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Information needed for Credit Score Rectification COMPLETE TERMS AND CONDITIONS 1.You understand that signing this form constitutes a binding Personal Information agreement between Credit High Score (“CHS”) and you. “Signing” shall mean printing a physical copy and placing your signature thereon and Name: transmitting to CHS by electronic or non-electronic means, and/or transmitting the required data by electronic means including as a Date of Birth: WHATSAPP message. 2.You acknowledge that CHS is not related to TransUnion CIBIL Limited (CIBIL), Equifax, Experian or High Mark Credit Information Services or Pan Number: any other credit rating agency as defined under The Credit Information Companies (Regulation) Act, 2005. Voter ID Number: 3.You understand that you are hereby authorising CHS to requisite credit information from credit institutions and / or CICs. Email Id: 4.CHS shall obtain the credit information and use such information for: a. Enabling you to know your own credit information. Mobile No.: b. Enabling you to make effective credit taking decisions. c. Review and evaluate your current credit score. d. Provide analysis and recommendations to increase your WhatsApp No.: credit score. Address: e. To take a credit decision in relation to a person for whom you have acted as guarantor. 5.In relation to the activities specified above, and any other activities that CHS may become involved in in the future, you understand that CHS makes no guarantee of an actual increase, change, variation or improvement in your credit score. Pin-code: 6. You understand that CHS is a credit score repair services provider. You understand and acknowledge that your credit score reflects your Referred by Information own historical credit behaviour. CHS shall not be liable for failing to improve, change, increase or vary your credit score, and shall not be Bank Name: held liable for failing to improve, change, increase or vary your credit score, by you or any other persons. Branch: 7.CHS shall undertake any work only upon complete advance payment, and proof of payment from you. CHS accepts payments by cash, electronic bank transfers to its current account or PayTM only. No Bank Person name: other means of payment is entertained. CHS is not liable for any payment reversals, transaction failures, and/or any other technical Mobile Number: difficulties in making payment through electronic means. CHS reserves its rights not to complete work for payments not actually credited. WhatsApp Number: 8.CHS is not liable to refund any payment for the above services, and any decision to initiate such refund by CHS is subject to its discretion. Select Credit Report Name (cross what is not applicable): Refunds, if any at the sole discretion of CHS, shall be provided by CIBIL :: Experian :: CRIF High Mark :: Equifax cheque issued to the account holder and account number from which payment was initially received. Upon receiving this cheque, you acknowledge that this refund is provided by CHS at its discretion. You Problem as told by the Bank Staff to the Customer: understand and acknowledge that you have never had, nor in the future will have, any claim or dispute regarding your interaction with CHS. 9.CHS will make its best efforts to safeguard your information provided in this form and use this information only to obtain your credit information from credit institutions and /or CICs. 10.You have read over and understood these terms and conditions, or you acknowledge that these terms and conditions have been explained to you in your native language, where you cannot read and understand English. If any dispute arises between you and CHS out of these terms, such dispute shall be settled by arbitration in Bengaluru, as provided in The Arbitration and Conciliation Act, 1996. I _____________________________________________ hereby give my consent to Credit High Score for obtaining my annual CIR access from www.cibil.com Name & Signature of applicant: