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CENTRAL REGISTRY

FORM I Creation of Security Interest This form is for

Creation of New Security Interest Record in Central Registry

Section 1: Description of the Property


This section of the form is to capture information on Financial Asset given as security by deposit of title deeds in favour of the bank/financial institution along with its boundaries. For the sake of initial central registry registrations the immovable financial asset i.e. properties can be categorized into either a PLOT UNIT or DWELLING UNIT. Based on the nature of the property the user will furnish its corresponding details during registration of security interest.

Section 1A: Plot Unit Evaluated Price of Asset as on Security Interest Creation date Nature of Property PLOT ID Number Survey No. /Gat No. etc * Street Number & Name Sector/Block Number Locality Landmark Village/Town Name Taluka District State PIN Code Latitude Longitude Area of plot (Sq feet, Sq.meter, Acre, Gunta, Cents, Hectares)

Bounded by

By North By South By East By West


* Survey number, GAT number, khesra number; khweta number, Mouza number, phase number or any other such similar representation in various states or union territories can be captured in this field. (All the fields should be captured as appearing in the revenue record, flat no ,house no , Municipal Office/Municipal Corporation / Grampanchayat are to be specified and also the area of the immovable property as well as boundaries)

OR
Section 1B: Dwelling Unit Evaluated Price of Asset as on Security Interest Creation date Nature of Property PLOT ID Number Survey No/ GAT no* Dwelling Unit ID Number Floor No. Building Name & Society Name Street Name / No Sector/Block Number Locality Landmark Village/Town Name Taluka

District

State PIN Code Latitude Longitude Area of dwelling (Sq feet, Sq.meter)
Bounded by

By North By South By East By West

* Survey number, GAT number, khesra number; khweta number, Mouza number, phase number or any other such similar representation in various states or union territories can be captured in this field. (All the fields should be captured as appearing in the revenue record, flat no ,house no , Municipal Office/Municipal Corporation / Grampanchayat are to be specified and also the area of the immovable property as well as boundaries)

Section 2: Borrowers Constitution Individual Proprietorship Firm Partnership Firm Company HUF

Limited Liability Partnership Firm (LLP) Trust Co-Operative Society

(a) Individual Borrower Title Surname


(Mr/Mrs/Ms)

Name

Fathers/Husbands name

Date of Birth (dd/mm/yyyy) Individual Borrower Permanent Account Number (PAN) OR (b) Proprietorship Firm Name of Proprietorship Firm Proprietorship Firm Permanent Account Number (PAN) Name of the Proprietor: (a) In case of company (b) In case of individual Title Surname Age OR (c) Partnership Firm Partnership Firm name Partnership Firm Permanent Account Number (PAN) Name of the partner entering into mortgage agreement, on the property which is owned by the Partnership firm Title Surname Age OR
(Mr/Mrs/Ms) (Mr/Mrs/Ms)

Name Date of Birth

Fathers Name
(dd/mm/yyyy)

Name Date of Birth

Fathers/Husbands name
(dd/mm/yyyy).

(d) Limited Liability Partnership Firm(LLP) Limited Liability Partnership (LLP) Firm Name LLP firm Permanent Account Number (PAN) Name of the partner entering into mortgage agreement, on the property which is owned by the LLP firm Title Surname Age OR (e) Company Company name Corporate Identity Number (CIN) or Foreign Company Registration Number. Company PAN OR (f) Trust Name of the Trust Trust Permanent Account Number Name of the Trustee/person who is authorized to mortgage the property belonging to the trust Title Surname
(Mr/Mrs/Ms) (Mr/Mrs/Ms)

Name Date of Birth

Fathers/Husbands name
(dd/mm/yyyy)

Name

Fathers/Husbands name

Age OR

Date of Birth

(dd/mm/yyyy).

(g) Co-Operative Society Society name Society Registration Number Date of Registration Society PAN OR (h) HUF Karta Details Title Surname Age
(Mr/Mrs/Ms)

Name Date of Birth

Fathers/Husbands name
(dd/mm/yyyy)

Permanent Account Number (PAN) Section 3: Address of the Borrower Flat/House No Plot No. Building No & Name Street Name/No. Village/Town Taluka District State PIN Code

(As per number of times selection of section-2, the above section-3 can be clubbed & used to capture the borrowers address details)

Section 4: Third Party Mortgage Individual Proprietorship Firm Partnership Firm Company HUF

Limited Liability Partnership Firm (LLP) Trust Co-Operative Society

(a) Individual Title Surname Date of Birth (dd/mm/yyyy) Individual Permanent Account Number (PAN) OR (b) Proprietorship Firm Name of Proprietorship Firm Proprietorship Firm Permanent Account Number (PAN) Name of the Proprietor: (i) In case of company (ii) In case of individual Title Surname Age OR
(Mr/Mrs/Ms) (Mr/Mrs/Ms)

Name

Fathers/Husbands name

Name Date of Birth

Fathers Name
(dd/mm/yyyy)

(c) Partnership Firm Partnership Firm name Partnership Firm Permanent Account Number (PAN) Name of the partner entering into mortgage agreement, on the property which is owned by the Partnership firm Title Surname Age OR (d) Limited Liability Partnership Firm(LLP) Limited Liability Partnership (LLP) Firm Name Limited Liability Partnership (LLP) Firm Permanent Account Number (PAN) Name of the partner entering into mortgage agreement, on the property which is owned by the LLP firm Title Surname Age OR (e) Company Company name Corporate Identity Number (CIN) or Foreign Company Registration Number Company PAN
(Mr/Mrs/Ms) (Mr/Mrs/Ms)

Name Date of Birth

Fathers/Husbands name
(dd/mm/yyyy).

Name Date of Birth

Fathers/Husbands name
(dd/mm/yyyy)

OR (f) Trust Name of the Trust Trust Permanent Account Number Name of the Trustee/person who is authorized to mortgage the property belonging to the trust Title Surname Age OR (g) Co-Operative Society Society name Society Registration number Date of Registration Society PAN OR (h) HUF Karta Details Title Surname Age
(Mr/Mrs/Ms) (Mr/Mrs/Ms)

Name Date of Birth

Fathers/Husbands name
(dd/mm/yyyy).

Name Date of Birth

Fathers/Husbands name
(dd/mm/yyyy)

Permanent Account Number (PAN)

(Multiple Third Party Mortgagee details can be collected by iterating the above data section-4 under the same security interest record creation)

Section 5: Type of charge Mortgage by deposit of title deeds (Sale deed, Lease deed, Award deed, Agreement to sale, others). Whether Consortium Finance OR Joint Charge is involved Number of charge holders

Yes

No

Section 6: Particulars of the charge holder(s) (Banks/Financial Institutions) Permanent Account Number (Bank PAN) Name BSR Code / Branch Code Address Building Number /Name Street Number/Name Village/Town Taluka City District State PIN Code
(The above section may have to be captured multiple times depending upon the number of charge holders)

Section 7: Description of Document by which the borrower/third party acquire title Document Type
(Sale deed/Lease deed/Award, etc)

Docum ent Number Date of document Sub-registrar Taluka District State PIN Code
(The above section may have to be captured as many times depending upon the number of title documents deposited by customer)

Section 8: Amount Secured by the Security Interest


(In case the amount is in foreign currency, rupee equivalent to be stated)

Rs .. Section 9: Brief particulars of the principal terms and conditions and extent and operation of the charge a. Date of Creating Security Interest (in dd/mm/yyyy) By actual/constructive deposit of title deeds within bank/hfc b. Borrower CUST/ACCOUNT Number c. Rate of Interest d. Repayment Term ( in months) e. Nature of Facility f. Date of Disbursement g. Misc Narrative information
(The above section may have to be captured as many times depending upon the number facilities opened by the bank/hfc)

To be digitally signed by charge holder


(Financial Institution or Bank)

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