UCO Bank. Sub: - Application for Term Loan under UCO Two Wheeler Loan Scheme

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1 To The Manager UCO Bank..Branch Passport size Photograph Passport size Photograph Sir / Madam, Sub: - Application for Term Loan under UCO Two Wheeler Loan Scheme I / We apply for sanction of a term loan limit of Rs.. in favour of me/ us for purchase of a Two Wheeler under UCO Two Wheeler Loan Scheme and furnish below the necessary information & relevant particulars:- Name (In Block letter) First Name Middle Name Surname First Name Middle Name Surname Father s Name Husband s Name Date of Birth (dd/mm/yyyy) (years) Date of Birth (dd/mm/yyyy) Gender Male/Female Male/Female (years) Marital Status Married/ Bachelor/Widow/Widower/ Divorced Married/ Bachelor/Widow/Widower/ Divorced Category Gen/SC/ST/OBC Gen/SC/ST/OBC CURRENT ADDRESS Address (Holding/ Premises Flat/floor Street Ward etc.) /Corporation / Panchayat Village/Town /Corporation / Panchayat Village /Town City Post- City Post- District State District State Pin Code E mail Pin Code E mail Phone Mobile Phone Mobile years in Current Address Application form - UCO Two Wheeler Loan Scheme 1

2 PERMANENT ADDRESS Address (Holding/ Premises Flat/floor Street Ward etc.) /Corporation / Panchayat Village/Town /Corporation / Panchayat Village /Town City Post- City Post- District State District State Pin Code Phone Pin Code Phone RELATIONSHIP WITH ANY MEMBER OF UCO BANK STAFF Relationship with any Member of UCO Bank Staff Name of the UCO Bank Staff Category of the UCO Bank Staff Yes / No r/clerk / Sub-staff If yes, Nature of relationship PFM No. Present Place of Posting Relationship with any Member of UCO Bank Staff Name of the UCO Bank Staff Category of the UCO Bank Staff Yes / No r/clerk /Sub-staff If yes, Nature of relations hip PFM No. Present Place of Posting EDUCATIONAL QUALIFICATION Academic Professional Academic Professional FAMILY MEMBERS Minors (No.) Adults (No.) Minors (No.) Adults (No.) Family Members Dependents Family Members Dependents OTHER INFORMATION Pan Card/ GIR Voter Id Card Driving License Relationship between the & Co-applicant Ration Card Passport Identity Card no Pan Card/ GIR Voter Id Card Driving License Ration Card Passport Identity Card no Application form - UCO Two Wheeler Loan Scheme 2

3 OTHER INFORMATION of Banking Relationship with UCO Bank New Customer / (Months) New Customer / (Months) /. (Years) /. (Years) Whether you are guarantor of someone else? Yes / No Yes / No SB/Current a/c with UCO BANK (CBS Branch) OCCUPATION PARTICULARS:- 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 years in Present Occupation Date of (As per Employer s certificate) Name of the Employer / Business Organization Address of the Employer / Business Organization Emp / PF No. years in Present Occupation Date of (As per Emp. certificate) Emp / PF No. Village/Town/ City Post- Village/Town/ City Post- District State District State Pin Phone Pin Phone Fax E mail Fax E mail Nature of Employment Transferable / Non- Transferable Transferable / Non- Transferable years in the present occupation INCOME PARTICULARS:- Monthly Income from Occupation (A) (A) Other Regular Income per Source Other Regular Source month (B) Rs Income per month (B) Rs.. Total Monthly Income (C=A+B) (C=A+B) Monthly Deductions / Expenses (D) (D) Net Income (E=C-D) (E=C-D) Monthly Repayment (EMI) of any outstanding loan/s Application form - UCO Two Wheeler Loan Scheme 3

4 PARTICULARS OF TWO WHEELER PROPOSED TO BE PURCHASED 1. Manufacturer & Model* 2. Name of the Dealer / Seller 3. Type/Class of Two Wheeler 4. Year of Manufacture (yyyy) Cost of New Two Wheeler (Show room price) Cost of Accessories Cost of Insurance (One year) Cost of Registration /Road Tax (One year) Total Cost of the Two Wheeler ( ) LOAN PARTICULARS 1. Margin Offered 2. Proposed Repayment Period for Term Loan (Months) 3. Proposed Equated Monthly Instalment (EMI) 4. Proposed Mode of Repayment Deduction at source (salary & terminal benefits) by the Employer / Post- Dated Cheques 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 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 Two Wheeler Loan Scheme to be availed from UCO Bank. Application form - UCO Two Wheeler Loan Scheme 4

5 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. ( s Signature) ( s Signature) Date:- Place:- Date:- Place:- List of Enclosure:- As per Annexure Application form - UCO Two Wheeler Loan Scheme 5

6 LIST OF DOCUMENTS TO BE SUBMITTED BY THE APPLICANT Annexure {A} Statement of means of /s (format enclosed) {B} Two passport size photographs of /s {C} Proof of Identity/ 1. Ration Card 2. Voter s Identity Card 3. PAN Card 4. Pass Port 5. Driving Licence (Any one document of the above documents (1-5) is compulsory) 6. Identity Card 7. Birth Certificate 8. School Leaving Certificate (Any one document of the above documents (6-8) is compulsory) 9. Bank s Pass Book/ Statement of accounts for last six month ** Submission of Bank s Pass Book / Statement of accounts (of both for /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} Proof of undertaking the business (For Non-Salaried Class people) a) Trade license b) The statement of accounts c) Financial statements {F} In case of Two Wheeler :- Quotation/Invoice from the reputed authorized dealer {H} Additional documents, if any, as per the terms & conditions of UCO Two Wheeler loan scheme as well as norms & guidelines of the Bank. Application form - UCO Two Wheeler Loan Scheme 6

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