Untitled-2

Sourcing Channel

Branch DST DSA PBK Web Referral Sales Other Channel (Specify)

Source 1 Source 2 Source 3 Source 4

Branch Code LTS/CRMN No. Sales Promo Code LG Code

SM Emp Code SE Code DSA/DDSA Name

ASM Emp Code TSE Code

DSA /DDSA Vendor Code

Dealer SE Code

RSM Emp Code TL Code

LOAN APPLICATION FORM

Fields marked in "RED" are mandatory

BANK USE SECTION

I wish to apply for below ticked () loan and request you to process the loan application as per details provided in the form

Application date

D D M M Y Y

Cust Id

Title

Mr. Ms. M/S. Others __________

Applicant Name

Single Married

Religion ____________

(Residence)

Landmark Years at current city Y Y M M

City Years at current residence Y Y M M

State Country

Tel (R) S T D - L A N D L I N E Mobile no. 91

e-mail ID I N C A P I T A L L E T T E R S O N L Y

Present Address is Owned Parental Company provided Rented (Monthly Rent in r

________________)

Tick if permanent address is same as above

Landmark

City

State

Tel (R /O) S T D - L A N D L I N E Mobile no. 91

Occupation Self employed professional

If self employed professional

Type of company

Nature of business

Type of company

Employer / Business Details Designaton:_________________ Exp in Current Job/Business

Yrs Months

Total Exp in Job/Business

Yrs Months

Landmark

City PIN Code

State Country

Tel (O) S T D - L A N D L I N E E X N T

Official e-mail ID I N C A P I T A L L E T T E R S O N L Y

Father's/

Husband's Name

Existing

Customer

A/C no.

Loan no.

PAN No.

Present Address

Permanent

Address

(Residence / Regd

Office)

B. OCCUPATIONAL DETAILS

If self employed

businessman /

Constitution

If Salaried

Type of industry

Company /

Employers Name

Company /

Employers

Address

CUSTOMER SECTION (to be filled by the Customer in CAPITAL LETTERS)

Salaried

Doctor

Pvt. Ltd.

Manufacturer

Pvt ltd.

Automobiles

Real estate

Self employed

CA / CS

Partnership

Agriculturist

Partnership

Agriculture based

Consumer Durables

Retired Housewife

Other___________

Ltd. liability co. Other___________

Trader/Distributor Comm. Agent

Retailers PSU Govt.

Capital goods Telecom

Marketing / Adv. Pharma

Student Other___________

Retailers Other___________

MNC Other___________

IT Retail

Media Other___________

Gender Status No. of Dependents

Co-Applicant

SC ST

OBC

Other________

Consultant

Proprietor

Service Provider

Proprietor

Banking

FMCG

Architect

Public Ltd.

BPO

NBFC

Preferred Mailing Address

Educational Details

Applicant Guarantor

Residence Office

Date of Birth/

Incorporation

Y YD D M M Y Y

Graduate Post Graduate & aboveUndergraduate

Personal Business Large Ticket Business Self Employed Professional

M F

Savings/ Current

Others _________

A. PERSONAL DETAILS (Leave space between two words)

App1

Cust Id

App 2

Cust Id

App 3

Aadhar Card No.

Country

Voter ID Card No.

PIN Code

Fax No.

Dealer / DSA Stamp / Signature

Page 1

1) Stamp Duty: At actual as per applicable law. 2) Interest rate of (subject to changes as per Terms and

Conditions/ Agreement) _________% p.a. (monthly reducing). 3) Processing Charges of Rs. ` ____________.

3(a). Services tax on PF _______%. 4) Cheque/SI/ECS return charges (without prejudice to the civil and

criminal rights and remedies of the Bank for the dishonor) : `r618/- Per instance 5) Default Interest / Late

payment charges : 2% per month from unpaid EMI 6) CIBIL Report Copy Charges: ` 50 per copy 7) Legal,

repossession and Incidental Charges: At actual 8) Duplicate Amortization/ Repayment Schedule: ` 200/-

9) Cheque/SI/ECS swapping Charges : ` 500/- 10) Details of Security _______ 11) Taxes at Actuals,

applicable presently or in future. 12) Date on which annual Outstanding balance statement will be issued: 31st

May 13) Loan Cancellation Charges: NIL. Interest would be charged for the interim period between date of

disbursement and date of loan cancellation.

Note: Visit http://www.hdfcbank.com for detailed fees and charges under the respective loan product.

Changes in charges from time to time are updated on bank’s website.

E. ADDITIONAL DETAILS

PERSONAL REFERENCE (Name & address of reference living in the same city)

Name____________________________________________________________________

Relationship with applicant ____________________________________________________

Residential address _________________________________________________________

__________________________________City______________State__________________

PIN ______________Mobile no.______________________ Landline no._______________ PIN ______________Mobile no.______________________ Landline no._______________

Vehicle Owned :

Manufacturer : _______________________________

Model :________________________ Bought in Yr. Y Y Y Y Financed Y N

Other Items : LCD / LED Microwave Home theatre Modular Kitchen Smartphone AC Laptop / Tablet

Wish to Apply for : Insurance Mutual fund Credit card FD/RD Advisory/Treasury Loan ______________

Washing machine

Savings / Current a/c

Relationship with

Other bank

Nature of Relationship:

__________________________________

Applicant is a director of any Bank or is a Firm in which any director is interested as partner / guarantor or is a relative of directors of

other banks or is a firm in which relatives of directors are interested as partner or director.

Relationship with

Financing bank

Applicant is a Director / Sr. Officer / relative of director or Sr. Officer of the Bank.

Page 2

Proprietor / Partner / Directors Details (For Partnership / Private Ltd. / Public Ltd. Co. Only)

R U P E E S

A/C no.

R U P E E S

Bank name

R U P E E S

Branch

R U P E E S

Cust ID Opened in Y Y Y Y

Rental Agricultural Account type

Other ________________ Credit card no.

Issuing Bank

C. INCOME AND BANKING DETAILS

Monthly salary

Existing Loan Details

1) Bank / Co. name ___________________________

____________ Loan type ______________________

Amount (`) _________ EMI (`I

) __________________

Tenure _____________ Start date _______________

Loan a/c no. ________________________________

2) Bank / Co. name ___________________________

____________ Loan type ______________________

Amount (`) _________ EMI (`i

) _______________

Tenure _____________ Start date _______________

Loan a/c no. ________________________________

Annual turnover

Net profit

Other income

source

Interested in opening HDFC Bank Account

Yes No

D. LOAN DETAILS - CUM - KEY FACT STATEMENT INCLUDING SCHEDULE OF CHARGES

Purpose of loan

Home renovation

Other _____________

EMI (`)

No. of Advance EMI

Scheme________________

Loan Amount ( )`

Months

Loan Tenure

Marriage

Travel

Business expansion

Education

Agriculture/Farming

Transportation of

Agri Produce

PAN no. Contact details Date of birth

Education background

Profit sharing/stakeholder %

Total experience

Name

Personal / Business Loan

12-24 Months of EMI Repayment- 4%

25 to 36 Months of EMI Repayment- 3%

>36 Months of EMI Repayment- 2%

Type of Loan

Applicable Service Tax will be charged on foreclosure charges

Due date of EMI

Prepayment not

allowed up to

payment of

Prepayment Charges

[on Principal

Outstanding]

Self Employed

Salaried

4th / 7th

4th

12 EMI

06 EMI

07-24 Months of EMI Repayment- 4%

25 to 36 Months of EMI Repayment- 3%

>36 Months of EMI Repayment- 2%

H. MOST IMPORTANT TERMS AND CONDITIONS AND DECLARATION BY THE CUSTOMER

I/We agree and confirm: (1) To the applicable schedule of charges, fees, commissions including the key facts informed to me by HDFC Bank Ltd.

(Bank) and as more particularly mentioned in the “Schedule of Charges” of this Application. (2) That the bank's representative/ staff will not receive

any payment in cash/ bearer cheque or kind along with or in connection with this loan application from me/ us. (3) That no discount or free gift or any

other commitment whatsoever is given to me/ us by the Bank or any of its authorized representative(s) other than what is not documented in this

application form the Terms and Conditions/ Agreement pursuant to the Loan. (4) The Bank shall not process incomplete/ defective application form,

for which if any loss or delay is caused to me/ us, I/We will not hold the Bank liable for such loss or delay. (5) That Loan processing and disbursement

will take at least 7 working days post submission of all requisite documents and information as may be required by the Bank as per Bank's criteria. (6)

That submission of loan application to your bank does not imply automatic approval by the Bank and the Bank will decide the quantum of the loan at

its sole and absolute discretion. The Bank in its sole and absolute discretion may either sanction or reject the application for granting the loan. Incase

of rejection, the Bank shall not be required to give any reason. (7) That the Bank shall have the right to make disclosure of any information relating to

me/us including personal information, details in relation to Loan, defaults, security, etc to the Credit Information Bureau of India (CIBIL) and/or any

other governmental/regulatory/statutory or private agency/entity, credit bureau, RBI, the Bank's other branches/ subsidiaries / affiliates / rating

agencies, service providers, other banks / financial institutions, any third parties, any assignes/potential assignees or transferees, who may need,

process and publish the information in such manner and through such medium as it may be deemed necessary by the publisher/ Bank/ RBI, including

publishing the name as part of willful defaulter's list from time to time, as also use for KYC information verification, credit risk analysis, or for other

related purposes. (8) The Bank reserves its right to reject the loan application and retain the loan application form along with the photograph,

information and documents. (9) That I/ We shall furnish any additional documents as and when required by the Bank. (10) That I/ We have not taken

any loan from any other bank/ finance company unless specifically declared by me/ us. (11) That there is no impediment or restriction (whether legal

or judicial) against me/ us and/or our asset filed/ reported by any other bank/ financer/ bank. (12) That the funds shall be used for the purpose for

which loan has been applied and will not be used for speculative or antisocial purpose. (13) I/ We do not have any existing customer ID or customer ID

apart from the one mentioned above, and incase found otherwise, Bank reserves the right to consolidate the customer IDs under a single customer ID

as it may decide, without any prior notice to me/ us. (14) That the information furnished by me/ us above is true and accurate.

Direct Agri (Agriculturist / Farmer / Agri allied activities like, dairy farming, poultry farming, fishery, bee-keeping etc)

3 to 5 >5 to 10 >10 to 15 > 15

Specify (acres):____________ Location

:_________________________________

:______________

Indirect Agri : Service units like trader / dealer in fertilizers / seeds / pesticides / cattle feed / poultry feed / agri equipment or machinery, dealer of tractors or contracting tractors / borewells etc.

Manufacturing enterprises Manufacturing unit with investment in plant & machinery upto ` 5 Lakh Manufacturing unit with investment in plant & machinery > ` 5 Lakh to ` 25 Lakh

Manufacturing unit with investment in plant & machinery > ` 25 Lakh to ` 5 Cr

Service unit with investment in equipment upto ` 2 Lakh Service unit with investment in equipment > ` 2 Lakh to ` 10 Lakh

Service unit with investment in equipment > ` 10 Lakh to ` 2 Cr

Khadi & village industries (KVI sector)

Declaration: I/we hereby declare/confirm that the vehicle purchased/ to be purchased / loan availed / to be availed by me/us shall be used

F. PRIORITY SECTOR CATEGORY

(Important : If applicant belongs to any of the below category, pls tick the box)

Service enterprise :

(Professional / Non

Professional / SRTO / Trade / Retail Trade)

For the purpose of Agriculture and/or assist the transport of agriculture input and farm product.

For the purpose of Business : I / We are aware that it is on the faith of this representation, declaration and confirmation that you have agreed to consider my loan application for financial assistance under the category of

Priority sector advances. I / We shall indemnify the bank to make the loss of good in the event of any loss or damage that may arise on account of false / incorrect declaration by me / us.

Value of investment (i)______________ CC limit(a) ____________

Value of investment (i)____________________________________

Land (acres)

Pin Code

(Bank Copy)

I / we confirm having submitted the following self attested documents (ticked below) along with this loan application form to the Bank representative

G. DOCUMENTS SUBMITTED

Photograph (signed across) Proof of Identity Proof of residence Latest 2 salary slips 3/6 months bank statement ______Post Dated Cheques

Proof of continuity of current job Proof of office Proof of qualification Loan Agreement Signature Verification ECS/SI mandate

______Security Post-dated cheques Proof of turnover (latest sales/services tax returns) Last 2 yr ITR with computed income

Loan a/c statement for balance transfer / balance transfer & top up / repayment / retention cases

Other declarations : I/ We : (1) shall advise the HDFC Bank Ltd. (Bank) in writing of any change in my/ our residential or employment address. (2) hereby

authorize and give consent to the Bank to disclose, without notice to me/ us, information furnished by me/ us in the application form(s)/ related documents

executed/ to be executed in relation to the facilities to be availed by me/ us from the Bank, to the Bank's other branches/ subsidiaries/ affiliates/ Credit

Bureaus/ Rating Agencies/ Service Providers, banks/ financial institutions, governmental/ regulatory authorities or third parties for information verification,

credit risk analysis, or for other related purposes that the Bank may deem fit. I/ We waive the privilege of privacy and privity of contract. (3) shall credit all

sums received by you in either or all the names of this account. (4) hereby confirm having received, read and understood the terms and conditions applicable

to this loan including the application form and the Terms and Conditions/ Agreement and accept the same. (5) hereby unconditionally, agree that these terms

may be changed by the Bank at any time and I / We will be bound by the amended terms and conditions. (6) Confirm that I/ We are citizen of India.

I / We also confirm that the executive collecting my loan Application / Document has informed me / us : (1) that services tax is applicable and will be

charged in connection with the loan. (2) all the commission/s (in the form of up front and trail commissions) payable to HDFC Bank for the insurance policy

recommended to me/us. (3) In the case of loan cancellation, the applicable pro-rata interest charges on any outstanding loan amount will have to be borne

by me/us. I understand that Processing Fee, Stamp Duty are non-refundable charges and would not be waived/ refunded in case of loan cancellation or

where the loan has not been disbursed. (4) That all the post-dated cheques are to be issued favouring HDFC Bank Limited A/c <Mention Product Name>

only. (5) that loan related information like “welcome letter”, “repayment schedule”, “Terms and condition”, “disbursal advice (as applicable to Personal Loan/

Business Loan)”, will be sent on the e-mail id mentioned by me/ us in this loan application form. (6) that I/ We can log on to HDFC Bank Net Banking

(www.hdfcbank.com) to view the welcome letter and repayment schedule. I/ We may also request for a physical copy of Welcome Letter and Repayment

Schedule separately if need be.

Page 3

Name: ____________________________________ Date:___________________ Place:_________________

Applicant's/Co-applicant's Signature

Please Paste

Latest Passport Size

Photograph

DO NOT CALL REGISTRY : I understand that in case I do not wish to receive promotional information through telephone calls / email / sms on products and services not currently

availed by me, I can register for "Do Not Call" service through the Bank's website www.hdfcbank.com or through PhoneBanking or other channels that the Bank may offer. I agree

that this service will not apply to receipt of advice and information regarding products and services currently availed by me, to help me in fully realising the benefits of the range of

financial solutions designed to make my banking relationship value added and more convenient.

I/We have read and verified the entire contents of the aforesaid Loan Application Form including the information, the Most Important Terms

and Conditions , the Declarations being Part A to Part J and I/We hereby irrevocably represent, confirm and declare that all the information

given thereunder are completely true and correct and further agree, acknowledge, accept and confirm the same.

92864/13.02.2014

CUSTOMER

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MOST IMPORTANT TERMS AND CONDITIONS AND DECLARATION BY THE CUSTOMER

I/We agree and confirm: (1) To the applicable schedule of charges, fees, commissions including the key facts informed to me by HDFC Bank Ltd. (Bank) and as more

particularly mentioned in the “Schedule of Charges” of this Application. (2) That the bank's representative/ staff will not receive any payment in cash/ bearer cheque or

kind along with or in connection with this loan application from me/ us. (3) That no discount or free gift or any other commitment whatsoever is given to me/ us by the

Bank or any of its authorized representative(s) other than what is not documented in this application form the Terms and Conditions/ Agreement pursuant to the Loan.

(4) The Bank shall not process incomplete/ defective application form, for which if any loss or delay is caused to me/ us, I/We will not hold the Bank liable for such loss or

delay. (5) That Loan processing and disbursement will take at least 7 working days post submission of all requisite documents and information as may be required by

the Bank as per Bank's criteria. (6) That submission of loan application to your bank does not imply automatic approval by the Bank and the Bank will decide the

quantum of the loan at its sole and absolute discretion. The Bank in its sole and absolute discretion may either sanction or reject the application for granting the loan.

Incase of rejection, the Bank shall not be required to give any reason. (7) That the Bank shall have the right to make disclosure of any information relating to me/us

including personal information, details in relation to Loan, defaults, security, etc to the Credit Information Bureau of India (CIBIL) and/or any other

governmental/regulatory/statutory or private agency/entity, credit bureau, RBI, the Bank's other branches/ subsidiaries / affiliates / rating agencies, service providers,

other banks / financial institutions, any third parties, any assignes/potential assignees or transferees, who may need, process and publish the information in such

manner and through such medium as it may be deemed necessary by the publisher/ Bank/ RBI, including publishing the name as part of willful defaulter's list from time

to time, as also use for KYC information verification, credit risk analysis, or for other related purposes. (8) The Bank reserves its right to reject the loan application and

retain the loan application form along with the photograph, information and documents. (9) That I/ We shall furnish any additional documents as and when required by

the Bank. (10) That I/ We have not taken any loan from any other bank/ finance company unless specifically declared by me/ us. (11) That there is no impediment or

restriction (whether legal or judicial) against me/ us and/or our asset filed/ reported by any other bank/ financer/ bank. (12) That the funds shall be used for the purpose

for which loan has been applied and will not be used for speculative or antisocial purpose. (13) I/ We do not have any existing customer ID or customer ID apart from the

one mentioned above, and incase found otherwise, Bank reserves the right to consolidate the customer IDs under a single customer ID as it may decide, without any

prior notice to me/ us. (14) That the information furnished by me/ us above is true and accurate.

Other declarations : I/ We : (1) shall advise the HDFC Bank Ltd. (Bank) in writing of any change in my/ our residential or employment address. (2) hereby authorize

and give consent to the Bank to disclose, without notice to me/ us, information furnished by me/ us in the application form(s)/ related documents executed/ to be

executed in relation to the facilities to be availed by me/ us from the Bank, to the Bank's other branches/ subsidiaries/ affiliates/ Credit Bureaus/ Rating Agencies/

Service Providers, banks/ financial institutions, governmental/ regulatory authorities or third parties for information verification, credit risk analysis, or for other related

purposes that the Bank may deem fit. I/ We waive the privilege of privacy and privity of contract. (3) shall credit all sums received by you in either or all the names of this

account. (4) hereby confirm having received, read and understood the terms and conditions applicable to this loan including the application form and the Terms and

Conditions/ Agreement and accept the same. (5) hereby unconditionally, agree that these terms may be changed by the Bank at any time and I / We will be bound by the

amended terms and conditions. (6) Confirm that I/ We are citizen of India.

I / We also confirm that the executive collecting my loan Application / Document has informed me / us : (1) that services tax is applicable and will be charged in

connection with the loan. (2) all the commission/s (in the form of up front and trail commissions) payable to HDFC Bank for the insurance policy recommended to me/us.

(3) In the case of loan cancellation, the applicable pro-rata interest charges on any outstanding loan amount will have to be borne by me/us. I understand that

Processing Fee, Stamp Duty are non-refundable charges and would not be waived/ refunded in case of loan cancellation or where the loan has not been disbursed. (4)

That all the post-dated cheques are to be issued favouring HDFC Bank Limited A/c <Mention Product Name> only. (5) that loan related information like “welcome

letter”, “repayment schedule”, “Terms and condition”, “disbursal advice (as applicable to Personal Loan/ Business Loan)”, will be sent on the e-mail id mentioned by me/

us in this loan application form. (6) that I/ We can log on to HDFC Bank Net Banking (www.hdfcbank.com) to view the welcome letter and repayment schedule. I/ We

may also request for a physical copy of Welcome Letter and Repayment Schedule separately if need be.

SCHEDULE

CHARGES