INDIAN OVERSEAS BANK
BRANCH ……………………

Application for loan under “Sahayika” Scheme

I apply for loan of Rs……………………. Under the “sahayika” scheme to meet expenditure on………………………………… I have read the terms and conditions for the scheme and agree to abide by the same.
The particulars about me are given below and I confirm their correctness. I have not withheld and information that may be vital in appraising the loan proposal.

First Name Middle Name Last Name
1. Name of the applicant :…………………………………………………………………………………..
2. Age / D.O.B. of the applicant : …………………………………………………………………………
3. Address : Office …………………………………………. Residence ……………………………………..
…………………………………………… …………………………………….
…………………………………………….. …………………………………….
4. Phone No: ……………………………………………………………………………………………….
5. E-mail ID : ……………………………………………………………………………………………….
6. IT PAN No : ………………………………………………………………………………………………
7. Passport No : ……………………………………………………………………………………………….
8. Voters ID No: …………………………………………………………………………………………….
9. For salaried persons:
9.1. Name of employer: ……………………………………………………………………………………………
9.2. Position held: ………………………………………………………………………………………………….
9.3. Number of years of service: ………………………………………………………………………………..
9.4. Whether confirmed in service : Yes No
9.5. Monthly gross salary: Rs. ……………….. Deduction: Rs. ………………… Net: Rs. ………………
9.6. Any other income (source and proof to be enclosed): …………………………………………..
10. For professionals, self-employed, etc.
10.1. Line of activity: …………………………………………………………………………………
10.2. Number of years experience in the line of activity: …………………………………………
10.3. Annual income in the previous year: ……………………………………………………….
11. Amount of loan required: Rs. ………………………………………………………………..
11.1. Purpose of loan: ……………………………………………….
11.2. Break up of loan requirement:…………………………………
………………………………………………………………………….
…………………………………………………………………………..
…………………………………………………………………………..

12. Repayment period required (maximum 48 EMI) : ……………………………………………
13. Security Offered
13.1. Nature of security offered:
Nature Location / Details Value Name of owner
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
In case security is in the name of a third party, guarantee of owner of the property is required.
14. Guarantee
14.1. Name of guarantor with address: ………………………………………………………
……………………………………………………….
………………………………………………………..
14.2. Age and date of birth :
14.3. IT PAN No: …………………………………………………………………………………
14.4. Passport No: …………………………………………………………………………………
14.5. Voters ID No: …………………………………………………………………………………
14.6. Details of employment /profession of guarantor:.………………………………………..
14.7. Monthly income of guarantor: …………………………………………………………….
14.8. Details of unencumbered assets held by guarantor :
Nature Location/Details Value
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
……………………………………………………………………………………………………………
15. Details of Assets & Liabilities of the applicant:
Nature of Asset Location/Details Value
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Loan taken from Purpose Present outstanding
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………
Signature of the applicant: ……………………………………………… Date:
Place: