AUTO / TWO WHEELER ese Os LOAN APPLICATION FORM sl BANK USE SECTION ‘SucngChrd Bom STDS PEK bral Sske Obes Charl Sc) Suro 1 Source? saune sou Branch Code LISA Na Sales Prom Code Lecaie SW Emp Code SE Code SAIDOSA Name ASM Emp Code TSE Code DSA/DDSA Vendor Coe Das SE Cato RSM Emp Code TLcede CUSTOMER SECTION (to be filled by the Customer in CAPITAL LETTERS) wish to apply for below ticked ( v ) loan and request you to process the loan application as per details provided in the form Application date Meet de he Existing EpT Wee Hees ae Sie Si aint ra ann Aoplcant —CoApoicant —Guaranor PANN. ri ~ [ng] — Gave apa 2a recuse Pan. Sl, metytathd Yer No Landmark Years at caren cy ory Pv Cos Years atcunentrestence ‘Stalo County orn it Cart a TellR) 5 tile no. 91 enailD resent Adress is _Qnmed___Peverial__Companyprovided__Rentd (Monthy Rent in Tek t permanent esse same as atone Permanent ‘Address (Redes Ret fe) Ears tenon atone ne cmso te iy Pv code Shepton Site County ‘other Cad No, Tal(RI0) > Motil no. 91 Ea ee a Safemoloed Selene rested ated Housenfe ——Suert Ot lisefeneigedoessina | Doc cares: Contant Pace Lars Oba WErenGOe] Tpeclaneen [Pali Patna Pri Palio, i iy oo. Oe Corsitten|Aahroothsiowss | Wevlcirer Aiur Sanica ror Tedd ConmAgeet —Rebies Oe Type chcongary Patt Pane Pram PicLid esis PSU Got eer. ‘Saatet ina “alomoties ——Aginhetased Barking 50 Capa ons Teearn 1 Petal ee Reese CossneDuaties FCG NaC ering Ad frame eta Ober Employer Business Details. Designlon Expin CuneniJobfBisiness Ye orbs TolalExpin JobiBusiness: Ys Monts Company) lores Kane Company Explyers tess anima iy Nv Code Stale County Tal(0) z Prefered Maiing Address Resiince Ofc fei eal ‘Proprietor | Parner / Directors Details (For Partnership /Private Li. /Public Lid. Co. Only) ‘Name PAN no, ‘Contac deta | Date of birth onEET CES xdsting Loan Deals aaah a " Ae 1) Bank Ca. nae eaainroet Bank name tombe iat a gt ens ans Ober income Cust ID Opened in nee ee ee soure har __ereait card no. a sere ng oF ‘ mes igi Nearer ence eee Beene Oka aa Seen _ poet oo Psa osx poe era tan : ine (eienl | bacon reat ion ee lee eo nt tba = = Ga en oa i i a ogre a eagih rae eee, (Sie cea area a pee eee fmareiaa el” Tee a Fase infil aura Iassriccem ee lal ance sotal “eal leaner at Tees FERIGHAC REFTRENGE Ge & olde lrlncs Wa tr Sy] ao Roe [irene a Fail oo fess iy a a om = ae ee a = io Sy a ce Other bank her berks ois fur in bch relatives of cirecors are iteresied as parber or director. = eee ao BEES? fn estc9 taresonrot rsd jo Diet Atal ome aes in ey may oe) lade) GM Buel Sui Sued Eu ecer eo Lecaing ince narect Agr edo nts He acs metose/pests/catlee/pity a amet er rece, ear fas corte tcs bres ‘Manufacturing enterprises Varcvng twins tn pant macy 10a Ward cw nasi da 8 radian > (OLA Leh Mantcegiriwh inesinetngan maha» CSLahbstECe Value of investment (7) ‘Service enterprie prisms __ Soko ilwthinecnon oprah ‘Save witietentheuoren> 4 Lahn WOLED Potsins/S70) Tas /ReiaeSeneuntwtinestnertn eigen» @ Olale 20° Value of investment). ‘had &vitage industries (V1 ebetn) Declaration: sy esac leis nd ob pres ali be naga bd Torben Aodhan oat pam at Formepape Bares We eae ttn eam eta ese aetna pee DR etn aml ane ayo Phy oa er eshte rt tree pn ecto ep nc etl ees ly ei FANT LEST We agree and confirm: (1) tothe applicable schedule of charges informed to me by HDF Bank Ltc. (Bank) and as more particularly memtionedin Schedule of Charges’ ofthis Application (2)thatthe bank s representative/staff wil not receive any paymentin cash’ bearer Choque or kind along with orin connection with this loan application from metus. (8) thatno discount oreo gitor any other commitment ‘whatsoever fs gwen to melus by the Bankor ay ofits authorized representatve(s) other than what isnot dagumentedin this Formor the loan agreement, (4) the bank shall not process incomplete defective application form, for which fany loss or delays caused to melus, Ine will not hold the Bank able for such Toss or dotay. (6) that Loan processing and disbursement will ake atleast 7 working day's post submission of all requisite documents and information as may be required by Bank as per Banks criteria () thal submission of loan application to your bank does not imply automatic approval by the Bank and the Bank will decide the quantum of the loan at its sole. discretion. (7) the Bank reserves its right to reject the loan application and retain the loan application form along with the photograph and ‘documents, (2) that [We shal furnish any aditonal documents as and when requiredty the Bank. (9) that [We have not taken any loan from any otherbank/ finance company unless spectficaly declared by me/us. (10) that there sno. pending tigation against me's fled bya es franc Bak (1) hatha und shal be used i es purpose wc an has be oid i wl ral odo speculative or antisocial purpose. (12) Ne do net have any existing customer (D or customer ID apart from the one mentioned above, and In case found otherwise Bank reserves the ight to Consolidate the customer Ids under a Single customer ID as t may decide, without any prior notice to me/us. (13) that the information furnished by me/us above is true and accurate. I/We authorize HDFC Bank {oaks any naires egardng my application. We havo read and underiod he conto of al he ou () pags of the an pplication form and accept tne same. Pee a ene een em one) 1 we confirm having submitted the following sol attested documonts (ticked below) along with this loan application form to the Bank represontative Prtagach Pedal ent Podalasiree Lae? say sips SB tak tere Post Oaes Ome Prcfaniniyctometp> Pouolofee——Prafciquiexen nan Aguenent. Scns Vestn ELSSInante Seam foccctcenes Pesdurwn (execs sheryl aan gna ee gc 3L (Bank Copy) Schade Charges sommuncstadtome/ uty imBankorsantava 4) Sune Dy Bs por Se le 2) et ate of % pamontly rediche). 3) Non | Typeofoan ccorLean TWtosn Rekindade Processing Fooe of © 4 Dosumarnion Chaos (TW! © 8) ‘CmatN08 rn Chane COC pa Pains @ La oye eres om | Due oF ST 2d ‘pil Fr TWL-2 53) 7) CIEL Report Copy Chara. * 5 po exny 8) PDD Calectan Cares" ae Oper casetrAL.€ (For TV} 9) Legal evesessn anainoetal Charges At acu 10) Loan vetockng/esbelleral sages € 1000-1) Dupes NOCISeeea NOG. €. S00. (For ALT 12) Aeration Sched Charges © 200-19} ChesusECS suaceng Charges € 50 repayment | 72am of El aayment-6% Not: Vt npvnndttnk co or dete es and ages unc te especie lan product | CTA ‘erat None ct EMI Rasa Changes ncharges rom tie to lm are updstadon bank webste. fonPrincpal |e Monne of Eu Repu PDO Cofecton/Calaeralchargosretundablincaseaflban carcalator * hpplentie Serice Tax ae other government les wl be charged addon en Chegue!SHECS etm ora Calaericnorgos 3 ‘Other declarations :/ We : (1) shal advise the HOF Bank 1a. (Bank) 9 wring of any change in my / ou resident or employment address, (2) nereby ‘Suthonize an eve consent othe ania clclosa, mthout note a melus sermaton unighedby me/us Uie application ferm\a}relatad cocuments executed fo be exequiod In flat to tho facies to be Svalod by molus from ho Banko tha Banke olvor branchaeeubediariod Matos! Crodt Bureauealing Agendas Service Brovders bank financial nstitions, Qovernmon'alaguialory authorities o his partesor information verieaion, ered sk analy ot ‘therrelaied purposes athe Bank may Geem ft Lue vawe the pruege of privacy ana prvtyof contract. (3) anal ereital suma eceivesby youn ser oa hs account. (4) hersby ecnim having received, read rtd understood ts farms and Conctltts applicable {othe loan and accp the same. (8) hereby unconatonaly, agree that these terms and. conditions may be changed by the Bank at any time and The wil be Bound by the amended term's a ‘orattons. (}cantimina Viveareetzen afinae Tivieaiso confirm that tne executive collecting my loan Application Documenthas informed me/us (1 ingonneton wih bean, (2) ain commisvons nto orm of uprontandval commsoion) payaso HDC Bank "ota inauranco ploy Tcommondodto Prsceadny Pas’ Ctamp baty and M10 chages (UCL etrancaltewn’S| are nonetuneable charges ans woud Nt be wavedrehudas in cass oan ‘cancelation, (4 thal al post deled cheques are to be issued favouring HFC Bank Limted Ale < Merion Product Name ~> orl. (8) that the Banks only a finance provide and subsequent vehiceiagsel nance diebursemeritto ne dealer Bank has o labity towards conation colour make perormanoe ua y ‘Given nase rie tme of denvor/ceayn Sever of vel. acessognes papa om he deal or aval sb iy of specie enautmoge unify veratn ot {hedeslership. (6) ina any discount pricing ofthe assets purely an offer bythe manviacturer | deal. (1) that loan related information ike welcome letter “Tpaymont ach oan agicomant burs avin wilbosan on tho ral nondondy mors Ms loanappicatenarm, (8) at Waaniogon {2ROFC'eani Net Banking (vay nfebank como vew he weeome iter and repayment onedue. IWe may aso requestor a physical copy of Welcome etierend Repayment Schedule aeparstey deed be K, DONOTCALLREGISTRY :1understandthatincase!do notwishto receive promotonainfermation through telephone calls emall/sms on products andservices ‘notcureny avaleby me, ean register for"Do NotCal service through the Bank's website wa dlcbark.com or through PhoneBanking or other channels that the Bank may offer Lagre that tis service wil not apply to rece of advice and information regarding products and eorvices current avaecby mo, to help re ‘ly ralsing thobenefs of therangeot nancial olutons desigedtomaomy banking relationship vale added andmorecovenort. [> ve nave rad aed vented te entra contents fhe stores Loan Applicaton Form mung the informa, the Mosport Tem ac Condos the Declarations being Pant A toPart K and iWe hereby frevoeaby represent confrmand declare that teinfomation gen ‘rounder aro compete vugand covectand father apr, ackewowidyo, accoptand confit sa Do not sign this form f itis BLANK, Please ensure all relevant sections and columns are complotaly filed to your satisfaction and then only sign the form ‘Aaplable Secs Tax ad er goverinant ees willbe caged onesie charges, thenames eserves taxis pple an wabecharge Please Paste Latest Passport Size Photograph Page = — 3 3. —3< CEO wo confirm having submitted the folowing sof attosted documents (ticked below) along with this loan application form tothe Bank representative pont Peet Potseanen aust Semntstakenee at Rthowntl ne tener mets (etiomies lee ec — eee nena on cosy edd come eae | eee nd Race tepgeemeeon santa catiaimaesona ee asenan cia oe ea res ee Goansamr Gale Me Sears eurtans! Spares Gj ovoeet sgn a ma iy [Dale | sm [a ceeurati aon osLmapicpoupetren seb once cere | eaeatae Soe eee ee |e wen Loan re-booking're-shedulement charges : ¥. 1000!- 11) Duplicate NOC/Spocial NOC: 7. 500V- (For payment of Hee coeeioremeiot ees oe eietatscornyea oe emt —| 7, von tala ehmenNtcortccr toa i nice te see ca ae, fea {not pemet-0, See aerate coe cian eae [omttnapa | 1921Nerbecl Rca poten aes nee naee rari ees Tlie Sede tr od tie omen otc ome titel on Coassiccs ee eee popes cae ene tina eae PER ENT eee ee Span sitar ferulthtior angie rm ten ae ee ane ae eaten a tReeasremnione a ees eee 5 a AB ett cen fsa ai fant ean TT ee 5 — teaser ons — ee ie ae Biomech a —o renee pak a — Seems aero wollen 3m fais CES ects — [sso TORT DEE Soe Wie ungorstand your worldPOU SarvSurakehs Plus /-—_StarIncurance pn fon HDFC ERGO General Insurance Co Ltdivtetourect ert prance a © "heey alreroeHOFC aoe oy ha ate snes beeen aru em bark rd woneeson eis tae) Puistol cova ihe Nominee Name Relationship with Proposer. Declaration Ines al baton clones ea near al pcre nate nbrmatonwich art my plein Inara rnc oboe xotoyou ajo al Ps pope and eoreionerslbe obose oft rat teen rod HOFCERGOGOWA Ire Co, Li ange ool ly sb oe cin rected by HOF Ee Gen soe CL, Motor ngurance Premium & ‘Group Credit Protect Insurance pan tom HOFC Standard Life Insurance Go. td, Memberslnformation Form PrenimAraint® name os: er Ioonfeon uae Death Bonefit eri assrace SunAssrei (ana)? Tan Yoopret Divimieme Paspot PANrd Leaycetfeae Os ‘Short Meclea! Questionnaire - Heath Detals of Member (ees ya 25) eau eared rr ara alrg FT) Chex Pa ort aac ce Ter xe [) ONO aro: Gon ream Hd Som NSS Ele wy] beset ra dso, dsr oftrannenus em eran kr hal Ssbes tee, Teco oer nd doce (soso dork rcs, oes | [rots or band dear ana} aryoriozre sade Cesta. esas coax ansas alban), Mopac 8 Cor ADS leon betes gnoed sus [Cg ess yx Yu ciara aga oo aa Te an ee [Doyo parinary seis pts orebesepwnci maranena dep seg no aba Boag) fvGovevaros mean cee da [ise nce cy doers Gee ge yr ae area ad ae aA fe yung eden hs oxo ev eto ery condos dees rare ener abv aoa Pena Teor Ae oupearait eas vont coro. dr ad aA esl at ove ava ad BOS reel any a lh apa aT Faso al seri bane tab esis cre. Ary foiled actond fe api cr edainhave Detai of Nominee rane 08 Gover aime nh Mente We, ory duel eave esidatcnl® fom FC Bank Linas as Poe) natosaveesd ‘archaea stow ted fon Samer Lfsnsunnes CerparyLinadHOFC Li" excises toca altos aihranrCFC Lew mapa cCusanare Loanteaes aout Policia aa eses peace rennet carer vr coraedd/ eGrupLie sta See Poets che Ram ON ae ‘ondtethoenovenedanns aduseb aaron xorarth Dectaratlor rian Ags & caf ha hos ssa 8 ti Socron tetas cor buco ener tape ay ri stares ao cin hi ras been 3ny/on ‘ec of srt tbo aly Wo isin he ret no terol Plea aa ao fr Laman | ara aera deste Prue Yate es FOFCLE Grup Cat Piette Pan Be snd Ply povsers bry aid psc algo oy sb shy nse nberane dhe Pepe acyl Bayes Ben ct "ane sh began toate Par desene tte are shar a oy ot til cea er sey cha we se Me pent Noh my ee nels Yom Me ole hare eer al San x or cas nga Inet aye card br ote now rin urs by fa rea ad lageo my a save Lunde et HOFC SLC has trite gos nena rare heren and clon do tig het athe ral rae 3 cers hee, Ides eg icaeo te Cortatandtocatct ui ogevnedbyproscso evar 68 anda rasa ecoamenes uw ates hapten 4 bbe sadn oma tris eats scsi ie Date Place OFC Ranke he mast pole halter af hs pcy 36. Sa We age and confim: (1) 0 he aplenbe chet ct rapes everest me by HOF Bank Ls. Bark) a a3 ere pareularymentoned in “Schedule of Charges of tis ‘Appleacn 2) atta ba eran wl ntscava payor ash boar hoa nd ong who econnectn wi ieean apples Fem male (3) tno enly (alte Bark nly atnanee po and subueqven Wo vehllase ance cssurseran tothe dese, arkhas obi uals conan! falour | moke | pecormonse Jey of vehceimeset othe ine of Savory In elvan of vohdeicraseonaispre-pa wom tie Selo oF avteaity of spore Cslouimadevquiyweror athe dedeship. (@) at ny dscourl in png oft ares purely ah lle by Ue nartacte dealer (7) baton lated ftmaon Ike wecar > Inte "repayment sched" an age data mahice (a appli lo Persona! LaanBusess Loan wl be sen on he eal menined by mas 8 en _ppcain om. (at We canto nto HOF Bark Net Barking (wwrhatbonk com) ew he welame ee and repayment schedule. mn ls request ra physeal apy a loaned RepaymortSchodus copa sed. ant Per of Cova: mont, Prem ARETE = ‘eben fap Ben te enh anand Pecos pb ows Ne prc shlaloy ff soni Sect criney ance ype ‘lectern rant yee ty rors), ay we fee rane he omen yon aa oe em eon ene ey mean pore ga renga spay apo ete ex me oy od rae pene sponte! be rare Vers eden le raver 38.38 sae hl be psa hana i ade ace). Drewes ae abet besa ‘eyesore nc Searels Cor ct Sy Sacha Pus Se ese iy HOFCERGD Gevalia atin HC Bot Lied Un se Di! “aprvomitempitanir Bl Ls tench fran afer anpe mre roll pare oom een aay HFC ERGO Geers (nce yaa ru Pe rig rue san wun HOF uk toda suse wel ae wee 254510104.2016