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The term “RBL Bank” or “the Bank” shall mean RBL Bank LimitedI/ We hereby request you to sanction the Loan based on the following:
Loan DetaILs
Existing RBL Bank Customer Yes No Customer ID
Location
Loan Amount v Rate of Interest % Tenure (In months)End Use 2-Wheeler 4-Wheeler Purpose of Loan Personal BusinessCustomer Type Individual Joint Others ( Please Specify ) Citizenship IN-Indian Others
InDIvIDuaL DetaILs - appLIcant (Please fill the form in BLOCK LETTERS only. This is a machine readable form and will pass through a scanner)
Title Mr. Ms. Mrs. Dr. Others ( Please Specify )Full Name F I R S T M I D D L E L A S T Same as ID proof
Date of Birth D D M M Y Y Y Y Marital Status Married Unmarried Others ( Please Specify )
Email ID Gender Male Female Third Gender/Trans Gender Annual Income v
Maiden Name (if any)
Father/Spouse Name
Mother’s Name No. of Dependants
PROOf Of IdEnTITy (PoI) & PROOf Of addRESS (Poa) (Certified copy of any one of the following PoI/PoA needs to be submitted)
Proof of Identity (PoI) [________] Proof of Address (PoA) [________] (Given for Current Address / Permanent Address )
a-Passport Number Passport Expiry Date D D M M Y E A R
B-Voter ID Card c-PAN Number
D-Driving Licence Driving Licence Expiry Date D D M M Y E A R
e-UID (Aadhaar) (Mandatory) f-NREGA Job Card
Z-Others IdentificationNumber (Anydocumentnotifiedbythecentralgovernment)
OThER dETaILS
Occupation Type s-Service / Salaried Professional Self Employed Retired Housewife Student B-Business X-Not CategorisedEducationalQualification Undergraduate Graduate Post Graduate Professional Others ( Please Specify )Source of Income (Primary) Salary Business Income Investment Income Agriculture Others ( Please Specify )If Salaried, Employed with Partnership Private Ltd Proprietorship Public Ltd Public Sector Government Multi National Others ( Please Specify )Employee ID Department Occupation Doctor CA/CS Lawyer Architect Engineer Consultant Agriculturist Others ( Please Specify )(Self employed professional)
IndIvIduaL dETaILS - CO-aPPLICanT / GuaRanTORaddITIOnaL CO aPPLICanT PERSOnaL dETaILS (Please fill the form in BLOCK LETTERS only. This is a machine readable form and will pass through a scanner)
Title Mr. Ms. Mrs. Dr. Others ( Please Specify )Full Name F I R S T M I D D L E L A S T Same as ID proof
Date of Birth D D M M Y Y Y Y Gender Male Female Third Gender/Trans Gender
Email ID Citizenship IN-Indian Others Residential Status Resident IndividualNo. of Dependants Annual Income v
Maiden Name (if any) Father/Spouse Name Mother’s Name Marital Status Married Unmarried Others ( Please Specify ) Relationship with Applicant
PROOf Of IdEnTITy (PoI) & PROOf Of addRESS (Poa) (Certified copy of any one of the following PoI/PoA needs to be submitted)
Proof of Identity (PoI) [________] Proof of Address (PoA) [________] (Given for Current Address / Permanent Address )a-Passport Number Passport Expiry Date D D M M Y E A R
B-Voter ID Card c-PAN Number
D-Driving Licence Driving Licence Expiry Date D D M M Y E A R
e-UID (Aadhaar) (Mandatory) f-NREGA Job Card
Z-Others IdentificationNumber (Anydocumentnotifiedbythecentralgovernment)
Application Date D D M M Y Y Y Y
Retail loan application FoRm VeHicle loan (For Resident applicant)
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OThER dETaILSOccupation Type s-Service / Salaried Professional Self Employed Retired Housewife Student B-Business X-Not CategorisedEducationalQualification Undergraduate Graduate Post Graduate Professional Others ( Please Specify )Source of Income Salary Business Income Investment Income Agriculture Others ( Please Specify )(Primary)If Salaried, Employed with Partnership Private Ltd Proprietorship Public Ltd Public Sector Government Multi National Others ( Please Specify )Employee ID Department Occupation Doctor CA/CS Lawyer Architect Engineer Consultant Agriculturist Others ( Please Specify )(Self employed professional)
appLIcant CO-aPPLICanT / GuaRanTORcategoryReligion
SC ST OBC Minority General Hindu Sikh Muslim Zoroastrain Christian Buddhist Others
categoryReligion
SC ST OBC Minority General Hindu Sikh Muslim Zoroastrain Christian Buddhist Others
non InDIvIDuaL DetaILs - appLIcant (if applicable)
Name of Entity
Date of incorporation D D M M Y Y Y Y No. of years in business PAN/GIR No.
Email ID Annual Turnover v 0-5 Lakh v 5-10 Lakh v 10-25 Lakh v 25 Lakh - 1 Cr. v 1 Cr. - 5 Cr. v 5 Cr. - 10 Cr. Above v 10 Cr.GST Number Industry Type Manufacturing Construction NBFC NonProfitOrganization Micro Enterprises Trading(Self employed) Service Government Others ( Please Specify )If Agriculturist Landless Labourer Below 2.5 Acres of Land 2.5 - 5 Acres of Land Above 5 Acres of LandType of Company Partnership Private Ltd Proprietorship Public Ltd Public Sector Others ( Please Specify )(Other then Salaried)
fInanCIaL dETaILS Of aPPLICanT (non Individual)particular (fy ______________ in v) (fy ______________ in v) (fy ______________ in v)net sales
Operating Profit
net Profit after Tax
net Worth
Details of partner/Director/authorised signatory
Name Designation Customer ID No. (if existing customer)1
2
3
4
non InDIvIDuaL DetaILs - co appLIcant (If applicable)
Name of Entity Date of incorporation D D M M Y Y Y Y No. of years in business PAN/GIR No. Email ID Annual Turnover v 0-5 Lakh v 5-10 Lakh v 10-25 Lakh v 25 Lakh - 1 Cr. v 1 Cr. - 5 Cr. v 5 Cr. - 10 Cr. Above v 10 Cr.Industry Type Manufacturing Construction NBFC NonProfitOrganization Micro Enterprises Trading(Self employed) Service Government Others ( Please Specify )If Agriculturist Landless Labourer Below 2.5 Acres of Land 2.5 - 5 Acres of Land Above 5 Acres of LandType of Company Partnership Private Ltd Proprietorship Public Ltd Public Sector Others ( Please Specify )(Other then Salaried)
fOR IndIvIduaL / nOn IndIvIduaLappLIcant CO-aPPLICanT / GuaRanTOR
Current Mailing Address / Operating Address Current Mailing Address / Operating Address
Landmark Pin Code
Staying for Years & Owned Family RentedLandmark Pin Code
Staying for Years & Owned Family Rented
Permanent Residential / Registered Address Same as Current Mailing Address Permanent Residential / Registered Address Same as Current Mailing Address
Landmark Pin Code
Tel Nos. S T DMobile
Type of Self Owned Rented Company Accommodation Residence Parental
Landmark Pin Code
Tel Nos. S T DMobile
Type of Self Owned Rented Company Accommodation Residence Parental
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appLIcant CO-aPPLICanT / GuaRanTOR
OfficeAddress Same as operating address of entity (only in case of individual) Same as operating address of entity (only in case of individual)
Landmark Pin Code
Tel Nos. S T DMobile
TypeofOffice Self Owned RentedNo. of years in Present Organization Total work experience Years
Landmark Pin Code
Tel Nos. S T DMobile
TypeofOffice Self Owned RentedNo. of years in Present Organization Total work experience Years
FATCA / CRS Annexure (only for individual) FATCA / CRS Annexure (only for individual)
Residence for tax purpose in jurisdiction(s) outside in India Yes No Residence for tax purpose in jurisdiction(s) outside in India Yes No
BanK aCCOunT & CREdIT CaRd dETaILS - aPPLICanT
Bank Name:
Branch:
Bank A/c. No.:
Account Type Current Saving OD/CCYear of Account Opening:
OD/CC Limit: Cred
it Ca
rd D
etai
ls
1. Issuer’s Name:
Card No:
Credit Limit v
2. Issuer’s Name:
Card No:
Credit Limit v
eXIstIng Loan DetaILs – appLIcant
Bank name Loan Type Loan amount tenure of Loan EMI amount no. of EMIs Paid
1 Reference
Name:
Relationship Email ID with Applicant:
Res. Address
Landmark
City District
State Pin Code:
India (IN) Mobile
STD Code Phone No
2 Reference
Name:
Relationship Email ID with Applicant:
Res. Address
Landmark
City District
State Pin Code:
India (IN) Mobile
STD Code Phone No
KyC document List - Individual:l Proof of Identity & age proof (Passport, Valid driving license, Voters ID Card, Pan card, Aadhar Card) *l Proof of Address (Valid driving license, Passport, Voters ID Card, Aadhar Card, Utility Bill, Property or Municipal Tax Receipt) *l Proof of Signature (Passport, Valid driving license, Pan card) *
KyC document List - non Individual:Entity type List of documents
Proprietorship* l Firm’sRegistrationCertificate(AnyoneoutofShop&EstablishmentCertificate/SalesTax/VATRegistration)l ID proof, Address proof, 1 photo of proprietor
Partnership* l Partnership Deed; l PAN Card of company; l ID proof, Address proof, 1 photo of all partners
Pvt/ Public Limited Company* l MOA,AOA&CertificateofIncorporation;l Company PAN card; l Board Resolution in RBL formatl CA attested shareholding pattern and director list; l ID proof, Address proof, 1 photo of all directors
l Income Proof (last 2 months pay slips, latest 6 month’s salary credit bank statements) / ITR / VAT / TIN *
* Note: RBL Bank reserves the right to seek any additional document if required and the same shall be informed to the Applicant & Co-Applicant.
Clarification / Guidelines on filling ‘Proof of Identity [PoI]’:1. If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.2. Mentionidentification/referencenumberif‘Z-Others(anydocumentnotifiedbythecentralgovernment)’isticked.Document Code - Description:01 Identity card with applicant’s photograph issued by Central/ State Government Departments, Statutory/ Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial
Banks, and Public Financial Institutions.
Clarification / Guidelines on filling ‘Proof of address [Poa] - Current / Permanent address details’:1. PoA to be submitted only if the submitted PoI does not have an address or address as per PoI is invalid or not in force.
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Declaration: I/We declare that all the particulars and information given in the application form is true, correct and complete and no material information has been withheld/suppressed. I/We shalladvisetheRBLBankinwritingofanychangeinmy/ourresidentialoremployment/businessaddressoranysuchchangewhichmayaffectmycreditworthiness.I/Weconfirmthatthefunds shall be used for the stated purpose and will not be used for speculative or antisocial purpose. I/We understand that the Bank reserves the right to retain the photographs and documents submitted with this application and will not return the same to me/us. I/We understand that the sanction of this loan is at the sole discretion of the Bank and upon my/our executing necessary security(ies)andotherformalitiesasrequiredbytheBank.I/Wefurtheragreethatmy/ourloanshallbegovernedbytherulesofRBLBank,whichmaybeinforcefromtimetotime.I/WeconfirmthatI/Wehavenoinsolvencyproceedingsagainstme/usnorhaveI/Weeverbeenadjudicatedinsolvent.I/WeconfirmthatI/Weam/arenotadirectororarelativeofdirectorofotherBanks.I/WeconfirmthatI/Weam/arenotafirminwhichadirectororrelativeofdirectorsofotherbanksareinterestedpartner/guarantor.I/WeconfirmthatI/Weam/arenotadirector/seniorofficer/relativeofdirectororseniorofficeroftheBank.I/WeherebyauthorizeandgiveconsenttotheBanktodisclose,withoutnoticetome/us,informationfurnishedbyme/usinapplicationform(s)/relateddocumentsexecutedinrelationtothefacilitiesavailedfromtheBank,totheBank’sotherbranches/subsidiaries/affiliates,CreditBureaus/RatingAgencies,ServicesProviders,banks/financialInstitution,governmental/regulatoryauthorities,thirdpartiesforKYCinformationverification,creditriskanalysis,orforotherrelatedpurposesthattheBankmaydeemfit.I/Wewaivetheprivilege of privacy and privity of contract. I/We understand that the tenure/repayment/interest/other terms and conditions of the loan are subject to changes as a consequence to any changes in the money market conditions or on account of any other statutory or regulatory requirements or at the Bank’s discretion. The Bank reserves that right to review and amend the terms of the loan tosuchextentasitmaydeemfit.Incaseanyoftheaboveinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,IamawarethatImaybeheldliableforit.IherebyconsenttoreceivinginformationfromCentralKYCRegistrythroughSMS/Emailontheaboveregisterednumber/emailaddress.I/We Consent / Do not consent to receive information / service etc. for marketing purpose through Telephone / Mobile / SMS / E-mail by the Bank / its agents.I/WeconfirmthatI/wehavereadandunderstoodtheaboveDeclaration,andthatthedetailsprovidedontheformarecorrect.
Paste Photo here and sign across it such that your Signature is on the Photo as well as on the form
Signature of applicant
Paste Photo here and sign across it such that your Signature is on the Photo as well as on the form
Signature of Co applicant/Guarantor
Date:
Name
Date:
Name
BanK uSE OnLyKnow your customer details (KyC) attestation / for Office use Only
Application Type* New Update
KYCNumber
(Mandatory for KYC update request)
Account Type* Normal
documents Received Self-Certified True Copies Notary
IN PERSON VERIFICATION CARRIED OUT BY
IdentityVerification Done Date D D M M Y Y Y Y
Emp. Name
Emp. Code
Emp. Designation
Emp. Branch
NameofBankOfficial/DSE/DSA SignatureofBankOfficial/DSE/DSA Emp.ID
Staff Indicator Staff ID Branch Code Constitution Individual Pensioner RBL Staff NRI (For RBL Bank Emp only) Other than RBL
Do not call Customer Type Individual NRI HNI Sr. Citizen Promo Code LC Code (LG) Code Walk-in customer Yes No
Preferred Customer ID Sourcing Code Lead GeneratorPrimary Relationship Manager ID Weaker Section PEP CRPEP Only for AssetsBusiness Segment BSR Type of Organization MIS Code.1
MIS Code.2 MIS Code.3 MIS Code.4 MIS Code.5 MIS Code.6 Risk Categorization: L M H
NameofBankOfficial(Checkedby) SignatureofBankOfficial Emp.ID
fOR OffICE uSE OnLyvehicle details (tobefilledbyBankofficer)Name of the Manufacturer Asset make Variant Category (ForOfficialuseasperBank’sapprovedlist)Name of the Dealer Model new asset Type 2-Wheeler 4-Wheeler asset Life MonthsDealer Code vEhICLE COST BREaK uP (In RuPEES)Ex-show room price Octroi/other taxes, if any Registration cost Total On-Road price Insurance (Invoice Value of Vehicle)
Declaration: 1. I/We hereby enclose/submit the documentary proof in support of the above submissions. 2. I/We further declare that the information submitted above is true and correct to the best of my/our knowledge and belief.
Primary applicant’s Signature Co applicant’s Signature Guarantor’s Signature
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Most Important Terms & Conditions
vehicle Loan fees & Charges*
Processing Fee
4-wheeler Loan 2% of Loan amount
2-wheeler Loan 4% of Loan amount
Charges for late Payment of EMI 2% additional interest per month on overdue EMI amount
IssueofDuplicateInterest&PrincipalCertificate v 250
Duplicatenoduecertificate/NOC v 250
Cheque swapping charges v 250
Bounce Cheque Charges v 250
Charges for CIBIL report v 50
Foreclosure Charges l Noforeclosureallowedinthefirst6monthsoftheloantenorl Foreclosurewithinfirst6to12monthsoftheloantenor-5%chargeon
principal outstandingl Foreclosure after 12 months of the loan tenor - 3% charge on principal
outstanding
Cash repayment mode charges v 1000 (one time)
Conversion to cash repayment mode v 2000
The applicable ROI will be arrived at by adding risk, tenor, product markups on currently declared Marginal Cost of Funds based Lending Rate (MCLR) of the Bank. The applicable ROI would berevisedsubjecttotermsasspecifiedintheloanagreement/sanctionletter.Pleasecheckourwebsitewww.rblbank.comforthelatestscheduleoffeeandcharges.
Retail loan application FoRm VeHicle loan (For Resident applicant)
application no.
*Add
ition
al ta
xes
appl
icab
le.
Most Important Terms & Conditions
vehicle Loan fees & Charges*
Processing Fee
4-wheeler Loan 2% of Loan amount
2-wheeler Loan 4% of Loan amount
Charges for late Payment of EMI 2% additional interest per month on overdue EMI amount
IssueofDuplicateInterest&PrincipalCertificate v 250
Duplicatenoduecertificate/NOC v 250
Cheque swapping charges v 250
Bounce Cheque Charges v 250
Charges for CIBIL report v 50
Foreclosure Charges l Noforeclosureallowedinthefirst6monthsoftheloantenorl Foreclosurewithinfirst6to12monthsoftheloantenor-5%chargeon
principal outstandingl Foreclosure after 12 months of the loan tenor - 3% charge on principal
outstanding
Cash repayment mode charges v 1000 (one time)
Conversion to cash repayment mode v 2000
The applicable ROI will be arrived at by adding risk, tenor, product markups on currently declared Marginal Cost of Funds based Lending Rate (MCLR) of the Bank. The applicable ROI would berevisedsubjecttotermsasspecifiedintheloanagreement/sanctionletter.Pleasecheckourwebsitewww.rblbank.comforthelatestscheduleoffeeandcharges.
Retail loan application FoRm VeHicle loan (For Resident applicant)
application no.
*Add
ition
al ta
xes
appl
icab
le.
6
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I/we confirm that the executive collecting the application/document has /have Informed me/us of the• Theapplicablerateofinterestandthetypeofinterest(fixed).Processingfees(non-refundable)thatwillbechargedtowardsloanapplication.• Thetaxasmaybeapplicablewillbechargedinconnectionwiththefees.Theotherapplicablechargessuchaschequereturncharges,PDCswappingcharges,Foreclosurechargesetc.as
mentioned in the attached Table.• DetailswithrespecttotheEMIandamountwillbecommunicatedseparatelythroughawelcomeletterpostdisbursementofloan.• Thecreditdecisionisbasedonacreditmodelwhichincludesfactorslikecredithistory,repaymenttrackrecord,bankinghabits,businessstability&cashflowanalysiswhichisassessed
through a combination of personal discussion and documentation.that:• Incomplete/defectiveapplicationwillnotbeprocessedatRBLBank.RBLBankshallnotberesponsibleinanymannerfortheresultingdelayorotherwise.• EquatedMonthlyInstallment(EMI)willbedueon5thofeverymonthorthedateasspecifiedinthesanctionletter/welcomeletter.• TheloanForeclosurechargesareaspertheLoanagreement.TheForeclosurechargesarelevied/calculatedonthebalanceprincipaloutstandingoftheloan(subjecttoclausegoverning
part prepayments).• TheBankwouldupdateyouabouttheloandecisioninapproximately15workingdaysfromthedateofreceiptofthecompletedapplicationformandalltherequireddocuments.• Theloantermsassanctionedareapplicableforthespecifiedproductasindicatedintheloanapplicationandarevalidforperiodof30daysonly.Whereforsomereasons,thereisadelay
in concluding the loan. The Bank reserves the right to revise the loan terms as may be applicable at the time of actual loan availment.I/We also confirm thata) The executive has not made any commitments to me /us regarding the loan quantum / sanction process(or) promised any deviation / waivers.b) Theexecutivehascollectedselfattestedcopiesofthedocumentsmentionedonthefrontsideandverifiedthesamewithoriginalsproducedbyme/us.c) We have not given/ made any payment in cash, bearer cheque or kind along with or in connection with this loan application to the said executive (or) to any other employee of the bank(or)
to any other third party.
NameofBankOfficial/DSE/DSA: Applicant Name:
Application Date D D M M Y E A R ApplicantSignature Co-Applicant/GuarantorSignature SignatureofBankOfficial/DSE/DSA
for any queries / clarification please contact:
I/we confirm that the executive collecting the application/document has /have Informed me/us of the• Theapplicablerateofinterestandthetypeofinterest(fixed).Processingfees(non-refundable)thatwillbechargedtowardsloanapplication.• Thetaxasmaybeapplicablewillbechargedinconnectionwiththefees.Theotherapplicablechargessuchaschequereturncharges,PDCswappingcharges,Foreclosurechargesetc.as
mentioned in the attached Table.• DetailswithrespecttotheEMIandamountwillbecommunicatedseparatelythroughawelcomeletterpostdisbursementofloan.• Thecreditdecisionisbasedonacreditmodelwhichincludesfactorslikecredithistory,repaymenttrackrecord,bankinghabits,businessstability&cashflowanalysiswhichisassessed
through a combination of personal discussion and documentation.that:• Incomplete/defectiveapplicationwillnotbeprocessedatRBLBank.RBLBankshallnotberesponsibleinanymannerfortheresultingdelayorotherwise.• EquatedMonthlyInstallment(EMI)willbedueon5thofeverymonthorthedateasspecifiedinthesanctionletter/welcomeletter.• TheloanForeclosurechargesareaspertheLoanagreement.TheForeclosurechargesarelevied/calculatedonthebalanceprincipaloutstandingoftheloan(subjecttoclausegoverning
part prepayments).• TheBankwouldupdateyouabouttheloandecisioninapproximately15workingdaysfromthedateofreceiptofthecompletedapplicationformandalltherequireddocuments.• Theloantermsassanctionedareapplicableforthespecifiedproductasindicatedintheloanapplicationandarevalidforperiodof30daysonly.Whereforsomereasons,thereisadelay
in concluding the loan. The Bank reserves the right to revise the loan terms as may be applicable at the time of actual loan availment.I/We also confirm thata) The executive has not made any commitments to me /us regarding the loan quantum / sanction process(or) promised any deviation / waivers.b) Theexecutivehascollectedselfattestedcopiesofthedocumentsmentionedonthefrontsideandverifiedthesamewithoriginalsproducedbyme/us.c) We have not given/ made any payment in cash, bearer cheque or kind along with or in connection with this loan application to the said executive (or) to any other employee of the bank(or)
to any other third party.
NameofBankOfficial/DSE/DSA: Applicant Name:
Application Date D D M M Y E A R ApplicantSignature Co-Applicant/GuarantorSignature SignatureofBankOfficial/DSE/DSA
for any queries / clarification please contact: