ADDENDUM-INDIVIDUAL HOUSING AND MORTGAGE LOAN APPLICATION FORM

MANDATORILY FILL SERIAL NO.

HDFC Bank Customer ID* AS IN PAGE 1 OF APPLICATION FORM

NAME OF MAIN APPLICANT

SURNAME FIRST NAME MIDDLE NAME

Personal Details Co-Applicant FILL ALL THE FIELDS IN CAPITAL LETTERS

TITLE MR . MS. MRS. DR. CA

SURNAME
FIRST NAME
MIDDLE NAME
CKYC NUMBER (IF AVAILABLE) MOTHER’S
MAIDEN NAME
FATHER’S/SPOUSE’S NAME FATHER’S NAME SPOUSE’S NAME
SURNAME
FIRST NAME
MIDDLE NAME
†
CURRENT ADDRESS RELATIONSHIP WITH APPLICANT

FLAT / DOOR / BLOCK NO. NAME OF PREMISES / BUILDING

ROAD / STREET
AREA / LOCALITY
TOWN / CITY / VILLAGE PIN CODE #
DISTRICT
STATE / UNION TERRITORY
CURRENT RESIDENCE IS Self owned Family Rented Provided by Employer Same as current address? Yes No
PHONE NO. WITH STD CODE

MOBILE NO.
I/We confirm that above mentioned mobile number will be updated as my registered mobile in HDFC Bank records and all communication will be received on this number

E-MAIL ID (Personal)
I/We confirm that above mentioned email id will be updated as my registered email id in HDFC Bank records and all communication will be received on this email id

DATE OF BIRTH/GENDER D D M M Y Y Y Y Age M F T

MARITAL STATUS Single Married Others NO. OF DEPENDANTS Children Others
# Applied
PAN NO. Y N
UID / AADHAR NO. X X X X X X X X RELIGION ____________________ SC ST OBC
OCCUPATION Employed Self employed Professional _______________ (Pls specify)
QUALIFICATION/EDUCATION Undergraduate Graduate Post Graduate Others _____________

MONTHLY INCOME `
OTHER INCOME ` SOURCE
(Please mention the address of the office you are based at / operating from)
EMPLOYER / BUSINESS NAME
AND ADDRESS †
FLOOR / UNIT / BLOCK NO.
NAME OF PREMISES / BUILDING
ROAD / STREET
AREA / LOCALITY
TOWN / CITY / VILLAGE PIN CODE #
DISTRICT
STATE / UNION TERRITORY
E-MAIL ID (Official)

PHONE NO. WITH STD CODE

YRS. IN PRESENT OCCUPATION Yrs Retirement Age Total experience Yrs
DEPARTMENT EMPLOYEE NO.
DESIGNATION
* For HDFC Bank Customers Only # Mandatory Fields † Preferred Mailing address ( 4 tick the appropriate box)

PAST EMPLOYMENT / BUSINESS DETAILS

Employer / Business details Designation From To Reason for change
 2

PERMANENT ADDRESS† Please Tick if same as current address † Preferred Mailing address ( 4 tick the appropriate box)

FLAT / DOOR / BLOCK NO.

NAME OF PREMISES / BUILDING PASTE LATEST
ROAD / STREET AREA / LOCALITY PASSPORT SIZE COLOR
PHOTOGRAPH OF
TOWN / CITY / VILLAGE PIN CODE#
CO-APPLICANT WITH
DISTRICT SIGNATURE
STATE / UNION TERRITORY
NAME ( Occupied By )
RELATIONSHIP WITH APPLICANT/ CONTACT
CO-APPLICANT NO. # Mandatory Fields

FINANCIAL INFORMATION
SAVINGS, INVESTMENTS, ETC.
Savings in Bank
Immovable Property -
location & current value 1. _ _ _ _ _ _ _ _ _ _ _ _ (`) 2. _ _ _ _ _ _ _ _ _ _ _ _ (`)
Current balance in
Provident Fund (your share)
Other Assets (specify) 1. _ _ _ _ _ _ _ _ _ _ _ _ (`) 2. _ _ _ _ _ _ _ _ _ _ _ _ (`)
Life Insurance Policy(ies) 1. Maturity M M Y Y Y Y 2. Maturity M M Y Y Y Y
Sum Assured Dates Dates
LOANS AVAILED / PROPOSED Important: Non disclosure / false declaration can lead to rejection/cancellation of your loan application.
Name of the Institution Loan Type Outstanding Amount (`) Monthly Instalment Payable (`) Bal. Term (Months)

BANK ACCOUNT DETAILS (PLEASE MENTION DETAILS OF YOUR SALARY ACCOUNT / MAIN ACCOUNT INCASE SELF EMPLOYED)
(1) Name of Account Holder
Name of Bank :
Branch :
Account No. : MICR Code
A/c Operated Since : M M Y Y Y Y IFSC Code

1. Have you or the co-applicant(s) earlier applied to HDFC for a loan? Yes No
If yes, File / Loan A/c. No. 1. 2. 3.
2. Have you or your spouse given guarantee(s) for any borrower/s of HDFC? Yes No
If yes, (a) File / Loan A/c. No. (b) Name of borrower/s
Jointly Jointly
3. (a) How many residential properties do you own? (with other applicants) (b) No. of residential properties on which loans have been availed? (with other applicants)

Declaration
1. I/We declare that we are citizens of India and all the particulars and information given in the application form is true, correct and complete and no material information has been withheld/suppressed.
2. I/We shall advise HDFC Bank 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 declare that I/we have not been in violation and shall not violate any provisions of the Prevention of Money Laundering Act, 2002 and/ or any applicable law, rules, guidelines and circulars issued by
the Reserve Bank of India and/or any other statutory authority.
5. I /We authorise HDFC Bank to make any enquiries regarding my/our application, including with other finance companies/registered credit bureau.
6. HDFC Bank reserves the right to retain the photographs and documents submitted with this application and will not return the same to the applicant/s.
7. I/We have read the application form/ brochures and am/are aware of all the terms and conditions of availing finance from HDFC Bank.
8. I/We understand that the sanction of this loan is at the sole discretion of HDFC Bank and upon my/our executing necessary security (ies) and other formalities as required by HDFC Bank and no commitment
has been given regarding the same.
9. I/We authorise HDFC Bank to conduct such credit checks as it considers necessary in its sole discretion and also authorise HDFC Bank to release such or any other information in its records for the
purpose of credit appraisal/sharing for any other purpose. I/We further agree that my/our loan shall be governed by the rules of HDFC Bank which may be in force from time to time.
10. I/We am/are aware that the upfront Legal and Technical fees and the applicable taxes collected from me at the time of the application is non-refundable under any circumstances
11. I/We am/are aware that HDFC Bank does not accept any payment in cash. No payment in connection with the loan processing, sanction, disbursement, prepayment and repayment of loan shall be made
to / in favour of any of HDFC Bank’s intermediaries or any third party (ies) in cash or bearer cheque or in any other manner whatsoever.
12. No discount/free gift or any other commitment whatsoever has been which is not documented in the loan agreement by HDFC Bank or any of its authorised representatives
13. I/We confirm that I/we have no insolvency proceedings initiated/pending against me/us nor have I/we ever been adjudicated insolvent.
14. Customer Declaration on relationship with HDFC Bank/Other Banks
(a) Is Applicant a Firm/Company in which relatives of directors of any other bank are interested as partner/guarantor /director / as a guarantor/ is in control* / major shareholder** ? n Yes n No
(b) Is Applicant a director /Relative of Director, or Senior Officer of the Bank? n Yes n No
(c) Is the Applicant of Firm/Company in which relatives of Director or Senior Officer of the Bank are interested as partner/ as a guarantor/director/ is in control* / major shareholder** ? n Yes n No
*The term “control” shall include the right to appoint majority of the directors or to control the management or policy decisions exercisable by a person or persons acting individually or in concert, directly
or indirectly, including by virtue of their shareholding or management rights or shareholders agreements or voting agreements or in another manner.
**The term “major shareholder” shall mean a person holding 10% or more of the paid-up share capital or five crore rupees in paid-up shares, whichever is less including directors of Scheduled Co-
operative Banks, director of Subsidiaries/Trustees of Mutual Funds/Venture Capital Funds, Set up by HDFC Bank or any other Bank
15. Politically Exposed Person (PEP) Declaration :
Politically Exposed Persons” (PEPs) are individuals who are or have been entrusted with prominent public functions by a foreign country, including the Heads of States/ Governments, senior politicians,
senior government or judicial or military officers, senior executives of state-owned corporations and important political party officials.
Please tick Yes / No: (a) Applicant PEP/Relatives and close Associate of PEP n Yes n No (b) Co Applicant PEP or Relatives and close Associate of PEP n Yes n No
16. The tenure/repayment/interest/other terms and conditions of the loan are subject to change as a consequence to any change in the money market conditions or on account of any other statutory or
regulatory requirements or at HDFC Bank's discretion. HDFC Bank reserves the right to review and amend the terms of the loan in such manner and to such extent as it may deem fit.
17. I/We hereby declare and confirm if any detail or declaration made by me/us, if found to be false, then HDFC Bank will be entitled to revoke and/or recall the credit facility.
18. I/We hereby declare and confirm that any purchase by me/us of any insurance product is purely voluntary and is not linked to availing of any credit facility from HDFC Bank.
93644/06/2023/UM

19. I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we undertake to inform you of any changes therein, immediately. In case any of
the above information is found to be false or untrue or misleading or misrepresenting, I/we am/are aware that I /we may be held liable for it.
20. I/We hereby consent to receiving information from Central KYC Registry through SMS/email on the above registered number / email address.
File No. of main Applicant Date: D D M M Y Y Y Y

Place:
C Co-applicant’s Signature