BL

Version 1.1

Pincode

Pincode

Udyam Registration
Number

Business Activity __________________________ Industry _________________ since ________________ IEC Code(if applicable) _______________

If yes, the gradation obtained by the ___________ unit __________ appropriate one)
Term Loan NA NA
Cash Credit/
LC/ BG/ NA
Other
(As per RBI guidelines bank may not take collateral security for loan upto ` 10 lakhs to MSME Units)

Details attached

7.Are you a politically exposed person or relative of a

politically exposed person?
 r r

I/We hereby certify/ authorise that all information furnished by me/us is true, correct and complete; that I/We have no borrowing arrangements for the
unit except as in the application; that there are no over dues/statutory dues against me/us/promoters except as indicated in the application; that I/We
have not been declared as defaulter/wilful defaulter by any Bank/FS and no legal action has been taken/ initiated against me/us by any Bank/FIs./We
shall furnish all other information that may be required in connection with my/our application that this may also be exchanged by you with an agency
you may deem t and you, your representatives or Reserve Bank of India or any other agency as authorised by you, may at anytime, inspect/verify my/
our assessment of account etc. in our factory/ business premises as given above; you may take appropriate safeguards/action for recovery of Bank's
dues including publication of defaulters name in website/submission to RBI; further agree that my/our loan shall be governed by the rules of your
Bank which may be in force from time to time.

Place :

14. Copy of GST Return if applicable.

Additional information:
1. Additional Information of Borrower: 2. Corporate Guarantor details:

Name of the Borrower Name of Entity

Contact Person Name Constitution: Proprietorship Partnership
Landmark for address Company LLP
Contact No. GSTN No. Industry
Ownership details:
Regd. Office Address
Name of the owner
Address of the property Owned
City & State
Type of property: Residence Office Factory Pincode PAN No.
Godown Shop Plot
Mobile No.
Nature of Business : Manufacturer Trader Service Any other registration/
Reference : CIN for companies
Reference 1 (With name, address, contact No. email id) Date of Incorporation /
Commencement of Business
Nature of Business : Manufacturer Trader Service
Reference 1 (With name, address, contact No.)
T/o as of 31st March'.. (In lacs)
PAT (In lacs)

3. Details of Individual Co-Borrowers / Guarantors:

Particulars Co-Borrower/Guarantor 1 Co-Borrower/Guarantor 2 Co-Borrower/Guarantor 3

Title Mr. /Mrs. / Miss Mr. /Mrs. / Miss Mr. /Mrs. / Miss
Name of Co-borrower/Guarantor
Gender M/F/T M/F/T M/F/T
Name Father/Spouse
Name Mother Maiden Name
Marital Status Single / Married Single / Married Single / Married
Relationship with borrower
Current Residential address
with Landmark

City
State
Pincode
Permanent Residential address
with Landmark

City
State
Pincode
Mobile No.
Email id
PAN No.
Date of Birth (DD/MM/YY)
Aadhaar Number
Any other Id prof (Passport/
Voter Id/Driving License No.)
Occupation
Annual Income
(Rs. In lacs)

Page 5
Additional Declaration
1) I/we declare that we are the residents/ citizens of India and all particulars and information given in the application form is true, correct and complete and no material information has been
withheld/ suppressed.
2) I/we shall advice the bank in writing of any change in my/ our residential or employment/ business address.
3) I/we confirm that the funds shall be used for stated purpose and will not be used for speculative or anti social purpose.
4) I/We authorize IndusInd Bank to make any enquiries regarding my application.
5) I/We authorize IndusInd Bank to make enquiries with other finance companies/registered credit bureau.
6) IndusInd Bank reserves the right to retain the photographs and documents submitted with this application and will not return the same to the borrower.
7) I/We have read the application form/ brochures and am/are aware of all terms and conditions of availing finance from IndusInd Bank.
8) I/We understand that the sanction of this loan is at the sole discretion of the bank and upon my/our executing necessary documents and other formalities as required by the bank.
9) I/We authorize IndusInd Bank, to conduct such credit checks as it considers necessary in its sole discretion and also authorize the Bank to release such or any other information in its records for
the purpose of credit appraisal/ sharing for any other purpose. I/We further agree that my/our loan shall be governed by the rules of IndusInd Bank, which may be in force from time to time. All
loans are at the sole discretion of IndusInd Bank.
10) In an event of finding out that I/We have deposited fake document or have manipulated certain information for getting the loan processed in your favour I/We will be liable to pay the bank, the
amount equal to processing fee or higher as penalty to cover the loss bank will go through for processing our loan application.
11) No discount/fee gift or any other commitment is given whatsoever which is not documented in the loan agreement by IndusInd Bank or any of its authorized representatives.
12) The loan amount and disbursal is at the sole discretion of IndusInd Bank and no commitment has been given regarding the same.
13) I/We confirm that I/we have no insolvency proceeding against me/ us nor have I/we ever been adjudicated insolvent. I/We also confirm that, save as disclosed at the time of this application,
there have been no demands served on me /us in relation to any overdue debt, I/We owe nor any legal proceedings being commenced against me/us.
14) RELATIONSHIP (Details of relationship, off borrower with other banks)
Borrower is a director of any Bank or is a firm in which any director is interested 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 directors. Yes/No (Nature of Relationship) ______________________________________________________________
15) RELATIONSHIP (Details of relationship, off borrower with financing banks)
Borrower is a director/senior officer/relative of director or senior officer of the bank. Yes/No (Nature of Relationship)_________________________
16) I/We hereby authorize & 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 in relation to
facilities availed from the Bank, to the Bank's other branches/ subsidiaries/ affiliates Credit Bureaus/ Rating Agencies, Service Providers, Banks/financial institution, governmental/ regulatory
authorities or third parties for KYC verification, credit risk analysis, or for other related purpose that the Bank may deem fit. I/We waive the privilege of privacy & privity of contract.
17) I/we have been explained that the processing fees shall be upto 2% of the loan amount ,verification charges shall be upto Rs. 4000/- and Stamp duty will be charged as per applicable State Laws.
Further, charges for late payment of EMI are 2% per month on overdue EMI amount, cheque bouncing charge is Rs. 500/- per cheque /ECS bounce & loan prepayment charges shall vary from
3.5% to 5.5% on outstanding amount on the basis of no of Emi''s repaid till time of closure. In addition, all the charges will attract applicable taxes. For DLOD cases, pre-closure charges shall be
on the outstanding Drawing Power.
18) The tenure / repayment/ interest / other terms and conditions of the loan are subject to change as a consequence to any change in the money market conditions or on account of any other
statutory or regulatory requirement or at Bank's discretion. The Bank reserves the right to review and amend the terms of the loan in such extent as it may deem fit.
19) My/Our particulars may be notified to our Insurance Partner. My/Our decision whether or not to take insurance has no bearing on our loan application
20) I/We confirm we are not a director/senior officer or related to a director/senior officer of IndusInd Bank or any director/senior officer of bank/subsidiaries/scheduled co-operative bank/Trustee
of Mutual Funds/Venture Capital fund set up by other banks or financing banks.

I/We consent / do not consent to receive information / service etc for Marketing purpose through Telephone / Mobile /SMS / Email by the Bank / its agents.
I/We confirm that I/we have read and understood the above Declaration, and that the details provided on the form are correc t.

Signature : Signature :
Photo of Name : Name of Guarantor / co borrower
Authorised Photo of co
signatory on borrower/
behalf of guarantor
borrowing entity

Signature : Signature :
Name of Guarantor / co borrower Name of Guarantor / co borrower
Photo of co Photo of co
borrower/ borrower/
guarantor guarantor

Signature : Signature :
Name of Guarantor / co borrower Name of Guarantor / co borrower
Photo of co Photo of co
borrower/ borrower/
guarantor guarantor

DATE : __________________ PLACE : __________________ FOR BANK USE

Location : ________________________
Source of proposal Self Branch Channel Partner
In Case of Branch (Branch Name) : __________________________ In Case of Channel Partner (Name) : __________________

Name of Executive : ______________________________________ Name of TSM _____________________________________

Code of Executive ________________, Code of TSM _________________, Code of Branch Channel Partner _______________

Page 6
 Application
MOST IMPORTANT TERMS & CONDITION
Number BL
Dear Customer, PART OF BUSINESS LOANS – APPLICATION FORM
This is to confirm receipt of your application form along with below mentioned documents.
Checklist of Documents
List of Documents Yes / No Remarks Yes / No Remarks
1. Application form
2. Signed colored Photograph of each borrower & guarantor.
3. Age proof (for borrower & guarantors)
4. Signature Verification
5. Proof of Identity/existence
6. Address Proof
7. Ownership proof
8. Business Continuity Documents.
9. Audited financials for last three years
10. Tax Audit report & Statutory Audit report (in case of company) for last three years
11. 3 years ITR's of borrowing entity.
12. PAN details, Address proof of borrower (MOA & AOA of company) (Partnership Deed)
13. Bank statements of all banks for last six months
14. Repayment Track Record for qualifying track record loans for last 12 months
15. List of Shareholder /Partners & Directors on Letter Head of Company / Firm
IMPORTANT NOTE:
Kindly ensure to self-attest all documents submitted with date. ü IBL reserves the right to retain the photograph and documents submitted along with
Kindly do not make any payment in cash, bearer cheque or kind to the Executive in connection the application form and shall not return the same to borrower.
with this loan application. ü IndusInd Bank (IBL) will decide quantum of the loan at its sole discretion.
Note that: ü The Monthly Installments (EMI) in connection with the loan will be due on 4th of every
ü The receipt of your application form for the loan does not imply automatic approval of month.
your loan by IBL. ü All post dated cheques/ECS/NACH/UPI are to be issued favoring
ü Incomplete / defective application will not be processed and IBL shall not be “Indusind Bank Limited” and duly crossed and filled
responsible in any manner for the resulting delay or otherwise. ü The applicable fixed ROI will be arrived at by adding Risk/Tenor/Product markups on
ü IBL may request for additional documents other than those collected in connection currently declared MCLR of the bank. The applicable ROI would be revised subject to
with the application. terms as specified in the loan sanction letter/ loan agreement.
ü IBL shall not be liable for loss or delay in the receipt of documents.

Application
MOST IMPORTANT TERMS & CONDITION
Number BL
Dear Customer, PART OF BUSINESS LOANS – APPLICATION FORM
This is to confirm receipt of your application form along with below mentioned documents.
Checklist of Documents
List of Documents Yes / No Remarks Yes / No Remarks
1. Application form
2. Signed colored Photograph of each borrower & guarantor.
3. Age proof (for borrower & guarantors)
4. Signature Verification
5. Proof of Identity/existence
6. Address Proof
7. Ownership proof
8. Business Continuity Documents.
9. Audited financials for last three years
10. Tax Audit report & Statutory Audit report (in case of company) for last three years
11. 3 years ITR's of borrowing entity.
12. PAN details, Address proof of borrower (MOA & AOA of company) (Partnership Deed)
13. Bank statements of all banks for last six months
14. Repayment Track Record for qualifying track record loans for last 12 months
15. List of Shareholder /Partners & Directors on Letter Head of Company / Firm
IMPORTANT NOTE:
Kindly ensure to self-attest all documents submitted with date. ü IBL reserves the right to retain the photograph and documents submitted along with
Kindly do not make any payment in cash, bearer cheque or kind to the Executive in connection the application form and shall not return the same to borrower.
with this loan application. ü IndusInd Bank (IBL) will decide quantum of the loan at its sole discretion.
Note that: ü The Monthly Installments (EMI) in connection with the loan will be due on 4th of every
ü The receipt of your application form for the loan does not imply automatic approval of month.
your loan by IBL. ü All post dated cheques/ECS/NACH/UPI are to be issued favoring
ü Incomplete / defective application will not be processed and IBL shall not be “Indusind Bank Limited” and duly crossed and filled
responsible in any manner for the resulting delay or otherwise. ü The applicable fixed ROI will be arrived at by adding Risk/Tenor/Product markups on
ü IBL may request for additional documents other than those collected in connection currently declared MCLR of the bank. The applicable ROI would be revised subject to
with the application. terms as specified in the loan sanction letter/ loan agreement.
ü IBL shall not be liable for loss or delay in the receipt of documents.
 I/ WE CONFIRM THAT THE EXECUTIVE COLLECTING THE APPLICATION / DOCUMENTS HAS / HAVE INFORMED ME / US:
ü The applicable rate of interest and the type of interest (Fixed)
ü Processing fees and Other Charges (non-refundable) that will be charged towards loan application.
ü The service tax as may be applicable that will be charged In connection with the fees
ü The other applicable charges such as cheque return charges, PDC swapping charges, foreclosure charges, document copy charges, etc.
THAT:
ü Status of loan application would be known within 7 working days of receiving the application with all necessary documents subject to the applicant providing all
and any additional information that the bank may require solely for the purpose of evaluating the credit worthiness of the applicant
ü Incomplete / defective application will not be processed and IBL shall not be responsible in any manner for the resulting delay or otherwise.
ü IBL will not be liable for any loss or delay in receipt of documents
ü Documents / Photographs will not be returned under any circumstances, once submitted to IBL.
ü Approval of the application is at the sole discretion of IBL.
ü The quantum of the loan will be finally decided by IBL.
ü Equated Monthly Installment (EMI) will be due on 4th of every month.
ü The interest is calculated on monthly diminishing basis
ü The Loan foreclosure charges are as per the Loan agreement
ü The Foreclosure charges are levied / calculated on the balance principal outstanding of the loan (subject to clauses governing part prepayments)
ü The loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are valid for a period of 90 days only.
Were for some reasons, there is delay in concluding the loan beyond 30 days, IBL reserves the right to revise the loan terms as may be applicable all 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 / waivers.
b) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced be me / us.
c) We have not given / made any payments 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 party
d) 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.

For any queries I clarifications please contact: Signature of the Executive who
contacted the applicant
Executive Name**

at Cell No.

at Land Line No.

Applicant Name Applicant Signature

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

I/ WE CONFIRM THAT THE EXECUTIVE COLLECTING THE APPLICATION / DOCUMENTS HAS / HAVE INFORMED ME / US:
ü The applicable rate of interest and the type of interest (Fixed)
ü Processing fees and Other Charges (non-refundable) that will be charged towards loan application.
ü The service tax as may be applicable that will be charged In connection with the fees
ü The other applicable charges such as cheque return charges, PDC swapping charges, foreclosure charges, document copy charges, etc.
THAT:
ü Status of loan application would be known within 7 working days of receiving the application with all necessary documents subject to the applicant providing all
and any additional information that the bank may require solely for the purpose of evaluating the credit worthiness of the applicant
ü Incomplete / defective application will not be processed and IBL shall not be responsible in any manner for the resulting delay or otherwise.
ü IBL will not be liable for any loss or delay in receipt of documents
ü Documents / Photographs will not be returned under any circumstances, once submitted to IBL.
ü Approval of the application is at the sole discretion of IBL.
ü The quantum of the loan will be finally decided by IBL.
ü Equated Monthly Installment (EMI) will be due on 4th of every month.
ü The interest is calculated on monthly diminishing basis
ü The Loan foreclosure charges are as per the Loan agreement
ü The Foreclosure charges are levied / calculated on the balance principal outstanding of the loan (subject to clauses governing part prepayments)
ü The loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are valid for a period of 90 days only.
Were for some reasons, there is delay in concluding the loan beyond 30 days, IBL reserves the right to revise the loan terms as may be applicable all 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 / waivers.
b) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced be me / us.
c) We have not given / made any payments 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 party
d) 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.

For any queries I clarifications please contact: Signature of the Executive who
contacted the applicant
Executive Name**

at Cell No.

at Land Line No.

Applicant Name Applicant Signature

**Original Verified: Executive representing IBL should verify & certify all copies of documents submitted by applicant (with originals) in his presence and sign with date
Administrative Office: Registered Office:
IndusInd Bank Ltd. IndusInd Bank Ltd.
3rd Floor, Building Number 10, 2401 Gen. Thimmayya Road,
Tower - B, DLF Cyber City, Gurgaon - 122002. Pune - 411001.

For more details, call our Phone Banking Numbers: 1860 500 5004 / +91 22 4406 6666
Visit us at www.indusind.com