Customer Details Sheet
Customer Name Mobile
Customer DOB Father's Name
Pan Number Spouse Name
Maritial Status Spouse DOB Mother's Name
Spouse Occupation Education
Dependents (No.) University Year of Passing
Personal Email ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Present Address: Permanent Address:
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City State City State
Pin Code Residence No Pin Code Residence No
Residence Own/Rent Rent Amount No of years at Resi No of years in City
Company Name:
Company Address:
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City: State:
Pin Code Off Num Extention
Offical Email ID ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Designation Current Company No of Years Total Work Experience
Salary Bank Name Bank Account Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Salary Bank Branch
Reference 1 from Same City Reference 2 from Same City
Name Name
Mobile Number Mobile Number
Address: Address:
City Pincode City Pincode
State State
Loan Amount Tenure Purpose of Loan
Salary 1 Salary 2 Salary 3