EP003054300 Sourcing Channel PERSONAL LOAN Branches APPLICATION FORM DSA Alternate .Please use CAPITAL LETTERS only. .Please Tick wherever Applicable. .All fields are mandatory. FOR BANK USE ONLY SOL ID 0040 RM NAME SRI KUMAR-90021812 Employee No. 568631 Date Channel Name PL-XSELL Executive Name ERIGIRALA BHASKER Executive Code IPRO005079O01472 DSA Code BRANCH-0040 VSTS Code CRM ID/IKART ID Application Type: New Update KYC Number 30032229968415 (Mandatory for KYC update request) Account Type: Normal PERSONAL DETAILS Title Mr. Mrs. Miss _________ Others APPLICANT CO-APPLICANT Name CHOPPADANDI SAGAR Maiden Name Father's Name LACHAIAH CHOPPADANDI Mother's Name MALLAMMA Spouse Name DOB Date of birth 09-09-1988 Gender: Male Female Transgender | Religion: HINDU Education Professional Diploma Holder Graduate Post Graduate Under Graduate/Matriculate Customer Category General SC ST OBC Other __________ | Marital Status: Married Single Others______ Residence Address 8-4-369/BN/334,1,BANJARA NAGAR,BORABANDA,,KAVITHA VIDHYANIKETHANSCHOOL City/Town/Village HYDERABAD District K V RANGAREDDY Nearest Landmark State TELANGANA PIN 500018 Tel( R ) - Residence is Self Owned Rented Company provided Other ________________ Residence Type Bunglow(B) Row House(R) Flat(F) Other(O) ________________ No.of years at above residence 5 Yrs 0 Months Tick,if Permanent Address is same as Residence Address Permanent Address BOTLAVANAPARTHY KARIMNAGAR,BOTLAVANAPARTHY City/Town/Village KARIMNAGAR District KARIMNAGAR Landmark State TELANGANA PIN 505187 Tel( R ) - Location Category Rural Semi Urban Urban Metro Additional Address BOTLAVANAPARTHY KARIMNAGAR,BOTLAVANAPARTHY District KARIMNAGAR City/Town/Village KARIMNAGAR State TELANGANA PIN 505187 Nearest Landmark Tel( R ) - Mobile No. 8106176863 Email ID SAGARHIMIC@GMAIL.COM Gross Income 10 to 20 lakhs (per annum) UID No XXXX-XXXX-6133 Citizenship IN-Indian Others (ISO 3166 Country Code) No. of Dependents Residential Status Non-resident Individual Person of Indian Origin Foreign National Resident Individual PREFERRED MAILING ADDRESS Subscription for statement by Email/Mobile Alerts Residence (R) Office (O) Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863 EP003054300 Sourcing Channel PERSONAL LOAN Branches APPLICATION FORM DSA Alternate .Please use CAPITAL LETTERS only. .Please Tick wherever Applicable. .All fields are mandatory. FOR BANK USE ONLY SOL ID 0040 RM NAME SRI KUMAR-90021812 Employee No. 568631 Date Channel Name PL-XSELL Executive Name ERIGIRALA BHASKER Executive Code IPRO005079O01472 DSA Code BRANCH-0040 VSTS Code CRM ID/IKART ID Application Type: New Update KYC Number 30032229968415 (Mandatory for KYC update request) Account Type: Normal PERSONAL DETAILS Title Mr. Mrs. Miss _________ Others APPLICANT CO-APPLICANT Name CHOPPADANDI SAGAR Maiden Name Father's Name LACHAIAH CHOPPADANDI Mother's Name MALLAMMA Spouse Name DOB Date of birth 09-09-1988 Gender: Male Female Transgender | Religion: HINDU Education Professional Diploma Holder Graduate Post Graduate Under Graduate/Matriculate Customer Category General SC ST OBC Other __________ | Marital Status: Married Single Others______ Residence Address 8-4-369/BN/334,1,BANJARA NAGAR,BORABANDA,,KAVITHA VIDHYANIKETHANSCHOOL City/Town/Village HYDERABAD District K V RANGAREDDY Nearest Landmark State TELANGANA PIN 500018 Tel( R ) - Residence is Self Owned Rented Company provided Other ________________ Residence Type Bunglow(B) Row House(R) Flat(F) Other(O) ________________ No.of years at above residence 5 Yrs 0 Months Tick,if Permanent Address is same as Residence Address Permanent Address BOTLAVANAPARTHY KARIMNAGAR,BOTLAVANAPARTHY City/Town/Village KARIMNAGAR District KARIMNAGAR Landmark State TELANGANA PIN 505187 Tel( R ) - Location Category Rural Semi Urban Urban Metro Additional Address BOTLAVANAPARTHY KARIMNAGAR,BOTLAVANAPARTHY District KARIMNAGAR City/Town/Village KARIMNAGAR State TELANGANA PIN 505187 Nearest Landmark Tel( R ) - Mobile No. 8106176863 Email ID SAGARHIMIC@GMAIL.COM Gross Income 10 to 20 lakhs (per annum) UID No XXXX-XXXX-6133 Citizenship IN-Indian Others (ISO 3166 Country Code) No. of Dependents Residential Status Non-resident Individual Person of Indian Origin Foreign National Resident Individual PREFERRED MAILING ADDRESS Subscription for statement by Email/Mobile Alerts Residence (R) Office (O) Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863 DETAILS OF FACILITY REQUIRED* Credit Facility Amount 1000000 Tenure 48 Months *Subject to Approval Purpose of Facility Education Travel Occasion in Family Purchase of Household/ Electronic Goods Home Renovation / Extension _________________ Others HE-PERSONAL USE Utilisation District K V RANGAREDDY Utilisation Taluka Occupation OTHERS Division OTHERS Sub Division OTHERS Activity OTHERS OCCUPATIONAL DETAILS Private Sector Public Sector Government Sector Occupation Retired Housewife Salaried _________________ Others If Salaried / Constitution Type of company Occupation Name Pvt.Ltd. Partnership Proprietor Public Ltd. Ltd. Liability co. Retailers PSU Govt MNC Others_______ Automobile Agriculture based Banking BPO Capital goods Telecom IT Retail Real Estate Consumer Durables FMCG NBFC Marketing/Adv. Pharma Media Other_ Education Electricity,gas&water supply Health&Social Work Fishing Mining&Quarrying Transportation Public Administrations / Defense Hospitality Trader / Distributor Comm. Agent Retailer Employer Details Designation: OTHER Total Exp injob: 8 Yrs 0 Months Exp.in Currentjob: 2 Yrs 5 Months Emp ID 31257 Company/Employer Name OTHERS-USM BUSINESS SYSTEMS Company/Employer Address 8-2-293/82 USM BUSINESS SYSTEMS A/270E NROAD NO 10 GAYATRI HILLS JUBILEE HILLS Landmark RD NO 10 City HYDERABAD PIN Code 500033 State TELANGANA Country INDIA Tel(0) - Mobile 8106176863 Office e-mail ID SAGARC@USMSYSTEMS.COM BANK DETAILS (Primary Bank) Name of Bank ICICI BANK LTD Branch BALANAGAR BRANCH A/C. No. 111501505590 UPI/VPA Account Type Saving Current OC/CC if Overdraft,Limit: No.of years: Existing relationship with ICICI: CC HH AL PL ENACH Registration Mode: Net Banking Debit Card PROOF OF IDENTITY(POI) (Certified copy of any one of the following POI needs to be submitted) A-Passport Number Expiry Date B-Voter ID Card C-National Population Register Letter D - Driving License Expiry Date E-UID( Aadhar) 6133 or VID No. F-NREGA Job Card Z-Other(any docment notified by government) Identification No. S-Simplified Measures Account-Document Type Code Identification No. PROOF OF ADDRESS(POA) Current/ Permanent/ Overseas Address Details (Certified copy of any one of the following POA needs to be submitted) Address Type Residential Business Registered Office Unspecified Proof of Address Passport Driving License UID(Aadhar) Voter ID card NREGA Job Card National Population Register Letter Other Simplified Measures account- Document Type Code Current address(correspondence/local address):State/ UT code: TELANGANA ISO 3166 Country Code INDIA Permanent Address: State/ UT code: TELANGANA ISO 3166 Country code: INDIA Overseas Address: ISO 3166 Country code Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863 DETAILS OF FACILITY REQUIRED* Credit Facility Amount 1000000 Tenure 48 Months *Subject to Approval Purpose of Facility Education Travel Occasion in Family Purchase of Household/ Electronic Goods Home Renovation / Extension _________________ Others HE-PERSONAL USE Utilisation District K V RANGAREDDY Utilisation Taluka Occupation OTHERS Division OTHERS Sub Division OTHERS Activity OTHERS OCCUPATIONAL DETAILS Private Sector Public Sector Government Sector Occupation Retired Housewife Salaried _________________ Others If Salaried / Constitution Type of company Occupation Name Pvt.Ltd. Partnership Proprietor Public Ltd. Ltd. Liability co. Retailers PSU Govt MNC Others_______ Automobile Agriculture based Banking BPO Capital goods Telecom IT Retail Real Estate Consumer Durables FMCG NBFC Marketing/Adv. Pharma Media Other_ Education Electricity,gas&water supply Health&Social Work Fishing Mining&Quarrying Transportation Public Administrations / Defense Hospitality Trader / Distributor Comm. Agent Retailer Employer Details Designation: OTHER Total Exp injob: 8 Yrs 0 Months Exp.in Currentjob: 2 Yrs 5 Months Emp ID 31257 Company/Employer Name OTHERS-USM BUSINESS SYSTEMS Company/Employer Address 8-2-293/82 USM BUSINESS SYSTEMS A/270E NROAD NO 10 GAYATRI HILLS JUBILEE HILLS Landmark RD NO 10 City HYDERABAD PIN Code 500033 State TELANGANA Country INDIA Tel(0) - Mobile 8106176863 Office e-mail ID SAGARC@USMSYSTEMS.COM BANK DETAILS (Primary Bank) Name of Bank ICICI BANK LTD Branch BALANAGAR BRANCH A/C. No. 111501505590 UPI/VPA Account Type Saving Current OC/CC if Overdraft,Limit: No.of years: Existing relationship with ICICI: CC HH AL PL ENACH Registration Mode: Net Banking Debit Card PROOF OF IDENTITY(POI) (Certified copy of any one of the following POI needs to be submitted) A-Passport Number Expiry Date B-Voter ID Card C-National Population Register Letter D - Driving License Expiry Date E-UID( Aadhar) 6133 or VID No. F-NREGA Job Card Z-Other(any docment notified by government) Identification No. S-Simplified Measures Account-Document Type Code Identification No. PROOF OF ADDRESS(POA) Current/ Permanent/ Overseas Address Details (Certified copy of any one of the following POA needs to be submitted) Address Type Residential Business Registered Office Unspecified Proof of Address Passport Driving License UID(Aadhar) Voter ID card NREGA Job Card National Population Register Letter Other Simplified Measures account- Document Type Code Current address(correspondence/local address):State/ UT code: TELANGANA ISO 3166 Country Code INDIA Permanent Address: State/ UT code: TELANGANA ISO 3166 Country code: INDIA Overseas Address: ISO 3166 Country code Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863 INSURANCE INTENT DECLARATION I/We hereby declare that I/We would like to opt for insurance plan offered by insurance company in association with ICICI Bank.I/ We have carefully read and understood the contents of brochure. I/We have understood that the insurance premium shall be deducted from the loan amount sanctioned by ICICI Bank and I hereby authorize ICICI Bank to deduct the insurance premium from sanctioned loan amount and disburse only the remaining loan amount. I confirm that I am voluntarily participating in this programme and am aware that the loan is available without insurance as well Signature of the Applicant CONSENT FOR ICICI BANK(GDPR Declaration) Yes for ICICI Group Companies Yes for partners of ICICI Bank Yes for both Not for both Mode of marketing By E-Mail By Post By SMS/Text By Social Media By Telephone / Call By Whatsapp No to marketing by all Yes to marketing by all TICK YOUR CHOICE OF CARD* (Tick just one) Signature of the Applicant Product Net Monthly Income(*) Joining Fee Annual Fee (2nd year Onwards) Minimum Spends for Annual fee reversal Large Pricing ICICI Bank Sapphtro CreditCard 1,50,000 and above NIL 3500 5,00,000 412 TW ICICI Bank Rubyx CreditCard 45,000 and above NIL 2500 3,00,000 435 TS ICICI Bank Coral CreditCard 20,000 and above NIL 500 1,50,000 365 PW ICICI Bank Maturity Trip Platinum Card 20,000 and above 500 NA NA 443 JF ICICI Bank Manchester United Platinum Card 20,000 and above 499 NA 1,25,000 418 PF FEES & CHARGES* Overdue Interest on extended credit Interest on cash advances Monthly Annual Monthly Annual ICICI Bank Card 3.40% 40.80% 3.40% 40.80% Subscription for statement by Email Mobile Alerts *GST Charges are Applicable Name to be printed on Credit Card*(Maximum 19 characters, including spaces) REFERENCES (PREFERABLY FRIEND/COLLEAGUE) 1. Name Relationship Address Pincode Email ID Tel/Mob No. Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863 INSURANCE INTENT DECLARATION I/We hereby declare that I/We would like to opt for insurance plan offered by insurance company in association with ICICI Bank.I/ We have carefully read and understood the contents of brochure. I/We have understood that the insurance premium shall be deducted from the loan amount sanctioned by ICICI Bank and I hereby authorize ICICI Bank to deduct the insurance premium from sanctioned loan amount and disburse only the remaining loan amount. I confirm that I am voluntarily participating in this programme and am aware that the loan is available without insurance as well Signature of the Applicant CONSENT FOR ICICI BANK(GDPR Declaration) Yes for ICICI Group Companies Yes for partners of ICICI Bank Yes for both Not for both Mode of marketing By E-Mail By Post By SMS/Text By Social Media By Telephone / Call By Whatsapp No to marketing by all Yes to marketing by all TICK YOUR CHOICE OF CARD* (Tick just one) Signature of the Applicant Product Net Monthly Income(*) Joining Fee Annual Fee (2nd year Onwards) Minimum Spends for Annual fee reversal Large Pricing ICICI Bank Sapphtro CreditCard 1,50,000 and above NIL 3500 5,00,000 412 TW ICICI Bank Rubyx CreditCard 45,000 and above NIL 2500 3,00,000 435 TS ICICI Bank Coral CreditCard 20,000 and above NIL 500 1,50,000 365 PW ICICI Bank Maturity Trip Platinum Card 20,000 and above 500 NA NA 443 JF ICICI Bank Manchester United Platinum Card 20,000 and above 499 NA 1,25,000 418 PF FEES & CHARGES* Overdue Interest on extended credit Interest on cash advances Monthly Annual Monthly Annual ICICI Bank Card 3.40% 40.80% 3.40% 40.80% Subscription for statement by Email Mobile Alerts *GST Charges are Applicable Name to be printed on Credit Card*(Maximum 19 characters, including spaces) REFERENCES (PREFERABLY FRIEND/COLLEAGUE) 1. Name Relationship Address Pincode Email ID Tel/Mob No. Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863 DECLARATION I/We have no objection to ICICI Bank Limited, its group companies, agents/representatives to provide me/us information on various products, offers & services provided by ICICI Bank Limited/ its group companies through any mode (including without limitation through telephone calls/ SMSs/emails) and authorize ICICI Bank Limited, Its group companies, agents I representatives for the above purpose. Please tick Yes or No, as acceptable# Yes No COMMON DECLARATIONS 1. I/We declare that all the particulars and information and details given/filled in this application form are true, correct,complete and up- to-date in all respects and that I/We have notwithheld any information whatsoever. 13. II/We declare and undertake that the Credit Cards issued to me /us,if used overseas, shall be utilised strictly in accordance with the relevant exchange control regulations issued & as amended by the Reserve Bank of India(RBI) from time to time. In the event I/we exceed my/our entitlements as per the exchange control guide-lines of RBI, I/we undertake to bring the same immediately to the notice of ICICI Bank Limited in writing. Further, I/we also agree and understand that if I/we am/are required to get my/our passport endorsed for any charges incurred by me/us as stipulated by RBI, the onus of getting my/our passport endorsed shall lie entirely on me /us. In the event of any failure to comply with the prevailing exchange control guidelines issued by RBI to me/us, I/we shall be liable for any action under the Foreign Exchange Management Act, 1999, as amended and be debarred from the Credit Card facility either at ICICI Bank Limited instance or by RBI. 2. I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I 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 am aware that I may be held liable for it. 3. I hereby consent to receiving information from Central KYC Registry through SMS / Email on the above registered number/email address. 4. I/ We confirm that no insolvency proceedings or suits for recovery of outstanding dues or monies whatsoever and/ or any criminal proceedings have been initiated and/or are pending against me/us and that I / we have been never adjudicated insolvent by any court or other authority. 5. No action nor other steps have been taken or legal proceedings started by or against me/us in any court of law/ other authorities for Winding up, dissolution, administration or reorganization or for the appointment of a receiver, administrator, administrative receiver, trustee or similar officer or for my/our assets. 14. In the event of a Credit Card programme closure or at the time of renewal of Credit Card, ICICI Bank Limited at its sole discretion reserves the right to provide a card type that is different from the existing card type held by the Cardholder. The credit limits and cash limits on any Credit Card at any point in time are as per sole discretion of ICICI Bank Limited. The card application shall continue to be valid for any replacement card provided at the time of closure/renewal. Internationally valid Card and all other Cards cannot be used on Internet or otherwise for purchase of prohibited items like lottery tickets, banned or proscribed magazines, participation in sweepstakes, payment for callback services, remittance in any form towards overseas forex trading, margin calls to overseas exchanges/overseas counter party, trading in foreign exchange in domestic/overseas markets etc. 6. I/We declare that I/we have not made any payment in cash, bearer cheque or kind along with or in connection with this application to the executive or kind along with or in connection with this application to the executive such payment made by us to the executive collecting this application. 7. l/We understand and confirm that the Application Form and all other documents submitted by me/us to ICICI Bank shall not be returned to me/us and ICICI Bank shall have the right to retain the same. 8. I/ We authorize ICICI Bank Limited (ICICI Bank) and their agents to exchange, share or part with all information and data maintained with ICICI Bank relating to my/ our existing account related information including existing or prior loans and repayment history to other ICICI group companies, banks, financial institutions, credit bureau, agencies, mobile network operators directly or indirectly, statutory bodies and other service providers of ICICI Bank as may be required and I/We shall not hold ICICI Bank (or any of its group companies) liable for sharing such information. 15.I/We have read the application form and brochures and am/are aware of all the terms / conditions of availing finance from ICICI Bank Limited. I/We authorise ICICI Bank Limited to make references and enquiries related to information in this application which, ICICI Bank Limited consider necessary. I/We undertake to inform ICICI Bank Limited regarding change in my/our residence /employment and to provide any further information that ICICI Bank Limited may require. I confirm that I have gone through all the Terms& Conditions, Most Important Terms & Conditions and Important Credit Card Declaration and hereby agree to abide by the same. 16.For cash withdrawals, interests will be charged from the day of transaction and no free credit period will be provided. 17.I hereby give consent to ICICI Bank for linking my ICICI Bank credit card with my existing ICICI Bank savings/current account, if any. I understand that this would enable me to access my ICICI Bank credit card account using the existing user ID provided to me under my ICICI Bank savings/current account, if any, through internet banking and iMobile facility. I further understand that I may delink my ICICI Bank savings/current account from my ICICI credit card by calling ICICI Customer Care number available at www.icicibank.com 18.I understand that under the alert facility,ICICI Bank will enable me to receive customer message alerts with respect to events/ transactions relating to my Credit Card or informational/ promotional mail that will be useful to me over my mobile phone or through e-mail. I agree to receive communication on my alternate e- mail ID in case the alert messages with respect to any event / transaction are not delivered to my preferred e-mail ID.(subject to information provided in the Application Form). I agree to abide by the Terms & Conditions of ICICI Bank in this regard. 9. I/We understand and acknowledge that ICICI Bank shall have the absolute discretion, without assigning any reasons (unless required by applicable law), to reject our application and that ICICI Bank shall not be responsible/liable in any manner whatsoever to me/us for such rejection or any delay in notifying me/us of such rejection and any costs, losses, damages or expenses, or other consequences, caused by reason of such rejection, or any delay in notifying me/us of such rejection,of our application. 10. Except to the extent disclosed to ICICI Bank, no director or a relative/near relation (as specified by RBI) of a director of a banking company (including ICICI Bank) or a relative/near relation (as specified by RBI) of a senior officer of ICICI Bank (as specified by RBI) is the Applicant(s),or a partner of concern, or of our subsidiary, or our holding company, or a guarantor on my/our behalf, or holds substantial interest in our concern or my/our subsidiary or holding company. DECLARATION I/We have no objection to ICICI Bank Limited, its group companies, agents/representatives to provide me/us information on various products, offers & services provided by ICICI Bank Limited/ its group companies through any mode (including without limitation through telephone calls/ SMSs/emails) and authorize ICICI Bank Limited, Its group companies, agents I representatives for the above purpose. Please tick Yes or No, as acceptable# Yes No COMMON DECLARATIONS 1. I/We declare that all the particulars and information and details given/filled in this application form are true, correct,complete and up- to-date in all respects and that I/We have notwithheld any information whatsoever. 13. II/We declare and undertake that the Credit Cards issued to me /us,if used overseas, shall be utilised strictly in accordance with the relevant exchange control regulations issued & as amended by the Reserve Bank of India(RBI) from time to time. In the event I/we exceed my/our entitlements as per the exchange control guide-lines of RBI, I/we undertake to bring the same immediately to the notice of ICICI Bank Limited in writing. Further, I/we also agree and understand that if I/we am/are required to get my/our passport endorsed for any charges incurred by me/us as stipulated by RBI, the onus of getting my/our passport endorsed shall lie entirely on me /us. In the event of any failure to comply with the prevailing exchange control guidelines issued by RBI to me/us, I/we shall be liable for any action under the Foreign Exchange Management Act, 1999, as amended and be debarred from the Credit Card facility either at ICICI Bank Limited instance or by RBI. 2. I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I 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 am aware that I may be held liable for it. 3. I hereby consent to receiving information from Central KYC Registry through SMS / Email on the above registered number/email address. 4. I/ We confirm that no insolvency proceedings or suits for recovery of outstanding dues or monies whatsoever and/ or any criminal proceedings have been initiated and/or are pending against me/us and that I / we have been never adjudicated insolvent by any court or other authority. 5. No action nor other steps have been taken or legal proceedings started by or against me/us in any court of law/ other authorities for Winding up, dissolution, administration or reorganization or for the appointment of a receiver, administrator, administrative receiver, trustee or similar officer or for my/our assets. 14. In the event of a Credit Card programme closure or at the time of renewal of Credit Card, ICICI Bank Limited at its sole discretion reserves the right to provide a card type that is different from the existing card type held by the Cardholder. The credit limits and cash limits on any Credit Card at any point in time are as per sole discretion of ICICI Bank Limited. The card application shall continue to be valid for any replacement card provided at the time of closure/renewal. Internationally valid Card and all other Cards cannot be used on Internet or otherwise for purchase of prohibited items like lottery tickets, banned or proscribed magazines, participation in sweepstakes, payment for callback services, remittance in any form towards overseas forex trading, margin calls to overseas exchanges/overseas counter party, trading in foreign exchange in domestic/overseas markets etc. 6. I/We declare that I/we have not made any payment in cash, bearer cheque or kind along with or in connection with this application to the executive or kind along with or in connection with this application to the executive such payment made by us to the executive collecting this application. 7. l/We understand and confirm that the Application Form and all other documents submitted by me/us to ICICI Bank shall not be returned to me/us and ICICI Bank shall have the right to retain the same. 8. I/ We authorize ICICI Bank Limited (ICICI Bank) and their agents to exchange, share or part with all information and data maintained with ICICI Bank relating to my/ our existing account related information including existing or prior loans and repayment history to other ICICI group companies, banks, financial institutions, credit bureau, agencies, mobile network operators directly or indirectly, statutory bodies and other service providers of ICICI Bank as may be required and I/We shall not hold ICICI Bank (or any of its group companies) liable for sharing such information. 15.I/We have read the application form and brochures and am/are aware of all the terms / conditions of availing finance from ICICI Bank Limited. I/We authorise ICICI Bank Limited to make references and enquiries related to information in this application which, ICICI Bank Limited consider necessary. I/We undertake to inform ICICI Bank Limited regarding change in my/our residence /employment and to provide any further information that ICICI Bank Limited may require. I confirm that I have gone through all the Terms& Conditions, Most Important Terms & Conditions and Important Credit Card Declaration and hereby agree to abide by the same. 16.For cash withdrawals, interests will be charged from the day of transaction and no free credit period will be provided. 17.I hereby give consent to ICICI Bank for linking my ICICI Bank credit card with my existing ICICI Bank savings/current account, if any. I understand that this would enable me to access my ICICI Bank credit card account using the existing user ID provided to me under my ICICI Bank savings/current account, if any, through internet banking and iMobile facility. I further understand that I may delink my ICICI Bank savings/current account from my ICICI credit card by calling ICICI Customer Care number available at www.icicibank.com 18.I understand that under the alert facility,ICICI Bank will enable me to receive customer message alerts with respect to events/ transactions relating to my Credit Card or informational/ promotional mail that will be useful to me over my mobile phone or through e-mail. I agree to receive communication on my alternate e- mail ID in case the alert messages with respect to any event / transaction are not delivered to my preferred e-mail ID.(subject to information provided in the Application Form). I agree to abide by the Terms & Conditions of ICICI Bank in this regard. 9. I/We understand and acknowledge that ICICI Bank shall have the absolute discretion, without assigning any reasons (unless required by applicable law), to reject our application and that ICICI Bank shall not be responsible/liable in any manner whatsoever to me/us for such rejection or any delay in notifying me/us of such rejection and any costs, losses, damages or expenses, or other consequences, caused by reason of such rejection, or any delay in notifying me/us of such rejection,of our application. 10. Except to the extent disclosed to ICICI Bank, no director or a relative/near relation (as specified by RBI) of a director of a banking company (including ICICI Bank) or a relative/near relation (as specified by RBI) of a senior officer of ICICI Bank (as specified by RBI) is the Applicant(s),or a partner of concern, or of our subsidiary, or our holding company, or a guarantor on my/our behalf, or holds substantial interest in our concern or my/our subsidiary or holding company. 202031392E492068657265627920617574686F726973652049434943492042616E6B204C746420289349434943492042616E6B942920746F207368617265206D7920 data or information associated with my MakeMyTrip ICICI Bank 437265646974204361726420282243617264206170706C69636174696F6E94292028692920452D6D61696C2049443B2028696929204D6F62696C65206E756D6265723B2020 (iii) Card variant availed of (Platinum); (iv) Credit Card account number with MakeMyTrip (India) Private Limited and its affiliates 28934D4D54942920746F2075706461746520697473207265636F72647320616E642070726F76696465206D652073657276696365732C207265776172647320262020 benefits with respect to the Card. E-mail ID provided by me in the Card application does not have a corresponding MMT account, MMT shall provide me with services, rewards & benefits associated with the Card on my MMT account linked to my mobile number. In case my e-mail ID or mobile number are not present in any MMT account, MMT shall create a new MMT account on my behalf with my e-mail ID and/or mobile number, provided under the Card application. MMT shall update me with details of the new MMT account and steps to access the new MMT account by way of an SMS and/or e-mail. For Credit Card 11.Issuance of the said Credit Card is at the sole discretion of ICICI Bank Ltd. The credit limits on the Credit Card account will be fixed by the bank based on my income documents. 12.The Cardholder shall be entitled to apply for a review /enhancement/reduction of the credit Limit and/or Cash Limit (if provided by ICICI Bank), upon completion of 12 months of his/her membership. Alterations upon such review, if any, of the Credit Limit and/or Cash Limit will be at the sole discretion of ICICI Bank ICICI Bank shall at its sole discretion be. entitled to review (including enhancement or reduction) of the Credit Limit and/or Cash Limit assigned on the Card at any time & only enhancements, if any, to the Credit Limit &/or the Cash Limit, shall be effected by ICICI Bank with the consent of the Cardholder. END USE DECLARATION I hereby represent, warrant and confirm that the loan has been taken for a valid purpose and is not speculative or illegal in any manner. I also declare that funds under the facility will not be used towards purchase of gold in any form, including primary gold, gold bullion, gold jewellery, gold coins, units of gold exchange traded funds(ETF) and units of gold, mutual funds etc. The facility either in part or full will not be used for investment in capital market, land acquisition, promoters contribution in the project or any other purpose, which is prohibited or any illegal activity. I further agree, confirm and undertake that the purpose of use of funds under the loan shall not be changed in any manner during the tenor of loan, or that such change in purpose shall take place only with the prior written permission of ICICI Bank. I agree that any breach or default in complying with all or any of the aforesaid undertaking(s) will constitute an event of default under the facility documents. 93446973636C61696D65723A20506F696E7420313120746F31392061726520666F72204372656469742043617264206170706C69636174696F6E206F6E6C799420 DETAILS OF CHARGES Interest Rate* % per annum Processing Fee(Non refundable)* up to 2.25% of loan amount plus GST if others please specify Prepayment Charges* 5% of principal outstanding plus GST if others please specify *(Subject to change as per bank's discretion from time to time) Note: Please visit http://www.icicibank.com for detailed charges & fees under the respective loan product. Changes 696E20636861726765732066726F6D2074696D6520746F2074696D65206172652075706461746564206F6E2062616E6B927320776562736974652E Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863 202031392E492068657265627920617574686F726973652049434943492042616E6B204C746420289349434943492042616E6B942920746F207368617265206D7920 data or information associated with my MakeMyTrip ICICI Bank 437265646974204361726420282243617264206170706C69636174696F6E94292028692920452D6D61696C2049443B2028696929204D6F62696C65206E756D6265723B2020 (iii) Card variant availed of (Platinum); (iv) Credit Card account number with MakeMyTrip (India) Private Limited and its affiliates 28934D4D54942920746F2075706461746520697473207265636F72647320616E642070726F76696465206D652073657276696365732C207265776172647320262020 benefits with respect to the Card. E-mail ID provided by me in the Card application does not have a corresponding MMT account, MMT shall provide me with services, rewards & benefits associated with the Card on my MMT account linked to my mobile number. In case my e-mail ID or mobile number are not present in any MMT account, MMT shall create a new MMT account on my behalf with my e-mail ID and/or mobile number, provided under the Card application. MMT shall update me with details of the new MMT account and steps to access the new MMT account by way of an SMS and/or e-mail. For Credit Card 11.Issuance of the said Credit Card is at the sole discretion of ICICI Bank Ltd. The credit limits on the Credit Card account will be fixed by the bank based on my income documents. 12.The Cardholder shall be entitled to apply for a review /enhancement/reduction of the credit Limit and/or Cash Limit (if provided by ICICI Bank), upon completion of 12 months of his/her membership. Alterations upon such review, if any, of the Credit Limit and/or Cash Limit will be at the sole discretion of ICICI Bank ICICI Bank shall at its sole discretion be. entitled to review (including enhancement or reduction) of the Credit Limit and/or Cash Limit assigned on the Card at any time & only enhancements, if any, to the Credit Limit &/or the Cash Limit, shall be effected by ICICI Bank with the consent of the Cardholder. END USE DECLARATION I hereby represent, warrant and confirm that the loan has been taken for a valid purpose and is not speculative or illegal in any manner. I also declare that funds under the facility will not be used towards purchase of gold in any form, including primary gold, gold bullion, gold jewellery, gold coins, units of gold exchange traded funds(ETF) and units of gold, mutual funds etc. The facility either in part or full will not be used for investment in capital market, land acquisition, promoters contribution in the project or any other purpose, which is prohibited or any illegal activity. I further agree, confirm and undertake that the purpose of use of funds under the loan shall not be changed in any manner during the tenor of loan, or that such change in purpose shall take place only with the prior written permission of ICICI Bank. I agree that any breach or default in complying with all or any of the aforesaid undertaking(s) will constitute an event of default under the facility documents. 93446973636C61696D65723A20506F696E7420313120746F31392061726520666F72204372656469742043617264206170706C69636174696F6E206F6E6C799420 DETAILS OF CHARGES Interest Rate* % per annum Processing Fee(Non refundable)* up to 2.25% of loan amount plus GST if others please specify Prepayment Charges* 5% of principal outstanding plus GST if others please specify *(Subject to change as per bank's discretion from time to time) Note: Please visit http://www.icicibank.com for detailed charges & fees under the respective loan product. Changes 696E20636861726765732066726F6D2074696D6520746F2074696D65206172652075706461746564206F6E2062616E6B927320776562736974652E Name:CHOPPADANDI SAGAR 2023-03-13 12:57:04.0 OTP sent on ******6863