APPLICATION CUM PROCESS NOTE CUM SANCTION FORM FOR UNION GENERAL CREDIT CARD

Date of opening of S.B.A/c Term/Cumulative Dep. A/c.

Amount of General Credit Card Limit applied for: Paste photo
and sign across
Personal Information
First Name Middle Name Last Name
Name of applicant:

Father's Name:
Residential address:
Sex Marital Status

Male

Female

Married

Single

Date of Birth
DD MM YY

Category : SC/ST/OBC/PH/GEN
Number of dependents

Phone:
Mobile No.:
Children

Other

Education:

Upto SSC

SSC

Graduate

Profession:

Farmer

Others

Job Related Information

Self-employed

Service

Others
Department/Name
of Business
If self-employed
Years at current business If salaried
Years at current job Designation
Company/Firm Name:
Company/Firm Address:
Office Phone No.: Ext (if any):
Retirement : Age _________ Yrs.
Self Employment (Annual Income):Net Profit(Rs.) _________ Others(Rs.) ________
Salaried (Monthly Income):Gross Salary (Rs.)________ Net Salary(Rs.)________ Others (Rs.)__________

Agriculture Income Yearly
Evidence Produced :
PAN Number :
Any other information:

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Financial Information

SAVINGS, INVESTMENT ETC. LOANS CURRENTLY TAKEN:
Particulars Applicant (Rs.) Co-Applicant (Rs.) Source Loan Amt. (Rs.) EMI
(Rs.) Purpose
Savings in Bank Rs.______ Rs.________ Applicant:
Provident Fund
(Your share) Rs.______ Rs.________
Immovable Property
Rs.______ Rs.________

Specify Property

Other Assets
(Specify)
1 Rs.______ Rs.________
2 Rs.______ Rs.________ OTHER BANK ACCOUNT DETAILS:
Name of A/c. Holder Bank Name Branch A/c.No Yr.of opening
LIC Policies Rs.______ Rs.________

Maturity Dates

General [Applicable to applicant and co-applicant (if any)]

Yes No
1. Have you or your spouse earlier applied to UBI for a loan?

If yes
(a) Loan A/c.No. ___________
(b) Other details ___________
2. Have you or your spouse given Personal Guarantee(s)?

If yes
(a) On behalf of _______________
(b) Name of the organisation _________________
(c) Amount _________________

Declaration:

I/We declare that all the particulars and information given in the application form are true, correct and they shall form the basis of any loan UBI may decide to grant me/us. I/We confirm that I/We had no insolvency proceedings against me/us nor have I/We even been adjudicated insolvent and further confirm that i/We have read the terms and conditions and understood them. I/We am/are aware that the Equated/Monthly Instalment comprising principal and interest is calculated on the basis of monthly rests.

I/We agree that UBI may take up such references and make such enquiries in respect of this application, as it may deem necessary. I/We undertake to inform UBI regarding any change in my/our occupation/employment and to provide any further information that you may require. I/We also undertake to authorise my/our employer(s) to deduct Equated Monthly Instalments from my/our salary and remit the same to UBI directly every month. UBI may make available any information contained in this form, other documents submitted to UBI and information pertaining to the loan to any institution or body. UBI may seek/receive information from any source/person to consider this application. I/We further agree that my/our loan shall be governed by rules of UBI which may be in force from time to time.

Date:
Place: Applicant's Signature

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3
APPRAISAL FORM FOR UGCC

Branch: Region:

Name of the Applicant: Limit applied for :

1) Total Gross Annual Income
of the main earning member : Rs.________________
2) Total Expenses/Deductions : Rs.________________
3) Net Annual Income (1-2) : Rs.________________
4) Net Annual Income Acceptable
To the Branch : Rs.________________

5) Recommended Limit : Rs.________________
[Maximum 25% of (1) above]
6) Rate of Interest : _______ %
7) Security documents to be obtained :

Verification Details

Opinion and Recommendation

Recommended/Not Recommended Sanctioned/Declined
Amount : Rs._______________

Signature of the Credit Officer Signature of the Branch Manager

Name: Name:
Date: Date:

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