Rsvaranciy | To: Shriram City Union Finance Limited CIN 9ITNI986PLCO12840 Regd. office: 123, Angappa Naicken Street, Chennai 600 001, Tamil Nadu. APPLICATION CUM UNDERTAKING FOR LOAN AGAINST FIXED DEPOSIT RECEIPT I/We, apply for loan against the following Fixed Deposit (“FD”) held by me/us with Shriram City Union Finance Limited (“Company”) and to create lien on the same. FDAmount | FD Amount Date of Loan Amount | Loan Amount FD Receipt No. | FP ARS (in words) | maturity of FD | (in) on FD_|(in words) on FD| U/We agree and confirm > to pay the interest and other charges as per the policy of the Company on the loan granted against FD > to repay the entire loan amount and interest thereon along with other charges before expiry of the tenure /elosure of the FD > topay the interest amount compounded monthly > the FD hashhave not been and will not be pledged/mortgaged/charged in favour of any bank’ financial institution(s)/person(s) > that the Company is authorised’ empowered by me/us to adjust/recover any outstanding amount to be repaid by me/us (loan principal, interest and any other charges thereon) from the maturity value ofthe FD or from the interest on the FD 1/We request you to consider the request and release the loan amount by crediting to my bank account existing with the Company. Thanking You. Depositor (Pledgor) Name PAN / Aadhar No. Address oN (orm > Place Date oN (erm