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Empanelment of Direct Setting Agents (DSAs)

Union Bank of lndia is interested in empanetting Direct Setting Agents (DSAs) forsourcing home loan business. The DSAs witt be expected to canvass home business andsubmit home loan applications of the prospective appticants to the bank. EmpanettedDSAs witl. not be an employee of the Bank and witt be paid an incentive, as per Bank

Poticy, for mobilizing home toan business. Empanetment and termination of a DSA wittbe at the sote discretion of the Bank, Empanelment witt be vatid for 3 years.lnterested person may coltect the apptication form from Union Loan Point, 16,

Navdurga co op. Housing Society, Near Ghelani Petrol Pump, Nizampura, Vadodara-390002, during office hours from 19lO9lZA20 and can a[so downtoad from Bank's

website www.unionbankofindia.co.in and e-procurement portal eprocure,gov.in. Duty

fitted apptications can be submitted to our above mentioned address on or beforeOy1A|2O2O by 03.00 pm. Appticant witl, be informed /calted for interviewindividuatty.

Note: Bank reserves the right to reject any or att applications without assigning anyreasons whatsoever.

Date: 18.06.2020Ptace: VadodaraRegional Head

Contact Numbers:Phone No. 0265-2783178

Mob. 639358807 4, 9909339017

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To,

Regional Manager,Union Bank of lndia,RegionalOffice, Mumbai( North ),Thane.

Flace:Date

Annexure I

Passport sizephoto

Sir /Madam,Subject: APPLICATION FOR EMPANELMENT AS DIRECT SELLING AGENT (DSA) WITH

UNION BANK OF INDIA,I submit herewith my application for the empanelment as Direct Selling Agent (DSA) for UnionBank of lndia. I have read the terms and conditions relating to the service and undertake that

are to me.

I declare that the statements in this application and the documents submitted ( as per list given

below ) are true, complete and correct to the best of my knowledge and belief. I declare , that no

criminal proceeding are pending against me. I further declare that I am not relative to any

existing employee of Union Bank of lndia. I understand that in the event of any information /document being found untrue,/incorrect at any stage my application is liable to be rejected and ifalready empaneiled, the empanelment is liable to be terminated.

Signature:Name:

1 Full Name ( in block letters)2 Father's/ Husband's name

3 Constitution ( tickappropriate option )

lndividual Proprietorship Partnership Company

4 Date of Birth/ incorporation(DD/MM/YYYY}

5 Age Years Months6 Address

7 Mobile Number8 Alternative Number9 PAN Card Number10 Present occupation1,L No. of years in employmentL2 Qualification13 Language Known

1.L4 Reference ( Name &Contact number )

2.

Documents to be submitted along with application :

1. Copy of pAN Card.2. Address proof { Latest telephone / mobile bill,

card )

electricity bill, gas bill, passport or ration

3' Two recent passport size photographs ( in addition to one affixed on application form )4. Latest lT return / Form 16.5. Bank statement for last six months.6. Enrolment letter, if enrolled with other Bank s/ Fr for similar service.7 ' ln case of firm: Registration certificate of firm / Articles of Association of the company

and incorporation certificate.