Personal loan new - Commercial Bank of Ceylon

COMMERCIAL BANK OF CEYLON PLC

No 21, Sir Razik Fareed Mawatha, Colombo 01, Sri Lanka Phone 0112 - 432 122

PERSONAL LOAN APPLICATION

Application type

Individual

Joint

Applicant

Relationship with the bank Existing customer with borrowing Existing customer without borrowing New customer

Joint Applicant Relationship Details

Relationship with the bank Existing customer with borrowing Existing customer without borrowing New customer

Branch ............................................................ Account number................................................

Branch ............................................................ Account number................................................

Personal Details

Title

Mr

Mrs

Ms Other..................

Name in full ............................................................ Date of birth D D M M Y Y

Nationality

Sri Lankan

Non Sri Lankan

Dual Citizen

NIC No.

(Sri Lankan/Dual Citizen)

Passport No.

(Non Sri Lankan/Dual Citizen)

Title

Mr

Mrs

Ms Other..................

Name in full ............................................................ Date of birth D D M M Y Y

Nationality

Sri Lankan

Non Sri Lankan

Dual Citizen

NIC No.

(Sri Lankan/Dual Citizen)

Passport No.

(Non Sri Lankan/Dual Citizen)

For Non Sri Lankan

Availability of residence visa

Yes

No

Date of expiry of residence visa D D M M Y Y Permanent address

...........................................................................

Residential address ( only if di ers from the permanent address)

...........................................................................

Contact details

Mobile .............................. Residence............................

O ce.............................. E mail ...........................

For Non Sri Lankan

Availability of residence visa

Yes

No

Date of expiry of residence visa D D M M Y Y Permanent address

...........................................................................

Residential address ( only if di ers from the permanent address)

...........................................................................

Contact details

Mobile .............................. Residence............................

O ce .............................. E mail ...........................

Employment / Professional Details

Employment type

Salaried

Salaried Professional

Self Employed Professional

Profession...............................................................

Name of employer.....................................................

Address of employer / business.....................................

Present position (Designation) ......................................

Employment Status

Permanent over 2 years

Permanent below 2 years

Probation

Contract

Length of service in previous employment

..................Years

..................Months

Employment type

Salaried

Salaried Professional

Self Employed Professional

Profession...............................................................

Name of employer.....................................................

Address of employer / business.....................................

Present position (Designation) ......................................

Employment Status

Permanent over 2 years

Permanent below 2 years

Probation

Contract

Length of service in previous employment

..................Years

..................Months

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Loan Details

Required loan amount .............................................

Repayment period

Purpose of the loan....................................................

Repayment option

Fixed installments

Reducing installments

Interest rate type

Fixed rate

Floating rate

Months

Monthly Financial Details

Primary Applicant Income

Basic salary

....................................

Fixed allowances .................................... Professional income ...................................

Variable income.......................................

Income source ........................................

(Variable income)

Expenses

Financial expenses....................................

Payee Tax. ..............................................

Credit Cards with ComBank / Other banks

Bank

Limit (Rs)

....................................

....................................

....................................

....................................

....................................

....................................

....................................

....................................

....................................

....................................

Joint Applicant

Basic salary

....................................

Fixed allowances .................................... Professional income ...................................

Variable income.......................................

Income source ........................................

(Variable income)

Financial expenses....................................

Payee Tax. ..............................................

Credit Cards with ComBank / Other banks

Bank

Limit (Rs)

....................................

....................................

....................................

....................................

....................................

....................................

....................................

....................................

....................................

....................................

Salary Credited to ComBank

Salary Credited to ComBank

(Applicable only for existing customers) Yes

No (Applicable only for existing customers) Yes

No

Availability of guarantors

Yes

No

Declaration

1. The information given above is true and accurate to the best of my / our knowledge and belief and I / We agree that the bank may from time to time after receipt of this application make inquiries about my / our a airs as it may think t.

2. I / We do not have any overdue advances with any Bank or Financial Institution

.................................... Signature of primary applicant

..................... Date

.................................... Signature of joint applicant

.................. Date

For O ce Use Only

Employer's con rmation on salary Employer's undertaking to remit salary, as per bank stipulated format Guarantor's statements submitted CRIB clearance obtained Information / documents veri ed

- Received - Received - Received

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Remarks

................................................

.............................. Authorized Signatory

.............................. Signature No

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