ClearTax Loans Application Form

First Name PALANISAMY Middle Name

Contact No 9865851903 Alternate Contact No

Current Address 3 / 961, , THIRUVEEKA VEETHI WATE
Personal Details Pincode 638008 City
Permanent Address 1 KAVALATHI MARA THOTTAM KALI
Pincode 638008 City
DOB (DD/MM/YYYY) 1/31/1975 PAN
Residence Type RESIDENT Gender

Loan Details Type of Loan TERM LOAN

Tenure (Years) 20

Business Name SRI SELLIAMMAN TEXTILES

Current Year Sales Previous Year Sales
Business Details 5199610
Turnover (INR) Turnover (INR)
Net Worth (INR) 28876000

I authorize ClearTax and / or its affiliates to contact me. This over rides my number being in NDNC registry
I understand that ClearTax and / or its affiliates will be pulling my credit report from the credit bureaus to process my l
ns Application Form
Last Name MURUGESAN

Email ID
961, , THIRUVEEKA VEETHI WATER TANK ROAD, AVATHI PALAYAM
ERODE State TAMIL NADU
1 KAVALATHI MARA THOTTAM KALIYANOOR POST PALLIPALAYAM
ERODE State TAMIL NADU
ANDPM0060A Aadhar No.
MALE Marital Status MARRIED

Loan Amount (INR) 1500000

Business Type MANUFACTURER AND TRADER

Current Year Profit
4881461 416000
(INR)

ing in NDNC registry Agree

e credit bureaus to process my loan Agree
Mandatory Fields
 Business Loans Documents Attached
Address Proof (Promoter Residence) YES Note:Use this sheet as checklist of th
ID Proof (Promoter) YES documents to be attached with the l
application.
Aadhar Card (Promoter) YES
PAN Card (Promoter) YES
Bank Statement 1 Yr (Promoter -Current Account) YES
Business Registration Proof (Company) YES
VAT/ GST Registration Proof (Company) YES
Address Proof (Company) YES
PAN Card (Company) NO
Bank Statement (Company) YES
ITR of last 2 FY YES
Partnership Deed (if any) NO
Balance Sheet (2 Years) YES
Audited P&L Statements (2 Years) YES
Cancelled Cheque NO
this sheet as checklist of the
s to be attached with the loan
n.