BANK OF BARODA CREDIT CARD APPLICATION

APPLICATION NO : 240320900011378
I/We wish to apply for# PREMIER

Credit Card SWAVLAMBAN EASY SELECT PREMIER PRIME Preferred Mailing

First year*/Annual fee** `250/- `500/- `750/- `1,000/- NIL
Address# ✔
I agree to be charged for the first year credit card annual fee in my first statement.

*Reversed if spends within 60 days of card issuance : ₹ 2,500 for Swavlamban, ₹ 6,000 for Easy, ₹ 7,500 for Select and ₹ 10,000 for Premier
**Waived if spends in preceding year : ₹ 12,000 for Swavlamban, ₹ 35,000 for Easy, ₹ 70,000 for Select, and ₹ 120,000 for Premier
#

Mr./Mrs./Ms./Dr. First Name Middle Name Last Name

Full Name MR. BHAUTIKKUMAR CHAMANBHAI KODINARIYA
Name to be printed on Credit Card RANIBA CORP (Max. 20 characters including space)

Mother’s Maiden Name NIRMALABEN

Father’s Name CHAMANBHAI

Date of Birth 05-02-1997 Gender ✔ Male Female TG Nationality ✔ Resident Indian NRI/PIO Foreign National

Marital Status ✔ Single Married Widow(er) AADHAAR No. XXXX XXXX 4731

PAN No. GENPK9073L

Educational Qualification: ✔ Graduate Post Graduate Professional Other

Present Residential Address Permanent Residential Address

404 DHARMNANDAN APPARTMENT KARUNA NIDHIN 404 DHARMNANDAN APPARTMENT KARUNA NIDHIN

City SURAT Pin 395010 City SURAT Pin 395010

Landmark Landmark

Tel. (with STD code) Tel. (with STD code

Mobile# 9727327406

Email ID#
BHAUTIQ1611@GMAIL.COM

Alternate Mobile No. 9998436069

Employment Status# Business Professional ✔ Self Employed Salaried Others

Employer Type Govt. NGO ✔ Private Public

Name of Organisation / Employer WOLF WAR CO

Designation: FOUNDER Employee code (for Bank of Baroda/ its affiliates employees)#

Department No. of Years in Current Org. 6.0 Months

Office Address# F-152, ANGEL BUSINESS CENTER-2

NEAR ABC CIRCLE, MOTA VARACHHA City SURAT

Pin 394101 Tel. (with STD code) Extn.

Gross Annual Income (in Rs.)

850000
BANK DETAILS

Bank Name
eSigned using Aadhaar
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Bank A/c No. Savings A/c Current A/c Other BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
#
Mandatory fields. Do not leave blank as it may lead to delay/ rejection of the application. Date: Wed Mar 20 21:26:57 IST 2024
 (Photo Idenity Proof Required) (Must be over 18 Years of Age)
I Would like to apply for Add-on Cards for
Date of Birth#

Spouse Parent Sibling Child Mobile Number PAN No.

Date of Birth#

Spouse Parent Sibling Child Mobile Number PAN No.

#

I___________________________________________________________________(Name in full) do hereby assign the moneys payable by the Insurance Company, in the event of my death due to

accident to my_____________________________ (mention relationship with the insured) Mr./Mrs./Ms._____________ and I further declare that his/her receipt shall be sufficient discharge to the Company.

(Name in full) ___________________________________________________________Signature_____________________________ Date__________________ Place _____________________________

DECLARATION
In consideration of BOB Financial Solutions Limited (BFSL) granting facility to use the credit card, I do hereby declare and confirm that I have personally read, understood and interpreted the MITC (Most Important Terms & Conditions)
fully as available on Company’s website www.bobfinancial.com. I confirm that I have received the MITC along with the application form and have read all details in it. The MITC provided is in English language and I am fully conversant
with English to understand the MITC. Further, I request BOB Financial Solutions Limited to provide any information with regard to Bank of Baroda Credit Card in English language.I will be bound by the terms and conditions as may
be in force from time to time and receipt/use of the card shall be deemed to be acceptance of those terms and conditions. I agree to be charged for the first year fee in my first statement. In case of application of add-on card(s), I agree
that I will be billed for such add-on card(s) in the monthly statement. I declare and understand that the Credit Card issued to me, if used overseas, shall be utilized strictly in accordance with the relevant exchange control regulations
issued and as amended by the Reserve Bank of India (RBI) from time to time. In the event I exceed my entitlements as per the exchange control guidelines of RBI, I undertake to bring the same immediately to the notice of BFSL in
writing. In the event of any failure to comply with the prevailing exchange control guidelines issued by RBI by me, I shall be liable for any action under the Foreign Exchange Management Act, 1999, as amended and be debarred from
the Credit Card facility either at BFSL instance or RBI. I agree that credit limit on my card account may be reviewed as per the Company policies specified from time to time and the Company will be entitled to cancel my application/-
cards or to alter the credit/cash withdrawal limits or update the product at any time without assigning any reason. I understand that BFSL will provide the credit card as per its internal guidelines and I give consent for issuance of any
different credit card in case I am not eligible for the credit card applied for. I am also aware and agree that in the event of my application getting approved, E-statements would be sent every month to the email id as updated in BFSL
records. Also, all SMS related to the card account will be sent to the registered mobile number provided in the application. I would like to partner with BFSL on ‘The Go Green’ initiative. Please mail my credit card billing statement on
the email ID provided in this form. [Please note that no hard copy of monthly statement shall be provided. In case you require hard copy of monthly billing statement, please login to your online card account and raise request for a
hard copy bill]. I hereby give my consent to BFSL for obtaining my KYC details from CERSAI CKYC portal and to receive information from Central KYC Registry through SMS/Email on the above registered number/email address.
I hereby authorize BFSL to provide and collect information about the applicant and/or the card account to the financial credit bureaus/regulatory authorities. I confirm that the attached photograph presents true identity of me and that
of my additional card applicants, which authorizes the Company to apply it to my credit cards and for which I accept full responsibility and agree to not make any claim against the Company, in respect thereto. And that this condition
applies in addition to the terms of the Card Member Agreement which governs the use of my card. I also confirm that I am not a defaulter of any Credit Institute/Bank and my repayments are regular. By signing this application, I
understand that all the transactions are effected through my card account. I, including my successors, legal heirs, assignees shall be lawfully responsible for making payments for the same, as per the schedule in force from time to
time. I further understand that mere disputing the transactions shall not absolve my prime liability to defer/delay the payment of my credit card dues and I along with my successors, legal heirs, assignees will be fully responsible for
making payments of the same, as per the payment schedule in force from time to time.
I further authorize BFSL and/or its associates/subsidiaries/affiliates to verify from, and disclose to, any information pertaining to me /my office/residence and/or contact my family members and/or my Employer/Banker/Credit Bureau/CI-
BIL/RBI and/or any third party including but not limited to Financial credit bureaus/regulatory authorities etc. as they deem necessary and/or to do any such verification as they deem necessary. I confirm that I have no insolvency proceedings
pending against me nor have I ever been adjudicated insolvent. I agree that my signature on the charge slip will amount to an unconditional undertaking by me to pay BFSL the amount stated therein and agree that a copy of my periodic
statement of accounts will be a conclusive evidence of my liability for the charges stated therein. I understand applicable taxes from time to time will be levied on fees, interest and other charges, as per government guidelines.
I also understand that the BFSL reserves the right to vary any or all of the Terms & Conditions of the Schedule of Charges from time to time. Changed Terms & Conditions shall be communicated through the BFSL’s website and/or
by other acceptable modes of communication treating it as a due intimation to the cardholder.
I am maintaining individual/joint account in Bank of Baroda and I/we have irrevocably authorized Bank of Baroda/BOB Financial Solutions Limited (BFSL) to debit any of my accounts maintained with you against the demand raised
by BFSL (previously known as Bobcards Ltd.)

I/we am/are maintaining individual/ joint accounts in Bank of Baroda. I have applied for Bank of Baroda credit card and I/we irrevocably authorize the Company to debit eSigned using Aadhaar
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my/our A/c No. _________________________________________ maintained with Bank of Baroda _________________________________________________ branch, BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
against monthly/ any dues in Credit Card issued to me on the basis of this application form. Yes No Signature of Joint
Date: Wed Maraccount Holder
20 21:26:57 ISTif2024
applicable

Total Amount Due Minimum Amount Due Customer specific % (if not specified total amount due will be debited)

I have an active Bank of Baroda Credit Card : Yes No I have an existing Merchant relationship (POS) with BFSL : Yes ✔ No (If yes, provide MID number : ________________ )
I undertake that all the documents submitted by me with this application are self-attested true copies of the original documents and are deemed to be submitted by me to BFSL. I further understand that in case application is not
considered favourably, the Company reserves the right to retain the documents submitted with this application.
I agree to abide by terms and conditions as may be amended by the Company from time to time, without giving notice to me. The MITC (Most Important Terms & Conditions) as available on the Company’s website has been read by
me and I agree to abide by them.
I undertake not to use the Credit Card on Internet or otherwise for purchase of prohibited items like lottery tickets, banned or proscribed magazines, participation in sweepstakes, payment for callback services, remittance in any form
towards overseas forex trading, margin calls to overseas exchanges/overseas counter party, trading in foreign exchange in domestic/overseas markets etc.
I understand that the Company reserves the right to withdraw any of the existing features/conditions including Personal Accidental Death Cover, in which case the nomination details obtained would stand null and void. I further
understand that in the event of settlement of claim by the Insurance Company against Personal Accidental Death Cover, BFSL dues, if any shall be appropriated first and balance shall be paid to the nominee. In case of default in
payment of the card outstanding, Company may refer the matter to the sole arbitrator to be appointed by the Company. The arbitration shall take place in Mumbai and/or Delhi and I undertake to abide by terms and conditions whatsoev-
er of the award, if any passed by such arbitrator. I confirm and authorize BFSL to (a) Use my Aadhaar details to authenticate me from Unique Identification Authority of India (UIDAI) (b) UIDAI to release my demographic details to
BFSL through biometric authentication which BFSL may use for KYC verification (identity/address proof) for the purpose of Credit Card.
I hereby authorize BFSL to share cardholder information/transaction details with parent, subsidiaries, affiliates, business partners and/or associates of BFSL for the purposes of marketing and offering various products and services
✔
of BFSL or its group companies, subsidiaries, affiliates, business partners and/or associates. (Yes____No____)
I am interested to know more about the various other product(s)/service(s) of BFSL and/or affiliates/subsidiary/holding company of BFSL or agents authorized by BFSL and hereby provide my consent to and/or affiliates/subsidiary/hold
ing company of BFSL or agents authorized by BFSL to contact me for the same and this consent shall have an overriding effect on any National Do Not Call (NDNC) registry made/opted by me.
I confirm that the attached address proofs are presently valid and true verification documents of myself. I will notify BFSL immediately when there is a change in my current residential address, by giving a request along with required
KYC documents. In case any of the above information is found to be false , I am aware that I may be held liable for it.
I/we hereby ✔submit my Aadhaar number/Aadhaar Card/Aadhaar Details (“Aadhaar Details”) as issued by UIDAI as proof of identity and Address for KYC purpose. Further, I/we voluntarily provide my/our independent consent for
submitting my/our Aadhaar Details to BOB Financial Solutions Limited (BFSL), as per regulations of Aadhaar Act, 2016 for processing my credit card application. I confirm and agree that BFSL shall not be liable in any manner
whatsoever due to my submitting Aadhaar Details with BFSL. I further state and declare that while sourcing the application of Bank of Baroda Credit Card: No Cash has been collected from me. No credit limits / additional gifts etc.
have been promised to me. I shall contact the BoB Credit Card Customer Helpline in case I have any doubts/clarifications.

eSigned using Aadhaar For BFSL Use For Branch Use

Version: 3.0 AUG 2020

(Leegality.com - AopAhVD)
#
BHAUTIKKUMAR CHAMANBHAI Source Campaign Promo Branch Employee Branch Head
KODINARIYA Code Code Code SOL ID Code (EC No.) EC No.
Date: Wed Mar 20 21:26:57 IST 2024 ______________
DIY001 ______________
341001 ______________
EPLPR ______________ ______________ ______________

BOB Financial Solutions Limited (formerly known as Bobcards Limited)

Date__________________
20-03-2024 Regd. Office: “BARODAHOUSE”, 2nd floor,Behind Dewan Shopping Centre,S.V. Road,
Place__________________
SURAT Jogeshwari (W.), Mumbai - 400 102. INDIA.Phone: 91 22 4206 8502; Fax: 91 22 2677 7560
CIN: U65990MH1994GOI081616 www.bobfinancial.com
 AADHAAR
APPLICATION NO. - 240320900011378

eSigned using Aadhaar

(Leegality.com - AopAhVD)
BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
eSigned using Aadhaar
(Leegality.com - AopAhVD)
BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
 ITR
APPLICATION NO. - 240320900011378

eSigned using Aadhaar

(Leegality.com - AopAhVD)
BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
 Acknowledgement Number:306867920270623 Date of filing : 27-Jun-2023*

INDIAN INCOME TAX RETURN ACKNOWLEDGEMENT Assessment

[Where the data of the Return of Income in Form ITR-1(SAHAJ), ITR-2, ITR-3, ITR-4(SUGAM), ITR-5, ITR-6, ITR-7 Year
filed and verified]
(Please see Rule 12 of the Income-tax Rules, 1962) 2023-24

PAN GENPK9073L

Name BHAUTIKKUMAR CHAMANBHAI KODINARIYA

Address 58, PATEL VAS, PANCHSARA MOTA, JAMNAGAR , JAMNAGAR , 11-Gujarat, 91-INDIA, 361012

Status Individual Form Number ITR-3

Filed u/s 139(1)- On or Before due date e-Filing Acknowledgement Number 306867920270623

Current Year business loss, if any 1 0

Total Income 2 4,97,830

Taxable Income and Tax Details

Book Profit under MAT, where applicable 3 0

Adjusted Total Income under AMT, where applicable 4 4,97,830

Net tax payable 5 0

Interest and Fee Payable 6 0

Total tax, interest and Fee payable 7 0

Taxes Paid 8 291

(+) Tax Payable /(-) Refundable (7-8) 9 (-) 290

Accreted Income and Tax Detail

Accreted Income as per section 115TD 10 0

Additional Tax payable u/s 115TD 11 0

Interest payable u/s 115TE 12 0

Additional Tax and interest payable 13 0

Tax and interest paid 14 0

(+) Tax Payable /(-) Refundable (13-14) 15 (+) 0

Income Tax Return submitted electronically on 27-Jun-2023 15:23:49 from IP address 163.53.179.132
and verified by BHAUTIKKUMAR CHAMANBHAI KODINARIYA having PAN GENPK9073L on
27-Jun-2023 using paper ITR-Verification Form /Electronic Verification Code 7W9ERIF5CI generated
through Aadhaar OTP mode

System Generated

Barcode/QR Code
GENPK9073L03306867920270623cec4623f0f38ce0aed4ee8a99ea2ca2de74c657c

DO NOT SEND THIS ACKNOWLEDGEMENT TO CPC, BENGALURU

*If the return is verified after 30 days of transmission of return data electronically, then date of verification will be considered as date of
filing the return (Notification No.05 of 2022 dated 29-07-2022 issued by the DGIT (Systems), CBDT).”

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BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
 Name Of Assessee : Bhautikkumar Chamanbhai Kodinariya
PAN : GENPK9073L
Father's Name : Chamanbhai Nagjibhai Kodinariya
Residential Address : 58, Patel Vas, Panchsara Mota, Jamnagar, Jamnagar, Gujarat-361012
Status : INDIVIDUAL Assessment Year : 2023 - 2024
Ward No : WARD 2(3)(1), SURAT/ Financial Year : 2022 - 2023
Gender : Male Date Of Birth : 05/02/1997
Email Address : info.vc001@gmail.com
Residential Status : Resident
Name Of Bank : Kotak Mahindra Bank
Ifsc Code : Kkbk0002872
Address : Yogi Chowk
Account No. : 3712394733
Opted For Taxation U/s : No
115BAc
Return : Original (Filing Date : 27/06/2023 & No. : 306867920270623)
Import Date : Ais : 27-06-2023 03:18 Pm Tis : 27-06-2023 01:21 Pm
26as : 27-06-2023 01:22 Pm

COMPUTATION OF TOTAL INCOME

Profits And Gains From Business And Profession 497832

Profit U/s 44AD - Wolf War Co

Profit Deemed U/s 44AD @ 8% Of Rs. 37955 3037
Profit Declared U/s 44AD 5416
Profit (Higher Of The Above) 5416
Profit U/s 44AD - Sales Income
Profit Deemed U/s 44AD @ 8% Of Rs. 3826141 306092
Profit Declared U/s 44AD 492416
Profit (Higher Of The Above) 492416

Profit U/s 44AD 497832

Capital Gains 0
Short Term Capital Gain On Listed Securities (STT Paid) -2747
Short Term Capital Loss C/f Rs. 2747
Income From Other Sources 1413
Bank Interest 1413
Total 1413

Gross Total Income 499245

Less Deductions Under Chapter-VIA

80TTA Interest On Deposits In Savings Account 1413
Total Deductions 1413
Total Income 497832
Total Income Rounded Off U/s 288A 497830

COMPUTATION OF TAX ON TOTAL INCOME

Tax On Rs. 250000 Nil
Tax On Rs. 247830 (497830-250000) @ 5% 12392
Tax On Rs. 497830 12392
12392
Less : Rebate U/s 87A 12392

Less Tax Deducted At Source

Section 194h: Commission Or Brokerage 26
Section 194o: Section 194o 265 291
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BHAUTIKKUMAR CHAMANBHAI
-291
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
 Refundable (291)
Tax Rounded Off U/s 288B (290)

Previous Year Return Filing Details :

Acknowledgement No. 825851040150722
Date of Filing 15/07/2022
Ward WARD 2(3)(1), SURAT/

Information regarding Turnover/Gross Receipt Reported for GST

GSTR No. 24GENPK9073L1ZQ
Amount of turnover/Gross receipt as per the GST return filed 37955

Balance Sheet (Regular books of account of business or profession are not maintained)
Sundry Debtors Rs. Nil Sundry Creditors Rs. Nil
Stock-in-trade Rs. Nil Cash Balance Rs. 362141.00

LOSSES TABLE
A.Y. HEAD LOSSES
BROUGHT SET-OFF CARRIED
FORWARD FORWARD
2023-24 Short Term Capital Loss - - 2747

STATEMENT OF SHORT TERM CAPITAL GAIN ON LISTED SECURITIES (STT PAID)

Name of Company Date of Date of Sales Purchase Transfer Amount Capital
Purchase/ Sale/Year Price Cost Expenses received Gain
Year u/s 94(7)
or 94(8)
BAJAJ ELECTRICALS LTD. 22/04/2022 26/04/2022 10937.15 11010.00 0.00 0.00 -72.85
ADANI PORTS AND SPECIAL ECONOM 26/04/2022 30/06/2022 6059.70 8033.40 0.00 0.00 -1973.70
ADANI PORTS AND SPECIAL ECONOM 27/04/2022 30/06/2022 2019.90 2720.35 0.00 0.00 -700.45
Total 19016.75 21763.75 0.00 0.00 -2747.00

Details of Taxpayer Information Summary

S. Information Category Income Head Section Processed Derived As per Difference As per 26AS Difference
N. Value Value Computation/
ITR
(1) (2) (3) (4) (5) (6) (7)=(5)-(6) (8) (9)=(8)-(6)
1 Interest from savings Other Source 194A 1413 1413 1413.00 Nil
bank
2 Sale of securities and Capital Gain 19176 19176 19017.00 159.00
units of mutual fund
3 Business receipts Business 27061 27061 0.00 27061.00 0.00 Nil
4 GST turnover Profit & Loss 37955 37955 0.00 37955.00 0.00 Nil
A/c
5 GST purchases Profit & Loss 115751 115751 0.00 115751.00
A/c
6 Outward foreign 3389 3389
remittance/purchase of
foreign currency
7 Purchase of securities 10914 10914
and units of mutual
funds

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BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
 Sh. BHAUTIKKUMAR CHAMANBHAI KODINARIYA S/O Sh. CHAMANBHAI NAGJIBHAI KODINARIYA
58, PATEL VAS, PANCHSARA MOTA, JAMNAGAR, JAMNAGAR

PROFIT & LOSS ACCOUNT FOR THE YEAR ENDING 31ST MARCH, 2023
PARTICULAR AMOUNT PARTICULAR AMOUNT
TO ELECTRICITY BILL EXP. 32,625.00 BY BUSINESS INCOME 3,864,096.00
TO SHOP RENT EXP. 62,000.00
TO ACCOUNTING EXP. 1,000.00
TO LEGAL EXP. 1,632.00
TO MISC. EXP. 59,598.00
TO MOBILE EXP. 3,959.00
TO PETROL EXP. 46,232.00
TO TEA & REFRESHMENT EXP. 3,214.00
TO TRAVELLING EXP. 22,416.00
TO RAW MATERIALS EXP. 2,504,155.00
TO ADVERTISMENT EXP. 82,510.00
TO MAINTANCE EXP. 36,265.00
TO WAGES PAID 252,150.00
TO CONVEYNAC EXP. 63,269.00
TO FRIGHT EXP. 79,488.00
TO MATERIALS PURACHSE 115,751.00
TO NET PROFIT 497,832.00
Total 3,864,096.00 Total 3,864,096.00

CAPITAL A/C FOR THE YEAR ENDING 31ST MARCH, 2023

PARTICULAR AMOUNT PARTICULAR AMOUNT
TO WITHDRAWALS 289,598.00 BY BALANCE B/D 888,404.00
TO KOTAK LIFE INSURANCE 2,500.00 BY BANK INTERETS 1,413.00
TO KOTAK GENRAL INSURANCE 3,000.00 BY NET PROFIT 497,832.00
TO BALANCE C/D 1,092,551.00
Total 1,387,649.00 Total 1,387,649.00

BALANCE SHEET AS ON 31ST MARCH, 2023

LIABILITIES AMOUNT ASSETS AMOUNT
CAPITAL ACCOUNT 1,092,551.00 FURNITURE & FIXTURE 121,515.00
MOBILE 15,698.00
VEHICLE 45,698.00
KOTAK MAHINDRA BANK 1,454.00
ICICI BANK 64.00
LOAN & ADVANCE 204,145.00
OTHER CURRENT ASSEST 341,836.00
CASH ON HAND 362,141.00

Total 1,092,551.00 Total 1,092,551.00

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BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
 PAN CARD
APPLICATION NO. - 240320900011378

eSigned using Aadhaar

(Leegality.com - AopAhVD)
BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024
eSigned using Aadhaar
(Leegality.com - AopAhVD)
BHAUTIKKUMAR CHAMANBHAI
KODINARIYA
Date: Wed Mar 20 21:26:57 IST 2024