Application No.

*: 3 1 6 4 C D 0 0 8 3 9 7 3

Prospect No.*: 3 1 6 4 C D 0 0 8 3 9 7 3

Location Code/Name*: N O I D A

SCE Name*: A J A Y J A I N E R

SCE Mobile No.*: 7 6 8 3 0 8 6 0 0 4 SCE Employee No.* 5 0 7 1 7 3 1

Your existing relationship with TVS Credit Services Ltd.

Borrower*: Yes No

Relationship with other Bank/NBFCs

Loan A/c No./Credit Card No.: N A

Bank/NBFC: N A

Purpose of Loan/Finance Requirement/Asset Details

Manufacturer/Make*: S A M S U N G

Product Category*: M O B I L E P H O N E S

Model Name & No.*: S M - A 5 6 6 E Z G Z I N S

Asset Cost*: 4 1 9 9 9 Applied Loan Amount*: 4 1 9 9 9

EMI*: 4 1 9 9 Tenor*: 1 0 No. of Advance EMI*: 1 months

Insurance (Credit Shield): N A Total Down Payment*: 4 8 9 9

Insurance (Health Insurance): N A Insurance (Health Insurance) Payment Mode: With Loan With DP Not Required
T-Health Subscription Fee Collection: With Loan With DP Not Required
Extended Warranty: N A Total EMI Amount*: 4 2 0 0
Mobile Accidental
Damage / Liquid N A Total Loan Amount*: 4 1 9 9 9
Damage:
Processing Fee*: 3 9 9
(Non-Refundable) Insta Card Programme Enrollment Fee : N A

Customer IRR* 2 1 . 2 3
(% p.a. fixed - calculated on monthly reducing balance method)

Opting for InstaCard

Programme*: No Yes
 Borrower - Personal Details

Name*: M a n j e e t H a r d w a n i Age*: 4 2

Date of Birth* 1 0 0 5 1 9 8 2 Gender* : Male Female Marital Status*: Married Single

Fathers Name* V I K R A M S I N G H

Mothers Name -
Correspondence Address:
V i l l a g e C h h o l a s , D a d r i
D.No*
Locality: -

District: - City* : G a u t a m B u d d h a

State*: U T T A R P R A D E S H Pincode*: 2 0 3 2 0 7

Correspodence Stability* 3 4 0 months Correspondence*: Owned Rented Leased

Telephone: N A Mobile*: 9 7 1 8 0 7 7 3 2 7
Educational Qualifications*: Graduate UG PG Qualified Professional SSC 12th Other
Aadhaar No. * : 2 7 3 5 Address Proof : N A

LPG No : N A

Electricity Consumer No. : N A Voter ID No. : N A

Driving License No. N A

ID Proof No.*: A C S P H 4 1 5 3 K CKYC Number: -

Current Address*: V i l l a g e C h h o l a s , D a d r i N e a r F i

r o z C h i c k e n P o i n t G a u t a m B u d d h a N a g a r

U T T A R P R A D E S H 2 0 3 2 0 7

Personal Email: N A

Borrower - Business Details

Employment Type*: Salaried Self-employed

Profession Type*: S E - R E T A I L T R A D E R

Company Name*: H O T E L G R E E N H O U S E

Address*: G T R O A D D A D R I N E A R K I A S H O W R O

O M G A U T A M B U D D H A N A G A R U T T A R P R A D E S H

2 0 3 2 0 7

Designation*: O t h e r s Employee ID: N A

Telephone: N A Mobile*: 8 0 0 6 2 0 6 3 0 9

Business Email: N A

Borrower - Additional Details

Spouse's Name: M A N P R E E T K A U R

Pan No. * : A C S P H 4 1 5 3 K

Total Family members*: 3 Earning members: - No of Dependents: -

Gross/Net Monthly
Religion: - 3 1 8 0 0
Income*:
Additional Income: -

Banking Details - Bank Name*: I C I C I B A N K L I M I T E D

Branch Name*: N E W D E L H I R O H I N I

Account Number*: 6 2 8 6 0 1 0 4 5 4 6 7
Credit Card: Classic Silver Gold Platinum
Car: Mini Compact MUV/SUV/Premium
Debit Card - Bank Name: N A

Member Since: N A Card No.: N A

Relationship Declaration*
Whether you are a "Director" of TVS Credit or a "Relative" (father, mother, Son, daughter, son's wife, daughter's husband, brother, sister) of
a director?
Yes No Relationship:
Whether you are a "Senior Officer(s)" (i.e all members of management one level below the executive directors, including the functional
heads) of TVS Credit"?
Yes No Designation:

Reference
Name: N A

Relationship: N A

Telephone: N A Mobile: N A

Personal Email: N A

Credit Shield
Nominee Name: N A

Relationship: N A

Nominee Contact Number: N A

I voluntarily opt for the Credit Shield insurance at my own wish and the loan would be covered by the insurance facility offered by TVSCS
being a group master policy holder.

HEALTH INSURANCE
Service Provider: N A

Coverage For: N A

Premium Amount: N A Coverage Period : N A

Nominee Name: N A
Nominee Relationship with
N A
Applicant:

Nominee Date of Birth : N A Nominee Gender : Male Female Other Nominee Age: N A

Terms & Conditions:

Galaxy Health Insurance

Product Details Terms and Conditions / Declaration

Premium Rs: NA
Coverage Period: NA The Borrower has opted for Health Insurance which is a group insurance
policy(s). The Group Master Policy is being executed by the Lender with
Sum insurance provider(s). A certificate of insurance/policy certificate is issued by
Cover
Important note Insured the insurance provider(s) to members enrolling in the group insurance policy
Type
(Rs.) on voluntary basis and the terms and Conditions under Master Policy shall be
1. Coverage available upto 3 EMIs Sum Insured applicable to all such members who enroll in the group insurance policy. The
per policy year on hospitalisation due to illness or Lender, being a Group Master Policy Holder, will be offering to the members
EMI Protect injury. 2,000/- EMI protection, HOSPI Cash and Personal Accident under the terms and
2. Cover for Intitial waiting period, Specific conditions of the Group Master Policy. The invoice for payment of Insurance
Diseases and PED after 7 days. premium shall be raised on the member. The payment will be made by the
 1. Coverage available for 30 days per policy year. Lender on behalf of the member and the entire amount of premium, on
2. Cover for Initial Waiting Period, Specific actuals, will be collected from the member at the time of availment of the
Hospital Diseases and PED after 7 days group insurance policy. Lender will collect the insurance premiums from the
1,000/-
Cash 3. The company will pay cash benefit for each Borrower at timely intervals and the complete amount will be transferred to
completed day of Hospitalisation in case of the insurer. The Borrower understands and agrees that the commencement of
Sickness and / or Accident. policy coverage will start from the date of disbursement of loan and any
Personal claims on risk prior to disbursement date will not be entertained.
1. Accidental Death + PTD 2,50,000/-
Accident

Declaration/Undertaking*
1. I/We hereby apply for the Consumer Durable/Products Loan mentioned in this application.
2. I/We affirm that all the particulars and information and details given/filled in this Application Form are true, correct, complete and up-to-date in
every manner and that I/We have not withheld any information whatsoever from TVS Credit.
3. I/We agree to receive SMS, telephonic calls, emails, or through any other mode of communication, the various schemes, plans, and offers
provided by TVS Credit Ltd., and I/We am/are aware that laws in relation to the unsolicited communication referred in "National Do Not Call
Registry" (the "NDNC Registry") as laid down by TELECOM REGULATORY AUTHORITY OF INDIA will not be applicable for such
communication/calls/SMSs received from TVS Credit, its employees, agents and/orassociates.
4. I/We authorise TVS Credit Services and all its group companies and their agents to exchange, share or part with all the information and details
relating to my/our existing loans and/or repayment history to other TVS group companies, banks, finance institutions, credit bureaus, agencies,
statutory bodies etc as may be required or as they may deem fit and shall not hold the Company or any of its group companies or its/their
agents/representatives liable for use/sharing of this information
5. If I/We purchase mobile phone/tablet/any other electronic gadgets, I/We unconditionally authorize TVS Credit to deploy versions of application
in order to send reminders / blinker for timely repayment of EMIs and notification messages including such alerts in the event of any delay of
payment of EMIs and if the default continues, to lock the mobile until I/We clear such dues.
6. I/We confirm that I/We have been made aware of the terms and conditions of the loan to which I/We agree unconditionally and I/We have not
made any payment in cash, bearers cheques or of any other kind along with or in connection with this Application Form to any person collecting
or assisting with my/our Application Form nor have I/We received any gift/discount or any other commitment not mentioned in the loan
agreement by TVS Credit or any of its authorized agents/representatives.
7. I/ we hereby declare that the one-time password (OTP) generated using the cell phone number 9718077327 belongs to me/my relative and the
company can rely upon the same and process the loan application. I/we hereby adhere to all the terms & conditions and release, and absolve the
company from any liability whatsoever for processing the loan documentation basis this declaration subject to fulfillment of other criteria as per
the policy of TVS Credit.
8. I/We understand and acknowledge that mere submission of this Application Form does not entail approval of the loan from TVS Credit and that
the Company shall have the absolute discretion to reject my/our application without specifying reasons for the same and without notification.
9. I/We agree to pay any amount as may be applicable on the levy of Goods and Service Tax on the loan amount.
10. . I/We concede that the Company shall increase or decrease the credit limit as per its internal policy and criteria at its sole discretion from time to
time and I/We understand that no dispute with respect to the same from my/our end will be entertained.
11. I/We shall pay a processing fee (non-refundable), if any, charged towards the loan application.
12. I/We shall pay the required fee (non-refundable), levied toward Credit Verification and Mandate Registration charges, and charged towards the
loan application.
13. I/We agree that foreclosure charges are on balance tenor at 6 % for term less than 12 months, at 4 % for term between 12 to 24 months, and at and
that these are levied/calculated on the balance outstanding of the loan.
14. I/We agree that prepayment of the loan amount is not allowed for the first 6 months from the date of disbursement of loan.
15. I/We affirm that I/We have submitted all the self-attested, necessary documents mentioned in the checklist and that the same, along with attached
photograph,are not liable to be returned.
16. I/We agree to notify the Company in any change of address of employment or of residence, or of nature of employment, so mentioned by me/us in
the Application Form.
17. I/We agree to the terms and conditions of the e-Agreement, if any/in case of online filing of this Application Form.
18. I, hereby confirm having received, read and understood the terms and conditions including the scheme details explained to me.
19. I/We agree to download the No Due Certificate (NDC) from SAATHI application / Customer Portal by logging in using the registered mobile
number or contact the Customer Service Support Team.
20. For post-claim settlement and the foreclosure of the loan account, I/We should directly contact TVS Credit Services Limited. One Assist and/or
its Insurer shall not hold any liability concerning the loan closure.
21. I/We agree that in case of a Mobile ADLD claim being declared as Beyond economic repair (BER) / Total Loss, the final monetary
settlement/claim payment shall be done to the financier/TVS Credit ONLY. I/We, understand, that I/We shall have no rights to claim the BER
payable amount from One Assist/Across Assist. Once the payment is settled with the financer/TVS Credit, all One Assist/Across Assist and/ or its
insurer’s obligations under this contract will be deemed fulfilled and the plan coverage shall stand terminated. Post claim settlement and for the
Foreclosure of the loan account, I/We should directly reach out to TVS Credit Service Limited. One Assist/Across Assist and/ or its Insurer do
NOT hold any liability in the loan closure.

Borrower's Signature
 Loan Term Sheet

SF Deal ID*: 3 1 6 4 C D 0 0 8 3 9 7 3

Customer Name*: M a n j e e t H a r d w a n i

Dealer Name*: B H O O M I M O B I L E S O L U T I O N Customer IRR* 2 1 . 2 3

Product Financed & Model* S A M S U N G S M - A 5 6 6 E Z G Z I N S

EMI Amount for CD*: 4 1 9 9 Total EMI Amount*: 4 2 0 0 Tenor*: 1 0

Loan Amount Financed*: 4 1 9 9 9 First EMI Due Date*: 0 3 0 5 2 0 2 5

Mode of Loan Payment*: Read, received and understood

Borrower's Signature

Important Note
1. The decision to give a loan and the interest rate applicable to each loan account is assessed on a case to case basis, based on multiple parameters
such as the type of the asset being financed, borrower profile, and repayment capacity, borrower's other financial commitments, past repayment
track record if any, the security for the loan as represented by the underlying assets, loan to value ratio, mode of payment, tenure of the loan,
geography (location) of the borrower, end use of the asset etc.
2. Kindly note that the Company:
3. - Will decide the quantum of the loan at its sole discretion - Reserve the right to reject any application, without assigning any reasons - May
request for additional documents other than those collected in this connection - Reserves the right to retain photograph and documents submitted
along with the application form and shallnot return the same - The Equated Monthly instalment (EMI) in connection with the loan will be due as
per the schedule of the loan Agreement - Will not be liable for loss or delay in the receipt of documents.
4. Incomplete, defective application will not be processed and the Company shall not be responsible in any manner for the resulting delay or
otherwise
5. All post dated cheques are to be issued favouring TVS Credit Services only.
6. With the acceptance and signing of the loan application form, the customer unconditionally agreed to terms and conditions which may be changed
by the company at any time with due notice, and the customer will be bound by the amended terms and conditions.

Checklist of Documents
Photo Identity Proof: Aadhaar Card Passport PAN Card Voters ID Card Driving License
Address Proof: Aadhaar Card LPG EB Voters ID Card Driving License
Passport Bank Passbook Telephone Bill Municipal Water Bill Property Tax
Schedule of Charges

Schedule of charges Charges (inclusive of GST)

ACH Failure Charges/Mandate Rejection
Rs.500/-
Charges
Bounce Charges Rs.500/-
Cash Collection / Visit Charges Rs.100/- per visit
Credit Verification Charges Rs.150.0/-
Duplicate NDC/NOC charges Rs.250/-
Duplicate Repayment Schedule - hard copy Rs.250/-
3% on principal outstanding for all interest-
Foreclosure Charges bearing schemes,Nil for non-interest-bearing
schemes
Legal, Repossession & Incidental Charges At Actuals
For Interest bearing schemes - Rs.1000/- +
Broken period interest (from disbursement date
Loan cancellation charges
to cancellation date)
For non-interest-bearing schemes - Rs.1000/-
Mandate Registration Charges Rs.150.0/-
Penal Charges (exclusive of GST) 36% per annum on unpaid installment
Processing Fees Rs.399/-
Stamp Duty/Stamping/Franking Charges Rs. 0.0 /-
Statement of Accounts - hard copy Rs.250/-
Swap Charges Rs.500/-
Value Added Services
NA
Mobile Accidental Damage / Liquid Damage
Value Added Services
NA
T-Health
Insurance Related charges
NA
Credit Shield Insurance Premium Charge
Insurance Related charges
NA
Health Insurance