AL Form Document MITC
AL Form Document MITC
APPLICATION FORM
Please read these instructions carefully before filling up the application form
1. Separate copies of Form-A (Personal Details) and Form-B (Employment and Income Details) are to be individually
filled up and signed by Applicant, Co-Applicant and Guarantor (If any).
2. Completely filled up Form-C (Property and Loan Details) and Form-D (Declaration) are to be signed by Applicant, Co-
Applicant and Guarantor.
3. The Blue ribbon on top of Form-A and Form-B requires applicants to select the capacity in which they are applying.
Applicant, Co-Applicant and Guarantor to place a tick mark before the appropriate option in their respective
copies.
5. To ensure quick disbursal, Please submit application form Form-A (for all applicants), Form-B (for all applicants),
Form-C and Form-D , fully complete in all respect with relevant supporting documents as per enclosed Document
Checklist.
                        Auto Loan Application No. (For Official Use) :
LOS ID
Sourcing Entity - ID                    
Dealer Name                   
(If sourced by dealer
otherwise strike off)
FORM-A (PERSONAL DETAILS)                                                                                   APPLICANT                       CO  APPLICANT                    GUARANTOR
 Name                                                                                                         Gender  M     F
 Marital Status  Married  Unmarried  Other            Name of Spouse                                                                                 Attach your recent
                                                                                                                                                                                 passport size
 No. of Dependents              No. of Children      Name of Father                                                                                  photograph here
 -
 Driving Licence No.                                                              Driving Licence Valid Upto    --
                                                                                                                                    d d m m y y y y                              Please sign here
 
 Highest Qualification Attained                                                     Qualifying Year   --
                                                                                                                       d d m m y y y y
Present Address: Staying at the present address for the past ___________ Years and ____________Months. Residential Address
 
 State                                                                                            Country
 
        
 Telephone (Landline)                                                            Mobile (Primary)                                     Mobile (Secondary)
 
        
 Email (Personal)
 
 Permanent Address: Is permanent address same as present address ?  Yes                 No (To be filled if permanent address is different from present address)
 
 State                                                                                            Country
 
 Telephone (Landline 1)                                                           Telephone (Landline 2)    
 Office / Business Address:                                                                                     Office / Business Address
 
State                                                                                                           Country
       
Telephone (Landline)                                                                       Fax                                                Mobile (Secondary)
Email (Organizational)
Repayment Mode Check-off ECS (Electronic Clearing System) PDCs (Post Dated Cheques) SI (Standing Instruction) Others
Relationship with the Bank                 Less than 1 year                 1  3 years              More than 3 years
References (Names and addresses of two referees who are not related to you):
Total Experience                             Yrs  Months                         Years in Present Job       Yrs  Months                  Years in Previous Job (If Applicable)              Yrs  Months
          
Previous Employers Name                                                                                                                         Contact Number
          
Previous Employers Address                                                                                                                      Current Industry
Organization Type                              Public Sector Unit              Listed Private Company                Unlisted Private Company             MNC              Central/State Government             Local Civic
Body
Department Designation
Agriculturist Agriculturist
Total Lands owned and in possession Acres, out of which - Allied Activities -
          
Business Name                                                                                                                                    Industry
Trade License No. Trade License Expiry Date -- Share holding (%)
                                                       Income Head                          Gross Income                          Net Income                                Frequency                       How are you paid ?
Income Details
Credit Cards
                                                Card Number                      Issuer Name                Primary /Supplementary          Outstanding Balance                 Remarks
Fixed Deposits
                                                 FD Number                         Amount                               Rate              Maturity Date(dd/mm/yyyy)            Bank Name
Other Assets (Bonds, Shares, Mutual Fund, Other Investments, Precious metals / Gold / Jewelry , Immovable Property etc)
                                                Asset Type                    Asset Description                     Asset No.                    Asset Value                    Remarks
Name :                                                                             Date :   --
                                                                                                                                                 Signature of Applicant / Co-Applicant / Guarantor
FORM-C (VEHICLE & LOAN DETAILS)
Scheme Name SBI Car Loan SBI Car Loan (Fixed Interest Rate) NRI Car Loan Combo Car Loan Certified Pre-Owned Car Loan
Loyalty Car Loan Car Loan - Overdraft SME Retail Car Loan Super Bike Loan Other Scheme _______________________________________
Other Details
Other Details
Loan Amount ( A+B) less ( i+ii+iii) Repayment Monthly Quarterly Annually Tenure (Months)
Life Insurance
 For your benefit and convenience, the following group insurance plan underwritten by SBI Life Insurance Company Ltd is available for your consideration. If you opt for this cover,
 SBI would administer your enrolment for the chosen plan. Please note that this insurance cover is optional for the purpose of the loan application and may also be obtained from
 other providers.
 Do you wish to be covered by Combo Loan Insurance (Life) Cover e.g. SBI Life?
    Yes          No
 If YES, Whether one time premium will be paid by you or you would like to add the premium to the Combo loan?
    I will pay the premium            Please add the premium to the Combo loan amount mentioned above
                                                                                                                                              (
                                                                                                                                DECLARATION
    I/We certify that the information provided by me/us in this application form is true and correct in all respects and State Bank of India is entitled to verify this directly or through
    any third party agent. I/We confirm that the attached copies of financials/Bank Statements/Title/Legal documents etc. are submitted by me/us against my/our loan application
    and certify that these are true copies. I/We further acknowledge the Bank's right to seek any information from any other source in this regard. I/We understand that all of the
    above-mentioned information shall form the basis of any facility that the Bank may decide to grant to me/us at its sole discretion.
    I/We further agree that any facility that may be provided to me/us shall be governed by the rules of the Bank that may be in force from time to time. I/We will be bound by the
    terms and conditions of the facility/ies that may be granted to me/us. I/We authorise the Bank to debit my Car loan account with the Bank for any fees, charges, interest etc.
    as may be applicable.
    I/We undertake and declare that I/we will comply with the Foreign Exchange Management Act, 1999 (FEMA) and the applicable rules, regulations, notifications, directions or
    orders made there under and any amendments thereof. I/We undertake to intimate the Bank before proceeding overseas on permanent employment and/or emigrating
    and/or changing my/our nationality.
    I/We acknowledge that the Bank remains entitled to assign any activities to any third party agency at its sole discretion. I/We further acknowledge the right of the Bank to
    provide details of my/our account to third party agencies for the purpose of availing support services of any nature by the Bank, without any specific consent or authorisation
    from me/us.
    I/We acknowledge that the existence of this account and details thereof (including details of transactions and any defaults committed by me), will be recorded with credit
    reference agencies and such information (including processed information) may be shared with banks/financial institutions and other credit grantors for the purposes of
    assessing further applications for credit by me/us and/or members of my/our household, and for occasional debt tracing and fraud prevention. I/We accordingly authorise the
    Bank to share information relating to my/our Car loan account.
    I/We understand that as a precondition, relating to grant of loans/advances/other non-fund-based credit facilities to me/us, State Bank of India requires consent for the
    disclosure by the Bank, of information and data relating to me/us, of the credit facility availed of/to be availed of by me/us, obligations assumed/to be assumed by me/us, in
    relation thereto and default, if any, committed by me/us in discharge thereof.
    1. Accordingly, I/we hereby agree and give consent for the disclosure by the Bank of all or any such; (a) information and data relating to me/us (b) the information or data
    relating to any credit facility availed of/to be availed of by me/us and (c) default, if any, committed by me/us in discharge of my/our such obligation, as the Bank may deem
    appropriate and necessary, to Credit Information Bureau (India) Limited (CIBIL) and any other agency authorised in this behalf by Reserve bank of India / Government of
    India.
    2. I/We undertake that (a) CIBIL and any other agency so authorised may use, process the said information and data disclosed by the Bank; and (b) CIBIL and any other
    agency so authorised may furnish for consideration, the processed information and data or products thereof prepared by them, to banks/financial institutions and other credit
    grantors, as may be specified by the Reserve Bank in this behalf.
    I/We agree to receive SMS alerts related to my/our application status and account activity as well as product use messages that the Bank will send, from time to time, on
    my/our mobile phone number as mentioned in this application form. I/We undertake to intimate the Bank in the event of any change in my/our telephone/mobile phone
    number and Residential and/or Employment address.
I/We further acknowledge that I / We have read, understood and agree with the Most Important Terms and Conditions governing the Car loan product chosen by me/us.
 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (Please tear off this acknowledgement slip along these dotted lines) - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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                                                                                                                    ACKNOWLEDGEMENT RECEIPT
                                                                                                                                    Customer Copy
 Loan application received on -- , complete document set received on -- . Cheques received towards payment of
 Processing Fee amounting to Rs.  vide cheque number  dated -- ; drawn in favour of State
 Bank of India and payable at  .
 Request will be disposed of and acceptance/rejection notification would be mailed within 15 days from the date of receipt of completed application form with supporting
 documents.
  To ensure quick processing and disbursal of your                         Branch/Sourcing Entity Contact Details
  Auto Loan, furnish all documents (applicable to your
  case) along with the completed SBI Auto Loan
  Application Form.
This is a SAMPLE checklist and should be customized as per KYC policy and state requirements in consultation with the law
department
                                                       ANNEXURE - 1