Loan Details
Bank
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Loan Info
Requested Loan Amount*
Requested Loan Tenure*
months
Personal Info
Salutation*
Please select
Mr.
Ms.
Dr.
Mrs.
Col.
Lt. Col.
Maj.
Brig.
Capt.
Prof.
Others
First Name*
Last Name*
Email
Mobile No.*
Mortgage
Application Info
Requested Loan Amount
Requested Loan Tenure
months
Application ID*
Application Date*
Application Form No.*
Asset Info
Model*
Seltos
Sub model*
KIA Seltos D1.5 CRDI VGT 6MT HTK
Ex-showroom price*
On-road price*
Customer Info
Applicant Type*
Primary value
Relationship No.*
First Name*
Middle Name
Last Name
PAN No.*
15 digits
Gender*
Title*
M/S
MX.
Mr.
Mrs.
MS
DOCTOR
Constitution*
Religion*
select
CHRISTIAN
HINDU
JAIN
JEW
MUSLIM
PARSI
SIKH
ZOROASTRIANS
BUDDIST
NOT AVAILABLE
OTHERS
Education
Employment Info
Employment Type*
Company Name
Employer Name*
Gross Annual Income*
Net Annual Income*
Gross Monthly Income*
Net Monthly Income*
Current Company Experience in Years*
Years
Current Company Experience in Months*
Months
Address Info
Address Type*
Residence Address
Address Line 1*
Address Line 2
Address Line 3
Address Line 4
State*
City*
District*
PIN code*
Current address in Years*
Years
Current address in Months*
Months
Address Type*
OFF/BUSINESS ADDRESS
Address Line 1*
Address Line 2
Address Line 3
Address Line 4
State*
City*
District*
PIN code*
Current address in Years*
Current address in Months*
Address Type*
Permanent Address
Address Line 1*
Address Line 2
Address Line 3
Address Line 4
State*
City*
District*
PIN code*
Current address in Years*
Current address in Months*
Mailing Address
OFF/BUSINESS ADDRESS
Permanent Address
Residence Address
No Mailing Address
Eligibility Info
Document List
Message
Rule ID
Expected Tenure
Segment
Processing Fee
Remarks
Loan Amount
Total Cost
Reserved filled
Reserved filled
Reserved filled
Reserved filled
Rate
KYC waiver
Reserved filled
FCPG waiver
Expected Loan Amount
Rate Type
Forward To
Admin Charges
Loan Tenure
Reserved filled
Fiwaiver
Reserved filled
Loan EMI
Eligible of Loan
Minimum Loan Tenure
Reserved filled
Loan offer rate
Reserved filled
Total Saving Amount
Reserved filled
Maximum Loan Amount
Minimum Loan Amount
Reserved filled
Loan Offer EMI
Total interest on Loan
Total Loan Tenure
.%
Total Loan processing Fee
Asset Cost
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Personal Info
First Name*
Last Name*
Mobile No.*
PAN No.*
Date of Birth*
Branch*
Please select
EAST PATEL NAGAR MAIN ROAD BRANCH
KAPURBAWDI BRANCH
Shastri Nagar
PITAMPURA KOHAT ENCLAVE
Tilak Nagar
TILAKNAGAR - CHEMBUR
NARSINH CENTRE
MITHAPUR BRANCH
ANJAR - GUJARAT
VYARA BRANCH
THANGADH
BORIVALI WEST CHAMUNDA CIRCLE
ZADESHWAR BRANCH
MALAD EAST - UPPER GOVIND NAGAR
CHEMBUR - C.G.ROAD
GURUNATH SANKUL
RAIGARHC.G-CHAITANYAANAGAR
GANGTOK - NATIONAL HIGHWAY 31 A
Eluru Road
SARDULGARH-ANAJMANDI-PUNJAB
Bahadurpur
TANDA ROAD
THANE WEST TALAOPALI
Modinagar
SHAMSHABAD ROAD AGRA
PALLAVPURAM - MEERUT
JAKHAL
JLN ROAD - ALLAHABAD
LANKA BRANCH
FARIDABAD SECTOR - 14
Remark
Comments*
HDFC Lead
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Loan Amount
Tenure
Existing Customer*
Yes
No
Personal Details
Salutation*
MR.
MS.
First Name*
Last Name*
Mobile Number*
Email id*
General Information
State
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Living City*
Please select
Living Since (Year)*
1950 year
1951 year
1952 year
1953 year
1954 year
1955 year
1956 year
1957 year
1958 year
1959 year
1960 year
1961 year
1962 year
1963 year
1964 year
1965 year
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2005 year
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2009 year
2010 year
2011 year
2012 year
2013 year
2014 year
2015 year
2016 year
2017 year
2018 year
2019 year
Residence Type*
OTHERS
RENTED
OWNED
Gender*
Female
Male
Third Gender
Date of Birth*
Residence Address Details
Address Line 1*
Address Line 2*
Address Line 3
State*
Please select
City*
please select
Pin Code*
Landmark*
Other Information
Religion*
Please select
CHRISTIAN
HINDU
JAIN
JEW
MUSLIM
PARSI
SIKH
ZOROASTRIANS
BUDDIST
NOT AVAILABLE
OTHERS
Marital Status*
Please select
Married
Single
Divorcee
Widow
No of Dependents*
Category*
Please select
SC
ST
OBC
General
Loan Purpose*
Please select
Renovation
Furnishing
Acquisition of Assets
Education
Marriage
Closure of Existing Loans
Personal Use
Travel
Medical Purpose
Others
Profession*
Please select
Employment Details
Employment Status*
Salaried Employment & Income
Self Employed & Income
Employer*
Please select
Qualification*
Please select
SELF - EMPLOYED
SALARIED
Professional Qualification
Please select
MBA
Doctor
Others
Engineer
CA
Graduate
Monthly Salary*
Qualification*
Please select
SELF - EMPLOYED
SALARIED
Professional Qualification
Please select
MBA
Doctor
Others
Engineer
CA
Graduate
Monthly Income*
Previous Year Profit*
Lastest Year Profit After Tax
Latest Year Depreciation
Last year Audited
Please select
Yes
No
Workplace Address Details
Address Line 1*
Address Line 2*
Address Line 3
State
Please select
City*
select
Pin Code*
Landmark*
Reference 1
First Name*
Last Name*
Relationship
Please select
GRAND FATHER
GRAND MOTHER
WIFE
HUSBAND
Sister
APPLICANT
NON BLOOD RELATIVE
GROUP FIRM
COPARCENER
DAUGHTER IN LAW
MOTHER IN LAW
BLOOD RELATIVE
PROPRIETOR
Brother
FATHER IN LAW
Father
GRAND DAUGHTER
Mother
DIRECTOR
TRUSTEE
KARTA
SON
DAUGHTER
PARTNER
Address Line 1
Address Line 2
Address Line 3
State
Please select
City
Please select
Pin Code
Mobile No*
Identity Proof
Pan Card*
Identity Proof*
Please select
VOTERS ID CARD
DRIVING LICENSE
PAN CARD
CENTRAL/STATE GOVT ID CARD
PASSPORT COPY
Document
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Upload
Document Upload
Document Type*
Please select
FORM 16
IT RETURNS - LAST 2 YRS
DRIVING LICENSE
PASSPORT COPY
BANK ST LESS THAN 3 MONTHS
Document
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1. Salary Slip uploaded successfully : (SS.pdf)
2. Form 16 Uploaded Successfully : (F16.pdf)
3. Bank Statement Uploaded Successfully : (BS.pdf)
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