application form - first group.cdr 2013 - kotak … address 1: kotak mahindra bank tractor &...
TRANSCRIPT
Residence Address 1:
Kotak Mahindra Bank
Tractor & Farm Equipment SARAL Auto
Commercial Vehicle Infrastructure Finance Division Application Form
Industry
TLType of Finance Required CC OD Interest Fixed Floating Hybrid
Proposed Finance Amount Rs Words
PERSONAL DETAILS - BORROWER
Expansion of Business Working Capital RequirementPurpose of Loan
MonthlyRepayment Frequency Quaterly Half Yearly Other
Individual Non-Individual
Used Vehicle Finance Purchase of Asset
Any Other
*Gender *Marital StatusMale Female Single Married Others
Driving Licence No. Voter ID
Education Non-Graduate Graduate Post Graduate Others
*Occupation Farmer Self Employed Professional Business Others (Nature of Business)
F la t Number / Bu i ld ing St reet / B lock
Name (Ti t l e ) (Upto 40 charac te rs on ly )(Fi r s t Name) (Midd le Name) (Las t Name)
*Mother’s Maiden Name Father’s Name
F la t Number / Bu i ld ing St reet / B lock
*City / District *Pin Code
Area / Vi l lage / Ta luka Land Mark
Area /Vi l lage / Ta luka Land Mark
*City / District *Pin Code *Telephone No.
Fax No.Ext. No.
*DOB * Short NameD D M M Y Y Y Y
*Religion Hindu Muslim Christian Sikh Zoroastrian OthersBuddhist
*Caste General OBC SC STCategory Others
*Preferred Mailing Address (Telephone No. mandatory) Address 1 Address 2
Passport No.
*Telephone No.
*Preferred Mobile No.Mobile number will be used for SMS Banking registration for eligible account.
Preferred Email IDE-mail Address required for alerts & e-newsletters
New Customer Existing CRN (In case you have an existing relationship with the Bank)CRN
FOR NON - INDIVIDUALS ONLY
*Date of Incorporation D D M M Y Y Y Y Business Nature
(on ly f i r s t name wi thout space)
Same as aboveANDAddress 2:(tick any 1) Office Address Residence Address 2
Address 1:(tick any 1)
DOCUMENTS COLLECTED (Bank use only)
DL PAN PASS EL_ID UTILITY TALATI CERTI BR AOA MOA
P_NOC P_DEED SOLE_PROP DEC OTHERSshould be comma seperated
Form 60 Form 61PAN No.If PAN number is not available then please provide with Form 60/61
PAN applied for
*IT Status Company Individual & OthersPartnership HUF Sole Proprietor TrustAOP
only number
Fax No.Ext. No.
Yes NoPermanent Address
Yes NoPermanent Address
VERSION - 1.0K
MBL
/FG
/APP
-01
Sr. No. 000001
Others (Nature of Business)
DOCUMENTS COLLECTED (Bank use only)
DL PAN PASS EL_ID UTILITY TALATI CERTI BR AOA MOA
P_NOC P_DEED SOLE_PROP DEC OTHERSshould be comma seperated
Whether Applicant would like to opt for Term Cover for group of borrowers Kotak Transport /SARAL / Kisan / Grahak Suraksha Cover offered by Kotak Mahindra Bank Ltd. under the Terms & Conditions of policy No. F3/F4/F6 as contracted by KMBL with Kotak Mahindra Old Mutual Life Insurance Limited.
Whether applicant would like the premium to be funded by Kotak Mahindra Bank for availing benefit under Kotak Transport /SARAL/Kisan/Grahak Suraksha Cover
If Yes, Kotak Transport /SARAL/Kisan / Grahak Suraksha Cover is in the name of
DETAILS OF PRIOR ASSOCIATION WITH KMBL :
Have you ever provided guarantee for customer financed by KMBL? If Yes, Customer Name (Customer Name) & Your Guarantor’s CRN
Whether related to :
Director(s) of KMBL Yes No
Sr. Officer (s) of KMBL Yes NoIf Yes, specific declaration as per draft to be provided
PERSONAL DETAILS - Co-Borrower Guarantor
Borrower Co-Borrower
NoYes
NoYes
Tax Liability Yes If Yes, (Rs. in Lakhs)No Litigation Yes No If Yes, specific declaration as per draft to be provided
Individual Non-Individual
*Gender *Marital StatusMale Female Single Married Others
Driving Licence No. Voter ID
Education Non-Graduate Graduate Post Graduate Others
*Occupation Farmer Self Employed Professional Business
F la t Number / Bu i ld ing St reet / B lock
Name (Ti t l e ) (Upto 40 charac te rs on ly )(Fi r s t Name) (Midd le Name) (Las t Name)
*Mother’s Maiden Name Father’s Name
F la t Number / Bu i ld ing St reet / B lock
Area / Vi l lage / Ta luka Land Mark
Area /Vi l lage / Ta luka Land Mark
*DOB * Short NameD D M M Y Y Y Y
*Religion Hindu Muslim Christian Sikh Zoroastrian OthersBuddhist
*Caste General OBC SC STCategory Others
Passport No.
Preferred Email IDE-mail Address required for alerts & e-newsletters
Senior Citizen
(on ly f i r s t name wi thout space)
FOR NON - INDIVIDUALS ONLY
*Date of Incorporation D D M M Y Y Y Y Business Nature
New Customer Existing CRN (In case you have an existing relationship with the Bank)CRN
Form 60 Form 61PAN No.If PAN number is not available then please provide with Form 60/61
PAN applied for
*IT Status Company Individual & OthersPartnership HUF Sole Proprietor TrustAOP
Residence Address 1:Address 1:(tick any 1) Same as Borrower Yes NoPermanent Address
Address 2:(tick any 1) Same as aboveANDOffice Address Residence Address 2 Same as Borrower Yes NoPermanent Address
*City / District *Pin Code
*Preferred Mobile No.Mobile number will be used for SMS Banking registration for eligible account.
*Telephone No.
Fax No.Ext. No.
*City / District *Pin Code
*Preferred Mobile No.Mobile number will be used for SMS Banking registration for eligible account.
*Telephone No.
Fax No.Ext. No.
*Preferred Mailing Address (Telephone No. mandatory) Address 1 Address 2
Others (Nature of Business)
DOCUMENTS COLLECTED (Bank use only)
DL PAN PASS EL_ID UTILITY TALATI CERTI BR AOA MOA
P_NOC P_DEED SOLE_PROP DEC OTHERSshould be comma seperated
PERSONAL DETAILS - Co-Borrower Guarantor
Individual Non-Individual
*Gender *Marital StatusMale Female Single Married Others
Driving Licence No. Voter ID
Education Non-Graduate Graduate Post Graduate Others
*Occupation Farmer Self Employed Professional Business
F la t Number / Bu i ld ing St reet / B lock
Name (Ti t l e ) (Upto 40 charac te rs on ly )(Fi r s t Name) (Midd le Name) (Las t Name)
*Mother’s Maiden Name Father’s Name
F la t Number / Bu i ld ing St reet / B lock
Area / Vi l lage / Ta luka Land Mark
Area /Vi l lage / Ta luka Land Mark
*DOB * Short NameD D M M Y Y Y Y
*Religion Hindu Muslim Christian Sikh Zoroastrian OthersBuddhist
*Caste General OBC SC STCategory Others
Passport No.
Preferred Email IDE-mail Address required for alerts & e-newsletters
Senior Citizen
(on ly f i r s t name wi thout space)
FOR NON - INDIVIDUALS ONLY
*Date of Incorporation D D M M Y Y Y Y Business Nature
New Customer Existing CRN (In case you have an existing relationship with the Bank)CRN
Form 60 Form 61PAN No.If PAN number is not available then please provide with Form 60/61
PAN applied for
*IT Status Company Individual & OthersPartnership HUF Sole Proprietor TrustAOP
*City / District *Pin Code
*Preferred Mobile No.Mobile number will be used for SMS Banking registration for eligible account.
*Telephone No.
Fax No.Ext. No.
*City / District *Pin Code
*Preferred Mobile No.Mobile number will be used for SMS Banking registration for eligible account.
*Telephone No.
Fax No.Ext. No.
Address 2:(tick any 1) Same as aboveANDOffice Address Residence Address 2 Same as Borrower Yes NoPermanent Address
*Preferred Mailing Address (Telephone No. mandatory) Address 1 Address 2
Residence Address 1:Address 1:(tick any 1) Same as Borrower Yes NoPermanent Address
1 Agri - Direct Agri - Indirect Non - Agri
2 Micro and Small Enterprises
a) Micro 1 Manufacturing. [Having Investment (original cost) in Plant and Machinery upto ` 5 lakhs] Service. [Having Investment (original cost) in Equipments upto ` 2 lakhs]
b) Micro 2 Manufacturing. [Having Investment (original cost) in Plant and Machinery upto ` 25 lakhs] Service. [Having Investment (original cost) in Equipments upto ` 10 lakhs]
c) Small Enterprises Manufacturing. [(Having Investment (original cost) in Plant and Machinery upto ` 5 Crores] Service. [Having Investment (original cost) in Equipments upto ` 2 Crores]
d) Medium Enterprises Manufacturing. [(Having Investment (original cost) in Plant and Machinery upto ` 10 Crores] Service. [Having Investment (original cost) in Equipments upto ` 5 Crores]
DNCR: I / we hereby expressly consent and authorize the Bank to make telephone calls and send SMSs or / emails to inform me / us on any information or updates relating to the Bank’s existing products / services or any new products /services. The said consent given is valid till such time I / we withdraw the same by giving the same in writing”.
DECLARATIONI / we, declare that the information given in the application form is true, correct and complete and it shall form the basis for any kind of facility Kotak Mahindra Bank Limited may decide to give under the various Commercial Vehicle / Infrastructure Finance Division / Tractor and Farm Equipment / SARAL Auto Loan Schemes. I / we confirm that I / we are not defaulters of any Bank / Financial Institution / Credit Society. I / we also confirm that I / we have no insolvency proceedings pending against me / us nor have I / we ever been adjudicated insolvent. I / we agree and confirm that grant of loan facility shall be at sole discretion of Kotak Mahindra Bank Limited. In the event of any loan facility granted to me / us, I / we undertake to abide by the rules and regulations of Kotak Mahindra Bank Limited in respect of the said loan facility. I / we also undertake to reimburse the bank with necessary amount(s) towards interest for period of delay, if any, in collection of cheques / securities handed over to Kotak Mahindra Bank Limited towards repayment of loan due to reasons beyond control of Kotak Mahindra Bank Limited. I / we authorize Kotak Mahindra Bank Limited to verify or check any information given, and obtain credit reports. I / we authorize Kotak Mahindra Bank Limited to share information contained in the application and / or any papers / documents submitted along with the application with third parties including credit rating agencies. I / we agree and confirm that all documents submitted in connection with the application including, but not limited to, photocopies of original documents, photographs, signature verification, address verification, bank details etc. shall become sole property of Kotak Mahindra Bank Limited and shall not be returned / handed over by Kotak Mahindra Bank Limited to the applicant and / or any person on behalf of the applicant and / or any other person. Any initial payment pursuant to this application will be banked prior to the approval of this application, but it shall not imply acceptance of proposal. In case of rejection of my / our application, initial payment will be refunded without interest.Any new phone number, mobile number, email id provided by an existing Customer while opting for any other product of the Bank(eg. Credit Card, Personal Loan etc) shall be automatically updated in the Bank records in lieu of the phone number, mobile number, e-mail id provided at the time of openning the account or previously registered with the Bank. All further intimations/communications pertaining to the bank Account shall also be sent by the Bank only to the new phone number, mobile number, e-mail id and no intimations/communications shall be sent to the phone number, mobile number, e-mail id provided at the time of opening the Bank Account or previously registered with the Bank. Bank shall be no way responsible for non-receipt of intimations/communications to the previously registered phone numbers, mobile numbers, e-mail id.
APPLICABLE FOR PRIORITY SECTOR LENDING ONLY
SIGNATURE & PHOTOGRAPHS (Please attach recent passport size photographs in the space provided below)
CASH FLOW*
BORROWERPHOTOGRAPH
Place & Date :
CRN : Bank use only
Signature / Thumb Impression (compulsory)
No. of JAF’s attached 1 2 3 Others4 50
FOR BANK USE ONLY
*Scheme
*Tenure *Proposal Value*Physical Agreement Date D D M M Y Y Y Y
*FTC Opportunity ID*EMI Start Date D D M M Y Y Y Y
APAC Relations :
Referral Agent
Valuation Agent
Marketing Agent
Escrow A/C Holder
Insurance Company
FIA
SIP*Dealer
*Credit Authority
*Relationship Manager
CRN
CRN
CRN
CRN
CRN
CRN
CRN
CRN
CRN
CRN
Party Type Trtype Amount From Date Event Period Unit Period Size No. of Occurrences
PHOTOGRAPH PHOTOGRAPH
*Proposal Date D D M M Y Y Y Y
( in months )
Signature / Thumb Impression (compulsory)
Co-Borrower Guarantor*
Place & Date :
CRN : Bank use only
Signature / Thumb Impression (compulsory)
Co-Borrower Guarantor*
Place & Date :
CRN : Bank use only
*Maturity Date D D M M Y Y Y Y
Manufacturer CRN Insurance Party CRN
INSB EMI Start Date M
DIS D 1 1
Agreement DateAIRB D 1 1
SCRB Agreement Date D 1 1
DCRB Agreement Date D 1 1
ILRB Agreement Date D 1 1
SUR Agreement Date D 1 1
DIR Agreement Date D 1 1
MMR Agreement Date D 1 1
MMP D 1 1
BPMA Agreement Date D 1 1
RFPRA Agreement Date D 1 1
DIS D 1 1
No of APACs to be created
Total No. of additional Proposal / Cash Flow’s attached Copy Customized, Is itNone Others
(fill in number)( f i l l in number )
( in %)
( f i l l in number )
( in ` )
All fees and charges are to be paid only after approval of the loan application and only by A/cPayee Cheque in favour of the Bank. In case of Cash payment the Bank receipt shall be obtained.
Sr. No.
Received from
Applicant would be advised of the Bank's decision on the Application within 2 weeks from the receipt of complete information
Application recd. by
Recd. at
Date
For Kotak Mahindra Bank Ltd.
Authorised Signatory / Representative
Kotak Mahindra Bank
ACKNOWLEDGMENT
BRANCH DETAILS
ANNEXURE TO APPLICATION FORM
BRANCH STAMP
Taxes as applicable
Interest Rate
Documentation charges Upto Rs. 5000
Stamping Charges At Actuals
Service Charges Upto 2% of Loan amount
Payment Handling Charges Rs. 1000
Over due Interest 3% of Overdue Amount, compounded monthly
Collection charges 30% of penal and cheque bouncing charges
Dishonour charges per Instance Rs. 750
Swap Charges (Replacement of PDCs) Upto Rs. 500 per Swap per Instance
Foreclosure Charges 5% of Principal Outstanding as per reducing balance method on the
date of repayment
Duplicate Issue of NOC Rs. 500
Charges for furnishing a copy of the credit information report (CIBIL) to the applicant Rs. 50
Charges applicable in case customer requests for copies of records pertaining to his
transactions ( SOA / Amortization Schedule) Rs. 500
Loan Cancellation charges Rs. 2500 per agreement
Duplicate Foreclosure statement charges Rs. 500
NOC for National Permit / State Permit / Change in Body type Rs. 500
Rebooking charges Rs. 2500
Credit Administration charges Upto Rs. 6000
Change in Installment due date Rs. 1000
Change in property / Asset / Collateral Rs. 2000
Copy of any property/loan document submitted by customer Rs. 1000
Valuation charges for used/Refinance vehicle Within city - Rs.1000/- and for Outside city - Rs.1500/-
Asset verification charges - immovable assets At Actuals
Legal / Incidental charges At Actuals
Repossession Construction Equipment - Upto Rs. 25,000 and for others
Upto Rs. 15,000
NOC to convert from Private to Commercial Registration & vice versa Rs. 2000