Application Form
Application Form
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
Mother First Name Laxmi Mother Middle Name Mother Last Name devi
Father First Name Naval Father Middle Name Kishor Father Last Name Prabhakar
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)
Line 1 Gulab ganj Guna Guna Guna Line 2 Gulab ganj Guna Guna Guna Line 3
Property Status Ancestral Mailing Address Yes Stay at this Address (In years) 20
Line 1 Gulab ganj Guna Guna Guna Line 2 Gulab ganj Guna Guna Guna Line 3
Property Status Ancestral Mailing Address No Stay at this Address (In years) 20
Line 1 Navprayog kareem complex Line 2 Prakash talkies road sugan chouraha Line 3 guna dist Guna
Property Status Ancestral Mailing Address No Stay at this Address (In years) 20
GST Details
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
Property Status Self-Owned Mailing Address Yes Stay at this Address (In years) 27
Property Status Self-Owned Mailing Address No Stay at this Address (In years) 27
Reference 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.)
Bank Name PUNJAB NATIONAL BANK Branch GUNA IFSC Code PUNB0018600
Account Number 0186000100368133 Account Type SAVING ACCOUNT MICR Code 473024001
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
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.
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.
POI Aadhar
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
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.
ANNEXURE B
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
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
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
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