Professional Documents
Culture Documents
1. Name:
Gender: Male / Female
Birth Date:
Marital Status: Single / Married
Relation with Head of family:
Employment: Name of company
Designation:
Location:
Total Earning Years: /Dependent
Annual Gross Income: Monthly take home salary:
Income from other sources:
2. Name:
Gender: Male / Female
Birth Date:
Marital Status: Single / Married
Relation with Head of family:
Employment: Name of company
Designation:
Location:
Total Earning Years: /Dependent
3. Name:
Gender: Male / Female
Birth Date:
Marital Status: Single / Married
Relation with Head of family:
Employment: Name of company
Designation:
Location:
Total Earning Years: /Dependent
4. Name:
Gender: Male / Female
Birth Date:
Marital Status: Single / Married
Relation with Head of family:
Employment: Name of company
Designation:
Location:
Total Earning Years: /Dependent
5. Name:
Gender: Male / Female
Birth Date:
Marital Status: Single / Married
Relation with Head of family:
Employment: Name of company
Designation:
Location:
Total Earning Years: /Dependent
V. Assets Owned
a. Self-occupied House
b. Additional House
c. Land
d. Commercial premises
IX. Liabilities
Category
EMI* (Rupees)
Loans
Housing Loan
Vehicle Loan
Other Liablities
Marriage(Self/Dependents)
Hospitalization/Medical
Category
Mutual Funds
FD/RD/ Bonds
Please indicate your regular flow of investments out of your monthly income and expenses
under major heads as follows:
Category
Investment Portfolio
Mutual Funds
Fixed/Recurring deposit
PPF account
Expenses
Household Expenses
Entertainment Expenses
House Rent
Please state Monthly outgo
(Please indicate priority from1-5, 1 being lowest and 5 being highest) <<Low High>>
2
3
Buy a House
Buy a Car
5
Protect income in the event of death/disability
Reduce Income-tax
1
2
I consult my family
I consult friends/relatives
After going through the above, you would have a fair idea of how I will structure your finances in
alignment with your financial goals.