Two Wheeler Loan Application Form

HerofinCorp CAS ID TWLTON4111686

09, Basant Lok, Vasant Vihar
New Delhi - 110057 Login Date 04/05/2019
Tel. +91-11-49487150 LMS APPLICATION NO. 5243369

Sourcing Details
Location BHOPAL Location Code TON Login Date and 04/05/2019 05:44:57
Time
Source Type MANUAL DSA Name TIRUPATI MOTORS DSA Code A1211141
Sub Dealer Name TIRUPATI MOTORS Sub Dealer Code A1211141 Disburse To TIRUPATI MOTORS

SE Name KARAN ASRANI SE Code 188380 Existing HFCL No

Customer

TM Name DHIRAJ KUMAR BATHRI TM Code 7747 Loan Account

Number

Program XCELLERATE Scheme XCELERATE - 6.99 2018 Documents Aadhar Card,Aadhaar Card
Provided
Promotion PLUS Type of Id Proof Aadhar Card

Applicant's Information
Salutation Mr. Name RAJU RAMNARAYAN Date of Birth 5/8/1999
Gender Male Marital Status Married LPG Number

Others Father/Husband Mr RAMNARAYAN TARA BAI

Education Name VISHWAKARMA Mother's Name

Residence Status Company Monthly Rent(If Residence 19 Year 9 Month

Applicable) Stability

Contact Details
Mobile Number 7247512074 LandLine(Office) LandLine(Home)
Email Id
Present Address
ROJIYA , RONJIA BAZAFT
Address Line 1 ,BHOPAL Address Line 2 Address Line 3

Landmark NEAR HANUMAN MANDIR PinCode 462101 City BHOPAL

State MADHYA PRADESH Years at Current 19 Year 9 Month Years at Current 19 Year 9 Month
Address City
Current address is
same as Yes
permanent
address?

Permanent Address
ROJIYA , RONJIA BAZAFT
Address Line 1 ,BHOPAL Address Line 2 Address Line 3

Nearest Landmark NEAR HANUMAN MANDIR PinCode 462101 City BHOPAL

State MADHYA PRADESH

Employment Details
Name of RAJU Office/Bussiness RONJIYA RONJIA
BHOPAL Nearest Landmark
Organization Address
City/Village BHOPAL State MADHYA PRADESH Pin Code 462101
Customer Self Employed Non Years at Current 19 Year 9 Month Rs. 20000
Professional Income Monthly
Segment Job
Income Annual Rs. 240000

Financial Obligation
Loan EMI Rs. 2320 Bank Name

Bank Details
Bank Name Branch IFSC Code
MICR Code Account No Month
 Guarantor/Co-Applicant Information 1

Co-Applicant1 Information

Guarantor Salutation Name

Father/Husband Relationship with Date of Birth
Name borrower
Name of Company Designation Address Line 1
Address Line 2 City/Village State
PinCode Nearest Landmark Mobile Number

Guarantor/Co-Applicant Information 2

Co-Applicant 2 Information

Guarantor Salutation Name

Father/Husband Relationship with Date of Birth
Name borrower
Name of Company Designation Address Line 1
Address Line2 City/Village State
PinCode Nearest Landmark Mobile Number

Proposed Loan Details

Asset Make HF DELUXE Assel Model DRUM CAST SELF Ex Showroom Rs. 48525
price
Insurance Amount Rs. 9633 RTO Charges Rs. 6592 On Road Price Rs. 65450
Approved Loan Rs. 48000 Processing Fee Rs. 1680 PDC/ECS/ADM Rs. 250
Amount Charges
Document Rs. 1250 GST Rs. 0 Loan EMI Rs. 2320
Charges

____________________
Applicant

Acknowledgement copy for Customer (Please tear here)

______________________
Applicant
Note:
1 ) Application forms complete in all respects will be processed within 14 days from the date of receipt of Application form.
2 ) Wherever any additional information/documents is required to process the application form, the same shall be intimated to the customer
within 14 days from the date of receipt of this form.
3 ) The rates of interest will be different for different categories of borrowers based on the individual credit and risk profiles.

Originated and serviced by Hero Fincorp Limited. All loans at the discretion of Hero Fincorp Limited.
 DECLARATION
I/We RAJU RAMNARAYAN Son/Wife/Daughter of Mr RAMNARAYAN VISHWAKARMA /Authorized Representative of. aged 19 years and residing/having
registered office/place of business at BHOPAL hereby confirm and warrant that -
a. I/We am/are citizen(s) of India and that all the information furnished by me/us is true and accurate against which I/We authorise the HFCL to make any
enquiries in this regard.
b. No insolvency/winding up proceeding or recovery suit of the outstanding dues/monies whatsoever or for attachment of my/our assets or properties and/or
criminal proceedings have been initiated and/or pending against me/us and me/us have never been adjudicated insolvent by any court or authority.
c. You may please credit all sums received by you either or all against my name and that the funds shall only be used for the specific purpose i.e. for purchase
of the asset (vehicle) as mentioned in the application form. I/We also agree that the asset(s) financed by the HFCL will stand, on purchase automatically
hypothecated to it.
d. I/We shall keep informed the HFCL, in writing, of any change in my/our contact information.
e. The HFCL is authorized to make enquiries with any finance company/bank/registered credit bureau/repository of credit history/TotalKYC etc. for KYC
information verification, credit risk analysis, or for other related purposes that the HFCL may deem fit and that my/our privilege of privacy and privity of
contract with regards the subject matter of my/our arrangement is expressly waived. I/We also confirm that the HFCL reserves the right to retain
photograph(s) and document(s) submitted.
f. I have seen the vehicle and fully satisfied with the condition of the vehicle. HFCL will not be responsible for any defect/ damage found in the vehicle at later
stage and any such situation will not affect the loan repayment. In case of loan cancellation/pre-closure, I will be fully responsible and bear the accrued
interest and cancellation charges applicable as per HFCL policy
g. I/We will not hold the HFCL or its agents or representatives responsible under any circumstances whatsoever in case my application is rejected and that the
HFCL or its agents or its representatives shall have no responsibility for the delivery/colour/make/performance of the asset applied for under this application.
h. I/We confirm having received read & understood the terms and conditions of the loan applied for, including the terms relating to repayment, interest & other
fees and unconditionally agree to abide/perform the same & also hereby accept that the terms and conditions may be changed by the HFCL at any time.
I/We also agree to abide by all the terms and conditions of all the related agreement(s). I/we also confirm that all my questions, doubts and queries with
regards the loan have been answered to my satisfaction and properly explained to me; which fact I/we shall no question, doubt or dispute at any future
date/event.
i. For any Insurance provided along with the loan, Hero Fincorp Limited will have no liabiality for any claim under the policy. The claim under the insurance
policy shall be processed as per the procedure of the Insurance Company.

I/we hereby authorise Mr/Ms TIRUPATI MOTORS for processing this Application Form with [Hero Fincorp] on my behalf and undertake to provide all papers
in original required for any clarification to the HFCL.

Paste photo here Paste photo here Paste photo here Dealer/DSA Stamp

Signature Signature Signature Signature

VERNACULAR DECLARATION
The content of the loan application has been explained by me (the witness) to the Application in ______________________
(name of the language in which the applicant has signed) and the same has been understood by the applicant. The applicant
further confirms that he/she is acceptable to receive all the future correspondence in relation to this loan in English language.

Name of the witness ________________________ Signature Of Applicant in his own language:

(to be written in Applicant's handwriting)

Address of the witness _____________________ Signature Of Applicant in his own language:

(to be written in Applicant's handwriting)

Acknowledgement copy for Customer (Please tear here)

______________________
Applicant
Note:
1 ) Application forms complete in all respects will be processed within 14 days from the date of receipt of Application form.
2 ) Wherever any additional information/documents is required to process the application form, the same shall be intimated to the customer
within 14 days from the date of receipt of this form.
3 ) The rates of interest will be different for different categories of borrowers based on the individual credit and risk profiles.

Originated and serviced by Hero Fincorp Limited. All loans at the discretion of Hero Fincorp Limited.
 SANCTION CUM DELIVERY ORDER
User: KARAN ASRANI
Business Date:
Printed On (Date & Time): 04/05/2019 11:14:57 AM

Reference 5243369 Branch BHOPAL

Date:

To,

TIRUPATI MOTORS

This is to inform you reference No. 5243369 of RAJU RAMNARAYAN is sanctioned, kindly arrange to deliver the asset as per the below loan details. You are
advised to collect DP amount as initial payment from the said customer and collect all the required documents for the delivery of vehicle. Please take the signature
of the hirer in the delivery challan and intimate us the vehicles Engine No /Chassis No. or product serial No in the copy of the delivery challan to be submitted to
HFCL representative.

To,

RAJU RAMNARAYAN

ROJIYA RONJIA BAZAFT BHOPAL NEAR HANUMAN MANDIR 462101 BHOPAL MADHYA PRADESH

Dear Sir/Madam,
Your application reference no. 5243369 is sanctioned as per the below Asset & Loan details, kindly provide the necessary documents and down-payment and
take the delivery of the Asset. You are requested to please Sign the invoice and delivery challan.

1. Asset Details

Manufacturer Make Variant Asset Description

Hero Moto Corp HF DELUXE DRUM CAST SELF

2. Loan Details

Asset Cost as per your proforma Rs. 65450

invoice(Per Unit) Rs.
Margin Money Rs. Rs. 17450

Loan Amount Rs. Rs. 48000

No. Of Units 1

Total Loan Amount Rs. Rs. 48000

Tenure in Months 24

EMI Rs. 2320

Advance EMI Amount Rs. 4640

ROI (Per annum) 7.99

Total Disbursement Amount Rs. Rs. 38820

Down Payment Rs. 26630

Under Hypothecation With: HERO FINCORP LTD

Delayed Payment Charges 3% of overdue amount

Authorised Signatory

System generated letter does not require any signature.This message (including any attachments) is intended only for the use of the individual or entity to which it is addressed and
may contain information that is non-public, proprietary, privileged, confidential, and exempt from disclosure under applicable law or may constitute as attorney work product.If you are
not the intended recipient, you are hereby notified that any use, dissemination, distribution, or copying of this communication is strictly prohibited. If you have received this
communication in error, notify us immediately by telephone and (i) destroy this message if a facsimile or (ii) delete this message immediately if this is an electronic communication.

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