APPLICATION FORM VYAPAAR VRIDDHI LOAN ee amar af aim adest Het ain Branch sa Tan Application Number Date of Application 7] EE) CODD sats et iat ates A ates Relationship Officer Name Employee ID eh arr a eet ore SONS ONES ggraer [I vate [arate [] rg concer oateotainn CT] CE) ELT) Name/e oo, LLEET TTT TT ITT TTT TTT tr tr tr rit ttt tr rt ttt) ja ide eos a Maiden name cit any) [TT TTT TTT TTT TTT TrT tr r rt rrr iTir ttt rt rTtiity fare & ea aH, (2 aE TAY Father's Name CEEETTTTTTTT rrr ry rrr rrr rr rr rrr rrr) fe oy a PS Enadmnetnn te arse rannen /t Rw EH Bea Sen = Spouse Name Sheeran a7 COETETT TTT TTT rr rr rrr rr rr TT Tr TTT) Marital Status sinse [Iwarieg]_Joworeea[_|widowed [_]omer[_[_]vo,of caren No, of Dependents teas RUA Oo Ogee Oo ta Cwacwea Io Oo ae sea pat a CAYE No df any) Cope CKYC AL. (aR etd B) Category Os, Os [loec [1] cenerat a sas She Sue agin oe wise Canim Cl gin) gtan guts] zagtian eT Educational Qualification [_] No Formal Education [7] Primary Education rior Secondary [] Graduation Ser her a 8 Saree OF eremeraes ee vacation — CJ atmos, [Td crgensnio CO] aan L] overs [J] Residentaistaus — ] at wat ee oe rarest FeerteT rag wana ssrfst aT Disabled Person Yes INe upyoe_aapuar_no ETT PTT IIIT freait Or Ose ely amie ai Oo Seer oneal 3 ao aTun ad 4. wenn COLETTE ETE) Dseonesewene COCCOEEE EE) “a hee Clomerstiemons COECEEEEEETE] — embae Co 6 ooo Ci Pager Expy a Cb 6 oe ee vat th auetou =e @ at GH GO HE waft de and a} KYC & wa 8 fen mar a ah geen KYC A obs S1 2.0 ADDRESS /Tat ‘Address as por Oficially Vaid Document ‘Communication Across; Same as Offaly Vaid Document) [_] ‘strane te oe et gems SFT oT {UGTER er, (antes GR Fa eT AR) CLLTT TTT TTT TTT Tt ttt) CEE TT TTT TT TT Ts Address 2:51 2 ‘Address 2: 2 : CLUITTTT TTT Tt tt ttt tt tt) CLT g Address 3:90 5 Address 3 8 CLLUITTTTTTTTT tt ttt ttt) CLI g 1Deas eas PIN Code : fm ate: PIN Code : fiat a: Mobile No. +31 Email id [ ] wie ve ort esr em eT Ferg ger =) Banking Turnover Assessment ross Income Assessment Oo Sem ciate aT srt Oo eet HI HT STC DD genietae esi C1 seep O seeehcoat nse aS enemys 1 Picetrereremt gener monsne nn wf ieria te pont an eka steno mse SRE tee apenas fener rete eee Ee ems earena areas a ec ee nt terre Hipigiranyssmtineletghe praes tlie eon sand ewe mee te Rivonia na Fier asn ined Me eens area Sancion on asbreen of theL gu willbe re sohedace or of re Rot oy kumi expert re Haters at at tee oe a ee pe fete hea tee Aone ETE RTA SE SEEN NEUSE TNT are NE eT ees 1. 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Fromtime ttimelOFC FIRST Banc communicate various ew product/special feature of esting preducs/oromotional tle which ae afsigniieant benefit fofteertomer Plessehelpustoserveyoubetter by giving your consent tebe informed sbout suehberatit. SATE tne ee ate Bey Phere lant ee Rent saa vO % 9 therey age to bide by ane Bound by allappliabe h/t inctucton/auaalns including bua Ime ree byte Reserve Bark trina nclucng tne FEMA Regulations 2000 Governing LC Aecgure the rerelgh Exenange Nansyement Acwi999 and Foren Account Tox Complance Ret Soio'to newton application tei) and ine Common Reporing Standards (C25) force ram tmera ime conigm having dclored ou sates pet (heidi: apatcstonunder section 2850.0! te ncome ay act 16) {he Ae) sro ied by Central Gaara iret Tx (CAO) men Fegan ‘ee fot ot fate on Re, 2000, Re eer fe, 1909 RM ee se sen, 2010 (en yon te) ac een A RES ‘al ear) wre Re got iE 8, el ae rah eg aes gu dee bza aH te (OA) er fei set fr," ban) 268A Be ee te A A et Country of Birth a5 a 2 ‘Country of Tax Residence /38 Ra 2 3 Place of Birth fa ee Saat sweeten fea se hea pa a arglan Tax Identification Number TN ising Court ears Se sae CECE Eee coe 10 Ue ore BES FIRST Banko ari pleat clean docaanssbotea be CERSAL /We hereby povce my consent receive Ajenanenet or ge oS eer IR CIAL WS epee EY SEA EH AE TOA “Start ert Wo ae cence trade cy fan sacanany saci Aor aeinetacea ‘ilo behaor hols subsianalteres now concer tour secieyrtohegconpargs nn noosa nnacanamyaracirnares Freweren ye we eh Ets ot fe oe, eh at Mh eh a (te ree) bch th es Stent 2 a (we fd Sv ge os SR) ed eh aN aT NS, Me Hae, ae, tae, Bae, e/a ead ae ts Se EN arityene oren eer et eteeae eas PORTAL aL RICL MUL re ON Rc AG cE ROR cURL Proof of deny @o0> [[] Vote rachar [J NREGA Cort EC] easpot E] 0% WEI FH AMT (PON): Oe ea O ms Ores O eee eee ate WY BT FI (POA): Qo Here ang ao ane QO aon ams QO arene Oo greta orgs POI & POA Declaration for CO-APPLICANT 1 (To be filled by sourcing RO) BS cD Proof of Identity (Pod: [7] Voter ID Aadhar NREGA Card Passport DL, fect erumersege” Dyer en Osea Oneres Cowes Oo oe ate Proof of Address (POA): [] Voter ID Aadhar NREGA Card Passport DL, 4 aH 5A (POA): Ose Sea Corie ONS OT eeigeeO Seaneee POI & POA Declaration for CO-APPLICANT 2 (To be filled by sourcing RO) Bic GA cl Proof of Identity (POD: [7] Voter ID ‘Aadhar NREGA Card Passport DL. weet terepa ge Teter Sea Cl saat Oi seecs Feet Ca Sn eet Proof of Address (POA):[] Voter ID Aadhar NREGA Card Passport DL, 4 a1 FH (POA): Oye ee Ofte Cues Cems Ooo ate ‘SIGNATURE & PHOTOGRAPHS (please attach recent passport size photographs ) FSO dR RS RR od First second Applicant Co-Appiicant co-Applicant Photograph Pnotoaraph Photograph ‘Applicant's Signature First Co-Applicant’s Signature Second Co-Applicant’s Signature reer eG as RTE et neste eee ] CEEETTTe I ] CELTETTEI ] CEETETTT senate Signature ATE Kame of Wines 17a Name of Wines 272SRA eRe AEC ¥ PSL Sub category ‘tee 9h Dag ealled Marginal Farmer (up to 2.5 Acre) Lo smatrarmer @- 5 Acre) Pate ett Reva (2.5 Woe eo) Be frat (2.59 § ee) Sther Farmer (ofere than § Acre) Llotnerativa Soa trae (5 tos 8 ats) Seu ee 2) Micro, Spall and Mecium Enterprises CMSUES ev ay OH Hom Gas (eREER) |] Manufacturing with investmont in Plant & Machinery up to Rs. 2 Lakh Micro Se ate nd 25 se cr Per wee s Servieg unit with investment in Equipment up to Rs, 10 Lakh ‘ese Hf. 10 ote we Pat Gea Hal OIE Manufacturing with Investment i Plant & Machinery between Rs.25 -§ cr Ser aR were 25 8 5 te ae Pee eee RET [DJ Serice unit th investment in Equipment between Rs. 10 Rs. 2 er emer 2 e108 2 wary Ae Hae Tea Sel Medium Enterprises [DJ Manutacturng with investment n Plant & Machinery between Rs.Scr 10 cr sea sa iad ate adtad 4.5 0 10 ane oa Ste fs A, Service unit with investment in Equipment more than Rs, 2er- 5 er 3) Khadi & Village industries (ky —_ STS ©. 2.85 aes & Ste Fae fet Sa SE sae) she watch (tir) [LJ Manutacturing with investment in Plant & Machinery up to Rs. 25 Lakh Mero aes oe aaiat A. 25 ces cas dea A, " Serviee unit with Investment in Equiprpent up to Rs. 10 Lakh e ae, 1D aa a Fee Aes Se Tae Decleration :i/we hereby deciare that the Ioan availed by me/us shal be used seo apr gg eee Eb Re ge ae a nye Hen Rs ET 1 Fer the purpose of Agriculture and/or assist the transport of agriculture input and farm product Bit stefan Bi age she Re ore MET # TTT Heo AT 1] For the purpose of Business: /we are aware that ison the faith ofthis representation, declaration and confirmation that you have agreed to consider my loan application for financial assistance under the category of priority sector advances, / we hall indemnify the bank to make loss of good in the event of any loss or damage that may arise on account of false/ neorrect declaration by me/us rar crs sy et ere, choo ah gf Be eer ese sere eh as ee Ao oe Pee rg mee eR aA eT BI, ANY RT I OT TT A wF TA TH TT TA AR aT a AT Small Enterprises ay gent ‘Applicant Signature First Co-Appiicant Sionature ‘Second Co-Applicant Signature ‘Sra aT RTE Wad Beart TTT WR ae ante & area CO Oo Oo) CO OF Coo) CO Oo Oo) ae ce Cortification:/ seer: CE iowe met tne Cusigmer at his Cl gesidenee ] Place of work other [7 are © gare [Ey thave seen the Original KYC Documents and Returned these te the Customer. Cony/Photo taken for Record a ae Sere eer ese ae ae her fe Res Tae ea ane A ae The Customer has Signed in my Presence mee 58 au 8 eee Bb tutta a saat ore ae Signature /eeTee de. CSRS NLS ZO fea | Name of Applicant COTE TTT TTT TTT TTT AT TTT TAT TT TT TAT TTT TT) ‘tga r= Loan Amount Applied Rs. /anetter am att «. LT TT TT) ‘Application form shall be scrutinized by IDFC FIRST Bank Limited within the next 20 days from the receiot of the fully filed application eeeintet ts Lean Apphcatien does notin ary manner whatsoever obligate IDF FIRST Bank Limited‘ gran the saldLean, which shallbe atthesoleaiseretion off DFC FIRST Bank Limited ghee ha ets arte oa es RR eer ser Fe Ps 20 Rt sere en ree tee ea eM wre see es Fares enh rey 2 BA Bs ey ane eh ee, a ergo ee as Fars a Fre oR eT Please provide your Mobitenumber{ | [1111111 _statedin application to help tracer the status ofthe applicaion se ae are ETL) eer fe ar & sce ae te # ere Authorised Signatory of DFC FIRST Bark id place [Sd gb ee fa, 2s wager eee i Sere COLT TTT TTT TTT TTT TTT TTT) fas CO 2 Co) IDFC FIRST Bank Customer Care No. 1800 419 8332/andtenel ed des ene eae, 1800 419 8332 8