PSA- ASAVRIAN cONSULTA NY PUTLTD

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APPLICATION FORM FOR PERSONAL LOAN
APLICATION NUMBER:10e S6
APplicaion Dste:
Branch
wo1DA S-6 Braach Cod
27-620
Staff (Yes/No) 206
JcF ID
Pesunal Details
Name: RAHUL YADAV
Dute of Birth
Father'sSpouse Name PRAVE£N KunAR 0-11-1
YPDAV | Gender
ADDRESS: (As per addres prool) IMALE
o612_SYniioIC_HoMgSNIMNLHoMgS
CAy TAn ßuDDHA
NALAR_
Land Mark OLD_CoURT NACaLA CHARAN DAS NoIDA
State
Mobile No* UTTAR PPADESH PIN2o1 30City/DistINo
Email IDRAHULYADAV
DAA
Contact No. 19Sloo2So4 S
Mandatory
Otber Detalls
No of Dependents
ONSQUMAILo (O
Present Residence
Educatioa Owhed/ Rented Co
Provided/ Parenta/Rented EARI
IP Religion
HNDU Category
Eplovment Detalks oEN ARAL
Nune of Employeri
TBI BuCKS IDIA PUT LD EpCCode
BusincssS
Address IFUSI ON HOMES TECH 20N£
Designation
-4 NoIDA EXT SeNIOP AN RLAER
City/Di NoIDA LAND MARK EK MURAT%6L
State UTTAR PRADESH Pin 20130 ZHARRAR
_
Caicgory: Manufacnuring Trading Sarvicg others
Consuitution: LU Proprictor
Parinership gmpanry U oben Trade lIcense no. (If
Income, Banking &Other Details available)
Annual Salary' Business Income Rs b,00,000 her lncume Rs
Ne Specily A A
Bank Detai
Name of the Bank
LANDHAN BANK
Ccrdli Card Details: suer L
Branch
DA S-b2e Of acou
SNINh
N.A Jaclimi NA Oulusnding NA
Other Lan blizains
Lncem Drecdantion
RAMULYADAV (Not
Rs
OwDer of wurking with MS Btlh BucKS INDIA PUT LTD
Applicable in case of salaried individual) since anhas
average monthly sale of
income is Rs SD.D QQ -(year in servicebusiness). My
b)I would be comfortable to pay -per month.
EMI up to
an
RsL000ILper month.
monthly

anu
SignahoaThúmb impressloa of Applicant
Sznature of Wltness
The contenis of the [am has been
explained
Applicant and the same has becn underatood by me to the
by him / her
 ODOp0OE Duration (M)60
|Loanauntpplied for
RENOVAT1eN_
Parpo ofLean: Hor1E
Detals of relatomblp with and
Dirertor/ senlor offeer of Bandhan
Bank
Relatenebip Declarata:
Reletlenelp wlth Direrter! Senler omeer
Neme of the Directorf Senlor Ocew
In al respects.
Declarate lorm are tnue, cuNToct, cnmpkede and up-tolae
all the and informtin fumished In the applikrethen
parnicularn Inltiuted agadnsi me/ua, nor have I over
been
We hereby declure t h confim that I have had mo imolvmey pmaecdings is oco
have no withhed any infewnation. IWe Vwe awMe thel the fees palkd by me us
VWe furthr cnfim thai )/ We have
eed and undentaud the cYntenis. are shell no be elurned o
adjuicated inudveni and the rate of Intereat chrged by Bandhen
Bank. Vwe undentand that the decument auhmited that the Inann
Hendhan Bank. V We ako confirm
refhndable. F We are aware ohoun
hae MM Lnllerted any cash or chape
other than PF tu e deducted by
meus.
The wuning channel for to make reforences and Inqulrdes relative
purpune. VWe alu authorise Bandhan Bank itaor
ugeni
Benk to enchange, share, und part
with l
pro any qprwlative
wil no be utilieed which Banuhan Bank conaiders neary.
IWe alsn autharlze Banmhan
as may be
intomatin in thi« ararinn infomatim lo oxher Banks/Financial
inuiunknv Credh Barea uwAgrncies
tnfimetdo9 relating o my Loan details and rerayment
himory in
my
Ben lisble for use uf this inlomatkm,
We underake lo infnrm Bandhon Bank regaruing any chope
cyuirrd and thall no hnd Bandhan Vwe lurnher agree that my kan sh
provie Banhan
any cxher tnformaion thatBandhan Bank may reyuie. witheNIt
euuence enpkoymenAunationTanler and to Bank reaeves the righi to reject any application
be in force [rum lime to lime.
De
oed by the Benlhan Bank which may
nles of Nervice, documentatiem
the Bank frum iime to ume.
chapes dc. mipailated by
We agree,
reaum. bWe undertake to bear proeing. whether due and paybe or nan al
Proding any its sole disrrien to call bect, the enmire nan/udvance
that Bandhan Bank shall be entitlc at
Due
and undenuand renn and enföne its rights, remeujes and serurities,
any Iimc, withut assigning any
Date:29-O6-2

Pece Alo DA
Ko
Sig ture of Wilneae
S are/ Thanb Inpreedea of Appleant
The contents of the fom has been explained by
KYC DOCUMENTS me to the Applicant and the same has been
Othes (Speeify) understund by him / ber
PHOTO D: Posport 0 vID Cand gAsiar
cand Driving License Pan
Card
UAacer card Driving Licease 0 B Senesv Othern (5pecily)
RESIDENC PROOF: Papon vw Cerd
Fese furaish Fora SL, la aberece of PAN card.

RERITAUTHORISATIONE
orfand say overduelate Cherge/cheque
baunce charges from
do hereby avtborize the Bank to debit payzents
of Processing Fecs. Loan Instalments dues
I
the SavingsCurent Accoum No. . *****

tüll the cloure of the Loan.

inaoructions shall be irrevocabe and will be operative and when
L bereby agree and confirm thet these amaun!s balloun paymenl being he
last installment sor coure of ho loan accaund as

Frnher, the Bank is authorized to debit any residual

required.
Skganture of Bendhen Bamk Limlted
SigmatureThumab impresloa of Applicant Sienature ot Wtnes
The conteoLs of the form has been explained by
me to the Appicant and the same has been
understood by him/ ber

FOR OFFICE USE ONLY

The laformation furmlbed aboveare rerised

Appralal Detais
ariculan
Approved Loan Amoumt

Lonn Tentre

EMI R
Procesing Fees

Sanctlened by (Brach Eead/ Sanctioning Authorlty)

Emp Code Deslgnetion
N on Laans&Adaec«
s not y relative as per RBI Dmasier Circular
Te the best d uy ewedge, Applikant
Signature
Dale
 Annexure 1

Login Check List

Log-in Checklist for Personal Loan

Name of Applicant
RAHUL YADAV
Name Co- Applicant
OceupationSALARy
Occupation
Document Status
.No. Check StatusCo-
Mandatory Applicant Appl
If New to Bank (NTB) customer, then account opening form

Customer to be taken from customer. After

generation of CIF at
1
asame to be filled in loan application form. branch,
Relationship Existing/ X
New
If Existing DSC customer then MB sanchay a/c should be first
converted to SB Sanchay or Standard Savings Account before
2
Disbursement N
3
Complete full filled application form

Applicant and Co Applicant cross signed photograph Y

lf either of applicant has given thumb impression or if signed

in
Application form lany other language apart from English then vernacular|
disclosure must be signed by Witness #
5

6
#Witness ID and Address proof copy to be taken in above
case

Address proof of both applicant and co-applicant Y

Photo ID proof of both applicant and co-applicant

9 KYC PAN Card copy of Applicant Y

10 PAN Card copy / Form 60/61 for Co-Applicant Y

11 Name Mismatch Declaration

12 Resident CPV Y
CPV Reports
13 Office CPV/ Business with office phone number Y
X
14 Salary slips last 3 months Y
Income Proof
15 Form 16/ITR for last 2 years Y

17 Bank Statement Last 6 months bank statement Y

18 Self-Attestation by On all documents submitted by borrowers

Borrower
 19
Original seen & RM to check all the documents and
verified
sign with stamp "Original seen & verified" and not
"OSV"
20 Debit Authorization letter to be completely filled &
Applicant &Co-Appl. signed by
Debit authorization &
SI
Customer Standing Instruction Form to be
21 completely filled & signed by Applicant & Co
Appl. Y
22

Date RM Name
Shubham ShayoMg ure L198g
Signature

Cr Ops/CM
In case Mandatory check is not full filled
Signature Co- P
then case to be
logged in as FTNR.
 HRA
INCOMETAX DEPARTMENT GOVT. OF INDIA
RAHUL YADAV

PRAVEEN KUMAR YADAV

30/11/1994
Pormmanønt Account Nubet

AMEPY5400G

Signatur

'S.V
a

19 19
 AADHAAR
ITETT.

Government of India NTE YEYT7 TT s, T T

Unique ldentification Authority of India INFORMATION

TT / Enrolment No.: 0000/00416/78596
Aadhear is a proof of identity, not of citizenship.
To QR Code/ Oline XML Onine
Verity identity us1ng Secure
Rahu Yadav Authentication.
S/O PRAVEEN KUMAR YADAV
leter.
-106/8 This is electronically generated
SYMBOUC HOMES NIMMI HOMES
NAGLA CHARAN DAS
Noida
Gautam Buddha Negar Utar Pradesh- 201301
9910099952

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omdta

Rahul Yadav
ra/co8: 30/11/1994
Address:
TVMALE S/O PRAVEEN KUMAR YADAV, S-106/8,
8SMBOLIC HOMES NIMMIHOMES, NAGA
CHARAN DAS, Nbida, Gautam Buddha Nagar,
Jtar Pradesh 201301

7902
7902 YID
1047 I puidel.gev in | ( u w*w.udal.gev.in

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