11

The term “RBL Bank” or “the Bank” shall mean RBL Bank LimitedI/ We hereby request you to sanction the Loan based on the following:

Loan DetaILs

Existing RBL Bank Customer Yes No Customer ID

Location

Loan Amount v Rate of Interest % Tenure (In months)End Use 2-Wheeler 4-Wheeler Purpose of Loan Personal BusinessCustomer Type Individual Joint Others ( Please Specify ) Citizenship IN-Indian Others

InDIvIDuaL DetaILs - appLIcant (Please fill the form in BLOCK LETTERS only. This is a machine readable form and will pass through a scanner)

Title Mr. Ms. Mrs. Dr. Others ( Please Specify )Full Name F I R S T M I D D L E L A S T Same as ID proof

Date of Birth D D M M Y Y Y Y Marital Status Married Unmarried Others ( Please Specify )

Email ID Gender Male Female Third Gender/Trans Gender Annual Income v

Maiden Name (if any)

Father/Spouse Name

Mother’s Name No. of Dependants

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 Passport Expiry Date D D M M Y E A R

B-Voter ID Card c-PAN Number

D-Driving Licence Driving Licence Expiry Date D D M M Y E A R

e-UID (Aadhaar) (Mandatory) f-NREGA Job Card

Z-Others IdentificationNumber (Anydocumentnotifiedbythecentralgovernment)

OThER dETaILS

Occupation Type s-Service / Salaried Professional Self Employed Retired Housewife Student B-Business X-Not CategorisedEducationalQualification Undergraduate Graduate Post Graduate Professional Others ( Please Specify )Source of Income (Primary) Salary Business Income Investment Income Agriculture Others ( Please Specify )If Salaried, Employed with Partnership Private Ltd Proprietorship Public Ltd Public Sector Government Multi National Others ( Please Specify )Employee ID Department Occupation Doctor CA/CS Lawyer Architect Engineer Consultant Agriculturist Others ( Please Specify )(Self employed professional)

IndIvIduaL dETaILS - CO-aPPLICanT / GuaRanTORaddITIOnaL CO aPPLICanT PERSOnaL dETaILS (Please fill the form in BLOCK LETTERS only. This is a machine readable form and will pass through a scanner)

Title Mr. Ms. Mrs. Dr. Others ( Please Specify )Full Name F I R S T M I D D L E L A S T Same as ID proof

Date of Birth D D M M Y Y Y Y Gender Male Female Third Gender/Trans Gender

Email ID Citizenship IN-Indian Others Residential Status Resident IndividualNo. of Dependants Annual Income v

Maiden Name (if any) Father/Spouse Name Mother’s Name Marital Status Married Unmarried Others ( Please Specify ) Relationship with Applicant

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 Passport Expiry Date D D M M Y E A R

B-Voter ID Card c-PAN Number

D-Driving Licence Driving Licence Expiry Date D D M M Y E A R

e-UID (Aadhaar) (Mandatory) f-NREGA Job Card

Z-Others IdentificationNumber (Anydocumentnotifiedbythecentralgovernment)

Application Date D D M M Y Y Y Y

Retail loan application FoRm VeHicle loan (For Resident applicant)

2

OThER dETaILSOccupation Type s-Service / Salaried Professional Self Employed Retired Housewife Student B-Business X-Not CategorisedEducationalQualification Undergraduate Graduate Post Graduate Professional Others ( Please Specify )Source of Income Salary Business Income Investment Income Agriculture Others ( Please Specify )(Primary)If Salaried, Employed with Partnership Private Ltd Proprietorship Public Ltd Public Sector Government Multi National Others ( Please Specify )Employee ID Department Occupation Doctor CA/CS Lawyer Architect Engineer Consultant Agriculturist Others ( Please Specify )(Self employed professional)

appLIcant CO-aPPLICanT / GuaRanTORcategoryReligion

SC ST OBC Minority General Hindu Sikh Muslim Zoroastrain Christian Buddhist Others

categoryReligion

SC ST OBC Minority General Hindu Sikh Muslim Zoroastrain Christian Buddhist Others

non InDIvIDuaL DetaILs - appLIcant (if applicable)

Name of Entity

Date of incorporation D D M M Y Y Y Y No. of years in business PAN/GIR No.

Email ID Annual Turnover v 0-5 Lakh v 5-10 Lakh v 10-25 Lakh v 25 Lakh - 1 Cr. v 1 Cr. - 5 Cr. v 5 Cr. - 10 Cr. Above v 10 Cr.GST Number Industry Type Manufacturing Construction NBFC NonProfitOrganization Micro Enterprises Trading(Self employed) Service Government Others ( Please Specify )If Agriculturist Landless Labourer Below 2.5 Acres of Land 2.5 - 5 Acres of Land Above 5 Acres of LandType of Company Partnership Private Ltd Proprietorship Public Ltd Public Sector Others ( Please Specify )(Other then Salaried)

fInanCIaL dETaILS Of aPPLICanT (non Individual)particular (fy ______________ in v) (fy ______________ in v) (fy ______________ in v)net sales

Operating Profit

net Profit after Tax

net Worth

Details of partner/Director/authorised signatory

Name Designation Customer ID No. (if existing customer)1

2

3

4

non InDIvIDuaL DetaILs - co appLIcant (If applicable)

Name of Entity Date of incorporation D D M M Y Y Y Y No. of years in business PAN/GIR No. Email ID Annual Turnover v 0-5 Lakh v 5-10 Lakh v 10-25 Lakh v 25 Lakh - 1 Cr. v 1 Cr. - 5 Cr. v 5 Cr. - 10 Cr. Above v 10 Cr.Industry Type Manufacturing Construction NBFC NonProfitOrganization Micro Enterprises Trading(Self employed) Service Government Others ( Please Specify )If Agriculturist Landless Labourer Below 2.5 Acres of Land 2.5 - 5 Acres of Land Above 5 Acres of LandType of Company Partnership Private Ltd Proprietorship Public Ltd Public Sector Others ( Please Specify )(Other then Salaried)

fOR IndIvIduaL / nOn IndIvIduaLappLIcant CO-aPPLICanT / GuaRanTOR

Current Mailing Address / Operating Address Current Mailing Address / Operating Address

Landmark Pin Code

Staying for Years & Owned Family RentedLandmark Pin Code

Staying for Years & Owned Family Rented

Permanent Residential / Registered Address Same as Current Mailing Address Permanent Residential / Registered Address Same as Current Mailing Address

Landmark Pin Code

Tel Nos. S T DMobile

Type of Self Owned Rented Company Accommodation Residence Parental

Landmark Pin Code

Tel Nos. S T DMobile

Type of Self Owned Rented Company Accommodation Residence Parental

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appLIcant CO-aPPLICanT / GuaRanTOR

OfficeAddress Same as operating address of entity (only in case of individual) Same as operating address of entity (only in case of individual)

Landmark Pin Code

Tel Nos. S T DMobile

TypeofOffice Self Owned RentedNo. of years in Present Organization Total work experience Years

Landmark Pin Code

Tel Nos. S T DMobile

TypeofOffice Self Owned RentedNo. of years in Present Organization Total work experience Years

FATCA / CRS Annexure (only for individual) FATCA / CRS Annexure (only for individual)

Residence for tax purpose in jurisdiction(s) outside in India Yes No Residence for tax purpose in jurisdiction(s) outside in India Yes No

BanK aCCOunT & CREdIT CaRd dETaILS - aPPLICanT

Bank Name:

Branch:

Bank A/c. No.:

Account Type Current Saving OD/CCYear of Account Opening:

OD/CC Limit: Cred

it Ca

rd D

etai

ls

1. Issuer’s Name:

Card No:

Credit Limit v

2. Issuer’s Name:

Card No:

Credit Limit v

eXIstIng Loan DetaILs – appLIcant

Bank name Loan Type Loan amount tenure of Loan EMI amount no. of EMIs Paid

1 Reference

Name:

Relationship Email ID with Applicant:

Res. Address

Landmark

City District

State Pin Code:

India (IN) Mobile

STD Code Phone No

2 Reference

Name:

Relationship Email ID with Applicant:

Res. Address

Landmark

City District

State Pin Code:

India (IN) Mobile

STD Code Phone No

KyC document List - Individual:l Proof of Identity & age proof (Passport, Valid driving license, Voters ID Card, Pan card, Aadhar Card) *l Proof of Address (Valid driving license, Passport, Voters ID Card, Aadhar Card, Utility Bill, Property or Municipal Tax Receipt) *l Proof of Signature (Passport, Valid driving license, Pan card) *

KyC document List - non Individual:Entity type List of documents

Proprietorship* l Firm’sRegistrationCertificate(AnyoneoutofShop&EstablishmentCertificate/SalesTax/VATRegistration)l ID proof, Address proof, 1 photo of proprietor

Partnership* l Partnership Deed; l PAN Card of company; l ID proof, Address proof, 1 photo of all partners

Pvt/ Public Limited Company* l MOA,AOA&CertificateofIncorporation;l Company PAN card; l Board Resolution in RBL formatl CA attested shareholding pattern and director list; l ID proof, Address proof, 1 photo of all directors

l Income Proof (last 2 months pay slips, latest 6 month’s salary credit bank statements) / ITR / VAT / TIN *

* Note: RBL Bank reserves the right to seek any additional document if required and the same shall be informed to the Applicant & Co-Applicant.

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. Mentionidentification/referencenumberif‘Z-Others(anydocumentnotifiedbythecentralgovernment)’isticked.Document Code - Description:01 Identity card with applicant’s photograph issued by Central/ State Government Departments, Statutory/ Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial

Banks, and Public Financial Institutions.

Clarification / Guidelines on filling ‘Proof of address [Poa] - Current / Permanent address details’:1. PoA to be submitted only if the submitted PoI does not have an address or address as per PoI is invalid or not in force.

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Loan

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Declaration: 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 shalladvisetheRBLBankinwritingofanychangeinmy/ourresidentialoremployment/businessaddressoranysuchchangewhichmayaffectmycreditworthiness.I/Weconfirmthatthefunds shall be used for the stated purpose and will not be used for speculative or antisocial purpose. 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)andotherformalitiesasrequiredbytheBank.I/Wefurtheragreethatmy/ourloanshallbegovernedbytherulesofRBLBank,whichmaybeinforcefromtimetotime.I/WeconfirmthatI/Wehavenoinsolvencyproceedingsagainstme/usnorhaveI/Weeverbeenadjudicatedinsolvent.I/WeconfirmthatI/Weam/arenotadirectororarelativeofdirectorofotherBanks.I/WeconfirmthatI/Weam/arenotafirminwhichadirectororrelativeofdirectorsofotherbanksareinterestedpartner/guarantor.I/WeconfirmthatI/Weam/arenotadirector/seniorofficer/relativeofdirectororseniorofficeroftheBank.I/WeherebyauthorizeandgiveconsenttotheBanktodisclose,withoutnoticetome/us,informationfurnishedbyme/usinapplicationform(s)/relateddocumentsexecutedinrelationtothefacilitiesavailedfromtheBank,totheBank’sotherbranches/subsidiaries/affiliates,CreditBureaus/RatingAgencies,ServicesProviders,banks/financialInstitution,governmental/regulatoryauthorities,thirdpartiesforKYCinformationverification,creditriskanalysis,orforotherrelatedpurposesthattheBankmaydeemfit.I/Wewaivetheprivilege of privacy and privity of contract. 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 in 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 tosuchextentasitmaydeemfit.Incaseanyoftheaboveinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,IamawarethatImaybeheldliableforit.IherebyconsenttoreceivinginformationfromCentralKYCRegistrythroughSMS/Emailontheaboveregisterednumber/emailaddress.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/WeconfirmthatI/wehavereadandunderstoodtheaboveDeclaration,andthatthedetailsprovidedontheformarecorrect.

Paste Photo here and sign across it such that your Signature is on the Photo as well as on the form

Signature of applicant

Paste Photo here and sign across it such that your Signature is on the Photo as well as on the form

Signature of Co applicant/Guarantor

Date:

Name

Date:

Name

BanK uSE OnLyKnow your customer details (KyC) attestation / for Office use Only

Application Type* New Update

KYCNumber

(Mandatory for KYC update request)

Account Type* Normal

documents Received Self-Certified True Copies Notary

IN PERSON VERIFICATION CARRIED OUT BY

IdentityVerification Done Date D D M M Y Y Y Y

Emp. Name

Emp. Code

Emp. Designation

Emp. Branch

NameofBankOfficial/DSE/DSA SignatureofBankOfficial/DSE/DSA Emp.ID

Staff Indicator Staff ID Branch Code Constitution Individual Pensioner RBL Staff NRI (For RBL Bank Emp only) Other than RBL

Do not call Customer Type Individual NRI HNI Sr. Citizen Promo Code LC Code (LG) Code Walk-in customer Yes No

Preferred Customer ID Sourcing Code Lead GeneratorPrimary Relationship Manager ID Weaker Section PEP CRPEP Only for AssetsBusiness Segment BSR Type of Organization MIS Code.1

MIS Code.2 MIS Code.3 MIS Code.4 MIS Code.5 MIS Code.6 Risk Categorization: L M H

NameofBankOfficial(Checkedby) SignatureofBankOfficial Emp.ID

fOR OffICE uSE OnLyvehicle details (tobefilledbyBankofficer)Name of the Manufacturer Asset make Variant Category (ForOfficialuseasperBank’sapprovedlist)Name of the Dealer Model new asset Type 2-Wheeler 4-Wheeler asset Life MonthsDealer Code vEhICLE COST BREaK uP (In RuPEES)Ex-show room price Octroi/other taxes, if any Registration cost Total On-Road price Insurance (Invoice Value of Vehicle)

Declaration: 1. I/We hereby enclose/submit the documentary proof in support of the above submissions. 2. I/We further declare that the information submitted above is true and correct to the best of my/our knowledge and belief.

Primary applicant’s Signature Co applicant’s Signature Guarantor’s Signature

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Most Important Terms & Conditions

vehicle Loan fees & Charges*

Processing Fee

4-wheeler Loan 2% of Loan amount

2-wheeler Loan 4% of Loan amount

Charges for late Payment of EMI 2% additional interest per month on overdue EMI amount

IssueofDuplicateInterest&PrincipalCertificate v 250

Duplicatenoduecertificate/NOC v 250

Cheque swapping charges v 250

Bounce Cheque Charges v 250

Charges for CIBIL report v 50

Foreclosure Charges l Noforeclosureallowedinthefirst6monthsoftheloantenorl Foreclosurewithinfirst6to12monthsoftheloantenor-5%chargeon

principal outstandingl Foreclosure after 12 months of the loan tenor - 3% charge on principal

outstanding

Cash repayment mode charges v 1000 (one time)

Conversion to cash repayment mode v 2000

The applicable ROI will be arrived at by adding risk, tenor, product markups on currently declared Marginal Cost of Funds based Lending Rate (MCLR) of the Bank. The applicable ROI would berevisedsubjecttotermsasspecifiedintheloanagreement/sanctionletter.Pleasecheckourwebsitewww.rblbank.comforthelatestscheduleoffeeandcharges.

Retail loan application FoRm VeHicle loan (For Resident applicant)

application no.

*Add

ition

al ta

xes

appl

icab

le.

Most Important Terms & Conditions

vehicle Loan fees & Charges*

Processing Fee

4-wheeler Loan 2% of Loan amount

2-wheeler Loan 4% of Loan amount

Charges for late Payment of EMI 2% additional interest per month on overdue EMI amount

IssueofDuplicateInterest&PrincipalCertificate v 250

Duplicatenoduecertificate/NOC v 250

Cheque swapping charges v 250

Bounce Cheque Charges v 250

Charges for CIBIL report v 50

Foreclosure Charges l Noforeclosureallowedinthefirst6monthsoftheloantenorl Foreclosurewithinfirst6to12monthsoftheloantenor-5%chargeon

principal outstandingl Foreclosure after 12 months of the loan tenor - 3% charge on principal

outstanding

Cash repayment mode charges v 1000 (one time)

Conversion to cash repayment mode v 2000

The applicable ROI will be arrived at by adding risk, tenor, product markups on currently declared Marginal Cost of Funds based Lending Rate (MCLR) of the Bank. The applicable ROI would berevisedsubjecttotermsasspecifiedintheloanagreement/sanctionletter.Pleasecheckourwebsitewww.rblbank.comforthelatestscheduleoffeeandcharges.

Retail loan application FoRm VeHicle loan (For Resident applicant)

application no.

*Add

ition

al ta

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appl

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6

veHIcLe Loan

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I/we confirm that the executive collecting the application/document has /have Informed me/us of the• Theapplicablerateofinterestandthetypeofinterest(fixed).Processingfees(non-refundable)thatwillbechargedtowardsloanapplication.• Thetaxasmaybeapplicablewillbechargedinconnectionwiththefees.Theotherapplicablechargessuchaschequereturncharges,PDCswappingcharges,Foreclosurechargesetc.as

mentioned in the attached Table.• DetailswithrespecttotheEMIandamountwillbecommunicatedseparatelythroughawelcomeletterpostdisbursementofloan.• Thecreditdecisionisbasedonacreditmodelwhichincludesfactorslikecredithistory,repaymenttrackrecord,bankinghabits,businessstability&cashflowanalysiswhichisassessed

through a combination of personal discussion and documentation.that:• Incomplete/defectiveapplicationwillnotbeprocessedatRBLBank.RBLBankshallnotberesponsibleinanymannerfortheresultingdelayorotherwise.• EquatedMonthlyInstallment(EMI)willbedueon5thofeverymonthorthedateasspecifiedinthesanctionletter/welcomeletter.• TheloanForeclosurechargesareaspertheLoanagreement.TheForeclosurechargesarelevied/calculatedonthebalanceprincipaloutstandingoftheloan(subjecttoclausegoverning

part prepayments).• TheBankwouldupdateyouabouttheloandecisioninapproximately15workingdaysfromthedateofreceiptofthecompletedapplicationformandalltherequireddocuments.• Theloantermsassanctionedareapplicableforthespecifiedproductasindicatedintheloanapplicationandarevalidforperiodof30daysonly.Whereforsomereasons,thereisadelay

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 thata) The executive has not made any commitments to me /us regarding the loan quantum / sanction process(or) promised any deviation / waivers.b) Theexecutivehascollectedselfattestedcopiesofthedocumentsmentionedonthefrontsideandverifiedthesamewithoriginalsproducedbyme/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.

NameofBankOfficial/DSE/DSA: Applicant Name:

Application Date D D M M Y E A R ApplicantSignature Co-Applicant/GuarantorSignature SignatureofBankOfficial/DSE/DSA

for any queries / clarification please contact:

I/we confirm that the executive collecting the application/document has /have Informed me/us of the• Theapplicablerateofinterestandthetypeofinterest(fixed).Processingfees(non-refundable)thatwillbechargedtowardsloanapplication.• Thetaxasmaybeapplicablewillbechargedinconnectionwiththefees.Theotherapplicablechargessuchaschequereturncharges,PDCswappingcharges,Foreclosurechargesetc.as

mentioned in the attached Table.• DetailswithrespecttotheEMIandamountwillbecommunicatedseparatelythroughawelcomeletterpostdisbursementofloan.• Thecreditdecisionisbasedonacreditmodelwhichincludesfactorslikecredithistory,repaymenttrackrecord,bankinghabits,businessstability&cashflowanalysiswhichisassessed

through a combination of personal discussion and documentation.that:• Incomplete/defectiveapplicationwillnotbeprocessedatRBLBank.RBLBankshallnotberesponsibleinanymannerfortheresultingdelayorotherwise.• EquatedMonthlyInstallment(EMI)willbedueon5thofeverymonthorthedateasspecifiedinthesanctionletter/welcomeletter.• TheloanForeclosurechargesareaspertheLoanagreement.TheForeclosurechargesarelevied/calculatedonthebalanceprincipaloutstandingoftheloan(subjecttoclausegoverning

part prepayments).• TheBankwouldupdateyouabouttheloandecisioninapproximately15workingdaysfromthedateofreceiptofthecompletedapplicationformandalltherequireddocuments.• Theloantermsassanctionedareapplicableforthespecifiedproductasindicatedintheloanapplicationandarevalidforperiodof30daysonly.Whereforsomereasons,thereisadelay

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 thata) The executive has not made any commitments to me /us regarding the loan quantum / sanction process(or) promised any deviation / waivers.b) Theexecutivehascollectedselfattestedcopiesofthedocumentsmentionedonthefrontsideandverifiedthesamewithoriginalsproducedbyme/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.

NameofBankOfficial/DSE/DSA: Applicant Name:

Application Date D D M M Y E A R ApplicantSignature Co-Applicant/GuarantorSignature SignatureofBankOfficial/DSE/DSA

for any queries / clarification please contact: