LOAN APPLICATION FORM
PLEASE FILL THE FORM IN CAPITAL LETTERS.
EXP:-
ABCDEFG
Branch Name: Executive Name:
OFFICE USE
Executive Emp. Code: Applicant Co-Applicant
File Number :
Scheme: Affix recent AffIx recent
Application ID:
photograph photograph
Source: of applicant of Co-applicant
Customer ID:
Bank Name: with signature with signature
on the top on the top
AF Amount:
Cheque No.:
Branch: Cheque Dated: D D M M Y Y
APPLICANT CO-APPLICANT
FIRST NAME
MIDDLE NAME
SURNAME
FATHER’S NAME HUSBAND’S NAME FATHER’S NAME HUSBAND’S NAME
FIRST NAME
MIDDLE NAME
SURNAME
MOTHER’S MAIDEN NAME
CURRENT RESIDENCE ADDRESS RELATIONSHIP WITH APPLICANT
FLAT / DOOR / BLOCK /PLOT NO.
NAME OF PREMISES / BUILDING
ROAD / STREET
LANDMARK
TOWN / CITY / DISTRICT
STATE
PINCODE
TELEPHONE NO.
MOBILE NO.
PERSONAL DETAILS
EMAIL ID
DATE OF BIRTH / SEX/ D D M M Y Y Y Y M F D D M M Y Y Y Y M F
NO. OF DEPENDENTS /
MARITAL STATUS MARRIED SINGLE OTHER NO OF DEPENDENTS MARRIED SINGLE OTHER NO OF DEPENDENTS
DRIVING LICENCE NO.
PAN
VOTER ID
AADHAR NO.
PASSPORT NO.
PASSPORT ISSUE DATE D D M M Y Y EXP. DATE D D M M Y Y D D M M Y Y EXP. DATE D D M M Y Y
CATEGORY GENERAL SC ST OTHER GENERAL SC ST OTHER
RESIDENCE STATUS INDIAN NRI INDIAN NRI
PERMANENT ADDRESS
RESIDENCE
PIN CODE
TELEPHONE
PRESENT ACCOMMODATION OWNED RENTED PERIOD OF STAY Y Y MM OWNED RENTED PERIOD OF STAYY Y MM
OCCUPATIONAL DETAILS SALARIED SELF EMPLOYED OTHER SALARIED SELF EMPLOYED OTHER
INCOME TYPE FORMAL SEMI FORMAL INFORMAL FORMAL SEMI FORMAL INFORMAL
QUALIFICATION
EMPLOYER / FIRM/
COMPANY NAME & ADDRESS:
PIN CODE TELEPHONE TELEPHONE
CORRESPONDENCE ADDRESS RESIDENCE OFFICE PERMANENT RESIDENCE OFFICE PERMANENT
APPLICANT CO-APPLICANT
TOTAL WORK
YEARS YEARS
EXPERIENCE
IF SALARIED PUBLIC LTD MNC GOVERNMENT PVT LTD PUBLIC LTD MNC GOVERNMENT PVT LTD
PARTNERSHIP PROPRIETORSHIP OTHERS PARTNERSHIP PROPRIETORSHIP OTHERS
DESIGNATION
OCCUPATION DETAILS
DEPARTMENT
EMPLOYEE CODE
DATE OF JOINING D D M M Y Y D D M M Y Y
RETIREMENT AGE YEARS YEARS
DAY OF SALARY CREDIT D D M M Y Y D D M M Y Y
IF SELF EMPLOYED
DATE OF COMMENCEMENT OF BUSINESS/PROFESSION D D M M Y Y D D M M Y Y
PROFESSION DOCTOR CS/CWA/CA ARCHITECT OTHER DOCTOR CS/CWA/CA ARCHITECT OTHER
IF BUSINESS TRADER MANUFACTURER SERVICE INDUSTRY OTHER TRADER MANUFACTURER SERVICE INDUSTRY OTHER
SAVINGS, INCOME ETC
NAME - APPLICANT / CO APPLICANT MONTHLY INCOME OTHER INCOME SOURCE AVERAGE INCOME SAVING BANK A/C
DETAILS OF LIQUID AND MOVABLE ASSETS VALUE OF ASSETS IN RS
FINANCIAL INFORMATION
ASSET TYPE APPLICANT CO APPLICANT
GOLD
BANK DEPOSITS
PROVIDENT FUND
SHARES & BONDS
MUTUAL FUNDS
AUTOMOBILE VEHICLE
ANY OTHER, PLEASE SPECIFY
TOTAL
BANK ACCOUNT DETAILS
NAME ACCOUNT TYPE ACCOUNT NO. BANK NAME BRANCH
CREDIT CARD DETAILS
NAME BANK NAME BRANCH CREDIT CARD NO. OUTSTANDING AS ON
FINANCIAL INFORMATION
LOAN AVAILED DETAILS
NAME INSTITUTION LOAN TYPE DISBURSED AMOUNT EMI EMI DATE OUTSTANDING AMOUNT
LIFE INSURANCE
INSURANCE COMPANY
HOLDER NAME
POLICY NO.
MATURITY DATE PAID UP VALUE PAID UP VALUE
PREMIUM
LOAN REQUESTED
AMOUNT
Signature
TERM Yrs
Applicant Co-Applicant
YOUR MONTHLY EXPENDITURE :
LOAN REQUIREMENT
Instalment you and co-opplicant (if any) TYPE OF LOAN
can pay to MHIL per month :
PURCHASE OF RESIDENTIAL PROPERTY BALANCE TRANSFER HOME EQUITY
Payment Method: PDC ACH Salary Deduction RESALE PROPERTY TOP UP NON RESIDENTIAL PREMISES LOAN
IMPROVEMENT / EXTENSION PLOT PURCHASE & CONSTRUCTION LOAN SHORT TERM BRIDGING
RATE FREQUENCY ANNUAL MONTHLY
CONSTRUCTION PLOT PURCHASE
RATE OPTION FIXED FLOATING COMBINATION
PROPERTY SELECTED YES NO AREA SQ. FT / SQ. MTR PROPERTY FREEHOLD LEASEHOLD
OWNERSHIP SOLE JOINT CONSTRUCTION STAGE READY UNDER CONSTRUCTION
PROPERTY ADDRESS
PURCHASED FROM BUILDER SOCIETY DEVELOPMENT AUTHORITY/HOUSING BOARD SELF CONSTRUCTION RESALE
LOAN DETAILS
BUILDER DETAILS
Project Name
If RERA registered, please mention
Is Project RERA Registered? (Yes/No)
registration number
Project Start date Project Completion date
Legal status of the firm?
Project developed by (Firm Name)?
(Proprietor/Partnership/LLP/[Link]/Ltd)
Name of the Prop. / Part. / Director Pan Number / Aadhar Number Number of Projects Completed Number of Projects Completed
(As a part of above mentioned firm) (As a part of other firm)
1
2
3
4
ESTIMATE OF REQUIREMENT OF FUNDS ESTIMATE SOURCE OF FUNDS
PLOT COST SAVING
TOTAL PURCHASE/CONSTRUCTION COST FAMILY
STAMP DUTY- REGD CHARGES ETC DISPOSAL OF INVESTMENT
COST OF CONSTRUCTION/EXTENTION/ OTHERS
IMPROVEMENT/INCIDENTAL
LOAN REQUIREMENT
ESTIMATED REQUIREMENT OF FUNDS
ESTIMATED SOURCES OF FUND
How Many residential Properties do you own? (in numbers) Applicant Co-applicant Jointly
Please indicate the end use of property to be purchased/ constructed: Self Occupied Rental Investment
Is the legal title of the property clear? Yes No
Will MHIL be able to get its 1st Mortgage? Yes No
Have/has applicants applied to MHIL earlier: Yes No
Have/has applicant given guarantee to any loan with any bank/FI? Yes No
If yes, borrower name: Loan Acc. no: Amount Bank/FL:
How do you get to know of Muthoot Homefin (India) Ltd
Advertisement Event Web Existing Muthoot Group Customer Builder/developer Friends/relatives Others
Do you own: Computer Car Two wheeler A/c Immovable property
Are you willing to avail Credit Life Insurance through MHIL? Yes No
Are you willing to avail property insurance through MHIL? Yes No
Are you willing to avail the PMAY-CLSS scheme? Yes No
GENERAL INFORMATION
Are you willing to avail the CMAY-CLSS scheme? Yes No
Have you any existing relationship with MHIL/its employee/s Yes No
If yes, provide details:
PMAY Related Information
Family Members Name Relationship Proposed Applicant / Co Any Disability
(Male/Female DOB Annual
including Applicants / co Aadhar No. with first Property Owner? applicant to the (Yes/No) - If yes,
/Transgender) (DD/MM/YYYY) Income
applicants Applicant (Yes/No) loan? (Yes / No) attach certificate.
1)
2)
3)
4)
5)
Total Household Income (Annual Income)
Whether family owns residential land
whether family owns If Yes, is it Pucca/
having no constructed structure
any house (Yes/No) Semi pucca/
thereon?
Katcha?
(Yes/No)
Whether Subsidy already Whether proposed property cost is
Proposed Proposed
availed from State/UT already subsidised under
Property Area Property
through Urban Local body/ PMAY Scheme
(Sq. ft) Location
Authorities etc. (Yes / No) by Builder / developer? (Yes/No)
PMAY Town Code of PMAY Scheme
Proposed Property based on Income
For Office Use only & Carpet Area
(Note: This is not a
Postal Pin code) (EWS/LIG/MIG1/
MIG2)
REFERENCE - 1 REFERENCE - 2
NAME
ADDRESS
REFERENCE
CONTACT NUMBER
EMAIL ID
OCCUPATION
HOW IS THE REFERENCE Friend Colleague Others Friend Colleague Others
KNOWN TO YOU?
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 MHIL may decide to grant me/us. I/We confirm that, I/We have/had no
insolvency proceedings pending against me/us nor have been adjudicated insolvent and further confirm that, I/We have read brochure and understood the contents. I/We are aware that the fees paid by me/us are not refundable. I
am/We are aware that MHIL offers loans under a fixed interest rate option as well as under floating interest option and that I/We have selected the option indicated in the application form. I am/We are aware that the Equated
Monthly Instalment comprising principal and interest is calculated on the basis of annual rests as also on the basis of monthly rests and that I/We have selected the option indicated in the application form. I/We are aware that the
options on interest rate and the frequency of rests once selected cannot be changed and any change(s) may be permitted only at the sole discretion of MHIL on such terms and conditions as decided by MHIL. I/We agree that MHIL
may take up such references and make such enquires in respect of this application, as it may deem necessary. I/We undertake to inform MHIL regarding any change in my/our occupation/employment and to provide any further
information that MHIL may require. I/We also undertake to authorise my/our employer(s) to deduct Equated Monthly Instalments from my/our salary and remit the same to the MHIL directly every month. MHIL may make
available any information contained in this form and other documents submitted to MHIL and information pertaining to the loan to any institution or body. MHIL may seek/receive information from any source/ person to consider
this application. I/We further agree that my/our loan shall be governed by the rules/norms of MHIL which may be in force from time to time and MHIL shall be entitled to reject my/our application without giving any reasons
therefore.
I/We specifically declare and agree that if any of my/our documents found forged or false, or any of my/our details found false or fake, I/we, jointly or severally, shall be liable to pay 2% of loan amount applied or Rs.25000/-
(Whichever is less) to you Muthoot Homefin (India) Ltd. towards charges incurred on processing my/our application. I/we further authorise Muthoot Homefin (India) Ltd. to recover the said dues from me/us.
DATE:
PLACE: SIGNATURE:
Applicant Co-Applicant
GENERAL INSTRUCTIONS
Please take photocopy of all the documents submitted to MHIL.
Do not overwrite nor use correction fluid. If required please strike off and rewrite with due authentication.
Fill tick wherever necessary.
EXP:- Marital Status Married Single Other
All details must be filled in, please write NA if not applicable.
Applicants should ensure that the application is complete in every respect and all the required documents are submitted with this application. A complete form with necessary
documents will help us process your application faster.
Personal details:
First Name, Middle Name and Last name of the Applicant and Co-applicant is required to be mentioned along with his/ her Father's or Husband's Name and Mother's maiden name.
Please mention your addresses, if present address and permanent address is same kindly write"Same as above".
Correspondence address — select the option where the applicant desires his /her correspondence regarding the loan related documents to be sent by MHIL
Dates:- Dates to be filled in the DD/MM/YY format DD- Day , MM- Month, YY- Year.
No of Dependents:- Mention the total number of dependents children, parents, unmarried sister/brother etc.
Period of stay:- Mention the number of years and month in present accommodation.
Occupational Details:
Experience: Mention the total work/professional experience.
Retirement date and age: Please mention the date of retirement in DD/MM/YY and age of retirement.
Company/business name: Mention the full name of company or business.
Salary date: Please mention the date when salary is credited in account or received.
Schemes: Mention the schemes for example RHF/PSL/UHF/PMAY Etc
Loan request:
Rate frequency: Annual rest- The principal repayment is adjusted in the end of each financial year.
Monthly rest - The principle repayment adjusted at the end of every month.
Interest: - Fixed Rate of Interest: - Rate of interest would remains constant during the entire tenure of the loan regardless of increase or decrease in the RPLR Rate.
Floating Rate:- Rate of interest is floating with the change effected by the company from time to time due to change in market condition.
Loan required: The total amount of loan required after considering amount already spent or to be spent from balance fund.
Estimate of Requirement: Mention the total loan requirement with bifurcation of loan amount.
Estimate Source of Fund: Mention the total source of funds including own source of fund and loan requirement.
Land / Plot cost: It is mentioned in the sale deed and is only applicable if the applicant is constructing house in his/her own land/plot if buying a plot.
Construction cost: This is the cost estimate prepared by the certified Architect/ Engineer or Per [Link] rate prevailing in the market.
Extension and Improvement cost: A cost estimated for the extension or improvement of house/flat/ residential unit.
Insurance: MHIL offers you a specially designed credit life insurance cover at an attractive price. Credit life insurance is important in order to repay your loan in case of loss of
life of any person/ persons.
MUTHOOT HOMEFIN (INDIA) LIMITED
Corporate Identification Number (CIN) - U65922KL2011PLCO29231
Regd. Office: Muthoot Chambers, Kurian Towers, Banerji Road, Ernakulam (North) Cochin, Kerala - 682018
Corporate Office: Unit No. 1201 &1202, 12th Floor, A Wing, Lotus Corporate Park, Goregaon (East), Mumbai - 400063.
Visit us:- [Link], Email : enquiry@[Link],
Customer Care: - 022-3911-0999/900