MAS FINANCIAL SERVICES LTD.

6, Ground Floor, Narayan Chambers, Near Patang Hotel, Ashram Road, Ahmedabad - 9
SMALL BUSINESS LOAN APPLICATION FORM
State Branch Date
Module BK Sr. No. CIN
Partner Name Lord Krishna Financial Services Ltd. Agmt ID
Executive Name Screen
Old Cust. Yes No
• Please write in CAPITAL LETTERS & use Black ink only.
• All details must be filled in, If not applicable please write N.A.
INSTRUCTIONS

• In order to ensure faster processing, applicant should ensure that the application is
complete in every respect and all the required documents are submitted with this Please paste
Passport size,
application. Latest, Color photo and
sign across
• MFSL reserves the right to reject any application at any stage.
• Tick √ wherever is applicable.

Name :
First Name Second Name surname

Designation : DOB : PAN No. :

Gender : Male Female Caste : General SC ST OBC M.
Marital Status : Single Married Divorced Widow
APPLICANT

Residence Address :
Landmark :
City : State : Pin Code :
Type : Own Rented Rent Rs. (If Rented)
Mobile No. : Resi. LL No. :
E-mail ID : Qualification :

Address :
PERMANENT ADD

Landmark :
City : State : Pin Code :
Type : Own Spouse Parental
Mobile No. : Resi. LL No. :

Name of Firm :
Address :
Landmark :
ABOUT BUSINESS

City : State : Pin Code :

Constitution : Proprietorship Partnership LLP Pvt. Ltd.
Incorporation Date: Total Experience : Years
Type : Own Rented Rent Rs. (If Rented)
Mobile No. : Off. LL No. :
Category : Trader Manufacturer Service
About Business :

Name Relation DOB Stake(%) PAN No. Mobile No.

PARTNER

Financial Year Sales / Receipts Gross Profit Net Profit Filing Date No of Staff
ANCIALS

Curr. Year (Projected) Rs. Rs. Rs.

FINANCIA Rs. Rs. Rs.
Rs. Rs. Rs.

Account Holder Name Bank Name Branch Name A/c. Type A/c. No CC/OD Limit
BANK DETAIL

Name Bank/NBFC Name Loan Type Loan No. Loan Amt. Tenure Paid Bounce
LOAN DETAIL

Name Relation Address Occupation Mobile No.

REFERENCE

Loan Amt. : Tenure : EMI Amt. :

Charges Amount GST Total Installment Structure

Service Charge EMI Amount No. of Inst
SCHEME DETAILS

Clearing Charge X
Site Visit Charge X
Moratorium Interest X
Insurance Premium X
Other Charges - 1 Rate Of Interest : %
Other Charges - 2 First EMI Date
Total Last EMI Date

MODE OF REPAYMENT NACH

Date Cheque No.
Bank Name Branch Amount
From To From To
PDC DETAIL

Security Cheque
Insurance Cheque
(1) I declare that all the information hereby furnished is true and not misleading (2) I am the citizen of India. (3) I am authorized to
sign the application as well as all the documents pertaining to the loan and, not prohibited to do so. (4) I will intimate any change in
address of office or Residence immediately to the company. (5) I declare that I will use the loan amount only for the purpose
mentioned herewith in the application form. (6) I hereby authorize the company to carry on any sort of due diligence to confirm my
DECLARATION

creditability. (7) I further agree that the company is its sole discretion may reject my application without providing any reasons, and
that I reserve no right to appeal against this decision of the company (8) I understand and agree that the processing fees and
administrative fees are non-refundable and my application being rejected by the company for any reason whatsoever or the same
being withdrawn by me. I shall not be entitled for refund of the same either in part or in full. (9) I understand that I am not entitled
to get my documents and photograph back in case of rejection or withdrawn of application. (10) I accept all the term and conditions
unconditionally and abide by any changes made by MFSL in their terms and conditions

Applicant Name & Signature :

Place :

Date :
FOR OFFICE USE ONLY
Executive Name & Sign. H.O. DEO Sign. FAS DEO PDC Taken Out

Data Verifier Stamp

Branch C.O. Name & Sign. H.O. Credit Officer Sign.
 Stamp

Data Verifier
No of PDC Rec.
 MAS FINANCIAL SERVICES LTD.
6, Ground Floor, Narayan Chambers, Near Patang Hotel, Ashram Road, Ahmedabad - 9
SMALL BUSINESS LOAN APPLICATION FORM (Co-applicant / Guarantor)
CIN No. Agreement ID Date
Old Cust. Yes No
• Please write in CAPITAL LETTERS & use Black ink only.
• All details must be filled in, If not applicable please write N.A.
INSTRUCTIONS

• In order to ensure faster processing, applicant should ensure that the application is Please paste
complete in every respect and all the required documents are submitted with this Passport size,
application. Latest, Color photo and
sign across
• MFSL reserves the right to reject any application at any stage.
• Tick √ wherever is applicable.

Name :
Co-Applicant Guarantor
CO-APPLICANT / GUARANTOR

Relation : DOB : PAN No. :

Gender : Male Female Caste : General SC ST OBC M.
Marital Status : Single Married Divorced Widow
Residence Address :
Landmark :
City : State : Pin Code :
Type : Own Spouse Parental
Mobile No. : Resi. LL No. :
E-mail ID : Qualification :

Company Name :
ABOUT EMPLOYMENT

Address :
Landmark :
City : State : Pin Code :
Designation : Gross Income : Net Income :
Mobile No. : Off. LL No. :
About Company :

Account Holder Name Bank Name Branch Name A/c. Type A/c. No CC/OD Limit
BANK

Bank/NBFC Name Loan Type Loan No. Loan Amt. EMI Amt. Tenure Paid Bounce
LOAN DETAIL

(1) I declare that all the information hereby furnished is true and not misleading (2) I am the citizen of India. (3) I am authorized to sign
the application as well as all the documents pertaining to the loan and, not prohibited to do so. (4) I will intimate any change in address
of office or Residence immediately to the company. (5) I declare that I will use the loan amount only for the purpose mentioned
DECLARATION

herewith in the application form. (6) I hereby authorize the company to carry on any sort of due diligence to confirm my creditability.
(7) I further agree that the company is its sole discretion may reject my application without providing any reasons, and that I reserve no
right to appeal against this decision of the company (8) I understand and agree that the processing fees and administrative fees are non-
refundable and my application being rejected by the company for any reason whatsoever or the same being withdrawn by me. I shall not
be entitled for refund of the same either in part or in full. (9) I understand that I am not entitled to get my documents and photograph
back in case of rejection or withdrawn of application. (10) I accept all the term and conditions unconditionally and abide by any changes
made by MFSL in their terms and conditions

Place : Co-Applicant / Guarantor Name & Signature :

Date :