HOME LOAN APPLICATION FORM
Please fill in the form in CAPITAL/BLOCK letters and tick the boxes wherever applicable.
If applicant is an existing customer of Deutsche Bank AG, please quote the Customer ID:
1. Personal Details: Applicant
Title Mr. Ms. Mrs. Dr. Prof. Others (Please specify) Name
First name Middle name Last name
Date of Birth Gender M F
D D M M Y Y Y Y
Mother’s maiden name Nationality
Marital status Single Married Others, please specify Number of dependents
Residential address/Present address: The address is PO Box address APO address
Address Line – 1 Address Line – 2 Address Line – 3
City State PIN Code
Country
Residential telephone No. (mandatory) Telephone No. is Landline C/o No.
STD Code 2nd Residential telephone No.
STD Code
Residential fax No. Mobile
STD Code E-mail
Permanent address (if different from residential address) Address Line – 1
Address Line – 2 Address Line – 3
City State PIN Code
Country
Phone No. (L) Mobile
STD Code
Residential status Self-owned Rented house Parent-owned Company provided
Mortgaged Paying guest/hostel/chummery Other Period of residence in current home years months
Recent Photograph of Applicant Serial No.
Make of vehicle Vehicle No.
Preferred address for correspondence Home Office
PAN/GIR No. FORM 60/61 attached
(If not available, please attach Form 60/61 Passport No.
Driving licence No. Electoral ID No.
2. Employment/Profession Details: Applicant
Nature of employment Salaried Self-employed Retired
Profession CA Lawyer Doctor Consultant Engineer
Banker Academician Others, please specify
Type of industry/business IT/Telecom Government Transport Construction/Real Estate
Consumer Goods Textiles Export-Import Manufacturing
Hotels/Restaurants Entertainment Medical Agriculture
Advertising Banking and Finance Law Travel/Tourism
Other, please specify Office address
Name of employer/Business Address Line – 1
Address Line – 2 Address Line – 3
City State PIN Code
Country
E-mail Phone No. (D)
STD Code
Mobile Phone No. (L) Extn.
STD Code Fax No.
STD Code
Gross monthly income Rs Net take home income (monthly) Rs
Other income (monthly) Rs EMI affordable Rs
Name of last employer
Years of service with last employer years months
a. Salaried
Type of employer Public Sector Public Limited Company MNC
Private Limited Company Partnership/Proprietorship Government
Designation Department
Years at current job years months Years of total employment years months
Retirement age years
b. Self-employed
Type of firm Private Limited Company Partnership Proprietorship
Designation
Years at current business years months
Total years in business years months Years at previous job (if applicable) years months
If co-applicant is an existing customer of Deutsche Bank AG, please quote the customer ID:
3. Personal Details: Co-applicant
Title Mr. Ms. Mrs. Dr. Prof. Others (Please specify)
Name
First name Middle name Last name
Date of Birth Gender M F
D D M M Y Y Y Y
Mother’s maiden name Nationality
Marital status Single Married Others, please specify Number of dependents
Residential address/Present address: The address is PO Box address APO address
Address Line – 1 Address Line – 2 Address Line – 3
City State PIN Code
Country
Residential Telephone No. (mandatory) Telephone No. is Landline C/o No.
STD Code
2nd Residential telephone No.
STD Code
Residential fax No. Mobile
STD Code
Permanent address (if different from Residential address) Address Line – 1
Address Line – 2 Address Line – 3
City State PIN Code
Country
Phone No. (L) Mobile
STD Code
Residential status Self-owned Rented house Parent-owned Company provided
Mortgaged Paying guest/hostel/chummery Other
Period of residence in current home years months
Period of residence in current city years months
Education High School Diploma Graduate Postgraduate and above Professional Others,
Recent Photograph of Co-applicant
Preferred address for correspondence Home Office
PAN/GIR No. FORM 60/61 attached
(If not available, please attach Form 60/61 Passport No.
Driving licence No. Electoral ID No.
4. Employment /Profession details: Co-applicant
Nature of employment Salaried Self-employed Retired
Profession CA Lawyer Doctor Consultant Engineer
Banker Academician Others, please specify
Type of industry/business IT/Telecom Government Transport Construction/Real Estate
Consumer goods Textiles Export-Import Manufacturing
Hotels/Restaurants Entertainment Medical Agriculture
Advertising Banking and Finance Law Travel/Tourism
Other, please specify Office address
Name of employer/Business Address Line – 1
Address Line – 2 Address Line – 3
City State PIN Code
Country
E-mail Phone No. (D)
STD Code
Mobile Phone No. (L) Extn.
STD Code
Fax No.
STD Code
Gross monthly income Rs Net take home income (monthly) Rs
Other income (monthly) Rs EMI affordable Rs
Name of last employer
Years of service with last employer years months
a. Salaried
Type of employer Public Sector Public Limited Company MNC
Private Limited Company Partnership/Proprietorship Government
Designation Department
Years at current job years months Years of total employment years months
Retirement age years
b. Self-employed
Type of firm Private Limited Company Partnership Proprietorship
Designation
Years at current business years months
Total years in business years months Years at previous job (if applicable) years months
5. Banking relationships: Applicant/Co-applicant
1. Primary bank account (salary account for salaried individuals) 2. Other bank account details
Name of bank Name of bank
Address of bank Address of bank
Account No. Account No.
Type of account Type of account
6. Credit card details: Applicant/Co-applicant
If you have a credit card, kindly fill in the following details:
CARD 1 CARD 2
Bank Bank
Card No. Card No.
Valid from to Valid from to
M M Y Y Y Y M M Y Y Y Y M M Y Y Y Y M M Y Y Y Y
Member since Member since
M M Y Y Y Y M M Y Y Y Y
Credit limit Rs Credit limit Rs
7. Loan details
If you have any other loan, kindly fill in the following details:
LOAN 1 LOAN 2
Bank/Financier Bank/Financier
Nature of loan Nature of loan
Loan amount Rs Loan amount Rs
Loan tenor years months Loan tenor years months
Loan taken since Loan taken since
M M Y Y Y Y M M Y Y Y Y
Monthly EMI Rs Monthly EMI Rs
Current outstanding loan Rs Current outstanding loan Rs
8. Loan requirement
I hereby apply for a loan as follows:
Loan amount required Rs Loan tenor required years
Product option Home Purchase Loan Home Construction Loan Home Plot and Construction Loan
Home Extension Loan Home Improvement Loan Loan against Home
Balance Transfer Balance Transfer with top-up Loan
Interest type Fixed Rate Floating Rate Flexi: Fixed %, Floating %
Repayment option Standard EMI Max saver (only floating rate)
Estimated funds required (Rs) Estimated sources of funds (Rs)
1. Land cost 1. Loan requested
2. Total purchase price/construction cost 2. Savings from Bank
3. Incidental costs, e.g., stamp duty, 3. Investments (FD, Shares)
registration
4. Other costs 4. Amount already spent
(Please specify) (Source)
5. Loan outstanding (for balance transfer) 5. Provident Fund
( Refundable Non-refundable)
6. Top-up/others 6. Others
(Please specify)
Total requirement of funds Total sources of funds
Requirement of funds should match with the sources of funds.
9. Details of property (to be purchased/constructed/extended/improved) Address Line – 1
Address Line – 2 Address Line – 3
City State PIN Code
Area of land sq. ft. Built-up area sq. ft. Cost per sq. ft.
Freehold Lease-hold Stage of construction/extension/improvement: %
The property to be financed is for Self-use Giving it on rent
Is the legal title to the property clear? Yes No
Who is the owner of the property? Applicant Co-applicant Jointly owned
Joint owner‘s name (if applicable) (Please specify relationship with Co-owner)
Developer‘s/Builder‘s name Project‘s name
10. Financial information
Assets (Rs) Liabilities (Rs)
Outstanding Balance
Applicant Co-applicant amount (Rs) EMI (Rs) term
(months)
1. Savings Applicant
in Bank
2. Motor Loan from
vehicles Employer
3. Fixed Loan from
Deposits Bank
4. Current Other loans
balance in PF
5. Other Co-applicant
investments (Bonds/Securities)
6. Sum assured Loan from
of LIC Employer
7. Immovable Loan from
property (Specify ) Bank
11. Financial references (other than family) 1. Name: Mr./Ms./Mrs.
First name Middle name Last name
Address Line – 1 Address Line – 2 Address Line – 3
City State PIN Code
E-mail Phone No. (L) Mobile
How do you know him/her? 2. Name: Mr./Ms./Mrs.
First name Middle name Last name
Address Line – 1 Address Line – 2 Address Line – 3
City State PIN Code
E-mail Phone No. (L) Mobile
How do you know him/her? 12. Declaration
I/We certify that all the information/details provided by me/us in this application are true, correct and complete and shall form the basis of any loan that Deutsche Bank AG (the Bank) may decide to grant me/us. The Bank reserves the right to seek any information from any source or to give any information and/or to assign any work to any third party at its sole discretion. I/We further agree that the loan that maybe provided to me shall be governed by the rules of the Bank that may be in force from time to time. I/We are aware that Deutsche Bank offers loans under a fixed interest rate option and a variable interest rate option, and that I/we have selected the option in the application form. I/We confirm that the funds sanctioned shall be used for the stated purpose only and shall not be used for speculative/anti-social purposes. I/We further certify that I/we am/are citizen(s) of India. I/We undertake to inform the Bank of any change in residential status forthwith.
I/We agree to give post-dated cheques for the repayment of the loan and I/We am/are are fully cognizant that dishonour of the cheque is a criminal offence under the law. I/We confirm that I/we have seen the present Schedule of Interest and Charges of the Bank, which are available at the branches and the website of the Bank. I/We agree and undertake that the said Schedule of Interest and Charges are acceptable to me/us. I/We hereby confirm that no insolvency proceedings have been instituted against me/us nor have I/We ever been adjudicated insolvent. I/We also confirm that no litigation has been filed or is pending against me/us for recovery of any amount from me/us by any bank, financial institution, Non-Banking Financial Corporation or any other entity.
I/We hereby agree and give consent for the disclosure by the Bank of all or any information and/or data relating to me/us; the information and/or data relating to any credit facility availed of/or to be availed by me/us; and default, if any, committed by me/us, in the discharge of my/our such obligations, as the Bank may deem appropriate and necessary, to disclose and furnish to the Credit Information Bureau (India) Ltd and/or any other agency authorized in this behalf by the Reserve Bank of India (RBI). I/We have perused the Bank’s General Terms & Business Conditions and hereby confirm the acceptance thereof. I/We give the right to the Bank to set off against other accounts in case of default on this account.
Name Location Date
D D M M Y Y Y Y Applicant’s Signature (Sign within the box & use black ink for signature.)
11/0
5
For Bank Use Only
Sales Reference No.
Promotion Code
Application received on
D D M M Y Y Y Y
Complete supporting document set received on
D D M M Y Y Y Y
Submitted completed application documents to bank on
D D M M Y Y Y Y
DSA/dealer/ Distribution Point stamp Authorized signatory (for DSA/dealer/ Distribution point)
I am proposing this case for Credit Approval.
Sales/Channel Manager’s Name: Signature
Date
D D M M Y Y Y Y
Application Reference No.
Date of entering information
