Application Form For Baroda Loan To Pensioners
Application Form For Baroda Loan To Pensioners
Application Form For Baroda Loan To Pensioners
Dear Sir/Madam,
I/We have read the terms & conditions of your scheme and hereby agree to abide by
the same. I/We hereby submit below the particulars as required by you to enable you to
do the needful.
APPLICANT CO-APPLICANT
1 NAME IN FULL
2 FATHER'S NAME
3 DATE OF BIRTH/ AGE
4 ADDRESS:
PRESENT
CONTACT TEL./ E-
mail
PERMANENT
CONTACT TEL./ E-
mail
5 TYPE OF Central Civil / Defence / Railway Central Civil / Defence /
PENSIONER / State Govt. / BOB / Other Railway / State Govt. / BOB /
Other
6 PPO Number
8 Drawing pension
through the Branch
since
9 Gross Monthly
pension
10 Total Deductions
12 OTHER INCOME
(including that of
family members :
Please specify)
13 Details of Nominee for Family Pension
Name (if minor, RELATION AGE ADDRESS
name of Guardian)
14 Details of Legal Heirs
I/We hereby declare that all the particulars and information furnished herein above are
true, correct and complete and they shall form the basis of any credit decision to be
taken by the Bank.
Date :
Place : (Signature of Applicant) (Signature of Co-applicant)
Security/Documents
(Tick whichever is applicable)
Date : Date :
Place : Place :