Application Form
Application Form
FATHER'S / SPOUSE'S NAME FATHER'S NAME SPOUSE’S NAME FATHER'S NAME SPOUSE’S NAME
DEPENDANTS
Children Others Single Married Others NO. OF
DEPENDANTS
Children Others
DISTRICT PUNE
STATE / UNION TERRITORY MAHARASHTRA
PIN CODE# 412409
PHONE NO. WITH STD CODE
E-Mail ID(Official)
YRS. IN PRESENT OCCUPATION 13 Yrs Retirement Age Total Experience 13 Yrs Yrs Retirement Age Total Experience Yrs
Applicant:
Other
PROOF OF Proof of possession
Passport
Driving
Voter ID
IDENTITY of Aadhar Number Licence
PROOF OF
ADDRESS
Co-applicant:
Other
PROOF OF Proof of possession Passport Driving Voter ID
IDENTITY of Aadhar Number Licence
PROOF OF
ADDRESS
Applicant Co-applicant
AREA/LOCALITY
TOWN / CITY / VILLAGE THANE THANE CITY
Applicant
Co-applicant
Term : 20 Yrs
Signature
Your Monthly Expenditure ₹ : of Applicant
LOAN DETAILS
Purpose of Loan Construction Purchase Resale Refinance Extension Renovation Equity Top-up
Note: ‘A’ which is the total requirement of funds, should equal estimate of sources, ‘B’ which indicates the sources from where the cost will be met.
It is important that you provide documentary proof of the sources from where the cost will be met in order to help us process your application faster.
3
FINANCIAL INFORMATION
SAVINGS, INVESTMENTS, ETC.
Applicant Co-Applicant
Particulars
Savings in Bank
Immovable Property - 1. 1.
location & current value
2. 2.
Current balance in
Provident Fund (your share)
Other Assets (specify) 1.
1.
Life Insurance Policy(ies) 2.
2.
Sum Assured Maturity 1. Maturity
1. Dates
Dates Maturity
2. Maturity 2.
Dates Dates
Name of the Institution Loan Type Outstanding Amount Monthly Instalment Payable Bal. Term
(Months)
Applicant:
Co-applicant:
BANK ACCOUNT DETAILS (PLEASE MENTION DETAILS OF YOUR SALARY ACCOUNT / MAIN ACCOUNT INCASE SELF EMPLOYED)
(1) Name of Account Holder NISHANT HUNDEKARI AND TRAN AND TRAD CO
Name of Bank :
Branch :
Account No. : MICR Code
DETAILS OF PROPERTY (TO BE PURCHASED/ CONSTRUCTED/ RENOVATED/ OFFERED AS SECURITY) (PLEASE COMPLETE AS APPLICABLE)
If the property has not yet been identified then the fields marked * are mandatory.
Type of Property: Flat Row House Bungalow Shop Plot Office Hotel Others
Flat / Unit / Block No. / Plot No. FLAT -703 Floor 7TH Nature of property Residental Commercial
Name of Premises / Building WING - ATLANTIC C , THANEKAR CIVIC Area of Plot Sq. m.
Road / Street GAT NO 133/2CHIKHLILI, TQ AMBARNATH , DIST - THANE Built-up area* 58 Sq. m.
Land Mark / Post Office Stage of Construction READY PROPERTY [100% READY]
Extension / Renovation
Area / Locality * THANE CITY
1) a) How many residential properties do you own ? Applicant Co-applicant Jointly (with other applicants)
b) No. of residential properties on which loans have been availed? Applicant Co-applicant Jointly (with other applicants)
2) Please indicate the end use of the property to be purchased / constructed Self occupation Rental Investment
3) Have all the owners of the property applied for this loan application? Yes No*
*Please use addendun form for other owners of the property
4) Is the legal title to the dwelling unit clear? Yes No
5) Will HDFC be able to obtain first mortgage of the dwelling unit? Yes No
6) Are there more than one co-applicants to this loan application Yes* No If Yes, specify number
*Please use addendum form for more than 1 co-applicant
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GENERAL [APPLICABLE TO APPLICANT AND CO-APPLICANT (IF ANY)]
1. Have you or the co-applicant(s) earlier applied to HDFC for a loan? Yes No
If yes, File / Loan A/c. No. 1. 2. 3.
2. Have you or your spouse given guarantee(s) for any borrower/s of HDFC? Yes No
If yes, File / Loan A/c. No. (b) Name of borrower/s
3. What other security will you be able to provide?
4. Which office of HDFC Bank would you like your loan to be serviced CHAKAN
5. Please select the mode of repayment convenient to you:
(a) Standing instructions to bank (NACH/eNACH) (b) Deduction of monthly instalment by your employer
REFERENCES (Names and Addresses of Two Referees who are not related to you) HDFC Bank may make such enquiries from the referees if it deems necessary.
Referee - 1 Referee - 2
REFEREE FULL NAME ATISH KISAN MUNDLIK TUSHAR SHANKAR SHINDE
How is the referee Neighbour
known to you? Friend Colleague Neighbour Friend Colleague
PUNE PUNE
TOWN / CITY / DISTRICT
PINCODE(Indicating PIN is mandatory) 412409 412409
TELEPHONE NO.
8369739891 7758004777
MOBILE NO.
ATISH@[Link] TUSHARSHINDE@[Link]
E-MAILID
Declaration
1. I/We declare that we are citizens of India and all the particulars and information given in the application form is true, correct and complete and no material information has been
withheld/suppressed.
2. I/We shall advise HDFC Bank in writing of any change in my/our residential or employment/ business address.
3. I /We confirm that the funds shall be used for the stated purpose and will not be used for speculative or anti-social purpose.
4. I/ We declare that I/we have not been in violation and shall not violate any provisions of the Prevention of Money Laundering Act, 2002 and/ or any applicable law, rules, guidelines and
circulars issued by the Reserve Bank of India and/or any other statutory authority.
5. I /We authorise HDFC Bank to make any enquiries regarding my/our application, including with other finance companies/registered credit bureau.
6. HDFC Bank reserves the right to retain the photographs and documents submitted with this application and will not return the same to the applicant/s.
7. I/We have read the application form/ brochures and am/are aware of all the terms and conditions of availing finance from HDFC Bank.
8. I/We understand that the sanction of this loan is at the sole discretion of HDFC Bank and upon my/our executing necessary security (ies) and other formalities as required by HDFC
Bank and no commitment has been given regarding the same .
9. I/We authorise HDFC Bank to conduct such credit checks as it considers necessary in its sole discretion and also authorise HDFC Bank to release such or any other information in its
records for the purpose of credit appraisal/sharing for any other purpose. I/We further agree that my/our loan shall be governed by the rules of HDFC Bank which may be in force from
time to time.
10. I/We acknowledge that the upfront Processing Fees, administrative fee (Legal and Technical Fees), and any applicable taxes (collectively referred to as “Fees”) collected from me/us by the Bank at the
time of application or thereafter are strictly non-refundable under any circumstances, regardless of whether the loan is sanctioned, disbursed, modified, or rejected, or if the application is withdrawn or
cancelled by me/us for any reason whatsoever.
11. I/We am/are aware that HDFC Bank does not accept any payment in cash. No payment in connection with the loan processing, sanction, disbursement, prepayment and repayment of
loan shall be made to / in favour of any of HDFC Bank’s intermediaries or any third party (ies) in cash or bearer cheque or in any other manner whatsoever.
12. No discount/free gift or any other commitment whatsoever has been which is not documented in the loan agreement by HDFC Bank or any of its authorised representatives
13. I/We confirm that I/we have no insolvency proceedings initiated/pending against me/us nor have I/we ever been adjudicated insolvent.
14. Customer Declaration on relationship with HDFC Bank/Other Banks
(a) Is Applicant a Firm/Company in which relatives of directors of any other bank are interested
as partner/guarantor /director / as a guarantor/ is in control* / major shareholder** ? Yes No
(b) Is Applicant a director /Relative of Director, or Senior Officer of the Bank? Yes No
(c) Is the Applicant of Firm/Company in which relatives of Director or Senior Officer of the Bank
are interested as partner/ as a guarantor/director/ is in control* / major shareholder** ? Yes No
*The term “control” shall include the right to appoint majority of the directors or to control the management or policy decisions exercisable by a person or persons acting individually or
in concert, directly or indirectly, including by virtue of their shareholding or management rights or shareholders agreements or voting agreements or in another manner.
**The term “major shareholder” shall mean a person holding 10% or more of the paid-up share capital or five crore rupees in paid-up shares, whichever is less including directors of
Scheduled Co-operative Banks, director of Subsidiaries/Trustees of Mutual Funds/Venture Capital Funds, Set up by HDFC Bank or any other Bank
15. Politically Exposed Person (PEP) Declaration :
Politically Exposed Persons” (PEPs) are individuals who are or have been entrusted with prominent public functions by a foreign country, including the Heads of States/
Governments, senior politicians, senior government or judicial or military officers, senior executives of state-owned corporations and important political party officials.
Please tick Yes / No:
(a) Applicant PEP/Relatives and close Associate of PEP Yes No
(b) Co Applicant PEP or Relatives and close Associate of PEP Yes No
16. The tenure/repayment/interest/other terms and conditions of the loan are subject to change as a consequence to any change in the money market conditions or on account of any other
statutory or regulatory requirements or at HDFC Bank's discretion. HDFC Bank reserves the right to review and amend the terms of the loan in such manner and to such extent as it may
deem fit.
17. I/We hereby declare and confirm if any detail or declaration made by me/us, if found to be false, then HDFC Bank will be entitled to revoke and/or recall the credit facility.
18. I/We hereby declare and confirm that any purchase by me/us of any insurance product is purely voluntary and is not linked to availing of any credit facility from HDFC Bank.
19. I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we undertake to inform you of any changes therein,
immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I/we am/are aware that I /we may be held liable for it.
20. I/We hereby consent to receiving information from Central KYC Registry through SMS/email on the above registered number / email address.
Date: D D M M Y Y Y Y
Place:
Applicant’s Signature Co-applicant’s Signature
Do not Sign This Form if its Blank. Please Ensure all relavant sections and documents are completely filled to your satisfaction and then only sign the form
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DOCUMENTS SUBMITTED
This is to confirm that the customer(s) has/have submitted the below mentioned documents along with the Loan Application to HDFC BANK LTD (“Bank”)
Application Form Photograph (Signed across) Last Months Bank Statement (Self attested) Latest 3 Months Salary Slips (Self attested)
Last 3 years ITR with computation of Income/certified Financials (Self/CA attested) GST Returns (if applicable Photo Copy of PAN CARD (Self attested)
Proof of Identity (with expiry date if applicable) (Specify) (Self Attested) Proof of Identity Number
Proof of Address (with expiry date if applicable) (Specify) (Self Attested) Proof of Address Number
Photo Copy of Property Papers (Self attested) Loan Account Statements for Balance Transfer/Balance Transfer & Top up/Repayment/Retention Cases
Applicable Interest Rate (as on date) (% per annum) Reference Rate as on date (EBLR) / Policy Repo Rate (+) (%) of Spread p.a. = %p.a.
Date of Reset of Interest Effective dates of each change in/reset the Reference Rate / Spread of the Bank
Mode of Communication of changes in interest rates Email / Bank Website / Press Release / Newspaper / Notice at the Branches / SMS
Housing Charges
Processing fee / Loan processing charge (non-refundable) Salaried / Self employed Professional
Upto 0.50% of the loan amount or Rs. 4,000/- whichever is higher, plus applicable taxes.
For Self-Employed Non-Professionals:
Upto 1.50% of the loan amount or Rs. 5,000/- whichever is higher, plus applicable taxes.
For NRI Loans
Upto 1.50% of the Loan amount or Rs. 4,000/- whichever is higher + applicable taxes / statutory levies
and charges.
For Value Plus Loans
Upto 1.50% of the Loan amount or Rs. 5000/- whichever is higher + applicable taxes / statutory levies and
charges.
For HDFC Reach Scheme
Upto 2.00% of the loan amount + applicable taxes / statutory levies.
Processing Fee is non-refundable.
Re-Appraisal Of Loan After 6 Months From Sanction (applicable for Salaried / Self employed Professional – Upto Rs. 3300/-
housing and non-housing) For Self-Employed Non-Professionals / NRI / Value Plus Loans / HDFC Reach Scheme – Upto Rs.5000
Conversion of ROI from floating to fixed (who have availed EMI based Upto Rs. 3000/-
floating rate Personal Loans)*Please refer the RBI
[Link].99/08.13.100/2017-18 on “XBRL Returns –
Harmonization of Banking Statistics” dated January 04, 2018.”.
List Of Documents (For issuance of duplicate LOD post disbursement) Upto Rs. 500/-
Applicant's
Signature
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Housing Charges
Conversion Fees/Charges For Home Loan, HL Top UP & Plot Equity loan (Switch to lower rate in Variable rate loans ) Upto
0.50% of the Principal Outstanding and undisbursed amount (if any) at the time of Conversion or
Rs. 3000 (which ever is lower ) for 1st Conversion with charges. , for Subsequent conversions
charges would be Upto 0.50% of the Principal Outstanding and undisbursed amount (if any) at the
time of Conversion OR Rs 2000 ( which ever is lower ).
Switch from Combination rate home loan under fixed rate term/Fixed rate loan to Variable rate –
Upto 1.50% of the Principal Outstanding
Property Document Retention charges Rs. 1000 per calendar month, after 2 calendar months from date of closure of all loans/facilities
linked to the collateral
Non-Housing Charges
Processing fee/Loan processing charge (Non- Maximum of 1% + GST of loan amount subject to minimum processing fees of Rs. 7500
refundable)
Annual Maintenance Charge (AMC) for Rs 5000
Features of Plus Current Account
Repayment Mode Changes Charges Rs.500/-
Repayment Schedule Charges Physical- Rs. 50/- per instance
Digital- Free
Cersai Charges for creation / modification of At actual (upto Rs.100/-)
security interest on collateral securities
Property Swapping /Partial Release charges 0.1% of the loan outstanding amount.
Min – Rs. 10,000/-. Max of Rs 25000/- per property
Document Retrieval Charges including LOD Upto Rs. 500/-
Stamp Duty & Statutory / Regulatory Charges At actual
Legal/Repossession & Incidental charges At actual
Conversion of ROI from floating to fixed(who Upto Rs. 3000/-
have availed EMI based floating rate Personal
Loans)*Please refer the RBI circular No.
[Link].99/08.13.100/2017-18 on
“XBRL Returns – Harmonization of Banking
Statistics” dated January 04, 2018.”.
Premature Closure Charges - floating rate 2.5% (+) Applicable Taxes of principal outstanding being prepaid.
loans: No prepayment/premature closure charges will be applicable for payments made post 60 months
from the date of last disbursement of the loan.
NIL Pre-payment/Part-payment/Premature closure charges on floating rate term loan sanctioned to
individual borrowers with or without co-obligant(s)
NIL Pre-Payment /Part Payment & Premature closure charges on floating rate loans to Micro &
Small Enterprise (MSE) Certified borrowers
Bank reserves the right to ask the documentary proof of source of funds for closure request of
loan.
Premature closure / Foreclosure charges- Fixed Individual borrowers for Business Purpose- 2.5% (+Applicable Taxes) of the Principal Outstanding
rate loans : Individual borrowers for End Use other than Business Purpose- NIL Charges.
Non-Individual borrowers - Maximum of 2.5% (+Applicable Taxes) of the Principal Outstanding.
> 60 months after date of last disbursement of the loan- NIL charges.
Nil Prepayment charges on fixed rate loans if loan is booked under priority sector lending and
Borrower(s) type is Small or Micro & Loan amount is less than or equal to Rs. 50 lacs
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Non-Housing Charges
Non utilization charges for overdraft If average quarterly utilization > 30% No commitment fee charges to be charged. If average
facility/Commitment quarterly utilization < 30% Charges upto 0.10% will be charged on the difference between the
charges actual utilization and expected average utilization of 30%. Charges to be levied quarterly.
(Minimum charges Rs 5000/-+GST)
Property Document Retention charges Rs. 1000 per calendar month, after 2 calendar months from date of closure of all loans/facilities
linked to the collateral
Revision in Spread Charges Upto 0.1% of Principal Outstanding OR Rs. 3000 whichever is higher Per proposal
Upto 2% charges per annum on principal outstanding for non compliance of agreed terms upto its
Non Compliance of sanction / agreed Terms fulfillment - (Charged on monthly basis)
Subject to a Max of Rs 50000/- for Critical security related deferrals
Max of Rs 25000/- for other deferrals
Date: D D M M Y Y Y Y
Place:
Applicant’s Signature Co-applicant’s Signature
Applicable for Housing and Non-Housing Loans
Own Sources: *the expression "own sources" for this purpose means any source other than borrowing from a Bank/HFC/NBFC or Financial
Institution.
The Borrower will be required to submit such documents that HDFC may deem fit & proper to ascertain the source of funds at the time of
prepayment of the loan.
1. All the above charges/fees/Commissions are exclusive of taxes. All government taxes are applicable.
2. 10% discount to senior citizens on all the service charges
3. Service charges/Fees/Commissions may be revised with approval of Business Head in case of regulatory requirement.
4. NIL Premature Closure Charges /Foreclosure/ Prepayment Charges for Fixed rate loan facility up to Rs. 50 Lakh availed by Micro & Small
Enterprises.
5. NIL Processing Fees for loan facility up to Rs. 5 Lakh availed by Micro & Small Enterprises subject to URC submission prior to disbursal
6. Interest rate of 18% p.a. will be levied on the amount utilized above the Operating Limit of overdraft facility. (Applicable for DOD facility only).
7. Penal Charges will be realised on cash basis
8. Interest will be charged on unpaid EMI for the number of days EMI is late. This interest is calculated @ loan’s
contracted rate and will be added to next EMI
9. The Borrower will be required to submit such documents that HDFC Bank may deem fit & proper to ascertain the
source of funds at the time of prepayment of the loan
10. Processing fee, administrative fee, stamp duty, cersai fee and all other charges are non refundable
In the event of default, the details of authorised associate to approach for recovery of dues will be intimated to you
through a payment reminder communication and any change in details would be intimated to you thereon. List of
authorised associates empanelled for handling collections are updated on the banks website for reference.
Scan QR Code
for Bank’s
Fair Practice Code
The Bank reserves the right to vary any of the above charges from time to time with due intimation to the customer. Revised Charges will be
communicated to the customer through Email / Bank Website / Press Release / Newspaper / Notice at the Branches / SMS. The above charges
are exclusive of taxes and statutory levies as applicable from time to time. The above charges are the maximum charges applicable for each
type of charge.
For detailed list of charges please visit our website [Link]
The Bank's Sales Representative confirms he has: (a) Collected self-attested copies of the above mentioned documents from the customer (b)
Informed me/us that the “EBLR” shall mean the percentage rate per annum declared or notified by the Bank as ‘External Benchmark Linked
Rate of the Bank’ from time to time having regard to the Reserve Bank of India’s guidelines, rules and regulations; (Please note that the
Applicable Interest Rate mentioned above is an indicative rate & the final rate shall be communicated in the Sanction letter along with other
terms and conditions) (c) Not been given any payment in cash, bearer cheque or kind along with or in connection with this Loan application from
the customer. (d) Informed me/us that service tax and all other statutory taxes, levies including stamp duties and registration costs (if any), other
fees, commissions, charges as may be applicable will be charged in connection with the loan. (e) Informed me/us that the Bank will not be liable
for loss or delay in receipt of documents. (f) Informed me/us at incomplete / defective application will not be processed and the Bank shall not be
responsible in any manner for the resulting delay or otherwise. Notwithstanding the afore stated, the submission of loan application to the Bank
does not imply automatic approval by the Bank and the Bank will decide the quantum of the loan at its sole and absolute discretion. The Bank in
its sole and absolute discretion may either sanction or reject the application for granting the loan. In case of rejection, the Bank shall
communicate the reason for rejection. (g) Informed me/us that loan application may be disposed by HDFC Bank within 10 working days of
receipt of the same subject to submission of all documents and details as may be required by HDFC Bank in processing the Loan along with the
requisite fees (h) The Bank reserves its right to reject the loan application and retain the loan application form along with the photograph,
information and documents. (i) Informed to me/us that the Bank shall have the right to make disclosure of any information relating to me/us
including personal information, details in relation to loan, defaults, security, etc to the Credit Information Bureau of India (CIBIL) and/or any other
governmental/regulatory/statutory or private agency/entity, credit bureau, RBI, the Bank’s other branches/ subsidiaries / affiliates / rating
agencies, service providers, other banks / financial institutions, any third parties, any assigns / potential assignees or transferees, who may
need, process and publish the information in such manner and through such medium as it may be deemed necessary by the publisher / Bank /
RBI, including publishing the name as part of wilful defaulter’s list from time to time, as also use for KYC information verification, credit risk
analysis, or for other related purposes. (j)Informed me / us that Equated Monthly Instalments (EMI) will be due on 5 / 10 / 15 / 20 / 25 / 27 / last
day of every month. ( Strike out which is not applicable) (k) Informed & explained me/us all the charges and terms and conditions mentioned
overleaf. (l) Informed me/us that the Bank will send the Offer Letter to me/us on the e-mail ID mentioned by me/us in the loan application.
8
The charges are exclusive of terms and conditions which are as follows
(a) Borrower's loan will be a Reference Rate Linked loan (Presently the “External Benchmark Lending Rate of the Bank (EBLR) or
Policy Repo Rate” is the reference rate (“Reference Rate”) applicable on per annum basis as per condition precedent and in the
schedule. Borrower shall be liable to pay the Pre-EMI i.e. the interest on the Loan payable for the period starting from the
respective date/ date(s) of the Loan up to the date from which the interest becomes payable as part of the EMIs. (b) The rate of
interest is subject to revision in terms of the Loan Agreement to be executed by the Borrower and is subject to any higher rate that
may be prevailing at the time of disbursement. The Interest Rate applicable as on the date of this MITC is mentioned herein above
and shall be subject to change every time the Reference Rate is changed/ is reset by the Bank in its discretion. The change in the
Interest Rate shall become effective on each date of change in/ reset of the Reference Rate. The Borrower shall keep itself
informed of such reset of Reference Rate from time to time. The Reference Rate may also be available on the official website of
the Bank. The Bank shall in its absolute discretion or as per the guidelines/ directions/ rules/ regulations/ law issued/ notified by
the Reserve Bank of India and/or any other statutory or regulatory authority and any other law in force including but not limited to,
any tax law or based on the changes in the prevailing Reference Rate be entitled to modify the Interest Rate (including Spread),
and the Borrower agree and confirm to pay interest as per such modified Interest Rates on the Loan and related amounts on and
from the date of such modification. In any event the Borrower shall keep himself / themselves informed of all such variations/
revisions in the Interest Rate. (c) Payment of interest / charges / upfront fees and commitment charges/ dues / obligation / impost /
levies / applicable tax / duties / other charges shall be made by the borrower without any deduction / protest / delay. Interest and
other charges shall be computed at the rate of 365 day per year. Bank at its discretion may modify the basis of year and periodicity
of the interest or applicable rate of interest. Such changes shall be binding on the borrower. Borrower is responsible to check with
the bank changes in the rate from time to time. (d) The payment can be made through Cheques, Bank Drafts, Standing
Instruction, and NACH on or before the due dates. Borrower has to ensure adequacy of funds in the bank account from which the
payment is made, credit shall be given only on realization of funds. In the event of payment being made at any branch other than
the concerned branch, borrower shall immediately inform the concerned Bank branch in writing. (e) The Bank may at its absolute
discretion permit premature closure of the Loan Facility or any part thereof where: (a) the Borrower serves at least 15 days’ written
notice of its/ his intention to prepay at the Concerned Branch; and (b) subject to such conditions as the Bank may prescribe
subject to applicable law and regulations, including payment of the premature closure as mentioned in the Schedule hereto or as
specified from time to time by the Bank. Premature closure charges shall be applicable in case the Loan Facility is allowed to be
foreclosed at the request of the Borrower and at the absolute discretion of the Bank and Premature closure shall take effect only
when entire Outstanding Balance has been paid to and realized by the Bank. (f) The borrower shall allow the representative /
nominee of the Bank to visit and inspect the premises / property comprising the security and shall submit the compliance / audited
document like Balance sheet / profit and loss account / quarterly results / Bank statement / statement of income or wealth and
such other copies / document as may be required by the Bank. The Borrower shall not enter into changes / amendment / alteration
/ modification without a written permission from the Bank. (g) Borrower has agreed to give the PDC / SI / NACH for the repayment
of loan and is fully aware of the fact that dishonor of Cheque / revoke of SI / NACH instruction is a criminal offence under Law. The
borrower undertake to the Bank to honor all payment without fail and not to instruct his / her bankers to stop the payment of
Cheque / revoke the SI / NACH instruction or instruct the Bank to withhold depositing the Cheque. (h) The borrower will not
change the Name / Constitution / close or change the banker from which PDC / SI / NACH have been drawn / mandated without a
written permission of Bank.
Sourced by: Branch DSA Campaign Reference WEB HBL OPEN MKT PBK Others
Classic Preferred IMPERIA ME Direct Others
CREDIT PROGRAM :
Exposure Type - Existing Fresh Pre Approved Internal Customer Balance Transfer Top up Enhancement
9
APPLICANT /
CO-APPLICANTNAME
COMPANY NAME
COMPANYADDRESS
COMPANY CONSTITUTION
PANNO.#
GST NUMBER
DIN/CIN
INDUSTRYCODE
Industry Codes: 1. Engineering Products; 2. Doctor; 3. Accounting & Consulting; 4. Agriculture; 5. IT & Software; 6. Media & Entertainment; 7. Automobiles; 8. Banking; 9. Hotels & Hospitality;
[Link]; 11. Architect; 12. Pharma & Medicine; 13. Cloth & Textiles; 14. Insurance Civil Contractor; 15. Real Estate & Builder; 16. Freight & Logistics; 17. Contractor/Franchisee; [Link];
& Promotion; 19. Chemicals ; 20. Jewellery & Ornaments; 21. Iron & Steel; 22. Others : Please Specify
This is with reference to my application for Secured Loan, I confirm my business turnover for latest three years in as below.
Total
D e cl a r a t i o n R e g a rd i n g J o i n t Ve n t u r e s / W h o l ly O w n e d S u b s i d i a r i e s a b ro a d fo r e n t i t i e s i n w h o s e n a m e t h e f a c i l i t y i s b e i n g s o u g h t .
(Please Tick the Option which is applicable) A] I/We are a Joint Venture with an Overseas entity. Yes/ No
If " Yes", mention the shareholding of Indian Co. / Promoter : % B] I/We have a Wholly Owned Subsidiary [WOS]
overseas. Yes/ No C] I/We have a Step-down subsidiary overseas. Yes/ No
PSL Agri Farm Credit: Farmers engaged in Agricultre and PSL Housing: i) Loans to individuals for purchase/
Allied activities viz. dairy, fishery, animal husbandry, poultry, construction of a dwelling unit per family
bee-keeping and sericulture ii) Loans to individual for repairs to damaged dwelling units
PSL Agri Ancillary Activities: Food and Agro processing, PSL Social Infrastructure: Loans for i) setting up schools,
Custom Service Units managed who maintain a fleet of drinking water facilities, sanitation facilities, and ii) loans for
tractors,bulldozers, well-boring equipment, threshers, building health care facilities including under ‘Ayushman
combines, etc., and undertake farm work for farmers on Bharat’ in Tier II to Tier VI centres
contract basis.
PSLAgri Infrastructure: Loans for I) construction of storage PSL Renewable Energy: Bank for purposes like solar based
facilities including cold storage units designed to store agri power generators, biomass-based power generators, wind
produce/products, ii) oil conservation and watershed mills, micro-hydel plants and for non-conventional energy
development, iii) Plant tissue culture and agri-biotechnology, based public utilities
seed production, production of bio-pesticides, bio-fertilizer,
and vermi composting. iv) Construction of oil extraction/
processing units for production of bio-fuels, their storage and
distribution infra along with loans for setting up Compressed
Bio Gas plants.
PSL MSME
Person with Disability : Yes / No.(If yes, please submit the Disability Certificate)
Agriculture Land Details : I/We Own/Cultivate land to the extent of acres at attached herewith 7/12
documents/copy of land revenue receipt.
I/We hereby declare that information furnished above is true and accurate. Applicant's
Signature
Signature: Signature:
Date: Date:
Place Place