Please fill in oll the required details in BLOCK LETTERS Tick I boxes as applicable: “coven
‘Wpe of Loan. D0 Secured [unsecured — []Vohiele Finance Loon Application No.
Loan Amount [LJ Required Tenor in Months
Loan Category o Cltep-up Clused ev [used cor [1] Use 128798
Oo
ff others, please specify
Purpose of Loan
Nome of the Institution
Date of incorporation
Constitution LlProprietor
PAN No.
TAN No.
GST No,
Office Type
Registered Address
City
Tel. No.t
Mobile Email
Clossfeation Citic seat Limestone
‘Manulocing Tnvesiment in Plont ond Investment in Plant ond Tnvesimentin lant ond
Enierrises ond Machinery or Equipment: -Mechinery or Equipment Machinery 0” Eavipment
Enierrises rendering | Not more than Rs. Terore and | Not morethon Rs. 10 crore | Net more than Re. 50 crore
Services ‘Annual Turever: not more | and Annval Turnover snot | end Annuol Turnover not
thon Re. 5 crores more than Rs, 50 crores ‘more han Rs. 250 croreNoture of Business ‘Monufacturer
Service Provider
Retailer
Wholesaler
INDUSTRY TYPE (TICK THE RELEVANT BOX):
Agriculture & Allied Activity
Automobiles
Chemical
Computer
Construction Material
Consumer Goods
Controctor
Education Insitute
Elocricol & Electronics
Finonce
Food & Restourant
Heottheare
Industrial Intermediote Goods
Jewellery
Leather
Metals
Other Services
oper
Petroleum Products
Plastics
Professionel Services
Real Este
Rental/Aecomadation
Rubber
Textiles
Transportation
Wood & Wooden Products
[INDIVIDUAL DETAILS |
‘APPLICANT
Name
Relation with Applicant
Fathers'Spouse Name
Business Detalls
o be filled in cases of CV Loony
Tractor Loan}
Transporter : No of
Experience in Years
Vehicles
‘Transporter : No of Vehicles
Experience in Years
Tdentifation deta
vores it card no
passport no.
Valid Til
T btvng Licence Na
aie Ti
Dene Wo
(votes 6 card no:
Passport No
vale Ti
ovivingtcence no
Val Tit
Done wo
PAN Card Ne.
Date of Birth DIMM
‘Mathers Maiden Name
Gkeenship
Tatiana
status Crsonr O
NR Dro
Glresoer Ona ro
Religion"* CO Hindu Oo
(Cehistian =
others Ps Spec)
Osith
Claudehse
Muslin
sain
Obinds D Musi
Dlowisten sain
others Ps spect)
sin
Coeuddhst
Category"
[Ci senere! Osc Cist_ Cnt Di owe
Cicererat (se Ost Ont Goose
mae
Female
transgender
Civae __ Citemsie Li tansgender
Marital Status
No.of Dependants
auction
Institute University== AMBIT Finvest
Pragati ke partner
ype of Residence
‘APPLICANT ‘CO-APPLICANT / GUARANTOR***
andmark Gndmark
ry state Picode cy State Pincode:
Email Email
Contact Details STD code Teles S70 code: Tel (Res):
Mobile No: Mobile No:
aoe settowned CiRental Monthy Rent Re. Cisett-owned ClRental Monthly Rent
Craertat Clemployer Provided CiPaving Guest | Clrerental Clempoyer Provided LJPoying Guest
Aasress 2
Tandmark Tanda
ay Sate Picea ay, State Fincode
Ena Ema
Liset-owned CRental Monthly Rent, set-owned CRental Monthy Rent 8.
[Cirerental_Clempoyer Provided Paying Guest
Ctorental Clémployer Provided C)Peying Guest
Year of Residence at Adress 2 ye months Ws months
(offce] Business Adress
Tana Tandimark
chy State Prncode cy State Pincode
Ena Email
Occupation
Sabried Licoa. Cirmvate Cirubie
seitemployed )Selt-