Application No.

MONEYWISE FINANCIAL SERVICES PVT. LTD.

LOAN APPLICATION FORM
Personal Loan Business Loan Loan Against Property Equipment Loan Others
LOAN AMOUNT TENURE
Applicant Co-Applicant

Name
S/o, W/o, D/o
Mother Maiden Name

A Current Residential Address

Landmark: Landmark:
State- PIN: State: PIN -
Current Residence Self Family Rented Provided by Employer Self owned Family Rented Provided by
owned Employer
Place & Country of Birth
Place of Incorporation
Date of Incorporation
Commandment of Business
Phone No. with STD Code Tel. Mob.** Tel. Mob.
E-mail**
Rent Paid (if rented) No. of Years at current residence : No. of Years at current residence :

B Permanent Address

Landmark: Landmark:
State: PIN: State: PIN:
Phone No. with STD Code Tel. Mob. Tel. Mob.
Date of Birth / Sex Male Female Male Female
Marital Status Single Married Other Single Married Other
Nationality
No. of Dependants Children Others Children Others
PAN No. / Passport No.

Voter ID & DL
Aadhar Card
GST No.
Occupation Salaried SENP SEP Other Salaried SENP SEP Other
Qualification / Designation
Retirement Age / Emp. No.
Monthly Income
Other Income Source: Source:

C Employer/Busin
ess Name &
Address
Landmark: Landmark:
State: PIN: State: PIN:
Phone No. with STD Code
Preferable Communication Address A B C A B C
Preferable Communication Time
Organisation Multinational Public Ltd. Govt./Semi Govt. Multinational Public Ltd. Govt./Semi Govt.
Enterprise Pvt. Ltd. Partnership Enterprise Pvt. Ltd. Partnership
Propritership Propritership
Other Other
Industry Service Trading Service Trading
Manufacturing Other Manufacturing Other

DSA / Connector Name (with stamp): Signature

DSA Code Sales Official Name & Signature

Paste & Paste & DETAILS
Sign Across Sign Across
Recent Recent FEES CHEQUE NO.
Photograph Photograph
of Applicant of Co- DATE BANK
Applicant

b
y
t
h
Acknowledgement (Tear away acknowledgment (to be given to/retained
e Applicant) Dear Sir/Madam
This is to Acknowledgment receipt to your Loan Application Form No.
Dated Application No.
We thank you for the same. Our representatives shall be in touch with you in
connection with the same.
Sales Executive Name : Sales Executive Signature : Moneywise Financial Services Private Limited
Phone No. Location : Date :
Key Terms & Conditions: CIN No. : U51909WB1996PTC078352
• Repayment of loan is to be by way of equated monthly instalments ( EMI). 11/6B, 2nd Floor, Shanti Chamber, Pusa Road,
• Moneywise Financial Services Pvt. Ltd. offers loan under floating / fixed rate. N.D. - 110005 www.smcfinance.com
• Foreclosure charges are levied / calculated on the balance principal outstanding of the loan (if applicable).
• Incomplete / defective application will not be processed & Moneywise Financial Services Pvt. Ltd. shall not be responsible in any manner Customer Care No 1800-118818
for resulting delay or otherwise.
• For details terms & condition please call
 EXISTING LOAN DETAILS
Type of Loan Bank/Financial Institution Loan Loan Tenure No. of EMI Paid EMI
Amount
1.
2.
3.
4.

RELATED PARTY/ SISTER / ASSOCIATE CONCERN

Entity Name Constitution Type of Industry Business Activity PAN No. Addres Contact No.
s

BANK ACCOUNT DETAILS

Type of A/c Bank/Financial Institution Account Acccount Banking Since
Holder No.
1.
2.
3.

LOAN USAGE TRANSACTION TYPE

Purchase Business Resale Refinan

Expansion Direct from Builders / ce
Consrtructi
Working Authority Balance
on
Capital Transfer
Improveme
Note : 'A which indicates the total requirement of funds, should equal estimate of sources, 'B' which indicates the sources from
Others
nt the cost will be met. It is important that you indicate in details the source from where the cost will be met in order to
where
help us process your application faster.
DETAILS OF PROPERTY (FOR MORTGAGE)
Purchased from :
Address : Mention dwelling unit no., street,
Builder Society Development Auth. Resale Self
city, nearest landmark and pin code.
if not selected, mention intended details: Construction Construction Stage : To commence Ready
% Expected time of completion
Land Area Build-up Area

Title/Ownership will be in the name of

Type of Property:
Residential Bungalo Row Plot Mixed Usage Fla
Property : w House t
Office Plot
Pin Code : Commercial Sho Showroo Commercial
Investme Rent
Property : p
State : (inm Family nt
Uses of years)
Self Under
Property : Age Construction
GENERAL [APPLICABLE TO APPLICANT AND CO-APPLICANT (IF ANY)]
of Property :
Have you or your spouse, earlier applied t to Moneywise Financial Services Pvt. Ltd. or any of its group company for a loan or given guarantee to any loan Yes No
REFERENCES (NAME AND ADDRESSES OF TWO REFERENCES WHO ARE NOT RELATED TO YOU)
Moneywise Financial Services 1. 2.
Pvt. Ltd. may make such
enquiries from
the references, if it
deems necessary
PIN : State : PIN : State :

Res. Phone No. with STD Code Tel. : Mob. : Tel. : Mob. :
DECLARATION
I/We hereby declare that the information furnished in the present application and the documents submitted herewith are true and correct and nothing material has been
concealed there from. I/We undertake to furnish any additional information/documents that MONEYWISE FINANCIAL SERVICES PVT. LTD. may require at any point of
time. I/We am/are further aware that it is sole and absolute discretion of MONEYWISE FINANCIAL SERVICES PVT. LTD. to accept or reject the application and/or to
approve the loan amount lower than the applied amount. I/We have not made any payment (and will not pay) either through cheque/cash or otherwise to any Executive DSA of
person in his/her personal in his/her personal name for grant/processing of the loan application. I/We understand that the processing fees payable by me/us is non-
refundable irrespective of the sanction/rejection of this loan MONEYWISE FINANCIAL SERVICES PVT. LTD. may conduct necessary investigation and seek/receive
information from any source/person in the process of apprasial of this loan. I/We do hereby agree to indemnify MONEYWISE FINANCIAL SERVICES PVT. LTD. against
all expenses or any damages and/or loss which may suffer on account of the present loan application and/or any information contained therein. I/We have been duly
explained and have understood all the terms and conditions of the loan facilities.
I/We authorize MONEYWISE FINANCIAL SERVICES PVT. LTD. to collect / disclose the given information and data herein to / with any external agency, credit bureaus /
rating agencies, Government authorities, Bank, FIs, central KYC registery / regulatory authorities etc.
I/We further authorize MONEYWISE FINANCIAL SERVICES PVT. LTD. and all its group companies to keep me/us informed (video, telephone, SMS, mall, E-mail etc.) of
all such promotional schemes and/or activities as they may require. YES NO
I/We hereby consent to receive information from central KYC registry through SMS, mail, E-mail on the registered contact Number/Email address.

Signature of Applicant Signature of Co-applicant Date Place

 Version
A) KYC docs : C) Income documetns :
• Photographs 1) Salaries
• Identity proof of all applicant & Co-applicant prefered PAN card • Latest 6 months salary slip alongwith statment showing
copy salary credit Moneywise Financial Services Private Limited
• Address proof all applicant & Co-applicant prefered Adhar card • 3 years ITR form 16 CIN No. : U51909WB1996PTC078352
• Signature proof for all applicants & Co-applicant • Appointment letter / Job continuity proof 11/6B, 2nd Floor, Shanti Chamber, Pusa Road,
B) Other documents : D) SENP / SEP N.D. - 110005 www.smcfinance.com
• RTR/SOAfor existing loans • Last 1 year bank statement Customer Care No 1800-118818
• Date of birth proof • Latest 3 years ITR + Computation + Financials with Audit
• Property details Photocopy of property documents wherever report
property identified. • Business entity documents viz MOA/ Board resolution/
• Processing fees Cheque director list partnership deed/ letter of authority/
Business registration details etc.