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HL APPLICATION FORM
Application No.
FIELDS WITH * (STAR) ARE MANDATORY
1. BASIC INFORMATION – BORROWER (INDIVIDUAL)
Please collect your MID / Schedule of charges
3. IDENTITY PROOF DETAILS (One Identity Proof is Mandatory)
2. ADDRESS Preferred Mailing Address Present Permanent Office Regd. Office
VER : 4.0/0818
4. INCOME DETAILS – AGRICULTURE
Agriculture type: Farmer Landlord Dairy Farm Poultry Aquaculture Others (please specify)
Sl.No.
LandOwnership*
LandOwner
Relationship Areain Acres
Taluk, Village & Pincode Survey/Patta No.
Free/Encumbered
MarketValue (`.)
Land Taxp.a. (`.)
IrrigationSource $
* Land Ownership : Self Owned / Parent Owned / Lease / Rented / Family Owned $ Irrigation Source : River / Lake / Well Pumpset / Govt. supplied / Rainfed** Type of Crop : Food Crops / Fruit Crops / Root & Tubers / Pulses / Cash Crops / Vegetables / Decorative Flowers / Cereals s Soil Type : Red / Black / Sandy / Marshy / Alluvial / Others (please specify)7/12, 8A, 6D, Khasra, Khatavani, Pahani, Chitti, Adangal, EC, Ebill, Saledeed, Land book – Documents should be verified for these lands.
Soil Type s Type of Crop** Name of CropHarvesting Cycles
Per AnnumYield/Acre
(in quintals)Market Price(`.per quintal)
Cost / Expensesper Acre per Cycle (`.)
Tractor RentalsSpent p.a. (`.)
Net Income (`.)/Harvesting Cycle
Since how long you are into Agriculture years
Are you a member of any Primary Agricultural Co-op Society No YesTax Return Filed Yes No Saral dated
Sl.No.
Do you own tractor(s) No Yes Free Nos. On Loan Nos.
BusinessLocation:
OFF
ICE/
BU
SIN
ESS
Is it a PP No.?* Yes No
Name of the organization*
Office/Business Address*
PIN*
Landmark* E-mail ID*
City* District*
Phone No.* Fax No.
State*
PE
RM
AN
EN
T Flat / Door No. & Building Name*
Road Number / Road Name*
PIN*City* District*
Is it a PP No.?* Yes NoPh / Mob 1* Fax No.
State*
PR
ES
EN
T
Flat / Door No. & Building Name*
Road Number / Road Name*
Is it a PP No.?* Yes No
PIN*
Landmark*
City* District*
Ph / Mob 1*
Alternate Mobile 2
Fax No.
State*
E-mail ID*
Address is as in (Address proof)
If there are more details please use a separate sheet
No. of Kids* No. of Dependents*
Religion*
Caste*
Actual Subsect & Sub Caste name as per Govt. Classification*
Date of Birth* Single Married Gender* Marital Status*TGM
Educational Qualification* 10 + 2 Graduate Post Graduate and above Professional Others10th or below (please specify)
Christian
ST
Muslim
MBC
Buddhist
BC
Sikh
OBC
Others
Others
Hindu
SC FC
Zorastrian Jain (please specify)
(please specify)
Type of Residence* Parent Owned Co Leased RentedOwned Others (please specify)
Years Number of years in this City MonthsNationality*
Occupation*
Residential Status* Non-Resident
Others
Monthly Rental Payable : `.Resident
Indian
Years Number of years in this house Months
Person with disability No Yes
Whether applicant is a director of any Bank or IBL* Yes (please specify)
(please specify)Business Salaried Agriculture Services
Preferred Verbal Communication Language
Sur Name
Name* Mr / Ms / Mrs / Dr / M/s
Mother Maiden Name*
Father Name*
Spouse Name*
Are you a shareholder in this Bank? Yes
No
Profession
No Nature of Account Current SavingsDetails of Investment / Bank Accounts
F
(please specify details)
(please specify)
Amount of deposit .`IBL Bank Account No. If existing customer, code
Others
Others
Mob 2 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone
Mob 1 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone
PAN No.
Passport No.
Driving License No.
Photo Ration CardExpiry
Post Off. Iden. No.PAN Holder
2W LMV MGV/MPV HGV/HPV Others_______Nature Expiry
Voter ID
CKYC ID Virtual ID
AADHAAR No. (UID)
GST Udyog Aadhaar
7. FAMILY INCOME DETAILS
8. CREDIT CARD / BANK DETAILS
Credit Card Details (Please note if you have more than one credit card then give details of the major credit card)
Do you have a credit card? Yes No
Name of bank
Account type
Card issued by Credit Limit `.
Other Bank Details (2)PDC Bank Details (1)NUMBER OF BANK ACCOUNTS
Card Number
Branch Name
Branch Address
Relationship with Applicant Number of earning members other than applicant
Gross Earnings p.m. .`
Net Earnings p.m. .` Gross Profit p.a. .`
Turnover p.a. .`
Total Family Income p.m. (excluding applicant’s income)`.
Net Profit p.a. .`
Income from: Business Profession
Credit card expiry date
6. INCOME DETAILS – SALARIED
Department
Address of Previous employer
Name of Previous employer
Gross Income . p.m. `
Rental Income . p.m.`
Proprietorship PS Firm
Total years of Service Years Months Total income of the applicant . p.a.`
Deduction . p.m.` Net . p.m.`
Other Income . p.a. (please specify)`
MonthsYearsDesignation
Public Ltd. MNC Govt. Military Others
Years of Service in current job
Pvt. Ltd. T.A.S.C. (please specify)
Ty
pe
of
Org
an
isa
tio
n5. INCOME DETAILS BUSINESS / PROFESSION
Type of organisation Number of Partners / DirectorsProprietorship PS Firm Pvt. Ltd. Public Ltd. MNC
Whether Business / Profession owned by the family
Others
Total Years in Business / Profession Years Months
Yes No RentedBusiness Premises Ownership Self Owned Parent Owned Others
Years in current Business / Profession Years Months
Rental Income . p.a.`
Networth . (Capital + Reservesexcluding revaluation reserves)
`
NOTE : Details as per latest P&L, BS, ITR.
Other Income . p.a. (please specify)`
(please specify)
(please specify)
Total debts `. (All secured &unsecured loans)
State
City
Pin code
Phone with STD code
Account Number
Account opened on
Opening Balance as of Opening Balance `.
Closing Balance `.Closing Balance as of
Place where the land or building is situated(Please furnish details of Survey Nos.,
Door No., Name of Street etc.)Ancestral or self-acquired If encumbered to
what extent
a. Immovable Assets :
Sq. Feet / AcreUsed for Agri/
Residential/Official/Commercial Purpose
Market Value `.
b. Liquid Assets :
Particulars
1. Cash and Bank balance
2. Govt. Securities (give details)
3. Shares
4. Life Insurance Polices (Sum assured)
5. Jewellery (_______________grams)
6. Investment in business
7. Investment in Associate firms, if any
8. Others (please specify)
Book value (`.) Encumbered Y/N Loan O/S (`.)
9. ASSET & LIABILITY DETAILS
IFS code
MICR
IFS code
MICR
Registration date
10. PROPERTY UNDER CONSIDERATION
PINCity
Area of land*
Purchased from:
House Type
Age of the Building
Ownership of the Property
Nature of Interest*
Tenor
Patta held in the name of __________________________________________
Nearest landmark ________________________________________________ Nearest bus depot ____________________________________________________________
Registration Ref. ________________________________________________ Sub-Registrar Office___________________________________________________________
Whether the Property is insured _________________________________________ If so, whether the insurance cover still on _____________________________________
What is the Insured Declared Value _______________________________________
Amount requested (in words) (`) ________________________________________________________________________________________________________________
Monthly expenditure (`) ______________________________________ Monthly instalment you can pay _________________________(`) _________________
Amount requested (in figures) (`) __________________________
Deduction of monthly instalment by
Product Type:
Taluk _________________________________________________________ Nearest Police Station _________________________________________________________
District State
Address
sq.ft.
Builder
Independent
yrs
Single
Fixed
yrs
Standing instruction to IndusInd Bank
UDS sq.ft. Build up area* sq.ft. No. of units Floor
Society
Flat
Development authority Resale Self construction Name of seller ______________________________
Survey No. _________________________
Building Type Residential Commercial Semi-Residential
No. of Previous owners
Jointly, if jointly, name(s) and relation _____________________________________________________________________
Floating Others___________________ ROI applied for . %
NACH
Loan for Construction
Is it the first owned property Yes No
Debit Mandate
9. ASSET & LIABILITY DETAILS (Contd...)
Loan taken from(Banks/Private
Finance/Relatives/Others
Type of loanAgreement
Value(`. in lacs)
PresentOutstanding(`. in lacs)
No. ofInstalments
paid
TotalInstalments(Payable)
EMIAmount
(`.)
Proof givenRepayment Track/
Bank Debits/Receipt copies
c. Liabilities
Total
12. BASIC INFORMATIONCO-BORROWER – (INDIVIDUAL) Related to Borrower: Yes No
Relationship:
13. ADDRESSCO-BORROWER Preferred Mailing Address Present Permanent Office Regd. Office
PR
ES
EN
T
Flat / Door No. & Building Name*
Road Number / Road Name*
Is it a PP No.?* Yes No
PIN*
Landmark*
City* District*
Ph / Mob 1*
Alternate Mobile 2
Fax No.
State*
E-mail ID*
Address is as in (Address proof)
11. LOAN DETAILS
Purchase of House / Flat Renovation Improvement Take Over without topup
If there are more details please use a separate sheet
No. of Kids* No. of Dependents*
Religion*
Caste*
Actual Subsect & Sub Caste name as per Govt. Classification*
Date of Birth* Single Married Gender* Marital Status*TGM
Educational Qualification* 10 + 2 Graduate Post Graduate and above Professional Others10th or below (please specify)
Christian
ST
Muslim
MBC
Buddhist
BC
Sikh
OBC
Others
Others
Hindu
SC FC
Zorastrian Jain (please specify)
(please specify)
Type of Residence* Parent Owned Co Leased RentedOwned Others (please specify)
Years Number of years in this City MonthsNationality*
Occupation*
Residential Status* Non-Resident
Others
Monthly Rental Payable : `.Resident
Indian
Years Number of years in this house Months
Person with disability No Yes
Whether applicant is a director of any Bank or IBL* Yes (please specify)
(please specify)Business Salaried Agriculture Services
Preferred Verbal Communication Language
Sur Name
Name* Mr / Ms / Mrs / Dr / M/s
Mother Maiden Name*
Father Name*
Spouse Name*
Are you a shareholder in this Bank? Yes
No
Profession
No Nature of Account Current SavingsDetails of Investment / Bank Accounts
F
(please specify details)
(please specify)
Amount of deposit .`IBL Bank Account No. If existing customer, code
Others
Others
If no existing owned property, Address ______________________________________
_____________________________________________________________________
6 3
Take Over with topup
Mob 2 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone
Mob 1 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone
OFF
ICE/
BU
SIN
ESS
Is it a PP No.?* Yes No
Name of the organization*
Office/Business Address*
PIN*
Landmark* E-mail ID*
City* District*
Phone No.* Fax No.
State*
13. ADDRESS (Contd...)CO-BORROWER Preferred Mailing Address Present Permanent Office Regd. Office
14. IDENTITY PROOF DETAILS (One Identity Proof is Mandatory)CO-BORROWER
16. INCOME DETAILS BUSINESS / PROFESSIONCO-BORROWER
15. INCOME DETAILS – AGRICULTURECO-BORROWER
18. FAMILY INCOME DETAILSCO-BORROWER
17. INCOME DETAILS – SALARIEDCO-BORROWER
Relationship with Applicant Number of earning members other than applicant
Gross Earnings p.m. .`
Net Earnings p.m. .` Gross Profit p.a. .`
Turnover p.a. .`
Total Family Income p.m. (excluding applicant’s income)`.
Net Profit p.a. .`
Income from: Business Profession
Department
Address of Previous employer
Name of Previous employer
Gross Income . p.m. `
Rental Income . p.m.`
Proprietorship PS Firm
Total years of Service Years Months Total income of the applicant . p.a.`
Deduction . p.m.` Net . p.m.`
Other Income . p.a. (please specify)`
MonthsYearsDesignation
Public Ltd. MNC Govt. Military Others
Years of Service in current job
Pvt. Ltd. T.A.S.C. (please specify)
Ty
pe
of
Org
an
isa
tio
n
19. CREDIT CARD / BANK DETAILSCO-BORROWER Credit Card Details (Please note if you have more than one credit card then give details of the major credit card)
Do you have a credit card? Yes No
Name of bank
Account type
Card issued by Credit Limit .`
Other Bank Details (2)PDC Bank Details (1)NUMBER OF BANK ACCOUNTS
Credit card expiry dateCard Number
Branch Name
Branch Address
Type of organisation Number of Partners / DirectorsProprietorship PS Firm Pvt. Ltd. Public Ltd. MNC
Whether Business / Profession owned by the family
Others
Total Years in Business / Profession Years Months
Yes No RentedBusiness Premises Ownership Self Owned Parent Owned Others
Years in current Business / Profession Years Months
Rental Income . p.a.`
Networth . (Capital + Reservesexcluding revaluation reserves)
`
NOTE : Details as per latest P&L, BS, ITR.
Other Income . p.a. (please specify)`
(please specify)
(please specify)
Total debts `. (All secured &unsecured loans)
Agriculture type: Farmer Landlord Dairy Farm Poultry Aquaculture Others (please specify)
Sl.No.
LandOwnership*
LandOwner
Relationship Areain Acres
Taluk, Village & Pincode Survey/Patta No.
Free/Encumbered
MarketValue (`.)
Land Taxp.a. (`.)
IrrigationSource $
* Land Ownership : Self Owned / Parent Owned / Lease / Rented / Family Owned $ Irrigation Source : River / Lake / Well Pumpset / Govt. supplied / Rainfed** Type of Crop : Food Crops / Fruit Crops / Root & Tubers / Pulses / Cash Crops / Vegetables / Decorative Flowers / Cereals s Soil Type : Red / Black / Sandy / Marshy / Alluvial / Others (please specify)7/12, 8A, 6D, Khasra, Khatavani, Pahani, Chitti, Adangal, EC, Ebill, Saledeed, Land book – Documents should be verified for these lands.
Soil Type s Type of Crop** Name of CropHarvesting Cycles
Per AnnumYield/Acre
(in quintals)Market Price(`.per quintal)
Cost / Expensesper Acre per Cycle (`.)
Tractor RentalsSpent p.a. (`.)
Net Income (`.)/Harvesting Cycle
Since how long you are into Agriculture years
Are you a member of any Primary Agricultural Co-op Society No YesTax Return Filed Yes No Saral dated
Sl.No.
Do you own tractor(s) No Yes Free Nos. On Loan Nos.
PE
RM
AN
EN
T Flat / Door No. & Building Name*
Road Number / Road Name*
PIN*City* District*
Is it a PP No.?* Yes NoPh / Mob 1* Fax No.
State*
PAN No.
Passport No.
Driving License No.
Photo Ration CardExpiry
Post Off. Iden. No.PAN Holder
2W LMV MGV/MPV HGV/HPV Others_______Nature Expiry
Voter ID
CKYC ID Virtual ID
AADHAAR No. (UID)
GST Udyog Aadhaar
19. CO-BORROWER CREDIT CARD / BANK DETAILS (Contd...)
b. Liquid Assets :
Particulars
1. Cash and Bank balance
2. Govt. Securities (give details)
3. Shares
4. Life Insurance Polices (Sum assured)
5. Jewellery (_______________grams)
6. Investment in business
7. Investment in Associate firms, if any
8. Others (please specify)
Book value (`.) Encumbered Y/N Loan O/S (`.)
Loan taken from(Banks/Private
Finance/Relatives/Others
Type of loanAgreement
Value(`. in lacs)
PresentOutstanding(`. in lacs)
No. ofInstalments
paid
TotalInstalments(Payable)
EMIAmount
(`.)
Proof givenRepayment Track/
Bank Debits/Receipt copies
c. Liabilities
Total
20. ASSET & LIABILITY DETAILSCO-BORROWER
Place where the land or building issituated (Please furnish details
of Survey Nos., Door No. Name ofStreet etc.)
Ancestral or self-acquired If encumbered towhat extent
a. Immovable Assets :
Sq. Feet / AcreUsed for Agri/
Residential/Official/Commercial Purpose
Market Value `.
Account opened on
Opening Balance as of Opening Balance `.
Closing Balance `.Closing Balance as of
21. REFERENCE INFORMATION (Please give the Name of a Relative / Friend in your City who does not stay with you as Reference)
Name of the person
Address
Phone (with STD code)
Relationship with applicant
PIN PIN
State
City
Pin code
Phone with STD code
Account Number
IFS code
MICR
IFS code
MICR
This has reference to your application in respect of ………….............… facility to be availed from Consumer Finance Division of our Bank and we are pleased to appreciate your interest for availing the same. We have evaluated your application and the other documents submitted by you on the following parameters of the bank:
(a) Purpose for which the credit facility will be utilized (b) Eligibility norms of Induslnd Bank. (c) Track record of past borrowings of the applicant (d) Exposure of the applicant relating to the field for deployment of the credit (e) Statutory and regulatory provisions applicable to Induslnd Bank On perusal of the information / documents furnished by you on the above criteria, we regret to inform you that we are not in a position to sanction you the above credit facility under the present circumstances. Please note that the above criteria and the conclusion do not in any way reflect the credit worthiness of the applicant. We thank you for approaching our bank and the interest shown by you for availing credit facility from us.
Yours sincerelyFor Induslnd Bank Ltd.
Name : Designation :
Date: HL Application No. AREJECTION SLIP
Lo
an
Date:
The status of the loan would be known to the applicant within 7 working days from the date of receipt of application along with the required documents. The Bank may require any additional information / documents for evaluating the credit worthiness of the applicant. For knowing the status of your loan application, please contact our Branch at which the application was submitted.
ACKNOWLEDGEMENT SLIP
Name of the Applicant:_________________________________________________ Co-Applicant:__________________________________________________________
AHL Application No.
No manual receipts are issued by the Bank. Hence do not pay any dues (any time) without a valid Hand Held Machine generated receipt being issued to you; Note that the Bank would not be responsible for any money remitted / given by you to any executive / representative of the Bank, without obtaining a valid money receipt. Also do not accept any receipt with corrections / alterations. Always ask the Executive to show his Bank-issued Identity Card and in case of any doubt, we request you to visit our local Office and pay the dues.
For Bank use only
22. DECLARATIONI / WE THE PROPOSED BORROWER / CO-BORROWER / GUARANTORS IS / ARE ASSESSED
For Income Tax : No Yes PAN As per ITR : A.Y. 20......... - 20......... `...................................................
For Wealth Tax : No Yes As per WTR : A.Y. 20......... - 20......... `...................................................
Form 60/61 declaration (to be filled in by those who do not have PAN) Reason for not having PAN No. : ........................................................ I/We, .........................................................do hereby declare that what is stated is true to the best of my/our knowledge and belief.
In submitting the above application, I/We the undersigned, solemnly affirm that the information above set forth are in all respects true, accurate, complete and the same may be relied upon by you; I/We hold ourselves liable for any mis statement. It correctly states our true and real condition on the date hereof and we have not knowingly withheld any information that might affect the acceptance of our proposal. I/We expressly agree to notify immediately to you in writing of any material change that may occur in our financial and other condition.
I/We declare that all the particulars and information given in the application form are true, correct and complete and upto date in all respects and I/We have not withheld any information. I/We confirm that I/We had no insolvency proceedings initiated against me/us nor have I/We ever been adjudicated insolvent. I/We have read the application form and brochures and am/are aware of all the terms and conditions of availing finance from IndusInd Bank Ltd. I/We authorise IBL or its agent to make references and deduping / verification / validation / checking enquiries relating to information in this application which IBL considers necessary. I/We also authorise IBL to exchange, share, part with all information relating to my/our finance details and repayment history information to other banks/FIs/Credit bureaus/agencies/Banks other branches/subsidiaries/associates/affiliates or third parties as may be required for KYC information verification, credit risk analysis or for other related purposes that, the Bank may deem fit, and I/We shall not hold IBL liable for use of this information. I/We waive the privilege of privacy and privity of contract. I/We undertake to inform IBL regarding any change in my/our residence/employment and to provide any further information that IBL may require. I/We further agree that my/our finance shall be governed by the rules of IBL which may be in force from time to time and note that IBL reserves the right to reject an application without providing any reason.
I / We agree and acknowledge that only direct telephone numbers (not board / general telephone numbers of offices / corporates / employers) will be accepted for registration of "Do not call". I / We note that, I / We may receive call(s) from the Bank to verify the correctness of the request for registration. I / We also note that, the Bank may use my / our contact details to contact me / us and offer carefully selected products and services from time to time either directly or through its agents or authorised representatives.
I/We / to receive information on product / services etc for Marketing purpose through Telephone / Mobile / SMS / Email by the Bank / its agents.
I/We confirm that :
* NO SIGNATURE PROOF : my/our proof of identity submitted to the Bank does not contain my/our signature(s) and have requested the Bank to treat my/our signature as signed by me/us herein asvalid and accept it for all transactions which I/We may have with the Bank in future.
* SIGNATURE DIFFERENCE : my/our present signature differs from my/our old signature as appearing in proof of identity submitted to the Bank and have requested the Bank to treat the signatureas signed by me/us herein as valid and accept it for all transactions which I/We may have with the Bank in future.
* VERNACULAR SIGNATURE : I/We have signed in a Vernacular language and that, contents of this form, loan sanction letter, agreement etc, were explained to me/us in my/our language andfurther that I/We have understood and/accepted the same in its entirety.
* THUMB IMPRESSION : I/We being illiterate(s) have affixed my/our thumb impression(s) in the form/agreement, DPN etc. and that, contents of this form, loan sanction letter, agreement etc. wereexplained in my/our language and further that, I/We have understood and accepted the same in its entirety.
I/We voluntarily give my/our consent to IndusInd Bank to use my/our Aadhaar Details to authenticate me/us from UIDAI and link the Aadhaar Number to all my/our existing / new / future loan accounts and customer profile (CIF) with your Bank and Use my Mobile Number for sending all SMS Alerts to me/us.
consent do not consent
23. SIGNATURE AND PHOTOGRAPH OF THE BORROWER / CO-BORROWER
* In case a guarantor is also taken in, use a separate application form for filling the details. In case the application is signed by an authorised POA holder kindly mention the POA holder name also. In case of non individuals, the authorised representative who is signing the application must sign so, along with affixing of the official rubber stamp of the firm, Company etc.
SIGNATURE SIGNATURE
Affix a RecentPassport Size Photograph
Borrower
Affix a RecentPassport Size Photograph
Co - Borrower(if any)
Name ______________________________________________
Date ___________ Place ______________________________
Name ______________________________________________
Date ___________ Place ______________________________
24. DECLARATION1. I/We confirm that on my/our volition, opt to avail of the property insurance for the purpose of this loan through IBL partners
2. I/We desire to be a part of the group insurance arranged through IBL partners and in this regard hereby declare that the statements made by me/us in the proposal for are true and complete to the best of my/our knowledge and belief. I/We am/are aware that this is a insurance product from respective insurance
3. I/We understood the covers being offered under this policy/these policies and am/we are aware of the applicable terms and condition and are aware that any omission or incorrect statement will invalidate the cover
4. I/We here by agree that IndusInd Bank Ltd is at free to obtain/share any information about me/ us to any organization – as the Bank may deem fit. I/We agree to the Bank taking appropriate measures to capture the voice log on all such telephonic transactions carried out by me/us, in accordance with procedures/regulations
5. I am/ we are aware that mere consent/signing the proposal form does not guarantee start of the insurance coverage applied for. In the event of rejection of my/our proposal form by the insurance company for any reason whatsoever, I/We will not hold Bank responsible for the same.
6. I/We have decided to subscribe to the products on my/our own decision. I/We have not relied upon or influence by any suggestion by the bank and/ or any of its employees on the merit of suitability of this/these products(s). I/We will not hold the bank responsible for any losses that I/We may suffer in connection with my/our selection.
7. I/We understand provisions relating to know your customers and anti-money laundering. I/We confirm having compiled with and completed the requirements
8. I/We hereby agree that this declaration shall from the basis of the contract between me /us and the insurance company (IBL authorized partners) in case of group coverage. I/We agree to abide by and be bound by the terms, conditions rules and regulations of the contract.
9. I/We understand that in case of any claim under policy. IBL will not undertake any responsibility or will not accept any correspondence and the same have to be pursued only with the insurance company.
10. I /We also note that in the event of any claim under property insurance policy, the claim will be directly paid to IBL. I/We nominate IBL for the same and on receipt of claim amount IBL will release the original documents of the property and lien release letter of the property subject to full and final settlement of the loan
11. In case of cancellation of insurance for any reason whatsoever, I/We authorize IBL to receive funds of premium, (if any, paid by IBL on my/ our behalf) from the insurer upon such cancellation and I/We further note that, such refunds would be “short scale basis” only
12. I/We have opted to avail funding against property insurance premium and pay applicable interest there on (as part of the loan availed) over the loan period.
I/We confirm that the IBL has disclosed to me/us the rates of commissions/other fee chargeable on the transactions made by me/ us on the group enrollment/General insurance products.
I/We here by authorize IBL/its tele marketer to make calls/send sms/write to me/us on/for informing/soliciting insurance products/process/services and this may be construed as my/our enquiry and I/we here by agree to abide with all the processes connected with this activity notwithstanding any registration made by me/ us in National Do Not Call Registry.
* Insurance is a subject matter of solicitation
Signature ofCustomer(s)
CB:B:
Floating Rate:
For loans being sanctioned under Floating rate, 1year MCLR as on the date of first disbursement would apply a margin representing credit risk premium and business strategy spread would be added to the same. Interest rate given herein is only indicative. Before the first disbursement if there is any change in Bank’s MCLR, the loan ROI would be revised suitably, at bank's discretion. The ROI would be reset basis changes in Banks MCLR annually with reference to the first disbursement date and the repayment cycle date.
______________
These Charges / Fees collected by the Bank are exclusive / inclusive of applicable Goods and Service Tax (GST) + Cess + Other levies if any, at current rates. Category of GST : Banking and Financial Services. The various statewise registration nos are:
Sourcing Details:
Executive Name
Sourcing code / ECN No.
Mobile No.
Signature of the Executive whocontacted the applicant
01AAACI1314G1ZH 02AAACI1314G1ZF 03AAACI1314G1ZD 04AAACI1314G1ZB 05AAACI1314G1Z906AAACI1314G1Z7 07AAACI1314G1Z5 08AAACI1314G1Z3 09AAACI1314G1Z1 10AAACI1314G1ZI11AAACI1314G1ZG 12AAACI1314G1ZE 13AAACI1314G1ZC 14AAACI1314G1ZA 15AAACI1314G1Z816AAACI1314G1Z6 17AAACI1314G1Z4 18AAACI1314G1Z2 19AAACI1314G1Z0 20AAACI1314G1ZH21AAACI1314G1ZF 22AAACI1314G2ZC 23AAACI1314G1ZB 24AAACI1314G1Z9 25AAACI1314G1Z726AAACI1314G1Z5 27AAACI1314G1Z3 29AAACI1314G1ZZ 30AAACI1314G2ZF 32AAACI1314G1ZC33AAACI1314G1ZA 34AA.ACI1314G1Z8 36AAACI1314G1Z4 37AAACI1314G1Z2
LEFT BLA
NK IN
TENTIO
NALLY
FOR B
ANK'S
USE O
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OFF
ICE C
OPY
3form and shall not return the same to applicant.
3 IndusInd Bank (IBL) will decide quantum of the loan at its sole discretion.
3 _________
3 All repayment instruments / mandates are to be issued favoring "Indusind Bank Limited" and duly filled in as required.
3 The loan is sanctioned on floating rate of interest basis and the said ROI is arrived at by adding Risk / Tenor / Product mark ups on currently declared MCLR (Marginal Cost Lending Rate + Credit Risk Premium + Tenor Premium + Business Strategy Spread of the Bank. The applicable ROI would be revised subject to terms as specified in the Loan Sanction Letter) Loan Agreement.
IBL reserves the right to retain the photograph and documents submitted along with the application
The Monthly Installments (EMI) in connection with the loan will be due on of every month.
MOST IMPORTANT DOCUMENT AHL Application No.
Dear Customer,This is to confirm receipt of your application form along with below mentioned documents.
Pre-sanction documents As Borrower As Co-borrower Date
Application form
Recent Passport size Photograph (signed across)
Proof of Age (specify)
Proof of Identity (specify)
Proof of Residence (specify)
Proof of Qualification (specify)
Proof of Business / Office address (specify)
Proof of Continuity of current job (specify)
Latest 3 months' salary slip
Proof of COI / COCB / MOA / AOA
Proof of Partnership Deed
Proof of Property Deed
Proof of Permit Copies
Proof of Work Order
Proof of Audited Financials
Proof of Valuation Certificate
Proof of SOA of Other Financial Exposure
Proof of Turnover (Latest sales / GST returns)
Form 16
Latest 3 years' ITR with computation of income / certified financials
Latest 6 months' bank statements (where salary income is credited)
Loan Account Statements for Repayment track record
Signature verification
Other documents if any
IMPORTANT NOTE :Kindly ensure to properly check and self-attest all documents submitted with date.Kindly do not make any payment in cash, bearer cheque or kind to the Executive in connection with this loan application.Note that :3 The receipt of your application form for the loan does not imply automatic approval of your loan by IBL.3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner
for the resulting delay or otherwise.3 IBL may request for additional documents other than those collected in connection with the application.3 IBL shall not be liable for loss or delay in the receipt of documents.3 IBL reserves the right to reject any application without assigning any reasons.
3form and shall not return the same to applicant.
3 IndusInd Bank (IBL) will decide quantum of the loan at its sole discretion.
3 _________
3 All repayment instruments / mandates are to be issued favoring "Indusind Bank Limited" and duly filled in as required.
3 The loan is sanctioned on floating rate of interest basis and the said ROI is arrived at by adding Risk / Tenor / Product mark ups on currently declared MCLR (Marginal Cost Lending Rate + Credit Risk Premium + Tenor Premium + Business Strategy Spread of the Bank. The applicable ROI would be revised subject to terms as specified in the Loan Sanction Letter) Loan Agreement.
IBL reserves the right to retain the photograph and documents submitted along with the application
The Monthly Installments (EMI) in connection with the loan will be due on of every month.
FOR B
ANK'S
USE O
NLY
CUSTO
MER C
OPY
MOST IMPORTANT DOCUMENT AHL Application No.
Dear Customer,This is to confirm receipt of your application form along with below mentioned documents.
Pre-sanction documents As Borrower As Co-borrower Date
Application form
Recent Passport size Photograph (signed across)
Proof of Age (specify)
Proof of Identity (specify)
Proof of Residence (specify)
Proof of Qualification (specify)
Proof of Business / Office address (specify)
Proof of Continuity of current job (specify)
Latest 3 months' salary slip
Proof of COI / COCB / MOA / AOA
Proof of Partnership Deed
Proof of Property Deed
Proof of Permit Copies
Proof of Work Order
Proof of Audited Financials
Proof of Valuation Certificate
Proof of SOA of Other Financial Exposure
Proof of Turnover (Latest sales / GST returns)
Form 16
Latest 3 years' ITR with computation of income / certified financials
Latest 6 months' bank statements (where salary income is credited)
Loan Account Statements for Repayment track record
Signature verification
Other documents if any
IMPORTANT NOTE :Kindly ensure to properly check and self-attest all documents submitted with date.Kindly do not make any payment in cash, bearer cheque or kind to the Executive in connection with this loan application.Note that :3 The receipt of your application form for the loan does not imply automatic approval of your loan by IBL.3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner
for the resulting delay or otherwise.3 IBL may request for additional documents other than those collected in connection with the application.3 IBL shall not be liable for loss or delay in the receipt of documents.3 IBL reserves the right to reject any application without assigning any reasons.
I / WE CONFIRM THAT THE EXECUTIVE COLLECTING THE APPLICATION / DOCUMENTS HAS / HAVE INFORMED ME / US:3 The applicable rate of interest - floating rate linked to the Bank’s 1 year MCLR to be reset annually.3 The interest on this loan would be calculated on monthly diminishing basis.3 Processing Fees, Admin Fees, Loan Handling Charges, Documentation Charges, Valuation Charges, RC Verification Charges and Stamping Charges (at actuals) etc.
$(non refundable) that will be charged towards loan application.3 The other applicable charges such as : Repayment Dishonour / Rejection Charges; Collection Charges; Repayment Mode Change Charges; Repayment
Swapping Charges (within the mode); Consecutive (two or more) Repayment Dishonour / Rejection and Related Pullout Charges; Closure of Bank account (without intiation) from which Repayment instruments has been issued; Loan Cancellation/Re-booking Charges (Refer to latest Schedule of Charges for further
$details).3 The Goods and Service Tax (GST)+Cess as may be applicable that will be charged in connection with various categories fees / charges collected (either as inclusive or as exclusive).THAT:3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner for the resulting delay or otherwise.3 IBL will not be liable for any loss or delay in receipt of documents.3 Documents / Photographs will not be returned under any circumstances, once submitted to IBL.3 Approval of the application is at the sole discretion of IBL and the quantum of the loan will be finally decided by IBL.3 In case of used / refinance / top-up loans, the finance amount / decision to finance would depend on valuation of asset.3 Equated Monthly Installment (EMI) will be due on ______________________ of every month.3 Loan foreclosure charges would (only) be applicable for fixed rate of interest loans (or) for Loans taken in the name of Non Individual Borrower.3 Such Foreclosure charges are levied / calculated on the balance principle outstanding of the loan. (Subject to clauses governing part prepayments)3 The loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are Where for
some reasons, there is a delay in concluding the loan, IBL reserves the right to revise the loan terms as may be applicable at the time of actual loan availment.I / We also confirm that,a) The executive has not made any commitments to me / us regarding the loan quantum / sanction process (or) promised any deviation / waiversb) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced by me / usc) We have not given / made any payment in cash, bearer cheque or kind along with or in connection with this loan application to the said executive (or) to any other
employee of the bank (or) to any other third partyd) The details of loan terms / conditions inclusive of all charges have been read by me / us in full / read out to me / us (in vernacular) and understood by
me / us.e) The copy of applicable Schedule of Charges has been collected by me / us.
valid for a period of 7 days only.
I voluntarily give my consent to IndusInd Bank to use my Aadhaar Details to authenticate me from UIDAI and link the Aadhaar Number to all my existing / new / future loan accounts and customer profile (CIF) with your bank and use my Mobile number for sending all SMS Alerts to me.
For any queries / clarifications please contact :
Executive Name **
at Mobile No.
at Land Line No.
Applicant Name
Signature of the Executive whocontacted the applicant
Applicant Signature
** Original Verified: Executive representing IBL should verify & certify all copies of documents submitted by applicant (with originals) in his presence andsign with date.
$During the currency of the loan, the Bank reserves the right to modify any / all the charges / fees applicable, from time to time, with a formal communication addressed to you (sent to your registered address).
I / WE CONFIRM THAT THE EXECUTIVE COLLECTING THE APPLICATION / DOCUMENTS HAS / HAVE INFORMED ME / US:3 The applicable rate of interest - floating rate linked to the Bank’s 1 year MCLR to be reset annually.3 The interest on this loan would be calculated on monthly diminishing basis.3 Processing Fees, Admin Fees, Loan Handling Charges, Documentation Charges, Valuation Charges, RC Verification Charges and Stamping Charges (at actuals) etc.
$(non refundable) that will be charged towards loan application.3 The other applicable charges such as : Repayment Dishonour / Rejection Charges; Collection Charges; Repayment Mode Change Charges; Repayment
Swapping Charges (within the mode); Consecutive (two or more) Repayment Dishonour / Rejection and Related Pullout Charges; Closure of Bank account (without intiation) from which Repayment instruments has been issued; Loan Cancellation/Re-booking Charges (Refer to latest Schedule of Charges for further
$details).3 The Goods and Service Tax (GST)+Cess as may be applicable that will be charged in connection with various categories fees / charges collected (either as inclusive or as exclusive).THAT:3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner for the resulting delay or otherwise.3 IBL will not be liable for any loss or delay in receipt of documents.3 Documents / Photographs will not be returned under any circumstances, once submitted to IBL.3 Approval of the application is at the sole discretion of IBL and the quantum of the loan will be finally decided by IBL.3 In case of used / refinance / top-up loans, the finance amount / decision to finance would depend on valuation of asset.3 Equated Monthly Installment (EMI) will be due on ______________________ of every month.3 Loan foreclosure charges would (only) be applicable for fixed rate of interest loans (or) for Loans taken in the name of Non Individual Borrower.3 Such Foreclosure charges are levied / calculated on the balance principle outstanding of the loan. (Subject to clauses governing part prepayments)3 The loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are Where for
some reasons, there is a delay in concluding the loan, IBL reserves the right to revise the loan terms as may be applicable at the time of actual loan availment.I / We also confirm that,a) The executive has not made any commitments to me / us regarding the loan quantum / sanction process (or) promised any deviation / waiversb) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced by me / usc) We have not given / made any payment in cash, bearer cheque or kind along with or in connection with this loan application to the said executive (or) to any other
employee of the bank (or) to any other third partyd) The details of loan terms / conditions inclusive of all charges have been read by me / us in full / read out to me / us (in vernacular) and understood by
me / us.e) The copy of applicable Schedule of Charges has been collected by me / us.
valid for a period of 7 days only.
I voluntarily give my consent to IndusInd Bank to use my Aadhaar Details to authenticate me from UIDAI and link the Aadhaar Number to all my existing / new / future loan accounts and customer profile (CIF) with your bank and use my Mobile number for sending all SMS Alerts to me.
For any queries / clarifications please contact :
Executive Name **
at Mobile No.
at Land Line No.
Applicant Name
Signature of the Executive whocontacted the applicant
Applicant Signature
** Original Verified: Executive representing IBL should verify & certify all copies of documents submitted by applicant (with originals) in his presence andsign with date.
$During the currency of the loan, the Bank reserves the right to modify any / all the charges / fees applicable, from time to time, with a formal communication addressed to you (sent to your registered address).