V_28092022

Loan Application Form

Fix a latest
photograph
of the
applicant

3 0 0 0 0 0 0 3 6 1 8 02
LAP ✔ EL

✔
✔

PERSONAL DETAILS
Existing
AFL Cust ID CKYC No.

Full Name Title AR I MA ANA L Y T I CS PR I V A T E L I M I T ED

Mother’s
DOB D D M M Y Y Y Y Father’s Name
Maiden Name
Religion Hindu Muslim Christian Sikh Other ______________ Person with Disability Yes No

Category General SC ST OBC Other ______________ No. of Dependents

Marital Status Married Single Other ________________ Gender Male Female Transgender

Mobile 9 9 7 2 3 3 3 9 5 5 Phone

Email c h i n m a y@p i s q u a r e . i o
Contact Details

UPI ID

ADDRESS & KYC DETAILS

Document Submitted ID Number Current Address Mailing Address ID Proof
Aadhaar Card L A S T 4 D I G I T S O N L Y

PAN / FORM 60
Passport

Driving License

Voter ID Card

Udyam Reg. Certification U D Y A M

NREGA

Electricity Bill

Telephone Bill

Bank Statement

Ration Card

Proof of constitution

Municipal Tax Receipt

GST Registration

Above Aishwarya Hyper City,3rd and 4th Floor,SY N.3/2, AishwaryaComplex,

Staying since
Current
Sarjapur Main Road, Bellandur Gate, Bellandur, Bengaluru,
Address M M Y Y

Landmark City B e n g a l u r u
State k a r n a t a k a Pin 5 6 0 1 0 3
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 Staying since

Mailing M M Y Y
Address
Landmark City
State Pin

AR I MA ANA L Y T I CS
p v t l t d

c h i n m a y@p i s q u a r

HD F C B ANK I NDUS L ND B ANK

HSR L A YOU T HSR L A YOU T
HD F C 0 0 0 1 9 9 3 I NDB 0 0 0 1 0 1 3

50200052109745 251204201800

J o n u R a n a P a r t h a S a r a t h i

BANGA LORE B ANGA L ORE

KARNA T AKA KARNA T AKA

9 8 1 9 0 8 8 6 6 0

(FOR OFFICE USE)

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“I/We have applied for loan at Axis Finance Limited (“AFL”). I/We undertake, declare, agree and confirm that: 1. I/We acknowledge application of loan, applicable schedule of charges along with documents to
be submitted for my loan processing with Axis Finance. 2. All particulars, information, copies of financials/bank statements/title records/legal and other documents and details given/filled in or submitted
along with this Loan Application, or tab/mobile app based Application form filled by AFL representative are true, correct, and updated in all respects and that no information/details whatsoever has been
withheld/concealed. The information/details/documents submitted by me/us including sensitive personal information shall form the basis of the credit appraisal done by AFL and any loan/service or amount
thereof that AFL may decide to grant to me/us at its sole discretion. 3. In case any discrepancy is found or observed from the documents/information/detail submitted by me/us, AFL shall, in its sole
discretion, be entitled to cancel the sanction at any stage or recall the loan, if already disbursed. 4. I/We have never defaulted in any loan availed from AFL or any other bank/financial institution. 5. No award,
decree, judgement or order has been passed against me/us involving breach of contract, tax malfeasance or other misconduct which could have any adverse effect on my/our capacity to repay the loan. 6. I/
We confirm that no insolvency proceedings or suits for recovery of outstanding dues or monies whatsoever and/or any criminal proceedings or any proceedings for winding up, dissolutions, administration or
reorganization or for the appointment of the receiver, administrator, administrative receiver, trustee or similar officer for my/our assets have been initiated and/or are pending against me/us and that I/We
have never been adjudicated insolvent by any court or other authority. 7. I/We specifically authorize AFL and all its group/business associate companies and their employees, agents and representatives to
collect, exchange, share or part with all or any information for any purpose including cross selling and referrals. 8. I/We acknowledge and agree that AFL shall have, in its absolute discretion and without
assigning any reason (unless required by applicable law), the right to accept or reject the Loan Application and AFL shall not be responsible in any manner whatsoever to me/us for such rejection or any delay
in notifying me/us of such rejection and any costs, losses, damages or expenses, or other consequences, caused by or arising out of such rejection, or any delay in notifying me/us of such rejection, of my/our
application. Quantum of the loan will be finally decided by AFL and AFL has not made any commitment to me/us regarding the same. 9. The amount of loan shall be decided by AFL in its sole discretion and
AFL does not and has not made any commitment to me/us regarding the same. 10. AFL is not under any obligation under any circumstances whatsoever to refund registration/upfront/processing fee or any
fee by whatever name called once paid. 11. All payments including for stamp duty, registration fee, legal fee, valuation charges, ROC filing charges (if applicable), documentation charges and any other out of
the pocket expenses as per actuals shall be borne by me/us. 12. I/We understand that the disbursement will be subject to production of necessary documents as may be required by AFL from time to time,
satisfactory completion of AFL appraisal and documentation process and compliance with AFL laid down norms/guidelines. 13. Any change in information submitted with this Loan Application or thereafter
including change in address(s), employment or profession, income, telephone number etc. shall be promptly informed to AFL. 14. I/We confirm that I/we shall cooperate with AFL and furnish additional
documents and/or shall execute such other documents, if necessary to enable AFL to abide by/comply with all other existing/further directives of the statutory/regulatory authorities/any other authority in
accordance with applicable laws. 15. I/We authorize AFL to disclose any information/documents submitted with Loan Application or anytime thereafter or relating to me/us, of the loan(s) proposed to be
availed by me/us, as AFL may deem appropriate and necessary, to Reserve Bank of India, tax authorities, Credit Bureaus, third parties, credit rating agencies, TransUnionCredit Information Bureau (India) Ltd.
or any other agency authorized in this behalf by RBI, or Government or any regulatory/statutory/judicial/quasi-judicial authority and also to obtain information from these agencies/authorities etc. with
respect to me/us so as to enable AFL to appraise my/our Loan Application. 16. I/We undertake that (a) CIBIL and any other agency so authorized may use, process the said information and data disclosed by
AFL in the manner as deemed fit by them; and (b) CIBIL and any other agency so authorized may furnish for consideration, the processed information and data disclosed or products thereof prepared by them,
to Bank/Financial Institutions and other Credit Grantors or Registered Users, as may be specified by the RBI in this behalf. 17 I/We hereby authorize AFL as may be required in order to enforce the rights of
AFL pursuant to the provisions of the insolvency and Bankruptcy Code, 2016 and required to monitor the Loan and the utilization thereof, and /or to take steps toward the recovery of the Outstanding
Amounts. 18. I/We authorise AFL to contact me/us for products and services offered by AFL or any service provider regarding dues, marketing schemes, various other financial and insurance products, etc. in
any of the following methods: (a) Telephone even if the Applicant’s name appears in Do Not Call Register. (b) E-mail (c) SMS (d) Whatsapp; (e) other communication channels under applicable laws. 19. I/We
hereby confirm that I/we am/are competent and fully authorized to give declarations, undertaking etc. execute and submit this Loan Application and all other documents for the purpose of availing the loan,
creation of security and for all the purposes mentioned/required to be done in this regard. 20. I/We hereby declare that information given by us in application form and digital application form, if there is any
inconsistency, the information provided in digital form will prevail. 21. I/We expressly and irrevocably give further consent that AFL is entitled (but not obliged) to contact at any such place, person/or entity,
reasonably believed by AFL of having any connection with the Applicants, details of which may be available with AFL either directly or indirectly in order to establish contact with the Applicants, disclose
relevant information regarding the Loan or procure information that may be relevant for AFL to service the Loan or exercise its rights and obligations in terms of the T&C. 22. No money or fees has been
solicited or paid in cash to any AFL employees/business associates during the process of application submission. 23. Any information or data disclosed to AFL pursuant to the Loan Application Form and the
T&Cs has been provided out of the Applicant’s own free will and volition. 24. AFL may collect, use, process, store, transfer the information or data, including any sensitive personal information or data, for any
or all of the following purposes : (i). Of data processing, statistical or risk analysis, conducting credit or KYC or anti-money laundering checks, credit risk managment, or monitoring the Applicant’s credit
worthiness. (ii). Of meeting the disclosure requirements of any law binding on AFL. 25.I/We agree that submission of the Loan Application does not imply automatic approval of the loan by AFL. AFL may
request for additional documents other than those submitted along with the Loan Application. I/We confirm that the executive who collected my/our applications/documents has informed me/us and I/we
am/are fully aware that –1. Any tax, fee, cess, duty etc. as may be applicable and payable from time to time will be charged in connection with the loan. 2. AFL is not liable for the safe keeping and return of
any documents/papers or copies thereof submitted along with the Loan Application. 3. AFL shall not be liable to process any incomplete/defective applications and AFL shall not be responsible for any
resulting delay or otherwise. 4. The Loan Application, documents/photographs or any other detail etc. once submitted by me/us will not be returned under any circumstances whatsoever by AFL. This
application form is considered valid unless the applicant revokes the same. 26.I do hereby declare that, in case I have submitted deemed OVD as a proof of my current address, I will submit any one of the
Officially Valid document within period of three months from the date of the loan application with updated current address as mentioned in the deemed OVD submitted by me as part of this application. 27.I/
We hereby declare that there is no change in the personal information, occupation, contact details provided at the time of previous loan application (Loan application no_________). 28. I/We hereby declare
that in case of any updation in the aforementioned information, shall be provided to the AFl representative alongwith supporting documents alongwith loan application form.29.I do hereby give my consent
for downloading KYC document from CKYC portal.
For declaration w.r.t. change/no change tick box option:

There is no change in the information available in the documents downloaded from CKYC portal.

There is change in the information available in the documents downloaded from CKYC portal.

Declaration: In case this Application form is digitally filled, it has to be submitted from your (Main Applicant) Official Email ID and directly sent to an Axis Finance officer. In which case, it would be
deemed consent to process the application further & no signature would be required to be obtained on this application form.

General
Documents

Indicative list of
KYC Documents

Income Documents

Bank Statement

Documents For I Academic Documents II Fees Structure III Proof of Admission IV Relationship Proof
Education Loan
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 Loan Against Property Home Loan Education Loan

Up to 2% of the Loan amount

Foreclosure Charges Foreclosure Charges

Minimum 12 EMIs to be repaid before Part repayment and / or Pre-closure - Up to 4% of loan outstanding - NIL
Part-Prepayment can be initiated.

Prepayment charges
/ Foreclosure Nil part-payment charges shall be
applicable.
Minimum amount permitted to be 2
times EMI & maximum to be 50% of
sanctioned amount over period of the
loan tenor
Part-Payment shall be permitted only
2% for non-individual/individual borrowers after clearance of 1st EMI
Part-payment will only be allowed
once in a 3-month period.
(For secured loan) Rs. 100
24% p.a. i.e. 2% per month of Rs. 200/- whichever is higher on the overdue amount

Rs.5000

Rs. 5000 per instance

V_28092022

* Charges mentioned above are exclusive of taxes. All applicable taxes shall be charged to the customer over the above mentioned amounts.
Also these charges are subject to change at the time of loan agreement execution as well as in future by Axis Finance. For the latest applicable Schedule of Charges, borrower should check the same at [Link]

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