Business Loan Application Form No: SME- 1224300

I hereby apply to M/s. Ambit Finvest Private Limited to grant me personal/business loan as
mentioned in this application form. I furnish my particulars as mentioned below.

Application Date: 01-JUL-2022 City: BANGALORE

Financial Requirement:
Purpose of Loan: Working Capital Loan Type: UNSECURED BUSINESS LOAN PRODUCT

Loan Amount: 500000

Desired Tenure: 36
Applicant Details:
Business Name: AKY HOSPITALITY

Type: RETAIL TRADER Constitution: PARTNERSHIP

GST No.: 29ABPFA9745G1ZT Nature of Business: SERVICE PROVIDER

PAN (if applicable): ABPFA9745G Registered since (DD/MM/YYYY): 11/09/2019

Address 1: GR FLR NO 303 ASHOK TERRACE 100 FEET ROAD INDIRANAGAR BENGALURU URBAN KARNATAKA 560038

State : KARNATAKA City: BANGALORE PINCODE: 560038

Address 2: GR FLR NO 303 ASHOK TERRACE 100 FEET ROAD INDIRANAGAR BENGALURU URBAN KARNATAKA 560038

State : KARNATAKA City: BANGALORE PINCODE: 560038

Ownership Status: RENTED
Tel No. 1:
Mobile No.: 7642023961
Co-applicant Details:
Name: MARINA KHURAIJAM
- INDEPENDENT
MSME Classification:
Tel No. 2:
Email ID: KHURAIJAMMARINA@GMAIL.COM

Father’s/Spouse’sName: MR KHURAIJAM DEBENDRA MEETEI

PAN No.: FWCPK6888K Gender: FEMALE Date of Birth: 23-JAN-1986

Mobile: 7642023961 Email ID: KHURAIJAMMARINA@GMAIL.COM

Address 1: SAGOLBAND TERA KHURAIJAM LEIKAI IMPHAL WEST MANIPUR 795001

State: City: PINCODE: 795001 Please Affix

your
Address 2: NO 149 FLAT NO 8 4TH FLR CHOWDESHWARI HOMES 11TH MAIN 9TH CROSS
INDIRANAGAR 2ND STAGE Photograph
State: KARNATAKA City: BANGALORE PINCODE: 560008 and Sign
across it.
Ownership Status: RENTED-INDEPENDENT

Relation with Applicant: PARTNER Occupation: BUSINESS

Signature of the Co-
Mother's Maiden Name: PRAMILA KHURAIJAM MEETEI applicant
Citizenship: Indian Nationality: Indian Religion: Hindu
Category: General Marital Status: MARRIED

No. of Dependents: 2 Education: GRADUATE

Signature of Borrower Signature of Co-Borrower Signature of Co-Borrower Signature of Co-Borrower

(as applicable) (as applicable) (as applicable)
 Bank Account Details:
HDFC BANK AKY HOSPITALITY
Bank Name: Account Name:
IFSC Code: HDFC0000009 Account Number: 50200045311923 MICR Code: 560240002

Customer Consent:
I/we have applied for credit facilities with your esteemed organization for an amount of INR 500000, with respect
to our proposal I/We certify that all the information furnished by me/us is true, that I/We have borrowing
arrangements for the unit except as indicated in application that there is no over dues/statutory dues against
me/us promoters except as indicated in the application; that no legal action has been/is being taken against
me/us.

That I shall furnish all the other information that may be required by you in connection with my/our application;
that this may be exchanged by you with any agency you may deemed fit, and you, your representatives of RBI or
any agency as authorized by you; may at any time, inspect, verify my/our asset books of accounts etc. in your
office/factory/business premises as given above. The Borrower(s)/Guarantor(s) agree(s) to have given his/her
express consent to AFPL to disclose all the information and data furnished by them to Credit Information Bureau
India Limited (CIBIL) or any other credit bureau permitted to operate in India. The Borrower(s)/Guarantor(s) father
agree) that they shall execute such additional documents as may be necessary for the purpose.

KYC Declaration of Applicants and Co- applicants:

I / We, hereby submit voluntarily at my own discretion, the physical copy of self-attested Aadhaar card/physical e-Aadhaar
/ Masked Aadhaar / offline electronic Aadhaar xml as issued by UIDAI (Aadhaar), to Ambit Finvest Private Limited
(Company) for the purpose of establishing my identity / address proof, to fulfil Company’s KYC requirements. I
have redacted /blacked-out my Aadhaar number on the Aadhaar copy which is being shared with the Company.

GST Declaration:
I / We, AKY HOSPITALITY the applicant of loan from your
company, hereby declare that we are not required to obtain registration under GST Act as per the latest
applicable provisions of said Act. Accordingly, we have not obtained registration under such act.
We understand that being non-registered under GST, we will not be able to claim GST credit on the various
charges that may be levied upon us from time to time under the proposed loan / financing arrangement.
We request you to take our status as ‘Unregistered’ for GST purpose. We also undertake that, if in future we
obtain GST registration, we shall inform you in writing along with a copy of our registration certificate.

Reference Reference
1 2
Name SAFIR RAJU SHRESTHA

Relationship SUPPLIER CUSTOMER

Occupation

MAHARASHTRA 401202 MAHARASHTRA 401202

Address

Mobile No.: 8695214066

Mobile No.: 9901510863
Contact Details
Email ID :
Email ID :

Signature of Borrower Signature of Co-Borrower Signature of Co-Borrower Signature of Co-Borrower

(as applicable) (as applicable) (as applicable)
 Additional Co-applicant application No: SME- 1224300

Co-applicant Details:
Name: SUJATA SURESH PARAB

Father’s/Spouse’s Name: MR SHIVAJI AKARAM SALUNKHE

PAN No.: CQIPP1802M Gender: FEMALE Date of

Birth: 09-JUL-1964

Mobile: 9766629590 Email ID: PARABSUJATA71@GMAIL.COM

Please
Address 1: B 402 RAM RAHIM MANZIL APT AMBADI ROAD OM NAGAR DHURI COMPLEX VASAI
ROAD WEST THANE 401202

State: MAHARASHTRA City: THANE PINCODE: 401202 Affix your

Photograph
Address 2: B 402 RAM RAHIM MANZIL APT AMBADI ROAD OM NAGAR DHURI COMPLEX VASAI
ROAD WEST THANE 401202 and
State: MAHARASHTRA City: THANE PINCODE: 401202 Sign across it.

Ownership Status: RENTED-INDEPENDENT Signature of the Co-

applicant
Relation with Applicant: PARTNER Occupation: BUSINESS

Mother's Maiden Name: USHA SHIVAJI SALUNKHE

Citizenship: Indian Nationality: Indian Religion: Hindu

Category: General Marital Status: MARRIED

No. of Dependents: 2 Education: GRADUATE

Signature of Borrower Signature of Co-Borrower Signature of Co-Borrower Signature of Co-Borrower

(as applicable) (as applicable) (as applicable)