bc branch code debit card the term “rbl bank” or “the … acknowledge receipt of application...
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Occupational Details
Agri-Allied: Dairy/Gotary/Fishery/Others ____________________________________________________________________________________________________
Non-Farm Sector: Manufacturing Service Trading
Area Under Cultivation: ______________________________Acres Agri Investment
Crops Name Type of InvestmentAcres AmountIrrigated (Yes/No)Sr No SI No
1 1
2 2
Financial Details
1. Source of Income of the Household(Family Income):
Annual Surplus from ActivitySr No Occupation Annual Revenue from Activity Annual Expenditure for the Activity
1
2
3
4
Primary Occupation
Other Activity-1
Other Activity-2
Activity of Other Family Members
Total
2. Present Source of Loan (Bank/Finance Cos/Commission Agents/Traders/MFI/Relatives etc.)
Source Purpose Amount Borrowed Tenure(in months) Amount O/S Status
Nominee/Guardian Address
Nomination
Title Name of the Nominee Gender Age Relationship with Borrower
Nominee Date of Birth
Guardian’s name if Nominee is Minor
Name of Business Unit
Activity No of Years Engaged
Avg Monthly Turnover in `
Goods Sold on Credit (per month)
Business Premises
Own / Rented
*Details Of Identity and Address proof (One ID & One Address Proof)
Voter ID PAN Card
Ration Card
Aadhaar Card
Electricity Bill
Driving Licence
Aadhaar Card
Sarpanch/Talati Letter
Sarpanch/Talati Letter Telephone Bill
Others____________
Others____________
Identity Proof
Address Proof
ID Proof No._________________________________________________________ Address Proof No.___________________________________________________
Family Details
Sr No Name Relationship Sex Age Occupation Educational Status
1
2
3
4
For Ratna Bachat
Nominee/Guardian Address
Title Name of the Nominee Gender Age Relationship with Borrower
Nominee Date of Birth
Guardian’s name if Nominee is Minor
For Insurance
2
6. I hereby declare that, I want to have only one signature for the account as given 'below'.
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GRT Date D M Y E A RD M
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7. I also declare that for the purpose of account operation, a part from the below signature, I would not sign in any other manner and instruct the Bank to accept and honor all instruments/instructions issued/given by me bearing the below mentioned signature. I hereby agree and undertake to hold RBL Bank and its officers and Directors harmless and indemnified for any loss, damage, costs and charges incurred or suffered by the Bank and against any claims, suits, proceedings and actions instituted against the Bank due to acceptance of my request to honor instruments and instructions bearing the Below mentioned signature.
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Counter-party Checks:
1. Name, Address & Contact No:_________________________________________________________________________________________________________________
Feedback about the Client: ___________________________________________________________________________________________________________________
2. Name, Address & Contact No:_________________________________________________________________________________________________________________
Feedback about the Client:____________________________________________________________________________________________________________________
Controlling OfficeOne Indiabulls Centre, Tower 2B, 6th Floor , 841, Senapati Bapat Marg, Lower Parel (W), Mumbai - 400 013, India
Regd OfficeShahupuri, Kolhapur -416001, Maharashtra, India.
I/We Acknowledge receipt of application for loan of ` ______________on________________(Date) under Ratna Unnati Loan 'and' Ratna Bachat subject to
verification of contents and enclosures(if any). RBL Bank will endeavour to inform you about the status of your application normally within 15 days from the
date of receipt of documents/information as required from time to time and furnished by you to RBL Bank.
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