EXPERIMENT NO-:7
Collect loan application form of nationalise banks/other financial institutions.
1.Kotak Mahindra Bank
2.IDFC First Bank
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PERSONAL LOAN
APPLICATION FORM - RESIDENT INDIVIDUAL
(Please write in BLOCK LETTERS. Please complete the application to help us serve you better) DD MM Y Y Y Y
I hereby apply to IDFC FIRST Bank Limited (The Bank) to grant me Personal Loan as mentioned in this Application Form. I furnish my particulars as mentioned below.
IDFC FIRST Bank Staff*: Yes FNo FApplication Ref. No*.: FFFFFFFFFFCity*: FFFFFFFFFFFFF
Scheme*: FFFFFFFFFFFFFFFFFFFFFFFOS*: FFFFFFFFFFFFF
S.O./DSA Code*: FFFFFFFFFFFFF R. O. Code*: FFFFFFFFFFFFF
FINANCE REQUIREMENT
Purpose of Personal Loan*: Occasion in family F Travel F Purchase of household/Electronic goods FLoan Consolidation F Others (Please specify)*________________
_____________________Loan Amount (`): __________________________ Desired Tenure: F12 F 24 F 36 F 48 F 60
PERSONAL DETAILS
Applicant F Co-applicant F )BWFZPVUBLFOBOZűOBODFGSPNVTFBSMJFS :FT F No F If yes, application reference No.: _______________
Title*: Mr. F Ms. F Others (please specify)* ______________________ C-KYC No. _____________________
Name*:
TO
First Name Middle Name Last Name
O
PH
Father’s/Spouse’s Name*: First Name Middle Name Last Name
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Mother’s Name*: First Name Middle Name Last Name photograph and sign across it )
*Note:"EEJUJPOBMMZPGUIFCFMPX0GűDJBMMZ7BMJE%PDVNFOU 07% JTNBOEBUPSZ
PAN No*.: FFFFFFFFFF Aadhar Card No.: FFFFFFFFFFFF
Passport No.: FFFFFFFFF 7PUFS*%$BSEFFFFFFFFFF Driving License: FFFFFFFFFFFFFFF
Passport Expiry Date: FFFFFFFF Driving License Expiry Date: FFFFFFFF Gender*: Male F Female FTransgender F
FFFFFFFF
Date of Birth*: D D M M Y Y Y Y E-mail ID*: __________________________________________________________________
Marital Status*: Single F Married FOthers (please specify)* F __________________
2VBMJűDBUJPO 6OEFS(SBEVBUFF Graduate F Post Graduate F Others (Please specify)* _______________________________
Current Residential Address*: __________________________________________________________________________________________________________________
*Note: Your current residence address is
considered as preferred mailing address. in ________________________________________________________________Landmark:_________________________________________
case of any other preference, kindly get in
touch with branch. District:____________________State___________________________ City _____________________________ Pin FFFFFF
Residence Details: Rented F Self-owned F Parental F
F Others (Please specify)* __________
Company Provided
Telephone*: Mobile: FFFFFFFFFFSTD Code: FFFFF No. FFFFFFFFFF
FSame as Current Residence Address
1FSNBOFOU3FTJEFODF"EESFTT"EESFTTBTQFS07% @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
_______________________________________________Landmark:_______________________________________________
State___________________________ City _____________________________ Pin FFFFFF
Residence Details*: Rented F Self-owned F Parental F Company Provided F Others (please specify)* ___________________________________
Telephone*: STD Code: FFFFF No. FFFFFFFFFF
Whether Relative to Director of IDFC FIRST Bank Ltd - Yes FNo F
Whether Relative to Senior Management of IDFC FIRST Bank Ltd - Yes F No F
8IFUIFS4FOJPS0GűDFSPGUIF#BOL:FTF No F
OCCUPATION DETAILS
Occupation*: Self Employed Business F Salaried FHousewife F
Company Name*: ______________________________________________________________________________________________________________
Company/Entity Type*: FGovernment FPartnership FProprietorship FPrivate Ltd. F 1VCMJD-UE6OMJTUFE FPublic Ltd.-Listed
ACKNOWLEDGEMENT
We acknowledge receipt of the application for Personal Loan from IDFC FIRST Bank LTD. The Bank would require a processing time of approximately 20 working 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 write to us at customer.
DBSF!JEGDűSTUCBOLDPNPSWJTJUXXXJEGDűSTUCBOLDPNPVSOFBSFTUCSBODI
Customer Name*: FFFFFFFFFFFFFFFFFFFFFFFF Date*: FFFFFF
D D M M Y Y
Application Reference Number*: FFFFFFFFFFFFFFFNote: This is a Preprinted acknowledgment and does not require signature
0GűDF"EESFTT @@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@
_________________________________________________________________Landmark:________________________________________
State_______________________ City _______________ Pin FFFFFF
Mobile: FFFFFFFFFF
If Salaried*: Designation ________________ Department ____________________ Monthly Net take home ____________
Work Email Id_________________________
FFFFFF
If Self-employed*: Date of Incorporation D D M M Y Y
Annual Income __________ last 3 months monthly bank balance mandatory
GST DECLARATION: 1) GST Regd No. : Yes F No F2) GSTIN No. FFFFFFFFFFFFFFF
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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.
BANK DETAILS
Preferred Mode of Repayment*: NACH FPDC FSI F Bank Name: ____________________________________________________________
Account Number*: FFFFFFFFFFFFFFFFFFFF Account Type : Savings F Current F
TWO REFERENCE DETAILS
1) Name*: ______________________________________________________________________________________________________________________________
Relationship with Applicant*: ________________________________ Mobile*: FFFFFFFFFF
2) Name*: ______________________________________________________________________________________________________________________________
Relationship with Applicant*: ________________________________ Mobile*: FFFFFFFFFF
DECLARATION
*8FEFDMBSFUIBUBMMUIFQBSUJDVMBSTBOEJOGPSNBUJPOHJWFOJOUIF"QQMJDBUJPO'PSNBSFUSVF DPSSFDU DPNQMFUFBOEVQUPEBUFJOBMMSFTQFDUTBOE*8FIBWFOPUXJUIIFMEBOZJOGPSNBUJPOXIBUTPFWFS*8FDPOűSN
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.
*8FVOEFSTUBOEBOEDPOűSNUIBUUIF"QQMJDBUJPO'PSNBOEBMMPUIFSEPDVNFOUTTVCNJUUFECZNFVTUP*%'$'*345#BOL-JNJUFETIBMMOPUCFSFUVSOFEUPNFVTBOE*%'$'*345#BOL-JNJUFETIBMMIBWF
UIFSJHIUUPSFUBJOUIFTBNF*8FIBWFSFBEUIF"QQMJDBUJPO'PSNBOECSPDIVSFTBOEBSFBHSFFBCMFUPBMMUIFUFSNTDPOEJUJPOTPGBWBJMJOHűOBODFGSPN*%'$'*345#BOL-JNJUFEJUT(SPVQ$PNQBOJFT*8F
authorise IDFC FIRST Bank Limited/its Group Companies/its Agents to make reference and enquiries relevant to information in this Application Form which IDFC FIRST Bank Limited/its Group Companies/
its Agents consider necessary. I/We undertake to inform IDFC Bank Limited/its Group Companies/its Agents regarding the change in the residential addresses/employment/profession and to provide any
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OPOCBOLJOHűOBODFDPNQBOJFTIBTCFFOEJTDMPTFEIFSFJOBCPWF*8FBHSFFUIBU*%'$'*345#BOL-JNJUFENBZQSPWJEFUIFDSFEJUGBDJMJUJFTNFOUJPOFEIFSFJOPOMZJGQFSNJUUFEBOEJGBQQSPWFEJOUIF
NBOOFSTQFDJűFEPSSFRVJSFECZUIF3FTFSWF#BOLPG*OEJBGSPNUJNFUPUJNF*8FDPOűSNUIBU*8FTIBMMOPUVTFUIFDSFEJUGBDJMJUZ PSBOZQBSUUIFSFPG GPSBOZJNQSPQFS JMMFHBMPSVOMBXGVMQVSQPTFBDUJWJUJFT
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 the NACH/PDC/SI facility and hereby express my/our unconditional consent to debit
my/our loan instalments etc., from above mentioned account through NACH/PDC/SI. l/We authorize the bank to honour all such instructions. l/we authorize the representative of the Company to get this
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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 the 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
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SFHBSE*8&DPOűSNUIBUFYDFQUUPUIFFYUFOUEJTDMPTFEUPUIF#BOL OPEJSFDUPSPSBSFMBUJWF BTTQFDJűFECZ3#* PGBEJSFDUPSPGBCBOLJOHDPNQBOZ BTTQFDJűFECZ3#* PSBSFMBUJWFPGBTFOJPSPGűDFSPG
UIF#BOL BTTQFDJűFECZ3#* JTUIFBQQMJDBOU T PSBQBSUOFS NBOBHJOHBHFOU NBOBHFS FNQMPZFF EJSFDUPSPGPVSDPODFSO PSPGPVSTVCTJEJBSZPSPVSIPMEJOHDPNQBOZ PSBHVBSBOUPSPONZPVSCFIBMG
or holds substantial interest in our concern or my/our subsidiary or holding company Country of birth ______________________ Place of birth ___________________ Country of residence as per tax
laws ______________ Foreign TIN _____________ TIN Issuing country _____________
*G*QSPWJEFEFFNFEBEESFTTQSPPG UIFOXJUIJONPOUITGSPNEBUFPGEJTCVSTBM *XJMMTIBSFUIFVQEBUFE0GűDJBMMZ7BMJE%PDVNFOUXJUIUIFDVSSFOUBEESFTTI hereby consent to receive information about
my loans and offers on WhatsApp on my registered number. The Borrower shall ensure that neither the Borrower nor any director/partner/member/trustee of the Borrower has been declared a willful
defaulter; in case any director/partner/member/ trustee has been declared as a willful defaulter, the Borrower shall take expeditious steps for removal of such person. I/We hereby submit voluntarily at my/our
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my/our identity / address proof and voluntarily give my/our consent in connection with me availing the Financial Facility from IDFC and processing instructions for the said purpose and hereby give consent
UP*%'$GPSWFSJűDBUJPOPGNZ"BEIBBSUPFTUBCMJTIJUTHFOVJOFOFTTUISPVHIBOZTVDIBDDFQUBCMFNBOOFSTUJQVMBUFECZ6*%"*PSVOEFSBOZ"DUPSMBXGSPNUJNFUPUJNF*8FIBWFBMTPCFFOFYQMBJOFEUIBU
TVCNJTTJPOPGUIJTEPDVNFOUJTOPUNBOEBUPSZ*XFIBWFUIFPQUJPOUPTVCNJUBOZPOFPGUIFEPDVNFOUTBTQFSUIFMJTUPG0GűDJBMMZ7BMJE%PDVNFOUT VQEBUFECZUIF3#*GSPNUJNFUPUJNF 5IFDPOTFOUBOE
QVSQPTFPGDPMMFDUJOH"BEIBBSIBTCFFOFYQMBJOFEUPNFVTJOMPDBMMBOHVBHF*%'$IBTJOGPSNFENFVTUIBU*BN8FBSFSFRVJSFEUPSFEBDUCMBDLFOPVUUIFűSTUFJHIUEJHJUTPG"BEIBBSOVNCFSTPUIBUPOMZ
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number through appropriate means on my/our behalf”. IDFC has also informed me that this consent and my Aadhar will be stored with IDFC
8PVMEZPVMJLFUPSFDFJWFVQEBUFTBCPVUWBSJPVTPGGFSTBOEQSPNPUJPOGSPNUPUJNF :FT F No F If yes, mode of communication: Phone F SMS F E-mail F
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,
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TIBSJOHPGUIFJOGPSNBUJPO*XPVMEMJLFUPBWBJMUIFCFOFűUTPGUIFWBSJPVTCBOLMPBOPGGFSTDIFNFTPSMPBOQSPNPUJPOBMBDUJWJUJFTPSBOZPUIFSQSPNPUJPOBMTDIFNFTBOEIFSFCZBVUIPSJ[FUIF#BOL JUT
employees, agents, representatives and associates to do so.
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The Bank reserves the right to retain the photograph and documents submitted with the Application and shall not be returned. IDFC FIRST Bank Limited shall be entitled at its sole and absolute discretion
to approve/reject this Application Form submitted by Applicant/ Co-Applicant.
a. I/we authorise the Bank to submit application/other relevant documents submitted by me to CERSAI. I/we hereby provide my consent to receive information from Central KYC
Registry through SMS/mail on the above registered number/email address. I/We also authorize the bank to freeze my IDFC FIRST Bank account in an event of default.
Applicant/Co-applicant/Signature* ______________________________ Date*: ________________________ Place*: ______________________
OFFICE USE ONLY
0SJHJOBMTFFOWFSJűFECZ/BNF@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@ Designation: _______________________________________________________
DSA/Referral Code: __________________________________ Sign:__________________________
PRIORITY SECTOR LENDING
Weaker Section:
ii. Loans to: SC ST General OBC Others iii. Religion: Hindu Muslim Christians
Zoroastrians Sikh Buddhists Jain Others (Please specify) _________ iv. if Minority communities: Yes No
v. Annual household Income : __________________
vi. Preference category: Widow Working Disability Others (Please specify)
DOCUMENTS REQUIRED
PAN (If not available then Form 60) is a mandatory document which is to be submitted, however it is not a Photo Identity Proof, hence 1 of the below documents should
be submitted as a Photo Identity Proof.
Photo identity proof*: Valid Passport with expiry date, photograph and signature; the driving license issued by regional transport authority, proof of possession of
State Government and letter issued by the National Population Register containing details of name and address.
Address Proof*:
Valid Passport with expiry date, photograph and signature; the driving license issued by regional transport authority, proof of possession of
State Government and letter issued by the National Population Register containing details of name and address.
Utility bill which is not more than two months old of any service provider (electricity, telephone, post-paid mobile phone, piped
gas, water bill); Property or Municipal tax receipt; Pension or family pension payment orders (PPOs) issued to retired employees by Government Departments or
Public Sector Undertakings, if they contain the address; letter of allotment of accommodation from employer, letter of allotment of accommodation from employer
institutions and listed companies and leave and license agreeme
Income proof*:
Business Proof*:
*Requirement of documents might vary according to the scheme chosen
** Mandatory is OVD is not available. OVD to be submitted within 3 months from disbursal with the updated address.
IDFCFIRST/PL_APP/09112020
ADDRESS
IDFC FIRST Bank Limited (formerly IDFC Bank Limited)
: KRM Tower, 7th Floor, No. 1, Harrington Road, Chetpet, Chennai 600 031 Tel.: +91 44 4571 6400,
CIN: L65110TN2014PLC097792, [email protected], www.idfcfirstbank.com