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LO 12 E
COMMERCIAL BANK OF CEYLON PLC
HEAD OFFICE, NO 21, SIR RAZIK FAREED MAWATHA , COLOMBO 01.
Phone +94112486000
PERSONAL LOAN APPLICATION Branch
.oN FICnoitacilppA tnioJnoitacilppA eloS
Are you an existing Customer of Commercial Bank ? Are you an existing Customer of Commercial Bank ?
.oN tnuoccAseYoN.oN tnuoccAseYoN
Relationship to Primary Applicant:
Title Mr Mrs Miss Ms. Other …… Title Mr Mrs Miss Ms. Other ……
: lluF ni emaN: lluF ni emaN
:oN tropssaP/oN CIN:oN tropssaP/oN CIN
Date of Issue : d d
m m y y Expiry Date : d d m m y y Date of Issue : d d m m y y Expiry Date : d d m m y y
Date of Birth: d d
m m yyyy Date of Birth: d d m m yyyy
Are you a Sri Lankan? Yes No Are you a Sri Lankan? Yes No
: sutatS latiraM: sutatS latiraM
Single Married Widowed Divorced Single Married Widowed Divorced
stnadnepeD fo rebmuN latoTstnadnepeD fo rebmuN latoT
sutatS laitnediseR tnerruC: sserddA laitnediseR
Owned Rented Living with parents
Provided by Employe
r
Other
Number of years at present address :
Permanent Address: (If same as above, write "AS ABOVE") * attach copy of utility bill.
ecnediseR - .soN enohpeleTecnediseR - .soN enohpeleT
eliboMeliboM
E-mail address:
Education : Primary Secondary Graduate Education : Primary Secondary Graduate
lanoisseforPetaudarG tsoPlanoisseforPetaudarG tsoP
: reyolpmE fo emaN: reyolpmE fo emaN
: sserddA: sserddA
: .rebmuN enohpeleT: .rebmuN enohpeleT
: ssenisuB fo erutaN: ssenisuB fo erutaN
: )noitangiseD( noitisoP tneserP: )noitangiseD( noitisoP tneserP
Length of service at Present Employment : Length of service at Present Employment :
)yna fI( : tnemyolpmE suoiverP)yna fI( : tnemyolpmE suoiverP
Employer / Designation No. of Years Employer / Designation No. of Years
1
1
22
sraey: doireP tnemyapeR: detseuqeR tnuomA
Repayment Option :
Fixed Installments Reducing Installments
Purpose of Loan :
tnacilppA tnioJtnacilppA yramirP
Academic / Professional Qualifications
Employment Details - * attach letter from employer
Loan Details
Personal Details