Application Form for Home

Loan/Loan Against Property

Date :- 21/10/2025 Loan Type :- Home Loan

Personal and Employment Details

Is an existing customer: NO
Applicant Details
If Yes, Customer ID : --
CHETHAN S
Title (Mr/Mrs/Ms/Dr/Others) MR First Name CHETHAN
SRIDHAR
Middle Name T Last Name S

Title (Mr/Mrs/Ms/Dr/Others) MR Father's First Name SRIDHAR

Father's Middle Name T Father's Last Name V

Title (Mr/Mrs/Dr/Others) MRS Mother's First Name ANJALI

Mother's Middle Name -- Mother's Last Name H

Relationship with Applicant Self Constitution RESIDENT INDIAN

PAN BHEPC9436Q Voter ID Card --

Passport No. -- Expiry Date: --

Driving License -- Expiry Date: --

Letter Issued by National
Aadhaar No. 7804 --
Population Register
Director Identification Number
NREGA Job Card -- --
(DIN)
Corporate Identification Number
-- Import Export Code (IEC) --
(CIN)
National Industrial Classification
-- CKYC No. --
Code (NIC)
Date of Incorporation
-- Gender Male
(DDMMYYYY)
Date of Birth (DD/MM/YYYY) 22-05-1998 Community Hindu

Nationality Indian

Person with Disability No Weaker Section GENERAL

Category SALARIED OTHERS Education Graduate

Legal Entity Identifier -- No. of Dependents 02

Marital Status Single Email Address (Personal) TSCHETYHAN22@[Link]

Spouse's First Name -- Spouse's Middle Name --

Spouse's Last Name -- Phone Details (STD Code) 080

Email Address (Official) TSCHETYHAN22@[Link] Phone Details (Tel Res.) 9066484122

Mobile Number 9066484122 Mailing Address Current

Residence Type PO Rent Per Month Rs. 0

Residence Address (Present Address)

NO 86, GUNI AGRAHARA NEAR MUNESHWARA TEMPLE,

Present Address --
LAYOUT, SHIVAKOTE

Landmark -- PIN 560089

City BANGALORE State KARNATAKA

Country INDIA Total Period at Present Address 10 years 5 months

Signed by: CHETHAN T S
Reason: Loan Agreement by Axis Bank Limited
Property Status Self Owned Total Period at Present City 10 years
eSigned months
5 ([Link])
using Aadhaar
Date: 2025-10-21 12:08:46 IST

Country Code 91 Mobile 9066484122

 Residence Address (Permanent Address)

NO 86, GUNI AGRAHARA NEAR MUNESHWARA TEMPLE,

Present Address --
LAYOUT, SHIVAKOTE

Landmark -- PIN 560089

City BANGALORE State KARNATAKA

Total Period at Permanent
Country INDIA 10 years 5 months
Address
Property Status Self Owned Total Period at Permanent City 10 years 5 months

CountryCode 91 Mobile 9066484122

Employment Details

Employment Nature SALARIED

Type of Organisation Nature of employer/Business for

null
Private Ltd. Co. null
Salaried_Salaried employee -
non-individual
Nature of Business - Self
Description of Business -- --
Employed
Constitution RESIDENT INDIAN Country of Incorporation --
null

Source of Fund Individual Salaried Source of Fund Non Individual --

null
Period in Current years months
Designation null
Senior Management 10 5
Employment/Business
Total Employment/Business ZMOTION AUTONOMOUS
Period 10 years 5 months Name of Organisation
SYSTEMS PVT LTD
ZMOTION AUTONOMOUS
BESIDE SPARSH HOSPITAL
Organisation Address SYSTEMS PVT LTD, 3RD FLOOR --
AIRPORT, ROAD, YELLAHANKA
AUGUST CENTER OPPOSITE CCD,

Landmark -- PIN 560064

null

City / State BANGALORE

null Country INDIA
null
Phone Details (STD/ISD Code
9066484122 UAN (Udyog Aadhaar Number) --
null
-Tel Off.)
Total Period at Office Address null
10 years 5 months Total Period at Office City null
10 years 5 months

Country Code 91 Mobile Number 9066484122

GSTIN Details
Whether registered under GST (If
yes, following details are mandatory)
No GST Exemption --

GST Annexure for Multiple GST -- Exemption Reason (if yes) --

Special Economic Zone -- Exemption Valid till (if yes) --

Special Economic Zone Code (if
N GSTIN (Default) --
Y)
Same as Residence Address
GSTIN Registration Date -- --
(Present Address)
Same as Residence Address
-- Others, please specify?
(Permanent Address)

PIN
Address Registered For GSTIN -- -- --

City -- State --

Country -- PIN --

Financial & Income Details Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Financial Status Resident-Financial Date: 2025-10-21 12:08:46 IST
Gross Income (INR) -- Net Income (INR) 186098

Other Income (INR) -- Total Income (INR) --

Bank Details

Bank HDFC BANK LTD Branch MILLERS ROAD

Type Of A / C Savings Account Account No. 50100449636342

Loan Details

Bank -- Type Of Loan (HL/PL/AL/Other) --

Loan Amount (INR) --null EMI (INR) --

Loan Tenure -- No. Of EMIs Paid --

Loan Account No. -- Loan Opening Date --

ROI -- Security --

Outstanding As on (INR) -- Others, please specify --

null

Investment Details

Deposits (INR) -- Insurance (INR) --

Shares (INR) -- Mutual Funds (INR) null

--

Others (INR) -- Total (INR) null

--

Proposed Loan Details :- Home Loan

Amount 13000000 Terms (months) 360

Purpose of Loan HOUSING Type of Loan / Product Category PH-Regular

Repayment Mode SI
null City of Interest (ROI)
Rate null
Floating

Processing Fee Detail :- Home Loan

Amount -- Cheque No. --

Mode Of Payment IMD / Process
Online Drawn on Bank --
Fee

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Property Details :- Home Loan

Property Type RESIDENTIAL PROPERTY Property Classification New --

Transaction Type Resale Age of Building Months --

Builder Name NA Rate of Value

Market Interest
(INR)
(ROI) --

Project / Property Name Registered Value / Agreement

NA
null Value --
Area of Property / Land (In Sq.
Building Name -- --
Ft.)

Cost of Property / Land -- Build Up Area (In Sq. Ft.) --

G RAMAIAH ENCLAVE, BEHIND KANSHIRAM NAGAR,

Address of Property --
NAMMA ROTI, VIDYARANYAPURA

Landmark --
-- PIN 560097

City BANGALORE State KARNATAKA

Country Property Ownership --

Loan Account No. -- Name of Seller --

Address of Seller -- Stage of Construction --

Cost of Purchase / Construction
-- Registration Cost (INR) --
(INR)
Total Cost (INR) -- Stamp Duty Cost (INR) --

Other Cost (INR) -- Own Contribution (INR) --

For Applications Under Reverse Morgage Scheme

Please specify the Loan request
--
plan
In case of lumpsum plan, please specify the lumpsum
--
amount **
** The maximum eligible lump sum payment is restricted to 50% of the total eligible loan amount subject to a cap of INR 15 lakhs and
only for the purpose of medical treatment.
In case of Annuity, please specify the periodicity of
--
Annuity
In case of combination plan,lump sum amount and balance by way of monthly
--
annuity
Reference Details

Name Relationship With Applicant / Co

NAVYA T S Sister
Applicant

Address NO 86, GUNIAGRAHARA LAYOUT, BANGALORE

Pin 560102 City BANGALORE

State KARNATAKA Country INDIA

Mobile No. 7090303250 Email ID --

Reference Details

Name Relationship With Applicant / Co

NISHA NAYAK Friend
Applicant

Address NO 26, CHIKKABANAVARA , BANGALORE

Pin 560090 City BANGALORE

Signed by: CHETHAN T S
KARNATAKA Reason: Loan Agreement by Axis Bank Limited
INDIA
State Country eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
Mobile No. 7676145798 Email ID --
 CHETHAN S's Existing Properties Count

No. Of Commercial Properties 0 No. Of Residential Properties 0

Insurance Details

Life Insurance Not Interested Property Insurance Not Interested

Customer Declaration

Loan amount (INR) --

The loan particulars are provided as here under

Loan Particulars

Name of the Name of the person Loan Account

Relationship with the Sanctioned Amount
bank/Institution from who has availed (the Number (if loan Property Address
declarant/s (INR)
where Home Loan is Home Loan) taken from Axis

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

Family for this purpose means and includes the spouse of the member and the children, parents, brothers and sisters of the member
who are dependent on such member, but shall not include legally separated spouse.
Customer declaration in respect of relationship with director/Senior officer of the bank/Any other Bank
1. I am a Director of Axis Bank No
2. I am a Director of any other Bank* No If Yes, Name of the --
3. I/We am/are a relative of director of Axis Bank/other Bank*/Senior Officer of Axis Bank No
*Including directors of Scheduled Co-Operative Banks, directors of subsidiaries/trustees of mutual funds/ventures capital funds.
If Yes mentioned the details below: I/We declare(s) that I/We are related to the director(s) and or Senior Officer(s) of Axis Bank or any
other specified hereto.

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Other Bank Details
Name of the Director(s) /
Designation Relationship
Senior Officer(s)

-- -- --

Details of Charges Applicable For All Home Loan Variants and Loan Against Property *

Following charges applicable under “Details of charges” Amount

1% of the loan amount or INR 10,000, (whichever is higher) + GST
Total Processing Fee Charges
(As applicable)
some text here... some text here...

Details of Other Charges Applicable for Super Saver Home Loan* Charges*

Cash Transaction Nil

Non Cash Services Nil

some text here...

FATCA- CRS DECLARATION

[✓] I am a tax resident of India and not resident of any other country OR [ ] I am a tax resident of the country/ies mentioned in the
table below:
Please indicate the country/ies in which the entity is a resident for tax purpose and the associated Tax Number below:

City of Birth* BANGALORE Country of Birth* INDIA

Address Type for Tax Purpose* Resident

Address For Tax Purpose

Communication Address Please note the address

Permanent Address
below
Country

-- --

Landmark -- PIN --

State -- Country --

#To also include USA, where the individual is citizen/green card holder of USA % In case Tax Identification number is not available,
Kindly provide function equivalent FATCA-CRS Certification I have understood the information requirements of this form (read along
with the FATCA/CRS instruction and Terms & Conditions) and hereby confirm that the information provided by me/us on this Form is
true, correct and complete and hereby accept the same. Signature______

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Customer Declaration
I/We declare that the particulars and information given are true, correct, complete and up to date in all aspects. I/We confirm that have
not withheld any material information which dientities me/us for applying for this Home Loan/ Loan against property, I/We confirm that
I/We have no insolvence proceeding initiated against me/us nor have I/We ever been adjudicated insolvent. I/We have read the
application form and am/are aware of all the terms and conditions of availing finance from Axis Bank. I/We authorise Axis Bank to make
reference and inquiries relating to Information in this application which the Bank considers necessary. I/We authorise the Bank to
exchange /part/share with all information relating to my /our loan details and repayment history to other Banks/ financial institutions ,
etc. as may be required and shall not hold the Bank liable for use of this information. I/We undertake to inform the Bank from time to
time regarding change in my/our resident/ employment and to provide any further information that the Bank may require. I/We agree
that my/our loan shall be governed by the rules of the Bank which may be in force. I/We agree that the Bank has the right to reject
my/our application without providing any reason thereof. "The Borrower (s) / guarantor(s) and their Affiliates firms agree(s) to give his /
their express consent to the Bank to disclose all information and data furnished by them to Credit Information Company (CIC) and
Information Utility (IU). For the purpose of this declaration: 1)Affiliates shall mean Affiliates of any specified person shall mean any
other person directly or indirectly controlling or controlled by or under direct or indirect common control with such specified person
and, in relation to a natural person, includes any relative (as such expression is defined in the Companies Act, 2013) of such natural
person and 2) Persons shall mean a "person” includes any individual, firm, company, corporation, Governmental authority or political
subdivision thereof, international organisation, agency or authority (in each case, whether or not having separate legal personality),
any association, trust, joint venture, consortium. partnership (whether or not having separate legal personality), joint Stock Company,
trust or unincorporated organisation and shall include their respective successors and assigns and incase of an individual shall include
his legal representatives, administrator, executors, and heirs and incase of a trust shall include the trustee or trustees for the time
being. “The borrower(s)/guarantor(s) further agree(s) that they shall execute such additional documents as may be necessary for this
purpose. I/We confirm that I/We have received a copy of the “Code of Bank's commitment to customers". I/We have been explained the
content of the same and also understand that it is available online at the Bank's website, [Link]. I/We undertake that the
proceeds of the facility shall not be used for investment in capital market.
I/We authorise Axis Bank to verify and authenticate my/our Aadhaar number during processing my/our application for legitimate
Business purposes. I/We further authorise the Bank to share my /our Aadhaar related details/information with regulatory / statutory
bodies as and when required.

I/We authorise Axis Bank to verify /authenticate my/our KYC OVDs/Aadhaar number/loan documents during processing my/our loan
application through third party agencies via digitally/physically for legitimate business purpose. I/We further authorise Axis Bank and or
its associates subsidiaries affiliates to verify, share and compare any information/data or otherwise at my office/residence and/or
contact me and/or my family member and /or my employer/Banker/credit bureau/RBI and or any third party such as other Bank /
Financial Institution/Credit Information Company during the process of processing my/our application or otherwise as they deem
necessary. I/ We understand that Axis Bank Ltd. reserves the right to provide me with the Credit Card type/variant based on
information available with Axis Bank Ltd. and my/ our eligibility as per internal policy of the Bank, I /We understand and undertake that
the usage of the Axis Bank Credit Card shall be strictly in accordance with all applicable laws (including without limitation to any
government acts, orders. decrees, guidelines, rules and regulations including foreign exchange control regulations) and in the event of
any failure to do so I / We will /shall be liable for any action/prosecution or penalty as prescribed. I/We further understand and agree to
the levy of all additional statutory levies, penal interest, taxes, GST as applicable on all fees, interest and other penal interest as per
the Government of India regulation and agree to pay the same. I/We have explained the contents of the same and also understand
that it is available online at the Bank's website [Link] . 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 lt. My / Our personal/KYC details may be shared with Central KYC Registry. I/ We hereby consent to receiving information from
Central KYC Registry through SMS/Email on the above registered number/ email address.

I/We also confirm that I/ We have been explained the following:

1. Axis Bank will convey its decision within 30 working days from the date of receipt of the application provided the application is
complete in all respects and is submitted along with all the documents as per 'check list' provided in the application for loan and/or any
additional documents as may be required by the Bank for proper appraisal of the application. The computation of timelines shall start
from the day on which all documents required for a proper appraisal of the application are provided by the Customer to Bank.

2. The Bank may at its sole discretion sanction or decline the application. The Bank shall convey, the reasons, which in its opinion after
due consideration, have led to rejection of the application.

3. The Bank will decide and assign the loan limit and no commitment has been given to me/us for the same.

4. The DSA/DST has not collected any commission/brokerages or any other fee by way of cash or cheque other than the Processing
Fees Deposited to the Bank. (Note: No processing Fee was charged for loans upto INR 6 lakh/ INR 9 lakh/ INR 12 lakh under Credit
Linked Subsidy Scheme EWS-LIG/ MIG I/MIG 11 respectively).

5. Upfront processing fee of INR 10,000 + Tax (applicable for Home Loan / Loan -against Property) shall be collected at the time of
application login. This fee will not be refunded under any circumstances such as loan rejection/withdrawal of the loan application etc.
non disbursement of loan for the reasons solely attributable to the customer. Balance processing fee as applicable shall be collected
at the time of loan disbursement.

6. As per the regulatory guidelines classification of accounts as NPA is done Borrower wise and not Facility wise and hence, in case of
non-payment of dues by the customer in case of any facility availed from the Bank and consequently the account is to be classified as
NPA, all other loan accounts of the Borrower, with the Bank also shall be classified as NPA as per the guidelines issued by RBI and it
shall entitle the Bank to recall all such loans/facilities availed by the same customer from the Bank, irrespective of the regular
repayment in such accounts.

7. I/We hereby confirm that I/We am/are in favor of receiving communication/ Information /loan documents / other collaterals from the
Bank pertaining to the loan account via emails / net Banking.

8. Information in vernacular language and I/We have correctly understood the application form.

9. I/We request you to issue me/us-access to i-Connect (view only) facility on my Customer ID, once my/our loan account is opened. I /
We understand that I / We may opt out by registering in the 'Provider Customer Preference Register' as per details provided in the
'TRAI' website. Axis Bank Ltd, reserves the right to retain the photograph and documents submitted with Signed
this application and will not
by: CHETHAN T S
Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
Axis Bank Ltd, reserves the right to retain the photograph and documents submitted with this application and
will not return the same to the applicant. The proceeds of the facility shall not be used for investment in small
savings scheme, capital market, purchase of gold in any form including primary gold, gold bullion, gold jewelry,
gold coins, units of gold ETF and mutual funds. I/We further declare that I/We will not utilize the borrowed
money for acquisition of small saving instruments (including KVP & NSC).

I/We unconditionally agree and accept that the Bank shall be at a liberty to reject my/our application at any
stage of processing the application for Retail Cards/Loans. I/We unconditionally agree & accept that, the data
provided by me/us to the Bank during the application process for acquiring such Relationship(s) is true to the Signature
best of my/our knowledge and belief, and if at any stage of processing the Relationship, if it comes to the
knowledge of the Bank or the Bank is of the opinion that, I/We have provided any incorrect Information, and/or
fabricated documents, and/or fake documents. and/or documents/s appearing to have been manipulated, they
will be treated by the Bank or the Bank as having been manipulated by me/us, I/We unconditionally agree &
accept that, the Bank shall have every right to reject the application for such Relationship(s), without assigning
any reason whatsoever.

Signature

Politically exposed persons are individuals who are or have been entrusted with prominent public functions by a foreign country, eg.
Heads of states or Governments, senior politicians, senior Government/judicial/military officers, senior executives of state owned
corporations, important political party officials, etc. I/We declare that I/We are not a politically exposed person (PEP) nor we are
related/associated to any politically exposed person (PEP). Further, I/We declare that there is no politically exposed person (PEP) either
as a Director/Partner/Trustee/Office bearer/Promoter/Authorised signatory/ Beneficial owner in my/our organisation, and neither of them
are related/associated to any politically exposed person (PEP).Please note Source of Wealth fields is only applicable for Politically
Exposed Person (PEP);therefore, this field has to be incorporated/captured for Individual customer profiles only. The details of the fields
are as below:

PEP No Source Of Wealth Description --

Absolute Value Of Wealth 0.0 Applicant / CoApplicant Id CHETHAN T S

Customer Declaration of Preferred Language

I confirm my preferred Language of communication is:

✓ English Hindi Marathi Punjabi Bengali Odia

Gujarati Kannada Malayalam Tamil Telegu

Credit linked subsidy – Select the applicable category (Applicable for Home Loan Only)

--

--

Note :-
• Family Definition MIG: A beneficiary family comprises of husband, wife and unmarried children. An adult earning member (irrespective
Signed by: CHETHAN T S
of marital status) can be treated as a separate household/family. Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
• Family Definition EWS/LIG: A beneficiary family comprises of husband, wife and unmarried children. --
 Details of Charges Applicable For All Home Loan Variants and Loan Against Property *

Kindly click on the below link to check the details.

Home Loan :
[Link]
Loan Against Property:

[Link]
charges
Asha Home Link:
[Link]
[Link]

Details of Other Charges Applicable for Super Saver Home Loan*

Kindly click on the below link to check the details.

[Link]

Loan Against Property Document Checklist

Kindly click on the below link to check the details.

[Link]

Home Loan Document Checklist

Kindly click on the below link to check the details.

[Link]

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Addendum to Schedule of Charges and Application Form
Mortgage Loans- Home Loan / Loan Against Property

CHETHAN T S
Name of the Borrower : ___________________________________________________________________

1000188263
Application Form Barcode Number :______________________________________________________

1. Penal Charges:

Notwithstanding anything to the contrary contained in the Sanction Letter and/or the Loan Agreement, the parties agree as
follows:
i. The Reserve Bank of India, vide Circular dated August 18, 2023 “Fair Lending Practice - Penal Charges in Loan Accounts”, issued
instructions (“RBI Instructions”) regarding quantum and levy of Penal Charges on loan accounts. The RBI Instructions also stipulate
that the penalty/ penal interest being charged for loan accounts is to be treated as ‘Penal Charges’. The RBI Instructions will become
effective from April 1,2024 or any other date as may be notified by the RBI (“Effective Date”).

ii. On and from the effective date:

a. The penalty / penal interest being charged for the Loan(s)/Facility(ies) under and pursuant to this financing document, shall
be treated as penal charges (“Penal Charges”);
b. The Penal Charges for the Loan(s)/Facility(ies) under and pursuant to this financing document, shall be as provided below
and as may be revised from time to time on Bank’s sole discretion and published on the Axis Bank website (Home-> Other links->
Fees and charges -> Loans -> Home Loan or, Loan Against Property) at the following URL [Link]

Type Charges

• Financial Default*: 8% p.a. above applicable interest rate on the overdue

amount (subject to the aggregate not exceeding 24% per instance)
• There shall be no capitalisation of Penal Charges
• The said Penal Charges will be subject to GST as per applicable law on Goods
and Service Tax in India, and GST will be charged separately
• *Financial Default includes all types of payment or financial
defaults/irregularities with respect to your Loan Account

Penal Charges For Super Saver Home Loan and Loan Against Property Overdraft facility :
• Financial Default*: 8% p.a. above current applicable interest rate on the
overdue amount (Penal Charge not exceeding INR 1,00,000 (INR One lakh) per
instance)
• Non-Financial Default**: 1% p.a. above current applicable interest rate /
commission from the date of each non-financial default on the outstanding
amount of fund-based credit facilities and non-fund-based facilities (as
applicable).
• There shall be no capitalisation of Penal Charges.

Please note, the aforesaid Charges will be subject to GST as per applicable laws on Goods and Service Tax in India and GST will be
charged separately.

*Financial Default includes all types of payment or financial defaults / irregularities with respect to your loan account.

**Non-Financial Default includes breach of any other obligation(s) / covenant(s) with respect to your loan account.

2. Pre-Payment charges for Loan Against Property and Overdraft Facility:

In case of Micro and Small Enterprises (MSE) customers, no prepayment charges are applicable if:
i. Loan amount is up to Rs.50 Lakhs under Fixed rate loans, or
II. Loans with floating interest rates (irrespective of the loan limit)

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Acknowledgement for Receipt of Home Loan Application Form

Date: 21-Oct-2025

To, MR CHETHAN T S

13000000 Institution did not charge any

Axis Bank has received your application for a housing loan of INR ____________
processing fee for the housing loan upto 6 lacs/ 9 lakh / 12 lakh under Credit Linked Subsidy Scheme EWS-
LIG/MIG I/MIG II respectively. Axis Bank will convey its decision within 30 working days from the date of receipt
of the application provided the application, provided... is complete in all respects and is submitted along with
all the documents as per ‘checklist' provided in the application for loan and/or any additional documents as
may be required by the Bank for proper appraisal of the application. The computation of timelines shall starts
from the day on which all documents required for a proper appraisal of the application are provided by the
Customer to bank.
For status enquiry, please call us 18604195555 / 18605005555 (charges applicable) or 18001035577 (toll-free) OR visit us at
[Link]/support OR visit [Link]/loanappstatus
Acknowledgement for Receipt of Asset Power Application Form

Date:

To,

Axis Bank has received your application for a Loan against property. Axis Bank will convey its decision (within
2 weeks for credit limit up to 5 lakh and within 3 weeks for credit limit above 5 lakh and upto 25 lakh for
Micro & Small enterprises borrowers) and (within 30 working days for other borrowers) from the date of
receipt of the application, provided the application is complete in all respects and is submitted along with all
the documents as per 'check list' provided in the application for loan and/or any additional documents as may
be required by the Bank for proper appraisal of the application. The computation of timelines shall starts from
the day on which all documents required for a proper appraisal of the application are provided by the
customer to the Bank.

Sourcing Details (For official use only)

RAC/ASC Source CON6073BAN - CONNECTOR-

WHITEFIELD ASC
NOBROKER TECHNOLOGIE
Employee ID SANTHOSH KUMAR V-553044 Channel ALTERNATE CHANNELS

DSA Code UBL SALES-WF514-NO TEAM Application ID 1000188263

LEADER
Connector code CON6073BAN - CONNECTOR- UAWHI706321-SOUMYA
Dme Code
NOBROKER TECHNOLOGIE
Sol ID of the Branch Not Applicable Name of Sourcing Agent UAWHI706321-SOUMYA
Digital Sub-source OUTBOUND, Axis Bank Relationship Manager
Not Applicable SANTHOSH KUMAR V-553044
INBOUND, SMS, EMAIL, Name
Documents Received Axis Bank Relationship Manager
Self-Certified SANTHOSH KUMAR V-553044
Code
Digital Verification Ref no. Not Applicable KYC OVD Not Applicable

Verification Carried Out By

Emp. Name -- Emp. Code --

Emp. Designation -- Emp. Organisation & Code --

Emp. Branch -- Identity Verification Done --

Place -- Date --

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Products and Offerings
I/We hereby give my/our consent to and agree and authorize Axis Bank Ltd. to fetch my/our personal details from UIDAI. I/We hereby
state that I/we have no objection in authenticating myself /ourselves with Aadhaar based authentication system and I/we voluntarily
consent to providing my/our Aadhaar number / VID number, Biometric information and/or One Time Pin(OTP) data (and/or any similar
authentication data) for the purpose of [Product name] loan application. I/We understand that the biometric and/or OTP and/or any
other authentication data I / we may provide for authentication shall be used only for authenticating my/our identity through the
Aadhaar authentication system for the specific transaction or as per requirement of law and for no other purposes. I/We confirm that I
/We have been informed about the alternatives to submission of identity information and I / We have agreed to authenticate myself/
ourselves through Aadhaar based authentication system with full understanding of alternatives to submission of identity information. I
/We understand that Axis Bank shall ensure security and confidentiality of my /our personal identity data provided for the purpose of
Aadhaar based authentication. I /We authorize Axis Bank to verify and authenticate my /our Aadhaar during processing my /our loan. I
/We further authorize the Bank to share my / our Aadhaar related details/information with regulatory /statutory bodies as and when
required. I /We hereby expressly consent to and authorize the Bank (whether acting by itself or through any of its service providers.
and whether in automated manner or otherwise), to collect, store and process my / our application details, personal data and sensitive
information about me / us, information, papers and data relating to know your customer (KYC), credit information, and any other
information about me/us /pertaining to me/us or not as may be deemed relevant by the Bank (collectively, "Information") and I /We
hereby also expressly consent to and authorize the Bank to download KYC details from the CKYC registry using my/our CKYC ID for the
purpose of loan application. I /We expressly consent Bank to share and disclose the Information to service providers. Consultants,
credit information companies, information utilities, other banks and financial institutions, affiliates, group companies, subsidiaries,
regulators, investigating agencies, judicial, quasi-judicial and statutory authorities, or to other persons/institutions/entities as maybe
necessary in connection with the contractual or legal requirements or in the legitimate interests of the Bank or as per the consent,
undertake to process information including by way of storing, structuring, organizing, reproducing, copying, using, profiling, etc. as
may be deemed fit by the Bank and for the purposes of credit appraisal, fraud detection, anti-money laundering obligations, for
entering into contract, for direct marketing, for cross selling, for developing credit scoring models and business strategies, for
monitoring, for evaluating and improving the quality of services and products, or for any purposes as the Bank may deem fit. I /We
expressly agree to the Bank, its service providers, agents and/or its affiliates for using the Information and for marketing, promotion
and cross-selling to me/us their various products and services of the Bank from time to time via telephone, SMS and/or email.

✓ Yes No

Applicant Signature Co-Applicant Signature Co-Applicant Signature

Central KYC Registry | Know Your Customer (KYC) Application form for Legal Entity / Other than Individuals

Entity Details

Name -- Entity Constitution Type --

Date of Incorporation / Place of Incorporation /
-- --
Formation Formation
Country of Incorporation --

Proof of Identity (POI)*

Proof of Identity --

Registered Office Address / Place of Business

Proof Of Address -- --

Line 1 --

Line 2 --

Line 3 --

City / Village / Town -- District --

Pin Code -- State / U.T --

Country --

Local Address In India (if different from above)

Line 1 --
Signed by: CHETHAN T S
Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Line 2 -- Date: 2025-10-21 12:08:46 IST
Line 3 --

City / Village / Town -- District --

Pin Code -- State / U.T --

Country --

Contact Details (All communications will be sent to "Mobile number/ Email-ID provided" may be used)

Tel. Std Code -- Telephone --

Email ID -- Mobile No. --

Email ID -- Mobile No. --

Details of Related Person*

Addition/Deletion/Update
-- KYC No. --
Related Person Details
Related Person type -- Din --

Personal Details

Name* (Same as ID Proof) -- -- --

Maiden Name -- -- --

Father / Spouse Name -- -- --

Mother Name -- -- --

Date of Birth -- Gender --

Nationality -- PAN --

Proof of Identity and Address

Passport No. -- Voter ID --

Driving Licence -- NREGA Job Card --

National Population register Proof of possession of
-- --
Letter Address
E KYC Authentication Offline Verification of Aadhaar
-- --
card

Address -- --

City -- District --

Pin Code -- State --

Country --

Current Address Details

Same as above mentioned
-- Voter ID --
Address
Passport No. -- NREGA Job Card --

Driving Licence National Population register

-- --
Letter
Proof of possession of Address -- E KYC Authentication --
Offline Verification of Aadhaar
-- Deemed POA --
card
Self Declaration --

Address -- --
Signed by: CHETHAN T S
Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
City --
District -- Pin Code --

State -- Country --

Legal Entity Identifier (LEI) Declaration (Applicable for Non - Individuals only)

Name Of Borrower --

I/We confirm that the total banking exposure of our firm/company after availing the proposed loan/ credit facility is INR 50 Crore
or [Link] Legal Entity Identifier (LEI) is applicable to our firm/company and the details of the same are as under:

LEI No. -- LEI Issuer --

LEI Issurance Date -- LEI Expiry Date --

I/We confirm that the total banking exposure of our firm/company after availing the proposed loan/ credit facility is between INR
5 Crore to < INR 50 Crore. We will endeavour to obtain for the LEI at the earliest and agree to provide the LEI details to Axis
Bank, once we obtain the same.

I/We confirm that the total banking exposure of our firm/company after availing the proposed loan/ credit facility is below INR 5
Crore. The Legal Entity Identifier (LEI) is not applicable to us.

I/We declare that the particulars and information given above are true, correct and up to date in all aspects.

Signature

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
Signed by: CHETHAN T S
Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 ಭಾರತ ಸರ್ಕಾರ ಭಾರತೀಯ ವಿಶಿಷ್ಟ ಗುರುತು ಪ್ರಾಧಿಕಾರ
Government of India Unique Identification Authority of India ಆಧಾರ್
2
ಚೇತನ್ ಟಿ ಎಸ್ S/O: ಶ್ರೀಧರ ಟಿವಿ, 86 ಗುಣಿ ಅಗ್ರಹಾರ ಲೇಔಟ್,
ಮುನೇಶ್ವರ ದೇವಸ್ತಾನದ ಹತ್ತಿರ, ಶಿವಕೋಟೆ,
Issue Date: 04/09/2013

ChethanTS
ಜನ ದಿನಾಂಕ/DOB: 22/05/1998 ಬೆಂಗಳೂರು,
ಕರ್ನಾಟಕ - 560089
ಪುರುಷ/ MALE
Address:
S/0: Sridhar TV, 86 guni agrahara layout,
near muneshwara temple, Shivakote,
Bangalore,
Karnataka- 560089

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
9219 7330 7804 9219 7330 7804
Date: 2025-10-21 12:08:46 IST
VID: 9199 1648 3302 1405 VID: 9199 1648 3302 1405

ನನ್ನ ಆಧಾರ್, ನನ್ನ ಗುರುತು 1947 help@[Link] [Link]

 ZMotion Autonomous Systems Pvt Ltd
August Center, 3rd Floor Sy No #138,139/3B,New Airport Road, Near Raithara
Santhe,Yelahanka Hobli, Bengaluru North Taluk Bengaluru, Karnataka, State Code:
29
India, Pincode: 560064

Pay Slip for the month of September 2025

Emp Code ZAS-18-028 UAN No. 101570961024

Emp Name Chethan T S PF Number BG/BNG/2671643/000/0010034
Designation Sr. Engineer ESI No.
DOJ 14-09-2021 Std Days 30.0
Grade Work Days 30.0
PAN BHEPC9436Q LOP Days 0.0
Department Embedded Design - ZA Bank Name HDFC Bank
Location Account No. 50100449636342
Earnings Amount Deductions Amount
Basic Salary 90,000.00 Employee's Provident Fund 3,600.00
House Rent Allowance 36,000.00 Professional Tax 200.00
Gratuity 4,327.00 Income Tax 13,466.22
Special Allowance 17,873.00 GRATUITY DEDUCTION 4,327.00
Employer Contribution to Pension Scheme 1,249.50
Employer Contribution to Provident Fund 550.50
Earnings Total 150,000.00 Deduction Total 21,593.22
Net Pay : ₹ 128,406.78
In Words : INR One Lakh, Twenty Eight Thousand, Four Hundred And Six and Seventy Eight Paisa only.
Remarks : This salary slip is for the month of September(30 days)
Doc # : ZAS-HRM-029 Rev.# : 00 Revision Date : 01-05-2025

This is computer generated document, no signature is required.

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 ZMotion Autonomous Systems Pvt Ltd
August Center, 3rd Floor Sy No #138,139/3B,New Airport Road, Near Raithara
Santhe,Yelahanka Hobli, Bengaluru North Taluk Bengaluru, Karnataka, State Code:
29
India, Pincode: 560064

Pay Slip for the month of August 2025

Emp Code ZAS-18-028 UAN No. 101570961024

Emp Name Chethan T S PF Number BG/BNG/2671643/000/0010034
Designation Sr. Engineer ESI No.
DOJ 14-09-2021 Std Days 31.0
Grade Work Days 31.0
PAN BHEPC9436Q LOP Days 0.0
Department Embedded Design - ZA Bank Name HDFC Bank
Location Account No. 50100449636342
Earnings Amount Deductions Amount
Basic Salary 90,000.00 Employee's Provident Fund 3,600.00
House Rent Allowance 36,000.00 Professional Tax 200.00
Gratuity 4,327.00 Income Tax 13,466.22
Special Allowance 17,873.00 SALARY ADVANCE 25,000.00
Employer Contribution to Pension Scheme 1,249.50 GRATUITY DEDUCTION 4,327.00
Employer Contribution to Provident Fund 550.50 GRATUITY ARREARS 17,308.00
Arrear Basic Salary 60,000.00
Arrear Gratuity 17,308.00
Arrear House Rent Allowance 24,000.00
Arrear Special Allowance -1,308.00
Earnings Total 250,000.00 Deduction Total 63,901.22
Net Pay : ₹ 186,098.78
In Words : INR One Lakh, Eighty Six Thousand And Ninety Eight and Seventy Eight Paisa only.
Remarks : This salary slip is for the month of August(31 days)
Doc # : ZAS-HRM-029 Rev.# : 00 Revision Date : 01-05-2025

This is computer generated document, no signature is required.

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 ZMotion Autonomous Systems Pvt Ltd
August Center, 3rd Floor Sy No #138,139/3B,New Airport Road, Near Raithara
Santhe,Yelahanka Hobli, Bengaluru North Taluk Bengaluru, Karnataka, State Code:
29
India, Pincode: 560064

Pay Slip for the month of July 2025

Emp Code ZAS-18-028 UAN No. 101570961024

Emp Name Chethan T S PF Number BG/BNG/2671643/000/0010034
Designation Sr. Engineer ESI No.
DOJ 14-09-2021 Std Days 31.0
Grade Work Days 31.0
PAN BHEPC9436Q LOP Days 0.0
Department Embedded Design - ZA Bank Name HDFC Bank
Location Account No. 50100449636342
Earnings Amount Deductions Amount
Basic Salary 75,000.00 Employee's Provident Fund 3,600.00
House Rent Allowance 30,000.00 Professional Tax 200.00
Special Allowance 18,200.00 Income Tax 7,844.13
Employer Contribution to Pension Scheme 1,249.50 SALARY ADVANCE 25,000.00
Employer Contribution to Provident Fund 550.50
Earnings Total 125,000.00 Deduction Total 36,644.13
Net Pay : ₹ 88,355.87
In Words : INR Eighty Eight Thousand, Three Hundred And Fifty Five and Eighty Seven Paisa only.
Remarks : This salary slip is for the month of July(31 days)
Doc # : ZAS-HRM-029 Rev.# : 00 Revision Date : 01-05-2025

This is computer generated document, no signature is required.

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Page No .: 1

Account Branch : MILLERS ROAD

Address : NO, 70/2, BANGALORE MAIN BRANCH
MILLER ROAD,
.
MR CHETHAN T S City : BENGALURU 560052
State : KARNATAKA
S/O SRIDHAR T V 86 GUNI AGRAHARA Phone no. : 18002600/18001600
LAYOUT NEAR MUNESHWARA TEMPLE OD Limit : 0.00
SHIVAKOTE HESSARGHATTA LAKE Currency : INR
Email : tschethan22@[Link]
BANGALORE 560089 Cust ID : 176127385
KARNATAKA INDIA Account No : 50100449636342 OTHER
A/C Open Date : 27/09/2021
JOINT HOLDERS : Account Status : Regular
RTGS/NEFT IFSC : HDFC0001208 MICR : 560240040
Branch Code : 1208
Nomination : Not Registered Account Type : INSTANT SAVING SALARY PREMIUM(161)

From : 01/10/2025 To : 19/10/2025 Statement of account

Date Narration Chq./[Link]. Value Dt Withdrawal Amt. Deposit Amt. Closing Balance

01/10/25 UPI-CHETHAN T 0000311560032032 01/10/25 5,000.00 79,013.12

S-CHETHANPERSONAL@AXL-UBIN

0818755-311560032032-PAYMENT FROM PHONE

01/10/25 UPI-MUSKAN-PRINCEMUSKAN554-3@OKAXIS-YESB 0000762792554839 01/10/25 169.00 78,844.12

0001216-762792554839-PAYMENT FROM PHONE

02/10/25 UPI-CRED 0000564110718059 02/10/25 22,600.00 56,244.12

[Link]@AXISB-UTIB000011

4-564110718059-PAYMENT ON CRED

02/10/25 UPI-KEERTHI SAGAR 0000915619047391 02/10/25 2,000.00 58,244.12

G-KSAGAR118@AXL-UTIB00

03543-915619047391-PAYMENT FROM PHONE

03/10/25 BAJAJFINOTP_BFL27092356465_142841339 000000000000000 03/10/25 3,524.00 54,720.12

05/10/25 UPI-NAVYA T [Link]-1@OKICICI- 0000008693154253 05/10/25 350.00 54,370.12

HDFC0009286-008693154253-PAYMENT FROM PH

ONE

06/10/25 UPI-SPOTIFY [Link]@ICICI-ICI 0000527934148595 06/10/25 59.00 54,311.12

C0DC0099-527934148595-MANDATEREQUEST

06/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-5820 0000582029436150 06/10/25 2,600.00 51,711.12

29436150-PAYMENT FROM PHONE

07/10/25 IMPS-528009909549-COMPUTER AGE 0000528009909549 07/10/25 1.00 51,712.12

MANAGEM-I

DFB-XXXXXXX4106-ACCOUNTVALIDATIONBYCAMS

07/10/25 EMI 465308059 CHQ S4653080590081 1025465 000000000000000 07/10/25 6,963.00 44,749.12

308059

07/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-9775 0000977597534203 07/10/25 4,700.00 49,449.12

97534203-PAYMENT FROM PHONE

08/10/25 FT- ADITYA BSLMF-POOL RED A/C - BIRLA MF 0000001269795549 08/10/25 20,400.66 69,849.78

-RED-DC-F NO. 1047656688- 66Y

08/10/25 FT- SBI MUTUAL FUND - SBIRED 40060714 D 0000001269625780 08/10/25 20,762.31 90,612.09

192G

HDFC BANK LIMITED

*Closing balance includes funds earmarked for hold and uncleared funds Signed by: CHETHAN T S
Contents of this statement will be considered correct if no error is reported within 30 days of receipt of [Link] address on this statement is that on record with theReason:
Bank asLoan
at theAgreement by Axis Bank Limited
day of requesting
eSigned using Aadhaar ([Link])
this statement. Date: 2025-10-21 12:08:46 IST
State account branch GSTN:29AAACH2702H1ZW
HDFC Bank GSTIN number details are available at [Link]
Registered Office Address: HDFC Bank House,Senapati Bapat Marg,Lower Parel,Mumbai 400013
 Page No .: 2

Account Branch : MILLERS ROAD

Address : NO, 70/2, BANGALORE MAIN BRANCH
MILLER ROAD,
.
MR CHETHAN T S City : BENGALURU 560052
State : KARNATAKA
S/O SRIDHAR T V 86 GUNI AGRAHARA Phone no. : 18002600/18001600
LAYOUT NEAR MUNESHWARA TEMPLE OD Limit : 0.00
SHIVAKOTE HESSARGHATTA LAKE Currency : INR
Email : tschethan22@[Link]
BANGALORE 560089 Cust ID : 176127385
KARNATAKA INDIA Account No : 50100449636342 OTHER
A/C Open Date : 27/09/2021
JOINT HOLDERS : Account Status : Regular
RTGS/NEFT IFSC : HDFC0001208 MICR : 560240040
Branch Code : 1208
Nomination : Not Registered Account Type : INSTANT SAVING SALARY PREMIUM(161)

From : 01/10/2025 To : 19/10/2025 Statement of account

08/10/25 FT- NIPPON INDIA MULTI CAP FUND - MC99 1 0000011269934137 08/10/25 26,686.70 117,298.79

8080208 477311486621 2072567160

08/10/25 FT- HDFC MUTUAL FUND REDEMPTION NEW 0000001269781754 08/10/25 10,286.54 127,585.33

A/C

- HDFCINFRASTRUCTURE DP GROWTHOPTION

08/10/25 FT- TMF REDEMPTION POOL A/C - TATA MF - 0000001269900099 08/10/25 35,356.73 162,942.06

SCFGZ- 10173206- 278849481

08/10/25 50100439275368-TPT-SLICE 1-NAVYA T S 0000000429983452 08/10/25 780.00 162,162.06

08/10/25 50100439275368-TPT-SLICE FULL-NAVYA T S 0000000430126609 08/10/25 46,000.00 116,162.06

08/10/25 NEFT CR-KKBK0000958-MOTILAL OSWAL KKBKN62025100882 08/10/25 10,070.64 126,232.70

MUTUAL

FUND-THUBGERE SRIDHAR 351936

CHETHAN-KKBKN6202

5100882351936

08/10/25 NEFT CR-UTIB0000004-AXIS MUTUAL FUND RED UTIBN62025100848 08/10/25 46,536.73 172,769.43

EMPTION POOL A/C-THUBGERE SRIDHAR 440342

CHETHA

N-UTIBN62025100848440342

08/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-2150 0000215071723262 08/10/25 2,000.00 170,769.43

71723262-PAYMENT FROM PHONE

08/10/25 UPI-HDFC BANK DIGITAL 0000101656949527 08/10/25 72,252.00 98,517.43

TO-HDFCBANKDIGITAL

TOKEN.76054477@HDFCBANK-HDFC0MERUPI-1016

56949527-COLLECT

08/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-1912 0000191211126913 08/10/25 2,000.00 100,517.43

11126913-PAYMENT FROM PHONE

09/10/25 UPI-HAMSA 0000197785250867 09/10/25 120.00 100,397.43

VENI-PAYTM.S1NJ6LP@PTY-YESB0MC

HUPI-197785250867-PAYMENT FROM PHONE

09/10/25 UPI-HAMSA 0000852381524407 09/10/25 130.00 100,267.43

VENI-PAYTM.S1NJ6LP@PTY-YESB0MC

HUPI-852381524407-PAYMENT FROM PHONE

HDFC BANK LIMITED

*Closing balance includes funds earmarked for hold and uncleared funds Signed by: CHETHAN T S
Contents of this statement will be considered correct if no error is reported within 30 days of receipt of [Link] address on this statement is that on record with theReason:
Bank asLoan
at theAgreement by Axis Bank Limited
day of requesting
eSigned using Aadhaar ([Link])
this statement. Date: 2025-10-21 12:08:46 IST
State account branch GSTN:29AAACH2702H1ZW
HDFC Bank GSTIN number details are available at [Link]
Registered Office Address: HDFC Bank House,Senapati Bapat Marg,Lower Parel,Mumbai 400013
 Page No .: 3

Account Branch : MILLERS ROAD

Address : NO, 70/2, BANGALORE MAIN BRANCH
MILLER ROAD,
.
MR CHETHAN T S City : BENGALURU 560052
State : KARNATAKA
S/O SRIDHAR T V 86 GUNI AGRAHARA Phone no. : 18002600/18001600
LAYOUT NEAR MUNESHWARA TEMPLE OD Limit : 0.00
SHIVAKOTE HESSARGHATTA LAKE Currency : INR
Email : tschethan22@[Link]
BANGALORE 560089 Cust ID : 176127385
KARNATAKA INDIA Account No : 50100449636342 OTHER
A/C Open Date : 27/09/2021
JOINT HOLDERS : Account Status : Regular
RTGS/NEFT IFSC : HDFC0001208 MICR : 560240040
Branch Code : 1208
Nomination : Not Registered Account Type : INSTANT SAVING SALARY PREMIUM(161)

From : 01/10/2025 To : 19/10/2025 Statement of account

09/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-0029 0000002919148814 09/10/25 250.00 100,517.43

19148814-PAYMENT FROM PHONE

10/10/25 UPI-NISHA S 0000258385589052 10/10/25 170.00 100,347.43

NAYAK-NISHANAYAK825@OKAXIS-U

CBA0002104-258385589052-PAYMENT FROM PHO

NE

11/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-4909 0000490908215386 11/10/25 1,000.00 101,347.43

08215386-PAYMENT FROM PHONE

11/10/25 UPI-MR S SRINIVASA-9060367991@YBL-IDIB00 0000562504354232 11/10/25 900.00 100,447.43

0M010-562504354232-PAYMENT FROM PHONE

11/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-4233 0000423395951807 11/10/25 9,000.00 109,447.43

95951807-PAYMENT FROM PHONE

12/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-0963 0000096356294963 12/10/25 2,600.00 106,847.43

56294963-PAYMENT FROM PHONE

13/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-5451 0000545189195636 13/10/25 2,600.00 109,447.43

89195636-PAYMENT FROM PHONE

13/10/25 UPI-CHETHAN T S-9066484122@AXISB-UBIN081 0000528602887687 13/10/25 90,000.00 199,447.43

8755-528602887687-PAID VIA CRED

13/10/25 UPI-KREDITBEE-KREDITBEEONLINE@AXL-UTIB0A 0000692205144473 13/10/25 100,000.00 99,447.43

XLUPI-692205144473-PAYMENT FOR KB2505

13/10/25 UPI-KBAUBL-KBAUBL@AXL-UTIB0AXLUPI-339483 0000339483975627 13/10/25 90,145.00 9,302.43

975627-PAYMENT FOR KB2505

14/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-7400 0000740099615473 14/10/25 50,000.00 59,302.43

99615473-PAYMENT FROM PHONE

14/10/25 UPI-SACHINDRA N-9845021237@AXL-ICIC00000 0000140113474530 14/10/25 5,000.00 54,302.43

53-140113474530-PAYMENT FROM PHONE

15/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-5320 0000532090012632 15/10/25 10,000.00 64,302.43

90012632-PAYMENT FROM PHONE

15/10/25 ACH D- TATA AIA LIFE INSURA-C248494106AR 0000003292150198 15/10/25 3,083.00 61,219.43

15/10/25 UPI-YUM RESTAURANT 0000101712810329 15/10/25 472.96 60,746.47

INDIA-YUMRESTAURANTIN

[Link]@HDFCBANK-HDFC0MERUPI-101712

HDFC BANK LIMITED

*Closing balance includes funds earmarked for hold and uncleared funds Signed by: CHETHAN T S
Contents of this statement will be considered correct if no error is reported within 30 days of receipt of [Link] address on this statement is that on record with theReason:
Bank asLoan
at theAgreement by Axis Bank Limited
day of requesting
eSigned using Aadhaar ([Link])
this statement. Date: 2025-10-21 12:08:46 IST
State account branch GSTN:29AAACH2702H1ZW
HDFC Bank GSTIN number details are available at [Link]
Registered Office Address: HDFC Bank House,Senapati Bapat Marg,Lower Parel,Mumbai 400013
 Page No .: 4

Account Branch : MILLERS ROAD

Address : NO, 70/2, BANGALORE MAIN BRANCH
MILLER ROAD,
.
MR CHETHAN T S City : BENGALURU 560052
State : KARNATAKA
S/O SRIDHAR T V 86 GUNI AGRAHARA Phone no. : 18002600/18001600
LAYOUT NEAR MUNESHWARA TEMPLE OD Limit : 0.00
SHIVAKOTE HESSARGHATTA LAKE Currency : INR
Email : tschethan22@[Link]
BANGALORE 560089 Cust ID : 176127385
KARNATAKA INDIA Account No : 50100449636342 OTHER
A/C Open Date : 27/09/2021
JOINT HOLDERS : Account Status : Regular
RTGS/NEFT IFSC : HDFC0001208 MICR : 560240040
Branch Code : 1208
Nomination : Not Registered Account Type : INSTANT SAVING SALARY PREMIUM(161)

From : 01/10/2025 To : 19/10/2025 Statement of account

810329-KFC

15/10/25 UPI-SATHWICK 0000640224755707 15/10/25 10,000.00 50,746.47

MOORTHY-SATHWICK22-1@OKHDFC

BANK-ICIC0001937-640224755707-PAYMENT FR

OM PHONE

17/10/25 UPI-ANJALI-ANNJALII@AXL-KARB0000815-5680 0000568021559546 17/10/25 1,000.00 51,746.47

21559546-PAYMENT FROM PHONE

17/10/25 FT- ICICI PRUDENTIAL MUTUAL FUND RED A/C 0000011286017600 17/10/25 37,894.57 89,641.04

- RED - 9600- 29950900

17/10/25 FT- ICICI PRUDENTIAL MUTUAL FUND RED A/C 0000011286018645 17/10/25 20,219.17 109,860.21

- RED - 5005- 29950900

17/10/25 FT- ICICI PRUDENTIAL MUTUAL FUND RED A/C 0000011286018647 17/10/25 20,742.37 130,602.58

- RED - 8184- 29950900

18/10/25 UPI-N GIRISH-REDDYGIRI313-1@OKSBI-SBIN0 0000994010842386 18/10/25 190.00 130,412.58

018233-994010842386-PAYMENT FROM PHONE

STATEMENT SUMMARY :-
Opening Balance Dr Count Cr Count Debits Credits Closing Bal
84,013.12 24 22 375,107.96 421,507.42 130,412.58

Generated On: 19-Oct-2025 21:13 Generated By: 176127385 Requesting Branch Code: NET

This is a computer generated statement and does

not require signature.

HDFC BANK LIMITED

*Closing balance includes funds earmarked for hold and uncleared funds Signed by: CHETHAN T S
Contents of this statement will be considered correct if no error is reported within 30 days of receipt of [Link] address on this statement is that on record with theReason:
Bank asLoan
at theAgreement by Axis Bank Limited
day of requesting
eSigned using Aadhaar ([Link])
this statement. Date: 2025-10-21 12:08:46 IST
State account branch GSTN:29AAACH2702H1ZW
HDFC Bank GSTIN number details are available at [Link]
Registered Office Address: HDFC Bank House,Senapati Bapat Marg,Lower Parel,Mumbai 400013
 FORM NO. 16
PART B
Certificate under section 203 of the Income-tax Act, 1961 for tax deducted at source on salary paid to an employee under section 192 or pension/interest income
of specified senior citizen under section 194P

Certificate No. AHOOODA Last updated on 04-Jun-2024

Name and address of the Employer/Specified Bank Name and address of the Employee/Specified senior citizen

ZMOTION AUTONOMOUS SYSTEMS PRIVATE LIMITED

#51, 9th Cross, Muneshwara Layout,
THUBGERE SRIDHAR CHETHAN
Attur,yelahanka New Town, Banglore - 560064
# 86, GUNIAGRAHARA, SHIVAKOTE, BANGALORE NORTH,
Karnataka
BANGALORE - 560089 Karnataka
dixit@[Link]

PAN of the Deductor TAN of the Deductor PAN of the Employee/Specified senior citizen

AABCZ1917D BLRZ11764E BHEPC9436Q

CIT (TDS) Assessment Year Period with the Employer

From To
The Commissioner of Income Tax (TDS)
Room No. 59, H.M.T. Bhawan, 4th Floor, Bellary Road , 2024-25 01-Apr-2023 31-Mar-2024
Ganganagar, Bangalore - 560032

Annexure - I

Details of Salary Paid and any other income and tax deducted

A Whether opting out of taxation u/s 115BAC(1A)? No

1. Gross Salary Rs. Rs.

(a) Salary as per provisions contained in section 17(1) 878400.00

Value of perquisites under section 17(2) (as per Form No. 12BA,
(b) 0.00
wherever applicable)
Profits in lieu of salary under section 17(3) (as per Form No.
(c) 0.00
12BA, wherever applicable)
(d) Total 878400.00

(e) Reported total amount of salary received from other employer(s) 0.00

2. Less: Allowances to the extent exempt under section 10

(a) Travel concession or assistance under section 10(5) 0.00

(b) Death-cum-retirement gratuity under section 10(10) 0.00

(c) Commuted value of pension under section 10(10A) 0.00

Cash equivalent of leave salary encashment under section 10

(d) 0.00
(10AA)

(e) House rent allowance under section 10(13A) 0.00

(f) Other special allowances under section 10(14) 0.00

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
Page 1 of 3 eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
Certificate Number: AHOOODA TAN of Employer: BLRZ11764E PAN of Employee: BHEPC9436Q Assessment Year: 2024-25

Amount of any other exemption under section 10

[Note: Break-up to be prepared by employer and issued to the
(g)
employee, where applicable, before furnishing of Part B to the
employee]

(h) Total amount of any other exemption under section 10 0.00

Total amount of exemption claimed under section 10

(i) 0.00
[2(a)+2(b)+2(c)+2(d)+2(e)+2(f)+2(h)]

Total amount of salary received from current employer

3. 878400.00
[1(d)-2(i)]
4. Less: Deductions under section 16
(a) Standard deduction under section 16(ia) 50000.00

(b) Entertainment allowance under section 16(ii) 0.00

(c) Tax on employment under section 16(iii) 0.00

5. Total amount of deductions under section 16 [4(a)+4(b)+4(c)] 50000.00

6. Income chargeable under the head "Salaries" [(3+1(e)-5] 828400.00

7. Add: Any other income reported by the employee under as per section 192 (2B)

Income (or admissible loss) from house property reported by

(a) 0.00
employee offered for TDS

(b) Income under the head Other Sources offered for TDS 0.00

Total amount of other income reported by the employee

8. 0.00
[7(a)+7(b)]
9. Gross total income (6+8) 828400.00

10. Deductions under Chapter VI-A Gross Amount Deductible Amount

Deduction in respect of life insurance premia, contributions to

(a) 0.00 0.00
provident fund etc. under section 80C

Deduction in respect of contribution to certain pension funds

(b) 0.00 0.00
under section 80CCC
Deduction in respect of contribution by taxpayer to pension
(c) 0.00 0.00
scheme under section 80CCD (1)

(d) Total deduction under section 80C, 80CCC and 80CCD(1) 0.00 0.00

Deductions in respect of amount paid/deposited to notified

(e) 0.00 0.00
pension scheme under section 80CCD (1B)
Deduction in respect of contribution by Employer to pension
(f) 0.00 0.00
scheme under section 80CCD (2)
Deduction in respect of health insurance premia under section
(g) 0.00 0.00
80D

Signed by: CHETHAN T S

Reason: Loan Agreement by Axis Bank Limited
Page 2 of 3 eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST
 Certificate Number: AHOOODA TAN of Employer: BLRZ11764E PAN of Employee: BHEPC9436Q Assessment Year: 2024-25

Deduction in respect of interest on loan taken for higher

(h) 0.00 0.00
education under section 80E
Deduction in respect of contribution by the employee to Agnipath
(i) 0.00 0.00
Scheme under section 80CCH
Deduction in respect of contribution by the Central Government
(j) 0.00 0.00
to Agnipath Scheme under section 80CCH
Gross Qualifying Deductible
Amount Amount Amount
Total Deduction in respect of donations to certain funds,
(k) 0.00 0.00 0.00
charitable institutions, etc. under section 80G
Deduction in respect of interest on deposits in savings account
(l) 0.00 0.00 0.00
under section 80TTA

Amount Deductible under any other provision (s) of Chapter VI-A

[Note: Break-up to be prepared by employer and issued to the
(m)
employee, where applicable , before furnishing of Part B to the
employee]

Total of amount deductible under any other provision(s) of

(n) 0.00 0.00 0.00
Chapter VI-A

Aggregate of deductible amount under Chapter VI-A

11. 0.00
[10(d)+10(e)+10(f)+10(g)+10(h)+10(i)+10(j)+10(k)+10(l)+10(n)]

12. Total taxable income (9-11) 828400.00

13. Tax on total income 37840.00

14. Rebate under section 87A, if applicable 0.00

15. Surcharge, wherever applicable 0.00

16. Health and education cess 1514.00

17. Tax payable (13+15+16-14) 39354.00

18. Less: Relief under section 89 (attach details) 0.00

19. Net tax payable (17-18) 39354.00

Verification
I, SHRUTHI DIXIT, son/daughter of CHIDAMBAR NARAYAN DIXIT .Working in the capacity of DIRECTOR (Designation) do
hereby certify that the information given above is true, complete and correct and is based on the books of account, documents, TDS
statements, and other available records.

Place Banglore (Signature of person responsible for deduction of tax)

Full
Date 26-Jun-2024 SHRUTHI DIXIT
Name:

Signature Not Verified

Digitally signed by
SHRUTHI DIXIT
Signed by: CHETHAN T S Date: 2024.06.26 15:02:01
Reason: Loan Agreement by Axis Bank Limited
IST
Page 3 of 3 eSigned using Aadhaar ([Link])
Date: 2025-10-21 12:08:46 IST