always with U

Odisha Gramya Bank

……………………………..Branch

OGB COMMERCIAL VEHICLE LOAN

APPLICATION FORM FOR INDIVIDUALS Passport Size Photo

I/We here by apply for a Term Loan of Rs……………….(Rupees………………… of the Applicant

………………………...... only, for purchase of ……………………….

which may kindly be sanctioned. I/We furnish the details as under.

A / Full name of first/sole applicant
B / Name of the Co-applicant (if any)
1 / Address
State / District
City / Pin
2 / Mobile/Land line phone
(with STD code)
3 / Email
4 / Permanent Account Number / A / B
5 / Voter ID Number / A / B
6 / Aadhar No (UID) / A / B
7 / Driving License No / A / B
8 / Date of Birth / A / B
9 / Banking with OGB since
10 / Highest Educational Qualification
11 / Employment Type (Put ‘x’ Mark) / Central/State Govt./PSU / Agriculturist
Unlisted Pvt. Company / Business
Listed Pvt. Company / OGB Staff
Self Employed/Professional / Others
13 / Particulars of Vehicle
a / Make/Manufacturer/Brand / Specification of Vehicle
b / Cost of the Vehicle / Chasis
Body Building
Other accessories
Registration Fee
Insurance Fee
Total
Margin Money @ …….% of the total vehicle to be borne by the Applicant
14 / Dealer/ Showroom Name with Address
State / District
City / Pin
15 / TIN of the Showroom/Dealer / Quotation No & Date
16 / Economic Viability
Income per Month / Expenditure per Month
@ Rs……. per hour covering …. hrs per day for ……..days in a month. / @ Rs…….. per litre for ……. litres
Cost of Oil, spares etc
Motor vehicle/Road Tax
Insurance Premium
Staff Salary
Maintenance Cost
Depreciation @ 20%
Interest on Loan
Any Other Expenses
Net Profit
Total Income per Month
DSCR
Net Cash Accruals (Net Profit + Depreciation+ Interest on Loan)
Loan Repayments/ EMIs
Debt Service Coverage Ratio ( Net Cash Accrual / EMI)
As the Ideal ratio is 1.5:1 or more, in the present case the DSCR is …….., the proposal seems to be acceptable.
17 / Particulars of Loan Required
a / Price of the Vehicle (As per quotation)
b / Add: Registration fee
c / Add: Insurance Fee
d / Add: Any other Expences
e / Total (a+b+c+d)
f / Less: Margin (……%)
g / Amount of Loan Required (e-f)
18 / Security Details
a / Hypothecation of vehicle
b / Surrender Value of Life Policies
Policy Number / Date of Commencement / Life Assured / Surrender Value / Date
Total
c / Pledge of Following NSC/KVP
NSC/KVP No / Date of Purchase / Name / Post Office / Value / Maturity Date
Total
d / Pledge of Following TDRs of Odisha Gramya Bank
RDP Number / Date / Present Value / Name of Depositer / Maturity Value / Maturity Date
Total
e / Other Securities (If any)
19 / Personal Guarantee
a / Name and Address / Permanent Account Number
Voter ID Number
Mobile
Date of Birth/Age
Net Worth with date
Relation with Applicant
b / Name and Address / Permanent Account Number
Voter ID Number
Mobile
Date of Birth/Age
Net Worth with date
Relation with Applicant
20 / Income Details (as per latest salary slip (for salaried person)/ Income Tax Return duly acknowledged (for others))
a / Gross monthly income of applicant(s)
b / Total monthly deductions (c+d+e+f+g)
c / Income tax
d / PFContribution
e / Existing Loan EMIs
f / Profession Tax
g / other deductions, if any
h / Net Monthly income (a – b)
21 / Net Worth Details
a / Immovable property: House/land
b / Liquid Asset (a+b+c+d+e+f)
c / Bank Deposits
d / NSCs
e / PF/PPF
f / Gold Ornaments
g / Mutual Fund Units
h / Shares/Debentures
Total Assets (a+b)
Total Liabilities (i+j+k+l+m)
i / Housing Loan
j / Car Loan
k / Personal Loan
l / PF Loan
m / Other Loans
22 / Net Worth(Total assets-Total liabilities)

Declaration by the Applicant

  • I shall deposit with you a sum of Rs……….. being the margin money to be provided by me towards the value of the vehicle.
  • The loan of Rs………………………will be repaid by me in …………monthly installments with interest @...... % PA
  • On the loan being sanctioned, payment may be made directly by you, as necessary, to the supplier (s) of the vehicle, the body building and insurance Company for the premium for comprehensive Insurance Policy.
  • I shall sign and execute all documents including Form E, under Section 23 (1) of the Motor Vehicle Act 1939, for the vehicle to be registered with the Registering Authority in your name as the owner and myself as the Hirer.

Place:

Date: Signature of the applicant

Recommendation
Signature of Officer (Advances) Signature of Branch Manager