COMMERCIAL BANK OF CEYLON PLC No 21, Sir Razik Fareed Mawatha, Colombo 01, Sri Lanka Phone 0112 - 432 122 PERSONAL LOAN APPLICATION Application type Individual Joint Applicant Joint Applicant Relationship Details Personal Details Employment / Professional Details Relationship with the bank Existing customer with borrowing Existing customer without borrowing New customer Branch …………………………………………………… Account number………………………………………… Relationship with the bank Existing customer with borrowing Existing customer without borrowing New customer Branch …………………………………………………… Account number………………………………………… Employment type Salaried Salaried Professional Self Employed Professional Profession……………………………………………………… Name of employer………………………………………..…… Address of employer / business………………………….…… Present position (Designation) …………………………..…… Employment Status Permanent over 2 years Permanent below 2 years Probation Contract Length of service in previous employment ………………Years ………………Months Employment type Salaried Salaried Professional Self Employed Professional Profession……………………………………………………… Name of employer………………………………………..…… Address of employer / business………………………….…… Present position (Designation) …………………………..…… Employment Status Permanent over 2 years Permanent below 2 years Probation Contract Length of service in previous employment ………………Years ………………Months Y M M Y Title Mr Mrs Ms Other……………… Name in full …………………………………………………… Date of birth Nationality Sri Lankan Non Sri Lankan Dual Citizen NIC No. Passport No. For Non Sri Lankan Availability of residence visa Yes No Date of expiry of residence visa Permanent address ………………………………………………………………… Residential address ( only if differs from the permanent address) ………………………………………………………………… Contact details Mobile ………………………… Residence……….……………… Office………………………… E mail ……………………… (Non Sri Lankan/Dual Citizen) (Sri Lankan/Dual Citizen) D D M M Y Y D D D Y M M Y Title Mr Mrs Ms Other……………… Name in full …………………………………………………… Date of birth Nationality Sri Lankan Non Sri Lankan Dual Citizen NIC No. Passport No. For Non Sri Lankan Availability of residence visa Yes No Date of expiry of residence visa Permanent address ………………………………………………………………… Residential address ( only if differs from the permanent address) ………………………………………………………………… Contact details Mobile ………………………… Residence……….……………… Office ………………………… E mail ……………………… (Non Sri Lankan/Dual Citizen) (Sri Lankan/Dual Citizen) D D M M Y Y D D D