Application Form
Application Form
• Type of machine:
• Purpose:
• Imported/Indigenous:
• Name of supplier:
• Total Cost:
• Contribution by Promoters:
DMA/DST Details:
Cheque/DD No. Instrument date: DD/MM/YYYY Drawn on/ Bank and Branch Amount (in Rs)
D D M M Y Y Y Y
D D M M Y Y Y Y
Kotak Mahindra Bank
Please complete all sections in BLOCK letters and tick boxes wherever applicable. Date of Issue D D M M Y Y Y Y
Name of the Applicant Applicant
Mr./Mrs./Ms./Dr./M/s
First Name Middle Name Last Name
Details of the Applicant Existing CRN For Non-individual Applicant
Business Entity Details
Business Constitution Prop. concern Partnership Firm Private Ltd. Co. Public Ltd. Co. Society Trust HUF Others
Nature of Business Trading Manufacturing Export/Import Services Others
Industry / Sector / Activity
Current Office Address
City PIN
Telephone STD Code Fax
E-mail ID
Date of Incorporation D D M M Y Y Y Y PAN
Additional Office Address
(Factory/Shop/Branch)
City PIN
Telephone STD Code Fax
E-mail ID
GSTIN
City PIN
Telephone STD Code Mobile
E-mail ID
Residence Owned Rented Co-Provided Parental Others
Years at Current Residence Years in this city
City PIN
Telephone STD Code Fax
E-mail ID
Occupation Details
Business Trading Manufacturing Export/Import Services Others
Self Employed Professional CA Doctor Engineer Architect/Interior Decorator Others
Preferred Mailing Address Current Office Current Resi. Preferred Contact No. Current Office Current Resi. Mobile
GSTIN
1
Kotak Mahindra Bank
Co-Applicant Co-Borrower Guarantor Existing CRN Individual / Sole Proprietor
Personal Details
Name (Mr./Mrs./Ms./Dr.)
Relationship with Applicant
Date of Birth D D M M Y Y Y Y Marital Status Single Married Divorced Widowed
Gender Male Female Transgender No. of Dependents Children Others
Religion Category SC ST OBC Minority Community Others
Father’s Name
Mother’s Maiden Name
Spouse’s Name
PAN/GIR Number (if not available, please fill up Form 60/61 as applicable)
Passport0
Aadhaar No. No.
Voters ID No.
Driving License No.
Education Non graduate Graduate Post graduate Professionally qualified (Doctors, CAs, Engineers etc)
Contact Details
Current Resi. Address
City PIN
Telephone STD Code Mobile
E-mail ID
Residence Owned Rented Co-Provided Parental Others
Years at Current Residence Years in this city
Permanent Resi. Address
(if different from above)
City PIN
Telephone STD Code Fax
E-mail ID
Occupation Details
Business Trading Manufacturing Export/Import Services Others
Self Employed Professional CA Doctor Engineer Architect/Interior Decorator Others
Preferred Mailing Address Current Office Current Resi. Preferred Contact No. Current Office Current Resi. Mobile
GSTIN
City PIN
Telephone STD Code Fax
E-mail ID
Date of Incorporation D D M M Y Y Y Y PAN
Additional Office Address
(Factory/Shop/Branch)
City PIN
Telephone STD Code Fax
E-mail ID
GSTIN
Continued..... 2
Kotak Mahindra Bank
Co-Applicant Co-Borrower Guarantor Existing CRN Individual / Sole Proprietor
Personal Details
Name (Mr./Mrs./Ms./Dr.)
Relationship with Applicant
Date of Birth D D M M Y Y Y Y Marital Status Single Married Divorced Widowed
Gender Male Female Transgender No. of Dependents Children Others
Religion Category SC ST OBC Minority Community Others
Father’s Name
Mother’s Maiden Name
Spouse’s Name
PAN/GIR Number (if not available, please fill up Form 60/61 as applicable)
Passport
Aadhaar No. No.
Voters ID No.
Driving License No.
Education Non graduate Graduate Post graduate Professionally qualified (Doctors, CAs, Engineers etc)
Contact Details
Current Resi. Address
City PIN
Telephone STD Code Mobile
E-mail ID
Residence Owned Rented Co-Provided Parental Others
Years at Current Residence Years in this city
Permanent Resi. Address
(if different from above)
City PIN
Telephone STD Code Fax
E-mail ID
Occupation Details
Business Trading Manufacturing Export/Import Services Others
Self Employed Professional CA Doctor Engineer Architect/Interior Decorator Others
Preferred Mailing Address Current Office Current Resi. Preferred Contact No. Current Office Current Resi. Mobile
GSTIN
City PIN
Telephone STD Code Fax
E-mail ID
Date of Incorporation D D M M Y Y Y Y PAN
Additional Office Address
(Factory/Shop/Branch)
City PIN
Telephone STD Code Fax
E-mail ID
GSTIN
Continued..... 3
Kotak Mahindra Bank
Co-Applicant Co-Borrower Guarantor Existing CRN Individual / Sole Proprietor
Personal Details
Name (Mr./Mrs./Ms./Dr.)
Relationship with Applicant
Date of Birth D D M M Y Y Y Y Marital Status Single Married Divorced Widowed
Gender Male Female Transgender No. of Dependents Children Others
Religion Category SC ST OBC Minority Community Others
Father’s Name
Mother’s Maiden Name
Spouse’s Name
PAN/GIR Number (if not available, please fill up Form 60/61 as applicable)
Passport
Aadhaar No. No.
Voters ID No.
Driving License No.
Education Non graduate Graduate Post graduate Professionally qualified (Doctors, CAs, Engineers etc)
Contact Details
Current Resi. Address
City PIN
Telephone STD Code Mobile
E-mail ID
Residence Owned Rented Co-Provided Parental Others
Years at Current Residence Years in this city
Permanent Resi. Address
(if different from above)
City PIN
Telephone STD Code Fax
E-mail ID
Occupation Details
Business Trading Manufacturing Export/Import Services Others
Self Employed Professional CA Doctor Engineer Architect/Interior Decorator Others
Preferred Mailing Address Current Office Current Resi. Preferred Contact No. Current Office Current Resi. Mobile
GSTIN
City PIN
Telephone STD Code Fax
E-mail ID
Date of Incorporation D D M M Y Y Y Y PAN
Additional Office Address
(Factory/Shop/Branch)
City PIN
Telephone STD Code Fax
E-mail ID
GSTIN Continued..... 4
Kotak Mahindra Bank
Details of Proprietors / Partners / Directors of Firm / Company & their addresses (Please include all applicants of the loan & associate concerns)
Firm / Company:
Firm / Company:
Facility Type of Limit / Loan Outstanding Bank/ EMI Repayment Balance Securities
in favour of Facility (In Lacs) as on Financier (in Rs.) Terms / Tenor Term Lodged
(In Lacs)
Past Performance / Future Estimates (Please include all applicants of the loan)
Firm / Company:
Net Sales
Net Profit
Firm / Company:
Net Sales
Net Profit
Name of Account Holder Bank / Branch T ype of Account Number CC/OD Limit Banking
Account (in Lacs) Since
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Kotak Mahindra Bank
Whether complied with, select Yes / No. If not applicable, select NA Remarks
1 Registration under Shop and Establishment Act Yes No NA
2 Industry Specific License (_______________________________________________) Yes No NA
3 Latest Sales Tax Return Filed Yes No NA
4 Latest Income Tax Return Filed Yes No NA
5 Any other statutory dues remaining outstanding Yes No NA
Property
Owner name
Address
Area
City PIN
Type of Property Commercial Resi Industrial Plot Others Ownership Solo Joint
(As per RBI guidelines, Banks are not to take collateral security for loans upto Rs. 10 lakhs to MSME Units)
Name
Name
In compliance to RBI Circular Ref DBOD No. Dir.BC.4/13.03.00/2012-13, Clause 2.2.1 on Granting loans and advances to relatives of Directors and Clause 2.2.2 on Restrictions on Grant of Loans and
Advances to Officers and Relatives of Senior officers of Banks.
Declaration
I/We declare that all the particulars and information given in the application form are true, correct and complete and the same shall form the basis of any loan Kotak Mahindra Bank Limited (hereinafter
mentioned as “the Bank”) may grant to me/us. I/We confirm that I/we have had no insolvency proceedings against me/us nor have we ever been adjudicated insolvent and further confirm that I/we have
read the brochure and understood the contents. I am/we are aware that the monthly installment comprising of principal and interest will be calculated on the basis of monthly rests. I/We are aware that
the options/types of interest and the frequency of rest cannot be changed and that such change(s) may be permitted only at the sole discretion of the Bank on such terms as may be decided by the Bank
from time to time. I/we understand and agree that in case of rejection of my/our application, documents submitted for the processing of my application shall not be returned to me/us. I/We agree that
the Bank may take up such reference and make such enquires in respect of this application, as it may deem necessary. I/we undertake to inform the Bank regarding any change in my/our
occupation/employment/constitution and to provide any further information that the Bank may require. The Bank may make available any information contained in this from and other documents
submitted to the Bank and information pertaining to the loan to any institution or body. The Bank may seek /receive information from any source/person to consider this application. I/we further agree
that my/our loan application shall be governed by the rules of the Bank, which may be in force from time to time. I/We agree that the processing fees payable to the Bank or collected upfront, shall not be
refunded under any circumstances if my/our application for loan is rejected by the Bank on any ground whatsoever or once the loan has been sanctioned by the Bank, irrespective of whether I/we finally
avail the same.
I/We undertake that the facility will be used for the purpose it is granted by the Bank/declared by me/us at the time of availing the facility and not for investment in stock market in any form or any
speculative, antisocial or any purpose nor permitted by law. I/We understand that this requirement is in line with the RBI regulation. I/We understand that if is found by the Bank at a later date that the
facility granted to me/us is being used for any other purpose than the purpose for which it was granted, then the Bank will have the right to recall the facility at any time.
I/We am/are aware that any new phone number, mobile number, e-mail id provided by an existing customer while opting for any other product of Bank (eg- credit card, personal Loan etc) shall be
automatically updated in the Bank records in lieu of the phone number, mobile number, e-mail id provided at the time of opening the account or previously registered with the Bank. All further
intimations/communications pertaining to the Bank account shall also be sent by the Bank only to the new phone number, mobile number, e-mail id and no intimations/communications shall be sent to
the phone number, mobile number, e-mail id provided at the time of opening the Bank account or previously registered with the Bank.
I/We have read and understood the MITC (Most Important Terms & Conditions) of the applied loan and confirm having received the MITC sheet which also contains all the applicable
charges/fees/levies etc. applicable on the said loan/facility.
I/We am/are aware that my/our loan account/facility is governed by various policies of the Bank and other important information which are amended from time to time as per directives from RBI, and
that the same can be accessed through Customer Corner of the Bank via the Bank’s website i.e www.kotak.com or at the following link: http://www.kotak.com/bank/common/customer-corner.htm.
Photograph of
Primary Applicant
Photograph of
1st Co-applicant/
Coborrower/Guarantor
Photograph of
2nd Co-applicant/
Coborrower/Guarantor
Photograph of
3rd Co-applicant/
Coborrower/Guarantor
NOTE: Please ensure that you get the perforated acknowledgement copy duly filed in by our sales representative
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Application Form
for Kotak Credit Card Kotak Mahindra Bank Ltd.
FORM NUMBER
Barcode
Kotak Royale Signature Credit Card Kotak League Platinum Credit Card
• Upto 30,000 bonus Reward Points. • Earn upto 8X Reward Points
• Fuel Surcharge Waiver
• Visa Lounge access Program.
• Earn upto 4X Reward Points. 1. Nil Nil - No Joining Gift
• No Joining Fee & Annual Fee No Reversal Joining Gift:
2. Rs. 499 + GST
Movie Ticket Discount
Voucher worth Rs. 500/-
#
• Annual Fees : ` 499
• Annual Fee Waiver Condition:
Minimum retail spends of Rs. 50000 in a year.
*Fees and Charges mentioned above are as of date of application and subject to change. Refer www.kotak.com for latest version of MITC
APPLICANT 1
Name as desired on the Card Maximum 19 characters Mobile Number
PAN Number I want to apply for Royale Signature Credit Card League Platinum Credit Card
GSTIN
APPLICANT 2
Name as desired on the Card Maximum 19 characters Mobile Number
PAN Number I want to apply for Royale Signature Credit Card League Platinum Credit Card
GSTIN
APPLICANT 3
Name as desired on the Card Maximum 19 characters Mobile Number
PAN Number I want to apply for Royale Signature Credit Card League Platinum Credit Card
GSTIN
APPLICANT 4
Name as desired on the Card Maximum 19 characters Mobile Number
PAN Number I want to apply for Royale Signature Credit Card League Platinum Credit Card
GSTIN
SIGN UP & DECLARATION
Credit Card account(s) for all spends, fees and other charges, interest, etc. on my Card(s). Service tax and surcharge at applicable rates will be charged on all fees, charges, interest, etc. and I agree to pay the the Bank may at its sole discretion accept or reject either one
or both cards applied for by me in this application. I further agree to be fully liable and authorise the Bank to debit My Kotak Mahindra Bank I hereby declare that the particulars contained herein above are complete, true and correct to the best of my knowledge and
Kotak Mahindra Bank Ltd. ("Bank") is entitled to verify the same directly or through any third-party agency. I authorise the Bank and its affiliates to use information from this application for administrative purpose. I confirm that I am a resident of India. I further
understand that same. In case, I have applied for an Add-On Card(s) I will be billed separately for the Add-On Card in the respective monthly statement(s). I will be liable for all charges incurred on the Add-On Card. I undertake to notify the Bank immediately of any
change in the above details and information given by me. I hereby declare that I have read the Terms and Conditions for the Bank's credit Card and I agree that I will be bound by these Terms and Conditions including those excluding/limiting the Bank's liability. I
agree to receive my Cardholder(s) Agreement in the electronic format & I understand that upon my request, print copy of the same would be couriered to me by the Bank. I further agree and understand that all documents given to the Bank in connection with this
application including, but not limited to photocopies of original documents, signatures verification, address verification and bank details shall become the property of the Bank and shall not be returned to me. I hereby confirm that I have read & understood the
terms and conditions governing the entire business relationship with the Bank and relating to various services including but not limited to Cardholder Agreement, ATMs, Phone Banking, Home Banking, Net Banking and Bill Payment. I understand that the Bank may at
its absolute discretion, discontinue or modify any of these services completely or partially without any prior notice to me. I authorise the Bank, its group companies and their agents to exchange or share all the information relating to me and my repayment history
with banks, financial institutions, credit bureaus, agencies, statutory bodies etc. as may be required or as they deem fit.
I want to apply for Kotak Credit Card I want to apply for Kotak Credit Card I want to apply for Kotak Credit Card I want to apply for Kotak Credit Card
Domestic & International Usage Domestic & International Usage Domestic & International Usage Domestic & International Usage
I agree that if I have selected the Credit Card with Domestic & International usage, the entire credit limit on the card will available for both Domestic and International Transactions. The said credit
limit will also be applicable to the Add-On card, subject to the spending limit as agreed by the Primary Applicant if any.
FORM NUMBER
BL 8
APPLICANT 1 CHECKLIST (TO BE FILED BY CREDIT CARD SALES)
APPLICANT 3 CHECKLIST
APPLICANT 4 CHECKLIST
9
MOST IMPORTANT TERMS AND CONDITIONS (MITC) LOAN AGAINST PROPERTY (LAP)
Schedule of Charges:
1. Processing Fee (Non-refundable) Maximum 3% of the Loan / Facility Amount (plus GST (Goods and Services tax)
and other applicable statutory levies)
2. Documentation Charges Maximum `5000/- (plus GST and other applicable statutory levies) below 2.00 Cr and
`10000/- (plus GST and other applicable statutory levies) above 2.00 Cr loan amount
3. Cheque dishonour Charges ` 750/- (plus GST and other applicable statutory levies) per instance.
4. Charges for Copy of any Document ` 500/- (plus GST and other applicable statutory levies) per instance.
5. Repayment Mode / Account swap ` 500/- (plus GST and other applicable statutory levies) per instance.
6. Charges for Duplicate NOC / No ` 500/- (plus GST and other applicable statutory levies) per instance.
Dues Certificate
7. Charges for copy of CIBIL Report ` 50/- (plus GST and other applicable statutory levies) per instance.
(to Customer who has availed
Loan Overdraft from us)
1. Annual Review Charges 1.5% of renewal limit or ` 5000/- (plus GST and other applicable statutory levies)
whichever is higher.
2. Termination Charges 6% of operating limit if within lock-in period of 6 months from the date of
agreement and 5% of operating limit otherwise (plus GST and other applicable
statutory levies).
3. Overline Rate / Penal Interest in case 3% p.m. (plus GST and other applicable statutory levies) over and above the
of overline accounts normal OD Rate. This would be charged on the amount over and above the
OD Limit.
4. Under-utilisation Charges 0.25% of the average non utilised limit during the quarter.(plus GST and other applicable
statutory levies) Minimum utilisation to be 25% of the limit.
5. Charges for Interest Certificate Free once in a Financial Year. Thereafter, ` 250/- (plus GST and other applicable
statutory levies) per instance.
Notes:
• Stamp Duty on Loan Agreement / Overdraft Agreement / Guarantor Agreement, Registration Charges etc. varies from State
to State. Stamping / Notarisation of RBI and other Affidavits as applicable.
• Charges for other Services would be specified as applicable when the Customer applies for those Services and the same shall
be payable by the Borrower alone e.g. Revalidation of Sanction, Change in Property, Reschedulement of Loan, Change in EMI
Date, Solvency Charges etc.
• Taxes / other statutory levies may be charged to the Borrower if applicable as per Government / RBI directives.
• Bank reserves the right to modify any charges from time to time or to introduce any new charges, as it may deem appropriate and will
publish them on the bank’s website.
Default:
In case of default (i.e., if the amount due is not paid by the due date), the bank will try to inform the customer by Post / FAX / Telephone / E-
mail / SMS and/or through authorized representatives appointed for collection purposes, about repayment of the loan/facility due and
payable by the borrower. Any authorized representative so appointed by the bank, shall adhere to the board approved policy on collection
of dues and repossession of security.
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Indicative List of Documents
To process your loan/facility application, we would require documents which are applicable to your business profile from the list given below.
1. Mandatory KYC* documents for all applicants.
• Proof of Identity - Voter’s ID Card / Aadhaar Card / Passport / Driving License / PAN Card / Signature identification form present banker
of Proprietor / Partner / director (if a company) etc.
• Proof of Residence - Recent Telephone bill / Electricity bill / Property tax receipt / Passport / Voter’s ID Card of Proprietor / Partner /
Director (if a company) etc.
2. Ownership proof and telephone bills.
3. For a partnership Firm - Latest partnership deed, PAN of the firm and office address proof.
4. For a company - Certificate of incorporation, MOA & AOA, PAN, latest share holding pattern and office address proof.
5. I.T. returns for last 2 or 3 years (as applicable) with computation of income for both business and individuals i.e. partners /directors.
Audited financal statements for last 2 or 3 years (as applicable) along with all schedules & annexure and Tax Audit Report. In case
company, Auditor’s Report, Director’s Report & Notice of AGM are also required.
6. Sanction letters / Repayment tracks for all loans and facilities availed.
7. Net worth statements of partners / directors.
8. Industry/sector specific documents with respect to mandatory licenses / registrations / qualification etc.
9. Any other document as may be required.
* As per RBI directive, customer shall be required to submit KYC documents of beneficial Owner (BO) i.e. natural person, who on his own or
together or through one or more person, exercises control through ownership or who ultimately has a controlling ownership interest (for more
details, please refer to RBI circular DBOD. AML.B.C. No. 71/14.01.001/2012-13 dated January 18, 2013)
• In case applicant is a registered entity and an unlisted company on any stock exchange where BO/BOs hold more than 25% shares or
capital or profits. in the said company, then KYC documents along with BO Form of all such BO / BOs are required to be submitted.
• When applicant is Partnership / LLP firm where BO/BOs hold more than 15% capital or profits in the firm, then KYC documents along with
BO Form of all such BO / BOs are required to be submitted.
• When applicant is Association of Persons (AOP) or Body of Individuals (BOI) where an individual/s hold more than 15% property or capital
or profits in the association / BOI, then KYC documents along with BO Form of all such BO / BOs are required to be submitted.
Visit us at : www.kotak.com
Call us at: 1860 266 2666 (Local call rates apply) (Monday to Friday 9.00 am to 6.00 pm, Excluding Holidays)
Acknowledgment Slip
Date: D D M M Y Y Y Y
Application Number: ______________________
drawn on ____________________________ towards the application fee payable.In case of any queries relating to your application, please contact
For any queries / issues related to services provided by Kotak Mahindra Bank Ltd or its outside service providers,
you may please contact us on the phone number/email id provide on back of this sheet.
11