Cd peer eysvccritass Head Office : “LOKMANGAL', oo 1501 SHIVAJINAGAR, PUNE - 411 005, cota va fe COUR OR eee) eae) For fice use sourced by Dire Dealer sn ate Detals fear /DSA Name code Product Loan Amount € Sourcing ranch Processing fice eS aT 1} RaseCUTALLRTRSOMY OY soreemetn rates arava wean 2 Rese i scoanten see eon ees 3} Mite bebe norman ot rte Hea we NA (hd ais” Metts tl PESO ed <<. i |] =i Be —-| |i cen a — sssenne oe a Fitton | tora sm “rent satin ieee ant fa ome (| fm — oer oe — = CEE ee eo aa Se Se Domicle(incaseofNnt) NR Pro others Rt Po. others 7 Reset Atiress Ee tein ent at / Door / Block No. Nameof Preiss / Bung Road / Street Lan Mar / Post fe ee toy “aa Sub Divison “own / iy / istet State / Union Testory Pin Code tater ter ‘Current Residence is Slowed Fay femedColewe Slowed Fay emt Colewemab eee Dae fae fe ‘aa sat Siege al ten seve srl ter teens Chien ote ‘iin tes Pp tie) Permanent dress weenie see ate ade Niece Pres ae set and Mas Pos ce ty asa oy St no Terry ocean ‘toi fates CoE SS Geico meatier srt Spt Sette mt sa sate Sette mot ately rsenal one wares tant beer wares anne serene Baseman) Dow seca peta ‘anon peu ean Potear ee er Prope abla uttye oe cla vuttye ae saci pases Ser rier eines Serv rie Comm et eat ‘ett eats “e/a msdn ‘ipeoten ‘ypectindonny oie rorbact mast orb cancer wo tae ‘ec wo scan ‘cm ce arm ecg / ca arm tgoe Ene (m_ ‘Employer / Business Name and Address Mes menios te ttf be ocr be Im Poor / Unit / Block No Im Name of Premises / ding Road fst Im Land Mar / Post once mm frea/Loeaity Taluka /Sub Division Town Cy / Diet bm Ste /Union Tertory Im Pin ode aang nan Im Phone No with STD ce Motte No Ema 0 (oria) en Recrement Age vs Recroment Age Department Employee No 1 For Parmers ‘otal Land holding in own name ‘Aces Total Land hoaingn own name aces Pac of petra lnd Pac of peut land NatureotLand —_nigtee Non ig NaturetLand —inigted No gate ain Ft Rained Aled ctwty Dairy Pouty Aled Actvty airy Pouty Kany over spesly tary ter Srey Present cropping pattern Present cropping pattern an Area eres) crop an Area ees) crop PRN WAN (m -aPeuicanT Employer / Buses etal Desinaton —Framyear—ToYear Reason or Change (me *co-arPLicaNT BIRT ia ted | Monthy Income fom Salary (Actua Aroun) a[e Source ae See ‘Business (etal Amun) 1 g a f a ny Other (AeA) 1 g a g aDOU a ‘amount Requesed® Repayment evod Yrs ‘ype Loan cartean second Hand ‘wo Wheler ernie Pre Owned Car oan xe ‘Monthy Expenditure Preferred EMI Amount ® eM Deduction of Moni nsallment by Post Dated Cheque aro Debt es / NACH Senn Sa cnnoced Vehicle Category Wehice Type Manufacturer Wehlele Make Vehicle Model Name & Address of Supplier / Dealer oy 2) Costof Vehicle Copy of Ince toe enclosed) ) Cost of insurance ©) Gost of Acessories 1) Road Tax 6) Ober A) Total Costar bretdve) = 1B) Margin / Applicants Coneibution (48) Loan Amount Amount already paid Ae |e dedar thatthe patclarsanlnfrmation given nthe application are trv, corec complete and upin date allrespect and /Webave ot withheld ay formation. We agree and confirm that / Weave read the terms and conditions ofthe aeount fait and he terms and condtons prtaiingto usage ofthe channels with /by Banko Maharastra asmaybeinforcefrom tet We further delareand confirm thatthe credit fai fany enjyedby me/us wth other bankhasboendslosedhorein above We further ecarethatal the partclarsand information en in ths application form andl document refered or povided therewith) are true corey, complete an Uup-udate all respects and I/We have nt wield and information, /We understand tha caruun partir ven by me/us quired by the operational gudelins {governing banking companies /Weagreeandunderakstoprovideanyferther information that Banco Maarashra tay require. |e agree and understand the Bank of Maharashtra reserve the right reject any aplication without providing any reason. I/We agree and understand that Bank of Maharashtra reservetherightto retain she applain forms andthe documents provided rewinding photographs andval nctreturthesametome/s- |WeautheriseBarkcof Maharashtra or ther agonttomake reference and enquires wth Bank of Maharastra consider necessary inrespecofrinreatoninformationinthis application /rcher applications i Weagreeand here suthorse Bank of Maharashtra to exchange shar or part withalthe information, dats ce dcuents eating ty ‘ur application including but not miedo coat and repayment history or any default o any default an, commited by me/us wo other banks / franca nsttions J bureaus /statutory bodes / such ther persone Bank ol Manarachirs may dor neesary or appropriate ray be equed lor use or rotating Usa information datapersons /arisingof the processed information / data products thereofto other Banks /nancalnstutons rei providers / srs repstered with such persons and shall othld Banko Manarashsiableforuseafhsinformation. |e confirm that We have read the appliatin form and acquainted myself / ourselves with dhe terms and conditions governing the lan fait as specified by aka “Maharastra /We undertake inform Benkof abarashtrrgarding change iyour rescence employment. /Weagre that your credit facts shale governed therules of ane Maharshtrainforeefrom ne tote. We underae to bear processing service, documentation charges et Stipulated by the bank rom inet time. /Wle agree, note understand that Sank of Maharastra that ‘Banko! Matarashrs shale ene at it sole dsretion tall ack theentie Lean / Advance whether de and payable ar nota any me wea aesgningany reason and enforce sips, remedlesand secures -xcepthecscosed to Bank of Maharastra inthis application no director orareative/ near relation (as specie by RB ofa director ofa banking company including Banko “Maharashraoraelative ear elton (specie by RB) of Se Fase of Bank of Maharashtra specified by Al dreor manafer employe mine / our eancer ny / our subsidary o holding company /We fa dicesure contrary to this representation above hasbeen made by me us. Banke of Maharashtra may provide uch credit facies only permite inthe manner specie or required by Reserve Bankof India fromtimeto time Pace: Date Signature of Appant Sknature of Co ApplicantSe eG juals) mm Name Nature Partnership HUF Trust Society = —PrivateCo,—PublieCo,—LLPetam ses other (Please Specified) g_ Name ofother Partners / Tastes / Directors / Adult Members ofthe HUF: me aay Address Name etnaty Address re Netty Address Name Netaty Address Name aay Adress Principal oft. Regd of. Ade Pin Landa Ta 1m Branch Or Local off Add Pin Landmark ta Authorised signatory details Name Designation Te Name Designation Ta Nature of Business Manufacturing Service ‘rating ‘aioe Export (esse Selet) others (Pease specy TH Noof years n Business Industry Deals Tumover Amt | Manufacturing Enterprises with investment in Plant and Machinery __‘i|_Service Enterprises with investment in Equipment Upto Rs. 25 Lakh (Micro) Upto Rs. 10 Lak (Micro) ‘Above Rs. 25 Lakh upto Rs. § Crore (Small) Above Rs. 10 Lakh upto Rs.2 Crore (Small) Above Rs.§ Crore upto Rs 10 Crore (Medium) Above Rs.2 Crore upto Rs. § Crore (Medium) Please specify the value of Investment Rs. Please specify the value of Investment Rs.FarmCreit Aliedacties Loan frAgictureand lied A a ate Pt reg Se arm Credit _ tenn or anpertinafown am produce Farmeswihland thn2Su Been 25195 res As Declaration We hereby dectare/ confirm that the purchased toby me/s sal be sed or Purchase of business farm credit and lliod activities and /or assist he transport of agricultural input an farm products. |e aware that son the faith ofthis representation, declaration and confirmation that you have agreed tn consider my loan application for nancial assistance tnder the extegory of priority sector advances. We shall identity the bank to make the loss goo in event of any loss damages that may arise on 2ecountof fale /incorect declaration by me/us. Signature of Applic Sipnature of o-Appicns Sjnature officals (Gsperreselution)ee sae 9 NEE acamesiaoor) ‘© Photo Identity card issued by the current Employer © lection 1D Card © Pan Card © Aadhar Card © Passport © Driving Licence roof of Residence: (any one) © Hletrcity tll © Hlecion ID Card © Telephone Bil (Landline) © Aadhar Card © Passport © Driving Licence {ln continuation) PO. POT Nameof Applicant ‘TypeofLoan LoanAmount (ata) TMS Inward No DateTime ofReceipts ranch Name. Branch Code Sign & Seal of Ofcals Yee Name of Applicant ‘Typeofloan Loan Amount (intakhs) CPTMS Inward No, DateTime of Receipts branch Name, Branch Code Sign & Sel of Ofc (lnsstfor acknowledgement receipt for“now your loan applleation status” made avallablest website: wwwhankofinaharahtrain by keyin CPTMS inward No ‘2 YourMobilenumber mentioned intherecard)Salaried/Pensioner Class (in ease of Pensioner ‘minimum pension per month should be Rs. 25000/-) Professionals (Please submit your Professional Degree Certifteate) Business Class ‘Additional Documents Ltest3 months Salary Slips Form 16/ TRfor Two Years. Proofofconfrmed employee with lnimumn 1 year service Current Employment Certieate, Bank Statement: Latest 6 months statement where your salary is getting credited Latest 2 years Income Tax Returns including Computation of Income, Profit and Loss Account, Balance Sheet, Audit Report, et, { Retenmtr oveth tre ern crs tyrant cent aenprts ent ‘Shop Establishment Act Any Tax Reg istration Copy. Company Registration license ‘Bank Statement: Latest 1 year bank statement both current and savings Latest 2 years Income Tax Returns including Computation of Income, Profit and Loss Account, Balance Sheet, Audit Report, et, { Ramey omer mts hs pasnig ts ddon rt ‘Shop Establishment Ac, ‘Any Tax Reg istration Copy. Company Registration license Bank Statement: Latest 1 year bank statement both current and savings Down Payment Dealer Receipt. car Quotation