APPLICATION AND CONSENT TO BECOME A MEMBER UNDER GROUP LIFE

INSURANCE POLICY. – FOR POS LOANS

Contract No: 3909252858 Date: 23/10/2019

To,
Home Credit India Finance Private Limited.
3rd Floor, Tower C, DLF Infinity Towers, DLF Cyber City Phase II,
Gurugram, Haryana

I would like to apply for, and accordingly give consent to, voluntarily and unconditionally, membership of group life insurance
policy named as Max Life Group Super Life Premier (UIN 104N088V02), hereinafter referred as “Group Policy” underwritten
by Max Life Insurance Company Limited (“Insurer”) and proposed by Home Credit India Finance Private Limited (“Master
Policyholder”) for the benefit of its customers/ borrowers who have specifically opted for insurance.

I confirm that I have read and understood the terms and conditions of Group Policy as available on
https://homecredit.co.in/corporate-governance and I have applied for the life insurance with following details only after receiving
all information about the Group Policy, including but not limited to, risk cover, insurance premium and claim settlement process
of Insurer:

Sum Assured 1.5 Times of the Loan

Insurance Term 1 year
Insurance Premium Rate Rs.1.22 per thousand*
Risk Coverage Death Benefit as mentioned in Group Policy. No benefit
shall be payable on maturity.

Effective Date 23/10/2019

Nominee’s Name NIMU YADAV
Nominee’s Relation with Beneficiary (i.e. Borrower) SPOUSE
* Rounding of premium amount upto two decimals including Goods & Service Tax and other taxes extra as applicable

I agree that the premium under this Group Policy will be included in the monthly fee charged by Master Policyholder basis my
application for the Loan. I hereby authorize Master Policyholder to provide my personal, demographic, business, credit, financial
and other information/ data that is reasonably necessary for the Insurer to provide me with insurance coverage.

I do hereby declare that I have received a loan from Master Policyholder. In order to secure the said loan, I have enrolled myself
under Max Life Group Super Life Premier Scheme through the Master Policyholder, offered by Max Life Insurance Company
Limited (“Insurer”). In consideration of receiving the said loan I hereby authorize Insurer to make payment to the extent of
Outstanding Loan Balance amount to Master Policyholder by deducting from the claim proceeds payable on happening of the
contingent event covered by the Group Life Insurance Scheme/ Policy referenced above and the remaining to the Nominee.

For this purpose, I confirm that ‘Outstanding Loan Amount’ shall include the balance amount of principal, interest, fee and
penalties as mentioned in the statement of loan account submitted by Master Policyholder. I further declare and confirm that I, or
my nominee, and/ or legal heir shall not dispute the right of Master Policyholder to receive the Outstanding Loan Amount out of
the proceeds of insurance claim any point of time.

I further agree that all the claims under the Group Policy shall be addressed/ resolved by Insurer only. For queries and
clarification on the insurance coverage, terms & conditions of the aforesaid Group Policy as well as any grievances or support
related to settlement of insurance claims, Master Policyholder may provide necessary assistance. Master Policyholder shall be
under no obligation to settle any insurance claim of the customer. The certificate of insurance shall be provided by the Insurer
separately on approval.

I the undersigned hereby declare that the above statements and particulars are true, accurate and complete and I declare and
agree that this declaration shall be held to be promissory and shall be the basis of my membership under Group Policy. I also
confirm the receipt of copy of these terms and conditions from Master Policyholder.

Applicant Sign: Applicant Name: OMPRAKASH YADAV

 TERMS & CONDITIONS FOR VALUE ADDED SERVICES (SAFE PAY) – FOR POS LOANS

This document lays out the terms and conditions which shall be applicable to the package of value added services (named as SAFE
PAY) mentioned herein below that you (‘the Borrower’) have applied for in the Loan Application Form and provided by Home Credit
India Finance Private Limited (‘HCIN’). By applying, using, availing, or opting for this package, you agree to be bound by these terms
and conditions (SAFE PAY Terms) as mentioned herein as well as the registered General Terms and Conditions for obtaining
Personal Loans & POS Loans from Home Credit India Finance Private Limited (‘GTC’). For terms used herein, please refer GTC
unless otherwise re-defined herein.

1. GENERAL CONDITIONS APPLICABLE TO ALL SERVICES UNDER SAFE PAY

1.1. HCIN is a facilitator that allows you/ the Borrower to avail and use various options/ services as described herein. For obtaining
this package, you have to apply for the same in Loan Application along with your POS Loan/ Personal Loan requirement. The
options under SAFE PAY shall be applicable only with respect to the Loan applied in same application form used for applying
SAFE PAY for use in the manner mentioned below until the termination of the loan period mentioned in Loan Summary and not
for any existing or future loan availed either from HCIN or any other financial institution/ bank.
1.2. HCIN shall provide these value added services as a complete package. However, you are free to opt for the insurance under
group master policy in SAFE PAY. The fee for SAFE PAY shall be payable monthly along with the Monthly Instalment of your
loan (hereinafter referred to as SAFE PAY FEE and shall be included in Monthly Instalment). The fee for SAFE PAY shall be
payable irrespective of the fact that you have not utilised any or all services/ options under this package. Services/ options under
SAFE PAY are neither transferrable nor negotiable. Any addition of new options/ services in this package by HCIN shall not be
available to you.
1.3. For exercising any of the option/ service except insurance, you have to raise a request with HCIN either by calling at 0124 662
8888 or mailing at care@homecredit.co.in. The request must be raised from your mobile number or e-mail address registered
with HCIN. No other mode of request shall be accepted. The request for exercising this option/ service must be raised at least 15
(fifteen) days before the Due Date of the month for which such option/ service is exercised. If the request is made within 15 days
of the Due Date or anytime thereafter, such request may be activated for the immediate following month to the extent possible
and subject to other conditions of SAFE PAY.

1.4. One or more services/ options in SAFE PAY may be provided by other service providers independent of HCIN. Further, HCIN
may be required to share your personal details with such service providers in order to provide you necessary services. By
applying to SAFE PAY, you agree to abide by the terms & conditions of such service providers as amended from time to time and
grant your consent to HCIN to share your personal details with such service providers. Should you have any issue or concern
arising from the services/ options provided by such service providers, you agree to raise such disputes/ concerns directly to such
service provider and will not make HCIN responsible for any deficiency or breach whatsoever.
1.5. Cancellation: In case you cancel the entire Loan (i.e. including SAFE PAY), or SAFE PAY only, during the free look period as per
Clause 4.13 of GTC, you will not be charged any amounts towards SAFE PAY. The adjustment of fee for SAFE PAY shall be
communicated to you through Contact Options mentioned in your loan application. After free look period, cancellation of SAFE
PAY alone shall not be allowed. However, HCIN may terminate your SAFE PAY package if the Loan is terminated due to
occurrence of any Event of Default mentioned in GTC irrespective of the fact that entire package has not been availed/ utilised by
you until the date of such termination. Such termination of SAFE PAY does not relieve you of obligations to pay charges or costs
accrued towards such package.

2. SPECIFIC CONDITIONS FOR ‘PAYMENT HOLIDAY’ OPTION

2.1. After completing consecutive two months from Effective Date of your Loan, you may choose to postpone the payment of one
Monthly Instalment of the Loan. Such option can be exercised twice during Loan Period provided you have paid all the previous
Monthly Instalments duly on time (i.e. before Due Date) and there has been no amount of any nature outstanding for payment by
you as on the day of activation of the option basis your request as per Clause 1.3 above. This condition needs to be complied
with for availing this option second time as well during Loan Period. This option cannot be exercised for two consecutive months.
2.2. Once this option is exercised, your Loan Period will be extended by one month and you need to make the payment of Monthly
Instalment deferred by you at any time during the balance period of Loan including extended period.

3. SPECIFIC CONDITIONS FOR ‘FREE EARLY REPAYMENT’ OPTION

3.1. You may avail this option any time during Loan Period. Once this option is requested, HCIN representative shall communicate
you the net amount payable for early repayment of the loan. You shall not be charged any penalty on account of prepayment of
the Loan.
4. SPECIFIC CONDITIONS FOR ‘LIFE INSURANCE’ UNDER GROUP INSURANCE
4.1. At the time of applying for the loan, you may specifically opt for life insurance under Group Life Insurance Scheme for selected
customers for a period of 12 months. You have to sign an application form and consent to become a member of group life
insurance policy. You are advised to read and understand the terms and conditions of the policy available on the website of HCIN
(https://homecredit.co.in/corporate-governance) as well as the insurance application/ consent form. The life insurance under
Group Life Insurance Scheme shall only be available to the Borrowers who have specifically opted for insurance.

Acknowledgment from Applicant:

I hereby confirm that I have read and understood clearly and completely the provisions of the aforementioned terms and conditions
and I undertake to abide by the same. I confirm that I have received the copy of these terms and conditions.

Date: Contract Number: 3909252858

Applicant Sign: Applicant Name: OMPRAKASH YADAV