Loan Application Form
Applicant Details
Occupation* Salaried Business Self employed professional Retired HouseWife Student Other
if Self Employed Professional Doctor CA/CS Consultant Architect Lawyer Student Other
if Business Type of Company Proprietorship Partnership Pvt Ltd. Pub Ltd. Ltd Liability Co. Other
Name of Business Manufacture Agriculturist Service Provider Trade/Distributer Retailers Other
if Salaried Type of Company Pvt Ltd. Partnership Proprietor Pub Ltd. PSU Govt.
MNC Other Designation
GSTIN Availabe* Yes: No: Effectvie Date:
Please Tell Us About Yourself*: Applicant Co-Applicant Guarantor Relationship with Applicant
Personal Details (in case applicant is individual)
Title* Mr. Ms. Dr.
Applicant Name*: Fathers Name*:
Spouse Name: Mother Name*:
Date of Birth* Gender*: Male: Female: Are you Married*: Married: Single:
Education*: UG: Graduate: Pg and Above: Others Mobile Number*:
Religion SC: ST: OBC: Other: Pan*:
Driving License Expiration Date Email*: UPI Id/VPA:
Passport Number: Expiration Date Voter Id Number: CKYC Number:
Attach Supporting Documents
Last 3 Salary Slips Last 3 Years ITR Return Aadhar Card Pan Card
Address Details (in case applicant is individual)
Present Residence Owned: parents: Co. Provided: Rented: Monthly Rent:
Present Address (Residence) Landmark:
City State Pin Code
STD Telephone Years at current Residence
Business/Employer's Name: City
State Pin Code STD
Phone Ext Total Years In Service/Business
No. of years in Current Job/Business Preferred Mailing Address ResidenceOffice Office Email Id
Only Tick If present Address Permanant Address is Same As Present Address
Permanant Residence Owned: parents: Co. Provided: Rented: Monthly Rent:
Permanant Address (Residence) Landmark:
City State Pin Code
STD Telephone
Company Details (in case applicant is firm)
Name: City
State Pin Code STD
Phone Ext Year of Incorporation
CIN No. Pan No. Official Email-ID
GSTIN Availabe Yes: No: Effectvie Date:
Partners/Directors Details (for Partnership/Pvt. Ltd./Pub. Ltd. Co.)
Name Beneficial Owner(to be a co-borrower) Profit Sharing/Share Holding% Date of Birth Pan Mobile No.
Income Details
Please Tell us about your Income: Annual Salary/Business Income Rs Other Annual Income: Rs
Other Annual Income Sources: Rental Agricultural Others
Bank Details 1 Bank Name: Branch Name:
Customer ID Type of Account: Savings Current CC/OD
Account Number: Year Opened
Bank Details 2 Bank Name: Branch Name:
Customer ID Type of Account: Savings Current CC/OD
Account Number: Year Opened
Assets Owned Car Shares Mutual Fund Agri Land Property
Existing Loan Details
Sr no. Name of Institution Since MM/YY Loan Type Loan Amount (Rs.) Tenure of Loan (in months) Status
1
2
3
Details of Pending litigation, if any, filed by other financiers/bank Yes No
Requested Loan Details
Loan Amount Rs. Tenure In Months
End Use Business Education Marriage
Asset Acquisition Debt Consolidation Other
COLLATERAL OFFERED
Property Vehicle Shares and Security Insurance Others None
Property Owner: Property Address
Pin Code Type of Property Residential Commercial Classification Of Property Flat
Row House Bungalow Shop Office Area of Property (in Sqft.)
Vehicle: Make/Model Manufacturing Year: Current Market Value Rs.
Registration Number:
Share and Securities: Shares Mutual Funds Unit Govt. Bonds Other
Insurance: Insurance Name Scheme Surrender Value Rs.
PERSONAL REFERENCES
1. Name Relationship with Applicant Residential Address
City State Pin
STD Phone Mobile
2. Name Relationship with Applicant Residential Address
City State Pin
STD Phone Mobile
Declaration
1. I/We declare that I/We/Am/Are we are citizen of India and all the particulars and information gives in this application form are true, correct and complete and no material information has been withheld or suspended.
2. I/We shall advise M.L. Securities and Finance Private Limited (hereinafter referred to as "MLSFPL") in writing of any change in my/our residential or employment/ business address.
3. I/We confirm that the funds shall be used for the stated purpose and will not be used for speculative or anti-social purpose.
4. I/We authorize MLSFPL to conduct such credit checks as it considers necessary in its sole discretion, to make any enquiries with other finance companies/registered credit bureau/other institutions regarding my application and to release such or any other information in its records for the purpose of credit appraisal/sharing for any other purpose. MLSFPL reserves the right to retain the photographs and documents submitted with this application and will not return the same to the applicant.
5. I/We understand that the sanction of this loan is at the sole discretion of MLSFPL and upon my/our executing necessary security (ies) and other formalities as required by MLSFPL. I/We further agree that my/our loan shall be governed by the rules of MLSFPL which may be inforce from time to time.
6. Payment: No cash/bearer cheque has been collected from me/us upfront towards processing of the loan application. All payments made to MLSFPL shall be in the name of "M.L. Securities and Finance Private Limited" only.
7. I/We will not be entitled to avail of any benefits/discounts/free gifts or any other benefit, which is not documented in the loan agreement.
8. I/We confirm that I/We have no insolvency proceedings against me/us nor have I/We ever been adjudicated insolvent.
9. Application fees for my/our application is Rs. (inclusive of taxes). I/We am/are aware that the application fees plus taxes as applicable collected from me/us are non-refundable under any circumstances.
10. I/We confirm that I/We am/are not related to any of the Directors/Senior Officers of MLSFPL.
11. I hereby consent to receiving information from Central CKYC registry through SMS/EMAIL on the above registered number/email address.
12. I/We understand the Risk Gradation and Interest Rate on a Loan that I have applied for will be based on Loan amount, tenure, down payment, Security I Collateral offered for the Loan, risk parameters, market condition, cost of funds, loan history with MLSFPL, credit score provided by credit information company, my/ our age, income and any other information as may be required for the purpose of credit evaluation.
13. I / We am I are aware the normally applicable Indicative interest rate on loans and other charges are available on the chart which given by MLSFPL.
I/We hereby consent and voluntarily submit my/ our Aadhar number/ information/ Aadhar card copy to MLSFPL to use my/ our Aadhar Number/ information/Aadhar card copy and fetch data from UIDAI for verification. MLSFPL shall use my/ our Aadhar Number to update all my/ our Loan account/(s) with M.L. Securities and Finance Private Limited (MLSFPL), for KYC purpose and/ or for any other purpose and I or as may be required by law.
I/We consent / do not consent to receive information / service etc. for marketing purpose through Telephone / Mobile / SMS / Email by MLSFPL / its agents.
I/We confirm that I/We have read and understood the above Declaration, and that the details provided on the form are correct.