CENTRAL REGISTRY

FORM I Creation of Security Interest

This form is for

Creation of New Security Interest Record in Central Registry

Section 1: Description of the Property

This section of the form is to capture information on Financial Asset given as security by deposit
of title deeds in favour of the bank/financial institution along with its boundaries.
For the sake of initial central registry registrations the immovable financial asset i.e. properties
can be categorized into either a PLOT UNIT or DWELLING UNIT.
Based on the nature of the property the user will furnish its corresponding details during
registration of security interest.

Section 1A: Plot Unit

Evaluated Price of Asset as on Security Interest
Creation date
Nature of Property
PLOT ID Number
Survey No. /Gat No. etc *
Street Number & Name
Sector/Block Number
Locality
Landmark
Village/Town Name
Taluka
District
State
PIN Code
Latitude
Longitude
Area of plot (Sq feet, Sq.meter, Acre, Gunta, Cents, Hectares)

Bounded by

By North
By South
By East
By West
* Survey number, GAT number, khesra number; khweta number, Mouza number, phase number or any
other such similar representation in various states or union territories can be captured in this field.
(All the fields should be captured as appearing in the revenue record, flat no ,house no , Municipal
Office/Municipal Corporation / Grampanchayat are to be specified and also the area of the immovable
property as well as boundaries)

OR
Section 1B: Dwelling Unit
Evaluated Price of Asset as on Security Interest
Creation date
Nature of Property
PLOT ID Number
Survey No/ GAT no*
Dwelling Unit ID Number
Floor No.
Building Name & Society Name
Street Name / No
Sector/Block Number
Locality
Landmark
Village/Town Name
Taluka

District

State
PIN Code
Latitude
Longitude
Area of dwelling (Sq feet, Sq.meter)
Bounded by

By North
By South
By East
By West

* Survey number, GAT number, khesra number; khweta number, Mouza number, phase number or any
other such similar representation in various states or union territories can be captured in this field.
(All the fields should be captured as appearing in the revenue record, flat no ,house no , Municipal
Office/Municipal Corporation / Grampanchayat are to be specified and also the area of the immovable
property as well as boundaries)

Section 2: Borrowers Constitution

Individual

Proprietorship Firm

Limited Liability Partnership Firm (LLP)

Trust

Co-Operative Society

Partnership Firm
Company
HUF

(a) Individual Borrower

Title
Surname

(Mr/Mrs/Ms)

Name

Fathers/Husbands name

Date of Birth (dd/mm/yyyy)

Individual Borrower Permanent Account Number (PAN)
OR
(b) Proprietorship Firm
Name of Proprietorship Firm
Proprietorship Firm Permanent Account Number (PAN)
Name of the Proprietor:
(a) In case of company
(b) In case of individual
Title

(Mr/Mrs/Ms)

Surname

Name

Fathers Name

Age

Date of Birth

(dd/mm/yyyy)

OR
(c) Partnership Firm
Partnership Firm name
Partnership Firm Permanent Account Number (PAN)
Name of the partner entering into mortgage agreement, on the property which is owned
by the Partnership firm
Title

(Mr/Mrs/Ms)

Surname

Name

Age

Date of Birth

OR

Fathers/Husbands name
(dd/mm/yyyy).

(d) Limited Liability Partnership Firm(LLP)

Limited Liability Partnership (LLP) Firm Name
LLP firm Permanent Account Number (PAN)
Name of the partner entering into mortgage agreement, on the property which is owned
by the LLP firm
Title

(Mr/Mrs/Ms)

Surname

Name

Age

Date of Birth

Fathers/Husbands name
(dd/mm/yyyy)

OR
(e) Company
Company name
Corporate Identity Number (CIN) or Foreign Company Registration Number.
Company PAN
OR
(f) Trust
Name of the Trust
Trust Permanent Account Number
Name of the Trustee/person who is authorized to mortgage the property belonging to the
trust
Title
Surname

(Mr/Mrs/Ms)

Name

Fathers/Husbands name

Age

Date of Birth

(dd/mm/yyyy).

OR
(g) Co-Operative Society
Society name
Society Registration Number
Date of Registration
Society PAN
OR
(h) HUF
Karta Details
Title
Surname
Age

(Mr/Mrs/Ms)

Name
Date of Birth

Permanent Account Number (PAN)

Section 3: Address of the Borrower
Flat/House No
Plot No.
Building No & Name
Street Name/No.
Village/Town
Taluka
District
State
PIN Code

Fathers/Husbands name
(dd/mm/yyyy)

(As per number of times selection of section-2, the above section-3 can be clubbed & used to capture the borrowers
address details)

Section 4: Third Party Mortgage

Individual

Proprietorship Firm

Partnership Firm

Limited Liability Partnership Firm (LLP)

Trust

Company

Co-Operative Society

HUF

(a) Individual
Title

(Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name

Date of Birth (dd/mm/yyyy)

Individual Permanent Account Number (PAN)
OR
(b) Proprietorship Firm
Name of Proprietorship Firm
Proprietorship Firm Permanent Account Number (PAN)
Name of the Proprietor:
(i) In case of company
(ii) In case of individual
Title

(Mr/Mrs/Ms)

Surname

Name

Age

Date of Birth

OR

Fathers Name
(dd/mm/yyyy)

(c) Partnership Firm

Partnership Firm name
Partnership Firm Permanent Account Number (PAN)
Name of the partner entering into mortgage agreement, on the property which is owned
by the Partnership firm
Title

(Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name

Age

Date of Birth

(dd/mm/yyyy).

OR
(d) Limited Liability Partnership Firm(LLP)
Limited Liability Partnership (LLP) Firm Name
Limited Liability Partnership (LLP) Firm
Permanent Account Number (PAN)
Name of the partner entering into mortgage agreement, on the property which is owned
by the LLP firm
Title

(Mr/Mrs/Ms)

Surname

Name

Age

Date of Birth

Fathers/Husbands name
(dd/mm/yyyy)

OR
(e) Company
Company name
Corporate Identity Number (CIN) or Foreign Company Registration Number
Company PAN

OR
(f) Trust
Name of the Trust
Trust Permanent Account Number
Name of the Trustee/person who is authorized to mortgage the property belonging to the
trust
Title

(Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name

Age

Date of Birth

(dd/mm/yyyy).

OR
(g) Co-Operative Society
Society name
Society Registration number
Date of Registration
Society PAN
OR
(h) HUF
Karta Details
Title
Surname
Age

(Mr/Mrs/Ms)

Name
Date of Birth

Permanent Account Number (PAN)

Fathers/Husbands name
(dd/mm/yyyy)

(Multiple Third Party Mortgagee details can be collected by iterating the above data section-4 under the same security
interest record creation)

Section 5: Type of charge

Mortgage by deposit of title deeds (Sale deed, Lease deed, Award deed,
Agreement to sale, others).
Whether Consortium Finance OR Joint Charge is involved

Yes

No

Number of charge holders

Section 6: Particulars of the charge holder(s) (Banks/Financial Institutions)

Permanent Account Number (Bank PAN)
Name
BSR Code / Branch Code
Address
Building Number /Name
Street Number/Name
Village/Town
Taluka
City
District
State
PIN Code
(The above section may have to be captured multiple times depending upon the number of charge holders)

Section 7: Description of Document by which the borrower/third party acquire title

Document Type
(Sale deed/Lease deed/Award, etc)

Docum ent Number

Date of document
Sub-registrar
Taluka
District
State
PIN Code
(The above section may have to be captured as many times depending upon the number of title documents deposited by
customer)

Section 8: Amount Secured by the Security Interest

(In case the amount is in foreign currency, rupee equivalent to be stated)

Rs ..
Section 9: Brief particulars of the principal terms and conditions and extent and
operation of the charge
a. Date of Creating Security Interest (in dd/mm/yyyy)
By actual/constructive deposit of title deeds within bank/hfc
b. Borrower CUST/ACCOUNT Number
c. Rate of Interest
d. Repayment Term ( in months)
e. Nature of Facility
f. Date of Disbursement
g. Misc Narrative information
(The above section may have to be captured as many times depending upon the number facilities opened by the
bank/hfc)

To be digitally signed by charge holder

(Financial Institution or Bank)