| Current age : |
yrs
eg. 30
|
| Profession : |
If other specify
|
|
|
| Company : |
|
| Designation : |
|
| No. of dependents : |
|
| Qualification : |
|
| Annual post tax income : |
| (Including spouse) |
|
Rs.
|
| Mention the TOTAL monthly payments of other loans (like auto, consumer or credit card etc.) that you may have outstanding : |
|
|
Rs. |
| How many properties do you already own : |
|
| Comments : | | (If any in brief) |
|
|
| Have you taken enough life insurance to cover the entire value of your house ? |
|
No
Yes
|