Beruflich Dokumente
Kultur Dokumente
* Rounding of premium amount upto two decimals. Goods & Service Tax and other taxes extra as applicable.
I agree that the premium under this Group Policy will be included in the monthly fee charged by Master Policyholder basis my
application for the Loan. I hereby authorize Master Policyholder to provide my personal, demographic, business, credit, financial
and other information/ data that is reasonably necessary for the Insurer to provide me with insurance coverage.
I do hereby declare that I have received a loan from Master Policyholder. In order to secure the said loan I have enrolled myself
under the Group Insurance Scheme through the Master Policy Holder offered by Insurer. In consideration of receiving the said
loan I hereby authorize Insurer to make payment to the extent of Outstanding Loan Balance amount to Master Policyholder by
deducting from the claim proceeds payable on happening of the contingent event covered by this Group Policy referenced above
and the remaining to the Nominee. For this purpose, I confirm that ‘Outstanding Loan Amount’ shall include the balance amount
of principal, interest, fee and penalties as mentioned in the statement of loan account submitted by Master Policyholder. I further
declare and confirm that I, or my nominee, and/ or legal heir shall not dispute the right of Master Policyholder to receive the
Outstanding Loan Amount out of the proceeds of insurance claim any point of time.
I declare that I am in a sound state of health. I hereby declare that, as of the date of this declaration, I do not have any history of,
have never suffered from or currently suffering from medical conditions such as, but not limited to, high blood pressure, chest
pain, heart attack or any other heart condition; stroke, transient ischemic attack or any other cerebrovascular disease; diabetes or
any other endocrinal disease; kidney disease; HIV / AIDS or AIDS related complex; any cancer or tumor; asthma or any other
respiratory disease; any mental or nervous disease; hepatitis or any other liver disease; blood disorders; digestive and bowel
disorders; paraplegia, physical disability or any other disorder of the bones, spine or muscle; any other disease, disorder or
disability, not mentioned above and excluding minor impairment such as common cough or cold. I have never undergone or
expect to undergo any surgical procedure for any illness, ailment, disease or disability. In the last 5 years, I have not received any
form of medication for more than 7 consecutive days or been absent from work for more than 7 days. For Female Lives: I further
declare that presently I am not pregnent or I do not have a history in the past of an abortion, miscarriage or caesarian section due
to complications during pregnancy or due to any other cause, I have not given birth to a child with any congenital disorder such as
Down Syndrome, congenital heart disease, etc and I have not ever had any disease of breast, uterus, cervix, ovaries or any other
part of the reproductive system. I further declare that, as of the date of this declaration, I do not engage or intend to engage in any
business, sport or occupation of a hazardous nature. I declare that, I do not have any history of conviction under any criminal
proceedings in India or abroad. I understand, agree and confirm that these statements and this declaration are basis of the
contract between the insurer and the policyholder. If any untrue statement are contained herein or there has been any non
disclosure of any material fact, the policy to be issued by the insurer in the name of the policyholder may be treated as void as far
as I am concerned. I confirm that I have read and understood, the rules and any additional rules of the plan, the standard Policy
provisions and any additional provisions that govern the policy to be issued by insurer in the name of the policyholder and on my
life, and I agree and confirm that the same shall be binding on me. I authorise the policyholder to disclose to the insurer such
particulars as they may require including the details given above and any changes to the same pay the premium payable on my
behalf /collected from me to the Insurer. I understand that any statutory levy or charges including any indirect tax may be charged
to me either now or in future by the insurer and I agree to pay the same. I understand that HDFC SLIC has the right to reject a
proposal without giving reasons thereto and client to give an undertaking thereof that he shall not raise any claims thereof. I
understand the significance of the contract and the contract will be governed by the provisions of the Insurance Act 1938 as
amended from time to time and that the same will not commence until written acceptance of this application by Insurer issue on its
normal terms and conditions is received.
I agree that all the claims under the Group Policy shall be addressed/ resolved by Insurer only. I agree that Master Policyholder
shall be under no obligation to settle any insurance claim. The certificate of insurance shall be provided by the Insurer separately
on approval. I the undersigned hereby declare that the above statements and particulars are true, accurate and complete and I
declare and agree that this declaration shall be held to be promissory and shall be the basis of my membership under Group
Policy. I also confirm the receipt of copy of these terms and conditions from Master Policyholder.
1.2. HCIN shall provide these value added services as a complete package. However, you are free to opt for the insurance under
group master policy in SAFE PAY. The fee for SAFE PAY shall be payable monthly along with EMI of your loan (hereinafter
referred as Safe Pay Fee and shall be included in Monthly Instalment). The fee for SAFE PAY shall be payable irrespective of the
fact that you have not utilised any or all services/ options under this package. Services/ options under SAFE PAY are neither
transferrable nor negotiable. Any addition of new options/ services in this package by HCIN shall not be available to you.
1.3. For exercising any of the option/ service except insurance, you have to raise a request with HCIN either by calling at 0124 662
8888 or mailing at care@homecredit.co.in. The request must be raised from your mobile number or e-mail address registered
with HCIN. No other mode of request shall be accepted. The request for exercising this option/ service must be raised at least 15
(fifteen) days before the Due Date of the month for which such option/ service is exercised. If the request is made within 15 days
of the Due Date or anytime thereafter, such request may be activated for the immediate following month to the extent possible
and subject to other conditions of SAFE PAY.
1.4. One or more services/ options in SAFE PAY may be provided by other service providers independent of HCIN. Further, HCIN
may be required to share your personal details with such service providers in order to provide you necessary services. By
applying to SAFE PAY, you agree to abide by the terms & conditions of such service providers as amended from time to time and
grant your consent to HCIN to share your personal details with such service providers. Should you have any issue or concern
arising from the services/ options provided by such service providers, you agree to raise such disputes/ concerns directly to such
service provider and will not make HCIN responsible for any deficiency or breach whatsoever.
1.5. Cancellation: In case you cancel the entire Loan (i.e. including SAFE PAY), or SAFE PAY only, during the free look period as per
Clause 4.13 of GTC, you will not be charged any amounts towards SAFE PAY. The adjustment of fee for SAFE PAY shall be
communicated to you through Contact Options mentioned in your loan application. After free look period, cancellation of SAFE
PAY alone shall not be allowed. However, HCIN may terminate your SAFE PAY package if the Loan is terminated due to
occurrence of any Event of Default mentioned in GTC irrespective of the fact that entire package has not been availed/ utilised by
you until the date of such termination. Such termination of SAFE PAY does not relieve you of obligations to pay charges or costs
accrued towards such package.
2. SPECIFIC CONDITIONS FOR ‘PAYMENT HOLIDAY’ OPTION
2.1. After completing consecutive two months from Effective Date of your Loan, you may choose to postpone the payment of one
Monthly Instalment of the Loan. Such option can be exercised twice in a year provided you have paid all the previous Monthly
Instalments duly on time (i.e. before Due Date) and there has been no amount of any nature outstanding for payment by you as
on the day of activation of the option basis your request as per Clause 1.3 above. This condition needs to be complied with for
availing this option second time as well during Loan Period. This option cannot be exercised for two consecutive months and
there has to be payment of six Monthly Instalments before availing the service for the second time.
2.2. Once this option is exercised, your Loan Period will be extended by one month and you need to make the payment of Monthly
Instalment deferred by you at any time during the balance period of Loan including extended period.
* Rounding of premium amount upto two decimals. Goods & Service Tax and other taxes extra as applicable.
I agree that the premium under this Group Policy will be included in the monthly fee charged by Master Policyholder basis my
application for the Loan. I hereby authorize Master Policyholder to provide my personal, demographic, business, credit, financial
and other information/ data that is reasonably necessary for the Insurer to provide me with insurance coverage.
I do hereby declare that I have received a loan from Master Policyholder. In order to secure the said loan I have enrolled myself
under the Group Insurance Scheme through the Master Policy Holder offered by Insurer. In consideration of receiving the said
loan I hereby authorize Insurer to make payment to the extent of Outstanding Loan Balance amount to Master Policyholder by
deducting from the claim proceeds payable on happening of the contingent event covered by this Group Policy referenced above
and the remaining to the Nominee. For this purpose, I confirm that ‘Outstanding Loan Amount’ shall include the balance amount
of principal, interest, fee and penalties as mentioned in the statement of loan account submitted by Master Policyholder. I further
declare and confirm that I, or my nominee, and/ or legal heir shall not dispute the right of Master Policyholder to receive the
Outstanding Loan Amount out of the proceeds of insurance claim any point of time.
I declare that I am in a sound state of health. I hereby declare that, as of the date of this declaration, I do not have any history of,
have never suffered from or currently suffering from medical conditions such as, but not limited to, high blood pressure, chest
pain, heart attack or any other heart condition; stroke, transient ischemic attack or any other cerebrovascular disease; diabetes or
any other endocrinal disease; kidney disease; HIV / AIDS or AIDS related complex; any cancer or tumor; asthma or any other
respiratory disease; any mental or nervous disease; hepatitis or any other liver disease; blood disorders; digestive and bowel
disorders; paraplegia, physical disability or any other disorder of the bones, spine or muscle; any other disease, disorder or
disability, not mentioned above and excluding minor impairment such as common cough or cold. I have never undergone or
expect to undergo any surgical procedure for any illness, ailment, disease or disability. In the last 5 years, I have not received any
form of medication for more than 7 consecutive days or been absent from work for more than 7 days. For Female Lives: I further
declare that presently I am not pregnent or I do not have a history in the past of an abortion, miscarriage or caesarian section due
to complications during pregnancy or due to any other cause, I have not given birth to a child with any congenital disorder such as
Down Syndrome, congenital heart disease, etc and I have not ever had any disease of breast, uterus, cervix, ovaries or any other
part of the reproductive system. I further declare that, as of the date of this declaration, I do not engage or intend to engage in any
business, sport or occupation of a hazardous nature. I declare that, I do not have any history of conviction under any criminal
proceedings in India or abroad. I understand, agree and confirm that these statements and this declaration are basis of the
contract between the insurer and the policyholder. If any untrue statement are contained herein or there has been any non
disclosure of any material fact, the policy to be issued by the insurer in the name of the policyholder may be treated as void as far
as I am concerned. I confirm that I have read and understood, the rules and any additional rules of the plan, the standard Policy
provisions and any additional provisions that govern the policy to be issued by insurer in the name of the policyholder and on my
life, and I agree and confirm that the same shall be binding on me. I authorise the policyholder to disclose to the insurer such
particulars as they may require including the details given above and any changes to the same pay the premium payable on my
behalf /collected from me to the Insurer. I understand that any statutory levy or charges including any indirect tax may be charged
to me either now or in future by the insurer and I agree to pay the same. I understand that HDFC SLIC has the right to reject a
proposal without giving reasons thereto and client to give an undertaking thereof that he shall not raise any claims thereof. I
understand the significance of the contract and the contract will be governed by the provisions of the Insurance Act 1938 as
amended from time to time and that the same will not commence until written acceptance of this application by Insurer issue on its
normal terms and conditions is received.
I agree that all the claims under the Group Policy shall be addressed/ resolved by Insurer only. I agree that Master Policyholder
shall be under no obligation to settle any insurance claim. The certificate of insurance shall be provided by the Insurer separately
on approval. I the undersigned hereby declare that the above statements and particulars are true, accurate and complete and I
declare and agree that this declaration shall be held to be promissory and shall be the basis of my membership under Group
Policy. I also confirm the receipt of copy of these terms and conditions from Master Policyholder.
1.2. HCIN shall provide these value added services as a complete package. However, you are free to opt for the insurance under
group master policy in SAFE PAY. The fee for SAFE PAY shall be payable monthly along with EMI of your loan (hereinafter
referred as Safe Pay Fee and shall be included in Monthly Instalment). The fee for SAFE PAY shall be payable irrespective of the
fact that you have not utilised any or all services/ options under this package. Services/ options under SAFE PAY are neither
transferrable nor negotiable. Any addition of new options/ services in this package by HCIN shall not be available to you.
1.3. For exercising any of the option/ service except insurance, you have to raise a request with HCIN either by calling at 0124 662
8888 or mailing at care@homecredit.co.in. The request must be raised from your mobile number or e-mail address registered
with HCIN. No other mode of request shall be accepted. The request for exercising this option/ service must be raised at least 15
(fifteen) days before the Due Date of the month for which such option/ service is exercised. If the request is made within 15 days
of the Due Date or anytime thereafter, such request may be activated for the immediate following month to the extent possible
and subject to other conditions of SAFE PAY.
1.4. One or more services/ options in SAFE PAY may be provided by other service providers independent of HCIN. Further, HCIN
may be required to share your personal details with such service providers in order to provide you necessary services. By
applying to SAFE PAY, you agree to abide by the terms & conditions of such service providers as amended from time to time and
grant your consent to HCIN to share your personal details with such service providers. Should you have any issue or concern
arising from the services/ options provided by such service providers, you agree to raise such disputes/ concerns directly to such
service provider and will not make HCIN responsible for any deficiency or breach whatsoever.
1.5. Cancellation: In case you cancel the entire Loan (i.e. including SAFE PAY), or SAFE PAY only, during the free look period as per
Clause 4.13 of GTC, you will not be charged any amounts towards SAFE PAY. The adjustment of fee for SAFE PAY shall be
communicated to you through Contact Options mentioned in your loan application. After free look period, cancellation of SAFE
PAY alone shall not be allowed. However, HCIN may terminate your SAFE PAY package if the Loan is terminated due to
occurrence of any Event of Default mentioned in GTC irrespective of the fact that entire package has not been availed/ utilised by
you until the date of such termination. Such termination of SAFE PAY does not relieve you of obligations to pay charges or costs
accrued towards such package.
2. SPECIFIC CONDITIONS FOR ‘PAYMENT HOLIDAY’ OPTION
2.1. After completing consecutive two months from Effective Date of your Loan, you may choose to postpone the payment of one
Monthly Instalment of the Loan. Such option can be exercised twice in a year provided you have paid all the previous Monthly
Instalments duly on time (i.e. before Due Date) and there has been no amount of any nature outstanding for payment by you as
on the day of activation of the option basis your request as per Clause 1.3 above. This condition needs to be complied with for
availing this option second time as well during Loan Period. This option cannot be exercised for two consecutive months and
there has to be payment of six Monthly Instalments before availing the service for the second time.
2.2. Once this option is exercised, your Loan Period will be extended by one month and you need to make the payment of Monthly
Instalment deferred by you at any time during the balance period of Loan including extended period.
Income proof (where applicable): Income tax return, Salary slip, Bank Statement showing Salary credit
Document Type ID
PAN Card (OVD) BUAPB2467F
Cancelled cheque
UID Address Proof
I understand and confirm that the Application Form, photograph and all other documents submitted by me to HCIN shall not be returned to me and HCIN shall have the right
to retain the same. Further, I undertake to inform HCIN within 7 days of any change in any of the detail mentioned herein.
DECLARATION
1. I hereby confirm that I am a citizen of India and competent to give this declaration/ undertaking and to execute and submit this Application Form and all other documents for the purpose of availing
loan, creation of security and representing generally for all the purposes mentioned/required to be done for these presents.
2. I confirm that all the particulars and information given in the application form and otherwise in writing or over the Contact Options by me, are true, correct and complete and no information has been
withheld/suppressed.
3. I confirm that I am submitting this application form after having read and fully understood the Privacy Policy & Interest Rate Policy (as amended from time to time) of HCIN as well as the terms and
conditions of availing loan from HCIN, including those provided in the General Terms and Conditions for obtaining Personal Loan and POS loan from HCIN registered with the Sub-Registrar of
Assurances at Gurgaon (Haryana) under Deed of Declaration having Registration No. 23050 dated 18.12.2015 ("GTC"). I acknowledge that HCIN shall be entitled to reject my application without
assigning any reason.
4. I have no insolvency proceedings against me nor have I ever been adjudicated insolvent. I confirm that no suit for recovery of outstanding dues or monies whatsoever and/or criminal proceedings
have been initiated and/or pending against me. There is no restriction on me in respect of availing the loan from HCIN and no person's consent is required by me for availing the loan from HCIN.
Further, I undertake and confirm that loan amount shall not be used for purposes of gambling, lottery, races, for purchase of gold in any form, gold bullion, gold jewellery, gold coins, units of Exchange
Traded Funds (ETF) and units of gold mutual fund, or for any purpose prohibited by RBI/ other regulatory body from time to time or any other illegal purposes of similar nature. I confirm that I have been
informed that the loan would be subject to Pre-payment Penalties and other charges.
5. I understand that HCIN offers different interest rate to different borrowers based on loan amount, tenor, down payment, payment history with HCIN, credit score provided by credit information
companies, borrower's age, income, type of documents provided by the borrower and any other information as may be required for the purpose of credit evaluation and I agree to abide by such
rationale.
HCIN has confirmed that any changes in the rate of interest and fee/ charges shall take effect only prospectively.
I further confirm that HCIN shall be entitled to categorise me under High, Low, Medium or any other risk category based on the aforementioned factors and the loan performance.
LOAN SUMMARY
Mr. RAJA BANSAL Contract Number 3902294653
17, floor 1, SHATABDIPURAM, GOVINDPURAM, NEAR GAUR HOMES
Ghaziabad, Ghaziabad, Uttar Pradesh, 201013 Customer Id 11079214
Welcome to the Home Credit Family. Congratulations! Your Loan of Rs. 1,30,000.00 is approved, effective date 28th
Mar 2019.
LOAN DETAIL LATE PAYMENT CHARGES(incl. of all Taxes)
(A) Loan Amount 1,30,000.00 Rs. 0 Rs. 350 Rs. 800 Rs. 1,350 Rs. 2,100 Rs.
(+350) (+450) (+550) (+750)
(B) Processing Fee(incl. of all Taxes) 2,600.00 Rs.
On Due Date after 1 day after 30 days after 60 days after 90 days
(C) Disbursal Amount (A-B) 1,27,400.00 Rs.
(D) Flat Interest Rate 24.94 % p.a. Late payment charges will be charged for non payment of Monthly
Instalment on or before respective Due Dates.
(E) Interest Amount 1,13,432.00 Rs.
(F) EMI (Equated Monthly Instalment) 5,796.00 Rs.
(G) Number of Monthly Instalments 42
(H) Safe Pay Fee Per Month (Rs.) (incl. of all Taxes) 520.00 Rs. OTHER CHARGES
(I) Monthly Instalment (F+H) 6,316.00 Rs. Prepayment Terms Anytime during loan term
Prepayment Penalty(incl. of all Taxes) Nil
(J) IGST @ 18% (Applicable on B and H) 3,728.05 Rs.
Direct Debit Bounce Fee(incl. of all Taxes) 300 Rs.
The Loan Amount shall be disbursed in your bank account OTHER DETAIL
having following detail provided by you: *Recommended Payment Date 22nd of every month
Account Holder's Name RAJA BANSAL Due Date 28th of every month
Joint Holder's Name (in case of joint A/c) First Monthly Instalment 28th Apr 2019
Bank Name BANK OF BARODA Term of Loan 42 months
Bank Account No. 45580100004886 Mode of repayment Direct debit
Account Type SA Bank BANK OF BARODA
Bank Branch GOVINDPURAM-UTTAR Ensure sufficient balance in your bank account for Direct Debit of
PRADESH Monthly Instalments.
2. You authorize HCIN to accept all the instructions/ applications/ requests made by you through any of the Contact Options (such as e-mail, sms, mobile application etc.) mentioned in the GTC
in respect of all Loan(s) obtained by you and for the purposes of considering, granting, approving, or disbursing the Loan(s).
3. HCIN offers different interest rate based on loan amount, tenor, down payment, payment history with HCIN, credit score provided by credit information companies, borrower's age, income,
type of documents provided by the applicant and any other information as may be required for the purpose of credit evaluation. You understand that HCIN offers and charges different rate of
interest to different borrowers based on the aforesaid rationales and you agree to abide by such rationale. You further confirm that HCIN shall be entitled to categorise you under High, Low,
Medium or any other risk category based on the aforementioned factors and the loan performance. The Interest Amount has been calculated using flat rate of interest for the entire loan period.
Interest Amount shall be appropriated to Loan account on the basis of the monthly reducing balance of the Loan Amount.
4*. You are advised to make payment of Monthly Installment by Recommended Payment Date so that your loan account is appropriately credited with the Monthly Installment by Due Date.
5. In case you have availed value added services (SAFE PAY) and/ or enrolled for Group Insurance on finance, you agree to abide by the terms and conditions for such value added services and
Group Insurance Policy. Such terms and conditions are also available on website of HCIN i.e. https://homecredit.co.in/corporate-governance.
LOAN SUMMARY
Mr. RAJA BANSAL Contract Number 3902294653
17, floor 1, SHATABDIPURAM, GOVINDPURAM, NEAR GAUR HOMES
Ghaziabad, Ghaziabad, Uttar Pradesh, 201013 Customer Id 11079214
Welcome to the Home Credit Family. Congratulations! Your Loan of Rs. 1,30,000.00 is approved, effective date 28th
Mar 2019.
LOAN DETAIL LATE PAYMENT CHARGES(incl. of all Taxes)
(A) Loan Amount 1,30,000.00 Rs. 0 Rs. 350 Rs. 800 Rs. 1,350 Rs. 2,100 Rs.
(+350) (+450) (+550) (+750)
(B) Processing Fee(incl. of all Taxes) 2,600.00 Rs.
On Due Date after 1 day after 30 days after 60 days after 90 days
(C) Disbursal Amount (A-B) 1,27,400.00 Rs.
(D) Flat Interest Rate 24.94 % p.a. Late payment charges will be charged for non payment of Monthly
Instalment on or before respective Due Dates.
(E) Interest Amount 1,13,432.00 Rs.
(F) EMI (Equated Monthly Instalment) 5,796.00 Rs.
(G) Number of Monthly Instalments 42
(H) Safe Pay Fee Per Month (Rs.) (incl. of all Taxes) 520.00 Rs. OTHER CHARGES
(I) Monthly Instalment (F+H) 6,316.00 Rs. Prepayment Terms Anytime during loan term
Prepayment Penalty(incl. of all Taxes) Nil
(J) IGST @ 18% (Applicable on B and H) 3,728.05 Rs.
Direct Debit Bounce Fee(incl. of all Taxes) 300 Rs.
The Loan Amount shall be disbursed in your bank account OTHER DETAIL
having following detail provided by you: *Recommended Payment Date 22nd of every month
Account Holder's Name RAJA BANSAL Due Date 28th of every month
Joint Holder's Name (in case of joint A/c) First Monthly Instalment 28th Apr 2019
Bank Name BANK OF BARODA Term of Loan 42 months
Bank Account No. 45580100004886 Mode of repayment Direct debit
Account Type SA Bank BANK OF BARODA
Bank Branch GOVINDPURAM-UTTAR Ensure sufficient balance in your bank account for Direct Debit of
PRADESH Monthly Instalments.
2. You authorize HCIN to accept all the instructions/ applications/ requests made by you through any of the Contact Options (such as e-mail, sms, mobile application etc.) mentioned in the GTC
in respect of all Loan(s) obtained by you and for the purposes of considering, granting, approving, or disbursing the Loan(s).
3. HCIN offers different interest rate based on loan amount, tenor, down payment, payment history with HCIN, credit score provided by credit information companies, borrower's age, income,
type of documents provided by the applicant and any other information as may be required for the purpose of credit evaluation. You understand that HCIN offers and charges different rate of
interest to different borrowers based on the aforesaid rationales and you agree to abide by such rationale. You further confirm that HCIN shall be entitled to categorise you under High, Low,
Medium or any other risk category based on the aforementioned factors and the loan performance. The Interest Amount has been calculated using flat rate of interest for the entire loan period.
Interest Amount shall be appropriated to Loan account on the basis of the monthly reducing balance of the Loan Amount.
4*. You are advised to make payment of Monthly Installment by Recommended Payment Date so that your loan account is appropriately credited with the Monthly Installment by Due Date.
5. In case you have availed value added services (SAFE PAY) and/ or enrolled for Group Insurance on finance, you agree to abide by the terms and conditions for such value added services and
Group Insurance Policy. Such terms and conditions are also available on website of HCIN i.e. https://homecredit.co.in/corporate-governance.
In order to ensure timely repayment of the amount(s) of the Loan, Monthly Instalment, penalties, costs and/ or any other outstanding
amount(s) due in respect of the Loan obtained from Home Credit India Finance Private Limited (‘HCIN’) from time to time, I hereby
authorise HCIN to submit the Mandate, duly signed by me, before the bank with whom I have the bank account, details of which are
mentioned in the Mandate, for the purpose of debiting my said bank account with the aforesaid amount(s).
In case I obtain more than one Loan from HCIN and choose to make the repayment under all such Loan(s) by debiting the bank
account, details of which are provided in the Mandate, I confirm that my said bank account can be debited as and when this Mandate is
presented by HCIN on or after respective Due Dates of Monthly Instalment(s) of each such Loan until all the amounts due and payable
in respect of all such Loan(s) are duly paid by me. For this purpose, I authorise HCIN to fill up the details of Sponsor Bank, Utility Code,
Reference and Date(s) in the Mandate signed by me. I also authorize the bank and HCIN to debit my account for charges towards
mandate verification and transactions bounced due to "insufficient funds" as applicable.
I hereby declare that the particulars given above are correct and complete. If the transaction is delayed, or not effected at all, for
reasons of incomplete or incorrect information, I would not hold the user institution and/ or HCIN responsible.
I further undertake that the Mandate given by me shall remain valid and binding until all the amounts due and payable by me under all
the Loans taken from HCIN are duly paid to the satisfaction of HCIN and that I shall not initiate any step/ action leading to cancellation
of Mandate, or closure of bank account or for dishonour of Mandate without prior approval in writing from HCIN.
Thanking you,
ACH-DB
2 8 0 3 2 0 1 9
400200002 DEUT00030000009885
HOMECRINDFINPVTLTD
4 5 5 8 0 1 0 0 0 0 4 8 8 6
BANK OF BARODA 1 1 0 0 1 2 1 7 8
One Lakh Thirty Thousand 130,000.00
390229465301
2 8 0 4 2 0 1 9
RAJA BANSAL
ECS/NACH/Direct Debit Mandate
HOME CREDIT INDIA FINANCE PRIVATE LIMITED
Tel:+91 124 4907 600, Fax:+91 124 4907650, Email:info@homecredit.co.in, Web:www.homecredit.co.in
In order to ensure timely repayment of the amount(s) of the Loan, Monthly Instalment, penalties, costs and/ or any other outstanding
amount(s) due in respect of the Loan obtained from Home Credit India Finance Private Limited (‘HCIN’) from time to time, I hereby
authorise HCIN to submit the Mandate, duly signed by me, before the bank with whom I have the bank account, details of which are
mentioned in the Mandate, for the purpose of debiting my said bank account with the aforesaid amount(s).
In case I obtain more than one Loan from HCIN and choose to make the repayment under all such Loan(s) by debiting the bank
account, details of which are provided in the Mandate, I confirm that my said bank account can be debited as and when this Mandate is
presented by HCIN on or after respective Due Dates of Monthly Instalment(s) of each such Loan until all the amounts due and payable
in respect of all such Loan(s) are duly paid by me. For this purpose, I authorise HCIN to fill up the details of Sponsor Bank, Utility Code,
Reference and Date(s) in the Mandate signed by me. I also authorize the bank and HCIN to debit my account for charges towards
mandate verification and transactions bounced due to "insufficient funds" as applicable.
I hereby declare that the particulars given above are correct and complete. If the transaction is delayed, or not effected at all, for
reasons of incomplete or incorrect information, I would not hold the user institution and/ or HCIN responsible.
I further undertake that the Mandate given by me shall remain valid and binding until all the amounts due and payable by me under all
the Loans taken from HCIN are duly paid to the satisfaction of HCIN and that I shall not initiate any step/ action leading to cancellation
of Mandate, or closure of bank account or for dishonour of Mandate without prior approval in writing from HCIN.
Thanking you,
HOMECRINDFINPVTLTD
4 5 5 8 0 1 0 0 0 0 4 8 8 6
BANK OF BARODA 1 1 0 0 1 2 1 7 8
One Lakh Thirty Thousand 130,000.00
RAJA BANSAL
ECS/NACH/Direct Debit Mandate
HOME CREDIT INDIA FINANCE PRIVATE LIMITED
Tel:+91 124 4907 600, Fax:+91 124 4907650, Email:info@homecredit.co.in, Web:www.homecredit.co.in
In order to ensure timely repayment of the amount(s) of the Loan, Monthly Instalment, penalties, costs and/ or any other outstanding
amount(s) due in respect of the Loan obtained from Home Credit India Finance Private Limited (‘HCIN’) from time to time, I hereby
authorise HCIN to submit the Mandate, duly signed by me, before the bank with whom I have the bank account, details of which are
mentioned in the Mandate, for the purpose of debiting my said bank account with the aforesaid amount(s).
In case I obtain more than one Loan from HCIN and choose to make the repayment under all such Loan(s) by debiting the bank
account, details of which are provided in the Mandate, I confirm that my said bank account can be debited as and when this Mandate is
presented by HCIN on or after respective Due Dates of Monthly Instalment(s) of each such Loan until all the amounts due and payable
in respect of all such Loan(s) are duly paid by me. For this purpose, I authorise HCIN to fill up the details of Sponsor Bank, Utility Code,
Reference and Date(s) in the Mandate signed by me. I also authorize the bank and HCIN to debit my account for charges towards
mandate verification and transactions bounced due to "insufficient funds" as applicable.
I hereby declare that the particulars given above are correct and complete. If the transaction is delayed, or not effected at all, for
reasons of incomplete or incorrect information, I would not hold the user institution and/ or HCIN responsible.
I further undertake that the Mandate given by me shall remain valid and binding until all the amounts due and payable by me under all
the Loans taken from HCIN are duly paid to the satisfaction of HCIN and that I shall not initiate any step/ action leading to cancellation
of Mandate, or closure of bank account or for dishonour of Mandate without prior approval in writing from HCIN.
Thanking you,
In order to ensure timely repayment of the amount(s) of the Loan, Monthly Instalment, penalties, costs and/ or any other outstanding
amount(s) due in respect of the Loan obtained from Home Credit India Finance Private Limited (‘HCIN’) from time to time, I hereby
authorise HCIN to submit the Mandate, duly signed by me, before the bank with whom I have the bank account, details of which are
mentioned in the Mandate, for the purpose of debiting my said bank account with the aforesaid amount(s).
In case I obtain more than one Loan from HCIN and choose to make the repayment under all such Loan(s) by debiting the bank
account, details of which are provided in the Mandate, I confirm that my said bank account can be debited as and when this Mandate is
presented by HCIN on or after respective Due Dates of Monthly Instalment(s) of each such Loan until all the amounts due and payable
in respect of all such Loan(s) are duly paid by me. For this purpose, I authorise HCIN to fill up the details of Sponsor Bank, Utility Code,
Reference and Date(s) in the Mandate signed by me. I also authorize the bank and HCIN to debit my account for charges towards
mandate verification and transactions bounced due to "insufficient funds" as applicable.
I hereby declare that the particulars given above are correct and complete. If the transaction is delayed, or not effected at all, for
reasons of incomplete or incorrect information, I would not hold the user institution and/ or HCIN responsible.
I further undertake that the Mandate given by me shall remain valid and binding until all the amounts due and payable by me under all
the Loans taken from HCIN are duly paid to the satisfaction of HCIN and that I shall not initiate any step/ action leading to cancellation
of Mandate, or closure of bank account or for dishonour of Mandate without prior approval in writing from HCIN.
Thanking you,
ACH-DB
2 8 0 3 2 0 1 9
400200002 DEUT00030000009885
HOMECRINDFINPVTLTD
4 5 5 8 0 1 0 0 0 0 4 8 8 6
BANK OF BARODA 1 1 0 0 1 2 1 7 8
One Lakh Thirty Thousand 130,000.00
390229465301
2 8 0 4 2 0 1 9
RAJA BANSAL
ECS/NACH/Direct Debit Mandate
HOME CREDIT INDIA FINANCE PRIVATE LIMITED
Tel:+91 124 4907 600, Fax:+91 124 4907650, Email:info@homecredit.co.in, Web:www.homecredit.co.in
In order to ensure timely repayment of the amount(s) of the Loan, Monthly Instalment, penalties, costs and/ or any other outstanding
amount(s) due in respect of the Loan obtained from Home Credit India Finance Private Limited (‘HCIN’) from time to time, I hereby
authorise HCIN to submit the Mandate, duly signed by me, before the bank with whom I have the bank account, details of which are
mentioned in the Mandate, for the purpose of debiting my said bank account with the aforesaid amount(s).
In case I obtain more than one Loan from HCIN and choose to make the repayment under all such Loan(s) by debiting the bank
account, details of which are provided in the Mandate, I confirm that my said bank account can be debited as and when this Mandate is
presented by HCIN on or after respective Due Dates of Monthly Instalment(s) of each such Loan until all the amounts due and payable
in respect of all such Loan(s) are duly paid by me. For this purpose, I authorise HCIN to fill up the details of Sponsor Bank, Utility Code,
Reference and Date(s) in the Mandate signed by me. I also authorize the bank and HCIN to debit my account for charges towards
mandate verification and transactions bounced due to "insufficient funds" as applicable.
I hereby declare that the particulars given above are correct and complete. If the transaction is delayed, or not effected at all, for
reasons of incomplete or incorrect information, I would not hold the user institution and/ or HCIN responsible.
I further undertake that the Mandate given by me shall remain valid and binding until all the amounts due and payable by me under all
the Loans taken from HCIN are duly paid to the satisfaction of HCIN and that I shall not initiate any step/ action leading to cancellation
of Mandate, or closure of bank account or for dishonour of Mandate without prior approval in writing from HCIN.
Thanking you,
HOMECRINDFINPVTLTD
4 5 5 8 0 1 0 0 0 0 4 8 8 6
BANK OF BARODA 1 1 0 0 1 2 1 7 8
One Lakh Thirty Thousand 130,000.00
RAJA BANSAL
ECS/NACH/Direct Debit Mandate
HOME CREDIT INDIA FINANCE PRIVATE LIMITED
Tel:+91 124 4907 600, Fax:+91 124 4907650, Email:info@homecredit.co.in, Web:www.homecredit.co.in
In order to ensure timely repayment of the amount(s) of the Loan, Monthly Instalment, penalties, costs and/ or any other outstanding
amount(s) due in respect of the Loan obtained from Home Credit India Finance Private Limited (‘HCIN’) from time to time, I hereby
authorise HCIN to submit the Mandate, duly signed by me, before the bank with whom I have the bank account, details of which are
mentioned in the Mandate, for the purpose of debiting my said bank account with the aforesaid amount(s).
In case I obtain more than one Loan from HCIN and choose to make the repayment under all such Loan(s) by debiting the bank
account, details of which are provided in the Mandate, I confirm that my said bank account can be debited as and when this Mandate is
presented by HCIN on or after respective Due Dates of Monthly Instalment(s) of each such Loan until all the amounts due and payable
in respect of all such Loan(s) are duly paid by me. For this purpose, I authorise HCIN to fill up the details of Sponsor Bank, Utility Code,
Reference and Date(s) in the Mandate signed by me. I also authorize the bank and HCIN to debit my account for charges towards
mandate verification and transactions bounced due to "insufficient funds" as applicable.
I hereby declare that the particulars given above are correct and complete. If the transaction is delayed, or not effected at all, for
reasons of incomplete or incorrect information, I would not hold the user institution and/ or HCIN responsible.
I further undertake that the Mandate given by me shall remain valid and binding until all the amounts due and payable by me under all
the Loans taken from HCIN are duly paid to the satisfaction of HCIN and that I shall not initiate any step/ action leading to cancellation
of Mandate, or closure of bank account or for dishonour of Mandate without prior approval in writing from HCIN.
Thanking you,
Rs. 2,65,272.00
ON DEMAND I/we RAJA BANSAL promise to pay to Home Credit India Finance Private Limited or order, the
sum of Rs. 2,65,272.00 from this date onwards for value received payable at Uttar Pradesh
Presentment for payment and noting and protest of this are hereby unconditionally and irrevocably waived.
Revenue
Stamp
Date 28/03/2019
RAJA BANSAL,
3902294653
6,316.00 28th
22nd
RAJA BANSAL,
3902294653
6,316.00 28th
22nd