IIFL Home Finance Ltd (formerly known as India Infoline

Housing Finance Ltd)

LOAN APPLICATION FORM • CIN: U65993MH2006PLC166475

• NHB Registration No.: 02.0070.09
• Email: [email protected]
• Website: www.iifl.com/home-loans

Serial No. ________________________________

Branch Location
Please affix recent Please affix recent
Prospect ID Customer ID
photograph of photograph of
Date of Application Source
Applicant Co-Applicant Loan Amount Tenure
Sign across Photograph Sign across Photograph If existing customer Yes No If yes Loan No.
Preferred mailing address: Residence Office Permanent
(Please tick ü any one) (Please fill the form in BLOCK Letters)

Loan Rate Residential Status Transaction Type End Use

Resident NRI BT Refinance HOME LOAN LAP
Fixed Floating Purchase Construction Asset Purchase
PIO Fresh
Others (Please Specify
Citizenship Plot Improvement/
Extension ______________ Business)
India Others
Name of the Buyout Bank
PERSONAL DETAILS OF APPLICANT/ CO-APPLICANT
APPLICANT CO-APPLICANT
Title Mr. Mrs. M/s. Title Mr. Mrs. M/s. Relation with applicant
First Name First Name
Middle Name Middle Name
Surname Surname
Father’s/Spouse’s name Father’s/Spouse’s name
Mother’s Maiden Name Mother’s Maiden Name
Date of Birth D D M M Y Y Y Y Gender Male Female Others Date of Birth D D M M Y Y Y Y Gender Male Female Others

Marital Status Single Married Others Marital Status Single Married Others
No. of Dependents: Children Parents Others No. of Dependents: Children Parents Others
Qualification High School Graduate Post Graduate Qualification High School Graduate Post Graduate
Others Others
Category SC ST General OBC Others Category SC ST General OBC Others
PAN PAN
Driving Lic. No. Expiry date Passport No. Driving Lic. No. Expiry date Passport No.
Issued date Valid upto Issued date Valid upto
Voter Identity No. Voter Identity No.
AADHAR AADHAR
Visa Valid upto (if NRI/ PIO) Visa Valid upto (if NRI/ PIO)
Social Security No. (if NRI/ PIO) Social Security No. (if NRI/ PIO)
Mobile Mobile
Email Email
Current Address Current Address
Landmark Landmark
City/Town District City/Town District
Pin Code State Pin Code State
Country Country
Residence type Rented Owned Residence type Rented Owned
No. of Years of Residence No. of Years of Residence
Landline No. Landline No.
Permanent address Permanent address
Landmark Landmark
City/Town District City/Town District
Pin Code State Pin Code State
Country Country

HL/FY/2018/05/15
 LOAN APPLICATION FORM
EMPLOYMENT/ OCCUPATION DETAILS
Occupation : Salaried SEP SENP Occupation : Salaried SEP SENP
Housewife Retired Student Housewife Retired Student
Name of Current Employer/ Business Firm Name of Current Employer/ Business Firm

Address of Current Employer/ Business Firm Address of Current Employer/ Business Firm
Landmark Landmark
City/Town District City/Town District
Pin Code State Pin Code State
Country Country
Landline Landline
Fax: Fax:
Address type: Resi./ Busi. Resi. Busi. Reg. Office Address type: Resi./ Busi. Resi. Busi. Reg. Office
Years of Current job /Employment Years of Current job /Employment
Total Work Experience Total Work Experience
Nature of Business Nature of Business
Date of Incorporation D D M M Y Y Y Y Date of Incorporation D D M M Y Y Y Y
Type of Industry: Type of Industry:
Manufacturing/ Engineering/ Construction Banking/ Manufacturing/ Engineering/ Construction Banking/
Financial Services Media/ Entertainment/ Hospitality Financial Services Media/ Entertainment/ Hospitality
Central/ State Govt. FMCG Education Retail Central/ State Govt. FMCG Education Retail
IT/ITeS/Telecom Others IT/ITeS/Telecom Others
Type of Organisation: Type of Organisation:
Proprietorship Partnership Public Limited Proprietorship Partnership Public Limited
Govt. PSU MNC Govt. PSU MNC
If Salaried: If Salaried:
Central Govt. State Govt. Public/ Private Sector Central Govt. State Govt. Public/ Private Sector
NGO Statutory Body Professional NGO Statutory Body Professional
If Govt. Employee If Govt. Employee
Civil Police/ Enforcement Defense Services Civil Police/ Enforcement Defense Services
PSU Other PSU Other
Department Department
Employee ID Employee ID
Designation Designation
If Self-Employed: Business Profession If Self-Employed: Business Profession
Other Nature of Business (Products/Services provided) Other Nature of Business (Products/Services provided)
Type of Profession: Doctor Architect CA Type of Profession: Doctor Architect CA
Lawyer Others Lawyer Others
Official/ Business Email ID Official/ Business Email ID
Previous Organisation (If Previous Organisation (If
current employment is less current employment is less
than year)/ City than year)/ City

FINANCIAL DETAILS (IN INR LAKHS)

Gross Annual Income Gross Annual Income
Other Annual Income Other Annual Income
Assets/ Immovable Assets/ Immovable
investments Securities investments Securities
Other investments Other investments
Bank Balance Bank Balance
Total Total

Liabilities O/S Amount EMI Bal tenor Liabilities O/S Amount EMI Bal tenor
Home Loan Home Loan
Personal Loan Personal Loan
Two Wheeler Two Wheeler
Loan Loan
Credit Card O/S Credit Card O/S
Other Other
Total Total
HL/FY/2018/05/15
 LOAN APPLICATION FORM
BANK DETAILS
Name of Bank Name of Bank
Branch address Branch address
Type of Account Savings Current Cash credit OD Type of Account Savings Current Cash credit OD
Account No. Account No.
Account Operational since Account Operational since
COST AND FUND INFORMATION (LOAN DETAILS)
Fund required Sources of Funds
Construction/ Purchase Estimate Amount already spent
Sale Agreement (Personal Savings)
Registration/ Stamp duty charges Amount already spent(Business)
Incidental expenses Other borrowing/ Loans
Business Requirement Others
Total Fund Requirement Loan Applied for
Total Source of Funds

PROPERTY DETAILS
Type of Construction: Ready Under Construction Type of Property: Residential Commercial Mixed Usage Plot
Status of Property: Self- Occupied Partly Rented Partly Vacant
Name of the Current Owner
Property Address
Land Mark City Pin Code State
INITIAL FEE DETAILS
Bank Account Name Date
Branch
Cheque No. Amount* (*The initial amount collected is not refundable)
PROOF SUBMITTED
APPLICANT CO-APPLICANT
Identity: Passport Pan Card Voter’s ID Identity: Passport Pan Card Voter’s ID
(Individual) Driving Licence Aadhar Card Others_____ (Individual) Driving Licence Aadhar Card Others_____
Identity: Passport Pan Card Voter’s ID Identity: Passport Pan Card Voter’s ID
(Entity) Driving Licence Aadhar Card Others_____ (Entity) Driving Licence Aadhar Card Others_____
Address Proof: Address Proof:
Bank Account Statement Telephone Bill Electricity Bill Bank Account Statement Telephone Bill Electricity Bill
Ration Card Aadhar Card Others_____ Ration Card Aadhar Card Others_____
POI: Certificate of Incorporation Registered Certificate POI: Certificate of Incorporation Registered Certificate
MOA / Partnership Deed MOA / Partnership Deed
POA: Certificate of Incorporation Registered Certificate POA: Certificate of Incorporation Registered Certificate
MOA / Partnership Deed MOA / Partnership Deed

REFERENCES
Name: 1 Name: 2
Address: Address:

City Pin Code City Pin Code

State Country State Country
Phone Mobile Phone Mobile
E mail E mail
Relation Relation
" " " " "
DOCUMENT CHECKLIST:
For quick approval and disbursement, please make sure to submit the below documents
Identity Proof Valid passport, Valid Driving Licence, Voter’s Id Card, Pan Card, Aadhar Card (üTick Here)
Residence Address proof Driving License (Valid), Utility Bill (latest Passport (Valid), Voter’s ID Card, Ration Card (üTick Here)
Income proof Salaried (Latest Form 16/ITRs, Salary Slips for MNC, PSU, renowned Pvt. Ltd companies & Govt. Employees only) Self-
Employed (2 yrs ITRs, Balance sheet & P&L accounts) (üTick Here)
Bank Statement Last six months statements ( üTick Here)
Asset Documents Photocopy of original Sale Deed/ Lease Deed, Allotment/ Possession Letter, NOC from Society & other Documents as per legal Report
Photographs Passport size photographs for all applicants & co-applicants.
For any other options, our sales executive will be happy to help you

HL/FY/2018/05/15
 LOAN APPLICATION FORM
CLSS ELIGIBILTY CRITERIA
No. Particular CLSS EWS/LIG Scheme CLSS - MIG-I CLSS - MIG- II
1. Household Income (P.A `) Upto 6 Lakhs Above 6 lakh to 12 Lakhs Above 12 lakh-18 Lakhs
2. Dwelling Unit Carpet Area Upto 60 Sqmtr but can build a bigger house Upto 90 Sqm Upto 110 Sqm
3. Female Ownership Mandatory Desirable Desirable
4. Eligible Housing Loan for Subsidy (`) Upto 6 Lacs Upto 9 Lacs Upto 12 Lacs

PRIORITY SECTOR CATEGORY / MSME DETAILS

If applicant belongs to any of the below category, please ütick the relevant box:
Manufacturing Enterprise with investment in Plant and Machinery Please tick ü Services Enterprise with investment in equipment Please tick ü
Upto `25 lakh (Micro) Upto `10 lakh (Micro)
Above `25 lakh upto `5 Crore (Small) Above `10 lakh upto `2 Crore (Small)
Above `5 Crs upto `10 Crs (Medium) Above `2 Crs upto ` 5 Crs (Medium)

(Please specify the Value of investment `. ………………...) (Please specify the Value of investment `. ………………..)

DECLARATION
I/We are applying for Loan of ` _______________. I/We understand that sanction of the loan is at the sole discretion of IIFL Home Finance Limited* (IIFL HFL) which reserves its
right to reject the application after communicating the reasons for rejection and that IIFL HFL shall not be responsible /liable in any manner whatsoever, to me/us for such
rejection or any delay in notifying me/us of such rejection and any costs, losses, damages or expenses, or other consequences, caused by reason of such rejection of our
application. I/we understand and agree that IIFL HFL and/ or its group companies reserve the rights to retain the photographs and documents submitted with this application
and will not return the same to me/ us. I /We represent that I/We am / are a citizen of India and our company/ firm is registered in India. I/We represent that I / We have not been
declared insolvent nor have any insolvency/bankruptcy proceeding been initiated against me/us. I/We represent that information furnished by me/us in this application is
true and correct, I/We represent that I/We have not defaulted on any loan repayments with any Banks/ FIS. I/ we have no objection to IIFL HFL and/ or its group companies and/
or its agents providing me information on various products, offers and services provided by IIFL HFL and/ or its group companies through any mode (including telephone
calls, SMSs/ emails, letters etc.) and authorize IIFL HFL and/ or its group companies and/ or its agents for the above purpose. I/we confirm that laws in relation to the unsolicited
communication referred in "National Do Not Call Registry" as laid down by 'TELECOM REGULATORY AUTHORITY OF INDIA' will not be applicable for such information/
communication to me/us. I/we undertake to inform IIFL HFL and/ or its group companies and/ or its agents regarding the change in any of the information furnished and to
provide any further information/ documents that IIFL HFL and/ or its group companies and/ or its agents may require. I / We agree and accept that IIFL HFL may by its self or
through authorised persons, Lawyers, agencies, bureau, etc. Verify any information given, check credit references, employment details and obtain credit reports to determine
any creditworthiness from time to time at discretion of IIFL HFL. The initial money deposit is not refundable. I/We have read through the terms and the conditions of the grant
of loan and have understood the implications of the terms and conditions. The aforementioned details in application and other documents have been explained to me/us in
the Language understood by me/us and I/We have understood the entire meaning of the various clauses and executed the same.
CLSS DECLARATION:
I/ We undertake and confirm that I/we have been informed about the Credit Linked Subsidy Scheme under the Pradhan Mantri Awas Yojana (PMAY-CLSS) for EWS & LIG and
MIG in detail by the IIFL HFL. I/ We understand and confirm that subsidy would be credited in my/ our loan account, if found eligible.
PSL DECLARATION:
I/We agree and confirm that I/We have not availed any other loan from any other source for purchase/construction of a dwelling unit (”Purpose”) and in the event this facility is
granted to me/us by IIFL Home Finance Ltd , the same shall be utilized only for the Purpose defined herein above.
Neither me/of us, nor any of my/our household members own any other dwelling units in any other location whatsoever. For the Purpose of this declaration the term family
shall mean and include the Applicant / Co-Applicant, his/her spouse and his/her dependent children respectively.
Please confirm: YES NO

Signature/Thumb
Signature/Thumb Impression of the Impression of the
Applicant / Authorised Signatory Co-Applicant /
Authorised Signatory
Date Stamp/
Seal (If Date Stamp/
Seal (If
Applicable) Applicable)
Place Place
FOR OFFICE USE ONLY
Source Exec. code
DSA Name & Code /
DSA
Other Channel Stamp
RM Name RM Code
Risk Categorisation : Low Medium High

Corporate Office: Plot No.98, Udyog Vihar, Phase - IV, Gurgaon - 122015 (Haryana) • Tel.: (0124) 4754900 • Email ID - [email protected] • Website - www.iifl.com/home-loans
Registered Office: 12A-10, 13th floor, Parinee Crescenzo, C-38 and C-39, G Block, Behind MCA, Bandra Kurla Complex, Bandra East, Mumbai - 400051
Tel: (91-22) 67881000 • Fax: (91-22) 6788101O • Toll-Free: 1800-3000-1155 • Email: reach@iihfl. com • Website: www.iifl.com/home-loans

" " " " "

LOAN APPLICATION ACKNOWLEDGMENT
Serial No. ________________________________
We acknowledge the receipt of your loan application to IIFL Home Finance Limited* (IIFL HFL). We will get back to you either in writing (Letter or
e-mail) or via telephone with status of your loan applicable with us within 15 working days. This is subject to you furnishing all the necessary
documents as mentioned in the application form or as communicated to you by IIFL HFL during the loan appraisal process.
Customer's Name
Relationship Manager Mobile No. of the RM
Date
*IIFL Home Finance Ltd (formerly known as India Infoline Housing Finance Ltd) • CIN: U65993MH2006PLC166475 • NHB Registration No.: 02.0070.09 Stamp & Signature
Tel : (91-22) 6788 1000 • Fax : (91-22)67881010 • E-mail: [email protected] • Website: www.iifl.com/home-loans

HL/FY/2018/05/15