LOAN APPLICATION FORM
UCO Cash Loan Scheme

UCO Bank
Application form - UCO Cash Loan Scheme 1

To
The Manager
UCO Bank
……………………..Branch
Sir / Madam,
Sub: - Application for Term Loan under UCO Cash Loan Scheme
I / We apply for sanction of a term loan limit of Rs ……………….. in favour of me/ us under UCO Cash
Loan Scheme and furnish below the necessary information & relevant particulars:-
Applicant Co-Applicant
First Name Middle Name Surname First Name Middle Name Surname
Name
(In Block letter)
Father’s Name
Husband’s
Name
Date of Birth
(dd/mm/yyyy)
Age
(years)
Date of Birth
(dd/mm/yyyy)
Age
(years)
Gender ( √ ) Male/Female Male/Female
Marital Status
( √ )
Married/ Bachelor/Widow/Widower/ Divorced Married/ Bachelor/Widow/Widower/ Divorced
Category ( √ ) Gen/SC/ST/OBC Gen/SC/ST/OBC
CURRENT ADDRESS
Applicant Co-Applicant
Address
(Holding/
Premises no.
Flat/floor no.
Street
Ward no. etc.)
Municipality
/Corporation /
Panchayat
Village/Town
Municipality
/Corporation
/ Panchayat
Village
/Town
City Post- Office City Post-
Office
District State District State
Pin Code E mail Pin Code E mail
Phone Mobile Phone Mobile
No. of years in
Current Address
Passport size
Photograph
Applicant
Passport size
Photograph
Co-Applicant
UCO Bank
Application form - UCO Cash Loan Scheme 2
PERMANENT ADDRESS
Applicant Co-Applicant
Address
(Holding/
Premises no.
Flat/floor no.
Street
Ward no. etc.)
Municipality
/Corporation /
Panchayat
Village/Town
Municipality
/Corporation
/ Panchayat
Village
/Town
City Post- Office City Post-
Office
District State District State
Pin Code Phone Pin Code Phone
RELATIONSHIP WITH ANY MEMBER OF UCO BANK STAFF
Applicant Co-Applicant
Relationship with
any Member of UCO
Bank Staff ( √ )
Yes / No
If yes,
Nature of
relationship
Relationship
with any
Member of
UCO Bank Staff
( √ )
Yes / No
If yes,
Nature
of
relations
hip
Name of the UCO
Bank Staff
PFM No. Name of the
UCO Bank Staff
PFM No.
Category of the
UCO Bank Staff
( √ )
Officer/Clerk
/ Sub-staff
Present
Place of
Posting
Category of
the UCO Bank
Staff ( √ )
Officer/Clerk
/Sub-staff
Present
Place of
Posting
EDUCATIONAL QUALIFICATION
Applicant Co-Applicant
Academic
Qualification
Professional
Qualification
Academic
Qualification
Professional
Qualification
FAMILY MEMBERS
Applicant Co-Applicant
Minors (No.) Adults (No.) Minors (No.) Adults (No.)
No. of
Family
Members
No. of
Dependents
No. of
Family
Members
No. of
Dependents
OTHER INFORMATION
Applicant Co-Applicant
Pan Card/ GIR
no.
Ration Card
no.
Pan Card/
GIR no.
Ration Card
no.
Voter Id Card
no.
Passport no. Voter Id
Card no.
Passport no.
Driving License
no.
Office
Identity
Card no
Driving
License no.
Office
Identity
Card no
Relationship
between the
Applicant &
Co-applicant
UCO Bank
Application form - UCO Cash Loan Scheme 3
OTHER INFORMATION Applicant Co-Applicant
Age of Banking Relationship with
UCO Bank
New Customer / …………(Months)
/ …………. (Years)
New Customer / …………(Months)
/ …………. (Years)
Whether you are guarantor of
someone else? ( √ )
Yes / No
Yes / No
SB/Current a/c no. with UCO BANK
(CBS Branch)
OCCUPATION PARTICULARS:-
Applicant Co-Applicant
Occupation
( √ )
Service/Business/Professional/Selfemployed/
Agriculture/Retired/House
wife/Student/Others
Service/Business/Professional/Selfemployed/
Agriculture/Retired/House
wife/Student/Others
Designation
Department Designation Department
No. of years in
Present
Occupation
Emp / PF No. No. of years
in Present
Occupation
Emp / PF No.
Date of Retirement
(As per Employer’s
certificate)
Retirement
Age
Date of
Retirement
(As per Emp.
certificate)
Retirement
Age
Name of the
Employer /
Business
Organization
Address of the
Employer /
Business
Organization
Village/Town/
City
Post-
Office
Village/Town/
City
Post-
Office
District State District State
Pin Phone Pin Phone
Fax E mail Fax E mail
Nature of
Employment ( √ )
Transferable / Non- Transferable
Transferable / Non- Transferable
No. of years in the
present
occupation
INCOME PARTICULARS:-
Applicant Co-Applicant
Monthly Income from
Occupation (A)
Rs……………..
Rs…………….. (A)
Other Regular Income per
month (B)
Rs………
……
Source Other Regular
Income per
month (B)
Rs………..
Source
Total Monthly Income
(C=A+B)
Rs……………..
Rs…………….. (C=A+B)
Monthly Deductions /
Expenses (D)
Rs……………..
Rs…………….. (D)
Net Income (E=C-D)
Rs……………..
Rs…………….. (E=C-D)
Monthly Repayment (EMI) of
any outstanding loan/s
Rs……………..
Rs……………..
Monthly family maintenance
cost out of net take home pay
Rs……………..
Rs……………..
UCO Bank
Application form - UCO Cash Loan Scheme 4
LOAN PARTICULARS
1. Purpose of Loan
2. Proposed Expenditure as per Estimate
Rs……………..
3.
Margin Offered
Rs……………..
4.
Proposed Repayment Period for Term Loan (Months)
5.
Proposed Equated Monthly Instalment (EMI)
Rs……………..
PARTICULARS OF SECURITIES OFFERED
A. Personal guarantee offered, if any
Name of the Guarantor Nature of Relationship with the applicant/s, if any
1
2
B. Collateral Securities offered, if any
Description of Collateral Securities offered Present value of Collateral Securities
1
Rs……………..
2
Rs……………..
3
Rs……………..
DECLARATION
I/We declare that all particulars and information given in the application form are true, correct and
complete and that they shall form the basis of loan under UCO Cash Loan Scheme to be availed
from UCO Bank.
I/We confirm that we have had no insolvency proceedings against me/us nor have I/we ever been
adjudicated /insolvent.
I/we also agree to UCO Bank making enquiries in respect of the loan application made by me/us.
I/We further agree that my/our loan if sanctioned shall be governed by the rules of UCO Bank which
may be in force from time to time.
(Applicant’s Signature) (Co-Applicant’s Signature)
Date:- Date:-
Place:- Place:-
List of Enclosure:- As per Annexure
UCO Bank
Application form - UCO Cash Loan Scheme 5
Annexure
LIST OF DOCUMENTS TO BE SUBMITTED BY THE APPLICANT
{A} Statement of means of Applicant/s (format enclosed)
{B} Two passport size photographs of Applicant/s
{C} Proof of Identity/Age
Any two of the following documents but one document as mentioned in 1 – 5 below is mandatory
1. Ration Card
2. Voter’s Identity Card
3. PAN Card
4. Pass Port
5. Driving License
6. Office Identity Card
7. Birth Certificate
8. School Leaving Certificate
• Bank’s Pass Book/ Statement of accounts for last six month
** Submission of Bank’s Pass Book / Statement of accounts (of both for Applicant/s and Guarantor/s) for last six
month is COMPULSORY.
{D} Proof of Employment/Income
1. Employment Verification Certificate (Format enclosed)
2. Salary Slip for the last three months
3. Form 16 issued by the office
4. Income Tax Return/Assessment Order.
{E} Documents for Take Over Loans
1. Statement of Loan account with other bank/institution.
2. Copy of the sanction advice issued by the bank/institution
{F} Detailed Statement of Expenditure to be incurred.
{G} Additional documents, if any, as per the terms & conditions of UCO Cash loan scheme as well as norms
& guidelines of the Bank.