CV ApplicationForm
CV ApplicationForm
CV ApplicationForm
Present Address
(Residence /
Regd. Off. )
Permanent
Address
(Residence / Regd
Office)
Landmark
City PIN Code
State Country Voter ID Card No.
Tel (R /O) S T D - L A N D L I N E Mobile no. 91
Present Address
(Residence /
Regd. Off. )
Permanent
Address
(Residence / Regd
Office)
Landmark
City PIN Code
State Country Voter ID Card No.
Tel (R /O) S T D - L A N D L I N E Mobile no. 91
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9907/22.12.2015
Company /
Employers Name
Company /
Employers
Address
Landmark
City PIN Code
State Country
Tel (O) S T D - L A N D L I N E E X N T Preferred Mailing Address Residence Office
Official e-mail ID I N C A P I T A L L E T T E R S O N L Y
About the Partners & Directors (For Partnership/Private Ltd./Public Ltd. Co.)
(1) Name:
Residence Add:
Landmark:
City: State:
Pin Code: Tel. No: E-mail:
(2) Name:
Residence Add:
Landmark:
City: State:
Pin Code: Tel. No: E-mail:
C. INCOME AND BANKING DETAILS # please attach extra sheets if required
Relationship with 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
Nature of Relationship:
Other bank other banks or is a firm in which relatives of directors are interested as partner or director.
Relationship with
Applicant is a Director / Sr. Officer / relative of director or Sr. Officer of the Bank. __________________________________
Financing bank
E . PRIORITY SECTOR CATEGORY (Important : If applicant belongs to any of the below category, pls tick the box) (Bank Copy)
Direct Agri (Agriculturist / Farmer / Agri allied activities like, dairy farming, poultry farming, fishery, bee-keeping etc)
Land (acres) <3 3 to 5 >5 to 10 >10 to 15 > 15 Specify (acres):____________ Location:_________________________________ Pin Code:______________
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 Value of investment (i)______________ CC limit(a) ____________
Service enterprise : (Professional / Non Service unit with investment in equipment upto ` 2 Lakh Service unit with investment in equipment > ` 2 Lakh to ` 10 Lakh
Professional / SRTO / Trade / Retail Trade) Service unit with investment in equipment > ` 10 Lakh to ` 2 Cr Value of investment (i)____________________________________
Declaration: I/we hereby declare/confirm that the vehicle purchased/ to be purchased / loan availed / to be availed by me/us shall be used
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.
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 14 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
(Bank Copy)
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.
J. 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.
Name: ____________________________________
Date:___________________ Place:________________
_
www.twitter.com/hdfcbank_offers
Watch us on
www.youtube.com/hdfcbank Signature of Executive / Bank Staff
For more information please visit
www.hdfcbank.com
Serial Numbering
APPLICATION FOR INSURANCE
(Applicable only for Vehicle Loan. For Personal / Business Loan, please fill separate form)
Group Credit Protect Insurance plan from HDFC Standard Life Insurance Co. Ltd. Members Information Form Premium Amount `r
Name : _________________________________________________ DOB : D D M M Y Y Y Y Gender M F Identification Mark : ___________________________________________
Death Benefit : Level term assurance Sum Assured (loan amt) ` : ___________ Term : ______ Age proof: Driving license Passport PAN card Leaving certificate Others ____________
Short Medical Questionnaire - Health Details of Member (tick the box for your answer)
1) Have you ever suffered or are currently suffering from:(a) Chest Pain or heart attack or any other heart disease (b) Cancer, tumor, growth or cyst of any kind (c) Stroke, paralysis, Epilepsy, any
psychiatric / mental disorder, disorder of brain/nervous system or any kind or physical disabilities (d) Asthma, Tuberculosis or other lung disorder (e) Diseases or disorder of muscles, bones or joints,
Y N
arthritis or blood disorder (anemia) or any endocrine disorder (f) Diseases of the kidney, digestive system (stomach, pancreas, gallbladder, intestines ) Liver, Hepatitis B or C or HIV/AIDS infection (g)
Diabetes, high blood pressure
2) During the last 5 years have you undergone any major surgery or been hospitalized for more than one week? Y N
3) Do you take part in any adventurous sports or hobbies? (like paragliding, mountaineering, deep sea diving, motor racing, bungee jumping etc.) Y N
4) Do you smoke more than 10 cigarettes a day? Y N
5) Has more than one of your close relatives died before the age of 60 year as a result of heart attack, stroke, cancer, diabetes? Y N
6) Are you taking any medication or has a doctor ever attended you for any conditions, diseases or impairment not mentioned above (except for cough or cold)? Y N
7) Female life only: Are you pregnant? Y N
8) Have you ever been declined, deferred, and accepted at special terms, had cover reduced or had exclusion imposed for any life, health or accident insurance cover. Y N
Please note that it is important to answer the above questions correctly. Any false information will lead to rejection of the application or the claim in future.
Details of Nominee : Benefit will be paid to the master policy holder. The Balance death benefit amount (after adjustment against outstanding loan, if any) will be paid to the nominee.
Name :______________________________________________________________ DOB : D D M M Y Y Y Y Gender M F Relationship with Member : _______________________
I/We, ________________________________________, do hereby declare that I/ we have received a loan of Rs ______________from HDFC Bank Limited (“Master Policyholder”). In order to secure the said loan I/ we
have taken the above referenced policy from HDFC Standard Life Insurance Company Limited (“HDFC Life”). In consideration of receiving the said loan I hereby authorize HDFC Life to make payment of Outstanding Loan
Balance amount to Master Policyholder by deducting from the claim proceeds payable on happening of the contingent event covered by the Group Life Insurance Scheme/ Policy referenced above. Request you to kindly
take note of the above mentioned request and update your records accordingly.
Signature _____________________
Declaration : I understand, Agree & confirm that these statement & this declaration are basis of contract between the insurer & the policyholder. If any untrue statements 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 policyholder may be treated as void as far as I am concerned. I confirm that I have read & understood, the rules & any additional rules of
HDFC Life Group Credit Protect Insurance Plan, the standard Policy provisions & any additional provisions that govern the policy to be issued by insurer in the name of the Policyholder and on my life, & I agree & confirm that
same shall be binding on me. I authorize the policy holder to disclose to the insurer such particulars as they may require including the details given above & 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 the
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 provisions of the Insurance Act 1938 and that the same will not commence until written acceptance of this application
by the insurer issued on its normal terms & conditions is received. Signature of Proposer
HDFC Bank is the master policy holder of this policy
Name : ____________________________________________ Date :_______________ Place :_______________
MOST IMPORTANT TERMS AND CONDITIONS AND DECLARATION BY THE CUSTOMER (Customer Copy)
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 14 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.
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 the Bank is only a finance provider and subsequent to vehicle/ asset finance disbursement to the dealer, Bank has not liability towards
condition/ color/ make/ performance/ quality of vehicle/ asset at the time of delivery/ delay in delivery of vehicle/ accessories/ spare-part from the dealer or availability of specific color/
mode/ quality/ version at the dealership. (6) that any discount in pricing of the asset is purely an offer by the manufacturer/ dealer. (7) 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.
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