== AMBIT Finvest
Pragati ke partner
FeMRS-TAE
Branch Name
05 code Sales Manager Name
Sales Executive Name: A signature
Salos Executive Signature
Documents Received [] Certified Copies
KYC VERIFICATION CARRIED OUT BY
Date
Emp. Name
Emp. Code
Emp. Designation
Frap Branch
Employee Signature
‘CUSTOMER DECLARATION
We centfythatall the information furnished by ma/usis true and correct. Ve undertake to inform you of any changes therein immediately
‘There is no overduesstatutory dues against malus promoters except as indicated in the application; that no legal action has beens being
taken against meus, Thot ¥We shall furrishallthe other information thet mey be required by youn connection with now applet, iat
‘this may be exchanged by you with any agency You may deemed fit and you, Your representative of RBI or any agency as authorised by you!
may at any time, inspect, verify my/our asset books of accounts etc in your officeffactory/business premises as given above. The
Rorrowerle/ Guarantors) agra(e n have given hither mpece rnncont tn ASB ta dierlogo al theinfarmation and data furnished by them to
to receive information from Central KYC Registry / third parties third partes including but not limited to vendors, outsourcing agencies,
business correspondents for analyzing, processing, report generation, storing, record keeping arto various credit information companies /
credit bureaus e.g. Credit Information Bureau (india) Ltd (C181), orto information utilities under the Insolvency and Bankruptcy Code 2016
through physical or SMS or Email or any other mode. The Borrower(sGuarantor(s) further agrees) that they shall execute such addtional
documents as may bernecessar forthe purpose. (We sallimmediately inform the company when my/our residential status changes.
live confirm that we do not have any existinaIDicustomer i apart from the ene mentioned above and incase found athenwise: Conspany
reserves the right to consolidate the customerids under asingle customer idasit may decide, without prior notice to me/us.
We undertake the proceeds of this facility shall not be used for any illegal andlor anti-social andlor speculative purpose including but not
limited to participation in capital market. Incase of any falsification of information related te any applicable statutelaw including Goods and
Services Tax (GST mentioned herein, |/We would be solely responsible for consequences thereof. (We also hereby undertake to indemnity
AFPL and its directors and officers with respect to all the statutory and other labltes/penaltisfines that may be levied on AFPL oF its
‘rectors or officers under such Act{s\aw() due to non-compliance/mis-representation by melus.
‘The rte of interest and the approach for gradations of risk and rationale for charging different ate of interest to different categories of
borrowersis disclosed inthe interest Rate policy of Ambit invest Private Limited available on its website wwww.ambit co.
luwveanvarehereby submitting and shallsubmit the KYC documents, required by AFPL.
Wie also confirm that ye have been explained the folowing,
1. AFPL may at its sole duction sanction or decline the application. No|
commitment hasbeen given torme/us with regard to sanction ofthe loan,
2, AFPLwill decide and assign the loan limitandna commitment hasbeen given to poplin eat compar Gunton
mefiniraee, sinter ap Hepsi
3. The Channel has not collected any commission / brokerage or any other fee by ‘Steoened ‘obepaed
way of cash or cheque other than the cheque no. ‘towards oes ———
intavouro|
‘Ambit invest PL
4, Processing Fees of will not be refunded In case of 5 -
rejecion|witharawal thease,
5. Schedule of charges has been given te melus for same, Sanaureatappiant || Snare of Cosppieaeusrntr
Pace: Date:
Applicant: Co-Applicant / Guarantor +
6 AppiambivOet 21% 1.0