Application Form SBFC

Individual SECURED BUSINESS LOAN

Application Form No. 862423
Loan AccOunt No.
(PLEASE WRITE IN BLACK INK & BLOCK LATTERS)
Loan Details
Product AP.oP p Scheme ANoeAL Location
Loan Amount Rs. Tenure 2o Months Loan Rate type Y Floating Fixed
Loan Purpose Business EducationMarriage Asset Acqusition Debt ConsolidationOthers Pls. Specify
New Borrower
Existing Borrower Existing Borrower Loan A/e No.
Personal Details
Applicant / Co-applicant
Name PISANHAIA2NeHAATT First
Middle

Father
Spouse Name First Middle Las

Mother's sAAN72A
First
Maiden Name Middle Last

Marital Status
OSingleMaried Divorecd Date of Birth N I Gender tale ]Female No. of Dependents
Education UndergraduateGraduateUPost Graduateothers Pls. Specify Relationship to ApplicantSX
Current Address
Flat /House No. /Bldg Name B I n A A N D E H A A b E A I
Localiy Steet Name/Landmark SERTChhb M•uAEANAOAD
Ciy DDPE State AOOAHRADCs H Pin Code 1IEEn
Mobile H919442944515n Phone Duration of Stay y
E-mail Residence Status owned Parental Rented Co. ProvidedOthers
Permanent Address Same as above UID No. (Aadhar Card )
Pan Card No.
(PNSA DPassport No.I Driving License No.
) Flat / House No. / Bldg Name
Locality Street Name/Landmark
City State Pin Code
Mobile 9 Landline

Employment/Business Details
(Pls. Specify)
USalaricd self Employed Professional
Firm/Company Name
Firm/ Company Address

City ADpARU State lAAW5A PPACPO Pin Code n

NMobile 91k44DeENSO Landline I ExtnT
Designation Years in Present OrganizationL
Organization Type
Gross Income
rop. Partnership PublicLd GovtPSU Pt. Ltd. Others (Please Specify)
Net Income PAN No.
Total
If Less Work Experience NS Years
Than 2Years In Current Employment / Business, Please Provide Previous Employment / Business Details.
Industry Code DCodes Mentioned Overlea) Professional Code (Codes Mentioned Overleaf
Prefemed Mailng Address Current Add Permanent Add Office Add.
 Bank Na

Branch
Bank Name Bank A/C. No.
Branch Account Type Account Since
Bank A/C. No. Account Since_
SAN4 Other Loan Details
Account Type
Loan Tenure
EMI Amount EMI Paid
Loan Amount Date A
Loan Type
Name ofInstitution

Personal Details

(select as applicable)
Co-applicant / Guarantor Las
Middle
Name FIrst Last
Middle
Faner /
Spouse Name
First
Last
Middle
Mother's
Maiden Name
First
bMYGender Male Female No. of Dependents
SingleMaried Divorced Date of Birth |HM
MarialSzanus Relationship to Applicant
Undergraduate GraduateUPost GraduateOthersPIs. Specity
Education
Current Address E2/-RNEASDPAAEA4A2 VeuELAR
Flat/House No./Bldg Name 2D |2nHD54Ao
Locality Street Name Landmark 2E
City PDdEI State nn9o5ATOPAOASNOPin Code
Duration of Stay|
Mobile 9Ia5 b 93AA3BS Phone
Residence Status Owned Parental Rented Co. Provided Oas
E-mail
Permanent Address ame as above UID No. (Aadhar Card)
Driving License No.
Pan Card No. DFPB966 Passport No.
Flat/House No. /Bldg Name
Locality/Street Name Landmark
City State Pin Codel
Mobile Landline

Employment /Business Details

DSalaricd self Employed Professional (Pls. Specify)
Firm/Company Name
Firm/Company Address

City State
Mobile 9n Pin Code
Designation Landline
Extn
Organization Type Prop. Years in Present Organization
Gross Income
Total Work
PartnershipPublic
Net Income
Ltd
GovtPSU Pvt. Ltd
Others
ExperienceIndustry Code Codes Mentioned PAN No.
 Reference Details

Name
Name AAALA
Relationship with Applicant Relationship with Applicant
Resi Address Resi Address

Pin Code 9 o P City pPP2 JPin Code GE

Ciy D
Landline Landline
Mobile giEolryBP5IEL
Mobile 9UO0bEIA9E2I41
UID No. (Aadhar
Card) UID No.(Aadhar Card)

Collateral Details
Mr./Mrs./Ms./Dr.
Property Owner

Property Address

Pin Code
Property Status Rented Self Occupied Vacant Current Market Value Rs.
Type of Property Commercial Residential Classification of Property BanglowFlatOffice Row House

Age of property Years Shop | Industrial Mixed Use Open Plot Open Land
Other Details

Cheque No / DD No. Date DD MM YIYYY

Amount Rs. Bank Branch

Declaration
are citzens of India and all the particulars given by me/us in the application form is true, correct and complete and no
material information has been withheld/suppressed. lWe shal advis
tampany e
ny in wrting of any changein myour residentao enploymenbusness address, UWe confim that the funds ahal be usod for the statedpurpose and wil not be used for speculatve or legal purpose.
Bmpanies/registered
SBFC FinancecreditLimited.
bureau.SBFC to mylour
In case make any enquries
application regarding Wemyreserve
is rejected application.
no rightIWe authorize
to appeal and SBFC to make
shall accept that any enquiries
no reason shallwith otherforfinancial
be given rejection. IWe understand that SBFCCreserves the right to

d graphs and documents

sanctionwith thisloan
of this applcation andsolewildiscretion
is at the not returmofthethesame to theand
compary applicant.
upon UWe
my/ourhave read thenecessary
executing applcationsecurity(les)
formtbrouchers and am/are
and other avarerequired
formalities of al terms
by theand conditonsIWeof authorize
company. avaiingfinance
SBFCfrom S
to cor
records for the purpose of credit appraisals/sharing for any other puri
om necessaryin its sole discretion and also authorize the company to release sud retion of SBFC. Payment: No cash/bearer cheque has been collected
n shall be governed by the rules of SBFC which may be in force from timne to tit
the loan application. No discount free gift or any other commitment is given, whi Bd in the loan agreement by SBFC or any of its authorized representa
at the sole discretion of SBFC and no commitrment has been given regarding We have no insolvency processing against melus nor have we ever
Bthat the processing fee amd the applicable GST Tax collected from me/us is nd stances. lWe agree that the repayment options shal be as per the ter
that wWe are not in anyway related or connected to the directors of the compa rovisions of the companies act, 1956.

Signature Thumb impression of Applicant Signature /Thumb impression of Co-Applicant

Date Date
 For SBFC LPU Branch
Sourcing Details Application form
Branch Manager checked Date
Code
Core Documents
Branch
Initial Condition met
Yes L|N
Channel Type Name of LPU officer
Yes LNo
Channel Name
FOS/DSA/DSE Name RM Code EMP Code
FOS/DSA/DSECode
L308 Signature

FOSDSADSE Sign &Stamp

Salaried / Profession Codes

Information Technology
Agricutture & Alied
Activities
13
REEEEEEEEEE
Civil Works
C&FAgents
24 Iron & Steel

25 Journalist
Airlines Services Consultant
02 14
Architect Doctor & Medicine 26 Lawyer
15 Marine Services
Armed Forces 16 Education
04
28 Oil & Gas / Petroleum
17 Electronic / Electricals
Automobiles
05
06 Beverages /Food Processing 18 Engineering
Power & Energy
Construction 30 Railways
oz Building & l19 Entertainments &Media
Transports Contractor Shipping
20 Film & Theatre 32 Stock Broker
CWA/CA/ CS FinancialServices
10 Central / State Government Hotel& Restaurant
Others pls. Specify
Chemicals / Drugs / Pharmaceuticals
Industry Codes
Checklist for Your Reference
Self 1Engineering Product 13Cloth &Textile
Salaried Employed 2 Doctor 14 Insurance
3 Account & Consulting 15 Real Estate &Builder
Certified Financial Statements for the Last 2 years 4 Agriculture 16 Freight &Logistics
Proof of Residence 5 IT & Software 17 Franchisee
(Voter ICard /Utility Bill 6 Media & Entertainment 18 Advertising & Promoticr
Proof of identity : (Passport /Driving Licence / 7Automobiles 19 Chemicals
Voter's I Card/ UID No. (Aadhr Card) 8 Banking 20 Jewellery & Ornament
Latest Bank Statement for 6 months 21 Iron & Steel
9Hotels &Hospitality
Latest 3months Salary Slips &2 years Form 16 10 Education 22 Civil Contractor

Copy of all Property Documents 11Architect 23 Others pls Speci

(The list is not exhaustive, only indicative) 12 Pharma & Medicine

Important Information
Loan Amount Minimum Loan Amount Rs. 5,00 Lakhs*
Maximum Loan Amount Rs. 200 Lakhs*
Tenure
Upto 180 Months
Rate of Interest
Therate of interest is arrived at through SBFC interest rate model which takes
into account relevanr factors
such as cost of funds, margin and risk premium. We take as acomprehensive approach to the gradation of riskthatdoes
not discriminate betvween classes of
Repayment Option - On Equated borrowers, but rather tailors the interest rate to each loan.
Monthly Installment
EMI.
Charges Applicable charges as per the schedule of charges valid at the time of loan approval. These are available at ourbranches
our website -
Acknowledgment Please obtain the
www.SBFC.com
Financeacknowledgment
*Loans at sole discretion of SBFC for your duly filled Loan
Limited applicable form