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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