fiudksm/ Pincode Pincode djrs gsarks ¼laca/k½gSAbldhvk;q o"kz gsa ukwfefrvo;ldgksus dhvolfkesa lja{kdkuke

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Alfred Hudson
5 years ago
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1 / S.T. / O.B.C. / Minority / Female / General lnl;la[;k/ Membership No. fgllk[krkla-/ Share a/c No. k[k/ Branch vkosnufnukad/ Date of Application lnl;rkofgllkgsrq izkfkzuki=k Membership & Share Application Form A Jheku~ v/;{kegksn;/ Chairman vidldlvy,dlizsldks&vkwijsfvo¼vczu½fksiv,.møsfmvlkslkbzvh Apex Castle Express Co-op (Urban) Thrift and Credit Society QksVks vfuok;z Recent Photo to be pasted vkidhlfefrdk@ds lnl;cus gsaavr%lnl;rk kqyd1/-,oa izfrva k10/- dhnjls dqy -ds -va ksa ds vkosnuls deva klohd rgksaxs rks lfefrds orzekufu;e]mifu;ele; ijfd;s x;s ifjorzu]la gsa lnl;ugha We hereby apply for the membership of the society and tender a sum of for 1/- as membership fee & for shares ( 10/- Per share) and under take to abide by the present rules, regulations, bye-laws of the society and changes, modifications and amendments made there to under the Co-opertive Societies Act, from time to time. Even if lesser number of shares are allotted, then applied. I/We shall accept the same. I/We declare that I/we am/are not a member of any other credit society. vkosndkuke/ Name of the Applicant : Jh@Jherh@lqJh/ Mr./Mrs./Miss firk@ifrdkuke@ Father's / Husband's Name mitkfr/ Surname orzekuirk/ Current Address ftyk/ Distt. LFkbZ irk/ Permanent Address fiudksm/ Pincode jkt; State ftyk/ Distt. fiudksm/ Pincode jkt; State O;olk;/Profession vk;q /Age o"kz /Years fyax/gender esa@gevius }kjkø;fd;s x;s fgllksa dk@ds ukafefrjh@jherh djrs gsarks esjs@esjh@gekjs@gekjh ¼laca/k½gSAbldhvk;q o"kz gsa ukwfefrvo;ldgksus dhvolfkesa lja{kdkuke I/We declare Mr./Miss./Mrs. as the nominee of the share (s) purchased by me/us. He/She is my/our (Relationship). His/Her age is Years. In Case the nominee is minor his/her Guardian's Name uewukglrk{kj/specimen Signature(s) lk{kh/witness: glrk{kj/signature uke/name firk@ifrdkuke/father's/husband's Name irk/address dsunzh;dk;kzy;mi;ksxgsrq /For Use at Central Office :- izkfkhz ds glrk{kj/applicant's Signature vidldlvy,dlizsldks&vkwijsfvo¼vczu½fksiv,.møsfmvlkslkbzvhlnl;rklfefr}kjkfnukad -dks izlrkola[;k -ds }kjk lnl;rklohd rdjnhxbz gs,oa - ks;j10/- izfr ks;jdhnjls vkoafvrfd;s x;sa Apex Castle Express Co-op (Urban) Thrift and Credit Society vide its resolution no. dated accepted the membership and decided to allot shares 10/- per share. izkf/kd rglrk{kj/authorised Signatory

3 APPLICATION FOR PERSONAL LOAN A Apex Castle Express Co-op (Urban) Thrift and Credit Society Paste Recent Passport Size Colour Photo of Paste Recent Passport Size Colour Photo of Paste Recent Passport Size Colour Photo of BORROWER CO-BORROWER GUARANTOR S. No. Date Customer ID Loan Type (tick if applicable) Pre Approved Clear Enhancement External Balance Transfer Loan A/C nos. :... Tittle First Name Middle Name Last Name PAN Card No. UID Aadhar No. Passport / Voter ID / Driving Licence No. Date of Birth (DD / MM / YY) Gender Status Male Female Third Gender Res NRI PIO OCI Foreign National Nationality Community Category SC ST OBC General Others Education Marital Status Dependents Matriculate Undergraduate Graduate Postgraduate Professional Others Married Single No. of Dependents Father s Name : Tittle First Name Middle Name Last Name Mother s Name : Tittle First Name Middle Name Last Name Residence Address (Present Address) City State Country Nearest Landmark (Present Address) Mailing Address Pin Phone Details (STD Code-Tel. Res.) Mobile Number Address No. of Months in the Current Residence Years Months No. of Months in the City Years Months Residence Ownership Self Owned Parental Owned-Mortgage Co. Provided Paying Guest Rental Reative Residence Address (Permanent Address) City State Country Nearest Landmark (Permanent Address) Mailing Address Pin Phone Details (STD Code-Tel. Res.) Mobile Number Employment Nature Salaried Self Employed Department Designation A. ACKNOWLEDGMENT FOR RECEIPT OF APPLICATION FORM Date... To,... A.C.E. Co-op (U) Thrift and Credit Society has received your application for a Personal Loan of Rs.... A.C.E. Co-op (U) Thrift and Credit Society will convey its decision within 30 working days from the date of receipt of the application provided the application is complete in all respects and is submitted along with all the documents per check list provided in the application for loan and/or any additional documents as may be required by the society for proper appraisal of the application. The computation of 30 days shall starts from the day on which all documents required for a proper appraisal of the application are provided by the Customer to Society. For any queries / clarification, please contact landline number Sale manager DSA Sales Executive ID

4 Name of Organization Govt./PSU Public Ltd. Pvt. Ltd. MNC Partnership Proprietorship Other... Office Address City State Country Nearest Landmark Mailing Address Pin Phone Details (STD Code-Tel. Res.) Mobile Number B. PROPOSED LOAN DETAILS Amount Term(Months) P. Fee ROI Repayment Mode PDC ECS SI C. FINANCIAL DETAILS Bank Account Details Bank Name A/C Number Type of Account Account I Account II Loan Details Bank Name Loan Amount Type of Loan EMI Loan I Loan II Loan III Loan IV D. CO-BORROWER/GUARANTOR DETAILS (ONE REFERENCE HAS TO BE A NON-RELATIVE/NON-COLLEAGUE) Reference I Name Relationship with Applicant/Co-Applicant Reference II Address Pin City Pin City Mailing Address Mobile No./Telephone Address E. CUSTOMER DECLARATION State Country I/We declare that the particulars and information given in the application form are true, correct, complete and up to date in all respects and I/we have not withheld any information. I/We confirm that I/We have no insolvence proceeding indicated against me/us nor have I/We ever been adjudicated insolvent. I/We have read the application form and am/are aware of all terms and conditions of availing finance. I authorize to make reference and inquiries relating to information in the application which the considers necessary. I/We authorize to exchange, part/share with all information relating to my/our loan details and repayment history to other banks/financial institutions etc. as may be required and shall not hold the bank liable for use of this information. I/Weundertabke to inform the regarding change in my residence/employment and to provide any further information that the may require. I/We agree that my/our loan shall be governed by the rules of the which may be in force from time to time. I/We understand that the has the right to reject my/our application without providing any reason thereof. The borrower(s)/guarantor(s) agree(s) to have given his/their express consent to the Bank to disclose all information and data furnished by them to Credit information Bureau India Limited (CIBIL) or any other credit bureau permitted to operate in India. The borrower(s)/guarantor(s) further agree(s) that they shall execute such additional documents as may be necessary for the purpose. State Country F. PURPOSE OF LOAN Education Home Repair Marriage Travel Consumer Durables Medical Others G. SOURCING DETAILS (For Official use only) ASC Name: Channel : DSA ASL Cross Sales Direct CSG Activity Digital Source Code (For Digital only): Referrer Branch Name : CRM ID Relationship Manager : SMS ATM er Aggregator IN PERSON VERIFICATION CARRIED OUT BY Documents Received: TL/DSA Name : DME Name : Co-Borrowwer Signature Mobile Outbound Calling Internet Banking Corporate Banner Website Inbound Customer Service Referrer Branch Sol ID : ASM Employee Nos.: Employee ID : Self-Certified True Copies Notary Identity Verification Done : TL/DSA Code : DME Code : Applicant Signature Signature of Sourcing Agent DETAILS OF CHARGES Processing Fee Charges % of the loan amount + Service Tax (As application) Duplicate Amortization schedule issuance charges Rs. 250/- + Service Tax(As applicable) per instance Rate of % per annum Duplicate Interest Certificate (Provisional/Actual) issuance charges Rs. 250/- + Service Tax(As applicable) per instance Default Interest 24% per annum, 2% per month Charges on customer initiated requests for copies of documents Rs. 250/- + Service Tax (As applicable) per document set Instruction/Instrument Return charges Rs. 500/- + Service Tax(As applicable) per instance CIBIL Report Issuance Charges Rs. 50/- + Service Tax (As applicable) per document set Cheque/Instrument Swap charges Rs. 500/- + Service Tax(As applicable) per instance Pre / Part payment charges Rs. Duplicate Statement issuance charges Rs. 250/- + Service Tax (As applicable) per instance Stamp Duty Charges As per State Stamp Act. DOCUMENTATION # Application form KYC documents (Proof of identity, Proof of Address) Income Documents (Latest 2 Salary Slips) Bank Statement (Last 3 months bank statement) For ECS/SI Repayment mode - 3 Security PDCS to be provided For PDC Repayment mode - PDCs equivalent to the tenure of loan to be provided For ECS Repayment mode - one cancelled cheque to be provided society may request for additional documents other than those requested above in connection with the applicant. Authorized Official

5 F-11/17A, Model Town-II, Delhi BOND I...a member of the above named Society have this... day of RECEIVED subject to the bye-laws of the society, a LOAN of Rupees... (in words) RUPEES...) only bearing interest at the rate of... per cent per annum which I hereby undertake to repay in full by...monthly instalments, commencing from the next month of Year with interest due thereon, each instalment being payble on or before the...of each month. If I fail to pay instalments or any instalment of the Principal Loan on the due date, the whole loan shall become immedialtely due and payable with interest. In case of default, I further undertake to pay Penal interest at...per cent (%) per annum on all over due instalments from the date of default. I also agree to furnish... sureties in respect of this loan or fresh sureties in addition to or in place of those furnished below should the Managing Committee of the Society requires me to do so. I further agree that the loan will be expended for... within one month from the date of advancement If it is not so applied. I undertake to repay the money with interest together with such additional interest as may be levied in accordance with the bye-laws of the Society. Under the provision of Section 52 the Delhi Co-operative Societies Act I authorise... (my employer) to deduct from my salary or other money payable to me such amount on account of instalments due on this loan as may be furnished to him by the secretary / Manager of the Society from time to time and pay the sum direct to the said Society in satisfaction of this loan. I further authorise... My employer in the event of my death or termination of my services from any cause what ever before this loan and the interest due thereon have been fully repaid, to deduct from the money due to me or standing to my credit or due to my estate or any gratuity or leave salary or pension to which I may become entitled. Such amount as will be sufficient to liquidate the balance of this loan and interest thereon to the date of payment and to pay sum direct to the said society in satisfaction of this loan.

6 full sum of Rs....(in words) Rupees...only) in cash/cheque No....Drawn on...(bank). Delhi/New Delhi Dated Signature of Borrower (in full) Account No.... Office/Residence Signature of Witnesses We...hereby undertake to be jointly and severally liable to the above mentioned society for the due repayment of this loan with interest in accordance with the above conditions and the byelaws of the Society. We hereby agree that our liability as sureties under this agreement shall not be impaired or discharged by reason of any time or other indulgence granted by the society to the said Smt./Sh./...or by the agreement entered into or composition accepted by the Society modifying by operation of laws or otherwise their Rights and Remedies under the above agreement. SURETIES Signature in full date Account No.... Office/Residence Signature in full date Account No.... Office/Residence Signature in full date Account No.... Office/Residence Signature of Witnesses

(FIELDS IN RED TEXT & * REPRESENT MANDATORY FIELDS)

(FIELDS IN RED TEXT & * REPRESENT MANDATORY FIELDS) Equity MF Debt MF FMP LI Policy Bonds Group Code Sales Manager Emp Code Name* (Same as ID proof) Maiden Name* (If any) Father Name* Mother Name* PAN