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    ApplicationForm (1) (30)

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    sector18hlf

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    © All Rights Reserved
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    ApplicationForm (1) (30)

    Uploaded by

    sector18hlf
    0 views2 pages

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    ApplicationForm (1) (30)

    Uploaded by

    sector18hlf

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    © All Rights Reserved
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    of 2

    LOAN APPLICATION (Applicant)

    DATE : 30-11-2024

    ENTITY : INDIVIDUAL
    GENDER : FEMALE
    DOB : 01/09/1985
    APPLICANT NAME : PRAMEELA
    FATHER'S/HUSBAND'S : ANIL KUMAR YADAV
    NAME
    MOTHER NAME : NEELAM
    EXISTING HLF CUSTOMER : -
    APPLICANT CATEGORY : SALARIED

    RESIDENCE ADDRESS PERMANENT ADDRESS


    ADDRESS : HOUSE NO-2082/3,WARD NO-5,RAJIV ADDRESS :HOUSE NO-2082/3,WARD NO-5,RAJIV
    NAGAR,GURGAON,HARYANA,-122001 NAGAR,GURGAON,HARYANA,-122001
    PINCODE : 122001 PINCODE : 122001
    MOBILE : 9643178522 MOBILE : 9643178522
    E-MAIL : E-MAIL :

    ID PROOFS ADDRESS PROOF


    AADHAR : XXXX-XXXX-4416 PAN : FOZPP0813N
    NAME AS PER PROOF : PRAMEELA NAME AS PER PROOF : PRAMEELA

    APPLICANT FINANCIAL DETAILS


    EDUCATIONAL QUALIFICATION : OTHERS SPOUSE NAME :
    EMAIL ID : NO OF DEPENDANT : 1
    MARITAL STATUS : MARRIED YEARS IN PRESENT ADDRESS : 10
    CUSTOMER CATEGORY : SALARIED OCCUPATION TYPE : OTHERS
    OFFICE/ EMPLOYER NAME : NS EXPORTS ACCOMMODATION TYPE : RENTED
    OFFICE ADDRESS LINE 1 : SECTOR 14 OFFICE ADDRESS LINE 2 : GURGAON
    OFFICE PIN CODE : 122001 OFFICE CITY : GURGAON
    OFFICE STATE : HARYANA OFFICE NEAREST LANDMARK :
    YEARS IN CURRENT JOB : 10 DESIGNATION :
    GROSS INCOME (P.M) : 50000.0

    BANK DETAILS
    BANK NAME : YES BANK ACCOUNT NO : 131050700001387
    IFSC CODE : YESB0001310

    HINDUJA LEYLAND FINANCE LIMITED


    Corporate Office: No. 27A, Developed Industrial Estate, Guindy, Chennai- 600 032. Tel: (044) 3925 2525 Fax: 044-3925 2525
    Registered Office: 1, Sardar Patel Road, Guindy, Chennai- 600 032.
    Website: https://www.hindujaleylandfinance.com/
    CIN : U65993TN2008PLC069837 Email :compliance@hindujaleylandfinance.com
    REFERENCE 1 DETAILS REFERENCE 2 DETAILS

    NAME OF THE : SHARAD NAME OF THE : VISHAL


    PERSON PERSON
    RELATIONSHIP WITH : FRIEND RELATIONSHIP WITH : FRIEND
    APPLICANT APPLICANT
    MOBILE NO : 7518014197 MOBILE NO : 9919678236
    HOUSE NO : SHEETLA COLONY HOUSE NO : REAJIV NAGAR
    STREET NAME : GURGAON STREET NAME : SEC 14
    PIN CODE : 122001 PIN CODE : 122001
    CITY : GURGAON CITY : GURGAON
    STATE : HARYANA STATE : HARYANA

    PRODUCT DETAILS

    LOAN TYPE : TWO WHEELER PRODUCT : SPLENDOR PLUS


    BRAND : HERO MOTOR CORP DELEAR NAME : JAASODHA AUTO PRIVATE LIMITED

    LOAN DETAILS
    ON ROAD PRICE : 100500 INVOICE AMOUNT : 84200
    FINANCE AMOUNT : 88300 HEALTH INSURANCE : NO
    INSURANCE : 0 PROCESSING FEE : 2264
    PREMIUM
    STAMP DUTY : 236 OTHER UPFRONT : 0
    CHARGES
    MARGIN MONEY : 12200 ROI : 22

    I/We declare that all the particulars and information given in the applications are true, effect and complete and upto date in all respects and I/We have not

    with held any information. I/We confirm that I/We have no insolvency proceedings initiated against me/us nor have (We ever been adjudicated insolvent.

    I/We have read the Application form and brochures and am/are aware of all the term and conditions of availing finance from Hinduja Leyland Finance Ltd.

    I/We authorize HLF Limited or its agent to make references and enquiries related to information in this application, which HLF Limited considers

    necessary. I/We also authorize HLF Limited to exchange, share, part with all information relating to my/our loan details and repayment history information

    to other Bank/s Financial Institution/Credit Bureaus/Agencies as may be required and shall not hold HLF Limited liable for use of this information. I/We

    undertake to inform HLF Limited regarding any change in my/our residence/employment and to provide any further information that HLF Limited may

    require.

    I/We further agree that my/our loan shall be governed by the rules of HLF Limited, which may be in force from time to time. HLF Limited reserves the right

    to reject my application without providing any reason, and also make inquires to ascertain the veracity of the statements made by me/us.

    DATE :
    PLACE :

    HINDUJA LEYLAND FINANCE LIMITED Applicant Signature


    Corporate Office: No. 27A, Developed Industrial Estate, Guindy, Chennai- 600 032. Tel: (044) 3925 2525 Fax: 044-3925 2525
    Registered Office: 1, Sardar Patel Road, Guindy, Chennai- 600 032.
    Website: https://www.hindujaleylandfinance.com/
    CIN : U65993TN2008PLC069837 Email :compliance@hindujaleylandfinance.com

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