D

Mortgage Application Form

Instructions: Please complete and select the appropriate sections.
1. Personal Particulars
Main Applicant Joint Applicant
Salutation Dr Mr Mdm Mrs Ms Gender M F Salutation Dr Mr Mdm Mrs Ms Gender M F

Full Name as in NRIC/Passport (underline surname) NRIC/Passport No. Full Name as in NRIC/Passport (underline surname) NRIC/Passport No.

Nationality/Citizenship Nationality/Citizenship
Singaporean Singapore PR/Foreigner*, Nationality Singaporean Singapore PR/Foreigner*, Nationality

Race Date of Birth Race Date of Birth

Chinese Malay Indian Others Chinese Malay Indian Others

Marital Status No. of Dependants Marital Status No. of Dependants

Single Married Others Single Married Others

Relationship with Main Applicant

Spouse Parent Sibling Child Others

Residential Address (P.O. Box, V-Box & C/O addresses are not allowed) Residential Address (P.O. Box, V-Box & C/O addresses are not allowed)

Mailing Address (complete if different from Residential Address) Mailing Address (complete if different from Residential Address)

Length of Stay at Residential Address years & months Length of Stay at Residential Address years & months

Residential Type HDB Condo/Apartment Landed Others Residential Type HDB Condo/Apartment Landed Others

Residential Status Residential Status

Self-Owned & Fully Repaid Owned & Mortgaged Rented Self-Owned & Fully Repaid Owned & Mortgaged Rented
Live with Parents Employer’s Others Live with Parents Employer’s Others

Contact Details (please provide at least one contact no.) Contact Details (please provide at least one contact no.)
H: O: HP: H: O: HP:
Email: Email:

2. Employment
Employment Status Occupation Employment Status Occupation
Employee Self-Employed Others Employee Self-Employed Others

Name of Company Length of Service Monthly Fixed Income Name of Company Length of Service Monthly Fixed Income
years & months S$ years & months S$

Company Address Company Address

Other Monthly Income Source of Other Income Other Monthly Income Source of Other Income
S$ S$
Prev. Company (if current Length of Service with Prev. Company (if current Length of Service with
Previous Occupation Previous Occupation
is < one year) Prev. Company is < one year) Prev. Company
years & months years & months

3. Property Information
Address of Property to be Financed Property is/to be Purchased in the Name(s) of Usage of Property
Blk/House No. Street Name Owner’s Occupation
Development Name Unit No. Postal Code Investment

Type of HDB Flat Type of Commercial Type of Private Property

Exec. Apartment/Maisonette Office Shop Bungalow Corner/Inter. Terrace* Semi-d Cluster/Townhouse No. of Storey(s)
Room Shop cum Resi. Others Condo Exec. Condo Apartment HUDC Others

Tenure Property Size Property/Land Status

Freehold Others Built-in Area sq ft Completed, estimated age is year(s). Under construction, TOP date is .
999 / 199 / 99 / 60* years from Land Area sq ft Conservation Status Pre-War Vacant Land

DBS Bank Ltd Page 1 of 3 Jul 2014

Co. Reg. No. 196800306E
 4. Source of Funds for Downpayment
I/We hereby declare the following information on my/our source of funds for downpayment on the property to be financed:
Directorship Fees/Dividends Inherited Wealth Rental Income Salary/Business Income Sale of Investment(s) Savings Others

5. Financial Request(s)
a. Purchase of Completed/Uncompleted Properties b. Bridging Loan
Loan Amount Loan Period Purchase Price Bridging Loan Amount Mode of Bridging Loan Payment
S$ years & months S$ S$ CPF S$ Cash S$

Date of Purchase Transaction Type Type of Property to be Sold

New Purchase Resale Direct from HDB Private Property Exec. Apartment/Maisonette HDB Room

CPF for Stamp/Legal Fees CPF Initial Lumpsum Withdrawal Address of Property to be Sold
S$ S$
Outstanding Loan
CPF for Monthly Instalment Selling Price CPF Utilised (if any)
(incl. undisbursed)
S$ S$ S$ S$ as at

c. Benefits Received
Did you receive any benefits or does your property come with any complimentary items from the developer, vendor or any party? (refer to item 15 of the Applicant(s)
Confirmation & Declaration on page 3). Examples of benefits include discounts, rebates, gifts, reward points from any merchant, interest payment arrangements, furniture
or any form of movable household appliances.
No, I/we did not receive any benefit(s). Item Received Discount/Rebates/Points Lucky Draw Household Appliances
Yes, the amount/value of item that I/we receive is S$ . Furniture Others

d. Refinancing of Facility e. Additional Facilities

Existing Financier Type of Facility Term Loan Loan Period Others
Housing/Term* Loan Overdraft S$ years S$
Was Used Towards the I/We hereby declare that the funds obtained from my/our additional facility(ies) will
Outstanding Loan
Outstanding Loan Period Purchase of this not be used for the purchase of residential property(ies) in Singapore (refer to item 15
(incl. undisbursed)
Property? of the Applicant(s) Confirmation & Declaration on page 3). These funds will be used
S$ as at years Yes No for:

Existing Overdraft Limit (if any) CPF Utilised (incl. accrued interest) Business Investment Education Investment in Financial Instruments
S$ S$ Renovation Repay Facilities with other Bank(s) Others

Issue Date of Option To Purchase/Date of Sale & Purchase Agreement

f. Construction Loan/Additions & Alterations

Loan Amount Loan Period Cost of Construction Construction Type
S$ years S$ Additions & Alterations Reconstruction

Expected TOP Date Expected CSC Date Proposed No. of Storey(s) Built-in Area sq ft

6. Mortgage Insurance / Home Contents Insurance

Yes! I/We would like to find out more about Mortgage Insurance available at the Bank.
Yes! I/We would like to find out more about Home Contents Insurance available at the Bank.
7. Referral Details
I was/we were referred to the Bank for this loan application by the following person. I am/we are aware that a reward may be paid to the person who introduced me/us, and
for the purposes thereof, I/we consent to you disclosing to such person that this application was made, whether it was successful and any other information relating to this
application and the loan as you deem fit.
a. Member-Get-Member
Full Name of Introducer NRIC/Passport No. of Introducer Contact No. of Introducer

b. Agent/Intermediary
Full Name of Agent NRIC/Passport No. of Agent Name of Agency

CEA No. of Agent (where applicable) Contact No. of Agent

Applicant(s) Confirmation & Declaration

1. Any references herein to “you” or “DBS Bank” shall mean DBS Bank Ltd. limitation, your conducting checks on me/us with any credit bureau, other financial institutions
2. If this application is or is purported to be sent by me/us to you by electronic mail or facsimile and credit/charge card issuers, HDB, SLA, CPF Board and other government bodies, and my/our
transmission, you are hereby authorised, but are not obliged to, accept, rely upon and act in employer(s). This consent and provision shall survive the termination of any or all of my/our
accordance with the application without waiting for the original application and without any accounts or facilities with you and/or the termination of any relationship between me/us for any
liability to me/us. reason whatsoever.
3. I/We hereby declare that the information given in this application and in the documents 5. I/We hereby authorise and give you consent to:
submitted is complete and correct and that I/we have not intentionally or wilfully withheld any i) Conduct credit checks on me/us (including but not limited to credit checks, background
material fact. If any of the information given herein changes or becomes inaccurate in any way, checks, character assessment checks and checks with any credit bureau recognised as such
I/we shall immediately notify you of any such change or inaccuracy. by the regulatory authorities) (collectively the “Checks”);
4. I/We hereby authorise you and give you consent to obtain and verify any information about me/us Obtain/verify/disclose/release any information relating to me/us (including any information
from any source at your discretion for the purpose of this application and I/we consent to your derived from the Checks and/or any details of my/our account(s)) from or to any other party
disclosure to any third party, any information relating to me/us or this application, my/our account, or source (including your employer) as you may deem necessary for the purpose of this
credit facilities and affairs for this purpose. I understand and agree that this includes, without application and without any liability or notice to me/us, or as may be required by any

DBS Bank Ltd Page 2 of 3 Jul 2014

Co. Reg. No. 196800306E
 applicable law, court, regulatory or legal process. disbursement of that residential property loan first granted to me/us for the purchase of
6. I/We authorise each and every financial institution and credit/charge card issuer with whom I/we that residential property.
have any account(s) and their officials to divulge to you any and all information whatsoever i) Where I am/we are applying for a refinancing facility in respect of a residential property
regarding the money or other relevant particulars of my account(s) as you may from time to time that can qualify for the exceptions under paragraph 23A or 24A of MAS Notice 632 dated 27
request for the purpose of this application. August 2013 (and as may be replaced, supplemented or amended from time to time), I/we
7. My/Our signing on this application shall constitute my/our written consent for any such declare and confirm that the residential property is for the occupation of one or more
disclosure for the purposes of Section 47 of the Banking Act (as may be replaced, supplemented persons which includes me/us.
or amended from time to time)or any other disclosure imposed by law. ii) I/We agree to provide you with copies of all such documents that you may require for the
8. I/We confirm that at the time of this application, I am not/neither of us is an undischarged above purpose(s).
bankrupt and no statutory demand or legal proceedings has been served on or commenced 16. I am/We are applying for this credit facility for my/our own use and not for the benefit of any
against me/us. other party.
9. I/We understand that you reserve the right to decline my/our application(s) without giving any 17. I/We declare that the Property is not or will not be acquired by me/us by way of gift or unfair
reason(s) or explanation whatsoever. preference, or at an undervalue.
10. I/We understand and accept that the quantum and/or tenure in respect of any facility (including 18. I/We declare that the property to be mortgaged is not affected by the Housing and Development
any refinancing facility) will be determined at the Bank’s discretion. Board’s Selective En Bloc Redevelopment Scheme (SERS).
19. I/We have provided to you all sources of Gross Monthly Income (as defined in MAS Notice 645
Mortgage dated 28 June 2013 and as may be replaced, supplemented or amended from time to time)
11. I/We hereby undertake to pay all fees in connection with the survey and valuation of the property earned in the preceding 12 month period from the date herein, and all sources of Eligible
to be mortgaged, such fees being not refundable regardless of whether the application is Financial Assets (as defined in MAS Notice 645 dated 28 June 2013 and as may be replaced,
approved. supplemented or amended from time to time).
12. I/We undertake to pay any out-of-pocket expenses and/or charges incurred in relation to my/our 20. I/We have provided to you information on all Relevant Credit Facility(ies) including Credit
loan application when my/our loan application is approved. Facilities1 that I am/we are applying for or have applied for in the last six months but have not yet
13. In respect of the property being purchased as identified above (“Property”), I/we declare and been approved as at the date herein, that are in my name or held jointly with any person(s) or
confirm that other than as disclosed in this application: entity(ies).
i) I/We have not received and will not receive any discount, rebate or any other benefit from 21. Where any facility or refinancing of facility is to be secured by a residential property in Singapore
the vendor of the Property or any other party (including the payment of legal or stamp fees for which the facility or refinancing facility (as the case may be) is to be granted, I/we declare
for the purchase of the Property) which has the effect of reducing the purchase price of the that all person(s) applying for the facility or refinancing of facility (as the case may be) herein
Property; is/are mortgagor(s) of that residential property in Singapore to be used to secure the facility.
ii) I am/We are not party to any arrangement whereby any interest in respect of the facility
applied for hereunder will be payable by the vendor of the Property, its agent, nominee or Personal Data
any other person by arrangement with the vendor; 22. I/We confirm that I/we have read and fully understood and accept the DBS Privacy Policy relating to
iii) I/We have not been granted any credit facility by any other financial institution or the collection, use, disclosure and processing of personal data relating to me/us or my/our account.
moneylender or the vendor of the Property for the purchase of or otherwise secured by the By signing this form, I/we hereby authorise and give my/our written consent to the collection, use,
Property; disclosure and processing of my/our personal data as set out in the DBS Privacy Policy as may be
iv) Where the facility includes a Term Loan, I/we will not use the funds obtained through the amended, supplemented and/or substituted by DBS from time to time. Where I/we have disclosed a
Term Loan or any part thereof for the purchase of residential property in Singapore; third party’s personal data to DBS, I/we confirm that i/we are authorised to consent, and do so
v) Where there are no outstanding Credit Facilities 1: I/We do not have any outstanding credit consent, on behalf of the other individual for DBS to collect, use, disclose and process their personal
facilities or credit facilities that have been applied or taken up but the funds of which have data for the purposes of this application.
yet to be disbursed (whether in my/our name or jointly with any other person or entity)
from HDB or any financial institution or moneylender, granted or used for the purchase of Tax Crimes
any other residential or non- residential property that is located in or outside Singapore. 23. I am/We are aware of Singapore’s firm stance against illegal and illicit activities. I/We confirm
vi) Where there are outstanding Credit Facilities 1: I/We shall provide to you information on all that my/our application for this facility/product is not for illegitimate purposes and that this
Relevant Credit Facility(ies) (as defined in MAS Notice 645 dated 28 June 2013 and as may facility/product will not be used as a platform for illegal activities.
be replaced, supplemented or amended from time to time), including credit facilities that
I/we are applying for or have applied for in the last six months but have not yet been Important Notes
1
approved as at the date herein, that are in my/our name or held jointly with any person(s) Credit facilities where you are a borrower, joint borrower, guarantor or joint guarantor include
or entity(ies); the following:
vii) I/We have provided you with all documents that you require, including the latest a. Relevant Credit Facilities2 from HDB, a financial institution (including those offered by DBS /POSB)
statements available to me and I agree to provide you with any further document(s) upon or money lender where you are applying or have applied for in the last six months but have not
you giving me notice of the same. been approved yet.
14. I/We have not and will not charge any part of the purchase price of a residential property in b. Outstanding Relevant Credit Facilities2 from HDB, a financial institution (including those offered
Singapore to any credit card or charge card issued by any financial institution. by DBS/POSB) or moneylender include:
15. For Refinancing of facility: i. any credit facility(ies) whether disbursed or not.
i) Where I am/we are applying for a refinancing facility in respect of any balance outstanding ii. bridging loans with a loan period of more than six months.
under a loan for the purchase of a residential property or the balance outstanding under a iii. any Property2 (including residential or non-residential property that is located in or
refinancing facility in respect of that residential property, I/we acknowledge that you will outside Singapore) purchased by a vehicle set up solely by you or jointly with others to
not be able to grant to me/us a loan tenure in respect of the refinancing facility that purchase such property.
2
exceeds 35 years (“Refinancing Tenure”). The Refinancing Tenure is arrived at by taking the As defined in MAS Notice 645 dated 28 June 2013 and as may be replaced, supplemented or amended
sum of the tenure of the refinancing facility and the number of years since the first from time to time.
8. Client Acknowledgement
Signature(s) will be verified against your signature records with the Bank. Please ensure that your signature matches the Bank record & sign within the box provided.
Signature of Main Applicant Signature of Joint Applicant

Name: Name:
NRIC/Passport No.: Date: NRIC/Passport No.: Date:

For Bank’s Use Only

Name & Signature of Attending Officer Main Applicant Joint Applicant
Date: Mortgagor Borrower Mortgagor Borrower Surety Guarantor

DBS Staff Application Staff Full Name Employee No. Perm. & Confirmed Staff Date Joined Existing Staff Home Loan
Yes No Yes No Yes No

Joint Applicant’s Monthly Salary Max. Staff Loan Eligibility Max. Loan Period Name & Signature of Human Resource Officer
S$ S$ years & months Date:

DBS Bank Ltd Page 3 of 3 Jul 2014

Co. Reg. No. 196800306E