Branch:
Date:
Please submit the following documents with your application:
1. Copy of your Citizenship
2. Copy of office Identity card (to be verified against the original)
3. Salary Certificate/Letter of undertaking
4. Copies of your bank statements for the past three months (if applicable)
5. Authority Letter to route retirement benefits
6. Demand promissory note
7. PP size photograph
8. Personal Account Opening form, if you do not already have an account with the bank
9. If you have an account with us, please write your account no.: ...........................................
Please complete all sections in block capitals and tick (x) boxes as appropriate
PERSONAL DETAILS SECTION
Name in Full : Mr/Mrs/Ms
Father's Name :
Mother's Name :
Grandfather's Name :
Personal Data
Marital Status :
Married
Single
Spouse's Name :
Age
Nationality
Citizenship No.
Date of Birth:
Year
Day Month
Number of Dependents:
Parents
Children
Others, Please specify
Owned
Rented
Company Provide
Living with Parent
Mortgaged
Please Tick
Residential Address
Permanent Address
(If different from Residential Address)
Employment Details (For salaried individuals)
Name :
Address :
Tel. No. :
Telephone Nos:
Home
Mobile No.
Email
Primary
Secondary
Tertiary
Graduate
Post Graduate
Academic Qualification:
Doctor
Engineer/Consultants
Chartered Accountants
Pilot
Profession:
Others: Please specify (Job Holders etc)
Photo
Application Form
The Manager
Personal Loan
Standard Chartered Bank Nepal Ltd.
Naya Baneshwor, Kathmandu Nepal
Dear Sir,
I hereby authorized the Bank to Debit my account no: ……………………… or other accounts that I have or may open in
future with you for the payment of the Monthly Installment/s of my Personal Loan.
I understand my monthly installment/s payment date is 30th of every English calendar month and agree that it will be my
responsibility to maintain sufficient balance on my above bank account for the payment of my monthly instalment/s. I also
understand that if there is insufficient balance in the nominated Bank Account on the above