LIC Housing Finance Limited

Delhi Back Office

Area Office :

EXIT INTERVIEW FORM

Loan A/c No. :

Name of the applicant/s : 1)

2)

3)

4)

Loan Sanctioned :

Date of Sanction :

Scheme :

Whether fully disbursed or not : Yes/ No

Outstanding amount as on date :

Present ROI :

Repayment track of existing loan :

Present contact number of the applicants :

Whether applicant is having additional loan/ :

Loan on other property with us.

Reason of Foreclosure :
Name of the Institution with ROI (for Takeover) :

Name of the Agent who had referred the loan to LICHFL :

a) Is the rate of interest charge by us is at higher side :

b) Whether possibility of rewriting is explored :

c) In case the reason of shifting the loan is requirement of :

Additional loan, whether additional loan as per new

Rewriting module is offered.

D) Whether the customer is satisfied with our services :

E) Sources of fund for foreclosure of loan :

F) Whether the reason of foreclosure is takeover? :

G) In case the reason of foreclosure is takeover, what is the :

Difference in monthly outgo and name of the HFC.

H) In case the reason for foreclosure is sale of property, :

Whether the possibility of internal BT is explored.

Signature of Area Manager with Seal Signature

of the applicants

1)

2)

3)

4)

Note : The above format is to be filled in duplicate. Area Office to retain

one copy of exit interview sheet at AO.