To,

Axis Finance Limited

Sub- Permission to generate Bureau Report & Login Fees (Non Refundable)

I/We have submitted a Loan Proposal Request secured against collateral and hereby authorize Axis
Finance Limited to use the details furbished in Annexure I & generate the bureau report for Loan
processing.

I/We hereby agree to pay Login Fees which is not refundable as per the below modes for the amount
of INR ___________ /- to process the loan request with Axis Finance Limited:

1. UPI
2. RTGS
3. Cheque/DD
4. Payment Apps

Consider this as my consent for the same

Consent Provided through

1. Email confirmation from registered email id mentioned herein above

2. Hard copy of acceptance letter

Authorized Signature/s-

Annexure 1
A) Applicant Name –
DOB/ Date of Incorporation-
PAN Number-
Email ID -
B) Applicant Name-
DOB / Date of Incorporation-
PAN Number –
Email ID -
C) Applicant Name-
DOB/ Date of Incorporation-
PAN Number-
Email ID -

D) Applicant Name –
DOB/ Date of Incorporation-
PAN Number-
Email ID -
E) Applicant Name-
DOB / Date of Incorporation-
PAN Number –
Email ID -
F) Applicant Name-
DOB/ Date of Incorporation-
PAN Number-
Email ID

 All the loans will be at the sole discretion of Axis Finance Limited