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Serial No.

MORTGAGE LOAN APPLICATION FORM


If the Applicant is an Existing Customer of Deutsche Bank provide Customer ID

PERSONAL INFORMATION - PRIMARY APPLICANT


(Individual/Business Applicant)
(Please fill details in Capital letters. All fields marked in Blue are mandatory)

Name of the Applicant (Please leave one space between each name)
Mr./Mrs./Ms./Dr./Messrs
First name Middle name D D M M Y Y Y Y Last name

Date of Birth (Individual)/Incorporation(Business) Mothers maiden name Nationality

Gender

Number of dependents Marital status Single NRI Married PIO

Residential status

Resident

Passport No.
PAN/GIR No.

Voter ID
(For NRI, Please Provide Social securty Number)

Current residential address (Individual)/Registered office address (Business)


Address Line 1 Address Line 2 Address Line 3 City Country Mobile E-mail State Landline. No.
STD Code

PIN Code

Period of residence in current home

Years

Months

Period of residence in current city

Years

Months

Permanent address (If different from residential address)


Address Line 1 Address Line 2 Address Line 3 City Country State PIN Code

Landline No. Self-owned Company provided Rented Others Graduate Post graduate and above Professional Others Family owned
STD Code

Residential status

Education Last Degree issued

High School

Diploma

Name of the institution

Employment / Profession details


Nature of employment

Salaried Public Sector

Self-employed Government Department

Housewife Private Limited

Retired Partnership/Proprietorship Retirement age

If salaried, type of employer Designation Name of last employer If self-employed, operating as Profile of self-employed If professional, are you

Years at previous job (if applicable) Private Limited Company Promoter director CA Partnership Partner Lawyer Proprietorship Proprietor Doctor HUF Karta
Others

Type of Industry (Refer fourth page for codes) Total years in employment/ business

Years in current employment/ business


For corporate applicant provide Registration No.

Office address details (For non-individual applicants, provide place of business)


Name of Employer/Business Address Line 1 Address Line 2 Address Line 3 City State Board No.
STD Code

PIN Code Extension

Country

PERSONAL INFORMATION - CO-APPLICANT


(Individual/Business Applicant) (Please fill details in Capital letters)

If the Co-applicant is an Existing Customer of Deutsche Bank provide Customer ID


Relationship with the main applicant

Name of the Co-applicant (Please leave one space between each name)
Mr./Mrs./Ms./Dr./Messrs
First name Middle name D D M M Y Y Y Y Last name

Date of Birth (Individual)/Incorporation(Business)

Gender

Number of dependents Marital status Single NRI Married PIO

Mothers maiden name


Nationality Residential status

Resident

Passport No.
PAN/GIR No.
(If not available, please attach Form 60/61

Voter ID
(For NRI, Please Provide Social securty Number)

Form 60/61 attached

Current residential address(Individual)/Registered office address (Business)


Address Line 1 Address Line 2 Address Line 3 City Country Mobile E-mail State Landline No.
STD Code

PIN Code

Period of residence in current home

Years

Months

Period of residence in current city

Years

Months

Permanent address (If different from residential address)


Address Line 1 Address Line 2 Address Line 3 City Country State Landline No.
STD Code

PIN Code

Residential status

Self-owned Company provided

Rented Others Graduate

Family owned

Education Last Degree issued

High School

Diploma

Post graduate and above

Professional

Others

Name of the institution

Employment/Profession details
Nature of employment

Salaried Public Sector

Self-employed Government Department

Housewife Private Limited

Retired Partnership/Proprietorship Retirement age

If salaried, type of employer Designation Name of last employer If self-employed, operating as Profile of self-employed If professional, are you

Years at previous job (if applicable) Private Limited Company Promoter director CA Partnership Partner Lawyer Proprietorship Proprietor Doctor HUF Karta
Others

Type of Industry (Refer fourth page for codes) Total years in employment/ business

Years in current employment/ business


For corporate applicant provide Registration No.

Office address details (For non-individual co-applicants, provide place of business)


Name of Employer/Business Address Line 1 Address Line 2 Address Line 3 City Country State Board No.
STD Code

PIN Code Extension

COLLATERAL DETAILS
Property Identified
Address Line 1 Address Line 2 Address Line 3 City Country State PIN Code

Yes

(If yes, then please provide the following details)

No

Area of Land

Sq.ft.

Built-up Area

Sq.ft.

Cost per Sq. ft. Under Construction Progress ____%

Is the Title of the property clear


Who is owner of Collateral

Yes Applicant

No

Stage of Construction Co-Applicant Jointly

Fully Constructed

If Jointly owned, please mention owners name and relationship

Developers/Builders name The property is

Project name

Freehold

Lease-hold

Usage of Property (Self Use/Rented/Vacant/Investment) Second Purchase Third Purchase Greater than Three

Whether Property is

First Purchase

BANKING RELATIONSHIP
APPLICANT 1. Name of Bank Location 1. Name of Bank Location CO-APPLICANT

City Account No. Type of Account


Savings Current CC / OD

City Account No. Type of Account


Savings Current CC / OD

2. Name of Bank Location

2. Name of Bank Location

City Account No. Type of Account


Savings Current CC / OD

City Account No. Type of Account


Savings Current CC / OD

CREDIT CARD DETAILS


APPLICANT CO-APPLICANT

Credit Card No. Name of the Bank

Credit Card No. Name of the Bank

DETAILS OF LOANS AND LIABILITIES*


Sr.No. Institution Name** Type of Loan Loan Amount EMI Current O/s Balance Tenure

* Kindly attach additional sheet, if need arises

** If Loan taken from Employer kindly mention Employers name.

TWO NON-FAMILY REFERENCE


1. Name of reference Address 2. Name of reference Address Tel No.
STD Code

City Tel No.


STD Code

City

CORRESPONDENCE
(Below mentioned correspondence would be used for all my existing DB relationships) Preferred Correspondence Address Preferred Mode of Contact Preferred Time of Contact Current Residence Address E-mail SMS Call Home Permanent Address Call Office Collateral Address By post Office Address

Between 10am-7pm

Please suggest any other suitable time

LOAN REQUIREMENT
I/We hereby apply for a loan as follows:
Loan amount required Rs Product option Loan tenor required

years Home Plot and Construction Loan Home Extension Loan Comm. Property Purchase Loan Flexi: Fixed %, Floating %

Home Purchase Loan Loan Against Residential Property Balance Transfer

Home Construction Loan Home Improvement Loan Loan Against Comm. Property Fixed Rate Max saver (only floating rate) Step-down EMI

Interest type

Floating Rate Standard EMI Growing/Step-up EMI

Repayment option

I wish to pay my monthly instalment by Debit from my/our Current/Savings Account, with Deutsche Bank, No Electronic Clearing Service (ECS) End use for loan against property Estimated funds required (Rs) 1. Land cost 2. Purchase price/construction cost 3. Incidental costs, e.g., stamp duty, registration 4. Other costs (Please specify) 5. Loan outstanding (for balance transfer) 4. Amount already spent (Source) 5. Provident Fund ( 6. Top-up/others Refundable Non-refundable) Estimated sources of funds (Rs) 1. Loan requested 2. Savings from Bank 3. Investments (FD, Shares) Post-Dated Cheques (PDC)

6. Others (Please specify)

Total requirement of funds Requirement of funds should match with the sources of funds.

Total sources of funds

INDUSTRY CODES
01 02 03 04 05 06 07 08 09 10 11 12 13

Advertising and Marketing Agriculture Airlines Armed Forces Automobile Banking and Insurance Construction and Real Estate CA/CS/ICWA Courier and Cargo Doctor & Diagnostics Education Consulting Electrical-electronic goods

14 15 16 17 18 19 20 21 22 23 24 25 26

Power and Electricity Railways Recruitment Retailing Service Provider Shipping Entertainment and Media Export and Import Financial Services Gem Jewellery Government Bodies Hotel and Restaurant IT/Telecom

27 28 29 30 31 32 33 34 35 36 37 38 39

Infrastructure Law Manufacturing Medical and Health Care Ministry and State Government Pharma and Biotech Post and Telegraph Textile Trader and Stockist Timber Furniture Transport/Logistic Travel and Tourism Others

(Please Specify)

ACKNOWLEDGEMENT
Branch Received the loan application form from Mr./Mrs./Ms/Dr./Messrs (Any additional details/documents required should be supplied immediately on intimation. In such a case, date of receipt of such additional information shall be treated as the date of application.) Decision shall be conveyed in writing within a maximum period of one month from the date of receipt of application. Any grievance/disputes arising in this regard should be made in writing to customer.care@db.com OR Call 66016601 Please quote this Serial No. for any future communication Date
D D M M Y Y Y Y

Photo of Primary Applicant Please Affix with adhesive Do not use stapler or pins Please sign on the face of the photograph

Photo of Co-Applicant Please Affix with adhesive Do not use stapler or pins Please sign on the face of the photograph

DECLARATION
I/We certify that all the information/details provided by me/us in this application are true, correct and complete and shall form the basis of any loan that Deutsche Bank AG (the Bank) may decide to grant me/us. The Bank reserves the right to seek any information from any source or to give any information and/or to assign any work to any third party at its sole discretion. I/We further agree that the loan that maybe provided to me/us shall be governed by the rules of the Bank that may be in force from time to time. I/We am/are aware that Deutsche Bank offers loans under a fixed interest rate option, variable interest rate option and a flexible rate option, and that I/we have selected the option in the application form. I/We confirm that the funds sanctioned shall be used for the stated purpose only and shall not be used for speculative/anti-social purposes. I/We further certify that I/we am/are citizen(s) of India. I/We undertake to inform the Bank of any change in residential status forthwith. I/We agree to give ECS/Standing Instruction/Post-Dated Cheques for the repayment of the loan and I/We am/are fully cognizant that dishonour of the cheque is a criminal offence under the law. I/We confirm that I/we have seen the present Schedule of Charges of the Bank, which are available at the branches and the website of the Bank. I/We agree and undertake that the said Schedule of Charges are acceptable to me/us. I/We hereby confirm that no insolvency proceedings have been instituted against me/us nor have I/We ever been adjudicated insolvent. I/We also confirm that no litigation has been filed or is pending against me/us for recovery of any amount from me/us by any bank, financial institution, Non-Banking Financial Corporation or any other entity. I/We hereby agree and give consent for the disclosure by the Bank of all or any information and/or data relating to me/us; the information and/or data relating to any credit facility availed of/or to be availed by me/us; and default, if any, committed by me/us, in the discharge of my/our such obligations, as the Bank may deem appropriate and necessary, to disclose and furnish to the Credit Information Bureau (India) Ltd and/or any other agency authorized in this behalf by the Reserve Bank of India (RBI). I/We have perused the Banks General Terms & Business Conditions and hereby confirm the acceptance thereof. I/We give the right to the Bank to set off against other accounts in case of default on this account. I/We certify and confirm the amount of loan and the tenor as mentioned by me/us in the 'LOAN REQUIREMENT' section and confirm that the loan would be utilised by me/us for the purpose/end use mentioned therein. The information including landline, mobile number and e-mail id as mentioned above (apart from being used for mandatory account verification and maintenance purposes) may also be used by the bank to contact the customer and offer carefully selected products and services from time to time either itself or through its agents or authorised representatives. Yes No Please indicate if you are agreeable to receiving such offers:

Signature (Individual) / Seal & Signature (Non-individual Applicant) Place : Date : Place : Date :

Signature of Co-applicant

MOST IMPORTANT DOCUMENT


I/We declare that I/We have been intimated and that I/We understand that:

The actual interest rate applicable on my/our loan will be as mentioned in the sanction letter and will be governed as per the terms and conditions therein If there is a review in my/our rate of interest during the tenure of the loan (for variable rate loans) I/We will be advised of the new rates applicable Penal charges, part payment fees, pre closure and all other charges will be applicable as per the schedule of charges Total administrative fees to be paid by me/us is Rs __________________ [ ___ % of the loan amount]; Service tax applicable. Cheque to be made in favour of Deutsche Bank Account <Customer Name> In the event of my/our loan getting declined, an amount of Rs 2000 (or the fee paid by me/us, whichever is lower) would be deducted towards loan processing charges and the balance amount would be refunded. No refund of administrative fees to be done if the loan is sanctioned

I/We have read and agreed to the above terms and conditions. I/We also confirm that I/We haven't signed a blank document/application form. Regards,

(Primary Applicant Signature) Please do not give cash or issue blank cheques

(Primary Applicant Name)

MOST IMPORTANT DOCUMENT (ACKNOWLEDGEMENT) I/We declare that I/We have been intimated and that I/We understand that: The actual interest rate applicable on my/our loan will be as mentioned in the sanction letter and will be governed as per the terms and conditions therein If there is a review in my/our rate of interest during the tenure of the loan (for variable rate loans) I/We will be advised of the new rates applicable Penal charges, part payment fees, pre closure and all other charges will be applicable as per the schedule of charges Total administrative fees to be paid by me/us is Rs __________________ [ ___ % of the loan amount]; Service tax applicable. Cheque to be made in favour of Deutsche Bank Account <Customer Name> In the event of my/our loan getting declined, an amount of Rs 2000 (or the fee paid by me/us, whichever is lower) would be deducted towards loan processing charges and the balance amount would be refunded. No refund of administrative fees to be done if the loan is sanctioned I/We have read and agreed to the above terms and conditions. I/We also confirm that I/We haven't signed a blank document/application form. Regards,

(Primary Applicant Signature) Please do not give cash or issue blank cheques

(Primary Applicant Name)

For Bank Use Only Sales Reference No. Promotion Code Application received on
D D M M Y Y Y Y

DSA/Referral Agent Name Executive Name

Code : Code :

DSA/Dealer/Distribution Point Stamp

Authorized signatory (for DSA/Dealer/Distribution Point)

I am proposing this case for Credit Approval. Sales/Channel Managers Name: Signature

Date

D D

M M

Y Y Y Y

Application Reference No. Date of entering information


D D M M Y Y Y Y