Professional Documents
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ESIGNED_APPLICATION_FORM_OM_306bb937-4bde-4ffa-ba97-d7eb7deaae0e_272000000
ESIGNED_APPLICATION_FORM_OM_306bb937-4bde-4ffa-ba97-d7eb7deaae0e_272000000
ESIGNED_APPLICATION_FORM_OM_306bb937-4bde-4ffa-ba97-d7eb7deaae0e_272000000
APPLICATION FORM
SECTION I
Loan Details
Applicant Details
Vikash Kumar
Name of the applicant
Qualification
Gender ✔ Male
Female
Transgender
Tel No
Mobile 9682552311
City BANGALORE
Landmark BANGALORE
Pincode 560042
State KARNATAKA
Page:1 BFL/B2C/Dig/AppF/English/2024/Apr/V1
Officially Valid Documents (OVDs)and Deemed to be OVDs (to be taken in case address
mentioned on OVDs is not the current address. In cases where DOVD is submitted towards
current address applicant shall submit an OVD updated with current address within a period
of three months of submission of deemed to be OVD )
Nationality Indian
Preferred language
Landmark BANGALORE
City BANGALORE
State KARNATAKA
VIKASH KUMAR
9682552311
Tel No. 1989-05-15
2409:4055:388:301d:d500:8ca5:d9b5:7069
Website 06 Jun 2024 at 11:11:33 IST
Page:2 BFL/B2C/Dig/AppF/English/2024/Apr/V1
Same as residence address
Relationship
HNO 1032 CHEVAN CHETTY GARDENS ULSOOR ROAD
Address BANGALORE BANGALORE KARNATAKA 560042
Landmark BANGALORE
City BANGALORE
Tel No.
SECTION 2
Interest rate applicable for unsecured Personal Loans 11% p.a. to 35% p.a., may vary
basis the BFL’s internal credit and risk policy and as per algorithmic multivariate score
card which includes following variables (inclusive and not exhaustive)
(a) Interest rate risk (fixed vs floating loan),
(b) Credit and default risk in the related business segment,
(c) Historical performance of similar homogeneous clients,
(d) Profile of the Borrower(s),
(e) Industry segment,
(f), Repayment track record of the Borrower(s),
(g) Secured Vs unsecured loan,
(h) Nature and Value of collateral Security,
(i) Subvention available,
(j) Ticket size of loan,
(k) Bureau Score,
(l) Tenure of Loan,
(m) Location delinquency and collection performance, VIKASH KUMAR
(n) Customer Indebtedness (other existing loans) 9682552311
1989-05-15
2409:4055:388:301d:d500:8ca5:d9b5:7069
The aforesaid variables may be revised by BFL from time to time. 06 Jun 2024 at 11:11:33 IST
Page:3 BFL/B2C/Dig/AppF/English/2024/Apr/V1
(1) To apply for a personal loan facility ('Loan') from Bajaj Finance Limited ('BFL') for my personal use, as
stated in this application ("Application Form"). I understand and confirm that not to use the Loan for
any illegal, speculative, nefarious, fraudulent or unlawful purposes.
(2) The loan/credit facility to be provided by BFL may be either in the form of term Loan or one of the
variants or a combination of such variants from the following options: (a) Top Up loan/Additional
Loan or (b) requested for conversion of existing loan variant to other loan variant; or (c) Flexi Hybrid
Loan; or (d) Term Loan/Personal / Unsecured loan, (e) Consolidation and balance transfer of his/her
Outstanding Consumer Durable Loan.
(3) hereby acknowledge that:
(a) I have read or have been explained and understood, the features, obligations of the Loan as
provided in Detailed Terms and Conditions, accessible on [https://www.bajajfinserv.in/forms -
centre] ("Detailed Terms");
(b) The Loan availed, would be subject to payment of all fees/charges as mentioned in the
Annexures and such other fees/charges as may be prescribed by BFL from time to time ("Initial
Fees and Charges")
(c) The revision of Initial Fees and Charges and such other additional fees/charges as may be
introduced by BFL ("Revised Charges"), may be notified by BFL on its website
[https://www.bajajfinserv.in/all-fees-and-charges] and which shall constitute sufficient notice
to me;
(d) The Revised Charges as stated above, shall supersede the Initial Fees and Charges and I shall
be bound by such Revised Charges.
(4) I shall submit and execute all documents including KYC documents/other documents in such form
and manner as may be required by BFL in relation to my Application Form.
(6) I hereby confirm that all the information and details including but not limited to financials/bank
statements, KYC details provided/to be provided by me pursuant in support of my application or to
be shared with any third party, including the Central KYC Registry, are true, correct and up-to-date. I
have not withheld any material information that may be required by BFL. I undertake to immediately
keep BFL updated of any change in the information provided by me, specifically KYC/CKYC details,
Bank details, change of my address/co-ordinates etc. and in case any of the above information is
found to be false or untrue or misleading or misrepresenting, I am aware that I shall be held liable for
the same and I will not hold BFL liable for any consequences that may arise owing to any delay/lapse
on my part.
(7) I authorize BFL to use my existing details and KYC documents/data for KYC compliance, if any, for
this application and in case of any changes in my registered KYC or bank account details, I shall
update about the same & submit the updated KYC to BFL.
(8) BFL to use, verify, download, exchange, share, part with all information and details as provided by me
in this Application Form with any third party including but not limited to its group companies, finan-
cial institutions, credit bureaus, Credit Information Companies ('CIC'), RBL Bank, NSDL, etc. for
customer due diligence, credit rating, marketing or promotion of BFL products and services or related
products or that of its associates, third party, Central KYC Registry (CERSAI)
and affiliates or for /enforcement of any obligations and shall not hold BFL (or any of its group compa-
nies or its/ their agents/representatives) liable for the use/sharing of the information as stated above.
Further, for the purpose of this Application Form, I authorise BFL to seek/obtain any other informa-
VIKASH KUMAR
9682552311
tion, relating to me, from any third party. 1989-05-15
(9) That BFL has the absolute discretion, to accept or reject this Loan application, as it may be deemed fit
2409:4055:388:301d:d500:8ca5:d9b5:7069
06 Jun 2024 at 11:11:33 IST
by BFL at any time, either before or after verification.
(10) That I have read and understood the Detailed Terms and also understand the applicability of the
same on availing the Loan and hereby agree to be bound by the same at all times including any addi-
tions/amendments thereto from time to time. I agree to keep myself updated of any revisions in the
Detailed Terms as may be communicated by BFL through any Acceptable Means of Communication
(as defined in the Detailed Terms).
Page:4 BFL/B2C/Dig/AppF/English/2022/March/V0.4
(11) I hereby expressly consent for taking my photo/video evidencing the conduct of loan transaction by
me and that such photo/video is unconditionally agreed to be stored and preserved for a period of at
least five (5) years or otherwise from the date of closure of the loan and/or as the law/regulations may
so mandate, whichever is higher.
(12) That I shall be liable to pay Broken Period Interest/ Pre- EMI Interest from the Date of Disbursal (as
defined in the Detailed Terms), on the Loan.
(13) That this Application Form, together with all its contents may be submitted to:
a. BFL, its subsidiaries and affiliates of BFL, any service provider/third party/legal entity with whom
BFL may have business relationship and/or in reference to rendering services in connection with
the product(s) availed by me and/or for promoting/marketing various products and services.
b. to any Regulator, Court, Law enforcement agency, Quasi-Judicial authority etc. on a need basis.
C. Communication Terms
By clicking on "I Agree" below, I hereby expressly authorise BFL/ its representatives/agents/ its business
partners/its group companies/affiliates to send me communications regarding loans, insurance and other
products from BFL, its group companies and/or third parties (collectively "Other Products") through
telephone calls/SMSes/emails/post/bitly/bots/ in person communication etc. including but not limited to
promotional communications, irrespective of rejection of my Loan application.
I agree and understand that such Other Products if availed, are governed by their own set of terms and
conditions, which shall be in addition to and not in derogation to the terms and conditions prescribed by
BFL herein. I understand that I can at any time opt not to receive any telecommunication.
✔ I Agree I Disagree
SECTION 3
*OVD or Deemed OVD to be submitted towards current address
Documents acceptable under OVDs (Customer shall submit OVD updated with current address
within a period of three months of submitting deemed OVDs):
Aadhaar (First eight digits of Aadhaar no. to be redacted/ blackened), Valid Passport, Valid Driving
License, Voter ID, NREGA Job Card & Letter from National Population Register.
1. Utility Bill which is not more than two months old of any service provider (Electricity bill,
landline bill, post-paid mobile phone bill, piped gas bill, water bill)
2. Pension or family pension payment orders (PPOs) issued to retired employees by Government
Departments or Public Sector Undertakings, if they contain the address
3. Property or Municipal tax receipt
4. Letter of allotment of accommodation from employer issued by the below listed employers
(or) leave and license agreements with such employers allotting official accommodation :
o State Government or Central Government
Departments
o Statutory or Regulatory Bodies
o Public Sector Undertakings
o Scheduled Commercial Banks
o Financial Institutions
o Listed Companies
Page:5 BFL/B2C/Dig/AppF/English/2024/Apr/V1
Annexure I: Fee and Charges
*Loan Amount includes approved loan amount, insurance premium and VAS charges
Page:6 BFL/B2C/Dig/AppF/English/2024/Apr/V1
I hereby provide my consent to apply for Finserv Protection Plan/Finserv Protection Plan
Lite/Markets Loan Shield Basic/Markets Loan Shield Pro/Markets Loan Shield Plus.
✔ I hereby confirm and accept the following: a) General Terms and conditions b) Communica-
tion Terms c) Detailed terms and Conditions accessed by me at Website.
✔ By clicking on “I Agree” below, I hereby apply for Loan from BFL and confirm that all the
particulars, information and details mentioned in this Application Form are true and correct.
Further, I acknowledge that Bajaj Finance Limited at its sole discretion may reject or approve
this application. I hereby acknowledge that I have not paid any amount or given anything in
kind to Bajaj Finance Limited by way of fees/commission apart from the charges that may be
indicated in the loan agreement/documentation. I further understand and agree that unless
otherwise specified by Bajaj Finance Limited in writing, all fees/charges paid by me to Bajaj
Finance Limited for availing the Loan shall be non-refundable, irrespective of cancellation.
✔ I hereby expressly consent for taking my photo to evidence the conduct of loan transaction
by me and I further hereby consent that such photo for storage and preservation of the same
for a period of at least five (5) years or otherwise from the date of closure of the loan and/or
as the law/regulations may so mandate, whichever is higher.
By checking with tick mark in the box, I hereby signify my consent for availing the afore-
VIKASH KUMAR
mentioned products/services. 9682552311
1989-05-15
2409:4055:388:301d:d500:8ca5:d9b5:7069
Note: Loan Application will be processed within 12 days from the date of receipt of all the
06 Jun 2024 at 11:11:33 IST
✔ I Agree I Disagree
Page:7 BFL/B2C/Dig/AppF/English/2024/Apr/V1