Application Form
Application Form
Smart
Finance
For Smart
Future
ALL Branch Details 100% Compulsory
ाथना प क ितिथ
DATE OF APPLIED __________________________________________
ऋण क रािश
LOAN AMOUNT _____________________________________________
थान
LOCATION _________________________________________________
अगंूठा/ह ता र
SIGN&THUMB
1
Existing Customer: Yes No
Name:
Mobile:
e-mail:
Name of Spouse:
Name of Father:
2) Voter ID No.
3) Passport No.:
RESIDENTIAL ADDRESS:
PERMANENT ADDRESS:
Address 1:
Address 2:
Address 3:
Village: City:
District: State:
Current Address:
Address 1:
Address 2:
Address 3:
Village: City:
District: State:
2
No. of units acquired in single residential housing project/co-operative residential complex:
If Yes:
Is Applicant / Co-Applicant / Guarantor a director including Chairman and Managing Director) in another
bank or specified near relative of any of the director ((including Chairman and Managing Director) of Acorn/Other Bank Yes No
Indicate Name of Bank/ Subsidiary/ Schedule co-operative Banks/ Trustees of Mutual Fund/ Venture
Capital Fund:
EMPLOYMENT DETAILS
OCCUPATION: Salaried
Pensioner Student
SALARIED:
Organization Type: Central Govt State Govt Public Sector Units Defence Corporates Other Institutions
Date Of Retirement:
Employer’s Name:
Industry:
Is there a break in service beyond the period of 3 months in last 2 years Yes No
NON-SALARIED:
Business Name:
Industry Name:
Address 1:
Address 2:
Address 3:
Village: City:
District: State:
Telephone (Landline):
Mobile
3
SALARY/ BUSINESS ACCOUNTS DETAILS
ACCOUNT TYPE IFSC CODE BANK NAME BRANCH NAME ACCOUNT NUMBER
COLLATERAL OFFERED
Property Vehicle Shares & Securities Insurance Others (Pl. Specify) None
Property Owner 1)
2)
Property Address 1:
Type of property: Residential Commercial Classifcation of Property: Flat Row House Bungalow Shop Office
Registration No.
Shares & Securities : Shares Mutual Fund Unit Govt. Bond Others
PERSONAL REFERENCE
(Name and address of references living in the same city. One reference, mandatorily, to be a relative, not residing with the applicant)
First Name Middle Name Last Name
(1) Name:
Relationship with applicant:
Residential Address :
(2) Name:
Relationship with applicant:
Residential Address :
4
EDUCATION LOAN
Examination Institution & University Year of Passing Percentage Class Scholarship / Prizes won
Passed of marks Obtained for Academic Distinction
10th
12th
Last Degree
GRE/GMAT/OTHER EXAM SCORE
Name and Address of College / Institution in which the Student intends to Join.
City State
Dist. Pin Code
Country India USA UK AUS Others ___________________________
Admission Status Applied Confirmed Awaited
Name of the University / Recognised Authority to which the college / Institute is affiliated ___________________________________________________
Has the student been admitted into the above college / institute / University or accepted for the Course ? If so, certified copy of admission / acceptance
letter should be attached
Contact person at the University
Course applied for Management Engineering Medical Architecture Vocational Others ________________
Course Name
Course Approved by : UGC GOVT AICTE AIBMS ICMR Dept of Electronics Others___________________
Whether admission of course is through entrance test / Merit based selection : ______________________________________
Course Category Diploma Under-graduate Post-graduate Other Course Type Full Time Part Time
Course begins from Course ends on Course Ranking _______________
Moratorium during course period (A) >6 12 18 24 30 36 42 48
Moratorium post course period (B) 6 12
Total Moratorium (C - A + B) 6 12 18 24 30 36 42 48 54 60 Others _____________________
Emi Repayment (D) 12 24 36 48 60 72 84 96 108 120 132 144 156 168 180
Total Loan Period ( E=C+D)
Interest servicing during Moratorium Period : Yes No Expected Future income per month _______________________________________________________
Is the applicant attending any college or institute at present ? if so furnish full particulars
College / Institute Name : _____________________________________________ Course being pursued : ___________________________________________
Course completion date : ________________________________________________________
Loan Details
A) Cost of the Course Amount Amount (`) B) Funds Available Amount (`)
1) Tuition Fees 1) Own Source
2) Living Expenses/Hostel and Food 2) Scholarship
3) Traveling Expenses 3) Others
4) Others
Total `
Loan Required (A-B) =` Interested in Life Insurance : Yes No
1) Disbursement Details : a. Full b. Tranche 2) Mode a. DD b. RTGS c. Wire Trasfer d. Others
MODE OF DISBURSEMENT (any one of the following)
1. DD In favour of 2 T.T. Swift Code
payable at for University Account No
Amount `
3. RTGS/NEFT University Account no.
5
PROPERTY LOAN
Purpose: Purchase of Plot for construction of a House Purchase of a new House /Flat Purchase of old House / Flat Construction of a new House/Flat
Extension of existing old House/ Flat Repair or Renovation an existing old House / Flat Takeover of Home Loans from other Banks / HFCs/FIs
Reimbursement of investment made for House /Flat/Construction of house/Repair and Extension of house-
Checkoff
Tenure: Months
Moratorium: Months
Disbursement Schedule:
No. of Tranches:
NAME OF SELLER/ BUILDER ACCOUNT NO. BANK NAME BRANCH NAME IFSC CODE
PROPERTY DETAILS
Under construction
Sale transaction Category: Normal sale POA Sale Gift deed Sale through third party Guarantor
Net Rental income expected from the proposed house property (Monthly): Rs.
Building name:
Wing name:
Flat No:
Address 1:
Address 2:
Address 3:
Pin Code: City:
District: State:
Location of Plot
6
BUSINESS LOAN
Purpose of Loan: Business Expansion Loan Consolidation Working Capital Others Business Requirement
Loan Amount (`): __________________________ Desired Tenure: ______________________________
COMPANY DETAILS
Company Name: _________________________________________________________________________________________________________________
Company Type: Partnership LLP Proprietorship Private Limited Public Ltd. HUF Others (Please specify) __________________
OnePerson Company Liaison/Project/Branch Office Joint Venture (Not incorporated) Embassy/Consulate/High Commission
Date of Incorporation: D D M M Y Y Y Y Number of years in current office: _____________ Company PAN Card No.
Nature of Business: Agriculture & Allied Consultation Manufacturing Retail Trading Wholesale Trading Service
Others (Please specify) _________________
Annual Turnover for last 3 years (please mention years in blocks below for example 2018-19) Rupees in lakh
Year 1 2 0 - _____________________________________ Year 2 2 0 - _____________________________________
Year 3 2 0 - _____________________________________
BSR Code ____________________________________________ Industry Classification (Refer Annexure) _________________________________________
Office Address: __________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________
State: ______________________________ City: __________________________ Pin Landmark: __________________________________
Telephone: STD Code: No.
Email address: ____________________________________________________________________ Business Premises: Owned Rental
GST Address: _________________________________________________________________
GST DECLATAION: 1) GST Regd No. : Yes No 2) GSTIN No.
That I have shared correct GSTIN., hence separate verification of my GSTIN is not required and I shall not hold Acorn Finance liable for loss of credit
arising on account of incomplete, erroneous or wrong GST details.
For all GST purposes the mailing address will be consider as place of supply i.e. GST address
Whether Relative to Director of Acorn Finance - Yes No
Whether Relative to Senior Management of Acorn Finance - Yes No
Whether Relative to Senior Officer of Acorn Finance - Yes No
7
INTRODUCTION BY A GUARANTOR
to debit (tick 3) SB/ CA/ CC/ SB-NRE/ SB-NROH/ OTHERS Bank A/c Number
an amount of rupees
DEBIT TYPE Fixed Amount Maximum Amount FREQUENCY Monthly Quarterly Half Yearly Yearly As & when presented
1.I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the bank. 2.This is to confirm that the
declaration has been carefully read, understood & made by me/us. I am authorizing the User entity/Corporate to debit my account. 3.1 have understood that I am authorized to
cancel/amend this mandate by appropriately communicating the cancellation/ amendment request to the User entity / corporate or the bank where I have authorized the debit.
From
to
or Until Cancelled Signature of primary account holder signature of account holder signature of account holder
Phone No. 1 2 3
Name as in bank record Name as in bank record Name as in bank record
?kks"k.kk @ DECLARATION
eSa@ge ?kks"k.kk djrk g¡w@djrs gSa fd vkosnu iQkWeZ esa fn;s x;s lHkh fooj.k rFkk lwpuk,¡ lR; ,oa iw.kZ gSa rFkk eq>s@ges Acorn Finance ½.k djus dk
fu.kZ; bldks ekudj ys ldrk gSA esjs@gekjs Iks'ks@jkstxkj@vkoklh; irs ds lEcU/ esa fdlh Hkh çdkj ds cnyko dh lwpuk eSa@ge Acorn Finance dks miyC/
djkus rFkk iQkbusfU'k;y dEiuh dh vko';drk dksbZ Hkh vU; lwpuk mls miyC/ djkus dk opu nsrk g¡w@nsrs gSaA
eSa@ge iqf"V djrk g¡w@djrs gSa fd mi;qDr ½.k lqfo/kvksa ds vfrfjDr eq>s@gesa fdlh iQkbZausal dEiuh esa dksbZ ½.k dh lqfo/k,a çkIr ugha gSA eSa@ge iqf"V
djrk g¡w@djrs gSa fd ;fn eSa@ge Hkfo"; esa fdlh vU; cSad ls dksbZ ½.k lqfo/kvksa dk ykHk mBrk g¡w@mBkrs gSa rks eSa@ge foyEc bldk C;kSjk iQkbusfU'k;y dEiuh
dks miyC/ djkmxk@djk,xsA bldk ç;ksx lV~Vsckth esa ugha fd;k tk;sxkA eSa@ge ;g Hkh iqf"V djrk g¡w@djrs gSa fd eSa@ge Hkkjrh; gSaA
eSa@ge ;g Hkh opu nsrk g¡w@nsrs gSa fd ½.k dh LohÑfr Acorn Finance dEiuh dks ;g vf/dkj çkIr gS fd og tSlk Bhd le>s esjs ckjs esa iwN&rkN
dj ldrk gSA
mijksDr rF;ksa dks è;ku j[krs gq, vuqjks/ gS fd esjk@gekjk ½.k LohÑr dj eq>s@gesa ÑrkFkZ djsa rFkk esjs@gekjs xkjUVhnkrk ds ckjs esa vius vf/Ñr
çfrfuf/ ls tk¡p djkdj eq>s@gesa ½.k çnku djus dh Ñik djsaA
uksV %
1- vkosnd ,tsUV vFkok iQkbusfU'k;y iQeZ@dEiuh ds fdlh Hkh vf/kdkjh@deZpkjh dh lqfo/k 'kqYd (fj'or) nsrk gS ,oa vkosnd ds vkus tkus]
jgus] [kkus] VsyhiQksu djus ds [kpZ dh ,tsUV rFkk iQkbusfU'k;y iQeZ@dEiuh dh dksbZ ftEesnkjh ugha gsA
2- ljdkjh xkjUVhnkrk ftldk शु osru #0 8000@& ls de gS] Lohdkj ugha gksxkA
Acorn Finance
8
?kks"k.kk @ DECLARATION
eSa ______________ lqiq=k @ lqi=kh Jh ______________ fuoklh eSaus (DSA/SUB DSA Name)______________ }kjk Acorn
Finance ds dk;kZy; esa #0 ______________ yk[k) ds ½.k dk vkosnu fd;k gS vkosnu ij i=ksa esa fy[ks gq, mDr fu;e o 'krksZa dks eSaus Hkyh Hkkafr
i<+dj] le>dj] gLrk{kj ,oa vaxwBk fu'kku fd;k gSA eSa mDr fu;e o 'krksZa dk ikyu djus ds fy, lger] opuc ,oa ckè; g¡wA eq>s lHkh fu;e o 'krsZ ekU;
gSaA eSa Lohdkj djrk g¡w fd esjs ½.k dsl ls esjs 'kS{kf.kd izek.k i=k@ukSdjh lEcU/h çek.k i=k@çksiVhZ o ljdkjh xkjUVj ds ljdkjh fjdkWMZ dh tk¡p gkus ij
mlesa fudyh gqbZ dfe;ksa dks fu/kkZfjr le; ds vUnj iw.kZ ugha dj ikrk ;k esjs }kjk tek fd;s x;s ½.k lEcU/h çi=k tk¡pkssaijkUr dqVjfpr ik;s tkrs gSa ;k esjs
uke ls dksbZ Hkh fØehuy fjdkMZ ik;k tkrk gS ;k çksiVhZ esa fdlh Hkh izdkj dk fMLI;wV ik;k tkrk ;k eSa vius xkjUVjksa dh xkjUVh ck.M isijksa ij lSyjh bUpktZ
rFkk H.O.D. ds gLrk{kj djkus esa vleFkZ jgrk g¡w ;k esjs çksiVhZ xkjUVj ls dksbZ Hkh ikfjokfjd lEcU/ gks tkus Ikj esjk ½.k ds dsl fujLr djus dk dEiuh dks
iw.kZ vf/dkj gksxk ,oa eSa ;s opu nsrk@nsrh g¡w ½.k dh LohÑfr iwjh dkxth dk;Zokgh ds ckn gksxh iQkbusfU'k;y dEiuh vius dk;ns dkuwu ds vuqlkj viuh
MhM rglhynkj o lc jftLVªkj o oSjhiQkbZM djkus dh ftEesnkjh esjh gksxh yksu dsl dh tk¡p ds nkSjku lansgkRed fLFkfr gksus ij yksu dsl dks jn~n djus dk
dEiuh dk iw.kZ vf/dkj gksxkA rc esjs }kjk tek fd;k ;k çkslsflx 'kqYd ls 25 izfr'kr gh ysus dk vf/dkj gksxkA D;ksafd og esjs ½.k dsl ljdkjh deZpkjh
xkjUVj ds ljdkjh fjdkMZ dk oSjhfiQosQ'ku vkfn esa [kpZ gks pqdk gksxkA
;g ?kks"k.kk i=k ,oa vkosnu çi=k LFkku ______________ dk;kZy; esa cSBdj ln~HkkoukiwoZd ekgkSy esa fy;s x;s gSaA ;fn esjh ½.k dsl fdlh
Hkh dkj.k o'k jn~n gksrk gS ml fLFkfr esa dEiuh rFkk ,tsUlh ds mij fdlh Hkh izdkj dh ekufld ç'kklfud ,oa jktuSfrd ncko ugha Mkyawxk@Mkyawxh@½.k
lEcfU/r fdlh Hkh çdkj ds fookn dk U;k; {ks=k cSaxyksj+ ds ftyk flfoy dksVZ gksxkA
;g ?kks"k.kk i=k çLrqr fd;k x;k fd cSaxyksj+ vkWfiQl esa fnukad __________ 20___ eSa Jh@Jhefr (yksuh uke) ______________ iq=k@iq=kh@iRuh
Jh ______________ xzke@ekSgYyk ______________ ih0vks0 ______________ ftyk ______________ dk ewy fuoklh g¡wA eSaus
(,tsUlh dk uke) ______________ ds ekè;e ls Acorn Finance viuk yksu dsl ykxk;k gS rFkk eSa Lo;a fuEu fu;e ls vkck ) djrk g¡w ;g fd
(,stUlh dk uke) ______________ esjs }kjk fd;s x; yksu dk lsU'ku djkdj (LohÑr i=k eq>s çnku djsxkA ljdkjh xkjUVj o vU; t:jh isij tks
Acorn Finance ds Tk:jr gksxhA mls eSa Lo;a iwjk d:¡xkA ljdkjh xkjUVj ;k ljdkjh vf/dkjh }kjk euk djus ij esjk yksu fujLr gks tk;sxkA ;g eSa Hkyh
Hkkafr tkurk g¡wA dEiuh }kjk vkWiQj ySVj fey tkus ds mijkUr (,tsUlh uke) ______________ dh ftEesnkjh lekIr gks tk;sxhA (,stUlh dk uke)
______________ yksu ugha nsrkA Acorn Finance yksu nsrk gSA lHkh vko';d dk;Zokgh gsrq isij eSa 20 fnu esa iwjk d:¡xkA eSaus iw.kZ :Ik ls le> fy;k
gS fd dEiuh esa tek gksus okyh çkslsflx iQhl cSad ds }kjk gh tek djuh gksxhA fdlh Hkh rjhds uxn&ysu dh Acorn Finance dh dksbZ ftEesnkjh ugha gksxhA
uxn ysu&nsu dh lkjh ftEesnkjh esjh gksxhA eSa Hkyh&Hkkafr tkurk g¡w fd vxj esjs isijksa esa fdlh Hkh rjg dh =kqfV fMLVªC;wV ,oa iQthZ ik;k x;k rks esjh çkslsflx
iQhl tCr dj lekIr dj nsxhA ;fn esjh rjiQ ls dh xbZ xyrh ds dkj.k esjk dsl fjtsDV gksrk gS esjh çkslsflx iQhl okil ugha gksxh D;ksafd og esjs ½.k dsl
dh tk¡p dk;Zokgh vkfn esa [kpZ gks pqdh gksxhA ml fLFkfr esa fdlh Hkh rjg dk dEiuh ;k ,tsUlh ij 'kkjhfjd] ekufld] ç'kklfud ncko ugha MkywaxkA og EkSa
vPNh rjg tkurk g¡wA mij ds lHkh fu;e dks Hkyh Hkk¡fr i<+dj] lksp le>dj iwjs gks'k ds fcuk tksj ds vius lHkh ifjfprksa dks crk o i<+kdj fy[k fn;k rkfd
lun jgs vkSj oDr ij dke vk,A
uksV % ½.k lEcfU/r fdlh Hkh çdkj ds fookn dk U;k; {ks=k dk cSaxyksj ftyk flfoy dksVZ gksxkA
fnukad _____________
vkosnd O;fDr;ksa ds laKku esa fuEufyf[kr fu;e o 'krksZa dk yk;k tkuk o ifjikyu gsrq
½.k O;fDr;ksa ds laKku esa fuEufyf[kr fu;e o 'krksZa dk yk;k tkuk o ifjikyu gsrq
10
About us;
Acorn Finance a (NBFC) non-banking finance company. You can contact us by sending an email to
info@acornfianance.com It is classified as a Non-govt company and is registered at RoC-Bangalore.
Their state of registration is Karnataka. Acorn Finance is one of the leading players in the financial
services space in India. We offer a wide range of Financial Service to corporate and retail customers
through a variety of delivery channels. We believe in fair dealing & promote disbursement of fund on
priority basis. We provide funds on following terms & Conditions at minimum rate of interest in shortest
period of time.
Address: Bagamane Pallavi Tower #20 1st Cross, Raja Ram Mohan Roy Rd, S.R Nagar,
Bengaluru, Karnataka-560027.