Long Loan Application
Applicant Info
Applicant’s Full Name  
 
Designation  
 
ID number
Holder of  
 
Loan Amount  
 
Loan Amount(in words)  
 
Number Of Instalments  
 
Office Name  
Office Full Address  
Full Residential Address  
Native place & its full postal Address  
Residential Telephone Number
 
Mobile Number  
 
Office Telephone Number
 
Monthly salary  
 
Monthly Family Income  
 
Date of Birth      
Date of Employment      
Date of Superannuation      
Number of Dependents  
 
Purpose for which loan is required  
 
Loan from Bank or Society
Names and Account Nos. of the persons for whom you stand surety.  
 
IN CASE OF SALARY EARNER ONLY*
Applicant’s Office Section Name
Department Bearing Ticket No./Employee Code
Amount Of Monthly Instalments
 
Amount Of Monthly Installments(In words)
 
Rate Of Interest
 
Surety No 1 Details
Full Name  
 
Designation  
 
ID number
Savings Account No.  
 
Loan Account No.  
 
Full Residential Address  
Office Name
Office Full Address
Permanent Native Place Postal Address  
Residential Telephone Number
 
Mobile Number  
 
Office Telephone Number
 
Monthly salary  
 
Date of Birth      
Date of Employment      
Date of Superannuation      
Names and Account Nos. of the persons for whom you stand surety.  
Surety No 2 Details
Full Name  
 
Designation  
 
ID number
Savings Account No.  
 
Loan Account No.  
 
Full Residential Address  
Office Name
Office Full Address
Permanent Native Place Postal Address  
Residential Telephone Number
 
Mobile Number  
 
Office Telephone Number
 
Monthly salary  
 
Date of Birth      
Date of Employment      
Date of Superannuation      
Names and Account Nos. of the persons for whom you stand surety.