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AR Application Form

This document is an application form for empanelment as an Authorized Representative with Sundaram Home Finance Ltd. It requires personal details, professional background, and declarations regarding the applicant's integrity and relationship with existing employees. The form also includes sections for internal recommendations from Sundaram Home Finance staff.

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9642167676r
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5 views2 pages

AR Application Form

This document is an application form for empanelment as an Authorized Representative with Sundaram Home Finance Ltd. It requires personal details, professional background, and declarations regarding the applicant's integrity and relationship with existing employees. The form also includes sections for internal recommendations from Sundaram Home Finance staff.

Uploaded by

9642167676r
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

AR Application Form

To,

Sub: APPLICATION FOR EMPANELMENT OF AUTHORIZED REPRESENTATIVE (AR) WITH


SUNDARAM HOME FINANCE LTD

I submit herewith my application for the empanelment as Authorized Representative for


Sundaram Home Finance. I have read the terms and conditions relating to the service
and I undertake that those are acceptable to me.

Full name (in block letters)


Father’s/Husband’s name
Constitution (tick appropriate Individual Proprietorship Partnership Company
option)
Date of birth /incorporation
(DD/MM/YYYY)
Age Years Months
Address

Mobile number
Alternate contact number
PAN card no
Aadhaar Number
Present occupation
No. of years in employment
No of sales person employed
Currently sourcing business
for which Bank / HFC
Average business done per
month (Volume and No of files)
Qualification
Languages known
Reference 1
Reference (name and contact
number) Reference 2
I declare that the statements in this application and the documents submitted (as per list
given below) are true, complete and correct to the best of my knowledge and belief. I
declare, that no criminal proceedings are pending against me. I further declare that I am
not related to any existing employee of ______________________. I understand that in the event
of any information / document being found untrue / incorrect at any stage, my
application is liable to be rejected and if already empanelled, the empanelment is liable to
be terminated.

Place: Signature:

Date : Name :

 Please note that the AR has to sign across the photograph.

----------------------------------------------------------------------------------------------------------------

To be filled by Sundaram Home Finance Ltd staff

From where did we get the contact of AR ____________________________________

Recommendation and signature of the BM/BIC/BDO __________________________________

Recommendation and signature of Area Head _______________________________________

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