DBS Mortgage Loans My Application
DBS Mortgage Loans My Application
Name Account No.
My Application Form
Product Name
:
Reference rate
:
Account Product choice :
Branch Name
:
Family mapping Primary member - CIF :
Home Loan MCLR Saving Treasures
PRODUCT CHOICE
Flexi Home Loan
Loan against Property Flexi Loan against Property
TBLR
NRE and NRO
Staff
CEP and Others
Flexi OD
Date of submission : D D M M Y Y
Account no. :
Treasures Category : 1 2 3
CUSTOMER INFORMATION
Applicant
Co Applicant
Salutation
Mr Mrs Ms Dr Prof Others
Mr Mrs Ms Dr Prof Others
*Name
(Name as per ID proof UID (Aadhaar))
First Name: Middle Name:
Last Name:
KYC Number
Existing Account Details
CIF
*Maiden Name
(If applicable)
First Name: Middle Name:
Last Name:
First Holder
CIF
Second Holder
*Fathers Name *Mothers Name
First Name: Middle Name:
Last Name: First Name: Middle Name: Last Name:
*Spouse Name
(If applicable)
First Name: Middle Name:
Last Name:
*Resident Status
*Nationality
Resident Individual Person of Indian Origin
Foreign National Non Resident Indian
IN-Indian
Others (ISO 3166 Country Code)
Resident Individual Person of Indian Origin
Foreign National Non Resident Indian
IN-Indian
Others (ISO 3166 Country Code)
*Date of Birth
*Place of Birth
Two digit -state/UT code as per Indian Motor Vehicle Act,1988
State/UT code
State/UT code
*Country of Birth *Gender
*Community
*Category *Marital Status
ISO 3166 Country Code:
IN-India
Others
Male
Female
Third Gender
Sikh Christian Buddhist Muslim
Zoroastrain Hindu Jain Others
In accordance with requirement prescribed vide circular dated 05/07/2007 & 03/09/2007 issued by the RBI, request you to kindly provide the following information as may be applicable to you.
SC
ST General
Unmarried Married
Others
(Pl. specify)
Others
(Pl. specify)
1
ISO 3166 Country Code:
IN-India
Others
Male
Female
Third Gender
Sikh Christian Buddhist Muslim
Zoroastrain Hindu Jain Others
In accordance with requirement prescribed vide circular dated 05/07/2007 & 03/09/2007 issued by the RBI, request you to kindly provide the following information as may be applicable to you.
SC
ST General
Unmarried Married
Others
(Pl. specify)
Others
(Pl. specify)
V1.14 / MARCH19
E-mail*:
Applicant
*Contact Details
Mobile*: +91 Resident*: +91
Office*: +91 Fax No.*: +91
Number Area code Area code Area code
Number Number Number
*Proof of Address (PoA)
Certified copy of any one of the PoA needs to be submitted
Passport Driving Licence UID (Aadhaar) Voter Identity Card NREGA Job Card Others
Co Applicant
+91 +91 +91 +91
Number Area code Area code Area code
Number Number Number
Passport Driving Licence UID (Aadhaar) Voter Identity Card NREGA Job Card Others
* Current Residential Address
Landmark City State ISO 3166 Country Code:
Pin code
IN-India
Others
Landmark City State ISO 3166 Country Code:
Pin code
IN-India
Others
* Permanent Residential Address
Landmark City State ISO 3166 Country Code:
Pin code
IN-India
Others
Landmark City State ISO 3166 Country Code:
Pin code
IN-India
Others
* Office/Business Address
Mailing Address Residence *Education *Profession / Employment
#
*Profession Details *Self Employed *Name of employer / Firm
*Employment details
Landmark City State ISO 3166 Country Code:
Pin code
IN-India
Others
Permanent Residence
Current Residence
Office / Business Address
Self Owned
Owned by parents
Company provided Since
Lease
Under graduate Graduate Post Graduate
Professional
Others (Please specify)
Salaried Private Public Gov't Sector
Business Professional# Student
Housewife
Self Employed Retired
Others (Please specify)
CA
Doctor
Others (Please specify)
Lawyer
Proprietor Partnership Company HUF Others (Please specify)
Landmark City State ISO 3166 Country Code:
Pin code
IN-India
Others
Permanent Residence
Current Residence
Office / Business Address
Self Owned
Owned by parents
Company provided Since
Lease
Under graduate Graduate Post Graduate
Professional
Others (Please specify)
Salaried Private Public Gov't Sector
Business Professional# Student
Housewife
Self Employed Retired
Others (Please specify)
CA
Doctor
Others (Please specify)
Lawyer
Proprietor Partnership Company HUF Others (Please specify)
Employee No No. of years with current employer Retirement age Designation No. of years at previous organizations No of dependents Total No of years in service/Business
2
Employee No No. of years with current employer Retirement age Designation No. of years at previous organizations No of dependents Total No of years in service/Business
V1.14 / MARCH19
Applicant
Co Applicant
*Line of business / Industry
*Income p.a.
Rupees
Rupees
*Net Worth (in INR)
As on
As on
*Source of Funds *Purpose and Reason for opening the account
Relationship with the 1st holder
Please tick [ ] if Applicable
Salary
Business
Others (Please specify)
Inheritance Savings
Savings
Investments
Others (Please specify)
Family Maintenance
Politically Exposed Person Related to Politically Exposed Person
Salary
Business
Others (Please specify)
Inheritance Savings
Savings
Investments
Others (Please specify)
Family Maintenance
Parent Sibling
In Law (s) Spouse Others (Please specify)
Child
Politically Exposed Person Related to Politically Exposed Person
*Proof of Identity *Passport Details *Visa details
Certified copy of any one of the following Proof of Identity to be submitted
Date of Issue
Number Place of Issue
Expiry Date
Date of Issue
Number Place of Issue
Expiry Date
Certified copy of any one of the following Proof of Identity to be submitted
Date of Issue
Number Place of Issue
Expiry Date
Date of Issue
Number Place of Issue
Expiry Date
Driving License Voter's Id Cards
Expiry date
Expiry date
*PAN Number *UID (Aadhaar) NREGA Job Card Collateral Details
Relationship With the bank
Are you the property owner for the property offered as collateral Are you the property owner for the property offered as collateral
Yes
No
Yes
No
Less than One year 1- 3 years More than 3 years
Less than One year 1- 3 years More than 3 years
Remarks
References (Names and addresses of two referees who are not related to you )
DBS Bank India Limited, may make enquiries from the referees if it deems necessary
Name : Address : Email : Tel :
Mobile :
Name : Address : Email : Tel :
Mobile :
3
V1.14 / MARCH19
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