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NAME

FATHER'S/HuSBAND'S NAME
0 CURRENTRESIDENTIAL
ADDRESS
Surname
Applicant
First Name
ONFORMFORNON-ReSIDERTINDIANS1
MiddleName
Surname
Co-applicant
First Name Middle Name
P.O. Box:
P.O. Box:
~ ~~
I
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PHONENo. WITHISD CODE
1
Mobile: =~Mobile:=.== :== ["Relationship withApplicant:
CURRENT RESIDENCE IS 0 Selfowned0 Fal1!ilyORented 0 CompanyLeased/Provided b)' ElYlel~yer
0 Permanent AddressinIndia:
OFRcEPHONENo.~ISDCooEI , --------
E-MAIL ID
YRS. INPRESENT OCCUPATION Yrs. Retirement age Yrs. Yrs. Retirement age Yrs.
DEPARTMENT EmployeeNo.: - EmployeeNo.:
;1Applicant: Passport No. =VisaValid upto: -- -- Co-applicant: Passport No. VisaValidupto: -- -- ----
Please indicate preferred HDFC location for processing your application in India: ,-,
Please indicate preferred Communication address by ticking ~ the appropriate box.
r"
PHONENo. WITHSTD CODE
E-MAILID
DATEOFBIRTH/SEX
STATUS/MARITAL STATUS
No. OFDEPENDANTS
OCCUPATION& DESIGNATION
QUALIFICATIONS
MONTHLYINCOME
OTHERINCOME
0 EMPLOYER/BuSINESS NAME
ANDADDRESS(Pleasementionthe
addressoftheofficeyouarebasedat)
""
-.
--------
LandMark: PinCode:
Mobile:----------
-- -- A~e.-- Yrs. J 0 M 0 F
0 Non-Resident 0 PIO's I 0 ~ingle 0 Married
- Children - Others
c:fEl11ployed 0 Selfemploy'~dJ
-- -- Age_- Yrs.1 OM OF
0 Oth~rJ0 Non-Resident 0 Plo'slg Single0 Married 0 Qther
Children Others
,=....
0 Employed0 SelfefTlployed
Rs.
Rs.
Rs.
Rs. Source:
Source:
Country:
Country:
, --------
---,
I
Amount Rs.:
YourmonthlyExpenditure
Instalment youandco-applicant
(ifany)canpaytoHDFCpermonthRs.:
.' -." ,,' , , ,.
LOANDETAILS
Pu"rposeofLoan"0 Construction ,. 0 Purchase
Estimateof Requirementof funds
. Landcos
F LOAN
"I'Rest Frequency0 Annual 0 Monthly f!Signature
I;RateOption 0 Fixed 0 Adjustable Iof r
~-~'==- _0 ;~"lbina~o~i~lr jJfij! ~~PJ~ica~~,--~ ~
10 HomeLoan 0 HomeImprovementLoan 0 HomeConversionLoan.
'L~~n~~L~.~d Purchas~l~a~. ""- .~. ShortTer~Bridg~n2l?anj
0 Extension"'O",mprovementDRef1na'nce -.M_, '_'0'" ,
Estimate of Sources to meet requirement of funds
.,
Term:yrs.
Rs. :
,.2. Total purchase price/construction cost Rs.:
Rs.:
Rs.:
Rs.:
Rs.:
Rs.:_..
FixedRate
Adjustable Rate
7. Savings fromBank
8. Disposal ofinvestments
(fixeddeposits / shares, etc.) Rs.:
9. Amount alreadyspent(source ) Rs.:
10. Provident Fund(refundable/non-refundable) Rs.:
11.0ther (specify ) Rs.:
113.Incidental costs(if any) Rs. :
! e.g.Stampduty,Registration charges, etc.
4. Othercosts(pleasespecify)
II 5. Loanoutstanding (forrefinance)
;1A.Total requirement offunds(Total) Rs.: B. Estimateofsourcesoffunds(Total) Rs.:
I
.. Note:'A'whichisthetotalrequirement offunds, shouldequal estimateofsources
l
'B'whichindicates thesourcesfromwherethecostwillbemet.
;, It is imDortant that vou indicate in detail the sources from where the cost wil be met in order to helD us Drocess vour aDDlicationfaster.
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~ PASTE RECENT I ~
I PHOTOGRAPH r: ~
I I~ I
I OF I' ,}
.1 APPLICANT I' ~
: WITH :')
, SIGNATURE I.:;'
I I ..1
~ H
'1 I, ,
I t_. Ii'l
e--""--
0 NameandAddressof LocalContact/Power of Attorneyin india
FOR OFFICE USE ONLY
PASTERECENT
PHOTOGRAPH
OF
CO-APPLICANT
WITH
SIGNATURE
Fees
Date
: Rs.
LANDMARK:
-, .
PINCOOE: STATE:
PHONENo. --: (M):____------
E-MAIL
RELATIONSHIPWITH ApPLICANT.
Initials:
File No.:
DSA Code:
~
---- -
I FI NCI~LINFO.RMA:rlql\t.
SAVINGS, INVESTMENTS, ETC.
Particulars Applicant (Rs.)Co-applicant (Rs.)
SavingsinBank
NR(E)
NR(O)
NRSR
Immovable Property
(specify)
OtherAssets(specify)
1.
2.
3.
. " 'd
BANK ACCOU
1.
2.
3.
WI' ----- -
LOANSTAK.EN/PROPOSED
Important: Nondisclosure / falsedeclaration canleadtocancellation ofyourloan
application,
Source/Purpose Outstanding MonthlyInstalment Term
of Loan Amount (Rs.) Payable (Rs.) (Months)
Applicant:
Employer
Bank
Others
Co-applicant:
Employer
Bank
Others -
Branch Name
Addressof dwellingunit:Mentiondwellingunit
no.,street,Nearest landmarkcityandpincode.
If notselected, mentionintendedlocation:
Sq.m.lBuilt-uparea: Sq.m.
"-
AreaofLand:
Costof land:Rs.
Costof construction/purchase/extension: Rs.
Stageof construction / extension
If propertynotselectedwouldyoulikeHDFCRealtytoassistyou?
'"'""'" - ~~ i" ~~ - = .~~,lJJ?r~(>o~~ rent th~dw,~lIing ~~t~ -
AreyoutHesoleownerofthedw~lingumrl' ~'"
Isthelegaltitletothedwellingunitclear?
Will HDFCbeabletoobtainfirstmortgageof thedwellingunit?
Are you a citizen(s) of
India?
0 Ves 0 No.
Do you belong to
0 SC 0 ST 0 NA
Did you get to know HDFC
through:
D Advertisement
D ServiceAssociates
D Builder/Developer
D Friends/Relatives
"f"~
Pin: - - - - - - State:
1.Haveyouor yourspouseearlier
appliedto HDFCfora loan?
If yes,File/ LoanAlcNo.-
2. Haveyouor yourspousegivenguarantee(s)
for anyborrower/sof HDFC? 0
If yes, a) File/ LoanAlc No.
b) Nameof borrower/s
3. Whenwouldyou
preferyourloanto be:
0
a) Sanctioned(Date)
b) Disbursed(Date)
~ I HDFC Home """ p",,,,,,oo pi"
~ 1fromHDFCSLlC: 0 Yes0 No
REFERENCES"
Ves No
0 0
0 0
, ... .~l!'''''''''=~ o~ 8~Lr
";-
0
0
0
0
0
5. Please mentionthe details of your
Non-Resident (External) Account!
Non-Resident (Ordinary) Account!
NRSR Account in India from which
post dated cheques/standing
instructions will be issued for
repayment of loan
BankName:
Branch: -
Nc Number:
0
0
Home Accident Insurance Protection
from HDFCCHUBB: 0 Yes0 No Other Loans
DECLAUTION
l!Wedeclarethatall theparticularsandinformationgivenin theapplicationformaretrue,correctandcompleteandthattheyshallformthebasisof anyloanHDFCmaydecidetograntme/us. l!Weconfirmthat l!Wehave
hadnoinsoivencyproceedings againstme/usnorhavel/weeverbeenadjudicatedinsolventandfurtherconfirmthat l/we'havereadthebrochureandunderstoodthecontents.l!Weam/areawarethat HDFCoffersloans
underafixedinterestrateoptionaswellas undervariableinterestrateoptionandthat l/wehaveselectedtheoptionindicatedintheapplicationform. l!Weam/areawarethattheEquatedMonthlyInstalment comprising
principal andinterestis calculatedon thebasisof annualrestsasalsoonthebasisof monthlyrestsandthat l/wehaveselectedtheoptionindicatedintheapplicationform. l!Weareawarethattheoptionson interestrate
andthefrequencyof restsonceselectedcannotbechangedandanychange(s) maybepermittedonlyat thesalediscretionof HDFConsuchtermsandconditionsasdecidedbyHDFC.l!WeagreethatHDFCmaytakeup
suchreferencesandmakesuchenquiriesin respectofthis application, asIt maydeemnecessary.i!Weundertaketo informHDFCregardinganychangein my/ouroccupation/empioyment andto provideanyfurther
information that HDFCmayrequire.HDFCmaymakeavailableanyinformationcontainedinthisformandotherdocumentssubmittedto HDFCandInforma1ion pertainingto theloanto anyinstitutionor body. HDFCmay
seek/receive informationfromanysource/person to considerthisapplication. l!Weshalipayall fees,chargesandduesof HDFCbyremittancefromabroadthroughnormalbankingchannelsand/oroutof theNon-Resident
(External) Account / Non-Resident (Ordinary) AccounUNRSR AccountinIndia,andmy/ourowncontributiontowardsthecostofthedwellingunit,asperguideiinesof theReserveBankof India.l!Wefurtheragreethatmy/our
foanshallbegovernedbyrules/norms of HDFCwhichmaybeinforcefromtimetotimeandHDFCshallbeentitledto rejectmy/ourapplicationwithoutgivinganyreasonstherefor.
lJ:ga~e
Applicant'sSignature
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Co-applicant'sSignature
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HDFCmay
1. 2.
makesuch
enquiries from
E-mail: Pin: E-mail: Pin:
thereferees,
if it deems Mobile: Mobile:
necessary