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Application Form

The document is an application form for a Micro Enterprises Loan, detailing the applicant's personal and employment information, loan amount requested, and purpose of the loan. The applicant, Rupendra Singh Prabhakar, is seeking a loan of 1,000,000 INR for retail trade and has provided extensive personal and financial details, including co-applicant information. The form includes declarations and consent for the bank to process the application and verify the provided information.

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1616aman
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0% found this document useful (0 votes)
39 views9 pages

Application Form

The document is an application form for a Micro Enterprises Loan, detailing the applicant's personal and employment information, loan amount requested, and purpose of the loan. The applicant, Rupendra Singh Prabhakar, is seeking a loan of 1,000,000 INR for retail trade and has provided extensive personal and financial details, including co-applicant information. The form includes declarations and consent for the bank to process the application and verify the provided information.

Uploaded by

1616aman
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application Form- Micro Enterprises Loan

Application Details

Loan Application/Reference Number 0607248962 Requested Loan Amount 1000000 Date of Application 21/01/2025

Sourcing Details

Purpose of Loan RETAIL TRADE Relationship Officer Name arvind karn Surrogate Type:

Branch Name Guna Rural Relationship Officer Employee ID 172022 Scheme Type: RURAL SURROGATE MEL – BANK

Existing Customer No CRN (If existing customer) Previous LAN

Applicant's Personal Details

First Name Rupendra Middle Name Singh Last Name Prabhakar

Are you a Politically Exposed Person No

Email Mobile 9691839915 Date of Birth 20/01/2001

Gender Male Marital Status Single Education Qualification POST GRADUATE

Religion HINDUISM Minority No Category OBC

Mother First Name Laxmi Mother Middle Name Mother Last Name devi

Father First Name Naval Father Middle Name Kishor Father Last Name Prabhakar

Spouse First Name Spouse Middle Name Spouse Last Name

Aadhaar Number ********7217 Aadhaar Acknowledgement Number Passport

Voter ID Driver's License Passport Expiry Date

PAN* (Please attach Form-60 if PAN is not


NAREGA Driver's License Expiry Date GAWPP0869N
available)

NPR Disabled Person NO Citizenship/Nationality Indian

CKYC Number Place of Birth GUNA

Employment Details

Employment Type Self Employed Nature of business NA Type of Business Ownership SINGLE

Business/Company Name Nav Prayog Type of Business: Category SelfEmployed & Non-Agri Type of Business: Sub-Category Retailer/Distributor

Present Work Experience (Years) 4 Present Work Experience (Months) Previous Work Experience (Years)

Ownership Type of Business


Previous Work Experience (Months) Rented Monthly Income (INR) 100000.00
Premises

Applicant Residence Address

Line 1 Gulab ganj Guna Guna Guna Line 2 Gulab ganj Guna Guna Guna Line 3

Landmark Beni ram ka bagicha Pincode 473001 State MADHYA PRADESH

City GUNA STD Landline

Property Status Ancestral Mailing Address Yes Stay at this Address (In years) 20

Applicant Permanent Address

Line 1 Gulab ganj Guna Guna Guna Line 2 Gulab ganj Guna Guna Guna Line 3

Landmark Beni ram ka bagicha Pincode 473001 State MADHYA PRADESH

City GUNA STD Landline

Property Status Ancestral Mailing Address No Stay at this Address (In years) 20

Applicant Office Address

Line 1 Navprayog kareem complex Line 2 Prakash talkies road sugan chouraha Line 3 guna dist Guna

Landmark Beni ram ka bagicha Pincode 473001 State MADHYA PRADESH

City GUNA STD Landline

Property Status Ancestral Mailing Address No Stay at this Address (In years) 20

GST Details

GST Status Unregistered Exempted from GST Yes

Related Person to IDFC FIRST Bank No

Co-Applicant-1's Personal Details

First Name Lakshmi Middle Name Last Name Prabhakar

Are you a Politically Exposed Person No

Email Mobile 9109009327 Date of Birth 01/01/1968

Gender Female Marital Status Married Education Qualification PRIMARY EDUCATION

Religion HINDUISM Minority No Category OBC

Mother First Name Kosha Mother Middle Name Mother Last Name devi

Father First Name Baladeen Father Middle Name Father Last Name Jatav

Spouse First Name Laxmi Spouse Middle Name Spouse Last Name devi

Aadhaar Number ********1813 Aadhaar Acknowledgement Number Passport

Voter ID Driver's License Passport Expiry Date

PAN* (Please attach Form-60 if PAN is not


NAREGA Driver's License Expiry Date INLPP3768Q
available)

NPR Disabled Person NO Citizenship/Nationality Indian

CKYC Number Place of Birth GUNA

Co-Applicant-1's Employment Details

Employment Type Non Working

Co-Applicant-1 Residence Address

WARD NUMBER 34 KHEJRA ROAD


Line 1 Line 2 CANTT Guna Guna Guna Line 3
GULABGANJ

Landmark BENIRAM KA BAGICHA Pincode 473001 State MADHYA PRADESH

City GUNA STD Landline

Property Status Self-Owned Mailing Address Yes Stay at this Address (In years) 27

Co-Applicant-1 Permanent Address

WARD NUMBER 34 KHEJRA ROAD


Line 1 Line 2 CANTT Guna Guna Guna Line 3
GULABGANJ

Landmark BENIRAM KA BAGICHA Pincode 473001 State MADHYA PRADESH

City GUNA STD Landline

Property Status Self-Owned Mailing Address No Stay at this Address (In years) 27

Reference Details

Title MR. First Name Rahul Middle Name

Last Name Rajoriya Email Mobile 8889595415

Title MR. First Name Rahul Middle Name

Classification: Internal - Regulator Shareable


Last Name Koshik Email Mobile 6265347862

New Account Opening Details

Nomination under Section 45ZA of the Banking Regulation Act, 1949 and Rule 2(1) of
Nomination Details:
Depositor Name: No the Banking Companies (Nominations) Rules 1985 in respect of bank deposits. (The
Nominee:
Nominee or Guardian (if applicable) cannot be holder on the account.)

In case of 'Yes': Yes, I want to nominate the following person to


In case of 'No': I do not want to nominate anyone on my behalf at this moment. I understand the
Type of Account: SAVING ACCOUNT whom in the event of my/our/minor's death the amount of deposit in
advantages of nomination and the consequences of not nominating anyone to my account.
the account may be returned by IDFC FIRST Bank Limited.

SMS Alert Nominee Name : Is the Nominee Minor: NA

Please complete below section in case of 'Yes' : As the nominee is a


minor on this date, I/We appoint the following guardian to receive the
Services: Cheque Book Nominee Address:
amount of deposit in the account on behalf of nominee in the event of
my/our/minor's death during the minority of the nominee.

Debit Card Relationship with Depositor: Guardian Name:


Date of Birth: Guardian Address
Would you like the nominee name to be mentioned on your account
Age: NA
statement/devices:
Gender:

Disbursement Account Details

Bank Name PUNJAB NATIONAL BANK Branch GUNA IFSC Code PUNB0018600
Account Number 0186000100368133 Account Type SAVING ACCOUNT MICR Code 473024001

Repayment Account Details

Bank Name PUNJAB NATIONAL BANK Branch GUNA IFSC Code PUNB0018600
Account Number 0186000100368133 Account Type SAVING ACCOUNT MICR Code 473024001
Repayment Mode NACH Mandate Registration Type Digital EMI Due Day 3

Declaration

I / We agree and understand the IDFC FIRST Bank Limited reserves the right to reject any application in case I/we do not fit in the policy norms set by IDFC FIRST bank ltd.
I/We declare that all the particulars and information given in the Application Form are true, correct, complete and up-to-date in all respects and I/We have not withheld any information whatsoever. I/We confirm that no
insolvency proceeding(s) or suit for recovery of outstanding dues or monies whatsoever and/or criminal proceedings have been initiated and/or pending against me/us and that I/We have never been adjudicated
insolvent/bankrupt by any court or other authority. I/We declare that I/We have not made any payment in cash, bearer, cheque or kind along with or in connection with this Application or any other Application fees to
the executive collecting my/our Application/and I/We shall not hold IDFC FIRST Bank Limited liable for any such payment made by us to the executive collecting this Application. I/We understand and confirm that the
Application Form and all other documents submitted by me/us to IDFC FIRST Bank Limited shall not be returned to me/us and IDFC FIRST Bank Limited shall have the right to retain the same. I/We have read the
Application Form and brochures and are agreeable to all the terms/conditions of availing finance from IDFC FIRST Bank \Limited/its group companies. I/We authorise IDFC FIRST Bank Limited/its Group
Companies/its Agents to make reference and enquiries relevant to information in this Application Form which IDFC FIRST Bank Limited/its Group Companies/its Agents consider necessary. I/We undertake to inform
IDFC FIRST Bank Limited/its Group Companies/its Agents regarding the change in the residential addresses/employment/profession and to provide any further information that IDFC FIRST Bank Limited/its Group
Companies/its Agents may require. I/We further declare and confirm that the credit facilities if any enjoyed by me/us with banks/financial institutions/non-banking finance companies has been disclosed here in above.
I/We agree that IDFC FIRST Bank may provide the credit facilities mentioned herein only if permitted and if approved in the manner specified or required by the Reserve Bank of India from time to time. I/We confirm
that I/We shall not use the credit facility (or any part thereof) for any improper, illegal or unlawful purpose/activities. I/We have been read out and explained in the language known to me/us, the contents of the
Application Form for availing the loan from IDFC FIRST Bank Limited by the executive of the Bank and I/We have signed the said Application Form after having understood them and by signing the same. I/We wish
to avail of NACH/ECS/SI/Direct Debit facility and hereby express my/our unconditional consent to debit my/our loan instalment etc. from above mentioned account through NACH/ECS/SI/Direct Debit. I/We authorise
the bank to honour all such instructions. I/We authorise the representative of the Company to get this mandate verified and registered with bank. Mandate verification charges (if any) may be charged to my/our account.
I/We will ensure sufficient balance in the funding account on the date of execution. In case NACH/ECS/SI/Direct Debit instruction is unsuccessful due to financial reasons, the NACH/ECS/SI/Direct Debit instructions
will be presented again for clearance. I/We will bear the bounce charges for transactions that have been unsuccessful due to financial reason. I/We hereby agree to abide and be bound by all applicable
rules/regulations/instruction/guidelines including but not limited to those issued by the Reserve Bank of India including FEMA Regulations 2000 governing EEFC Accounts, the Foreign Exchange Management Act,
1999 and Foreign Account Tax Compliance Act 2010 (to the extent applicable to India) and the Common Reporting Standards (CRS), in force time to time. I/We confirm having declared our status as per the rules
applicable under section 285BA of the Income Tax Act, 1961 (the Act) as notified by Central Board of Direct Taxes (CBDT) in this regard. I/We confirm that except to the extent disclosed to the Bank, no director or a
relative (as specified by RBI) of a banking company (as specified by RBI) or a relative of a senior officer of the Bank (as specified by RBI) is - the applicant (s), or a partner, managing agent, manager, employee,
director of our concern, or of our subsidiary or our holding company, or a guarantor on my/our behalf, or holds substantial interest in our concern or my/our subsidiary or holding company. Country of Birth: India Place
of Birth: India Country of Residence as per tax laws: India Foreign TIN : TIN Issuing country : I/We hereby agree to abide by and be bound by all applicable rules/regulations/instructions/guidelines including but not
limited to those issued by the Reserve Bank of India, including the Foreign Exchange Management Act, 1999 and Foreign Account Tax Compliance Act, 2010 (to the extent applicable to India) and the Common
Reporting Standards (CRS), in force from time to time. I/We confirm having declared our status as per the rules applicable under section 285BA of Income Tax Act,1961 (the Act) as notified by Central Board of Direct
Taxes (CBDT) in this regard.

“I/We state, declare, confirm and agree that the Bank has duly explained to me/us that submission of a copy of my/our Proof of Possession of Aadhaar Number (OVD) containing Aadhaar number, as an Officially Valid
Document(OVD) is not mandatory and I/We have the option to submit any one of the documents as per the list of Officially Valid Documents (updated by the RBI from time to time)

I/we further state, declare and confirm that I am/We are providing my/our Proof of Possession of Aadhaar number(OVD) as an officially valid document voluntarily in accordance with extant rules and regulations; and I
am/We are required to redact/ blacken out the first eight digits of Aadhaar number so that only last four digits of the Aadhaar number are visible; and in case I/We do not redact/ blacken out the first eight digits of
Aadhaar number, I/We authorized IDFC FIRST Bank to redact/blacken out the Aadhaar number through appropriate means on my/our behalf.

I am/we are aware that insurance is non-mandatory and offered to me/us if I/we voluntarily chose to opt for the same. I/we understand that in case of loan cancellation, the insurance policy (if issued) will be cancelled,
and Certificate of insurance (if received) will remain cancelled/revoked.

1. I/We are aware that this document/Application is an electronic record in terms of Information Technology Act, 2000 and rules there under as applicable to electronic records in various statutes as amended by the
Information Technology Act, 2000. This electronic record is generated by a computer system and does not require any physical signatures.
2. Electronic communications shall be deemed to have been received by me/us, when the said electronic communication is send to the email address / mobile number / details provided by me/us or any other third party.
I/We shall not hold Bank or Banks business partners/ service providers/ authorized third parties responsible for any such communications received from Bank/ its business partners/ service providers/ authorized third
parties, nor will any such communication amount to spam, unsolicited communication or a violation of my/our registration on the national do not call registry.
3. I/We hereby expressly acknowledges and confirms that the I/We have read, verified, understood, irrevocably agreed to and accepted and delivered all the contents /terms and conditions contained in the Application
Form, Key Fact Statement, (collectively, "Loan Documents") online by ticking / clicking / checking the "I Agree" or "I Agree and Accept" or any similar icon/tab/option on the online system / Website / portal / platform
of Merchant/ its agent/ service provider / partners as well as by entering the one time password ("OTP") provided to the my/our mobile number registered with the Bank, and that there is no requirement of my/our any
other signature or physical signature on the Loan Documents or of the my/our signing the Loan Documents in physical form. I/We also acknowledges that the execution of the application would be complete only once
the same is accepted by the Bank. The Bank shall be deemed to have accepted and signed this document online by way of sending an email/ letter/SMS through its officer to me/us and attaching therewith the copy of this
document.
I/We declare that the loan availed by me/us shall be used:
1. For the purpose of Agriculture and/or assist the transport of agriculture input and farm product.
2. For the purpose of business: I/We are aware that is on the faith of this representation, declaration and confirmation that you have agreed to consider my loan application for financial assistance under the category of
priority sector advances. I/We shall indemnify the bank to make loss of good in the event of any loss or damage that may arise on account of false/incorrect declaration by me/us. I/We undertake and declare that if there
are any changes in the particulars and information given by me/us while availing the Loan facility, I/We shall within 30 days from the date of any such change in the particulars and information shall disclose the details
of such changes to the Bank without withholding the same.

The Borrower(s) hereby represents/ warrants to /covenants/ undertakes that he/she shall utilize the loan for the purpose for which it is granted and not for any improper/illegal/unlawful/speculative/capital market related
activities neither for purchase of gold in any form including primary gold, gold bullion, gold jewellery, gold coins, units of Gold Exchange Traded Funds(ETF) and units of gold Mutual Funds. I/we (applicant(s)),
declare that loans and advances shall not be used for purchase of gold and loans have not been granted to silver bullion dealers.

“I/We are aware of the First EMI start date i.e., either 3rd or 5th of every month depending upon the date of disbursement. I/We are aware that the effective interest rate calculation shall start prior to the First EMI start
date from the month of disbursement, notwithstanding the date of disbursement and I/We acknowledge that I/We shall not raise any dispute on the excess interest being charged at the time of loan foreclosure owing to
aforesaid calculation.”
1. Dues shall mean the principal/interest/any charges levied on the loan account which are payable within the period stipulated as per the terms of sanction of the credit facility.
2. Overdue shall mean the principal/interest/any charges levied on the loan account which are payable, but have not been paid within the period stipulated as per the terms of sanction of the credit facility. In other words,
any amount due to the bank under any credit facility is ‘overdue’ if it is not paid on the due date fixed by the bank.
3. Non-Performing Asset (NPA) - is a loan or an advance where Interest and /or instalment of principal remains overdue for a period of more that 90 days in respect of a term loan.
4. “First In First Out” (FIFO) - The relevance of ‘First in First Out’(FIFO) is in appropriation of payments into the borrowal account; The Principle of FIFO i.e., ‘First In First Out accounting method is relevant to

Classification: Internal - Regulator Shareable


arrive at the No of days of overdue for determining the SMA/NPA status. The FIFO principle assumes that, the oldest outstanding dues in the loan account needs to be cleared first. The FIFO method thus requires that
what is due first must be paid by the borrower first.
5. Age of Oldest Dues – The age of oldest dues is reckoned in days from the date on which the oldest payment is due and continues to remain unpaid. In the aforesaid illustration, if the Dues relating to 1st February
2021 remain unpaid till 01.03.2021, the age of the oldest dues is reckoned as 29 days on 02.03.2021.
6. Classification as Special Mention Account (SMA) and Non-Performing Asset (NPA)Lending institutions will recognize the incipient stress in loan accounts, immediately on Default, by classifying them as Special
Mention Accounts (SMA) The basis of classification of SMA /NPA Category shall be as follows:
Loans other than revolving facilities Loans in the nature of revolving facilities like cash credit/overdraft

Basis for classification – Principal or interest payment or any other Basis for classification – Outstanding balance remains continuously in excess of the
SMA Sub-categories SMA Sub-categories
amount wholly or partly overdue sanctioned limit or drawing power, whichever is lower, for a period of:
SMA-0 Upto 30 days
SMA-1 More than 30 days and upto 60 days SMA-1 More than 30 days and upto 60 days
SMA-2 More than 60 days and upto 90 days SMA-2 More than 60 days and upto 90 days

Illustrative movement of an account to SMA category to NPA category based on delay / non payment of dues and subsequent upgradation to Standard category at day end process:
SMA since Date / SMA class
Due date of payment Payment Date Payment covers Age of oldest dues in days SMA / NPA Categorisation Categorization NPA Date
date
01.01.2022 01.01.2022 Entire dues upto 01.01.2022 NIL
01.02.2022 01.02.2022 Partly paid dues of 01.02.2022 1 SMA-O 01.02.2022
01.02.2022 02.02.2022 Partly paid dues of 01.02.2022 2 SMA-O 01.02.2022 NA
Dues of 01.02.2022 not fully
01.03.2022 paid 01.03.2022 is also due at 29 SMA-O 01.02.2022
EOD 01 .03.2022
Dues of 01.02.2022 fully paid ,
Due for 01.03.2022 not paid at 1 SMA-O 01.03.2022
EOD 01.03.2022
No payment of full dues of
01.02.2022
01.02.2022 and 01.03.2022 at 31 SMA-1
03.03.2022
EOD 03.03.2022
Dues of 01.02.2022 fully paid ,
Due for 01.03.2022 not fully 1 SMA-O 01.03.2022
paid at EOD 01.03.2022
No payment of dues of
01.02.2022 ,01.03.2022 and 01.02.2022
01.04.2022 60 SMA 1
amount due on 01.04.2022 at 03.03.2022
EOD 01.04.2022
No payment of dues of
01.02.2022 till 01.04.2022 at 61 SMA 2 01.02.2022 /02.04.2022
EOD 02.04.2022
No payment of dues of
01.05.2022 01.02.2022 till 01.05.2022 at 90 SMA 2 01.02.2022 /02.04.2022
EOD 01.05.2022
No payment of dues of
01.02.2022 till 01.05.2022 at 91 NPA NPA 02.05.2022
EOD 02.05.2022
Fully paid dues of 01.02.2022
01.06.2022 01.06.2022 93 NPA NA 02.05.2022
at EOD 01.06.2022
Paid entire dues of 01.03.2022
01.07.2022 07.2022 & 01.04.2022 at EOD 62 NPA NA NPA 02.05.2022
01.07.2022
Paid entire dues of 01.05.2022
01.08.2022 01.08.2022 & 01.06.2022 at EOD 32 NPA 02.05.2022
01.08.2022
Paid entire dues of 01.07.2022
01.09.2022 01.09.2022 & 01.08.2022 at EOD 1 02.05.2022
01.09.2022
Paid entire dues of 01.09.2022 Standard Account with No
01.10.2022 01.10.2022 0 STD from 01.10.2022
& 01.10.2022 Overdues
Note- Examples are illustrative and not exhaustive in nature covering common scenarios and that the IRACP norms and clarifications provided by RBI on the subject will prevail.

Authorisation

I hereby authorise the Bank, without any notice to me to conduct credit checks, references, make enquiries, in its sole discretion and also authorise the Bank and its agents to share and obtain information, records from
any agencies, statutory bodies, credit bureau, bank, financial institutions, or any third party in respect of the application, as it may consider necessary. The Bank shall not be liable for use/sharing of the information. I/we
would like to avail the benefits of various bank loan offers, schemes or loan promotional activities or any other promotional schemes and hereby authorise the Bank, it's employees, agents, representatives and associates
to do so.
I confirm that laws in relation to the unsolicited communication referred in the "National Do Not Call Registry" as laid down by Telecom Regulatory of India will not be applicable for such communications/calls/SMSs
received from IDFC FIRST Bank Limited, its representatives, agents. The Bank reserves the right to retain the photograph and documents submitted with the Application and shall not return back. IDFC FIRST Bank
Limited shall be entitled at its sole and absolute discretion to approve/reject this Application Form submitted by Applicant/Co-Applicant/Guarantor.
I/We authorise the Bank to submit application/other relevant documents submitted by me to CERSAI. I/We hereby provide my/our consent to receive information from Central KYC Registry through SMS/mail on the
above registered number/email address. I hereby provide the consent to the Bank to pull my KYC details from CERSAI & PAN details from NSDL as and when required by the Bank for the compliance.

I hereby consent to receive information about my loans and offers on whatsapp on the registered number.
I provide consent to IDFC First Bank Limited (DA) for sharing my required information (including Aadhar) for getting Udyam Registration.

Most Important Terms and Charges

Loan Documentation and Enrolment Charges (INR) 2% of Loan Amount+GST Cheque Bounce Charges (INR) Rs. 500 + GST as applicable
Late payment/Penal charges/Default interest/Overdue (per
2% per month of the unpaid EMI or Rs. 300 whichever is higher Cheque/ECS Swap Charges (INR) Rs. 500 + GST as applicable
month)
Stamp Duty Charges As per Actuals Foreclosure Charges (Wherever applicable) 4% of Principal Outstanding + GST as applicable
EMI Pickup/Collection Charges (INR) Rs. 500
For enrolment in
a) June, July and August – Rs.436/-
PMSBY Policy Charges Rs. 20/- PMJJBY Policy Charges b) September, October, and November – Rs. 342/-
c) December, January and February – Rs. 228/-
d) March, April and May – Rs. 114/-
1. Rs. 750 (Excluding GST) where a notice has been delivered at the communication Part-payment charges 4% of Principal Loan Outstanding + GST as applicable
address and a paper publication is not required;
2. Rs. 1,700 (Excluding GST) where no notice has been delivered at the
communication address and the paper publication is to be done;
Overdue Handling Charges (Delinquent Accounts)
3. Rs. 300 (Excluding GST) charge for sending auction notice over and above the Other Facilitation Fees 0.00
preceding points 1 and 2;
4. Rs. 200 (Excluding GST) for sending Loan Recall notice over and above the
preceding points 1 and 2;
Note- Goods and Services Tax is as applicable for all above charges.

Priority Sector Lending

Category MSME Sub-Category MSMES - SMALL - SERVICE

POI and POA for Applicant

POI Aadhar

Classification: Internal - Regulator Shareable


POA Aadhar
KYC Type EKYC

POI and POA for Co-Applicant-1's

POI Aadhar
POA Aadhar
KYC Type EKYC
Insurance Details for Applicant
Premium Amount (INR) For Credit Protect: 2693.00 For Group Safeguard:
Sum Assured 316050.00 Sum Assured
Nominee for Applicant's Insurance: Nominee for Applicant's Insurance:
Nominee Name Lakshmi Prabhakar Nominee Name
Nominee DoB 01/01/1968 Nominee DoB
Nominee Gender Female Nominee Gender
Relationship with Applicant MOTHER Relationship with Applicant
If the nominee is a minor, Appointee details: If the nominee is a minor, Appointee details:
Appointee Name Appointee Name
Appointee DoB Appointee DoB
Appointee Gender Appointee Gender
Relationship with Appointee Relationship with Appointee

Insurance Details for Co-Applicant-1

Premium Amount (INR) For Credit Protect: For Group Safeguard

Sum Assured Sum Assured


Nominee for Applicant's Insurance: Nominee for Applicant's Insurance:
Nominee Name Nominee Name
Nominee DoB Nominee DoB
Nominee Gender Nominee Gender
Relationship with Applicant Relationship with Applicant
If the nominee is a minor, Appointee
If the nominee is a minor, Appointee details:
details:
Appointee Name Appointee Name
Appointee DoB Appointee DoB
Appointee Gender Appointee Gender
Relationship with Appointee Relationship with Appointee

Classification: Internal - Regulator Shareable


ANNEXURE A

Key Facts Statement


Part 1 (Interest rate and fees/charges)
1 Loan proposal/ account No. 0607248962 Type of Loan RMEL
2 Sanctioned Loan amount (in Rupees) 301000.00
Disbursal schedule
(i) Disbursement in stages or 100% upfront.
3
(ii) If it is stage wise, mention the clause of loan agreement having (i) Disbursement upfront – 100% of Sanctioned amount.
relevant details.
4 Loan term (months) 60
5 Instalment details
Commencement of repayment, post
Type of instalments Number of EPIs EPI ( )
sanction
Monthly (EMI) 60 months 8313 03/03/2025
6 Interest rate (%) and type (fixed or floating or hybrid) 22.00% ; Fixed
7 Additional Information in case of Floating rate of interest
Impact of change in the reference
Benchmark Final rate (%) Reset periodicity
Reference Spread (%) benchmark
rate (%) R= (Months)
Benchmark (S) (for 25 bps change in ‘R’, change in
(B) (B) + (S)
B S EPI ( ) No. of EPIs
NA NA NA NA NA NA NA NA
8 Fee/ Charges
Payable to the RE (A) Payable to a third party through RE (B) Total
Amount (in
Amount (in ) or Amount (in ) or ) or
One-time/ Recurring Percentage (%) as One-time/Recurring Percentage (%) as Percentage
applicable applicable (%) as
applicable
(i) Processing fees One time 6020.00 6020.00
Credit Protect
Insurance premium
(ii) One time 2208.26 2208.26
(applicant +
co-applicant)
Group Suraksha
Insurance premium
(iii) One time
(applicant +
co-applicant)
Hospicash Insurance
(iv) premium (Applicant One time
+ Co-applicant)
PMJJBY insurance
(v) One time
premium
PMSBY insurance
(vi) One time
premium
Other Facilitation
(vii) One time 0.00 0.00
Fees
Asset Annual Percentage Rate (%) (APR is annualized percentage interest
rate, processing fees, other charges (facilitation fees, Easy buy card, Admin
charges, PDD charges, Loan Management charges etc) for the credit facility
9A 22.98%
availed.
Credit facility is the total loan (asset cost) availed including third party products
(e.g., insurance etc. as opted by you voluntarily) financed by Bank.
Percentage of Annual Percentage Rate attributable to charges payable to
9B 0.37%
third party e.g., insurance etc. (9C-9A)
Total Annual Percentage Rate (%) (Total APR is annualized percentage
interest rate, processing fees, other charges, and third-party products. (i.e.,
9C 23.35%
aggregate of charges payable to Bank and payable to third party) for the credit
facility availed.
10 Details of Contingent Charges (in or %, as applicable) (excluding GST)
2% per month of unpaid EMI or (INR)
(i) Penal charges, if any, in case of delayed payment
300, whichever is higher
Cheque bounce charges – INR 500
(ii) Other penal charges, if any
ECS Swap charges – INR 500
(iii) Foreclosure charges (after Lock-in period of 180 days) 4% of Principal outstanding

Classification: Internal - Regulator Shareable


(iv) Part-Payment Charges 4% of Principal outstanding

1.INR 750 where notice has been


delivered at communication address
and paper publication is not required
2.INR 1700 where no notice has been
delivered at communication address
(v) Overdue Handling Charges and paper publication is being done
3.INR 300 charge for sending notice
over preceding points 1 & 2
4.INR 200 charge for sending loan
recall notice over and above preceding
points 1 & 2

Note:

1.Disbursal Date, Loan Tenure, Pre-EMI amount, Insurance Fee, Processing Fee, Annual Percentage Rate (APR), stamp duty (wherever applicable) and Net Disbursal Amount
shall be communicated at the time of disbursal.
2.If loan disbursal is between 1st to 20th of the month (M0), 1st EMI starts from immediate next month (M1), but if loan disbursal is after 20th of the month (M0), then 1st
EMI starts from subsequent to immediate next month (M2).
3.Pre-EMI amount, if applicable, is computed from disbursal date till the commencement of the 1st EMI on pro-rata basis.
4.Pre-EMI, if applicable will be deducted from the disbursal amount at the time of disbursement.
5.EMI will be due between 2nd to 10th of every month.
6.Repayment schedule will be available post disbursal.

Part 2 (Other qualitative information)

Clause of Loan agreement relating to engagement of recovery


1 Clause 16
agents
Clause of Loan agreement which details grievance redressal
2 Clause 21
mechanism
[email protected]
3 Phone number and email id of the nodal grievance redressal officer
1800 209 9771
Whether the loan is, or in future maybe, subject to transfer to other
4 Yes
REs or securitisation (Yes/ No)

ANNEXURE B

lllustration for computation of APR for Retail and MSME loans

Sr.No. Parameter Details


1 Sanctioned Loan amount (in Rupees) 301000.00
2 Loan Term (in years/ months/ days) 60
a) No. of instalments for payment of principal, in case of non-equated periodic loans NA
Type of EPI Amount of each EPI (in Rupees) and nos. of EPIs (e.g., no. of EMIs in case
b) 8313 and 60
of monthly instalments)
c) No. of instalments for payment of capitalised interest, if any NA
d) Commencement of repayments, post sanction 30 days
3 Interest rate type (fixed or floating or hybrid) Fixed
4 Rate of Interest 22.00%
Total Interest Amount to be charged during the entire tenor of the loan as per the rate
5 199096.00
prevailing on sanction date (in Rupees)
6 Fee/ Charges payable (in Rupees) 8228.26
A Payable to the RE 6020.00
B Payable to third-party routed through RE 2208.26
7 Net disbursed amount (in Rupees) 292771.74

Classification: Internal - Regulator Shareable


8 Total amount to be paid by the borrower (in Rupees) 500096.00
Annual Percentage rate- Effective annualized interest rate (in percentage) (APR is annual
percentage which is calculated including processing fees and other charges (facilitation
9 fees, Loan Management charges etc. (excluding GST)) for the credit facility availed. 22.98 %
Credit facility is the total loan availed including third party products (e.g. Insurance) as
opted by you voluntarily, financed by the Bank). (APR) (%)
Detailed schedule to be
10 Schedule of disbursement as per terms and conditions
provided
11 Due date of payment of instalment and interest 03/03/2025

Repayment Schedule (Tentative) under Equated Periodic Instalment

Instalment No. Outstanding Principal (in Rupees) Principal (in Rupees) Interest (in Rupees) Instalment (in Rupees)
1 301000 2795 5518 8313
2 298205 2846 5467 8313
3 295359 2898 5415 8313
4 292461 2951 5362 8313
5 289510 3005 5308 8313
6 286505 3060 5253 8313
7 283445 3117 5196 8313
8 280328 3174 5139 8313
9 277154 3232 5081 8313
10 273922 3291 5022 8313
11 270631 3351 4962 8313
12 267280 3413 4900 8313
13 263867 3475 4838 8313
14 260392 3539 4774 8313
15 256853 3604 4709 8313
16 253249 3670 4643 8313
17 249579 3737 4576 8313
18 245842 3806 4507 8313
19 242036 3876 4437 8313
20 238160 3947 4366 8313
21 234213 4019 4294 8313
22 230194 4093 4220 8313
23 226101 4168 4145 8313
24 221933 4244 4069 8313
25 217689 4322 3991 8313
26 213367 4401 3912 8313
27 208966 4482 3831 8313
28 204484 4564 3749 8313
29 199920 4648 3665 8313
30 195272 4733 3580 8313
31 190539 4820 3493 8313
32 185719 4908 3405 8313
33 180811 4998 3315 8313
34 175813 5090 3223 8313
35 170723 5183 3130 8313
36 165540 5278 3035 8313
37 160262 5375 2938 8313
38 154887 5473 2840 8313
39 149414 5574 2739 8313
40 143840 5676 2637 8313
41 138164 5780 2533 8313
42 132384 5886 2427 8313
43 126498 5994 2319 8313

Classification: Internal - Regulator Shareable


44 120504 6104 2209 8313
45 114400 6216 2097 8313
46 108184 6330 1983 8313
47 101854 6446 1867 8313
48 95408 6564 1749 8313
49 88844 6684 1629 8313
50 82160 6807 1506 8313
51 75353 6932 1381 8313
52 68421 7059 1254 8313
53 61362 7188 1125 8313
54 54174 7320 993 8313
55 46854 7454 859 8313
56 39400 7591 722 8313
57 31809 7730 583 8313
58 24079 7872 441 8313
59 16207 8016 297 8313
60 8191 8191 150 8341

Classification: Internal - Regulator Shareable


Signature and Photograph of Applicant and Co-applicant

Date: 30/01/2025 Place Guna Rural

Applicant: Please affix latest passport size Co-applicant-1: Please affix latest Co-applicant-2: Please affix latest
photo here passport size photo here passport size photo here

Applicant's Signature Co-Applicant-1's Signature Co-Applicant-2's Signature

Name of Witness- 1 Name of Witness- 2

Signature of Witness- 1 Signature of Witness- 2

For Bank Use Only

Certification:
I have met the customer at his: Residence Work Place Others-
I have seen the original KYC documents and copy/photo is taken for record Yes No
The customer has signed on all documents in my presence (Not applicable in case of E-sign) Yes No
Name of the Branch Official arvind karn Employee ID 172022
Date 30/01/2025 Signature

IDFC FIRST Bank Customer Care Number- 18660 500 9900

ACKNOWLEDGEMENT

‘The bank would require a processing time of approximately upto 14 days from the date of the completed application, This is subject to submission of all documents as required by the bank. For any queries or suggestions, please connect us at below mentioned
contact or visit our nearest branch’.

Call 1800 419 4332 (Toll Free) and mention your Loan Application number (Lead ID) to know the status of your application.

OR

You can check on our website https://www.idfcfirstbank.com/track-my-loan-application for the status.

Classification: Internal - Regulator Shareable

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