Head Office : Office No.11,Ground Floor,Shreeji Mall,Near HDFC Bank,Mandvi–Kutch,Gujrat 370 465.

.
LOAN APPLICATION FORM

Application No._____________ Resent Passport

Date :_____________ Size Photo

Dear Sir,
I/We hereby apply for Loan of Rs.______________ (Rupees_____________________________

_____________Only) and furnish the Below the necessary particulars.

 Purpose of Loan :-____________________________________________________________

 Name of Applicant :-____________________________________________________________

 Address of Applicant :-____________________________________________________________

_____________________________________________________________

 Date of Birth :-____/____/______ 05) Gender : Male Female

 Contact No :-_______________________ Mob :-________________________________

 Mail ID :-____________________________________________________________

 Education Status :-____________________________________________________________

 Types of Loan : (Please √ in Relevant Box)

Personal Loan Business Loan

Vehicle Loan Mortgage Loan

Agricultural Loan Sort Term Loan

Education Loan Medical Loan

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 Requierd Proof/Documents for Loan Application :

PAN Card Aadhaar Card

Income Tax Return Bank Statements

Property’s Documents Electricity Bill

 Employment Nature :

Salaried Self Employed

Name of Employer/Business :__________________________________________________

Desination :______________________ Departments ______________________

Total Employment/Business Period :-_______Year______ Months

Address (Office) :-___________________________________________________________

___________________________________________________________

 Nature of Organization :

Govt./PSU Public Ltd.

Pvt Ltd. Partnership Firm

Proprietorship Other

 Propose Loan Details :

Amount :-________________Term(Months)________,Fees_____%, ROI______%

Repayment Mode : PDC ECS

 Financial Details :

Net Monthly Income :-____________________/Month

 Bank Details :

Bank Account Details Account 1 Account 2 Account 3

Bank Name
A/c Number
Type of Account
 Loan Details

Loan Details Loan 1 Loan 2 Loan 3

Bank Name
Loan Amount
Type of Loan
EMI

2|Page
 Reference/Guaranter Details :-

Reference 1 Reference 2
Name
Address

Relationship with
Applicant
Mobile Number
E Mail

I hereby confirm that the above-stated information, and any information provided in
attachments is correct and complete

Date :-___________ Thumb &Signature of Applicant:

Place :-___________
______________________

Verification (Office Use only)

I Verified all Original Documents of Applicant for Provide Loan Process with
Application Form and Provide all Annexure :

Stamp & Signature of Authority :

______________________

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  Customer Declaration :
1) I/We declare that all the particulars and information and details given/filled in this Application Form are
true, correct, complete and up-to-date in all respects and that I/we have not withheld any information
whatsoever.

2) I/We acknowledge that the sanction of this loan is subject to M.H. Finance internal review and evaluation
and the loan amount provided in this Application Form may change subject to such sanction from M.H.
Finance.

3) I/We have fully read and understood the Standard Terms and Conditions, copy of which is available on
Annexure. Also, I/we have fully read and understood the Most Important Terms and Conditions shared with
me/us.

4) I/We confirm that all details and terms (including the amount of the Facility, interest rate and tenor) have
been filled-in in this Application Form prior to submission of the same to M.H. Finance and that there are no
blanks. I/We confirm that all Schedule of Charges as mentioned in the application form shall be borne by
me/us without any demur or delay. I/We acknowledge and confirm that I/we have perused, understood and
agreed to M.H. Finance method of calculating the installments.

5) I/We understand and acknowledge that the Facility if provided by M.H. Finance, based on this Application
Form submitted by me/us, is a commercial transaction and I/we waive any defence under usury or other law
relating to the charging of the interest.

6) I/We understand and acknowledge that M.H. Finance shall have the absolute discretion, without assigning
any reasons (unless required by applicable law), to reject our application and not sanction/disburse the
Facility and that M.H. Finance shall not be responsible/liable in any manner whatsoever to me/us for such
rejection or any delay in notifying me/us of such rejection and any costs, losses, damages or expenses, or
other consequences, caused by reason of such rejection/non-disbursement or any delay in notifying me/us
of such rejection/non-disbursement.

7) I/We declare that I/we am/are competent and fully authorized to issue such declaration, confirmations,
agreements and undertakings and submit this Application Form for the purposes of borrowing/availing of
the requested Facility, and to execute all other documents required by M.H. Finance for such purpose.

8) I/We acknowledge and confirm that all the terms and conditions provided in this Application Form and
any other Transaction Document shall be fully and completely binding on (and strictly complied with by)
me/us in the event of this Application Form being accepted by M.H. Finance and/or the Facility (or any part
thereof) applied for by me/us being sanctioned/granted/disbursed by M.H. Finance without any
requirement of any further/specific confirmation from Citibank to me/us of such sanction/disbursement and
that, in such event, all the terms and conditions applicable to the Loan shall take effect and be binding with
effect from the date of this Application Form.

9) This Application Form has been duly and validly executed by me/us or my/our behalf and when
accepted/acted upon by M.H. Finance would Constitute legal and valid obligations that are binding on and
enforceable against me/us in accordance with the Transaction Documents hereof.

4|Page
 Details of 1st Guaranter Thumb &Signature of Applicant:

Affix the
 Annexure : A (Reference/Guaranter Details) Resent
Passport
Size Photo

 Name of Guaranter :-___________________________________________________________

 Address of Guaranter :-____________________________________________________________

 Date of Birth :-____/____/_____ 05) Gender : Male Female

 Contact No :-_______________________ Mob :-_______________________________

 Mail ID :-_______________________________________________________

 Education Status :-_______________________________________________________

 Requierd Proof/Documents of Guaranter:

PAN Card Aadhaar Card

Income Tax Return Bank Statements

Property’s Documents Electricity Bill

 Employment Nature of Guaranter:

Salaried Self Employed

Name of Employer/Business :__________________________________________________

Desination :______________________ Departments ______________________

Total Employment/Business Period :-_______Year______ Months

Address (Office) :-___________________________________________________________

___________________________________________________________

 Financial Details of Guaranter :

Net Monthly Income :-____________________/Month

 Bank Details of Guaranter :

Bank Account Details Account 1 Account 2 Account 3

Bank Name
A/c Number
Type of Account

Date :-____________
Thumb &Signature of Applicant:
Place :-____________
______________________

5|Page
 Details of 2nd Guaranter
Affix the
 Annexure : A (Reference/Guaranter Details) Resent
Passport
Size Photo

 Name of Guaranter :-___________________________________________________________

 Address of Guaranter :-___________________________________________________________

 Date of Birth :-____/____/_____ 05) Gender : Male Female

 Contact No :-_______________________ Mob :-_______________________________

 Mail ID :-_______________________________________________________

 Education Status :-_______________________________________________________

 Requierd Proof/Documents of Guaranter :

PAN Card Aadhaar Card

Income Tax Return Bank Statements

Property’s Documents Electricity Bill

 Employment Nature of Guaranter :

Salaried Self Employed

Name of Employer/Business :__________________________________________________

Desination :______________________ Departments ______________________

Total Employment/Business Period :-_______Year______ Months

Address (Office) :-___________________________________________________________

___________________________________________________________

 Financial Details of Guaranter :

Net Monthly Income :-____________________/Month

 Bank Details of Guaranter :

Bank Account Details Account 1 Account 2 Account 3

Bank Name
A/c Number
Type of Account

Date :-____________
Thumb &Signature of Guaranter:
Place :-____________
______________________
6|Page
The owner of motor vehicle/authorised dealer of registered vehicle
 FORM 29
[See Rule 55(1)]
NOTICE OF TRANSFER OF OWNERSHIP OF A MOTOR VEHICLE
(To be made in duplicate and the duplicate copy with the endorsement of the Registering Authority to be returned to the
transferor or immediately on making entries of transfer of ownership in certificate of Registration and Form 24)
To
The Registering Authority……………………………………………………….(in whose jurisdiction the
Transferee resides)
I/We………………………………………………………………….…..resident of………………………..
……………………………………………………………………………………………………………….. have
on the……………………..day of the year…………………………………. Sold and delivered my / our Vehicle
No……………………………………………make………………………………………………………….……..
Chassis No……………………………………………………….[Engine number or motor number in the case of
Battery Operated Vehicles]…………………………………………………………………………………….to
Shri / Smt ………………………...……………………………………………………..(Name) Son/Wife/Daughter
of…………………………………….………………………………………………………………….. residing at
………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………… (House
No./Street/Village/Town/Distt. And State) under an agreement of hire purchase/lease/ hypothecation
with………………………………………………………………………………………….....................................

The Registration Certificate and Insurance Certificate have been handed over to him /her / them.
To the best of my/our knowledge and belief the vehicle is not superdari and free from all encumbrances
and information furnished is true. I/We undertake to hold my/our self-responsible for any inaccuracy or
suppression of information.

Signature of the Financier Signature or thumb impression of the

(as his consent) Registered Owner (Transferor)
Date……………………. Date………………………………..
I/We………………………………….(Transferee)
Copy to the Registering Authority…………………………………………………in whose jurisdiction the
transferor resides.
Note. – To be sent to the Registering Authority by Registered Post Acknowledgment Due.
OFFICE ENDORSEMENT
Ref.No…………………………………. Office of the……………………………………………………..
The ownership of the vehicle has been transferred to the name of………………………………………….. with
the note of the above said agreement with effect from……………………………….(date).

Date……………………………. Signature of the Registering Authority with Office seal

Strike out whichever is inapplicable.
To
The Transferor…………………………………………………………………………………………………….
(To be sent by Registered Post Acknowledgment Due)