7/25/2019 66837 Vehicle Loan

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Application Form or Sta !oan

"mp# No# 66837Name Siddesh Shenvi

Date of Joining 26 Nov 2012$rade%&esi'nation Sr Manager(urrent !ocation % &epartment Corporate ofce)ermanent esidence Address:+ % -./ adarsh na'ar 0orli 1-222+.

(ontact No: 3455342266Finacle (ust 7&: 4-/36+5+Salary S8S9F Account no# /. di'it; 912010064998971

&etails o e

7/25/2019 66837 Vehicle Loan

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(onstruction

7 Des, then !ikely date opossessiondd E mmm E yyyy;

hether 0ant to apply orMorotarium )eriod

,S / N

7 Des , No# o Months months

&etails or Sta Behicle !oan

&etails o >ehicle to =e purchased

Ma9e o :ehic4e &onda Cit

Mode4 o :ehic4e +:tec - 2011

Ne / ;sed :ehic4e ;sed