Vayana Finserv

⚠️ VALIDATION DISABLED — For testing only.

FACILITY APPLICATION FORM

Application Date

APPLICATION INFORMATION

Entity PAN Number *

Lender *

Lender is required.

Borrower Name *

Borrower name is required.

Product *

Product is required.

Anchor Name

Anchor name is required.

City *

City is required.

Applied Loan Amount (Rs.) *

₹

Loan amount is required.

APPLICANT PHOTOGRAPHS

BORROWER ENTITY DETAILS

Name of Entity *

Type of Entity *

Type of Entity is required.

Nature of Business *

Nature of Business is required.

Sector *

Sector is required.

Industry *

Industry is required.

Business Commencement Year *

Entity PAN *

GST Number *

LEI Number

LEI Expiry Date

LEI expiry date cannot be in the past.

CKYC Number

Office Mobile *

+91

Office Mobile is required.

Landline Number

Enter a valid landline number (5–15 digits, numbers only).

Email ID *

Office Ownership *

Office Ownership is required.

Years at Current Address

Office Address *

Office address is required.

Additional Address / Warehouse

PROMOTER / CO-BORROWER 1 / GUARANTOR 1 DETAILS

First Name * as per Aadhaar

Middle Name

Last Name *

Full Name:

Authorized Signatory

Gender *

Mother's Name *

Marital Status *

Spouse Name

Date of Birth *

Date of Birth is required.

Applicant age must be between 15 and 90 years.

Individual PAN *

Individual PAN is required.

Aadhaar Number *

XXXX-XXXX-

Last 4 digits of Aadhaar

CKYC Number

Education *

Education is required.

Years in Present Business

Total Experience (Years)

Mobile Number *

+91

Mobile Number is required.

Alternate Contact No.

Email ID *

Email ID is required.

Residence Ownership *

Years at Current Residence *

Building / Apartment *

Flat / Door / Floor *

Street / Road *

Area / Locality *

City *

State *

Pincode *

AUTHORISED SIGNATORY DETAILS

First Name *

Middle Name

Last Name *

Full Name: —

Gender *

Phone Number *

+91

Email ID *

Designation *

PAN Number *

Enter valid PAN Number.

Aadhaar Number *

XXXX-XXXX-

Last 4 digits

KEY CONTACT DETAILS (MANAGING DAY-TO-DAY BUSINESS)

Name *

Designation *

Gender *

Gender is required.

Mobile No. *

+91

Email ID *

DECLARATION / UNDERTAKING BY APPLICANT(S)

1. I/We hereby apply for a finance facility (“Facility”) mentioned in this application.

2. I/We declare that all the particulars, information and details given/filled in this Application Form are true, correct, complete and up-to date in all respects and no relevant information has been withheld. I/We represent and warrant that I/We will be sharing personal data, including the personal data of our representatives, officers, employees, key managerial personnel, directors and individual shareholders/beneficial owners (“Data Principals”), with due consent and in compliance with the applicable data protection laws as the Data Fiduciary. I/We shall immediately inform Vayana Finserv Private Limited (“VFPL”) and Partner Bank/NBFC in writing about all changes or change requests made by such Data Principals, enabling VFPL to comply with their obligations under the applicable data protection laws. VFPL may share such personal data with their service providers in relation to the application and loan. I/We shall indemnify VFPL and Partner Bank/NBFC for any claim received by VFPL and Partner Bank/NBFC or their service providers, relating to the processing of such Data Principal’s data for the purpose of this application/loan. I/We understand that the information given in this application shall form the basis of any loan that VFPL may decide to grant to the me/us/entity. If at any stage of processing this application, it comes to the knowledge of VFPL that, I/we have provided any incorrect or incomplete information, fabricated documents, or fake documents, they will be treated by VFPL and Partner Bank/NBFC as having been manipulated by me/us/entity and VFPL and Partner Bank/NBFC shall have the right to forthwith reject this loan application, cancel / revoke any sanction or recall any loan granted at any stage of processing the application, without assigning any reason whatsoever and VFPL and Partner Bank/NBFC and its employees/ representatives/ agents / service providers shall not be responsible/liable in any manner whatsoever to me/us/entity for such rejection or any delay in notifying me/us/entity of such rejection (including for any payments which may have been made by me to any vendor/ service provider prior to cancellation).

3. I/We further confirm that I/we am/are aware of all terms and conditions of availing finance from VFPL and Partner Bank/NBFC made available to me/ us in my/our preferred language i.e. English. I/We hereby authorize VFPL and Partner Bank/NBFC to procure my/our/entity’s PAN No/copy of my/our/entity’s PAN Card, other identity proof and bank account details as required from time to time. I/We consent to VFPL and Partner Bank/NBFC sharing all information relating to my/our/entity’s loan details and repayment history with other banks, financial institutions, credit bureau agencies (including but not limited to CIBIL, Experian, CRIF, and Equifax), and other authorized agencies. I/We further authorise VFPL and Partner Bank/NBFC to periodically obtain / generate credit bureau reports from credit bureau agencies or such other bureau reports as may be required. I/We shall not hold VFPL and Partner Bank/NBFC liable for use of such information, where it is utilized solely for the purpose of financing. I/We confirm that there are no criminal or insolvency proceedings against me/us/entity.

4. I/ We declare that I/ We have not made any payment in cash, bearer cheque or of any other kind along with or in connection with this Application Form to the person collecting my/our/entity’s Application Form. I/ We shall not hold VFPL and Partner Bank/NBFC or its employees/ representatives / agents/ service providers liable for any such payment made by us to the person collecting this Application Form.

5. I/We, hereby authorize VFPL and Partner Bank/NBFC, its employees, agents, representatives and associates to contact me/us/entity via telephonic calls, SMS or any other mode of communication, using my/our/entity’s mobile number and contact details mentioned in the Application Form as well as in this undertaking, to share transactional updates, information regarding various loan offer, promotional schemes or any other related services which may be offered by VFPL and Partner Bank/NBFC. I/We hereby confirm such communications shall not be considered unsolicited and agree that the provisions of the “National Do Not Call Registry” (the “NDNC Registry”) as laid down by Telecom Regulatory Authority of India, shall not apply to these communications/calls/ SMSs.

6. I/We, acknowledge that VFPL and Partner Bank/NBFC and its service provider and agent operate independently, and I/we will not have any claim against VFPL and Partner Bank/NBFC for any loan or other facility facilitated or provided by VFPL and Partner Bank/NBFC’s service provider or agent which is not sanctioned/ disbursed by VFPL and Partner Bank/NBFC. I/We acknowledge that VFPL does not in any manner make any representation, promise, statement or endorsement in respect of any other product of services which may be provided by its service provider / agent and will not be responsible or liable in any manner whatsoever for the same.

7. I/We do hereby expressly and irrevocably authorize VFPL and Partner Bank/NBFC, its service providers and its agents to collect, store, share, obtain, disclose and authenticate any aspect of my/our/entity’s personal and business information including Know Your Customer (KYC) details, either directly or through authorized agencies. I / We expressly and irrevocably authorize VFPL and Partner Bank/NBFC/ its service provider / its agent to collect, use, verify and authenticate such information in any manner deemed necessary, without any prior notice to me/us/entity.

8. I/We declare/undertake that the Facility will be used for the purpose for which it is granted.

9. I/We hereby agree as a pre-condition of the loan/advance given to me/us/entity by VFPL and Partner Bank/NBFC that in case I/we commit default in the repayment of the loan/ advances or in the repayment of interest thereon or any of the agreed installment of the loan on due date(s), VFPL and Partner Bank/NBFC will have an unqualified right to disclose or publish my/our/entity’s name or the name of our company/firm/unit and its directors/ partners/proprietors as defaulter in such manner and through such medium as VFPL and Partner Bank/NBFC in their absolute discretion may think fit.

10. I/We confirm that there are no pending statutory dues or claims in my/our/entity’s name. I/We also grant VFPL and Partner Bank/NBFC the right to inspect and verify our assets, books of account, in our business premises at any time.

11. I/We undertake to promptly inform VFPL and Partner Bank/NBFC of any change in my/our/entity’s information, including changes in occupation, residential address or any other material change that can impact the interest of VFPL and Partner Bank/NBFC and to provide any additional information that VFPL and Partner Bank/NBFC may require within 15 days of such change or request as the case may be.

12. I/We hereby authorize VFPL and Partner Bank/NBFC to open loan accounts for the selected products for the said facility.

13. I/We, hereby agree to share all such documents as may be required by VFPL and Partner Bank/NBFC, for credit assessment.

14. I/We hereby authorise VFPL and Partner Bank/NBFC to verify my/our/entity’s Know Your Customer (KYC) details, including those of our directors, group companies and any other individuals who are involved in the business.

15. I/We understand that VFPL and Partner Bank/NBFC shall retain copies of all such documents/information collected, solely for the purpose of this application.

16. VFPL and Partner Bank/NBFC shall have the sole discretion for sanction of the credit facility subject to execution of necessary documents and any other formalities.

17. I/We authorise VFPL and Partner Bank/NBFC to keep us informed regarding the credit facility via Telephone, SMS and/or E-mail.

18. I/We understand that in case of late payment or non-repayment of credit facility availed from VFPL and Partner Bank/NBFC, VFPL and Partner Bank/NBFC reserves the right to issue reminders, initiate follow up and undertake collections and recovery actions as deemed necessary.

19. VFPL and Partner Bank/NBFC shall as it may deem appropriate and necessary, be entitled to disclose all or any information to CIBIL, Experian, CRIF or Equifax and any other agency authorized in this behalf by Reserve Bank of India, about the default, if any, committed by me/us/entity in discharging my/our/entity’s obligation in relation to the credit facility availed from VFPL and Partner Bank/NBFC.

20. Indicative documents: Last 2 years complete audited financial statements, bank statements, GST reports, KYC documents of promoters and the company, application form, consent form, and other required documents.

Consent Notice under Applicable Personal Data Protection Laws

We are a Non-banking Finance Company engaged in the business of providing credit facilities to its eligible customers as a Lender or Co-Lender, within the framework prescribed by the Reserve Bank of India. Since youhave expressed your interest in availing of a credit facility from us/our co-lenders, we will be collecting the following personal data from you:

Name, Email ID, Mobile Number, Residential Address and Photographs
KYC and Identification documents (PAN, Aadhaar, passport or other government-issued ID, as applicable)
Credit and financial information

We/our co-lending partner will use your personal data for the following purposes, as may be applicable:

To verify your identity.
To confirm your eligibility and creditworthiness for the credit facility.
For “Know Your Customer (KYC)”, due diligence and onboarding requirements.
To provide the credit facility, monitor, service, administer and recover the credit facility and to complete the ancillary functions associated with the credit facility.
To communicate with you in relation to the credit facility, including for completion and updating of the load documents, disbursements, repayments and collections.
To complete any other action as your lender. as may be required under applicable laws, including reporting to regulators.
Share your data with our service providers, credit bureaus, co-lenders, consultants, auditors and advisors in relation to any of the above purposes.
To enable you to appoint a nominee to exercise your rights over your personal data on your behalf, and to communicate with such nominees regarding your personal data.
To conduct analytics, research and improve our products and services.
To communicate with you in relation to any other services which may interest you or suit your requirements.

Please provide consent for our use of your personal data for the following specified purposes.

I consent to the use of my personal data for purposes (i) to (viii)
I consent to the use of my personal data for purposes (ix) to (x)

You shall ensure that the personal data provided by you is up to date and accurate.

You may write to us at enquiries@vayanafinserv.com to withdraw your consent or to raise any of the following requests in relation to your personal data:(i) Correction (ii) Update (iii) Erasure

You agree that withdrawal of consent shall be subject to applicable laws and may impact our ability to provide or continue the loan or credit facility.

You may submit your complaints related to data handling or consent, by writing to us at customercare@vayanafinserv.com.

In the event you are dissatisfied with the redressal provided by us, you may share your concerns with us or you may escalate the grievance to the Data Protection Board of India (DPBI) as per the due process.

Vayana Finserv Private Limited

Consent Declaration

I/We hereby:

Confirm that I/we have read and understood this Consent Notice.
Provide my/our free, specific, informed, unconditional and unambiguous consent for the collection and processing of my/our personal data for the purposes (i) to (x) stated in the Consent Notice.
Confirm that the personal data provided is accurate and up to date, and undertake to update it as necessary.

SIGNATURES