Professional Documents
Culture Documents
E-Sign - 2024-05-09T154848.053
E-Sign - 2024-05-09T154848.053
Sourcing Details
Location KOTA Location Code KTA Login Date and 09/05/2024 15:46:03
Time
Applicant's Information
Salutation Mr. Name DHEERAJ . Date of Birth 1/1/1978
Gender Male Marital Status Married LPG Number
Contact Details
Mobile Number 8005813286 LandLine(Office) LandLine(Home)
Email Id
Address
Address Line 1 TALWANDI Address Line 2 KOTA 2E9 TALWANDI Address Line 3
KOTA
Nearest Landmark PinCode 324005 City KOTA
State RAJASTHAN
Employment Details
TALWANDI
Name of PAPULAR BAKERS Office/Bussiness KOTA
Organization Address Nearest Landmark
RAJASTHAN
Financial Obligation
Loan EMI Rs. 3735.00 Bank Name CENTRAL BANK OF INDIA
Bank Details
Bank Name CENTRAL BANK OF INDIA Branch GOVERDHAN PURA IFSC Code CBIN0281016
CIRCLE
Guarantor/Co-Applicant Information 1
Co-Applicant1 Information
Co-Applicant 2 Information
Reference Details
Reference Information
Applicant
I/we hereby authorise Mr/Ms Chambal Automotives Pvt ltd (11787) for processing this Application Form with [Hero Fincorp] on my behalf and
undertake to provide all papers in original required for any clarification to the HFCL.
Please paste passport size latest color Please paste passport size latest color Please paste passport size latest color Dealer/DSA Stamp
photo of Applicant and sign across photo of Guarantor/Co-Applicant 1 and photo of Guarantor/Co-Applicant 2 and
sign across sign across
VERNACULAR DECLARATION
The content of the loan application has been explained by me (the witness) to the Applicant in Hindi (name of the language in
which the applicant has signed) and the same has been understood by the applicant. The applicant further confirms that
he/she is acceptable to receive all the future correspondence in relation to this loan in English language.
All loans will be sanctioned at the sole discretion of Hero FinCorp Limited.
I/We DHEERAJ . do hereby declare that what is stated above is true to the best of my knowledge and belief. I further
declare that I do not have a Permanent Account Number and my/ our estimated total income (including income of spouse,
minor child etc. as per section 64 of Income-tax Act, 1961) computed in accordance with the provisions of Income-tax Act,
1961 for the financial year in which the above transaction is held will be less than maximum amount not chargeable to tax.
To,
Chambal Automotives Pvt ltd (11787)
Dear Sir,
This is to inform you that Hero FinCorp Limited (“HFCL”) has sanctioned a two wheeler loan to
DHEERAJ . as per the terms and conditions mentioned in the Sanction Letter bearing reference number
63393363 dated May 9,2024, as annexed below.
Kindly arrange to deliver the Vehicle/Asset as per the loan details mentioned in the Sanction Letter. You
are advised to collect DP amount as initial payment from the said Borrower and collect all the required
documents for the delivery of Vehicle/Asset.
Please take the signature of the hirer in the delivery challan and intimate us the Vehicles Engine No.,
Chassis No, Product Serial No. in the copy of the delivery challan to be submitted to HFCL’s
representative.
Authorized Signatory
S. Particulars Description
No.
1. Nature of Loan Two Wheeler Loan
2. Name of the Borrower DHEERAJ .
3. Name of the Co-Borrower (if applicable)
4. Name of the Guarantor (if applicable)
5. Sanctioned Loan Amount INR 83005.00/-
Indian Rupees (in words)
6. Purpose of Loan TWL for Personal Use
7. Term 30
8. Asset Cost as per proforma invoice (per INR-97518.00
unit)
9. Margin Money Rs 16000.00
10. No. of Units 1
11. Disbursement Amount 78803.00
12. Down Payment 18715.00
13. Rate of Interest
i. Annualized Rate of Interest 24.692 % p.a.
ii. Interest Type □ Fixed □ Floating
iii. Default Charges 3% of overdue amount
14. Repayment Schedule
i Repayment Mode □ PDC □ NPDC □ FEMI □ Others, please
specify________________
ii Equated Monthly Installment (EMI) INR 3735.00/-
Amount Indian Rupees (in words) only
iii Advance EMI Amount 0.00
iv Total No. of EMIs 30
v Date of Commencement of First EMI June 8,2024
vi Due date of each of the EMI 8th-of every month
vii Repayment Account No. and Bank 3585295723 & CENTRAL BANK OF INDIA
Name
15. Vehicle/Asset Details
i. Details of the Chambal Automotives Pvt ltd (11787)
Manufacturer/Dealer/Sub-
Dealer/DSA
ii. Variant SUPER SPLENDOR XTEC DSSC MACT AXIS GRAY
iii. Vehicle/Asset Description
iv. Make SUPER SPLENDOR
v. Under Hypothecation With Hero FinCorp Limited
16. Security Details
i. Primary Security First and exclusive charge by way of hypothecation in favour of
HFCL on the vehicle financed by HFCL.
ii. Other Security, if any
19. Validity of the Sanction Letter 30 (thirty) days from the date of Sanction Letter
20. Return of original security documents All original movable/immovable property documents deposited by
the Borrower with the Lender as security for the Facility, if any, shall
be returned to the Borrower, within 30 days after full repayment of
the Facility or settlement of the Facility.
Lender will send the hypothecation removal letter and relevant RTO
forms to Borrower within 30 days from the date of closure of loan,
subject to submission of RC details by Borrower as mentioned
above, to enable the borrower to get the hypothecation removed from
respective RTO. Further, the Lender shall not be held liable for any
delay caused in filing of charge release form due to non-submission
of/non availability of such documents on Borrower's part.
If the terms of this Sanction Letter are acceptable to you, you may sign the duplicate copy of this Sanction Letter as a token of your
acceptance and return it to the above-mentioned address.
Thanking you,
For Hero FinCorp Limited
Authorized Signatory
Name:
Designation:
Employee Code:
I/We confirm that I/we understand and accept the terms and conditions of the Sanction Letter, as laid out in English/ have been
explained to me in a vernacular language of my/our understanding and I/we accept the Loan on the terms set above. I/We
hereby expressly consent to and authorize HFCL to collect, use and process my/our personal data for the purposes described in
this form and pursuant to HFCL Customer Data Privacy Policy. I/We authorize HFCL to collect information about me/us as
may be required for evaluating the proposed financing Loan, including without limitation, gathering information from credit
bureaus like CIBIL. I/We also consent authorize HFCL to share my information, and my personal data at any point of time,
with credit bureaus, statutory agency or any third party as HFCL may deem fit.
I/We here by further authorize HFCL to disburse the Loan amount directly in the account of the dealer/manufacturer/DSA, as
the case may be. Any such disbursement made by HFCL shall be deemed to be disbursement made to me/us only.
I/We have read and understood the privacy policy available on Hero FinCorp’s website and consent to the processing of
my/our personal information by HFCL.
__________________________________ ________________________________
(Signature of the Borrower) (Signature of the Co-Borrower)
Hindi
Tamil
Malayalam
Telugu
Kannada
Marathi
Gujarati
Oriya
Konkani
Punjabi
Benagli
Assamese
Urdu
3.6 The Borrower shall deliver to the Lender PDCs/NACH mandate/SI instructions/Direct Debit Form towards payment of Installments, other fees, dues and Charges payable
hereunder, being fully cognizant of the fact that dishonour of cheques or revocation of NACH mandate/SI instructions is a criminal offence under law and shall be punishable,
inter alia, under the provisions of the Negotiable Instruments Act, 1881 (including any statutory amendments thereof) or Payment and Settlement Systems Act, 2007 or any
other Applicable Law, as the case may be. It is clearly understood that PDCs have been issued and the NACH mandate/SI’s instructions have been given in discharge of the
existing liability of the Borrower to repay the Outstanding Amounts and the Borrower has irrevocably and unconditionally authorized and instructed the Lender through
NACH/SI/Direct Debit Mode/any other mode to debit the Borrower’s bank account towards the Outstanding Amounts. The Borrower further warrants that the Borrower shall
maintain sufficient balance in the said account and shall not stop payment or do anything whereby the PDC/NACH mandate/SI/Direct Debit Form shall not be honoured on first
presentation. The Lender may in its discretion not present the PDCs or any of them, which shall not affect the Borrower.
3.7 The Obligors agrees that the Obligors shall be liable to pay all Taxes, Charges and/or levies that maybe levied by the Government/any other competent Authority in connection
with the activities/transaction/services to be rendered under this Agreement, and also agrees that the Installment(s) shall be increased by any incremental taxes, whether by way
of sales tax, excise duty or any other taxes, hereinafter levied on this transaction with retrospective or prospective effect.
3.8 The Loan Facility is payable on demand, but for convenience, the Loan Facility maybe repaid in Installment(s). The details (number and amount) and schedule thereof is without
prejudice to the right of the Lender to be paid on demand the Loan Facility along with other dues, if any. Further, the computation/fixation of Installment(s) will be without
prejudice to the right of the Lender to recompute the Interest on the basis of the agreed rate.
3.9 Obligation to make timely payment of the Installments: The Borrower shall pay the Installments on the Due Dates as mentioned in Schedule A. Notwithstanding anything
contained in the Loan Documents, the Outstanding Amounts or part thereof, shall become due and payable on the Due Dates, or earlier at Lender’s option. If a Due Date or any
date on which any other payment under this Loan is due, is not a Business Day, then such payment date shall automatically be the immediately preceding Business Day. The
Borrower agrees that the Lender may at its sole and absolute discretion swap the mode of payment of the Loan at any time during the tenure of this Agreement and in that event
the Borrower shall be under a strict obligation comply with such new mode/method of repayment without raising any demur or objection.
3.10 The Borrower may prepay the Outstanding Amounts along with pre-payment charges (as mention in Schedule A) by giving prior written notice of 15 (fifteen) days expressing his
intention to prepay, subject to payment of Interest for 6 (six) months on the total Outstanding Amount. Provided that there shall be no pre-payment or foreclosure charges on a
floating rate term loans sanctioned for purpose other than business to individual borrowers, with or without co-borrower.
3.11 The Lender may at its absolute discretion on receipt of an Installment, pay insurance premia or part thereof or any fees or charges payable by the Borrower under this
Agreement and interest without adjusting the amount received towards the dues in respect of that Installment.
3.12 The Borrower undertakes that it shall not give any instructions to the Lender with respect to not depositing the PDCs or revoke the NACH or Direct Debit or SI instructions given
by the Borrower. In case of dishonour of PDC or any other instruments issued by the Borrower or revocation of the NACH/Direct Debit/SI instructions or if under the NACH/SI
mode the Lender has not received the monies equivalent to the Installment, the Borrower agree and undertake that they are liable to pay the Installment along with bounce
penalty and late payment charges as stated in the Schedule A and shall also be liable to reimburse the Lender, costs and expenses, including legal fees. Nothing contained in
this Article 3.12 shall prejudice the Lender’s right to prosecute under the Negotiable instruments Act, 1881 (including any statutory amendments thereof) or the Payment and
Settlement Systems Act, 2007 as the case may be, read with the Indian Penal Code and/or under any Law applicable to such dishonour at that time in force.
3.13 In case of any default by Borrower in the repayment of the Outstanding Amounts, the Borrower shall, without prejudice to Lender’s other rights and remedies, pay
Default Charges at the rate mentioned in the Schedule A hereto or as may be prescribed by Lender, over and above the then applicable rate of Interest till full
payment is made/default is cured.
3.14 The Obligor acknowledges that any sums, Interest, default amounts including but not limited to the Default Charges under this Agreement are reasonable and represent a genuine
pre-estimate of the loss in the event of non-payment by the Obligor and/or non-compliance with the terms of the Loan Documents. Further, the Obligors waive any defence
available under usury or other Applicable Laws relating to the charging of Interest/Default Charges.
3.15 The Lender shall not issue any notice, reminder or intimation to the Borrower regarding the presentation of the aforesaid PDC/NACH/SI as the case may be.
3.16 If there is more than one Borrower, then all of them shall be jointly and severally liable for repayment of the Outstanding Amounts due to the Lender and to observe and perform all
the terms and conditions contained hereunder, notwithstanding that the Vehicle may be used by one of them or that the PDCs have been issued by one.
3.17 The Obligors agrees that Lender shall provide statement of accounts with respect to the Loan during the tenure, on the request in writing with charges as determined by the
Lender.
DECLARATION
The contents of the Loan application, Sanction Letter, this Agreement, and any other Loan Documents have been explained by me/us in Hindi (language) and the same have
been understood by the Obligors.
h) Default Charges
i) Amount of PEMI
9. Repayment of Loan:
30
a) Tenure of Loan
□ NACH □ PDC □ SI □ Any other mode, please specify _________________
b) Mode of Repayment
30
c) Number of Installments
Rs. 3735.00
d) Amount of each Installment
st INR 3735.00/-
e) 1 Installment Amount
June 8,2024
f) Date of commencement of Installment
From 8/6/2024 To 8/11/2026
g) Period
8/6/2024
h) First Due Date
8/11/2026
i) Last Due Date
8th-of every month
j) Due Dates
0
k) Advance Installment
l) Number of PDC’s/SPDCs
Repayment Schedule shall mean the schedule for payment of interest and repayment of the
m) Repayment Schedule
principal component of the facility by the Borrower to the Lender and attached as Annexure
Hereto as amended depending upon the actual date of Disbursement and communicated by
the Lender to the Borrower, from time to time.
Details of Security:
10.
a) Primary Security First and exclusive charge by way of hypothecation in favour of HFCL on the vehicle financed
by
HFCL
11. Charges/Fees
a) Processing Fees
b) Prepayment Charges 5% of Principal Outstanding Within 6 (six) months from date of disbursement, Interest
on loan amount for 6 (six) months plus prepayment charge
c) Bounce Penalty Rs.350 per bounce
d) Re-imbursement of Valuation charges
e) Damages Rs. /- per day
f) Cheque Swap Charges NA
g) Delayed Payment Charges 3% of overdue amount monthly
h) Default Charges
Dear Sir,
I/We have been sanctioned a Loan of Rs. 83005 /- (Rupees Eighty Three Thousand Five only) by Hero FinCorp Limited
(“Lender”). I/We wish to take the disbursement of my Loan and request you to disburse the following amount by a Demand
Draft/Cheque/Electronic transfer to the following:
Sr.N Account Holder Account Number Bank Name IFSC Code Amount to be
o Name disburs
. ed (In
INR)
1 Chambal 61301900879 STATE BANK OF SBIN0050586 78803.00
Automotive BIKANER
s Pvt ltd AND JAIPUR
(11787)
(a) All the representations and warranties contained in the Loan cum Agreement to Hypothecate are true and correct on the
date hereof as if each was made with respect to the facts existing on such date;
(b) No Event of Default or potential Event of Default has occurred or is continuing and further, no such event has happened
which would result in a material adverse effect;
(c) All the necessary certificates and documentation required by Lender is attached herewith or has already been made
available to Lender;
(d) The proceeds of the proposed disbursement shall be used for the purposes as stated in Loan cum Agreement to
Hypothecate;
(e) This disbursement shall be subject to credit limit fixed by Lender from time to time and we shall not protest the decision of
Lender in this regard;
(f) We agree and undertake to repay the disbursed amount of the Loan facility as per the repayment schedule and in
accordance with the Loan cum Agreement to Hypothecate and further agree and acknowledge that Lender shall be
entitled to demand immediate repayment of the disbursed amount if any installment of interest/principal installment remain
unpaid on the due date for payment thereof;
(g) This Disbursement Request Form is irrevocable.
Name Signature
Borrower DHEERAJ .
Co-Borrower
● HFCL does not take responsibility for cheques left blank or drawn in favor of any name other than HERO FINCORP
LIMITED
● Please ensure that amount in words and figures are the same without any correction/alteration
I/We declare that I/We have not given any cheques other than the ones mentioned above and all cheques are drawn in favour
of “Hero FinCorp Limited”.
Thanking you
Yours faithfully
Place: ______________________
Date: _________________________
Received By:
I/We, Mr. DHEERAJ . S/o / D/o / W/o Mr BHAWAANI SHANKAR JI R/o TALWANDI, KOTA 2E9 TALWANDI KOTA, have
received the copy of all the Loan Documents including Sanction Letter Loan cum Agreement to Hypothecate dated
_________________ along with its Schedules attached thereto. I/We also hereby confirm that the contents of the copy of Loan
Documents have been explained to me/us in the language understandable by me/us. I/We have understood the meaning of all
the provisions/contents of the Loan Documents and have voluntarily executed the said Loan Documents upon understanding
the contents therein.
_______________________ ________________________
Signature of the Borrower Signature of the Co-Borrower
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BY REGD. A.D./COURIER/HAND
From: Date: ____________
__________________________
To,
Dear Sir,
Please note that pursuant to a Loan cum Agreement to Hypothecate dated __________ executed between _____________
and Hero FinCorp Limited (“Agreement”), Vehicle bearing Registration No.____________, Chassis No._____________,
Engine No. _______________ (“Vehicle”) registered in the name of ___________ is hypothecated with Hero FinCorp Limited,
a company incorporated under the Companies Act, 1956, a Non Banking Financial Company registered under the provisions of
Reserve Bank of India and having its registered office at 34, Community Centre, Basant Lok, Vasant Vihar, New Delhi -110057
(hereinafter referred to as “HFCL”) and a first and exclusive charge is created on the said Vehicle in favour of HFCL.
Pursuant to the terms of the Agreement, I have no objection and hereby, request you to accept & process the request for
transfer/name change of the recorded owner of the above mentioned Vehicle in the Registration Certificate of the said Vehicle
from _____________ to ______________ son of __________________ residing at __________________________ or
otherwise as may be instructed by HFCL or any other person authorised by HFCL.
Yours faithfully,
_______________________ __________________ ___________________
Signature of the Borrower Signature of the Co-Borrower Signature of the Guarantor
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
BY REGD. A.D./COURIER/HAND
Date
From:
__________________________
__________________________
To,
The Registering Authority,
Public Vehicles Department,
______________________
Dear Sir
The Motor Vehicle No ______________, Chassis No _____________and Engine No ____________ registered in my name is
hypothecated with Hero FinCorp Limited, a company incorporated under the Companies Act, 1956, a Non Banking Financial
Company registered under the provisions of Reserve Bank of India and having its registered office at 34, Community Centre,
Basant Lok, Vasant Vihar, New Delhi -110057 (hereinafter referred to as “HFCL”).
Pursuant to Loan cum Agreement to Hypothecate dated ___________ executed between _____________, _____________
and HFCL (“Agreement”), an exclusive first charge is subsisting in favour of HFCL against the dues of the said
______________.
I/We have no objection and hereby request you to issue duplicate Registration Certificate in respect of the abovementioned
vehicle at the request of HFCL or any other person authorised by them which may also be handed over to the representative of
HFCL.
Thanking you,
Yours faithfully
To,
Hero FinCorp Limited
34, Community Centre, Basant Lok,
Vasant Vihar, New Delhi-110057
Thanking you,
Yours faithfully,
__________________ _________________________
To,
Hero FinCorp Limited
34, Community Centre, Basant Lok,
Vasant Vihar, New Delhi-110057
Dear Sir,
Sub: Loan facility for _________________ Vehicle
I/We thank you for agreeing to finance the above vehicle(s) in terms of the Loan cum Agreement to Hypothecate dated
(“Agreement”) executed by you with me/us.
The aforesaid vehicle(s) which shall be hypothecated to you under the above Agreement as security for the loan advanced to
me/ us and which I/We shall possess subject to the terms and conditions of the aforesaid Agreement shall be registered in my
name for the purpose of Motor Vehicle(s) Act, 1988 (including statutory amendments thereof) with your lien endorsement as
financier.
In case you are required to repossess the said vehicle(s) due to my/our breach of the terms and conditions of the Agreement,
you may get the said vehicle(s) transferred in your name or in the name of any purchaser of yours, and for which purpose I/We
have already signed and delivered the necessary transfer forms.
However, please note that since it was not possible to mention the vehicle particular(s) and registration number(s) in the
Agreement at the time of signing the Agreement, I/We hereby authorise you to fill-in the same in the Agreement/transfer forms
etc. or wherever required after completion of registration of vehicle(s).
I/We further undertake to pay the first and subsequent installments on the due dates irrespective of the period taken by the
dealer for delivery of the said vehicle(s).
Thanking you,
Yours faithfully,
__________________ _______________________
1. That I fully understand that the Borrower in the above agreement, as a consequence of myself becoming a Co-Borrower,
has become eligible for a loan facility offered by you and that the liability of the Borrower and myself as Co-Borrower is
joint and several at all times.
2. That I undertake being fully conscious of the fact that the asset (vehicle) given on Loan by you shall be delivered to and
be used by the Borrower herein and irrespective of this fact I agree and state that for all purposes it will be deemed &
interpreted that I have also taken delivery of the said asset (vehicle) and that I am in custody of the said asset (vehicle)
and I am using the same.
3. That I agree and undertake that all terms and conditions as is applicable to the Borrower shall in the same manner and
form, apply to me.
4. That I agree and undertake that, even if the vehicle is registered in the name of the Borrower/s, I being the Co-Borrower
shall remain jointly and severally liable to repay you all dues as per the Agreement stated above and until and unless all
the dues are received by you, this undertaking shall be valid, subsisting & continuing in nature.
5. That this undertaking of mine is irrevocable and has been issued by me after understanding all responsibilities,
obligations and terms of the Agreement.
Thanking you,
Yours faithfully
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
To,
Date:_________
Hero FinCorp Limited
34, Community Centre, Basant Lok,
Vasant Vihar,
New Delhi-110057
Dear Sir,
This is to inform you about the loan application of the following description:
With regards the aforesaid Vehicle, I am informed by the concerned dealer that there is a waiting period for the delivery of my
vehicle, for which reason I/We request you to disburse my loan. I/We hereby undertake and acknowledge that: -
(a) I/We understand that Hero FinCorp Limited has only financed my above-mentioned vehicle and has no role to play in
the delivery of the vehicle. I/We therefore undertake to pay all my monthly installments on time irrespective of the status
of my vehicle’s delivery as per the terms of the Loan cum Agreement to Hypothecate.
_____________________ _________________________
Signature of the Borrower Signature of the Co-Borrower
Sub: Loan cum Agreement to Hypothecate dated ____________executed between ___________, ___________ and
Hero FinCorp Limited (“Agreement”)
Dear Sir,
I/We hereby place on record and admit that there has been default in the timely payment of installment(s), for the month(s) of
_______ amounting to Rs.______________, arising out of the captioned Agreement, where I/We stood as Guarantor(s) and
executed the said Agreement in your favour towards the payment of all Outstanding Amounts covered under the above
Agreement.
Pursuant to the admission & acknowledgement of such dues, I/We hereby handover peaceful possession of my/our/ vehicle(s)
bearing No(s) ________________ and authorize you to sell the above vehicle(s) at the best available market price at your
discretion and adjust the sale proceeds against your Outstanding Amounts including delayed payment and other charges.
I/We confirm that I/We will not raise any dispute whatsoever in respect of such transfer/sale and/or manner of transfer/ sale of
the vehicle(s) and the adjustment of the sales receipt thereof and I/We hereby confirm that I/we shall forthwith pay the balance
dues after adjustment (as applicable) upon your demand for the same.
Thanking you,
Yours faithfully,
_______________
Signature of the Guarantor
To,
______________________________
______________________________
Sub: Insurance Policy No. ____________________ for Vehicle ______________________ bearing Registration No.
_____________________
Dear Sir,
The above vehicle is insured with you under the above policy.
The said vehicle is in my/our possession and is subject to a Loan cum Agreement to Hypothecate with Hero FinCorp Limited
dated ___________________ .
I\We hereby irrevocably confirm that all amounts of claims that may arise in respect of the above vehicle under the above
insurance policy are payable to the said Lender i.e. Hero FinCorp Limited.
The discharge vouchers given by the said Lender would be final and binding on me/us and should be processed by you
forthwith without any need of subsequent verification or confirmation from my end.
These instructions are irrevocable as far as the above insurance policy or its renewals are concerned. You are kindly requested
to note, acknowledge and oblige the aforementioned directions for all future references. Thanking you,
Yours faithfully,
________________ _________________
Signature of the Borrower Signature of the Co-Borrower
Date: ____________________________
From
To,
Dear Sir,
In furtherance to the Agreement, the Asset /Vehicle (as described under Schedule I hereto) owned by me/registered in my
name stands hypothecated in favour of Hero FinCorp Limited, a company incorporated under the Companies Act, 1956
(presently operating under Companies Act, 2013), a non-banking financial company registered under the provisions of Reserve
Bank of India and having its registered office at 34, Community Centre, Basant Lok, Vasant Vihar, New Delhi -110057.
Accordingly, an exclusive first charge is created on the Assets in favour of Hero FinCorp Limited, as per terms of the
Agreement.
Confirmed by:
Borrower: ______________________
Co-Borrower: ___________________
Guarantor: _____________________
Schedule-I
Description of Vehicle
Make:
Price:
Registration No.
Engine No.
Chassis No.
To,
This is to Certify and Confirm that I/We, being borrower and/or co-borrower have applied for availing of loan
facility from Hero Fincorp Limited. For the purpose of process of the loan application, I/we hereby voluntarily
submit a copy of my/our Aadhaar Card as a proof of Identity and Address. I/we hereby confirm that the Aadhaar
number is duly masked/ blacked out by myself/ourselves before submission of the same to Hero Fincorp
Limited.
Dated
1. The name on my OVD document, loan documents and application form belong to me.
2. That information given above is correct and nothing has been concealed and I am aware it is illegal and criminal
offence to deliberately furnish false information or suppress information.
3. That I declare to be entirely responsible for any loss / expenses incurred by the Hero Fincorp Ltd. on account of
relying on my declaration and subsequently make good these losses
1. The DOB on my OVD document, loan documents and application form belong to me.
2. That information given above is correct and nothing has been concealed and I am aware it is illegal and criminal
offence to deliberately furnish false information or suppress information.
3. That I declare to be entirely responsible for any loss / expenses incurred by the Hero Fincorp Ltd. on account of
relying on my declaration and subsequently make good these losses
4. That I undertake to strictly abide by this undertaking during the existence of Loan
facility from HFCL.
5. That this undertaking shall form an integral part of the Loan Cum Agreement to
Hypothecate executed with HFCL and that I shall abide by all the terms &
conditions enshrined in the Loan Cum Agreement to Hypothecate.
6. That I hereby agree and undertake to indemnify, defend and hold harmless HFCL,
its officers, employees, agents and its Directors, at all times from and against all
claims, losses, damages, liabilities etc. which HFCL may incur or suffer on
account of any misrepresentation or false/incorrect statements made by me.
DEPONENT
DHEERAJ .
Dated ----------
I solemnly state that the contents in the above undertaking are true and correct to the best
of knowledge and belief. No part of this undertaking is wrong and nothing material has
been concealed there from.
DEPONENT
DHEERAJ .
Dated ----------
***For loan disbursed till 15th of the month, EMI would be presented on 8th of the subsequent month. Thereafter,
for loan disbursed from the 16th of the month till 15th of next month, EMI would be presented on 8th of next-to-
next month.
***Repayment Schedule will be shared separately after Loan Disbursement.
Member Data
Full Name DHEERAJ .
Address TALWANDI KOTA 2E9 TALWANDI KOTA 324005 KOTA RAJASTHAN
Age/DOB 1/1/1978
Gender Male
Aadhaar/PAN (Form 60 if not
available)
Member ID/ Loan Account
TWLKTA17888173
No
Loan Type TWL
Occupation
Occupation Details
Contact number 8005813286
Email id
State/PIN Code RAJASTHAN 324005
Nominee Data
Full Name PREETI
Address
Age/DOB 1/1/1986
Gender Female
Aadhaar/PAN (Form 60 if not
available)
Member ID/ Loan Account TWLKTA17888173
No
Loan Type TWL
Occupation
Occupation Details
Contact number
Email id
Relationship with Member Wife
State/PIN Code
Benefits Sum Coverage Cover type Premium Premium Payment Premium Payment
Covered Assured Term (Decreasing, Amount Option Frequency
Level, Flexi) (inclusive of (Regular/Single) (Single/monthly/Quarterl
applicable y/
taxes) Half yearly/Yearly
DHEERAJ .
I am aware __________________________is the holder of the life insurance Master Policy issued by Go Digit Life Insurance for Digit Group
Micro Term Insurance Plan and I am a member of this group. I confirm that I have opted for the coverage as provided above.
I understand the features of this product and agree with the terms and conditions and hereby consent to avail the benefits under the Group
Digit Group Micro Term Insurance Plan.
I understand, agree and confirm that these statements and this declaration are basis of the contract between the insurer and the policyholder.
Subject to Section 45 of the Insurance Act 1938 as amended from time to time, if any untrue statements are contained herein or there has been
any non disclosure of any material fact, the policy to be issued by the insurer in the name of the policyholder may be treated as void as far as I
am concerned.
I hereby authorise Go Digit Life Insurance that in case of difference between the premium received from the applicant and the actual premium
required for sought benefits, the sum assured amount and or tenure may get adjusted and the policy shall be issued accordingly.
I hereby provide my consent to allow Go Digit Life Insurance Limited to initiate split payment of the claim amount, on the happening of any
contingent event, to the extent of the outstanding loans, in the name of Master Policy Holder. In this regard, the remaining proceeds of the
claims due may accordingly be addressed in the name of me and/or my nominee/legal heirs, as the case may be. The above declaration and
other details as furnished by me, are true to the best of my knowledge.
I understand that the information provided by me will form the basis of the insurance cover and membership extended under the Master Policy,
and is subject to the underwriting process of Master and that the membership under the Master policy will come into force only after receipt
of full payment of the premium by Go Digit Life Insurance. I also acknowledge that Go Digit Life Insurance reserve the right to decline any claim
or the cover, in case any information provided by me is found to be incorrect, including forfeiture of the premium amount.
Date:___________________________ Place:___________________________
Vernacular
Declaration to be made by a third person where: (a) the member has affixed his/her thumb impression, or (b) The member has
signed in vernacular
I hereby declare that I have explained the contents of this application form to ________________ in ___________ language and have
truthfully recorded the submissions provided to me. I further declare that ___________________ has signed/affixed his/her thumb
impression in my presence.
DHEERAJ .
Male
TALWANDI KOTA 2E9 TALWANDI KOTA 324005 KOTA RAJASTHAN
324005 8005813286
1/1/1978
PREETI
Wife
TWLKTA17888173 30 month
30 month