Application Form for Home Loan/Loan Agair Tite (ime id (/Mirs/Ms/Dr/Others}/ Fist Name oan Type |_| Home Loan “Loan Against Property Mise Nan Lea “Te sO Fathers Fst Rare “Tie Mr Mrss/O Other Mathers Fst Name Relation with Applicant ‘Constitation PAN / Form 60 Passport No, Expiry Date: ‘Voter id Card Driving License Expiry Date: ‘Aaar Card Number NREGA Job Cad eter sued by National Population Resse Corporate identification Number (IN) Director Mdentification Number (DIN) TTLiL National Industrial Casifcation Code NIC) ||) TI Impert Export Code EC) Corre COO Date of incorporation DDMMYYYY) | CETL TEL ‘CKYE No ree (OE eee [Date of Birth DD/MMYYYYDE Gender ||| LLL 111i Jette lemael scene) TD) LL 1 lL leer ca Nationality & Community TT TTT TTL ets Jase, [7] Cendant [Cie [Clan Clr [Jom emmy Tiana | lOmantrvsnert cote Else svJo2d Toman ery Jom Jose jenna | Jobers | ‘Personal with Deabity (Lives [No Liver No eal vty enter LED EEE ert Tort Tot ttt ttt tt ttt ttt Education Mtr Undergrauste Graduate [LMaticute []Underpacuote [| Groouate Phone Details (STO Code-Ta es) ‘Mobile Number i ee “Marital Status and No. of Dependants |_ (Marries | |Single | others No.of Dependents |_| |_Married| Single |_|otmers No.of Dependents | “Spouse's Name itt rti titi titi tit ttre) “Email Address (Personal eT en Err erry _Email Address (Official) TUPTT rrr rrr rrr er rrr rrr tri TTTtTTiitt RO Cee ee Blk ETT TPErTE ti) Mating Adress Residence Address (Presant Adress) i [TT \eouriny | [No of Years at Present Addess|_| |Noof Yeors at Present Address |) Residence Address (Permanent dress) err TTT Trt rrr rr ree eet CITTTT Tri yr trrrirriry 1‘Whether registered under GST i ‘GSTIN DETAILS (GST Ropstraton “GST Annenur for maliple GST [No of Years at Permanent Adress Yes [Ne GSTExempton | ‘Exemption Reason if yes) | Exemption Vato ti (yes) [Liste [_}mulle Special Economie Zone Special econemic zane code (#¥) . Ne ve | Region STIN (Default GGSTIN Registation Date ‘Autos estore for GSTIN “Same as Resdence Address (Present ‘adress ‘Same as Residence Adress (Permanent ‘dares Yer No GST Exemption Evemption Reason (yes) - Exemption Vala et yes) ToT ‘singe _"Mitile Special Economie Zone [7 Special econami zone code (HY) eel =I == elelelsialeteleislaelelelaelelaieT I aeene Coe oy thers line fd) fe EEE Ta SEE EEE foe CECEEL fore EEC Ps tc) esapoeble ‘Aepleant/Ce Appear Gusranto/GPA ‘Aoplant/ce-Aspeant/Guarantor/GPA Residence Owner sek Owned [Renal Paeta Set Owed [Renal [Parental [ica Provided” Paving Guest Mireyet_| Co Provided Pin Gost sitet _| Emplommen Note [C[sted | lSettraond.Oner lRetied | lSaared [Set Enaeyeé er tied “Sempre: Pfessonl | Housuile_SeEmpioyed: Prfeon!- Houseute | sudent Unemplyee Student” Unemploy Nate of Greiation Cleon/esu Lintets [led | icomsesu | Pubes [ve CMNC Pannen —Prprtostip NC. Pareship. Poort local Civie Body Others _ __ Lweal Civie Body lothers Nate fp Bines Maraaetiine Series Prviter Eduction —ManifacbingSenice Povier Eaton {omnia ating et! Whee) Fanart Trdg (etal Wiles) Tanport [Descritionof Business [Nature of Busines - Self Employed "Consttton Tek the relevant option) ‘Country of incorporation L Information Technology _ Agree professional Service provider Trader Hindu Undivided Family Trust | Tst NGO Private Ltd Companies | Puble Lt Companies ‘Co-operative Societies Portetship Fm Trust-EducationlInetuton= Sole Proprietorship [Association Tum CLUBSIASSN/'S0C/SEC-25 COL_|Governnent Univesity Other Financia stitutions Banks Lnited Uabilty Partnership TH IeETeT C1 TSabvied investment Professional Fees “east PF/GOVIIDEFENCE, | Banks Limited iby Parinrshia [DInformation Technology | Agrcuture Professional Savice provider "Trader TT Wind Uncvided Family Trust (Tus NGO [CPrwvate Ltt Companies! Public id Companies Corpertive Societies || tust-PF/GOVT/DEFENC Bares ut Ector nuts Sole Proprietorship Association ( Mescetbesasen'socsee 25 C0, Gowen C University Other Financial stitutions EET "Salaried ‘Source of Fund: niu Investment Professional ees | Cletsines Eamings Commision | agieture| Business Eaigs |'Commision gic Source of Fund: Non India ‘Business income _ Equity Investment Business Income |_Equtylestment |[ibonaton Grant From Group Company __| Donation Grant from Group Company Desertin (LET I |e Period in Current Employment/Business || Years | Months [years [| Months “Total Employment/Business Period [1 Years [|_| Months [1 ]vears [7] Months Name of Oranston ete setetaletele Te) I hens (or TT eer C Lid TTT T TT Le TTT fetal =fale=tetet=eL I etel=folsl=fel elite andimare| || TL T andor || 1 | TTT = I I swe CLL Jem ELE LL) Phone Detais(STD/ISD Code TOM) | 1111111 'UAN (Ue Aachaar Number C TELL CooL LCCC ee ECE ICCC ‘sate (Leer | “rivancia Devas ‘Applcant/ Applicant Guarantor PA ‘oplicait/Go-Applicant/Guarantor/GPA Fanci tats Income , Monthy” 5 Financia Non-Financial 7 oom [Financia [E Non-inanca ‘Bonk Account Detale Bank] [ea ta fi a tl ee a i] 2eeret TT TTT CET rd twee rare TTT TLE LICE EEE ‘Alea [om J ‘oon Details ‘est ‘anit seul TET E LEE IEE ELE Toe ctlom puruation| | ] 1 eon amount TT TELL CrT Tt o pall TTT TTT rer rrr ce] Lean Tenure REO LICE ‘No.of EM Pid PTC ECitr ttt rete toanaccomneNe. (TET EEE EEE LEE loan Opening ote (TT TTT TTT ttt ROL EE ieee ‘Security eee Ee eee eet ee] Te ee ee investments Detats— [Owoots [TT TLL lfvewence | 1 TTT TTI ewes TT LLL Jfoentoasl EEE owes [TTL TT im ELT a T_T ‘Armour IL — J Terms montis [ I Purpose of Loan | Clpurchase ["iConstuction [I Pot+Construction | (leusness [agree Hameripae [8 Type of Losn/Product Category ome Repair 67 Topp vai ‘at Fort Hae aan | aT+Debt Conon | Ay Oter Prose Tins hee Super Saver Home Laan Aah Home Loan it [Diataterelone tevin] Suncor melon | ttl cre QuikPay Heme Len 1 PMAY Ht Power Advantage Home Lean | IMGC 17 Purchase of Commercial Property |) Super Sever Home Loar user SarerHere oun retest a nes 5 emiosse titreeton 1) vera Fatty Siti) So ea sine ee SECEDE TEEPE TT PLT || Canes Repayment ode Toe ]wacn cla Time Ciwce Os = Se esheets tamer tice tbeimentearst as | Ee tobe cetcced tr [1 Pothole Back Lid Ae Service Chacges) Cheque J roses festa on pa ease dees nef] te 1 emo ‘Drawn on Bank Cheque No. Dated Drawn on Bank | i} Rate of interest (RO!) (Fined | Floating | Fixed + Floating, (Fined Floating. PropertyType Residential (| Commerc |) Resental Cum Ofce PropertyType |_| Flat |_| Single Storey House _)Extension |_| Repair| Comat pepe “WamsacionType|Bulder [Society Jahorty Ree 0 Oe aes Properly Cssifation New [yes | JNO [Resale SuderName =o Aaeot Bung | || Months Market vibe Project Proper Name Buidng Nome | Reser Vlue/Agrement Value ves of ropert/and Se FE ‘res of Properytand nS.) Cost of Property Land Bult-p area Saf) Adtosct Povey || Aaesot reve Coe CCOLOe Eco COETTTT TTT TTT errrol LT TL) av wee CECE EEE ew EEE TT SetOwned ——[lintetea | ForApecatons Underverse Morag Scheme Coan Acuna memes eto Soe te Lan rctet lan ‘Name of Seller —] umpsum —(—) Annuity [] Combination of Lumpsum and Annuity ‘Address of Seller ——________________ | incase of Lumpsum plan, please specify the humpsum Amiount | i} Incase of Armuty pleas specity the perodity of Annuity Stageof Construction [_|Complete || Under Progress (Yet to start, Cost of Purchase /Construction Reitvaton Cos = ee | er ‘uate Hitvety 1 And Tota Cost Stamp DutyCost Incase of embination plan umsum Amu & = | anatnee by Woy o Moy Ant | ines Cost (wn Contribution Mobile No eeshone Email 1D Lie Insurance Interested [Not interested Shall Decide tater Property insurance Interested [Not interested Shall Decide Later If applicant belongs to any ofthe below eatezory please ik the rlevan bo ‘Manufacturing & Services Micro ‘Seal Media Investment in Plant & Machinery/ Eauipment | L1_Upto Rs Crore [51 Upto Rs 10 Crowe [Upto Rs 50 rove Turnover Upio RSS Crore 1) Upto Rss0 Crore | [-) Upto Re 280 Crore (Please speciy te valve of vesment RS ‘and Tumover Re ‘Only for naval Carter Farner ih Lad {oan forte purpose of Home Repair. [Upto 25 Acres Beeeen 25 to 5 Acres Loan forte purpose of Eaueation | Above S Actes (tere - 040 Hectae ||Lean for ransportton of on fam sri | (Please speci the Name of Econ! tte 1) Farm Credit snd Aled Activities 1 ‘Location and Country of institute 1] "Loan for Aercuture and Alicd Activites aly, her, anna husbandry, (Namecfthe couse ——————————*|—_—poutrysbes keeping, Serculture unt cocoon stage | DECLARATION: | a We ate aware that i on the faith ofthis epreventaton. {ielvation and contrmation that youhaveaprendto consi mylowappeation {erinaela asstanceundar tho category of Printy Sector Aavancas, We sal Inerety the bot ae the loss gd inthe evento ny ss/ damage hat Imayarae on account ole! err declrasan bye Total numberof residential properties owned by me lecluing the one you are currently applying fr lan with xis Bank i (update no of houses hore) [5 we decor that We inching your fay" famies" have availed appli for Hore Loan from any bank/ financial institution inching As Banik for purchase construction of theproperty/éwellngunitexceeding an amount of Please 25 lakhs “] T5lokhe “The loan particulars ace provided hereunder: ae 2 3 [ L L I Far ipa el clan ps ei al Rada lianas on navn AE ay ala trae butshaloe cee epayseprtedonune Customerdetstninrespectoeatonsp with drecto/Snioroficert the bank/Anythe Bank 1. lama Director of Axis Bank Yes No 2. tenebeeceraferyatersane C]¥es Cine ea Nanaofthotane TT TTT PEE IEEE rr To 3 \teamare relate drecer of Aes Bani othar Ban Senor Ofeeresink [es [-1No 4 nec nevorave' es prieip mfone ote nena oy espe earehtonts ec stabann company’ Yer Na ©. 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EMAIL, WEBSITE, Others —_ ‘Axis Bank Relationship Manager Name || | LI LI Documents Received: |_| Self-Certified | Tre Copies ‘Notary pee ee iene vial iia een ee —= seat ae caeloetada eine he oe ae ——— i eat [a | heyy corsertoan oes nd aute Ass Ba Lofty eral deta OA hye no objconin abating yt Achr bese saercson open ad wintry creo pov ny Ashoar nae / VIO rmbt, emer mematon or One Tne POT) as et ay te !uthrteanon da rth pro ore ma lam spon ndontan tho the Ber nar STP ner ny fer aaa a may ri oS ‘staccato et tyre arrests repeal ‘ersten indcutmangotatenstetossosen cy norton nds rbot shalemresecayardcrnarstey impel ier ot prove fe une oS tse anton tons Bra ovo ste Aba i Pcs Peo wah ae ‘tothe Sta share yao ete ctasetomatenreaay Saban raven eae {here enoresiyconset to andautorice he Banker acing by sl othe any es serve provides nd wheter in automate manne here toca re lvoe my ablation deta puso dts an sete maton town norton, ses nda snow our ste REL teinoraton =a ‘sterinimaton aoutnepertin ome ort xray Seema eevee Bors clacton’ ery aso ene consented athe ie Bak ‘ocownlot RYE deta om heCKYC eps sng my CXTCIDIertepurposeal Home Loa Laan Aan Property banapeaen. expe sr ko sae nd cn loti es on nsf iomaton compre orion iin tak an IRIE, Sat ep cnpisstetes mpl ecg cis pia at tonsa on isi pect Nojencany nictaontnts crmntalosequonnterstepiuntiotnctoetace ripe atau coarse pcs wma Srattone savas wpraneepomsne nyt Ue peane ex aa veencat otc on ss trteprpecss cesemckeuccnsonee mee £ ‘csr rouse onset aig et ae fr apo edt otter meinn rea Soni ete cere tRipete rarest con any ngunnttoaiean eae meen rie te "Sheraton tomate ponstor and cosh tne thnara parades ote bak tonto Gnesi Sse i Cvs [no ‘Applicant Signature Co-Applicant Signature Co-Applicant Signature gate ao aa [Plt sae an 404 sary ta a AS SRI (5 ert we es ator 1 yen SI AnetoCENTRAL KYC REGISTRY,| Know Your Customer (KY) Application form Legal Entity / Other than Individual Name* EISELE CCE eee eer Entity Constitution Type” TI i PEER Date of incorporation / Formation” I Place of incorporation / Formation’ ini i Country of ncrporation / Formation” TEECLO [Oficial valid documents in respect of person authorised to transact [5 Certneat oftrcoporation/ Formation [L) Resistration Certificate No.___ = | Memorandum and Articles of Association Partnership Deed || Trust Deed Resolution of Board/ Managing Commitee | Powerat attorney granted to its manager, officers or employees to transact on its behal [Letty Prot (for Sole Proprietorship ony) Proof of Address" [_| Certificate of ncorpraton/ Formation (7 Registration Cericate [7 other Document. e = Une" oo Line 2 Une a [ ity Vilage / Town | Pin Code™ i CI Line 3 POLO U CLT ta iy vito Towne EET T Pin Code* C1 county COCO) DOT) Email 1 TOECOE OE 7] Aiton oFRested Person ["] Deletion Rested Person) Up Related Person Details WCNunberofebtedPeson CDDP DEDEDE aval) SS elated Person Toe" (1 Obector (7 Prometer [kara Citustee Partner [Court Appointment Oficial Beneiciay Authorised Signatory [eenefcl Owner [Power Atorey Hole [Proprietor |_| other ease speci) DIN (Director Identification Number (Mandotory if Related Person Type s Director) ‘Name* (Same 3510 Proof) | | I TTT TT Tora) Maiden Name Father / Spouse Name LL I LI SEE TET Et oer ‘Mother Name i E T I a TTT Date o Bitht | Tansgender Nationally | Form 60 Furnished1 Passport Number Voter id cant 5 biving Licence REA Job Cae | National Population Register Letter Proof of Possession of Aachaar i) ) EKYC Authentication Lid) Ofte verneation of Aachaar Pin Code" country™ |. Sameas above mentioned adress Ih such cases adress details 2s below need not be proved) I Certified copy of OVD or equivalent e-ocument of OVD or OVD obtained through dtl KYC process needs tobe submitedanyone of the following OVD) ERE (Ly Passport Number TE ote id cant Driving Ucence INREGA Job Cad [ational Population Register Leer Proof of Possession of Aadhaar fi) EKYC Authentication Ui) fine verification of Aachaar {i)_) Deemed Pos iy) sett Dedaration Pin Code Country? r 1(Applicable for Non - Individuals only) Name of borrower: we confirm that the total banking exposure of our firm/company after availing the proposed loan / ‘edit facility is Rs.50 Crore or above. The Legal Entity Identifier (LEI) is applicable to our frm/company and the details of the same are as under: 1) LEINo: 2) LEI Issuer: I TT O O ] 8) LEI Issuance Date: (DDMMYYYY) I 1 4) LEI Expiry Date: I ] \/we confirm that the total banking exposure of our firm/company after availing the proposed loan / credit facility is between Rs.5 Crore to < Rs. 50 Crore. We will endeavour to obtain for the LEI at the earliest and agree to provide the LEI details to Axis Bank once we obtain the same. the proposed loan / ble to us. we confirm that the total banking exposure of our frm/company after avail credit facility is below Rs. 5 Crore. The Legal Entity Identifier (LEI) is not ap We declare that the particularsandinformation given above are true, correct and up to date in all aspects. Signature "