FORM - A (PERSONAL DETAILS) APPLICANT CO-APPLICANT GUARANTOR
Existing Customer Yes If Yes, CIF NO/ Account No. 39007948574
Name RADHESHAM LAXMAN DANGI
Attach your recent
Date of Birth 24/08/2001 PAN FZGPD8774J passport size
photograph here
Mobile: 7721063238
Email: radhedangipsd@[Link]
Name of Spouse
Name of Father
Gender Male Please Sign Here
Marital Status Single
Details of KYC (Minimum one to be filled)
1) Aadhaar / UID No
2) Voter ID No.
3) Passport No.:
4) Driving License No.
5) MGNREGA Job card No.
6) Letter issued by National Population Register Containing Name and Address:
Residential Status: Resident Indian (RI)
FOR DEFENCE PERSONNEL
Indian Army Indian Navy Indian Air force
IS YOUR SERVICE UNDER
Defined Benefit Pension Pension Scheme
Residential Address
Permanent Address:
Address 1 AT Gandhi Nagar
Address 2 Banglow Coner
Address 3 Tq Pusad
Pincode 445204 Village City PANDHARKAWADA
District Yavatmal State MAHARASHTRA Country
Current Address:
Address 1
Address 2
Address 3
Pincode Village City
District State Country
Address type for communication: Permanent
Residential type Owned
Years residing in current address: 2 Months residing in current address: 2
Relationship with Primary Applicant: SELF
No. of existing house/plot owned individually or jointly by the customer:
No. of units acquired in single residential housing project/co-operative residential complex:
Is the customer, who is Builder/ Partner/Director/Owner/Promoter acquiring at/house /unit/plot in the project
developed by them /their Company?
Power of attorney provided:
If Yes:
Name of the POA Holder:
Contact no. of POA Holder:
Is Applicant / co-Applicant / Guarantor a director including Chairman and Managing Director) in another bank or
specified near relative of any of the director (including Chairman and Managing Director) of SBI/Other Bank:
Name of the Chairman/ MD or other director:
Indicate Name of Bank/ Subsidiary/ Schedule co-operative Banks/ Trustees of Mutual Fund/ Venture Capital Fund:
FORM - B EMPLOYMENT DETAILS APPLICANT CO-APPLICANT GUARANTOR
Is income considered for loan eligibility?
OCCUPATION: Business
SALARIED:
Organization Type:
Employment Status:
Total work experience (Years): Total work experience (Months):
Is Service Under Defined Benefit Pension:
Date Of Retirement:
Employer’s Name:
Industry:
Gross Monthly income: Rs
Net Monthly Income: Rs
Is checkoff available:
Is there a break in service beyond the period of 3 months in last 2 years:
NON-SALARIED:
Work Experience In Business /Profession: 6 Years 11 Months
Net Profit Earned In Last Two Years: No
Gross Monthly Income: Rs 1,20,000.00 Net Monthly Income: Rs 70,000.00
Business Name:
Industry Name:
Office / Business Address
Address 1
Address 2
Address 3
Pincode Village City
District State Country
Telephone (Landline): (Mobile):
SALARY/ BUSINESS ACCOUNTS DETAILS
ACCOUNT TYPE IFSC CODE BANK NAME BRANCH NAME ACCOUNT NUMBER
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EXISTING LOANS (IF ANY)
LOAN ACCOUNT NO. BANK / FI PRODUCT NAME SANCTIONED AMOUNT PRESENT OUTSTANDING EMI
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FORM C: LOAN DETAILS
Purpose: Takeover Of Home Loans From Other Banks/Hfcs/Fis
Requested Loan Amount: Rs 21,00,000.00
Repayment Mode: NACH
Tenure:
Moratorium: 0 Years 0 Months
Whether interest to be capitalized during moratorium period: No
Disbursement Schedule:
No. of Tranches:
SELLERS / BUILDERS DETAILS:
NAME OF SELLER/ BUILDER ACCOUNT NO BANK NAME BRANCH NAME IFSC CODE
. . . . .
FORM D: PROPERTY DETAILS
RERA Registration No. (If applicable):
Project Name (If applicable):
Property Type: Self-Constructed/ Independent House
Property Status: Ready for possession
Is property in Tribal Area:
Property Value: 35,00,000.00
Property held / to be held in the name of:
Sale transaction Category:
Net Rental income expected from the proposed house property (Monthly): Rs.
Property holding status:
Lease period:
Built up area (Sq Ft):
Building name:
Wing name:
Flat No:
Carpet area (sq ft):
Super built-up area (sq ft):
Address 1:
Address 2:
Address 3:
Pincode City
District State
Location of Plot (Applicable for SBI Realty Loan): NA
CONSTRUCTION /PURCHASE Details:
Amount as per Agreement to Sale:
Date of Agreement to Sale:
Estimated Cost of Construction:
Reimbursable Investment (if applicable):
Cost of Extension:
Improvement Cost:
Cost of Furnishing /Interior:
Cost of Solar Photo Voltaic Lighting System:
Registration Charges:
Stamp Charges:
GST Charges:
Premium for insurance of Mortgaged property:
Other Amenities:
Amount of margin money:
Source of Margin Money:
COLLATERAL DETAILS:
(Applicable, if collateral required other than Primary Security)
Collateral type:
Collateral Owner Collateral Description Collateral Value Collateral Lien Value Address
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FORM E: INSURANCE & DECLARATIONS
INSURANCE
For your benefit and convenience, the following group insurance plans underwritten by SBI Life Insurance Company Ltd are
available for your consideration. If you opt for cover, SBI would administer your enrolment for the chosen plan. Please note
that insurance cover is optional for the purpose of the loan application and may also be obtained from other providers.
✔ SBI Life - RIN Raksha Pollcy - This is a group, non- linked, non- participating, credit life insurance product offered by SBI
Life Insurance Company Limited which provides life cover to single borrower or co- borrowers against the risk of death
within the chosen policy term. This plan can be used to protect your dependants against loan liability.
✔ SBI LIfe Saral Shield Pollcy {avilable for loan limit below Rs.25 Lacs, subject to minimum loan IImit of Rs.7.5 lacs) = This is
an individual reducing term insurance policy underwritten by the SBI Life Insurance Company Limited, which covers you
against death and/or disability (as defined in the policy) to protect your dependants from the liability of the loan
outstanding. The policy covers the outstanding loan balance for the entire tenor of the loan for an up- front one time
premium.
✔ SBI Life Smart Shield Policy (avallable for loan Ilmit of Rs. 25 lacs & above) = This is an individual reducing term insurance
policy like SBI Life Saral Shield for customers with limit of Rs. 25 Lacs and above.
Do you wish to opt for SBI General Insurance? (If yes, please fill box no. (VIII (b) under project cost of form 'C’)
Yes No
Do you wish to be covered by Home Loan Insurance Cover by SBI Life ? Yes No
Need loan for SBI Life Premium? Yes No
If Yes, SBI Life Premium Amount
Do you wish to cover Home Loan under IMGC Default Credit Guarantee {applicable only for HL to Non- Salaried Differential
Offering Scheme) Yes No
DECLARATION
I/We certify that the information provided by me/us in this application form is true and correct in all respects and State
Bank of India is entitled to verify this directly or through any third party agent. I/We confirm that the attached copies of
financials/Bank Statements/Title/Legal documents etc. are submitted by me/us against my/our loan application and certify
that these are true copies. I/We further acknowledge the Bank's right to seek any information from any other source in this
regard. I/We understand that all of the above- mentioned information shall form the basis of any facility that the Bank may
decide to grant to me/us at its sole discretion.
I/We further agree that any facility that may be provided to me/us shall be governed by the rules of the Bank that may be
in force from time to time. I/We will be bound by the terms and conditions of the facility/ies that may be granted to me/us.
I/We authorise the Bank to debit my home loan account with the Bank for any fees, charges, interest etc. as may be
applicable.
I/We undertake and declare that I/we will comply with the Foreign Exchange Management Act, 1999 ("FEMA") and the
applicable rules, regulations, notifications, directions or orders made there under and any amendments thereof. I/We
undertake to intimate the Bank before proceeding overseas on permanent employment and/or emigrating and/or
changing my/our nationality.
I/We acknowledge that the Bank remains entitled to assign any activities to any third party agency at its sole discretion.
I/We further acknowledge the right of the Bank to provide details of my/our account to third party agencies for the
purpose of availing support services of any nature by the Bank, without any specific consent or authorisation from me/us.
I/We acknowledge that the existence of this account and details thereof (including details of transactions and any defaults
committed by me), will be recorded with credit reference agencies and such information (including processed information)
may be shared with banks/financial institutions and other credit grantors for the purposes of assessing further applications
for credit by me/us and/or members of my/our household, and for occasional debt tracing and fraud prevention. I/We
accordingly authorise the Bank to share information relating to my/our home loan account.
I/We understand that as a precondition, relating to grant of loans/advances/other non- fund- based credit facilities to
me/us, State Bank of India requires consent for the disclosure by the Bank, of information and data relating to me/us, of
the credit facility availed of/to be availed of by me/us, obligations assumed/to be assumed by me/us, in relation thereto
and default, if any, committed by me/us in discharge thereof.
1. Accordingly, I/we hereby agree and give consent for the disclosure by the Bank of all or any such; (a) information and
data relating to me/us (b) the information or data relating to any credit facility availed of/to be availed of by me/us and (c)
default, if any, committed by me/us in discharge of my/our such obligation, as the Bank may deem appropriate and
necessary, to Credit Information Bureau (India) Limited (CIBIL) and any other agency authorised in this behalf by Reserve
bank of India / Government of India.
2. I/We undertake that {a) CIBIL and any other agency so authorised may use, process the said information and data
disclosed by the Bank; and (b) CIBIL and any other agency so authorised may furnish for consideration, the processed
information and data or products thereof prepared by them, to banks/financial institutions and other credit grantors, as
may be specified by the Reserve Bank in this behalf.
I/We agree to receive SMS alerts/Phone calls related to my/our application status and account activity as well as product
use messages/calls that the Bank will send/make, from time to time, on my/our mobile/phone number (s} as mentioned in
this application form. I/We undertake to intimate the Bank in the event of any change in my/our mobile phone number and
residential address.
I/We understand that option exercised between the three life insurance products offered by SBI LIFE is final and cannot be
changed at a later stage.
I/We further acknowledge that | / We have read, understood and agree with the Most Important Terms and Conditions
governing the home loan product chosen by me/us.
I/We authorize the Bank to share, disclose, exchange, or use in any manner whatsoever, without any further specific
consent or authorisation from me/us, the information/data provided by/related to me/us to the Group
Companies/Associates/Subsidiaries/Affiliates/Joint Ventures of State Bank of India/ any person with whom the Bank has
entered/propose to enter into contracts for provision of “services/products” for the purpose of marketing/offering/selling
any product/services and / or availing support services of any nature by the Bank.
I do not consent to share, disclose, exchange or use the Information/data. Yes No
(Put a tick mark against the preferred option)
Signature of Applicant Signature of Co-Applicant Signature of Guarantor
Date................................... Date................................... Date...................................
Place.................................. Place.................................. Place..................................
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ACKNOWLEDGMENT RECEIPT
Loan application received on ________________________, complete document set received on ________________________, cheque
received towards payments of processing fee, Valuation fee and Legal fee amounting to Rs ________________________, Rs
________________________ and Rs ________________________ respectively vide cheque no. ________________________,
________________________ and ________________________ dated ________________________, drawn in favour of “State Bank of India”
and payable at ________________________________________________________________________ Request will be disposed off and
acceptance / rejection notification would be mailed within 15 days from completed application form with supporting
documents on behalf of State Bank of India
Date and place ________________________ Authorised Signatory