Create Customer

Full name *

Customer Email *

Mobile No (+91) *

Employment Type * Self Employed IndividualPrivate Limited CompanyPartnership FirmLimited Liability PartnershipProprietorship FirmPublic Limited Company

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Business Details

Trade Name

Type of Business TraderService ProviderManufacturerExporterImporterOther

Business Vintage Less than 6 month6Month to 12 Month1 Year to 2 Year2 Year to 3 YearMore than 3 Year

Industry Type TextileIron & SteelContractorsReal EstateHotel & RestaurentAviation SectorLegal ConsultancyHospital & Nursing HomeE-Commerce BusinessMan Power SupplyDSAMLM BusinessJewellersBullion TraderAuto MobileSchoolOther

GST Registration YesNo

MSME Registration YesNo

No of Employee

Business Website Yesno

Name of Website

Business Run By SelfSpouseOther

Since when you are filling Business ITR

Mention Business

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Debt Details

Any Loan Running YesNo

Type of Loan Running

Existing EMI Paid

Any EMI Bounced in Last 6 Month YesNo

No of EMI Bounced

Any Settlement in Last 5 Years YesNo

Amount of Settlement

Any Loan Amount Overdue YesNo

Overdue Amount

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Income & Banking Details

Gross Receipt Last Year

Any Working Capital Limit YesNo

Name of Limit Bank

Any Current Account YesNo

No of Current Account

Name of Bank (Current Account)

Do you audit your accounts YesNo

No of Audited Balance Sheet

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Address

Distance between Home & Office (in KM)

Office Address

Office Pincode

Office District

Office State Andaman & Nicobar IslandAndhra PradeshArunachal PradeshAssamBiharChandigarhChhatishgarhDadra & Nagar HaveliLadakhDelhiGoaGujaratHaryanaHimachal PradeshJammu & KashmirJharkhanKarnatakaKeralaLakshadweepMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPondicherryPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest Bengal

Office Ownership Status OwnedRentedOwned by Parents/Spouse

Do You have Office Utility Bill YesNo

Office Utility Bill Holder SelfParentsSpouseLandlordOther

Current Residence Address

Current Address Pincode

Current District

Current State

Residence Type OwnedRentedOwned by spouse/parentsOther

Residing With Spouse & ChildrenParentsAloneother

Any Residence Utility Bill YesNo

Holder of Utility Bill(Residence) SelfSpouseParentsLandlordOther

Is Permanent Address Same Same as AboveNo

Permanent Address

Permanent Address Pincode

Permanent Address District

Permanent Address State

Period at same business address Less than 6 MonthLess than 1 Year1 Year to 3 Year3 year to 5 YearMore than 5 Year

Period at Same Current Address Less than 6 monthLess than 1 Year1 Year to 3 Year3 Year to 5 YearMore than 5 Year

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Personal Details

Co-Applicant Name

Aadhar Number

Co-Applicant Aadhar No

Co-Applicant Pan Number

Co-Applicant DOB

Date of Birth

Co-Applicant Email

Co-Applicant Mobile Number

Gender MaleFemaleOther

Co-Applicant Gender MaleFemaleOther

Mother Name

Co-Applicant Mother Name

Marital Status MarriedUnmarriedDivorcedOther

Co-Applicant Marital Status MarriedUnmarriedDivorcedOther

Spouse Name

Co-Applicant Spouse Name

Spouse Employment Status HousewifeSalariedSelf EmployedOther

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Other Details

Director in any Company YesNo

No of Company Director

Name of Company

Any Political Connection YesNo

Specify Link

Reference 1 Name

Reference 1 Mobile Number

Reference 1 Email

Reference 1 Address

Reference 2 Name

Reference 2 Mobile Number

Reference 2 Email

Reference 2 Address

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