Loan Application Form

APPLICANT CO-APPLICANT

Pleas Sanction me a loan of Rs._________________ For __________ Years for the purpose
of__________________ .

NOTE : 1) All Details must be filled in. if not applicable please write NA. Please mark in box.

2) SMART SOLUTION reserves the right to reject any application at any stage without assigning any
reason.

Applicant Details
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Name ___________________________ S/o / W/o __________________________
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Residential Address ______________________________________________________

_____________________________________Pin Code:-__________________________

Contact No.___________________________

Mail Id _______________________________

Date Of Birth__________________________

Occupation___________________________

Office Address ___________________________________________________________

____________________________________Pin Code:-___________________________

Office Contact Number___________________________

Net Income Monthly/Yearly_______________________

 Co-Applicant Details

Name ___________________________ S/o / W/o __________________________

Residential Address ______________________________________________________

_____________________________________Pin Code:-__________________________

Contact No.___________________________

Mail Id _______________________________

Date Of Birth__________________________

Occupation___________________________

Office Address ___________________________________________________________

____________________________________Pin Code:-___________________________

Office Contact Number___________________________

Net Income Monthly/Yearly_______________________

I/We applicant/s herein do declare that the foregoing statement and answers are true in every detail
and agree and declare that statements and this declaration alongwith such further requirement of
SMART SOLUTION OR ITS valuer and / or Legal Adviser hereafter to be complied by me/us shall form
the basis of the loan transaction between me/us and Smart solution and that if any untrue averment
be contained therein, Smart solution., shall be entitled to such action against me/us as it maydeem
proper treating the untrue averment, which may come to its notice, as a breach of convenant on my /
our part. I/we hereby agree to the company recalling the entire loan or the balance thereof on its
coming to know of any such untrue averment in my/our part.

APPLICANT’S SIGNATURE :____________________CO-APPLICANT’S SIGNATURE :__________________

PLACE :____________________ DATE : ___________________