पंजाब ए ड संध बक

PUNJAB & SIND BANK

वाहन ऋण हे तु आवेदन प
APPLICATION FOR VEHICLE LOAN
पी. एस. बी. आटो ऋण योजना के तहत
UNDER PSB AUTO LOAN SCHEME

आवेदक का नाम

APPLICANT’S NAME _________________________________________________

सप
ु ु / सप
ु ु ी / प नी

S/o/ D/o/ W/o _________________________________________________

दरू भाष

TELE. NO./MOB. _________________________________________________

ऋण रा श

LOAN AMOUNT _________________________________________________

अव ध माह

TENURE OF LOAN _________________________________________________ Months

VEHICLE DEALER’S NAME _______________________________________

जहाँ सेवा ह जीवन !येय है |

Where service is a way of life
 PSB Auto Loan application form --Page 1 of 11

पंजाब ए ड संध बक AL 601

PUNJAB & SIND BANK
(भारत सरकार का उप म) / (A Government of India Undertaking)
Branch______________________________

The Branch Manager Space for latest Space for latest

Photograph of Photograph of
Punjab & Sind Bank the Borrower the Guarantor
________________
To be cross To be cross
________________ signed signed

Dear Sir,

You are requested to sanction me/ us a loan of Rs______________________

(Rupees__________________________________________only) for purchase of New/Used Vehicle
costing Rs____________________ (Rupees__________________________________ only) for my /
our bonafide use.

My / our detailed particulars are as under:

1. Name of the Applicant(s): _______________________________________________________

i. Names of the Partners/ Directors (In case of Firms / Companies)

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
ii. Age / D.O.B.____________________________________________________________

2. S/o/ D/o/ W/o: ________________________________________________________________

3. Residential Address _______________________________________________________

(Enclose address proof) _______________________________________________________

Owned / Rented/ Parental ______________________________________________________

If rented- monthly Rent ______________________________________________________

Residing since _______________________________________________________

4. Office Address __________________________________________

(Enclose address /Ownership proof) __________________________________________
 PSB Auto Loan application form --Page 2 of 11

5. Telephone/ Mobile no. __________________________________________

(Enclose copy of latest bill) __________________________________________
email __________________________________________

6. PAN /TAN No. ___________________________________________

(Enclose self attested copy)
7. Aadhaar No. ___________________________________________
(Enclose self attested copy)

8. Driving License No. ____________________________________________

(Enclose self attested copy)
9. Description of the Vehicle to be purchased/ Dealer’s details:
(Enclose Proforma Invoice/ Quotation):

Make Model Variant

Vehicle Dealer’s Name & Address:

___________________________________________________________________

10. Details of existing Savings / Current / Deposit Accounts:

Bank Account No. Name of the Bank Type of Account Balance

(Attach A/C Statement for last 6 months or Copy of Passbook for all accounts)

11. Annual Income: (Enclose last 3 years ITR along with computation of income)
Year 1: Rs………………………
Year 2: Rs………………………
Year 3: Rs………………………

12. Salary Details: (For salaried class enclose last 2 months salary slip)
a) Gross Monthly Salary: Rs.
b) Statutory deductions: (PF/ Income Tax etc.) Rs.
c) Other deductions Rs.
d) Net Salary after deductions Rs.
 PSB Auto Loan application form --Page 3 of 11

13. Details of all the loans outstanding as on date, if any

Name of the Bank Type of Loan Loan Balance Installment Frequency /

Outstanding Amount

(Attach statement of loan accounts for last 12 months and in case of working capital facilities
for last 6 months)

14. Tenure for which loan is required: ___________years____________months

15. Income available for repayment ______________________________________

16. Other Information:

a. Educational Qualification (individuals) __________________________________________

b. In case of Employees/ Professional / Businessman:-

Occupation & Nature of Business______________________________________________
Name of the Employer/ Name of firm___________________________________________
email address of the Employer / Business concern_________________________________
Date of appointment / Establishment of the profession/Business______________________
Place of posting / Business place_____________________________________________
Designation ______________________________________________________________
Date of Superannuation____________________________________________________

c. In case of Pensioners:
Retired from the organization: _________________________________________________
Designation at the time of retirement__________________________________________
Date of retirement_________________________________________________________
Details of Pension Payment Order ____________________________________________

d. Length of Experience in the service / occupation___________________________________

e. Marital status & number of dependants (Individuals) _______________________________

 PSB Auto Loan application form --Page 4 of 11

17. Details of the Guarantor:

a. Name ________________________________________________

b. S/o/ D/o/ W/o _________________________________________________

c. Residential Address _________________________________________________

(Enclose address proof)
_________________________________________________
Owned / Rented/ parental _________________________________________________

d. Office/ Business Address _________________________________________________

(Enclose address proof)
_________________________________________________

e. Telephone no./ Mobile No. ________________________________________________

(Enclose copy of latest bill) _______________________________________________
email _________________________________________ _______

f. PAN No. ________________________________________________

(Enclose self attested copy)

g. Aadhaar No. ________________________________________________

(Enclose self attested copy)
h. Annual Income: (Enclose last 3 years ITR along with computation of income)
Year 1: Rs………………………
Year 2: Rs………………………
Year 3: Rs………………………

i. Details of the Loans/ Deposit Accounts as on date:

Name of the Bank Type of Loan/ Deposit Loan Balance Outstanding/

Account/ Nature of Deposit Balance / Existing
Guarantee Guarantees
 PSB Auto Loan application form --Page 5 of 11

18. References of the Applicant: (Name and Address of two referees who are not related to you)

Reference 1 Reference 2
Name: __________________________________ Name: ___________________________________
Address:__________________________________ Address:____________________________________
__________________________________ ____________________________________
__________________________________ ____________________________________
__________________Pin_____________ ___________________Pin_____________
Occupation: Occupation:
Tel No.: Tel No.:
Mobile No. : Mobile No. :

19. Declaration: I / we hereby declare / confirm

a) that the facts mentioned in the application are true to the best of my knowledge
b) that I am not a defaulter of any Bank / Financial Institution and none of my accounts is settled
by rebate in the past.
c) that I am not related to any officer/ director of the Bank.

20. CONDITIONS
a) The repayment of the advance with post diem interest at the stipulated rate till actual
payment of debit balance in Bank’s office, whether lump sum or in instalments, shall be
made at the offices from which the advance is taken.

b) i) The bank has a right to adjust the whole or part of the amount due to the Bank from the
deposits or other funds to be paid to or at the disposal of the constituent from whatsoever
account or source.
ii) The Bank’s lien on all deposits, pledged or hypothecated goods, ornaments and Bank’s
mortgaged rights regarding immoveable property mortgaged with the Bank by a registered
mortgaged deed or by deposits of title deeds shall extend to any other sum from which the
customer may be separately or jointly indebted or liable to the Bank at any of its offices.
c) All expenses incurred by the Bank in connection with any loan account, such as
travelling expenses (according to Bank rules), litigation expenses of any sort, inspection or
enquiry expenses and any other out-of-pocket expenses of any kind whatsoever shall be
debited to the customer’s loan account as amount advanced.
d) The Head Office of the Bank being at New Delhi, the said Bank will be at liberty to sue the
borrower at New Delhi or their office where the account is maintained or transferred by the
Bank at my request or in its absolute discretion.
e) All expenses connected with the insurance will be paid by the borrower or debited to his/her
loan account.

Signature of the Applicant(s) Signature of the Guarantor(s)

Place :
Date :
 PSB Auto Loan application form --Page 6 of 11

RECEIPT/ACKNOWLEDGEMENT OF LOAN APPLICATION- Receipted on dt.

……………………………………………Please detach from here……………………………………………………..

Receipt/Acknowledgment For Loan Application

Serial No.______ Branch._________

Date: ___________

Received From__________________________________________________________________
Application for Loan for purchase of Four wheeler / Two wheeler for Rs……………………
along with prescribed documents. Processing fee of Rs………….. shall be charged on the
sanctioned amount. Disposal of the loan application shall be done within……… days subject,
however, to submission by you of complete/ addition information desired by the Bank required for
appraisal of your loan application as under:
1._____________________________________________________________
2._____________________________________________________________
3._____________________________________________________________
4._____________________________________________________________
5._____________________________________________________________

Signature of the Loan Officer Signature of the Branch Manager

Name: Name:

Place:
Date
 PSB Auto Loan application form --Page 7 of 11

पंजाब ए ड संध बक
PUNJAB & SIND BANK
(भारत सरकार का उप म) / (A Government of India Undertaking)

DOCUMENTS REQUIRED FOR PSB AUTO LOAN

1. For New Vehicle - Proforma Invoice of the Vehicle

2. For Old Vehicle - Offer letter from the seller /Valuation from authorized workshop / copy of old
RC / Running Insurance copy.
3. ID Proof of Applicant(s)/ Guarantor(s) (Partners/ directors in case of Corporate Applicants)
4. Two Photographs each of Applicant(s) / Guarantor(s)
5. Address Proof of Applicant(s)/ Guarantor(s)
6. Latest copy of Telephone Bill (Land line or Post paid connection at Residence and Business place)
7. Copy of PAN/ TAN no.
8. Copy of Aadhaar.
9. Copy of Driving License
10. Copy of IT Assessment order/ IT Return along with computation (form no. 16 for salaried class)
for last 3 years.
11. Last 2 months salary certificates (for Salaried class) along with the particulars such as -:
deductions; Date of joining; date of superannuation; Permanency of employment/ Copy of PPO in
case of pensioners.
12. For Businessman/Professionals, latest ITR for assessment of repayment capacity. For cases other
than service class any other authentic document to the entire satisfaction of Branch Manager
justifying the repayment capacity.
13. Bank statement for last 3 months, where salary income is credited for Individual Applicant and
Bank statement for last 6 months for Applicants other than individuals where business income is
credited along with details of account i.e. No. and Nature of account; date of opening the account.
14. Assets Liabilities statement on the prescribed format for Individual Applicants. Last three years
Financial Statements for Applicants other than Individual Applicant.
15. Partnership deed for Partnership firm, Memorandum of Association, Article of Association and
Board Resolution for Joint Stock Companies.
16. Cheque for Processing fee and One Cancelled cheque of the account from which EMI (PDC) is to be
given (for Signature verification). PDC/ECS instructions for required EMIs to be obtained from
account where salary/ business income is credited in all the cases. In case of ECS instructions, one
undated cross cheque favoring PSB Loan account no & name (of the borrower) to be taken.
Stamped undertaking to be obtained from the borrower that he/she will not revoke the ECS
instructions till the currency of the bank loan
17. For Take-over cases, statement of the Loan account, since inception, to be submitted.
18. Charges & Fees: The prevailing charges may be obtained from Branch Incharge or Bank’s
website.
 PSB Auto Loan application form --Page 8 of 11

पंजाब ए ड संध बक AL 602

PUNJAB & SIND BANK (Borrower)
(भारत सरकार का उप म) / (A Government of India Undertaking)
Branch_______________________________
Date_______________
The Branch Manager,
Punjab & Sind Bank
_____________________

Dear Sir,
Reg: MY ASSETS AND LIABILITIES
I hereby append below the details of my assets and liabilities as required by you in connection with credit
facilities being sanctioned/renewed/reviewed by your Bank to me/us.

1. Name of the applicant:

2. S/o/ D/o/ W/o:

3. a. Details of the main occupation:

including all connected and
associated occupations

3. b. Constitution:

4. DOB/ Year in which established:

5. Address: Business: Tel. No.

Residence Tel. No.

6. In case of Firm/Co./HUF
Full name of the Proprietor, partner, :
Karta and Co-partners, Directors, etc.
and their relationship with each other
if any (Brief report on the business
means / assets of partners, directors
to be given on the reverse)

7. Investment in business: Rs.

 PSB Auto Loan application form --Page 9 of 11

8. Other Assets:
Fixed Assets- Property
Name of the Owner Address of the Property Value

Details of Vehicle(s)
Name of the Owner Description of the Vehicle & Registration Value
No.

Deposit Account (s)

Nature of account(s) Bank’s Name Account No.

Others
Cash in Hand/ Shares/ Holdings/ Description Value
Capital

9. Liabilities:
Vehicle Loan(s)
Date of Sanction Loan Amount Outstanding Balance

Housing Loan(s)
Date of Sanction Loan Amount Outstanding Balance

Other Loans/Liabilities
Date of Sanction Loan Amount Outstanding Balance

10. Worth = Assets - Liabilities:

I certify that the above information is true and correct. I also confirm that no suit has been filed by any bank
/ financial institution against me or any of the firms or companies in which I am proprietor / partner /
guarantor / director.

Signature of the Borrower

VERIFIED BY

LOAN OFFICER BRANCH MANAGER

 PSB Auto Loan application form --Page 10 of 11

पंजाब ए ड संध बक AL 603

PUNJAB & SIND BANK (Guarantor)
(भारत सरकार का उप म) / (A Government of India Undertaking)
Branch_______________________________

Date_______________
The Branch Manager,
Punjab & Sind Bank
_____________________

Dear Sir,
Reg. : MY ASSETS AND LIABILITIES
I hereby append below the details of my assets and liabilities as required by you in connection with credit
facilities being sanctioned/renewed/reviewed by your Bank to Mr./Mrs___________________________
(Applicant)
1. Name of the Guarantor:

2. S/o/ D/o/ W/o:

3. a. Details of the main occupation:

including all connected and
associated occupations

3. b. Constitution:

4. DOB/ Year in which established:

5. Address: Business: Tel. No.

Residence Tel. No.

6. In case of Firm/Co./HUF
Full name of the Proprietor, partner, :
Karta and Co-partners, Directors, etc.
and their relationship with each other
if any (Brief report on the business
means / assets of partners, directors
to be given on the reverse)

7. Investment in business: Rs.

 PSB Auto Loan application form --Page 11 of 11
8. Other Assets:
Fixed Assets- Property
Name of the Owner Address of the Property Value

Details of Vehicle(s)
Name of the Owner Description of the Vehicle and Registration Value
No.

Deposit Account (s)

Nature of account(s) Bank’s Name Account No.

Others
Cash in Hand/ Shares/ Holdings/ Description Value
Capital

9. Liabilities:
Vehicle Loan(s)
Date of Sanction Loan Amount Outstanding Balance

Housing Loan(s)
Date of Sanction Loan Amount Outstanding Balance

Other Loans/Liabilities
Date of Sanction Loan Amount Outstanding Balance

10. Worth = Assets - Liabilities:

I certify that the above information is true and correct. I also confirm that no suit has been filed by any bank
/ financial institution against me or any of the firms or companies in which I am proprietor / partner /
guarantor / director.

Signature of the Guarantor

VERIFIED BY

LOAN OFFICER BRANCH MANAGER

पंजाब ए ड संध बक के साथ अपने सपने साकार कर|
FULLFILL YOUR DREAMS WITH PUNJAB & SIND BANK

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• PSB PERSONAL LOAN SCHEME