Signature Authentication

To.
The Manager,
HDFC Credila Financial Services Limited Limited)
Services Private
HDFC Credila Financial
(Fomerly known as

Dat::
Account no.
having a Savings/Current and
HARIKET GUPTA s
Mr/Mrs. since 3o40l0200012166
This IS
branch. The Account is operative
3020102o00121hls
at our
as per our records.
o6»o1 20o
below matches with his/her signature
his/1er signature given

HARIKET GUPTA
Narie: Mr/Mrs.

S
A/c No.: 3oo\o)e00|2166

Account Holder Signature: tailelG

Ver fied By:

Aoshnta kay fAM

Designation
Name

Signature with Rubber Stamp

 ******
***** ***

HDFC BANK t t t MOrc BANM LNITto

UMRN
II Dae 0 06 2022|
Ick Sponsor BankCodeH DF|C|0|00|0|0 60 uity Code NACH00000000001223
CREATE,
AODIFY we hereby authorize|nDF Credla Financial Services Limited to debit (tick/) 59/CA/CC/s8-NRE/S8-NRO/Other
CANCEL number3|o 0 48194 21 4 I
Bank a/e
1I 1IM
with Bank STATE BANK OF INDIA sc T orMICR495o|o|2|3|o|2
an amount of Rupees One Lakh Eight Thousand Eight Hundred Eighty Eight
7108888
FREQUENCY Mthly Qtly H-Yly Yrly O As &when presented DEBIT TYPE Fixed Amount Maximum Amount
Reference 1A2205100284 Phone No.
Reference 2|322255 Email 1D
PERIOD h e defhit ot andate
procesping charges by bank vhon athorizing to

From11 0|6||2 o 2 2
deblt "y accOAunt 4" latest cheduie ot
Pr char° Ot
the bank.

OO1Uankothpy-
Or Until Cancelled

ha is to conform that the deciarat-

HARIKET GUPTA

hwr undentood that l am authorited to tance/amendTe0,unoerstooa.& maoe by me ut.I am authoriring the User entity/ Corporate to debit my accoun
aae y ppoprney ConmuntaUn¢ the canlatiory amendment
requeg ta the Uer entty/ Corporste or the bank where I ave authoriged uhe debil.

HDFC BANK UMRN

tng te NRE. NOPC BANK LMITEo
ILLIUate
Date 10ol 2ol22]|
Tck { Sponsor Bank CodeDE |C|0 |00 0 0 60
CREATE
Uility Code NACHOO000000001223
wWe hereby authorize HDFC Credila Financial Services Limited
to debit (tick/) S/CA/CC/s8-NRE/SB-NRO/Other
CANCELBank a/e number 3 0 04 819 4 2 14 |
with Bank STATEBANK OF INDIA
n amount of Rupees Fifty Lakh
rsc or MiICR
4 s|s|o|o|2|3|o|2|
FREQUENCY Mthly Qtly H-Yrly Yrly
50000000
As &when presented DEBIT TYPE OFixed Amount Maximum Amount
Reference1 A2205100284
Phone No.
Reference 2 S1322255
Email ID
PERIOD. gte tor the debit at aindate procese 1ng chargea by Bank wboi *utboTIELng to debit y ccounE pME iatoat Pcheduie of charge ot the bark.

From 110l6||2|o 2]2]

Or Until Cancelled HARIKET GUPTA
K t o cordirm thgt the declaratiun nas been -

hae undentaod thati am authorued to cancei/pmena timandate h o e Us crity/ Garporate to oetht my account.
Date Dy appE oprjutcef s
Dinmulatng ne rancATONy anEnomentrequet to the
D enuty Corporate or 1he Bant where I have ulhoraed ihe
deba

HDFC HOFCBANK UMRN

t e terze.
8ANK LMITED L Date 10 o6|2ol2|2|
I ck (/)
(REATE
Sponsor Bank CodeHDF C0000060 Utility Code NACH00000000001223
nODIFY VWe hereby authorize F C Credila Financial Services Limited
CANCEL
to debit (tick)
S8/CA/CC/s8-NRE/SB-NRO/0ther
3oo4 81o|4|2|1|4
Bank a/c mumber
HIIII1I 1
writh Bank STATE BANK OF INDIA
anamount of
LLLLLI|I Jor MICR49 5 oo 2 3 o2
Rupees Ten
Lakh Thirty Thousand

FREQUENCY Mthly Qtly, H-Yrly Yrly As& when presented 10300000

DEBIT TYPEFixed Amount Maximum Amount
Reference 1 A2205100284
Phone No.
Reference 2 S23222555
Email ID
PERIOD re tOr he deDt w mahaale

1 0G 20 2 2] proeR Ig Charyen uy bana vhon

From ut hori aip9 to
debiLy account pr latest chedule ot
eMtg o e
ba

or Until Cancelled HARIKET GUPTA

his is to tonlium that the detiar aeo Den
3.
have urderstood that lam auihoiiked lo
aieroy ro0, underslood, & made y meý us I ao uthorying the Uet entty/ Corporate to delit ny
ianelamieid i n malndaie uyY appiopralety
coniin Naing he tarceneny DTENamientequest ta the Dier entity/ Corporate of lhe bani whete i hae
suthorized the deb
 APPLICATION FORM FOR EDUCATION LOAN
HDFC
CREDILA
The Education Loan Specialist
REGD. OFFICE
301 Cm pONT ANDHERI KURLA ROAD, NEXT To
KOHINOOR CONTINENTAL, ANDHERI (EAST), MUMBA
400 059, INDA

HDFC CREDILA FINANCIAL SERVICES cORPORATE

DINTITY NUMBCR: UGT190M12006PLC1594
Formehy nom n OfC Cesta Finareinl Servkes rvane Uard LIMITED
TEL-2-2826463813 rMAR: 61 URekciedia ce

PrOspect 1D 0090247 Product Group "RODUCT GROUP 2

Branch Locaton nBANESHWARR
Applicolion Number .A22051002R4
Sourcing Channel ONSULTANT |5000000
Applled Loan Amount (In R)

STUDENT DETAILS
.
Name CKANAND PRAKASII
Frsi Name Middle Name
2. Father's / Spouses Surname
Name. CITRAKET
GUPTA
Frst Name MiMdl
3. Mother's Name e e
Surngme
KIRAN
GUPTA
FS NA Middle Name
4. Date of Bith Sutname
3 :||js 5.Gender MaleFemaleother 6. Manital Status:Marfled
7. PAN No Single other
: 3 8. Aadhaar
NoXXXXXx 9. Passport No..
10. CKYC No
III |U
11. Current Residential
Address NA LIG 38, SHARDA VIHAR WARD NO 12

Landmark
tyORBA - State:HAISGARH
PIN Code:
12. E-mail ID. 301PRAKASHANAND@GMAIL COM s Country: NDIA
13. Landline No (Permanent Residence) 14. Mobile
15. Educational Details. -I I U No.91 : 3F50
EXAM/COURSEYEAR COMPLETED MARKS ( SCHOOL/ COLLEGE / UNIVERSITY
NAME OF ENTRANCE TEST scORE
10 2011 8740DAUBLICSCHoOL, KUSMUNDA,
) IELTS
12
2013 87 APUR PUBLIC SCHOOL,
DEGREE 2017 74 -ESRA. RANCHI
NAME OF DEGREE: BE_

B CoURSE DETAILS
1. Admission
Status Confirmed Awaited 2. UniversityCollege:NVERSI OF CALIFORNIA, IRVINE
. Name of the Course MS: PG : MASTER OF
A
4. University/College City: KVINE
State-
5.
Countynaie uSACanadaOther r 6., Course Durabon: years
7.Full TumePart TimeDstance Learning 8. Type of
CourseEngineering csoncasaton
ManagemenOther (so
CLOAN DETAILS
A. Purpose
Amount () B. Funds Available
1. Tuition Fees Amount ()
6082739
Own Sources (Detads9
2. Living Expenses Including Hostel &Food Expenses

3. Travelling Expenses
. Scholarship
4. Others (Specity
.Others Specly
Total of A 6082759
Loan Requlred (A B) = 6082739 Total of B

D DETAILS OF SECURITY OFFERED

1. Secunty OfferedYes VNo
2.
PlotSecuntyFo
2. Type of Type of Offered li gt ary:ResdentialCommercial
1. ResidentialCommerclaPlot
Security Offered
commerca
FDropenty Motgaged with HOFCohers (5pecly - Propety Mortgaged with HOFC
3. Property Address UOhers (Speciy
3. Property Address:-

4. Current Value (Rs.)

4. Current Value (Rs ) .
5. Securlty Owned By .
5. Security Owned By-
E
REFERENCE OF STUDENT Nole: Reference slauki bu khown
1. NamoATISHAY JAIN
to he itute ufar mte un one eat
2. Address 2 1SEC20,NOIDA _ NOIDA
- City.o State: TARADES PIN 201301
3. Peisonal E-mail 1DP.
4) Landline No.. ) Mobile No.: 03878998
*********
* * * * *

SAVE INCOME TAX

With HDFc Credila's Education Loan
An education
you
loan not only funds your
can get Income Tax Benefits Under Section 80E
higher sludies but also helps you save tax. The interest paid on the education loan can
eclion 80E of the Income Tax Act of India, 1961 be claimed as deduction, as per

However to avail the income tax

benefits,
the education loan should be taken
from any of the scheduled banks in India below 2 Gazette Notified Financial
inst:tut ds per the income Tax Act of India, 1961: or

HDFC Credila Financlal Services Limited

HDFC Ltd.
T&C Appy Consutt Income Tax Advisor for Futher Details
 i

F co-APPLICANT DETAILS
Retonshp Wth StudertFatherMotherArothersisterspouseSe |JRelative soe il GUPTA
2. Name ARIKET M l e Nana
fett Nse
3 Father's / Spouseg
NAN GUPTA
ASI Surarne
Name MdCle Name

4 Mothers Name tPA Surnene

Fast Nne

5. Date of Brth F E D O | 0 6 GenserMaleFemaleOther7 Mar ta Stat.s Mamied Single othe

& PAN No AMAAA|R|09. Aadhaar No XKKXXXKKOOAD 10. Passport No:

11 CKC No U U 12. QualifcationsUnder:-Graduate DplomaGraduate Doctorate / PG

13. CUrrent Residental Address:
NALIG 38, SHARDA BIHAR, WARD 7

Landmark:

KORBA PIN Code |:E:] Country-

14
Cny
Current Residence Self Owned Family Provided by Employer Rented
15. Permanent Residential Address: LIG 38,SILARDA BIIIAR. WARD 7
Landmark:.

City NORD4 State: HATTISGARI PIN Code: : : E Country NDIA

16. Landline No. (Curren 17. Lendline No. (Permanent: U-DIUU U
19. Personal E-mail ID ARIKETGUPTA@GMAILCOM
18. Moble No:91 DO90|09
20. Number of Dependents L 21. Years in Current Residential Address: E | ]

BANK DETAILS
Name of Account Holder
Name of Bank Branch Account Number MICRCode
495002302
1 HARI KET GUPTA STATEBANK OF INDIA 00000030048 194214
2.MS.IEMS cORPORATION AXIS BANK 307010200012166
H
1
EMPLOYMENT/BUSINESS
Ogsupation:Employed
DETAILS OFco-APPLICANT
Self Employed Professional e. Lawyet Dodat CA, ete Retired Others (speaty -
2. Name of the Employer / Business: -HENS LORIPORA T ION

. Address of the Employer / Business G 58, SHARDA VIHAR, WARD 7

ity., KORBA CHHATTISGARH PIN Code: | | ] country: INDIA

Landline No. of Employer / Business. o LU ILL Ext. No.

STD
Designation/ Profession. IETM_ 6. Official E-Mail ID.-

Age of Retirement: _Years 8. No. of Years in Current Employment/Busines: 6

Gross Monthly Salary / Income: 630030 10. Net Monthly Salany/ Income:x * *
NA
11. Other MonthlyIncome: Specify-
FINANCIAL INFORMATION (IN RUPEES)

Student Co-ApP: tudenk E

B) Liabilities
A)Assets nstatment
e Lcans
1. Bank Balances Home
Availed fom

Pervoral/ Emck
2. Fixed Deposits
vaed o
3. Investments/ Other
0

4. Immovabie Property

REFERENCE OF CO-APPLICANT Note: HetereiiC* *hoLid De*10it lo 1 * tUraylr, Anf 'Cr more Ihr ore yup*

1. Name: VINAY SINGH-

2. Address. MIG 78 KORBA ty ORBA State: CHHATTISGARH PIN: 495677

3. Personal E-mall D- 4. Landline No.. 5.Moblle No: +919131447617
DECLARATION

herein 3 We hereoy undertako io indsmy HDFCc Ciesa FinclScrces Lted bceCCis f Ev t dA in hedomesnd y iometon mentoned
HE 9 A n oma n We conm havrg receved and understood camgehensve and detaled indormation incudng terms and conatons
sane 4) VWe are anare that fees paid by us are non rehundable. 5) We explic ty consent and athonze HDFC Credla, ns associate conoane, aoents, acences painers.dcoloonse e es a

nifarmaboneladtoansaco hostoty as may be rwquedby 4,cstomay ptak.ded pon sataicalralh andetcang .he
P R C M AD Oh cotdeda AN asla r e c o tstioEGa hl v y r g h i to repot to Resenve aenk ofl indie

ume of ioan sanction n 7We agreo that HDFC Credda may roject our education loan appicaton without pving any reasons thereof and that HDFC Credda shal not be resoonsiMblen a n a n s t s o e t to ua for scheet

unter studes trom any ot er Dark tnancal instkuion for the same cours.91 We underake to irform HDFC Cra rearsina cnoein utr d n oen o
Renistry wereconaenlforHoEC C careo wenerEoy uceLB.e and provide myfour censet lor shring y o T detas wth Centr al KYC

cal. Ms, ecuonic commanicaton using digtal media ond othes charnels or vis any other means inieletion to any of the products, 1ervices cr informacion pfiOFCCdis and/or e r cdaers acencies andr a Laes ee werc th

eceec
heve
tiom HOFCCredis,ds enployees. agents ard/or associetesSaaAr Nunes beathe r A OT OFNA be 1opcAie toccommunkcatonvcalusMS
nmade any paymeri in cash, Dearer cheque or knd along
winconneuin isAcn o he
repreasenutouengmou B9pIcBon A

Signatute of Student ignature of Co-Applica

Acknowledgement:
To be retained by the HDFC Credila Financlal Services Limited)

Name of the Student/ Co-Applicant: CK ANAND PRAKASII

Dear Sir/ Madam,

hereby contirn that, I have received ihe ackniowledgement receipt ot my education Ioan application.

Date: M0 Signature of Student/ Co-Applicant

***************************************** *********** -

Acknowledgement: Customer Copy

(To be given to / retained by the Student/ Co-Applicant)

Name of the Student/ Co-Appllcant: C ANAND PRARASII

Dear Slr / Madam,

This is to ocknowledge recelpt of your educatlon loan oppllcation form. The applicatlon will be processed in 21 days after recelving a comple'e set of all required
documents with the supporting information as may be required by HDFC Credila for appraisal of the applicalion.
Date: I For HDFC Credila Financial Services Limited
3HTT faHTST
INCOME TAX DEPARIMENT
HARI KET GUPTA GOVT. OF INDIA

KASHI NATH GUPTA

07/01/1973
formanshr Actoart srmibe
AHKPG2007L

inatirs A
 .:

3HTETY

HTRT HRhK
Unique dentificaion Authority of India
Government of India
IHTb=T iH/ Enrollment No.: 1221/12121/60163

Ta

Hanket Gupla
S/O: Kashi Nath Gupta
LIG 38 SHARDA BIHAR
R
wara
Korba
N
Korba
Pali Korba
Chhatisgarh 495677
9893190016

ML235951554FT

3HTY6T ATETR HHT/ Your Aadhaar No.

5497 2812 5443

HTeT 3TH 3ATGT TT 3196R

Govemment of India

Hariket Gupta
3FH AfTI DOB:07/01/1973
g54/ Male

5497 2812 5443