APPLICATION FORM NO.

FOR OFFICE USE ONLY

SCHEME

FILE NO.

PROCESSING FEES COLLECTED RS.

LOAN SANCTIONED RS.

LOAN ACCOUNT NO.

SIGNATURE
APPLICANT CO-APPLICANT

NOTE : 1) All Details must be filled in. If not applicable please write NA. Please mark in box.
2) GICHFL reserves the right to reject any application at any stage without assigning any reason.

Please Sanction me / us a Loan of Rs. repayable in _________ years for the purpose described below.
Interest rate option Fixed Floating

PERSONAL INFORMATION APPLICANT CO-APPLICANT

Full Name (IN BLOCK LETTERS)

Father's / Husband's Name

Relationship

Qualification

Residential Address PRESENT PERMANENT

Phone Email Phone Email

Cell : Cell :

Date of Birth

Marital Status Single Married Single Married

Sex Male Female Male Female

Category SC ST Others SC ST Others

Status Resident Non Resident Resident Non Resident

No. of Dependents Children Others Children Others

Occupation Employed Self Employed Employed Self Employed

Nature of Business/Occupation No of Years : No of Years :

Nature & Address of

Employer / Business

Phone Fax Phone Fax

Email Email

Contact / Designation

Net Annual Income Rs.

Other Income (submit proof).
If not included in above
Name & Address of Bank

Account No.

Voter ID No. / PAN. Card No.

Past Occupational History

FINANCIAL STATEMENT
ASSETS RS. LIABILITIES RS.

PARTICULARS APPLICANT CO - APPLICANT PARTICULARS APPLICANT CO - APPLICANT

Savings in Banks
Loan From Employer
Immovable Property

Balance in Provident Provident Fund

Fund
(own Share). Credit Society
Other Assets
Family & Friends

Others (Specify)
LIC Policy No.
Total
Policy Name

Maturity Date 2) Installments Payable

Per Month
Policy Amount

Annual Premium

DETAILS OF PROPERTY TO BE PURCHASED / CONSTRUCTED URBAN RURAL

Address of the Property LAND : Free hold Leasehold

Flat Floor Apartment Type of Dwelling Unit : Bungalow Flat Others

Locality Land Mark Area of property (Sq. Feet)

Name & Address of the Builder ( if under Construction) Plot Area

Plint Area

Completion Date

Is the Dwelling Unit: NEW OLD Under Construction Present Owner of the Property

If old, age of the dwelling Unit Value of the Flat

If New : Under Construction To be Constructed Age of Building

Residual Life
Ready Not yet Selected
Valuer's Name
LOAN DETAILS
PURPOSE OF LOAN ESTIMATED REQUIREMENT OF FUNDS ESTIMATED AVAILABILITY OF FUNDS

1. Land Cost, if Applicable Rs. 1) HBA from employer

Construction Applicant & Co-Applicant Rs.

2. Purchase Price / Construction Cost Rs 2) Savings from Bank Rs.

Purchase
3) Sale of Investments Rs.
3. Stamp Duty &
Extension Registration Charges Rs. 4) Loan PF Refundable Rs.

5) Loan PF Non-Refundable Rs.

Repair and 4. Other Cost ( if any ) Rs
6) Other Sources (Specify) Rs.
Renovation
5. Total (1 to 4 ) Rs 7) Loan from GICHF Rs.

8) Total ( 1 to 7) Rs.
GENERAL YES NO
Is house intended for self occupation immediately upon completion ?

Does the applicant (s) or the spouse of the applicant (s) or any minor child of the applicant (s) own any
residential accommodation?

In case of purchase, have all property taxes been paid upto date ?

Is the legal title to the property clear ?

Will GICHFL be able to obtain a first mortgage of the property ?

Has / Have the applicant(s) or the spouse of the applicant(s) applied to GICHFL for a loan ?

Has / Have the applicant(s) given guarantee(s) for any borrowers of GICHFL

What other security will you be a ble to provide ?

REFERENCES
NAME ADDRESS TELEPHONE - OFFICE - RESIDENCE

1.

2.
 I/We the applicant/s herein do declare that the foregoing statement and answers are true in every detail and agree and declare that those statements and this declaration
alongwith such further requirement of GIC Housing Finance Ltd. or its Valuer and / or LEgal Adviser hereafter to be complied by me/us shall form the basis of the loan
transaction between me/us and GIC Housing Finance LTd., and that if any untrue averment be contained therein, GIC Housing Finance Ltd., shall be entitled to take such
action against me/us as it may deem proper treating the untrue averment, which may come to its notice, as a breach of covenant on my / our part. I/We hereby agree to the
Company recalling the entire loan or the balance thereof on its coming to know of any such untrue averment on my/our part.

APPLICANT'S SIGNATURE CO-APPLICANT'S SIGNATURE

PLACE :

DATE :
PLACE :
WITNESS :
FULL NAME & ADDRESS

SIGNATURE : DATE :