HL APPLICATION FORM

Application No.

FIELDS WITH * (STAR) ARE MANDATORY

1. BASIC INFORMATION – BORROWER (INDIVIDUAL)

Please collect your MID / Schedule of charges

3. IDENTITY PROOF DETAILS (One Identity Proof is Mandatory)

2. ADDRESS Preferred Mailing Address Present Permanent Office Regd. Office

VER : 4.0/0818

4. INCOME DETAILS – AGRICULTURE

Agriculture type: Farmer Landlord Dairy Farm Poultry Aquaculture Others (please specify)

Sl.No.

LandOwnership*

LandOwner

Relationship Areain Acres

Taluk, Village & Pincode Survey/Patta No.

Free/Encumbered

MarketValue (`.)

Land Taxp.a. (`.)

IrrigationSource $

* Land Ownership : Self Owned / Parent Owned / Lease / Rented / Family Owned $ Irrigation Source : River / Lake / Well Pumpset / Govt. supplied / Rainfed** Type of Crop : Food Crops / Fruit Crops / Root & Tubers / Pulses / Cash Crops / Vegetables / Decorative Flowers / Cereals s Soil Type : Red / Black / Sandy / Marshy / Alluvial / Others (please specify)7/12, 8A, 6D, Khasra, Khatavani, Pahani, Chitti, Adangal, EC, Ebill, Saledeed, Land book – Documents should be verified for these lands.

Soil Type s Type of Crop** Name of CropHarvesting Cycles

Per AnnumYield/Acre

(in quintals)Market Price(`.per quintal)

Cost / Expensesper Acre per Cycle (`.)

Tractor RentalsSpent p.a. (`.)

Net Income (`.)/Harvesting Cycle

Since how long you are into Agriculture years

Are you a member of any Primary Agricultural Co-op Society No YesTax Return Filed Yes No Saral dated

Sl.No.

Do you own tractor(s) No Yes Free Nos. On Loan Nos.

BusinessLocation:

OFF

ICE/

BU

SIN

ESS

Is it a PP No.?* Yes No

Name of the organization*

Office/Business Address*

PIN*

Landmark* E-mail ID*

City* District*

Phone No.* Fax No.

State*

PE

RM

AN

EN

T Flat / Door No. & Building Name*

Road Number / Road Name*

PIN*City* District*

Is it a PP No.?* Yes NoPh / Mob 1* Fax No.

State*

PR

ES

EN

T

Flat / Door No. & Building Name*

Road Number / Road Name*

Is it a PP No.?* Yes No

PIN*

Landmark*

City* District*

Ph / Mob 1*

Alternate Mobile 2

Fax No.

State*

E-mail ID*

Address is as in (Address proof)

If there are more details please use a separate sheet

No. of Kids* No. of Dependents*

Religion*

Caste*

Actual Subsect & Sub Caste name as per Govt. Classification*

Date of Birth* Single Married Gender* Marital Status*TGM

Educational Qualification* 10 + 2 Graduate Post Graduate and above Professional Others10th or below (please specify)

Christian

ST

Muslim

MBC

Buddhist

BC

Sikh

OBC

Others

Others

Hindu

SC FC

Zorastrian Jain (please specify)

(please specify)

Type of Residence* Parent Owned Co Leased RentedOwned Others (please specify)

Years Number of years in this City MonthsNationality*

Occupation*

Residential Status* Non-Resident

Others

Monthly Rental Payable : `.Resident

Indian

Years Number of years in this house Months

Person with disability No Yes

Whether applicant is a director of any Bank or IBL* Yes (please specify)

(please specify)Business Salaried Agriculture Services

Preferred Verbal Communication Language

Sur Name

Name* Mr / Ms / Mrs / Dr / M/s

Mother Maiden Name*

Father Name*

Spouse Name*

Are you a shareholder in this Bank? Yes

No

Profession

No Nature of Account Current SavingsDetails of Investment / Bank Accounts

F

(please specify details)

(please specify)

Amount of deposit .`IBL Bank Account No. If existing customer, code

Others

Others

Mob 2 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone

Mob 1 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone

PAN No.

Passport No.

Driving License No.

Photo Ration CardExpiry

Post Off. Iden. No.PAN Holder

2W LMV MGV/MPV HGV/HPV Others_______Nature Expiry

Voter ID

CKYC ID Virtual ID

AADHAAR No. (UID)

GST Udyog Aadhaar

7. FAMILY INCOME DETAILS

8. CREDIT CARD / BANK DETAILS

Credit Card Details (Please note if you have more than one credit card then give details of the major credit card)

Do you have a credit card? Yes No

Name of bank

Account type

Card issued by Credit Limit `.

Other Bank Details (2)PDC Bank Details (1)NUMBER OF BANK ACCOUNTS

Card Number

Branch Name

Branch Address

Relationship with Applicant Number of earning members other than applicant

Gross Earnings p.m. .`

Net Earnings p.m. .` Gross Profit p.a. .`

Turnover p.a. .`

Total Family Income p.m. (excluding applicant’s income)`.

Net Profit p.a. .`

Income from: Business Profession

Credit card expiry date

6. INCOME DETAILS – SALARIED

Department

Address of Previous employer

Name of Previous employer

Gross Income . p.m. `

Rental Income . p.m.`

Proprietorship PS Firm

Total years of Service Years Months Total income of the applicant . p.a.`

Deduction . p.m.` Net . p.m.`

Other Income . p.a. (please specify)`

MonthsYearsDesignation

Public Ltd. MNC Govt. Military Others

Years of Service in current job

Pvt. Ltd. T.A.S.C. (please specify)

Ty

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of

Org

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isa

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n5. INCOME DETAILS BUSINESS / PROFESSION

Type of organisation Number of Partners / DirectorsProprietorship PS Firm Pvt. Ltd. Public Ltd. MNC

Whether Business / Profession owned by the family

Others

Total Years in Business / Profession Years Months

Yes No RentedBusiness Premises Ownership Self Owned Parent Owned Others

Years in current Business / Profession Years Months

Rental Income . p.a.`

Networth . (Capital + Reservesexcluding revaluation reserves)

`

NOTE : Details as per latest P&L, BS, ITR.

Other Income . p.a. (please specify)`

(please specify)

(please specify)

Total debts `. (All secured &unsecured loans)

State

City

Pin code

Phone with STD code

Account Number

Account opened on

Opening Balance as of Opening Balance `.

Closing Balance `.Closing Balance as of

Place where the land or building is situated(Please furnish details of Survey Nos.,

Door No., Name of Street etc.)Ancestral or self-acquired If encumbered to

what extent

a. Immovable Assets :

Sq. Feet / AcreUsed for Agri/

Residential/Official/Commercial Purpose

Market Value `.

b. Liquid Assets :

Particulars

1. Cash and Bank balance

2. Govt. Securities (give details)

3. Shares

4. Life Insurance Polices (Sum assured)

5. Jewellery (_______________grams)

6. Investment in business

7. Investment in Associate firms, if any

8. Others (please specify)

Book value (`.) Encumbered Y/N Loan O/S (`.)

9. ASSET & LIABILITY DETAILS

IFS code

MICR

IFS code

MICR

Registration date

10. PROPERTY UNDER CONSIDERATION

PINCity

Area of land*

Purchased from:

House Type

Age of the Building

Ownership of the Property

Nature of Interest*

Tenor

Patta held in the name of __________________________________________

Nearest landmark ________________________________________________ Nearest bus depot ____________________________________________________________

Registration Ref. ________________________________________________ Sub-Registrar Office___________________________________________________________

Whether the Property is insured _________________________________________ If so, whether the insurance cover still on _____________________________________

What is the Insured Declared Value _______________________________________

Amount requested (in words) (`) ________________________________________________________________________________________________________________

Monthly expenditure (`) ______________________________________ Monthly instalment you can pay _________________________(`) _________________

Amount requested (in figures) (`) __________________________

Deduction of monthly instalment by

Product Type:

Taluk _________________________________________________________ Nearest Police Station _________________________________________________________

District State

Address

sq.ft.

Builder

Independent

yrs

Single

Fixed

yrs

Standing instruction to IndusInd Bank

UDS sq.ft. Build up area* sq.ft. No. of units Floor

Society

Flat

Development authority Resale Self construction Name of seller ______________________________

Survey No. _________________________

Building Type Residential Commercial Semi-Residential

No. of Previous owners

Jointly, if jointly, name(s) and relation _____________________________________________________________________

Floating Others___________________ ROI applied for . %

NACH

Loan for Construction

Is it the first owned property Yes No

Debit Mandate

9. ASSET & LIABILITY DETAILS (Contd...)

Loan taken from(Banks/Private

Finance/Relatives/Others

Type of loanAgreement

Value(`. in lacs)

PresentOutstanding(`. in lacs)

No. ofInstalments

paid

TotalInstalments(Payable)

EMIAmount

(`.)

Proof givenRepayment Track/

Bank Debits/Receipt copies

c. Liabilities

Total

12. BASIC INFORMATIONCO-BORROWER – (INDIVIDUAL) Related to Borrower: Yes No

Relationship:

13. ADDRESSCO-BORROWER Preferred Mailing Address Present Permanent Office Regd. Office

PR

ES

EN

T

Flat / Door No. & Building Name*

Road Number / Road Name*

Is it a PP No.?* Yes No

PIN*

Landmark*

City* District*

Ph / Mob 1*

Alternate Mobile 2

Fax No.

State*

E-mail ID*

Address is as in (Address proof)

11. LOAN DETAILS

Purchase of House / Flat Renovation Improvement Take Over without topup

If there are more details please use a separate sheet

No. of Kids* No. of Dependents*

Religion*

Caste*

Actual Subsect & Sub Caste name as per Govt. Classification*

Date of Birth* Single Married Gender* Marital Status*TGM

Educational Qualification* 10 + 2 Graduate Post Graduate and above Professional Others10th or below (please specify)

Christian

ST

Muslim

MBC

Buddhist

BC

Sikh

OBC

Others

Others

Hindu

SC FC

Zorastrian Jain (please specify)

(please specify)

Type of Residence* Parent Owned Co Leased RentedOwned Others (please specify)

Years Number of years in this City MonthsNationality*

Occupation*

Residential Status* Non-Resident

Others

Monthly Rental Payable : `.Resident

Indian

Years Number of years in this house Months

Person with disability No Yes

Whether applicant is a director of any Bank or IBL* Yes (please specify)

(please specify)Business Salaried Agriculture Services

Preferred Verbal Communication Language

Sur Name

Name* Mr / Ms / Mrs / Dr / M/s

Mother Maiden Name*

Father Name*

Spouse Name*

Are you a shareholder in this Bank? Yes

No

Profession

No Nature of Account Current SavingsDetails of Investment / Bank Accounts

F

(please specify details)

(please specify)

Amount of deposit .`IBL Bank Account No. If existing customer, code

Others

Others

If no existing owned property, Address ______________________________________

_____________________________________________________________________

6 3

Take Over with topup

Mob 2 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone

Mob 1 is Pre paid Post paid ISP: Others____________________________Airtel BSNL Idea MTNL Reliance TATA Vodafone

OFF

ICE/

BU

SIN

ESS

Is it a PP No.?* Yes No

Name of the organization*

Office/Business Address*

PIN*

Landmark* E-mail ID*

City* District*

Phone No.* Fax No.

State*

13. ADDRESS (Contd...)CO-BORROWER Preferred Mailing Address Present Permanent Office Regd. Office

14. IDENTITY PROOF DETAILS (One Identity Proof is Mandatory)CO-BORROWER

16. INCOME DETAILS BUSINESS / PROFESSIONCO-BORROWER

15. INCOME DETAILS – AGRICULTURECO-BORROWER

18. FAMILY INCOME DETAILSCO-BORROWER

17. INCOME DETAILS – SALARIEDCO-BORROWER

Relationship with Applicant Number of earning members other than applicant

Gross Earnings p.m. .`

Net Earnings p.m. .` Gross Profit p.a. .`

Turnover p.a. .`

Total Family Income p.m. (excluding applicant’s income)`.

Net Profit p.a. .`

Income from: Business Profession

Department

Address of Previous employer

Name of Previous employer

Gross Income . p.m. `

Rental Income . p.m.`

Proprietorship PS Firm

Total years of Service Years Months Total income of the applicant . p.a.`

Deduction . p.m.` Net . p.m.`

Other Income . p.a. (please specify)`

MonthsYearsDesignation

Public Ltd. MNC Govt. Military Others

Years of Service in current job

Pvt. Ltd. T.A.S.C. (please specify)

Ty

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19. CREDIT CARD / BANK DETAILSCO-BORROWER Credit Card Details (Please note if you have more than one credit card then give details of the major credit card)

Do you have a credit card? Yes No

Name of bank

Account type

Card issued by Credit Limit .`

Other Bank Details (2)PDC Bank Details (1)NUMBER OF BANK ACCOUNTS

Credit card expiry dateCard Number

Branch Name

Branch Address

Type of organisation Number of Partners / DirectorsProprietorship PS Firm Pvt. Ltd. Public Ltd. MNC

Whether Business / Profession owned by the family

Others

Total Years in Business / Profession Years Months

Yes No RentedBusiness Premises Ownership Self Owned Parent Owned Others

Years in current Business / Profession Years Months

Rental Income . p.a.`

Networth . (Capital + Reservesexcluding revaluation reserves)

`

NOTE : Details as per latest P&L, BS, ITR.

Other Income . p.a. (please specify)`

(please specify)

(please specify)

Total debts `. (All secured &unsecured loans)

Agriculture type: Farmer Landlord Dairy Farm Poultry Aquaculture Others (please specify)

Sl.No.

LandOwnership*

LandOwner

Relationship Areain Acres

Taluk, Village & Pincode Survey/Patta No.

Free/Encumbered

MarketValue (`.)

Land Taxp.a. (`.)

IrrigationSource $

* Land Ownership : Self Owned / Parent Owned / Lease / Rented / Family Owned $ Irrigation Source : River / Lake / Well Pumpset / Govt. supplied / Rainfed** Type of Crop : Food Crops / Fruit Crops / Root & Tubers / Pulses / Cash Crops / Vegetables / Decorative Flowers / Cereals s Soil Type : Red / Black / Sandy / Marshy / Alluvial / Others (please specify)7/12, 8A, 6D, Khasra, Khatavani, Pahani, Chitti, Adangal, EC, Ebill, Saledeed, Land book – Documents should be verified for these lands.

Soil Type s Type of Crop** Name of CropHarvesting Cycles

Per AnnumYield/Acre

(in quintals)Market Price(`.per quintal)

Cost / Expensesper Acre per Cycle (`.)

Tractor RentalsSpent p.a. (`.)

Net Income (`.)/Harvesting Cycle

Since how long you are into Agriculture years

Are you a member of any Primary Agricultural Co-op Society No YesTax Return Filed Yes No Saral dated

Sl.No.

Do you own tractor(s) No Yes Free Nos. On Loan Nos.

PE

RM

AN

EN

T Flat / Door No. & Building Name*

Road Number / Road Name*

PIN*City* District*

Is it a PP No.?* Yes NoPh / Mob 1* Fax No.

State*

PAN No.

Passport No.

Driving License No.

Photo Ration CardExpiry

Post Off. Iden. No.PAN Holder

2W LMV MGV/MPV HGV/HPV Others_______Nature Expiry

Voter ID

CKYC ID Virtual ID

AADHAAR No. (UID)

GST Udyog Aadhaar

19. CO-BORROWER CREDIT CARD / BANK DETAILS (Contd...)

b. Liquid Assets :

Particulars

1. Cash and Bank balance

2. Govt. Securities (give details)

3. Shares

4. Life Insurance Polices (Sum assured)

5. Jewellery (_______________grams)

6. Investment in business

7. Investment in Associate firms, if any

8. Others (please specify)

Book value (`.) Encumbered Y/N Loan O/S (`.)

Loan taken from(Banks/Private

Finance/Relatives/Others

Type of loanAgreement

Value(`. in lacs)

PresentOutstanding(`. in lacs)

No. ofInstalments

paid

TotalInstalments(Payable)

EMIAmount

(`.)

Proof givenRepayment Track/

Bank Debits/Receipt copies

c. Liabilities

Total

20. ASSET & LIABILITY DETAILSCO-BORROWER

Place where the land or building issituated (Please furnish details

of Survey Nos., Door No. Name ofStreet etc.)

Ancestral or self-acquired If encumbered towhat extent

a. Immovable Assets :

Sq. Feet / AcreUsed for Agri/

Residential/Official/Commercial Purpose

Market Value `.

Account opened on

Opening Balance as of Opening Balance `.

Closing Balance `.Closing Balance as of

21. REFERENCE INFORMATION (Please give the Name of a Relative / Friend in your City who does not stay with you as Reference)

Name of the person

Address

Phone (with STD code)

Relationship with applicant

PIN PIN

State

City

Pin code

Phone with STD code

Account Number

IFS code

MICR

IFS code

MICR

This has reference to your application in respect of ………….............… facility to be availed from Consumer Finance Division of our Bank and we are pleased to appreciate your interest for availing the same. We have evaluated your application and the other documents submitted by you on the following parameters of the bank:

(a) Purpose for which the credit facility will be utilized (b) Eligibility norms of Induslnd Bank. (c) Track record of past borrowings of the applicant (d) Exposure of the applicant relating to the field for deployment of the credit (e) Statutory and regulatory provisions applicable to Induslnd Bank On perusal of the information / documents furnished by you on the above criteria, we regret to inform you that we are not in a position to sanction you the above credit facility under the present circumstances. Please note that the above criteria and the conclusion do not in any way reflect the credit worthiness of the applicant. We thank you for approaching our bank and the interest shown by you for availing credit facility from us.

Yours sincerelyFor Induslnd Bank Ltd.

Name : Designation :

Date: HL Application No. AREJECTION SLIP

Lo

an

Date:

The status of the loan would be known to the applicant within 7 working days from the date of receipt of application along with the required documents. The Bank may require any additional information / documents for evaluating the credit worthiness of the applicant. For knowing the status of your loan application, please contact our Branch at which the application was submitted.

ACKNOWLEDGEMENT SLIP

Name of the Applicant:_________________________________________________ Co-Applicant:__________________________________________________________

AHL Application No.

No manual receipts are issued by the Bank. Hence do not pay any dues (any time) without a valid Hand Held Machine generated receipt being issued to you; Note that the Bank would not be responsible for any money remitted / given by you to any executive / representative of the Bank, without obtaining a valid money receipt. Also do not accept any receipt with corrections / alterations. Always ask the Executive to show his Bank-issued Identity Card and in case of any doubt, we request you to visit our local Office and pay the dues.

For Bank use only

22. DECLARATIONI / WE THE PROPOSED BORROWER / CO-BORROWER / GUARANTORS IS / ARE ASSESSED

For Income Tax : No Yes PAN As per ITR : A.Y. 20......... - 20......... `...................................................

For Wealth Tax : No Yes As per WTR : A.Y. 20......... - 20......... `...................................................

Form 60/61 declaration (to be filled in by those who do not have PAN) Reason for not having PAN No. : ........................................................ I/We, .........................................................do hereby declare that what is stated is true to the best of my/our knowledge and belief.

In submitting the above application, I/We the undersigned, solemnly affirm that the information above set forth are in all respects true, accurate, complete and the same may be relied upon by you; I/We hold ourselves liable for any mis statement. It correctly states our true and real condition on the date hereof and we have not knowingly withheld any information that might affect the acceptance of our proposal. I/We expressly agree to notify immediately to you in writing of any material change that may occur in our financial and other condition.

I/We declare that all the particulars and information given in the application form are true, correct and complete and upto date in all respects and I/We have not withheld any information. I/We confirm that I/We had no insolvency proceedings initiated against me/us nor have I/We ever been adjudicated insolvent. I/We have read the application form and brochures and am/are aware of all the terms and conditions of availing finance from IndusInd Bank Ltd. I/We authorise IBL or its agent to make references and deduping / verification / validation / checking enquiries relating to information in this application which IBL considers necessary. I/We also authorise IBL to exchange, share, part with all information relating to my/our finance details and repayment history information to other banks/FIs/Credit bureaus/agencies/Banks other branches/subsidiaries/associates/affiliates or third parties as may be required for KYC information verification, credit risk analysis or for other related purposes that, the Bank may deem fit, and I/We shall not hold IBL liable for use of this information. I/We waive the privilege of privacy and privity of contract. I/We undertake to inform IBL regarding any change in my/our residence/employment and to provide any further information that IBL may require. I/We further agree that my/our finance shall be governed by the rules of IBL which may be in force from time to time and note that IBL reserves the right to reject an application without providing any reason.

I / We agree and acknowledge that only direct telephone numbers (not board / general telephone numbers of offices / corporates / employers) will be accepted for registration of "Do not call". I / We note that, I / We may receive call(s) from the Bank to verify the correctness of the request for registration. I / We also note that, the Bank may use my / our contact details to contact me / us and offer carefully selected products and services from time to time either directly or through its agents or authorised representatives.

I/We / to receive information on product / services etc for Marketing purpose through Telephone / Mobile / SMS / Email by the Bank / its agents.

I/We confirm that :

* NO SIGNATURE PROOF : my/our proof of identity submitted to the Bank does not contain my/our signature(s) and have requested the Bank to treat my/our signature as signed by me/us herein asvalid and accept it for all transactions which I/We may have with the Bank in future.

* SIGNATURE DIFFERENCE : my/our present signature differs from my/our old signature as appearing in proof of identity submitted to the Bank and have requested the Bank to treat the signatureas signed by me/us herein as valid and accept it for all transactions which I/We may have with the Bank in future.

* VERNACULAR SIGNATURE : I/We have signed in a Vernacular language and that, contents of this form, loan sanction letter, agreement etc, were explained to me/us in my/our language andfurther that I/We have understood and/accepted the same in its entirety.

* THUMB IMPRESSION : I/We being illiterate(s) have affixed my/our thumb impression(s) in the form/agreement, DPN etc. and that, contents of this form, loan sanction letter, agreement etc. wereexplained in my/our language and further that, I/We have understood and accepted the same in its entirety.

I/We voluntarily give my/our consent to IndusInd Bank to use my/our Aadhaar Details to authenticate me/us from UIDAI and link the Aadhaar Number to all my/our existing / new / future loan accounts and customer profile (CIF) with your Bank and Use my Mobile Number for sending all SMS Alerts to me/us.

consent do not consent

23. SIGNATURE AND PHOTOGRAPH OF THE BORROWER / CO-BORROWER

* In case a guarantor is also taken in, use a separate application form for filling the details. In case the application is signed by an authorised POA holder kindly mention the POA holder name also. In case of non individuals, the authorised representative who is signing the application must sign so, along with affixing of the official rubber stamp of the firm, Company etc.

SIGNATURE SIGNATURE

Affix a RecentPassport Size Photograph

Borrower

Affix a RecentPassport Size Photograph

Co - Borrower(if any)

Name ______________________________________________

Date ___________ Place ______________________________

Name ______________________________________________

Date ___________ Place ______________________________

24. DECLARATION1. I/We confirm that on my/our volition, opt to avail of the property insurance for the purpose of this loan through IBL partners

2. I/We desire to be a part of the group insurance arranged through IBL partners and in this regard hereby declare that the statements made by me/us in the proposal for are true and complete to the best of my/our knowledge and belief. I/We am/are aware that this is a insurance product from respective insurance

3. I/We understood the covers being offered under this policy/these policies and am/we are aware of the applicable terms and condition and are aware that any omission or incorrect statement will invalidate the cover

4. I/We here by agree that IndusInd Bank Ltd is at free to obtain/share any information about me/ us to any organization – as the Bank may deem fit. I/We agree to the Bank taking appropriate measures to capture the voice log on all such telephonic transactions carried out by me/us, in accordance with procedures/regulations

5. I am/ we are aware that mere consent/signing the proposal form does not guarantee start of the insurance coverage applied for. In the event of rejection of my/our proposal form by the insurance company for any reason whatsoever, I/We will not hold Bank responsible for the same.

6. I/We have decided to subscribe to the products on my/our own decision. I/We have not relied upon or influence by any suggestion by the bank and/ or any of its employees on the merit of suitability of this/these products(s). I/We will not hold the bank responsible for any losses that I/We may suffer in connection with my/our selection.

7. I/We understand provisions relating to know your customers and anti-money laundering. I/We confirm having compiled with and completed the requirements

8. I/We hereby agree that this declaration shall from the basis of the contract between me /us and the insurance company (IBL authorized partners) in case of group coverage. I/We agree to abide by and be bound by the terms, conditions rules and regulations of the contract.

9. I/We understand that in case of any claim under policy. IBL will not undertake any responsibility or will not accept any correspondence and the same have to be pursued only with the insurance company.

10. I /We also note that in the event of any claim under property insurance policy, the claim will be directly paid to IBL. I/We nominate IBL for the same and on receipt of claim amount IBL will release the original documents of the property and lien release letter of the property subject to full and final settlement of the loan

11. In case of cancellation of insurance for any reason whatsoever, I/We authorize IBL to receive funds of premium, (if any, paid by IBL on my/ our behalf) from the insurer upon such cancellation and I/We further note that, such refunds would be “short scale basis” only

12. I/We have opted to avail funding against property insurance premium and pay applicable interest there on (as part of the loan availed) over the loan period.

I/We confirm that the IBL has disclosed to me/us the rates of commissions/other fee chargeable on the transactions made by me/ us on the group enrollment/General insurance products.

I/We here by authorize IBL/its tele marketer to make calls/send sms/write to me/us on/for informing/soliciting insurance products/process/services and this may be construed as my/our enquiry and I/we here by agree to abide with all the processes connected with this activity notwithstanding any registration made by me/ us in National Do Not Call Registry.

* Insurance is a subject matter of solicitation

Signature ofCustomer(s)

CB:B:

Floating Rate:

For loans being sanctioned under Floating rate, 1year MCLR as on the date of first disbursement would apply a margin representing credit risk premium and business strategy spread would be added to the same. Interest rate given herein is only indicative. Before the first disbursement if there is any change in Bank’s MCLR, the loan ROI would be revised suitably, at bank's discretion. The ROI would be reset basis changes in Banks MCLR annually with reference to the first disbursement date and the repayment cycle date.

______________

These Charges / Fees collected by the Bank are exclusive / inclusive of applicable Goods and Service Tax (GST) + Cess + Other levies if any, at current rates. Category of GST : Banking and Financial Services. The various statewise registration nos are:

Sourcing Details:

Executive Name

Sourcing code / ECN No.

Mobile No.

Signature of the Executive whocontacted the applicant

01AAACI1314G1ZH 02AAACI1314G1ZF 03AAACI1314G1ZD 04AAACI1314G1ZB 05AAACI1314G1Z906AAACI1314G1Z7 07AAACI1314G1Z5 08AAACI1314G1Z3 09AAACI1314G1Z1 10AAACI1314G1ZI11AAACI1314G1ZG 12AAACI1314G1ZE 13AAACI1314G1ZC 14AAACI1314G1ZA 15AAACI1314G1Z816AAACI1314G1Z6 17AAACI1314G1Z4 18AAACI1314G1Z2 19AAACI1314G1Z0 20AAACI1314G1ZH21AAACI1314G1ZF 22AAACI1314G2ZC 23AAACI1314G1ZB 24AAACI1314G1Z9 25AAACI1314G1Z726AAACI1314G1Z5 27AAACI1314G1Z3 29AAACI1314G1ZZ 30AAACI1314G2ZF 32AAACI1314G1ZC33AAACI1314G1ZA 34AA.ACI1314G1Z8 36AAACI1314G1Z4 37AAACI1314G1Z2

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3form and shall not return the same to applicant.

3 IndusInd Bank (IBL) will decide quantum of the loan at its sole discretion.

3 _________

3 All repayment instruments / mandates are to be issued favoring "Indusind Bank Limited" and duly filled in as required.

3 The loan is sanctioned on floating rate of interest basis and the said ROI is arrived at by adding Risk / Tenor / Product mark ups on currently declared MCLR (Marginal Cost Lending Rate + Credit Risk Premium + Tenor Premium + Business Strategy Spread of the Bank. The applicable ROI would be revised subject to terms as specified in the Loan Sanction Letter) Loan Agreement.

IBL reserves the right to retain the photograph and documents submitted along with the application

The Monthly Installments (EMI) in connection with the loan will be due on of every month.

MOST IMPORTANT DOCUMENT AHL Application No.

Dear Customer,This is to confirm receipt of your application form along with below mentioned documents.

Pre-sanction documents As Borrower As Co-borrower Date

Application form

Recent Passport size Photograph (signed across)

Proof of Age (specify)

Proof of Identity (specify)

Proof of Residence (specify)

Proof of Qualification (specify)

Proof of Business / Office address (specify)

Proof of Continuity of current job (specify)

Latest 3 months' salary slip

Proof of COI / COCB / MOA / AOA

Proof of Partnership Deed

Proof of Property Deed

Proof of Permit Copies

Proof of Work Order

Proof of Audited Financials

Proof of Valuation Certificate

Proof of SOA of Other Financial Exposure

Proof of Turnover (Latest sales / GST returns)

Form 16

Latest 3 years' ITR with computation of income / certified financials

Latest 6 months' bank statements (where salary income is credited)

Loan Account Statements for Repayment track record

Signature verification

Other documents if any

IMPORTANT NOTE :Kindly ensure to properly check and self-attest all documents submitted with date.Kindly do not make any payment in cash, bearer cheque or kind to the Executive in connection with this loan application.Note that :3 The receipt of your application form for the loan does not imply automatic approval of your loan by IBL.3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner

for the resulting delay or otherwise.3 IBL may request for additional documents other than those collected in connection with the application.3 IBL shall not be liable for loss or delay in the receipt of documents.3 IBL reserves the right to reject any application without assigning any reasons.

3form and shall not return the same to applicant.

3 IndusInd Bank (IBL) will decide quantum of the loan at its sole discretion.

3 _________

3 All repayment instruments / mandates are to be issued favoring "Indusind Bank Limited" and duly filled in as required.

3 The loan is sanctioned on floating rate of interest basis and the said ROI is arrived at by adding Risk / Tenor / Product mark ups on currently declared MCLR (Marginal Cost Lending Rate + Credit Risk Premium + Tenor Premium + Business Strategy Spread of the Bank. The applicable ROI would be revised subject to terms as specified in the Loan Sanction Letter) Loan Agreement.

IBL reserves the right to retain the photograph and documents submitted along with the application

The Monthly Installments (EMI) in connection with the loan will be due on of every month.

FOR B

ANK'S

USE O

NLY

CUSTO

MER C

OPY

MOST IMPORTANT DOCUMENT AHL Application No.

Dear Customer,This is to confirm receipt of your application form along with below mentioned documents.

Pre-sanction documents As Borrower As Co-borrower Date

Application form

Recent Passport size Photograph (signed across)

Proof of Age (specify)

Proof of Identity (specify)

Proof of Residence (specify)

Proof of Qualification (specify)

Proof of Business / Office address (specify)

Proof of Continuity of current job (specify)

Latest 3 months' salary slip

Proof of COI / COCB / MOA / AOA

Proof of Partnership Deed

Proof of Property Deed

Proof of Permit Copies

Proof of Work Order

Proof of Audited Financials

Proof of Valuation Certificate

Proof of SOA of Other Financial Exposure

Proof of Turnover (Latest sales / GST returns)

Form 16

Latest 3 years' ITR with computation of income / certified financials

Latest 6 months' bank statements (where salary income is credited)

Loan Account Statements for Repayment track record

Signature verification

Other documents if any

IMPORTANT NOTE :Kindly ensure to properly check and self-attest all documents submitted with date.Kindly do not make any payment in cash, bearer cheque or kind to the Executive in connection with this loan application.Note that :3 The receipt of your application form for the loan does not imply automatic approval of your loan by IBL.3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner

for the resulting delay or otherwise.3 IBL may request for additional documents other than those collected in connection with the application.3 IBL shall not be liable for loss or delay in the receipt of documents.3 IBL reserves the right to reject any application without assigning any reasons.

I / WE CONFIRM THAT THE EXECUTIVE COLLECTING THE APPLICATION / DOCUMENTS HAS / HAVE INFORMED ME / US:3 The applicable rate of interest - floating rate linked to the Bank’s 1 year MCLR to be reset annually.3 The interest on this loan would be calculated on monthly diminishing basis.3 Processing Fees, Admin Fees, Loan Handling Charges, Documentation Charges, Valuation Charges, RC Verification Charges and Stamping Charges (at actuals) etc.

$(non refundable) that will be charged towards loan application.3 The other applicable charges such as : Repayment Dishonour / Rejection Charges; Collection Charges; Repayment Mode Change Charges; Repayment

Swapping Charges (within the mode); Consecutive (two or more) Repayment Dishonour / Rejection and Related Pullout Charges; Closure of Bank account (without intiation) from which Repayment instruments has been issued; Loan Cancellation/Re-booking Charges (Refer to latest Schedule of Charges for further

$details).3 The Goods and Service Tax (GST)+Cess as may be applicable that will be charged in connection with various categories fees / charges collected (either as inclusive or as exclusive).THAT:3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner for the resulting delay or otherwise.3 IBL will not be liable for any loss or delay in receipt of documents.3 Documents / Photographs will not be returned under any circumstances, once submitted to IBL.3 Approval of the application is at the sole discretion of IBL and the quantum of the loan will be finally decided by IBL.3 In case of used / refinance / top-up loans, the finance amount / decision to finance would depend on valuation of asset.3 Equated Monthly Installment (EMI) will be due on ______________________ of every month.3 Loan foreclosure charges would (only) be applicable for fixed rate of interest loans (or) for Loans taken in the name of Non Individual Borrower.3 Such Foreclosure charges are levied / calculated on the balance principle outstanding of the loan. (Subject to clauses governing part prepayments)3 The loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are Where for

some reasons, there is a delay in concluding the loan, IBL reserves the right to revise the loan terms as may be applicable at the time of actual loan availment.I / We also confirm that,a) The executive has not made any commitments to me / us regarding the loan quantum / sanction process (or) promised any deviation / waiversb) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced by me / usc) We have not given / made any payment in cash, bearer cheque or kind along with or in connection with this loan application to the said executive (or) to any other

employee of the bank (or) to any other third partyd) The details of loan terms / conditions inclusive of all charges have been read by me / us in full / read out to me / us (in vernacular) and understood by

me / us.e) The copy of applicable Schedule of Charges has been collected by me / us.

valid for a period of 7 days only.

I voluntarily give my consent to IndusInd Bank to use my Aadhaar Details to authenticate me from UIDAI and link the Aadhaar Number to all my existing / new / future loan accounts and customer profile (CIF) with your bank and use my Mobile number for sending all SMS Alerts to me.

For any queries / clarifications please contact :

Executive Name **

at Mobile No.

at Land Line No.

Applicant Name

Signature of the Executive whocontacted the applicant

Applicant Signature

** Original Verified: Executive representing IBL should verify & certify all copies of documents submitted by applicant (with originals) in his presence andsign with date.

$During the currency of the loan, the Bank reserves the right to modify any / all the charges / fees applicable, from time to time, with a formal communication addressed to you (sent to your registered address).

I / WE CONFIRM THAT THE EXECUTIVE COLLECTING THE APPLICATION / DOCUMENTS HAS / HAVE INFORMED ME / US:3 The applicable rate of interest - floating rate linked to the Bank’s 1 year MCLR to be reset annually.3 The interest on this loan would be calculated on monthly diminishing basis.3 Processing Fees, Admin Fees, Loan Handling Charges, Documentation Charges, Valuation Charges, RC Verification Charges and Stamping Charges (at actuals) etc.

$(non refundable) that will be charged towards loan application.3 The other applicable charges such as : Repayment Dishonour / Rejection Charges; Collection Charges; Repayment Mode Change Charges; Repayment

Swapping Charges (within the mode); Consecutive (two or more) Repayment Dishonour / Rejection and Related Pullout Charges; Closure of Bank account (without intiation) from which Repayment instruments has been issued; Loan Cancellation/Re-booking Charges (Refer to latest Schedule of Charges for further

$details).3 The Goods and Service Tax (GST)+Cess as may be applicable that will be charged in connection with various categories fees / charges collected (either as inclusive or as exclusive).THAT:3 Incomplete / defective application will not be processed and IBL shall not be responsible in any manner for the resulting delay or otherwise.3 IBL will not be liable for any loss or delay in receipt of documents.3 Documents / Photographs will not be returned under any circumstances, once submitted to IBL.3 Approval of the application is at the sole discretion of IBL and the quantum of the loan will be finally decided by IBL.3 In case of used / refinance / top-up loans, the finance amount / decision to finance would depend on valuation of asset.3 Equated Monthly Installment (EMI) will be due on ______________________ of every month.3 Loan foreclosure charges would (only) be applicable for fixed rate of interest loans (or) for Loans taken in the name of Non Individual Borrower.3 Such Foreclosure charges are levied / calculated on the balance principle outstanding of the loan. (Subject to clauses governing part prepayments)3 The loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are Where for

some reasons, there is a delay in concluding the loan, IBL reserves the right to revise the loan terms as may be applicable at the time of actual loan availment.I / We also confirm that,a) The executive has not made any commitments to me / us regarding the loan quantum / sanction process (or) promised any deviation / waiversb) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced by me / usc) We have not given / made any payment in cash, bearer cheque or kind along with or in connection with this loan application to the said executive (or) to any other

employee of the bank (or) to any other third partyd) The details of loan terms / conditions inclusive of all charges have been read by me / us in full / read out to me / us (in vernacular) and understood by

me / us.e) The copy of applicable Schedule of Charges has been collected by me / us.

valid for a period of 7 days only.

I voluntarily give my consent to IndusInd Bank to use my Aadhaar Details to authenticate me from UIDAI and link the Aadhaar Number to all my existing / new / future loan accounts and customer profile (CIF) with your bank and use my Mobile number for sending all SMS Alerts to me.

For any queries / clarifications please contact :

Executive Name **

at Mobile No.

at Land Line No.

Applicant Name

Signature of the Executive whocontacted the applicant

Applicant Signature

** Original Verified: Executive representing IBL should verify & certify all copies of documents submitted by applicant (with originals) in his presence andsign with date.

$During the currency of the loan, the Bank reserves the right to modify any / all the charges / fees applicable, from time to time, with a formal communication addressed to you (sent to your registered address).