: Two -Wheeler Car Existing Loans Mortgage Personal Loans Car Two-Wheeler Others None Have you applied to us before? No Yes

Graduate

post-Graduate

Professional

CA

Lawyer

How many Credit Cards do you have? Frequently Used Credit Card Number:

CO-APPLICANT EMPLOYMENT DETAILS PAN/GIR No.: Gross Annual Income 0 Income Range per Annum: Below Rs. 1,00,000 Rs. 1,00,001 to Rs. 2,00,000 Rs. 2,00,001 to Rs. 5,00,000 Rs. 5,00,001 to Rs. 10,00,000 Rs. 10,00,001 to Rs. 25,00,000 More than Rs. 25,00,000 Proof of Financial Deatials: Copy of ITR acknowledgment 0 0 . 0 0 Other Source of Income Yes No

Occupation: Self Employed Housewife Salaried Retired Student OCCUPATION DETAILS: If Service: Central Govt. State Govt. Public/ Private Sector Statutory Body Professional Others (Pls specify)

NGO

If in Government Service, please specify: Civil Police/ Enforcement PSU Others Defence Services If Self-employed: Business Profession Other Nature of Business-(Products/ Services provided): Nature of Business Name & Address: Tel. No.: Fax No.:

Networth: Immovable (in Rs) Securities (in Rs) Other investments(in Rs) Total (in Rs)

Copy of annual accounts

Copy of Form 16

Salary slip Bank accounts statement for last 6 months Net worth certificate

Name of the Organisation: City: PIN Code: Land Mark: Office Phone:
STD CODE EXTN.

CO-APPLICANTS EMPLOYMENT DETAILS (CONT...) Banking/Financial Services Media / Entertainment / Hospitality Central/state Govt. FMCG Education Retail

Type of Industry: Manufacturing/ Engineering/ Construction IT/ITes/Telecom Others Type of Organisation Proprietorship Partnership Designation:

Public Limited

Private Limited

Govt.

PSU

MNC Total Work Experience (In Year):

Work Experience in the current job (in Years) Employee ID

Department:

E-Mail ID: Previous Organisation (If current employment is less than a yrear): City:

VI

CO-APPLICANTS BANK DETAILS

Name of the Bank. Branch Address: Type of Account: Savings Current VII Account No.:

PROPERTY DETAILS Sources of Funds Amount already spent (Personal Savings)

Fund required

Construction/ Purchase Estimate Sale Agrerment Registration/ Stamp duty charges Incidental expenses Total

Amount already spent(Business) Other borrowing/ Loans Loan Applied for Others Total

Total Purchase Price: Home Loan: Purchase Improvement/ Reapairs Loan against Property: Asset Purchase Flat Purchase Mixed Usage Business Use Others Balance Transfer: Other Bank Payout Cash-Out

Self Construction

Extra Cash

Purchase of Loan: Construction Plot Purchase Type of Construction: Ready Under-Construction Status of Property: Self-Occupied Partly rented Name of the Current Owner: Property Address:

Bunglow / Row-House Purchase Property Usage: Residential Partly Vacant Commercial

Improvement/ Extension Estimated Property Cost:

City

PIN Code:

Landmark:

DOCUMENT CHECKLIST
For quick approval and disbursement, please make sure to submit the below documents

Identity Proof Residence Address proof Income proof Bank Statement Asset Documents Photographs

Valid passport, valid driving Licence, voters id card, pan card, Driving License (Valid), Utility Bill (latest Passport (Valid), Voters ID card, Ration Card, Affidavit duly attested by Magistrate (in case of Co-applicants only) Salaried (Latest Form 16/ITRs, Salary Slips for MNC, PSU, renowned Pvt. Ltd companies & Govt. Employees only) Self- Employed (2 yrs ITRs, Balance sheet & P&L accounts) Last six months statements Photocopy of original Sale Deed/ Lease Deed, Allotment/ Possession Letter, NOC from Society & other Documents as per legal Report Passport size photographs for all applicants & co-applicants.

For any other options, our sales executive will be happy to help you

VII

PROPERTY DETAILS (CONT...) Branch:

Initial Payment Details Initial Payment Bank A/c Name:

Cheque No.

Amount:

Date: D D M M Y Y Y Y

VIII 1. Name:

REFERENCES

Address: City: PIN:

Mobile: + 9 1

Phone:
STD CODE

Relation:

2. Name:

Address: City: PIN:

Mobile: + 9 1

Phone:
STD CODE

Relation:

KEY LOAN FEATURES Tenure up to 20 years Rate of interest based on credit evaluation process DECLARATION
I/We understand that sanction of the loan is at the sole discretion of IIHFL which reserves its right to reject Application without assigning any reason. I represent that I am a citizen of India. I represent that I have not been declared insolvent nor have any insolvency/bankruptcy proceeding been initiated against me. I represent that information furnished by me in this application is true and correct. I represent that I / We have not defaulted on any loan repayments. I / We agree and accept that IIHFLmay share the information provided by me with its group company and/or with any of its subsidiaries/ affiliates/ assigns. I undertake to furnish any other documents as and when required by IIHFL . I / We agree and accept that IIHFLmay by its self or through authorised persons, Lawyers, agencies, bureau, etc. Verify any information given, check credit references, employment details and obtain credit reports to determine any creditworthiness. 0.5% of loan amount will be charged as initial margin Deposit (IMD). I have read through the terms and conditions of the grant of loan which was provided to me in English and ___________________ (language) In which I am conversant and comfortable with and have understood the implications of the terms and conditions. The aforementioned details in application and other documents have been explained to me/us in the language understood by me/ us and I/We have understood the entire meaning of the various clauses and executed the same.

Repayment through Equated Monthly Instalments (EMIs) Applicable Charges as per the schedule of charges valid at the time of loan approval

Borrowers Signature/ Thumb Impression and Seal (If applicable): Date: Place: FOR OFFICE USE Source: Exec. Code: Fulfilment Channel: D D M M Y Y Y Y

Co-applicants Signature/ Thumb Impression and Seal (if applicable):

DSA Code:

Team Leader Code:

Client Risk Categorization

High

Medium

Low

India Infoline Housing Finance Limited Registered & Corporate Office:

12A-10, 13th floor, Parinee Crescenzo, C-38 and C-39, G Block, Behind MCA, Bandra Kurla Complex, Bandra East, Mumbai-400051 Tel.: (91-22) 67881000. Fax : (91-22) 67881010 Email: reach@indiainfoline.com Website: www.iiflfinance.com

LOAN APPLICATION ACKNOWLEDGEMENT

We acknowledge the receipt of your loan application to India Infoline Housing Finance Ltd (IIHFL). We will get back to you either in writing (Letter or e-mail) or via telephone with status of your loan application with us within 60 working days. This is subject to you furnishing all the necessary documents as mentioned in the application form or as communicated to you by IIHFL during the loan appraisal process. Date of Birth: Customer Name:

Mobile No. of the Sales Executive:+

Note: This is a preprinted acknowledgement & does not require signatures.

Website : http:/www.iiflfinance.com