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    Hindustan Printing Press

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    Crirond ‘SOURCING DETAILS EDUCATION LOAN APPLICATION FORM HE branch cove [LTS CRI Next No, ‘Aeplicaton Date eco [| Sales Exec. Code FCB Sols anager Code Sales Promotion Code [ele] =) 2) Teli ele L Leb (A) PERSONAL DETAILS PRE FIRST NAME ‘Applicant Name Maiden Name (any) Father's Name Mother's Name Spouse's Name Date of Birth Sex| [Mate] [Female | | thie Gender Religion | Maret | | Sil 086] [General] |Minonty| Residential Statu Ni. of earning members inthe family ‘Annual Family Income cKye No, [ pan TT TT | TT || aaiasr Proof of dentity| [Passport] [Driving License] ['VoteriD| [NREGAVJob Gard | | Others [Date pi Reference No. TT Tei LI [ Physicaly Dsabied [| You | [Nol _[ Nationality | (6) PRESENT ADDRESS PresentResidence [| Gwned Gompany [ [Parental] | Shared Accommodation |__| Rented | Monthy Rent (Rs) ‘Years at current residence ‘Years inthe ely Prefered Mailing Address Present ‘adaress Type | [Residence Business | [Residential & Business| | Registered Office | _| Unspecified Fat No sBua Name Road Nod Name Landmark city State country Phi Code Proot of Address [| Pasepor Driving icense[ | Voler10| | NREGA Job Gara [Others PEE Business | [Residential & Business| [Registered fee] | Unspecified ‘address Type [ [Residence FatNaJBuild Name Road NoJ Name Landmark City State country PR Code Tick it Permanent address is same as Present Address a Tel(R) Tel(0) ii ares ear | EDUCATION DETALLS (From $.8. til dato) “ifappiicant is attonding any college or institute at preset, please also mention course dolls in bolow section Passed "| University = Instucton | Passing | nPirt Atempt | iBretatempt” | of Man” | Obtained | for Aedemie istncton Cours Category [_Donesic||Intwnationdl County [india [Jus [UK [ ]AUS |] Otter Name and Addcossof Collage! natu n which the student intend to join. Name of Colege| T Course Applied fer: ‘Address Line 1 Management “[_]Medical ‘Adéross Line 2 Engineering Adéross Line 3 architecture Course Name Others, Name ofthe Unive ri to whieh the colgel nate ained ‘Course Approved by: use| |covt] Te] [waws| lice] [OEPT of Electronics| Jothers (Please spacity) Hos the student ben adie int the above cllee! att rivers or accepted forthe couse? i, Cried copy of adisin! Acceptance ltr shoul beatae Whether admission of course is through entrance testMerit based selection? [_] Yes [_]No eee a ones Contact Parton sth erty Undergraduate [ | Postgradute i I [1 Lele TI Course Begins from I Par tine (Course Ends on| Course Type) _ [Fall Time Voeationallothers Moratorium during course period (k) fb] Jia] Taal [aa] Jo] [36] [a2] [ae] [others (nts. specify) ‘Moratorium post course period (B) 6] [42] [Others (pis. specify) Tal Moratorium (C= A+B) fa] [na] _[2a]_[oo]_[e]_[a2] [a2] [se] [oo] | omeraipis spect Repayment (©) [_[12]_ [eal [oe] les] [oo] [ra] [eal [se] [108] [20 | [9m] [saa] [156] [a0 | [00 ‘Total Loan Period (E = C+D) Please speciy, aw the completion ofthe courses going ta lp the sludnt In improving his! her prospect of earning Nisha vend: [Expected income permonth | | ai] Anticipated month expenses? [ [ [ [ [ | | 3 Aout avaiable fo repay oan T 4) Whether the student will take up any part-time employment during study ? If Yes, Pls. give detaits. 3] cate you ar taking studies abroad, what are your ely prospec in lndalRbroad? F) EMPLOYMENT/ BUSINESS DETAILS Firm’ Company Employer's Name T Femi Company Employer's Address Type ofCompany| —[Pivatea] | Pari Type industry | [Automobi ae Taataotee ptnaoes |e faces ecraear | [enema eer fee |Type of industry [Real Estate Pharma | [Media| [Other (constitubon|Nature of business | [Manufacturing] Real estate Cae Pes ‘Monthly income: | WMDFC Bank ot not your primary banker, please Existing Loan Details anual Slay! 1) aeno ] Other Income I ‘Bank Name = ‘Income [Rental] Agricultural — Branch 1 2 EMI Tenure. suc [Other ‘Account Type ‘Start Date_ cal == ‘Do you Bank with HOFC Bank ?[ ]ves _]No Details of Credit Card If any (2) BankiCo. Name_ Branch ‘Name of Issuing j eerhec oan ai carer os ‘AIC NO. 1 i —— ee as H/PERSONA REFERENCE Oona is th resin he oe i = oo wame LI [ | TT I T tame [1 TIII I Relationship with Applicant I Relationship with Applicant waa jaa = = = Ta ioe ma ian i APPR AT (PERSOUL OS PRE FIRST NAME MODLENAME SURNAME CoApplcant Nae Maiden Name (any) t= Father's Name Taek Mother's Name T Spouse's Name i Date of Birth Female | | thi Gender Maried | | Siagia || “No of dependents 1] Religion (OBG] [General] [Minority] | Resisertial Status | [Resident] [Non-Resisenl Total income CKYC No, No] | Dele pals Proof of identity] NREGA Job Gard | _[ Others, Bacar] | Reference No. Physicaly Disabled | [Yes | Nol | Nationatiy| | | | (@) PRESENT ADDRESS eS ee [aoa Tears to Tiaired Maling Aone | [eure] | Farmenene | [iz Address Type Residence | | Business a Registered Office Unspecified rene foe he pee Cy = —— Code Proof of Address | [Passport Driving License ‘Voter iD | | NREGA Job Card Others, Sans ‘Address Type [Residence | | Business [ [Residential & Business| [Registered Ofce| | Unspecified Fiat No Bud Name] T ‘Tle f Permanent Road No. Name address is same as, foe Present Address city State Country contac 075s ay rate) nie hase Tappa a allie [aac Tatar) [Sas] Tepe] mcracanp hcareeciou | mama] [mmcramec| [mine itees] Traspsil amannamecoae jenr.omenousNess eras cae er aber ern aioe set i EE peer ee ee poco eee eo eet ae fas salaried It Set employed professional No.of eats ean [pe ateonreny | [Sole propristorsio| | Parnarah enone mbes] [Aare based Hype of industry |_|Automebie es = RealEstate | [oonsumer Durables] | Fc | —|naro| |Maretingav-| | Pharma | Weal [one ————— [constituton| Nature of business | [Manufacturing] [Service provider] Agriculture | [Stock broker| [Trader] [Realestate | [Others san ee ae Name Reson Ades iy 1M Code Phone No. Te aaa ea ee jaa oo Seen! ety rey ve Ean om eae Sassy 4 Ges ‘soc om — I ae a Chet foal Serene [Fama [R@EoTIAT Branch oa Fm ene: |Other_ Account Type ‘Start Date aaae | Goaos, HOF Bank ?{ [Yes |No Details of Credit Card If any | 2)BankiCo. Name_ Name tein crt cane = ne aes Pere ac) (A) PERSONAL DETAILS PRERK FIRST NAME: OGLE NAME SURNAME CoAppleartNane| Maiden Name (any) Father's Name Mother's Nome Spouse's Name Date of ih Sex [aie [—[Femate [| tira Genaer Maried [| Sing [| No of pendent Religion i[s]_[one] [.cenerat | [Minority] | Resdentlasiatus| [Resident] [Non Reside Totaincome exe ne, | Pat Tadastna| | Proof of keniy| iD] _[WREGA ou Card_| [Oxner Bae oy eal Pensa Diabid || You [Nol | National (@) PRESENT ADDRESS Present Residence [| Owned Parental] | Shared Accommodation | | Rented | [Monthly Rent (Rs. Tee) ‘Years a curen reidenes Years in the cy Petere ling Address ‘curent| | Permanent —| [rae ‘Address Type [ [Residence | [Businss | [Resdenis|& Business| [Registered Ofice_ | | Unspecited Flt No sud Name Road No.1 Name ||| i 7 Lenamare [7] a ale ‘ city e site County iN Code root of Address [~[Passpor Dring icense | [Wotwr || WREGA os cars | | | Omers ‘Address Type []Resience |_| Business | [Residential Business| [Registered Omee| | Unspecied Flat Would ame ‘ek Permanent necaeticce stress a same ae Present Address City state County D) CONTACT DETAILS EEE maid Tel(R) Mabie Wo. I Tai(0} Please tik to receive communication fon Bank va SWS Relationship wih Applicant Tick One) |_| Father | [Mother | [erotner [ | siter use | omer Ps. Speci Relationship proof ick One) | [Ration Gara] [sinh ceruteats| [Driving License] [Passport] [School leaving cetcate 5) EMPLOYMENT! BUSINESS DETAS Firm Company Employers Name iB Fm Company Employer's Aes ty PN Coe Site Prone na e[xt te, (Occupation ype] [Solared| |Safenploed] |Business| [Professional] Retired | [Rawsewfe| | Stwaent| [Unemployed | omer Type Company] [vated] [Parinership| [Proprietorship] | Public ud | | Publicsector | [GOVE] [WNC Jones... tctareal M2 tindesty | [autonenies| [Agieuturetased [ [Benkina[ [PO | | captal goods || Telecom] [rT] [reian sland Type ofindusiy | [Realestate | [Consumer Durabied [rmco || NeFC | [Marketing| | Prams | Media| ones No. af years in cuentiob | | [Designation oi Deer [ | ca No. of yearsin Profession (tse [lbpeofeompany | [Sole proprietorship] nership jee itomobiles] [Agriculture based Isusiness. [Type ofinustry |] ueomebies len RealEstate | [Consumer Durables Self-employed professional Name Residential Address Gity IN Code Phone No, F)INCOME / BANKING DETAIL Monthiyincome [| | TOPE Ba oto saat your pay Sates | Existing Loan Detalls ‘annual Salary! ‘) Bank, Nam income a" ae Loan Type Other Income TT ani tame srount Qtherincome | JRentall | Aaricutral” ranch en Tenure acme lotr Aecount Type | | Sit Date ict 5 Loan AC no. Do you Bank wth HOFC Bank 2 te 2) BonkiCo, Nome Branch Name of issuing Loan Type custo Bank —— ‘NCNO. ae c ET é teen ane LOAN DETAILS PART. IV ee eerssc aaa ecanaree eee ame aa aoa aed a a ae oe TT | Teena rE ice Se ee eae books/equipment’s a ‘6. Gold | Jewellery ‘Praveting ences sl | || | | 7. immoveble propery Ty oe t ES “csi a EEE : = aisles voralfe| | [1111 J (Less) Any Other Listes i iit "Subject to condition thatthe amount does not enceed 10% af he totatulhon fee forthe ene course mints LOAN AMOUNT WEEE 100 oF oisuRsEMENT (ony one of he following) pean a come Fare] Coa ap aa Spear eee eee ers ares ee eae tines eat ame _— ay Scere ee eee a Vi met Sassari aera ehc eer aga me Des So | es ac peers Je Tee ae a ee Soe coe 2 en Spare aaa ec ae —— nepayuent — Interest servicing during Moratorium |Yes| [No RepaymentMode| JPoc [| |S. | [ACH Peon meTnen oy nroiaes Ll Particullars of Insurance Policy(ies) In case of father! quardian/applicant only aerate = eee eee CO "Payment: No eashfbearer cheque has Been coleced rom you unt towards proossang the oan application. « Datals wih respect otha EMI presentation dats, numberof nfs and amount wil be communicated separately tough a welcome lle ost Gisbursement of oan. + No dscountites gf r anyother commitments given whatsoever wich ‘Snot documontad inthe ean sateen by HOFC Bank o ary of ts authorized representatives.» Te loan amount ana dstursal ls ate sle dscration of HDC Bark anno {ornmiment has been gen regang the same. Terms and condions ofthe loan agreement shall be provided on request.» Applcaion processing and loan dsbusermen: ‘Should ake acund {7 working days tom the time of comgleton and aubrssscn of eavant can Goctmanta 2a per Banks. ott.» Ofer charges Loan processing feos ‘would bo 30 ofthe faan amount. On pr-cosue of lan, hare wil boa foe tothe extent af upto of hs loan oustanaeg» ‘Advanca EN hae been alected fem you. Stamping cost, Documeniaion Charge applcabl as pa the Stato. Samp Duty Act would be deducted rom te dsbursal arcu Charges which aren nature fees are EXCLUSIVE of Goods and Sancs ax (GSI) and chor government lowes as applica, Would be Charged atioonaly. SSN (ua ery 9p) ran etalon tom HOFC ant Lie Tote ela een tea leon fm.) Aepar have e apadvaldany tuets an to ny (herbaria tan 3) Cogapecat neve epsadoere Jno apptod-raieg|Jany educa pa any aver nae nn 8) Cusarahave ped Piiseltoacetesicd t yanyeavcttnltan to of cer oak eal haat ot LAV cary ak We ants acon tne acre hk tc cong patents oe onion ‘tay Ban HDEE Bad nay Soca cancion Tape bane Bank chal ave It sce cecision rpc te st eaton or eos the oar rnc Uitout cen soy ese ee oe arith e haven ioaienypraceednge saint meus to have weteen aca nsoiran (01 We ure ogre a myo om rasestons we governed oy eu tO St Lint ure renin aa sey en cone oven fn flan une nero) Ws kez ea ral be ibn Pithnciat sanests washers unlined HOE Barkabet Sakura en sen cay ons Serena ae ara We tl eae ka OPE Baek er he nope le ee Oe ee ivtenictoveciy tahun tntordabereatay ua NOM os pes Aaa Bost te obec phecsi oc aacaw Eig feta ny accents acorns (SA alpen ttn td et aca res Nae nd Fngererliaandy katte deals autbariesatme ete rAd s0Teand ater splenic con [lige suhag Dec Banta aa yhacha mr gps acon anda Aachoa nur aly cca lsoreps wah Banks maybe sped arin Seawater a eer {UWE CONFIRM THAT THE EXECUTIVE COLLECTING MY APPLICATION / DOCUMENTS HAS (1) nfaemed melus about intrest servicing and nor-norst servicing payment Sptons duneg mermorum. (2) formed ma | us tat the apleable oes ae .. (monthly reducing). (3) Processing fee ‘35 deameodftbythebank wile charged wards oan appicaton.) Notrecaived ay paymentincash, bearer cheque orknd along win orn ‘oraecion wil ison appa om me/us (} Monat / us GST oc maybe applcabl wills charged cotmcacn win he oan.) biemned me us at FC ‘BANK LTD wl note lable for loss r dela inracep of dacuments(7) Informed me us thatincomplee/ datectve application wil not be processed and HOFC BANKLTD shall nat ‘beresponsibleinany manner forthe esuling dalayorothersise (2 nformed me us that documents photographs vill nabs retumed, under any cxcurstances, nce submited to HOF BANKLTD. (2) Inormed me /us that approval of tha application st ole dscrton of HDFC BANK LD. (10) informed me/us that ihe quantum ofthe loan wl fall

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