Personal Loan Application Form
SECTION-A (PERSONAL & KYC DETAILS)
Salutation: Sepoy Name: Sendil R
Gender: Male Date of Birth: 13-05-1986
Marital Status: Married Name of Spouse:
No. of Dependents: No. of Dependent Children(s):
Father's Name: RAMAN Mother's Maiden Name:
Nationality: Indian Residential Status:
Category: Religion:
Disability Type: Place of Birth:
Educational Qualification: Qualifying Year
PAN: ALXPR8010M Aadhaar No: 19ewtVQOL3sB
Passport No: Passport Valid Upto:
Driving License No: Driving License Valid Upto:
Voter ID No:
RESIDENTIAL ADDRESS
House Ownership: Staying at the Present Address
for the past:
Type of Address Proof: Address Proof No.:
Date of Address Proof Document:
House/Flat/Apartment/Building [Link]. 3 / 555, KORALNATHAM Street/Area/Location:
No. and Name: VILL
Landmark: Village/City: VANIYAMBADI
District: Krishnagiri PIN Code: 635121
State: TAMILNADU Country: India
Mobile No. (Primary): Mobile No. (Secondary):
Telephone (Landline): Email (Personal):
Is Permanent Address same as
Present Address?
(To be filled if permanent address is different from present address)
House/Flat/Apartment/Building Street/Area/Location:
No. and Name:
Landmark: Village/City:
District: PIN Code:
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State: Country:
Telephone (Landline 1): Telephone (Landline 2):
OFFICE/BUSINESS ADDRESS
Name of Organisation/Employer DEFENCE Floor and Building Name: UNIT 42, ARMED REGIMENT
Department: KALINA CAN'T
Street/Area/Location: Landmark:
Village/City: Mumbai District: Mumbai
State: MAHARASHTRA Country: India
PIN Code: 400098 Telephone:
Email (Organisational): Fax:
REFERENCE
(Name and address of two refrences who are not related to you)
State Bank of India may make enquiries from the referees if it deems necessary.
Name: Name:
Address: Address:
Email: Email:
Telephone: Telephone:
Mobile: Mobile:
EMPLOYMENT DETAILS
Salaried Individual
Occupation Type: Nature of Employment: Permanent
Organization Type: Central Govt Current Industry:
Employer Name: DEFENCE Corporate Rating:
Department Name: Designation:
Employee No: 15497125Y Organisation/Department's
Website:
DDO's Designation: DDO's Address: PIN-
Previous Employer's Name: Previous Employer's Address: PIN-
Contact No. of Previous
Employer:
Experience in Present Job (DOJ): (19-SEP-04) Experience in Previous Job(s):
Total Experience: 21 Years Months Remaining Service (Date of 8 Years 10 Months (30-SEP-34)
Retirement):
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DEFENCE PERSONNEL
Applicable only for Defence Personnel
Personal/Force No.: In case of Army personnel, please
funish your Regiment Name:
Existing Relationship with SBI
Salary Account No.: 00000030172372683 CIF No.: 00000085092572820
Name of Bank: STATE BANK OF INDIA Name of Branch: HISSAR CANTONMENT
Date of Account Opening: 09-MAY-07 Name of Salary Package: Defense Salary Package
Existing Xpress Cr. A/c No.: 00000044479210960 Date of Disbursement: 2025-09-17 00:00:00.0
Sanctioned Limit: Outstanding: 1468648
No. of EMIs Paid: 84 Risk Grade: 0
INCOME/FINANCE DETAILS
Income Details (Salaried)
Income Head Gross Amount Net Amount Periodicity Mode
₹ ₹ 0.00 ₹ ₹ 64,482.00
Obligation Details
Existing Liability(ies), if any
Bank/Financer Name Type of loan Loan Amount EMI Amount No. of EMIs Already Paid Principal Outstanding
NOT DISCLOSED ₹ ₹ 7,20,000.00 ₹ ₹ 0.00 ₹ ₹ 0.00
SBI ₹ ₹ 15,00,000.00 ₹ ₹ 25,292.00 ₹ ₹ 0.00
NOT DISCLOSED ₹ ₹ 4,50,000.00 ₹ ₹ 11,033.00 ₹ ₹ 0.00
XXXX ₹ ₹ 7,20,000.00 ₹ ₹ 0.00 ₹ ₹ 0.00
STATE BANK OF INDIA ₹ ₹ 15,00,000.00 ₹ ₹ 25,292.00 ₹ ₹ 0.00
XXXX ₹ ₹ 4,50,000.00 ₹ ₹ 5,500.00 ₹ ₹ 3,34,680.00
STATE BANK OF INDIA Personal Loan ₹ ₹ 0.00 ₹ ₹ 25,292.00 84 ₹ ₹ 14,68,648.00
Bank Account Details
Credit Cards
Fixed Deposits
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Other Assets
Bonds, Shares, Mutual Fund, Other Investments
Precious metals/Gold/Jewellery/Vechicle/Immovable Property etc.
Name of Applicant: SepoySendil R
Date: 15/11/2025 Signature of Applicant
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LOAN DETAILS
Product variant & Scheme Name: Personal Loan Sourcing Channel: RLMS
Campaign ID: Check-off:
Net Monthly Income: Salary Packages: Defense Salary Package
Proposed EMI: ₹ 29,962.00 Processing Fee Rs: ()
EMI/ NMI Ratio: 55% Concessions if any % :
Loan Amount: 1777000 Concession In Processing fee:
Repayment: Rate of interest: 10.50%
Tenure(Months): 84 Loan Purpose:
Corporate and Institutional Tie-
ups:
Life Insurance
For your benefit and convenience, the following group insurance plan underwritten by SBI Life Insurance Company Ltd is available for your
consideration. If you opt for this cover, SBI would adminster your enrolment for the chosen plan. Please note that this insurance cover is optional for
the purpose of the loan application and may also be obtained from other providers.
Do you wish to be covered by SBI Life cover?
If Yes, want to add the premium in Personal Loan
Loan Insurance
For your benefit and convenience, the following Loan insurance plan underwritten by SBI General Insurance Company Ltd is available for your
benefit and protection. If you opt for this cover, SBI would adminster your enrolment for the chosen plan. Please note that this insurance cover is
optional for the purpose of the loan application.
Do you wish to be covered by SBI General Loan Insurance?
If Yes, want to add the premium in Personal Loan
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 financial/Bank statements 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
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 authorize the Bank to debit my Personal loan
account with the Bank for any fees, charges, interset ect. as may be applicable.
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 authorization 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 refernce agencies and such information (including processed information) may be shared with banks/financial institutions and
other credit grantors for the purpose 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 auhorize the Bank to share information relating to my/our Personal 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, or 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.
I/We also understand that the Bank is at the liberty to get confirmed any details furnished by me/us and also to intimate to my/our DDO/Department
Head/CEO, the details of any of the loans sanctioned/disbursed to me/us and I/We accordingly convey my/our consent for such disclosures.
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 and data relating to me/us 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 my deem appropriate and necessary, to Credit Information Bureau (India) Limited (CIBIL) and any other
agency auhorised in this behalf by Reserve Bank of India/Government of India.
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 of India in this behalf.
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I/We agree to receive SMS alerts related to my/our application status and account activity as well as product use messages that the Bank will send,
from time to time, on my/our mobile phone number as mentioned in this application form. I/We undertake to intimate the Bank regarding change in
my/our occupation/employment/residential address/mobile number and to provide any further information that the Bank may require.
I/We confirm that I/We do not have any other credit facilities with any bank other than that mentioned above. I/We confirm that if I/We avail of any
credit facilities with any other bank in future, I/We will furnish the details to State Bank of India immediately. I/We further authorize the bank to credit
all sums received by the bank or standing to the credit in my/our name jointly or severally to the loan account, if necessary. I/We confirm that the
funds will be used for stated purpose and will not be used for speculative purpose. I/We confirm that we are resident Indians.
I/We further acknowledge that I/We have read, understood and agree with the most important terms and conditions governing the personal loan
product chosen by me/us.
Name of Applicant: SepoySendil R
Date: 15/11/2025 Signature of Applicant
Place:
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