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LOAN AGAINST PROPERTY / HOME LOANApplication Form

The term “RBL Bank” or “the Bank” shall mean RBL Bank Limited

Loan Details Existing RBL Bank Customer Yes No Customer ID

Loan Amount vLocation

Product

End Use Business

LAP Term Loan Dropline Overdraft against Property Home Loan Easy Home Loan

CUSTOMER TYPE Individual Non-Individual

Education Marriage Asset Acquisition Debt Consolidation

Agriculture

Rate of interest Tenure (In months)%

Please SpecifyOthers ( )

page 1

Application Date D D M M Y E A R

INDIVIDUAL APPLICANT DETAILS

F I R S T M I D D L E

Please SpecifyOthers ( )Title Mr. Ms. Mrs. Dr.

Full Name(As per KYC)

Maiden Name (if any)

Father/Spouse Name

Mother Name

Date of Birth

Gender

Religion

Category

L A S T

D D M M Y E A R

Male

Hindu

SC

Female

Muslim

ST

Please SpecifyOthers ( )Marital Status Married Unmarried

Third Gender / Trans Gender

OBC

Christian Please SpecifyOthers ( )

General

Sikh

No. of Dependants

ZoroastrianPlease SpecifyOthers ( )

Annual income v

Jain

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

B-Voter ID Card

D-Driving Licence

E-UID (Aadhaar)

Z-Others

(Any document notified by the central government)

Passport Expiry Date

C-PAN Number

Driving Licence Expiry Date

F-NREGA Job Card

PoI Identification Number

PoA Identification Number

(Mandatory)

D D M M Y E A R

D D M M Y E A R

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. Mention identification / reference number if 'Z- Others (any document notified by the central government)' is ticked.

NON INDIVIDUAL APPLICANT DETAILS (if applicable)

Name of Entity

Date of incorporation GST No.

Udyog Aadhar Number

No. of yearsin business (Mandatory)

PAN/GIR No.D D M M Y Y Y Y

1. Whether the applicant is ZED rated ( Yes / No)2. If yes, the gradation obtained by the applicant unit (Tick appropriate one) Bronze Silver Gold Diamond Platinum

ZED Gradation

Self Employed Professional Type

Occupation Type

OTHER DETAILS

Educational Qualification

Source of Income (Primary)

If Salaried, Employed with

Industry Type

Type of Company

(Self employed)

(other then Salaried)

Undergraduate

S-Service / Salaried (O-OthersB-BusinessSalary

Private Sector

X-Not CategorisedProfessional

Graduate Post Graduate ProfessionalPublic SectorSelf Employed

Government Sector )Retired Housewife Student )

Please SpecifyOthers ( )

Please SpecifyOthers ( )Business Income Investment Income Agriculture

PartnershipMulti National Please SpecifyOthers ( )

Private Ltd. Proprietorship Public Ltd. Public Sector Government

Doctor Please SpecifyOthers ( )CA/CS Lawyer Architect Engineer Consultant Agriculturist

Manufacturing

Service

Construction NBFC Non Profit Organization Micro Enterprises Trading

Government Please SpecifyOthers ( )Please SpecifyOthers ( )Partnership Private Ltd. Proprietorship Public Ltd. Public Sector

RESIDENTIAL ADDRESS DETAILS Preferred Mailing Address Years / Months at Current Address Years in CityY Y M M

LAP

/Re

tail

Ass

ets

/Ve

r 2

.4/A

ug/

20

19

Address Line 1

Address Line 2

City

State

Residential Contact Details

Country Code

Email ID

Type of Residence

District

Pin Code Country

STD Code Phone No. Mobile

Self Owned Rented Company Accomodation Parental

(Please fill the form in BLOCK LETTERS only.This is a machine readable form and

will pass through a scanner)

Paste Photo hereand sign acrossit such that yourSignature is on thePhoto as well ason the form

Office Contact Details

OFFICE ADDRESS Preferred Mailing Address No. of years in Present Organization Total work experience Years

DesignationFirm-Company Name

District

Address Line 1

Address Line 2

City

State Pin Code Country

Email ID (Official)

Country Code STD Code Phone No. Extension

Mobile

FATCA-CRS Declaration (Tick (P) if applicable, individual/non-individual applicant)

Residence for tax purpose in jurisdiction(s) outside in India Yes NoPlease note if the above check box is ticked kindly submit a completely filed and signed copy of the FATCA-CRS declaration along with the loan application.

Land Details: I / We own / Cultivate land to the extent of acres at attached herewith 7/12 documents /

Applicant SignatureI / We hereby declare that information furnished above is true and accurate

Agricultural Land Details (If Applicable)

copy of land revenue receipt.

DOCUMENTS CHECKLIST (For Applicant & Co-Applicants)1. Proof of Identity & age proof (Passport, Valid driving license, Voters ID Card, Pan

card, Aadhaar card) *2. Proof of Address & signature (Valid driving license, Leave & License Agreement,

Register sale deed or sale agreement)*3. Proof of Address of the firm: Latest Telephone Bill / Electricity Bill / Bank

Statement / Leave and licence agreement (Any One)4. Audited Financial Statement & ITR of the last 2/3 years along with the schedules,

notes to accounts and Audit Report & all relevant annexures.5. Bank Statement for the last 6/12 months & Self-Certified Provisional Balance

Sheet and P&L A/c of 20 ________6. Firm Registration/Shop Establishment/CST/VAT/GST Certificate.7. Property paper including Title Deed, Completion Certificate, Occupancy

Certificate, Tax Receipt, Sanction Plan, etc.8. Loan Agreement Booklet, accepted copy of sanction letter, ECS/SI/PDC/Security

Cheques and other documents enclosed in the kit9. Any other document / information as required on a case to case basis.*Note :- RBL Bank reserves the right to seek any additional document if required and the same shall be informed to the Applicant and/ or Co- Applicant.

PSL Category: Priority Sector / MSME CategoryDirect Agri

Indirect Agri Khadi & Village Industries (Kvi Sector) Retail Trader

Micro Manufacturing Enterprise Small Manufacturing Enterprise Medium Manufacturing Enterprise Micro Service Enterprise

Small Service EnterpriseMedium Service Enterprise Education


Declaration1. 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 shall

advise RBL Bank in writing of any change in my/our residential or employment/business address or any such change which may affect my credit worthiness. I/We confirm that the funds shall be used for the stated purpose and will not be used for speculative or antisocial purpose.

2. 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) and other formalities as required by the bank. I/We further agree that my/our loan shall be governed by the rules of RBL Bank, which may be in force from time to time.

3. I/We confirm that I/We have no insolvency proceedings against me/us nor have I/We ever been adjudicated insolvent.4. I/We confirm that I/We are not a director of RBL Bank or specified near relation (as specified by RBI) of any of the directors of RBL Bank.5. I/We confirm that I/We are not specified near relation (as specified by RBI) of any of the Senior Officer of RBL Bank.6. I/We confirm that I/We are not a director/senior office of other banks or specified near relation (as specified by RBI) of any of the directors of other bank.

PERMANENT ADDRESS Same as Residential AddressAddress Line 1

Address Line 2

City

State

Pin Code

District

STD Code Phone No.

Country

PROPERTY DETAILS - 1

PROPERTY DETAILS - 2(if applicable)

No. of Property Owner (S)

No. of Property Owner (S)

1) Mr./Mrs./Ms./Dr.

2) Mr./Mrs./Ms./Dr.

1) Mr./Mrs./Ms./Dr.

2) Mr./Mrs./Ms./Dr.

Property Address

Property Address

Address Line 1

Address Line 1

Address Line 2

Address Line 2

City

City

State

State

Pin Code

Pin Code

District

District

Country

Country

Type ofProperty

Type ofProperty

If ResidentialIf Commercial

thenthen

FlatShop

Row HouseOffice

Bungalow

Individual Floor

If ResidentialIf Commercial

thenthen

FlatShop

Row HouseOffice

Bungalow

Individual Floor

Area of Property in Sq. Feet

Area of Property in Sq. Feet

Current Market Value v

Current Market Value v

Re

fere

nc

e 1

Name:

Relationship with Applicant:

Res Address:

City Pin Code:

Mobile:

Re

fere

nc

e 2

Name:

Relationship with Applicant:

Res Address:

City Pin Code:

Mobile:

Undertaking for submission & self-attestation on documents for Loan ApplicationSr. No. Documents Particulars Y/N

1

Financials (ITR Copies, Tax Audit reports, etc)

ITR Copies belonging to period

Financials belonging to period

Bank Statements of our accounts and details are listed below

2

a

b

c

d

Bank Name Account No. From Date To Date

3 VAT / CST / ST / GST Returns & Challans of Year(s) _________

abc

List Other documents other than the above

4

d

e

Year(s)

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/We confirm that I / we have read and understood the above Declaration,and that the details provided on the form are correct.

Signature of Applicant:

Date:


page 3

7. We confirm that none of the directors of RBL Bank is the director, manager, managing agent, employee or guarantor of the Borrower, or of a subsidiary of the Borrower, or of the holding company of the Borrower, or holds substantial interest, in the Borrower or a subsidiary or the holding company of the Borrower and none of the director of any other bank holds substantial interest or is interested as a director or guarantor of the Borrower.

8. We confirm that none of the Directors/Partners/Members of the governing body/guarantor of the Borrower or specified relative of such Directors/Partners/Members of the governing body/guarantor of the Borrower are Directors of any banking company.

9. We confirm that none of the relatives (as specified by RBI) of a chairman/managing director or director of Bank or a relative of senior officer {as specified by RBI) holds substantial interest or is interested as a director or as guarantor of {any of) the Borrower(s);

10. I/We here by authorize and give consent to the Bank to disclose, without notice to me/us, information furnished by me/us in application form(s)/related documents executed in relation to the facilities availed from the Bank, to the Bank’s other branches/subsidiaries/affiliates, Credit Bureaus/Rating Agencies, Services Providers, banks/financial institution governmental/regulatory authorities of third parties for KYC information verification, credit risk analysis, or for other related purposes that the Bank may deem fit. I/We waive the privilege of privacy and privity of contract.

11. 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 is 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 in such extent as it may deem fit.

12. I/We understand that the purchase of any insurance products is purely voluntary, and is not linked to availment of any other facility from the bank.

In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it. I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number /email address. I/We confirm that the funds shall be used for the stated purpose and will not be used for speculative or antisocial purpose.

RETAIL LOAN APPLICATION FORM(LOAN AGAINST PROPERTY / HOME LOAN)

Bank Copy

ApplicationNo.


Customer Copy

ApplicationNo.

Know your customer details (KYC)

KYC Number (Mandatory for KYC update request)

Account Type*

Application Type* New Update

Normal

Bank use Only

Identity Verification

Attestation/For Office Use Only Documents Received Self-Certified True Copies Notary

IN PERSON VERIFICATION CARRIED OUT BY

Emp. Name

Emp. Code Emp. Designation

Emp. Branch

Done Date D D M M Y Y Y Y

Name of BankOfficial/DSE/DSA

Signature of Official/DSE/DSA

BankEmp. ID

Branch Code

Staff Indicator

Staff ID(For RBL Bank Emp only)

PromoCode

PEP CRPEPMIS Code.2


page 4

Case Sourced By: DSA Branch/Others

Sales Manager Name

DSA/Employee Name DSA Code/Employee

Sales Manager Emp ID:

Business Segment MIS Code.1

MIS Code.3 MIS Code.4 MIS Code.5 MIS Code.6

Name of BankOfficial (Checked by)

Signature ofBank Official Emp. ID

The details of loan terms / conditions inclusive of all charges have been read by me / us in full read out to me / us (in vernacular) and understood by me / us.

I / we confirm that the executive collecting the application / document has / have informed me / us of thelThe applicable rate of interest and the type of interest (floating/fixed). Processing fees (non-refundable) that will be charged towards loan application.lThe tax as may be applicable that will be charged in connection with the fees. The other applicable charges such as cheque return/bounce charges, PDC swapping charges, Foreclosure

charges etc. as mentioned in the attached Table.lDetails with respect to the EMI and amount will be communicated separately through a welcome letter post disbursement of loan.That:lincomplete/defective application will not be processed by RBL Bank. RBL Bank shall not be responsible in any manner for the resulting delay or otherwise.lEquated Monthly Installment (EMI) will due on 5th of every month or the date as specified in the sanction letter/welcome letter.lThe loan Foreclosure charges are as per the Loan agreement. The Foreclosure charges are levied/calculated on the balance principal outstanding of the loan (subject to clause governing

part prepayments). No foreclosure charges/prepayment penalties on floating rate term loans sanctioned to individual borrowers.lThe Bank would update you about the loan decision in approximately 15 working days from the date of receipt of the completed application form and all the required documents.lThe loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are valid for period of 30 days only. Where for some reasons, there is a delay 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 that:a) The executive has not made any commitments to me/us regarding the loan quantum/sanction process(or) promised any deviation/waivers.b) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced by me/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.

Name of BankOfficial/DSE/DSA:

Applicant Name:

Signature of BankOfficial/DSE/DSA

Applicant Signature D D M M Y E A R

Application Date

The details of loan terms / conditions inclusive of all charges have been read by me / us in full read out to me / us (in vernacular) and understood by me / us.

I / we confirm that the executive collecting the application / document has / have informed me / us of thelThe applicable rate of interest and the type of interest (floating/fixed). Processing fees (non-refundable) that will be charged towards loan application.lThe tax as may be applicable that will be charged in connection with the fees. The other applicable charges such as cheque return/bounce charges, PDC swapping charges, Foreclosure

charges etc. as mentioned in the attached Table.lDetails with respect to the EMI and amount will be communicated separately through a welcome letter post disbursement of loan.That:lincomplete/defective application will not be processed by RBL Bank. RBL Bank shall not be responsible in any manner for the resulting delay or otherwise.lEquated Monthly Installment (EMI) will due on 5th of every month or the date as specified in the sanction letter/welcome letter.lThe loan Foreclosure charges are as per the Loan agreement. The Foreclosure charges are levied/calculated on the balance principal outstanding of the loan (subject to clause governing

part prepayments). No foreclosure charges/prepayment penalties on floating rate term loans sanctioned to individual borrowers.lThe Bank would update you about the loan decision in approximately 15 working days from the date of receipt of the completed application form and all the required documents.lThe loan terms as sanctioned are applicable for the specified product as indicated in the loan application and are valid for period of 30 days only. Where for some reasons, there is a delay 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 that:a) The executive has not made any commitments to me/us regarding the loan quantum/sanction process(or) promised any deviation/waivers.b) The executive has collected self attested copies of the documents mentioned on the front side and verified the same with originals produced by me/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.

Name of BankOfficial/DSE/DSA:

Applicant Name:

Signature of BankOfficial/DSE/DSA

Applicant Signature D D M M Y E A R

Application Date


Customer Copy

Email us at : [email protected] Call us at: +91 22 61156300 @ Website : www.rblbank.com

For Any queries / clarifications please contact:


Bank Copy