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FIXED DEPOSIT (for Individuals, HUF or Body of Individuals)

BAJAJ FINANCE LIMITED


FAAA/Stable Rating by CRISIL | MAAA (Stable) Rating by ICRA

Rate of interest per annum valid up to Rs. 5 crore (w.e.f. 10th July 2017)
Date:
Tenor in Non-cumulative
Cumulative
months Monthly Quarterly Half Yearly Annual Application Form No.:
12 – 23 7.60% 7.35% 7.39% 7.46% 7.60% Sourcing Channel:
24 – 35 7.80% 7.53% 7.58% 7.65% 7.80%
36 – 60 7.85% 7.58% 7.63% 7.70% 7.85% Broker Code:

# Rates for above Rs. 5 crore may vary from the published card rate
Sub Broker Code:
# Minimum deposit size Rs. 25,000
Scheme Code:
PLEASE FILL IN BLOCK LETTERS AND TICK WHERE REQUIRED

Investment Details

Investment New Renewal If renewal, existing FD No. Renew Principal Renew Principal and Interest Partial renewal
(only for cumulative) (cumulative up to P+I and
Deposit Payable to First Holder Either or Survivor non-cumulative up to only P)
Deposit Amount Numeric Words
Deposit Term in Months Deposit Option Cumulative Non-cumulative
Interest Payout Frequency (Mandatory for Non-cumulative option) Monthly Quarterly Half Yearly Annually
Maturity Instruction: Renew Principal and Interest* (only for cumulative) Renew Principal* Payout on Maturity

First Applicant Details

First Applicant’s Name Mr. Ms. Mrs.


First Middle Last Coloured
Photograph
Gender CKYC No. PAN Aadhaar No. (mandatory)
of First Applicant
Date of Birth/
Date of Incorporation Marital Status Married Unmarried Others
Address:
(Current/Correspondence Address)

City/Town/Village State/U.T.
Pin Code Is Current/Correspondence Address same as Permanent Address? Yes No
Email ID
(Mobile no. or Email ID S T D Code Landline Mobile Number
is mandatory)

Occupation Type/Employment: Business/Self-Employed Professional Service-Public Sector


Service-Private Sector Service-Government Sector

Annual Income Up to Rs. 15 lakh Rs. 15 lakh-Rs. 50 lakh Rs. 50 lakh+ Occupation Self employed Salaried Retired
Father’s/Spouse’s Name Mr. Ms. Mrs.
First Middle Last
Mother’s Name
First Middle Last

If the First Applicant is a minor, please provide the below details:

Guardian’s Name
PAN

Constitution Resident Individual Resident Non-Individual (Please tick any one of the below)
HUF Statutory Board Local Authority Partnership Proprietorship Public Ltd. Co. Private Ltd. Co. Others

Please tick (✓) If the following is additionally applicable to you: Politically Exposed Person (PEP) Relative of PEP

Special Category
Refer Point no. 1 in Terms and Conditions for details

Special Category Bajaj Group Employee Organisation Name


(Please provide a copy of your Bajaj Group Employee ID)

Senior Citizen BFL Existing Customer Please provide your BFL LAN/Customer ID

Please mention if you are a Bajaj Finance Limited shareholder Yes No If yes, please mention your Folio No.

*Tenor, option & interest payout frequency to be same as per original deposit

Page 1 of 12
KYC Details of First Applicant

ID Proof Passport PAN Driving Licence Voter ID Aadhaar Card NREGA Job Card ID Proof No._________________________

ID Proof Expiry Date (Applicable only if ID Proof is Passport or Driving License)

Address Proof (Any one of the following) Passport Driving Licence Voter ID UID/Aadhaar Card Utility Bills

Property or Municipal Tax Receipt Bank account or Post Office savings bank account statement
Letter of allotment of accommodation from employer issued by State or Central Government departments, statutory or regulatory bodies,
public sector undertakings, scheduled commercial banks, financial institutions and listed companies
‘Only above mentioned options are valid/acceptable as address proof’
In case of Non-Individual category, enclose a certified true copy of the following documents:
1. Certificate of Registration/Incorporation issued by the Registrar of Companies. Please mention your Registration No.
2. Memorandum & Articles of Association/Partnership Deed
3. Resolution of the Board of Directors to open an account and identification of those who have authority to operate the account
4. Power of Attorney granted to its managers, officers or employees to transact business on its behalf

Joint Applicant Details

Second Applicant’s Name Mr. Ms. Mrs.


Coloured
First Middle Last Photograph
Date of Birth of Second Applicant
PAN Mobile

CKYC No. Marital Status Married Unmarried Others

Father’s/Spouse’s Name Mr. Ms. Mrs.


First Middle Last
Mother’s Name
First Middle Last

Occupation Type/Employment Business/Self-Employed Professional Service-Public Sector


Service-Private Sector Service-Government Sector
Address:
(Current/Correspondence Address)

City/Town/Village State/U.T. Pin Code

Email ID Gender

Please tick (✓) If the following is additionally applicable to you: Politically Exposed Person (PEP) Relative of PEP

Third Applicant’s Name Mr. Ms. Mrs.

First Middle Last


Coloured
Date of Birth PAN Mobile Photograph
of Third Applicant
CKYC No. Marital Status Married Unmarried Others

Father’s/Spouse’s Name Mr. Ms. Mrs.


First Middle Last
Mother’s Name
First Middle Last

Occupation Type/Employment Business/Self-Employed Professional Service-Public Sector


Service-Private Sector Service-Government Sector
Address:
(Current/Correspondence Address)

City/Town/Village State/U.T. Pin Code

Email ID Gender

Please tick (✓) If the following is additionally applicable to you: Politically Exposed Person (PEP) Relative of PEP

Loan against Fixed Deposit available. For details, refer to point No.5 in the Terms and Conditions.

Page 2 of 12
Nomination to Deposit: Form DA 1: U/S 45 QB of RBI Act 1934

I/We, above named Depositors at above address, nominate the following person to whom in the event of my/our/minor's death the amount of this deposit
may be returned by the Company:
1. Name and Address of Nominee

Relationship with Depositor Date of Birth

2. As the nominee is a minor on this date, I/we appoint (Name, Address and Age)
to receive the amount of the said deposit on behalf of the nominee in event of my/our/minor's death during the minority of the nominee.
(*Strike out if not applicable)
*Date of Birth (if nominee is a minor)
*Place & Date:
Two Witnesses’ Name & Signature 1) ___________________ 2) ___________________ Signature(s) of Depositor

Payment Details

Payment mode: Cheque Net Banking NEFT/RTGS


Payment details (Cheque to be drawn in favour of ‘Bajaj Finance Ltd. Fixed Deposit Account Number 00070350006738’)
Cheque No. Bank Name Bank Account Number
Account Type Branch IFS Code
Transaction Date Bank ID PGI Reference No.

UTR No. (Applicable for deposit amount electronically transferred through RTGS)

(In case of RTGS mode of deposit or interest and maturity amount repayment desired in a separate account, please enclose a signed cancelled
cheque of the same account with a valid IFS code)

*15G/H form for tax exemption is attached with this deposit form. Kindly fill in the same. Incomplete or incorrect forms will result in tax deductions

Declaration
The deposit amount together with interest is payable by online banking payment to the bank account specified by me/us in this Application Form or such other bank account intimated by me/us in writing to the
Company from time to time. I/We also note that the fixed deposit receipt when issued will not be transferable. I/We declare that the amount mentioned herein is not being deposited out of the funds acquired by
me/us by borrowing or accepting deposits from any other person. I/We have gone through the financials and other declarations furnished by the Company and after careful consideration, I/we am/are making the
deposit with the Company at my/our own risk and volition. I/We declare that the first named Depositor mentioned in this application is the beneficial owner of this deposit and as such he/she should be treated as
the payee for the purpose of deduction of tax, if applicable, under Section 194A of the Income Tax Act, 1961. The other names have been added merely for the sake of convenience. I/We declare that the first named
Depositor under this application does not hold, alone or as first named holder in any deposit(s) of the fixed deposit schemes of the Company, other than the deposits the particulars of which are indicated by me/us
herein above. I/We also declare that whatever is stated in this application is true and correct. I declare that I/we have read and understood the Terms and Conditions mentioned in this form. I/We hereby authorise
the Company to pay the interest and amount of deposit on maturity by online banking payment to my/our aforesaid bank account, details of which are provided by me/us in this form.

Signature of all Depositors with date:

First Applicant Second Applicant Third Applicant

Page 3 of 12
Terms and Conditions

Bajaj Finance Limited (Deposit accepting company) is referred to as BFL hereunder.


1 Specific category of applicants will be eligible for special rates as mentioned below: 1) In case of non-cumulative deposits:
– Senior citizens (more than 60 years of age, subject to provision of proof of age) – Additional rate of 0.25% p.a. a) Monthly interest payments: Last date of month
for deposit size up to Rs. 1 crore
b) Quarterly interest payments: 31st March, 30th June, 30th September and 31st December
– Bajaj Group employees – Additional rate of 0.10% p.a. (BHIL, BAL, BFS, BFL, MSL, BAGIC, BALIC, MUKAND and
c) Half yearly interest payments: 31st March and 30th September
BAJAJ ELECTRICALS) for deposit size up to Rs. 1 crore
d) Annual interest payments: 31st March
– Bajaj Finance Limited existing loan customers – Additional rate of 0.10% p.a. for deposit size up to Rs. 1 crore
2) In case of cumulative deposits: Date of maturity of deposit
– Only one of the above special category benefits is allowed per transaction
Interest for part period (i.e. other than complete month/quarter/half year/year) under Non-Cumulative Deposit
– Fixed Deposit renewal customers – Additional rate of 0.10% p.a. for deposit size up to Rs. 5 crore. Additional rate
Schemes will be calculated from the date of deposit till the last day of the immediate next interest payment date.
is applicable over and above special category benefit
If a deposit is made within a period of 30 days prior to any of the interest payment date, the interest for the part
– Rate of interest for bulk deposits of more than Rs. 5 crore may vary from the published card rate and to be period will be paid on the next interest payment date.
decided on a case to case basis by Bajaj Finance Limited
18 Income-tax, wherever applicable, will be deducted at source from interest in accordance with Section 194-A of the
2 With reference to the minimum deposit size mentioned in the application form, in case of amount deposited into BFL Income-tax Act, 1961 except where appropriate Certificate/form as prescribed under the Income-tax Act, 1961 (Form 15
account which is lower than the threshold levels, BFL reserves the right to reject such deposits and refund the same to G) is furnished to BFL's Registered Office at least two months before the due date of interest. At present tax is
the customer. BFL is not liable to pay any interest on these unwarranted deposits. deductible if the aggregate amount of interest paid or payable during the Financial Year exceeds Rs. 5,000/-. It is the
sole responsibility of the depositor to provide BFL with a fresh Form 15G/H for every assessment year. In case of any
3 Properly completed Application Forms together with CTS compliant Account Payee Cheque may be deposited with the
incomplete/incorrect 15G/H forms, Bajaj Finance will not be responsible in case of tax deducted at source.
Branches Distributors of BFL. The cheques should be drawn in the name of ‘BAJAJ FINANCE LIMITED - ACCOUNT
NUMBER 00070350006738’. 19 The interest will be paid through National Electronic Funds Transfer (NEFT)/Real Time Gross Settlement (RTGS) only, to
the bank account of the depositor mentioned in the application form, or such other bank account intimated to BFL in
4 Deposits will not be accepted in Cash. Fixed Deposit account cannot be opened out of/utilizing any kind of borrowed
writing jointly by all surviving deposit holders from time to time. In case of any rejection of such instruction for
funds.
NEFT/RTGS on account of any reason, BFL will dispatch interest warrant, in favour of the first applicant as per the
5 ‘Loan Against the Deposit’ facility shall be provided to the depositors. Loan to deposit value shall not exceed 75% and application form, within 10 days of BFL receiving intimation from its bank about such rejection.
the depositor shall be eligible for the same post 3 months of being on books of Bajaj Finance Limited. The loan shall
20 It will be the responsibility of the depositor(s) to mention his/her/its correct details of the bank account in the
be provided at a rate of interest which shall be 2% higher than the rate of interest being provided on his deposit
application form for the purpose of making payment of interest and repayment of deposit on due date through
amount.
National Electronic Funds Transfer (NEFT)/Real Time Gross Settlement (RTGS). In case of rejection of instruction for
6 BFL will not entertain any request for change of scheme, once selected. Where the scheme is not indicated in the NEFT/RTGS, BFL will not be considered as liable for such rejection.
Application form, the deposit will be treated as placed in Cumulative Deposit Scheme for 60 months. In case customer
21 RENEWAL/REPAYMENT:
opts for Non-Cumulative deposit option but the interest payout frequency is not indicated in the application form, the
deposit will be treated as placed in Annual Interest Payout frequency scheme. BFL will make repayment of deposit on the date of maturity of the deposit unless it receives any request for renewal
at least 7 working days before the date of maturity. The payment will be made through National Electronic Funds
7 Deposits will not be accepted from Non-residents and Foreign nationals. Applications from minors are acceptable
Transfer (NEFT)/Real Time Gross Settlement (RTGS) only, to the bank account of the depositor mentioned in the
provided the application forms are signed by their natural guardians on their behalf. Applicants who are shareholders
application form. In case of any rejection of such instruction for NEFT/RTGS on account of any reason, BFL will dispatch
should mention their Folio Number on the Application Form.
maturity repayment warrant, in favour of the first applicant as per the application form, within 10 days of BFL
8 Deposits will be accepted by BFL in Joint Names not exceeding three. All applicants must sign the application form. receiving intimation from its bank about such rejection.
All communications will be addressed to the Depositor whose name appears as first applicant on the application form.
The renewal request for any amount should be sent either to the broker or the nearest BFL branch so as to the same
Interest and repayment of Fixed Deposits will be made payable to the bank account of the first applicant mentioned in
finally reaching the Corporate Office of the BFL at 4 Floor, Bajaj Finserv Corporate Office, Off Pune Ahmednagar Road,
the application form or such other bank account intimated by the deposit holder(s) in writing to BFL from time to time
Viman Nagar, Pune 411014 at least one week before the date of maturity to enable the BFL to repay or renew the
or by way of warrant in favour of the first applicant.
deposit, as the case may be on the due date. Request for renewal should be accompanied by Application Form duly
9 Introduction of all the joint depositors is compulsory. Such introduction may be by any one of the following methods: filled in and signed unless already mentioned at the time of placing the original deposit. Renewal of deposit will be
subject to the rate of interest and other terms & conditions prevailing on the date of maturity. Duly discharged deposit
a) In case the Prospective Depositor(s) is/are already a Fixed Deposit Holder(s), then he/they can introduce
reciept is not required at the time of renewal of the deposits as it stands null & void post its maturity date.
himself/themselves by giving details of his/their existing Fixed Deposit Receipt
Deposits can also be renewed online by visiting www.bajajfinserv.in=>Investment=>Fixed Deposit=>Renew Fixed
b) The Prospective depositor(s) can also obtain introduction from any other Depositor of BFL. The said existing
Deposit or by logging into customer portal Experia
depositor is required to disclose his/her Name, Fixed Deposit Receipt Number and sign, as per specimen
signature with BFL, in token thereof Renewal of deposits will not be automatic unless explicitly mentioned in the form at the time of placing of the fixed
deposit. Deposit will be renewed only once based on the maturity instruction opted for in the application form at the
c) The Prospective depositors can introduce themselves by producing any one of the following original documents
time of placing the original deposit. The investor has the option to change the maturity instruction by submitting a
(which contains the photograph of the concerned depositors) and copy of latest colour photograph to BFL for
fresh application form duly filled and signed by all depositors at least 7 days prior to maturity. It will be solely at the
verification. Latest colour photograph and Photo copy of such document produced is required to be attached to
discretion of the BFL and from such date as may be agreed to by BFL.
the Fixed Deposit Application
22 Premature repayment of fixed deposit is at the sole discretion of BFL. However, in such case the interest will be
- In case of an Individual Depositors: *PAN *Passport *Election ID Card *Driving License *Aadhaar *NREGA
allowed as per the regulations of the Reserve Bank of India in that behalf. The present directions for premature
Job Card duly signed by State Government Officer
repayment (including death cases) provides as under
- In case of companies, firms and other bodies: Registration Certificate, Partnership Deed/Agreement and a) Up to 3 months from date of deposit: No withdrawal permitted
Memorandum of association
b) After 3 months but before 6 months: No interest
10 A self-certified copy of any one of the following documents should be furnished for proof of address, as specified in
the application form c) After 6 months but before the date of maturity: 2% lower than the rate specified for the period during which the
scheme has run. In case of no rate being specified for the deposit period, interest rate payable will be 3% lower than
1. Passport the lowest rate being offered by BFL.
2. Election ID Card 23 Provided that in the event of death of a depositor, BFL may repay the public deposit prematurely, even within the lock
3. Driving Licence in period, to the surviving depositor(s) in the case of joint holding whose name appears first in the application form,
or to the nominee or legal heir(s) of the deceased depositor, on the request of surviving depositor/s/nominee/legal
4. Aadhaar heir and only against submission of proof of death and other documents to the satisfaction of BFL.
5. NREGA Job Card duly signed by State Government Officer OTHER TERMS AND CONDITIONS
6. Utility bill which is not more than two months old of any the following service provider - electricity, telephone, BFL reserves the right to reject any application without assigning any reason whatsoever.
postpaid mobile phone, piped gas, water bill
BFL reserves the right to alter or amend any or all the conditions stipulated above or to vary them in special cases or to accept
7. Property or Municipal Tax receipt deposits only for such periods as it may decide from time to time and to repay the deposits prematurely before the due date.
8. Bank account or Post Office savings bank account statement In the event of cheque bounce, the cheque will be sent back to the customer’s registered address within 15 days through courier.
Verification through such documents will be in addition to the introduction by a person known to BFL. If the For all RTO cheque cases, the cheque will be held with BFL till the validity of the instrument post which it will be destroyed.
applicant fails to produce such introduction, BFL reserves the right to reject the fixed deposit application and the In the event of loss or destruction or mutilation of a Fixed Deposit Receipt/Interest Warrant, BFL may, at its sole discretion,
amount may be refunded to the applicant without any interest. issue a duplicate receipt/warrant, on such reasonable terms as to indemnify or otherwise as it may think fit. All expenses
11 In the event of death of any of the joint depositors, changes in the names of the deposit holders on deposit receipt incurred in this connection will be borne by the Depositor/s.
and/or bank account to which interest and /or principal shall be credited shall be effected only on the production of a BFL will send all communications to the deposit holder(s) in electronic form from time to time at his/her/its email ID
copy of the Death Certificate, certified to be true by notary public, without reference to the heirs and/or legal mentioned in the application form. In case of failure in transmission of such communication, the BFL will send physical copy
representatives of the deceased and instruction to BFL in this behalf by all the surviving deposit holder(s) jointly in of such communication within 10 days of such failure of transmission.
writing.
The accompanying advertisement inviting fixed deposits forms part of this application form.
12 Nomination Facility is available to the depositors. The prescribed application Form No. DA 1 by Reserve Bank of India in
this regard is available with our branches. Upon request of the depositors, BFL will arrange to send forms for These terms and conditions form part of the prescribed application form. Deposits are accepted subject to Pune Municipal
Cancellation of nomination (Form DA 2) and Variation of Nomination (Form DA 3). jurisdiction.

13 In the event of death of sole depositor and/or all the joint depositors, all payment on account of principal and/or HOW TO APPLY:
interest will be made to the Nominee appointed by the depositor (s) on production of proof of identity and on 1. Depositor(s) are requested to go through the terms and conditions printed above
execution of such other documents as BFL may deem fit for the same.
2. The attached Application Form should be filled in fully and signed by the Depositor(s)
14 In any other case, it will be necessary for the legal representative of the deceased depositor to produce Succession 3. The amount should be deposited only by cheque made payable to ‘BAJAJ FINANCE LTD – ACCOUNT NUMBER
Certificate/Letter of Administration/Probate of the Will to the satisfaction of BFL. 00070350006738’ and crossed ‘Account Payee only’
15 Any change in address, email ID, bank account etc mentioned in the application form may be effected by BFL only on 4. The cheques should be payable at par and CTS compliant
the basis on written instruction signed by the sole/joint deposit holder(s) as per their signature on the application
5. Application Form along with the necessary remittance should be sent to the distributors to the Fixed Deposit
form.
Schemes of BFL or be submitted in any of BFL’s branches
16 FIXED DEPOSIT RECEIPTS:
6. Depositor(s) can also apply online by visiting www.bajajfinserv.in=>Investment=>Fixed Deposit. Bajaj Finance Ltd
Fixed Deposit Receipts will be forwarded by Speed Post to the Depositors within a period of three weeks from the customers can also apply on customer portal Experia
date of deposit. Fixed Deposit Receipts will not be transferable. BFL will not accept or recognise any lien or assignment
OTHER REQUIRED INFORMATION
on the deposit and/or interest thereon.
1. In case of non-repayment of the deposit or part thereof as per the terms and conditions of such deposit, the
17 INTEREST: depositor may approach the Western Bench of Company Law Board at:
Interest will be calculated from the date of realisation of the cheque towards the deposit. The Bench Officer, Company Law Board, 2nd Floor N.T.C House, 15 Narottam Morarjee Marg, Ballard Estate,
The dates for interest payments are as follows: Mumbai - 400038
2. In case of any deficiency of the BFL in servicing its deposit, the depositor may approach the District Level
Consumer Redressal Forum, the State Level Consumer Redressal Forum or the National Consumer Redressal
Forum for relief

Provisional Receipt Application Number ______________________________

Received from ______________________________________________________ Cheque No. __________________________ for INR ____________________


dated _____________ drawn on _______________________________________ Bank _____________________________________________________ Branch
towards _________________________________________ Scheme for a period of ___________________ months at _______________ % interest per annum.
Reference No. ______________________________
For BAJAJ FINANCE LTD
Write to us at wecare@bajajfinserv.in or call our toll-free IVR on 020 3957 4151

*This Provisional Receipt is valid only till the issuance of the Fixed Deposit Receipt Page 4 of 12
BAJAJ FINANCE LIMITED
Registered Office: Akurdi, Pune 411 035
Corporate Office: 4th Floor, Bajaj Finserv Corporate Office, Off Pune-Ahmednagar Road, Viman Nagar, Pune 411 014

Fixed Deposit Schemes ‘FAAA/Stable’ Rating by CRISIL | ‘MAAA (Stable)’ Rating by ICRA
‘FAAA/Stable’ Rating by CRISIL and ‘MAAA (Stable)’ Rating by ICRA indicate the highest degree of safety with regard to timely payment of interest and principal on the instrument.

Retail rate of interest per annum valid up to Rs. 5 crores


K. The Company declares as under:
Non-cumulative i. The Company has complied with the provisions of the
Tenor in Cumulative
directions applicable to it.
months ii. The compliance with the directions does not imply that the
Monthly Quarterly Half Yearly Annual repayment of Deposits is guaranteed by the Reserve Bank of India.
iii. The deposits accepted by the Company are unsecured and
rank pari passu with other unsecured liabilities.
12 - 23 7.60% 7.35% 7.39% 7.46% 7.60%
iv. The deposits solicited by the Company are not insured.
v. The Financial position of the Company as disclosed and the
24 – 35 7.80% 7.53% 7.58% 7.65% 7.80% statements made in the application form are true and correct.
The Company and its Board of Directors are responsible for the
36 – 60 7.85% 7.58% 7.63% 7.70% 7.85% correctness and veracity thereof. The financial activities of the
Company are regulated by Reserve Bank of India. It must,
however, be distinctly understood that Reserve Bank of India
Senior Citizens (more than 60 years of age, subject to provision of proof of G. Summarised Financial Position of the Company (standalone) does not undertake any responsibility for the financial
age) – Additional rate of 0.25% p.a. for deposit size up to Rs. 1 crore. as appearing in the two latest audited balance sheets: soundness of the Company or for the correctness of any of the
Bajaj Group Employees – Additional rate of 0.10% p.a. (BHIL, BAL, BFS, BFL, (Rs. in crore) statements or the representations made or opinion expressed
MSL, BAGIC, BALIC, MUKAND and BAJAJ ELECTRICALS) for deposit size up to by the Company and for repayment of deposits/discharge of
EQUITY & LIABILITIES As on 31.03.2017 As on 31.03.2016
Rs. 1 crore. liabilities by the Company.
Bajaj Finance Limited existing loan customers – Additional rate of 0.10% Shareholders’ funds: L. The deposits shall also be subject to the terms and conditions as
p.a. for deposit size up to Rs. 1 crore. Share capital 109.37 53.55 per the application form.
Only one of the above special category benefit is allowed per transaction. Reserves & surplus 9,490.94 7,271.06 M. Premature repayment of Fixed Deposit is at the sole discretion of
FD renewal customers – Additional rate of 0.10% p.a. for deposit size up to Money received against 0.00 102.03 BFL. However, in such case the interest will be allowed as per the
Rs. 5 crore. Additional rate is applicable over and above special category share warrants regulations of the Reserve Bank of India in that behalf. The
benefit. present directions for premature repayment provides as under:
Rate of interest for bulk deposits of more than Rs. 5 crore may vary from Non-current liabilities:
a) Up to 3 months from date of deposit: No withdrawal permitted
the published card rate and to be decided on a case to case basis by Bajaj Long term borrowings 33,115.96 25,286.97
b) After 3 months but before 6 months: No interest
Finance Limited. Other long term liabilities 484.87 447.40
c) After 6 months but before the date of maturity: 2% lower than
Minimum deposit size is Rs. 25,000. Long term provisions 362.21 242.94
the rate specified for the period during which the scheme has
Particulars to be furnished as per the Non-Banking Financial Companies &
Current liabilities: run. In case of no rate being specified for the deposit period,
Miscellaneous Non-Banking Companies (Advertisement) Rules, 1977 as
Current maturities of long term borrowings interest rate payable will be 3% lower than the lowest rate
amended.
Secured loans 6,377.36 5,444.06 being offered by BFL.
A. Name of the company: BAJAJ FINANCE LTD.
Unsecured loans 833.91 655.18 N. The Business carried on by the Company and its subsidiaries
B. Date of incorporation: 25th March 1987
Short term borrowings 8,922.42 5,638.49 with details of branches or units if any:
C & D. Profits/Dividends:
Trade payables 528.81 334.91 1. Business carried on by the Company and its branches:
Profits of the Company before and after making provisions for tax, for the Providing consumer finance ranging from vehicle loans, consumer durable
three financial years immediately preceding the date of the advertisement Other current liabilities 2,565.98 854.65 financing, personal loans, loan against property, Home Loans, construction
and the dividends declared by the Company in respect of the said years. Short term provisions 932.73 641.75 equipment financing, small business loans, loan against securities and
infrastructure financing. The Company is having its Branches at Agra,
(Rs. in crore) Total 63,724.56 46,972.99 Ahmedabad, Ahmednagar, Ajmer, Akola, Akot, Alappuzha, Allahabad, Ambala,
Amravati, Amreli, Amritsar, Anand, Anantpur, and Ankaleshwar, Asansol,
Financial Year Profit (Standalone) Dividend Aurangabad, Bagalkot, Bangalore, Baramati, Bardoli, Bareilly, Baroda, Barshi,
ended on Before Tax After Tax % (Rs. in crore)
Belgaum, Bellary, Bhandara, Bharuch, Bhatinda, Bhavnagar, Bhilai, Bhiwandi,
31.03.2015 1356.94 897.87 180 ASSETS As on 31.03.2017 As on 31.03.2016 Bhopal, Bhubaneshwar, Bhuj, Bidar, Bijapur, Bikaner, Bilaspur, Bokaro, Bolpur,
Borsad, Calicut, Chalisgaon, Chandigarh, Chandrapur, Chennai, Chhindwara,
31.03.2016 1964.57 1278.52 250 Non-current assets: Chikhli, Chiplun, Chitradurga, Chittaranjan, Chopda, Cochin, Coimbatore,
31.03.2017 2817.52 1836.55 180 Fixed assets Cuddalore, Cuttack, Dabhoi, Dahod, Davangere, Dehradun, Dewas, Dhanbad,
Dharapuram, Dharwad, Dhule, Dindigul, Durgapur, Eluru, Erode, Gandhidham
E. Brief particulars of the management of the Company: - Tangible assets 285.90 242.95 Goa, Gokak, Gulberga, Guna, Guntur, Gwailor, Haldia, Halol, Hassan, Haveri,
The Company is managed by the Managing Director, subject to the - Intangible assets 75.23 44.05 Himatnagar, Hoshangabad, Hoshiarpur, Hospet, Hubli, Hyderabad, Indore,
Non-current investments 1,090.30 485.15 Jabalpur, Jagadhri, Jaipur, Jalandhar, Jalgaon, Jalpaiguri, Jammu, Jamnagar,
control and supervision of the Board of Directors. The Managing Director Jamner, Jamshedpur, Jodhpur, Junagadh, Kadi, Kaithal, Kakinada, Kalka, Kannur,
is entrusted with necessary powers for managing the business and Deferred tax assets (net) 369.07 280.04 Kanpur, Kapurthala, Karad, Karaikudi, Karnal, Karunagappally, Karur, Karvar,
affairs of the Company. Receivables under financing activity 32,028.10 24,778.55 Katni, Khamgaon, Khandwa, Kharagpur, Kolar, Kolhapur, Kolkata, Kollam,
Long-term loans and advances 59.86 99.79 Kopergaon, Korba, Kota, Kottayam, Kurnool, Kurukshetra, Latur, Lucknow,
F. Names, addresses and occupations of Directors: Ludhiana, Machilipatnam, Madurai, Mandya, Mangalore, Mapusa, Margao,
Current assets: Mehsana, Moga, Morbi, Mumbai, Mysore, Nabha, Nadiad Nagarcoil, Nagpur,
NAME ADDRESS OCCUPATION Current investments 2,984.40 548.92
Namakkal, Nanded, Nandurbar, Nashik, Navsari, Nellore, New Delhi, Palanpur,
Shri Rahul Bajaj Bajaj Vihar Colony, Mumbai-Pune Industrialist Pandharpur, Panipat, Patiala, Patna, Pen, Phagwada, Pimpalgaon, Pollachi,
Receivables under financing activity 25,654.63 18,493.68 Pondicherry, Pune, Puttur, Raichur, Raipur, Rajahmundry, Rajgurunagar, Rajkot,
Chairman Road, Akurdi, Pune 411 035 Rajnandangaon, Rajpura, Ranaghat, Ranchi, Ratlam, Ratnagiri, Rewa, Rohtak,
Cash and bank balances 356.52 1,329.15
Shri Nanoo Pamnani 21 EI CID 13 A, Professional Ropar, Rourkela, Salem, Sangli, Satara, Satna, Sehore, Shimla, Shimoga,
Short term loans and advances 496.79 458.89 Siliguri, Sirsa, Solapur, Surat, Surendranagar, Tanjore, Tenali, Thiruvalla,
Vice Chairman Ridge Road, Malabar Hill,
Mumbai 400 006 Other current assets 323.76 211.82 Tirunelveli, Tirupati, Tirupur, Trichur, Trichy, Trivandrum, Tumakuru, Tuticorin,
Udaipur, Udipi, Ujjain, Vadakara, Valsad, Vapi, Varanasi, Vidisha, Vijayawada,
Shri Sanjiv Bajaj Bajaj Vihar Colony, Mumbai-Pune Industrialist Total 63,724.56 46,972.99 Vizag, Vizianagram, Wani, Warangal, Wardha, Warud, Washim, Yavatmal and
Vice Chairman Road, Akurdi, Pune 411 035 all other branches mentioned in the official website page
Shri Rajeev Jain D-2, Ivy Glen, Marigold Premises, Service (Rs. in crore) www.bajajfinserv.in=>Finance=>Reach Us=>Locate Us or by directly clicking
www.bajajfinserv.in/finance/branch-locator.aspx
Managing Director Kalyani Nagar, Pune 411 014
Shri Madhur Bajaj Bungalow No. 3, Bajaj Vihar Colony, Industrialist Contingent Liabilities As on 31.03.2017 As on 31.03.2016
Mumbai-Pune Road, Akurdi, (Standalone) 2. Business carried on by the subsidiaries of the Company:
Pune 411 035 Disputed claims against the Sr. Name of Subsidiary Address of Registered Office Activity
Shri Rajiv Bajaj Bajaj Vihar Colony, Mumbai-Pune Industrialist No.
Company not acknowledged as debts 17.29 17.34
Road, Akurdi, Pune 411 035 1 Bajaj Housing Finance Bajaj Auto Ltd. Complex, Housing Finance
VAT matters under Appeal 2.24 6.86 Limited (formerly Bajaj Mumbai-Pune Road, Business
Shri D S Mehta 301/302 Gora Gandhi Apartments, Business
ESI matter under Appeal 5.14 5.14 Financial Solutions Akurdi, Pune 411035 (proposed)
3rd Floor, 3 Laburnam, Limited)
Gamdevi, Mumbai 400 007 Service tax matter under appeal
2 Bajaj Financial Securities Bajaj Auto Ltd. Complex, Stock Broking
Shri D J Balaji Rao D-103, Adarsh Residency, 47 Cross Professional - On interest subsidy 1,147.10 0.00 Limited Mumbai-Pune Road,
2nd Main, 8th Block, Jayanagar, - On others 4.43 1.49 Akurdi, Pune 411035
Bangalore 560 082
Dr. Omkar Goswami E-121, Masjid Moth, First Floor, Economist Income Tax matters under Appeal
Greater Kailash 3, - Appeals by the Company 12.93 9.80
New Delhi 110 048 - Appeals by the income tax department 32.98 49.36
Shri Dipak Poddar Brij Kutir, Rungta Lane, Industrialist
17th Floor, Off Nepean Sea Road, H. a) Amount which the Company can raise by way of Deposits
Mumbai 400 026 as per Non-Banking Financial Companies Acceptance of
Shri Ranjan Sanghi Flat No. 21, Mistry Court, 4th Floor, Business Public Deposits (Reserve Bank) Directions, 2016
Dinshaw Vachha Road,
Rs. 13,734.01 crore
Mumbai 400 020
b) Deposits actually held as on 31.03.2017 Rs. 3,519 crore
Shri Rajendra Universal Auto Traders, Business
Lakhotia M.G. Marg, I. The aggregate dues from the facilities, both fund and non-fund
Gangtok 737 101, Sikkim based, extended to, the companies in the same group or other
Dr. Gita Piramal Piramal House, 6th Floor, Business entities or business ventures in which the Directors/Company are
61, Pochkhanwala Road, Worli, holding substantial interest are Rs. 42.13 crore.
Mumbai 400 025 J. The Company has no overdue deposits other than unclaimed deposits.

The above text of advertisement has been issued on the authority and in the name of the Board of Directors and has been approved by the Board of Directors at its meeting held on 19th July 2017 and copy
of the same signed by the majority of Directors has been delivered to the Reserve Bank of India for registration.
By order of the Board of Directors
for Bajaj Finance Limited
Pune (Rahul Bajaj)
20th July 2017 Chairman

HOW TO INVEST:
The amount should be deposited only by cheque made payable to ‘BAJAJ FINANCE LTD – ACCOUNT NUMBER 00070350006738’ and crossed ‘Account Payee only’. The cheques should be payable at par and CTS
compliant. Application Form along with the necessary remittance should be sent to the Distributors of the Fixed Deposit Schemes of BFL or be submitted at any of the BFL branches.
Write to us at fd@bajajfinserv.in or call us on 020 71124281
Page 5 of 12
Customer ID: ‘FORM NO. 15G’

[See section 197A(1), 197A(1A) and rule 29C]


Declaration under section 197A (1) and section 197A(1A) to be made by an individual or a person
(not being a company or firm) claiming certain incomes without deduction of tax.

PART I
1. Name of Assessee (Declarant)
2. PAN of the Assessee
First Middle Last
3. Status 4. Previous year (P.Y.) 5. Residential Status
(for which declaration is being made)
6. Flat/Door/Block No. 7. Name of Premises

8. Road/Street/Lane 9. Area/Locality

10. Town/City/District 11. State 12. PIN 13. Email

14. Telephone No. (with STD Code) and Mobile No.


15. Whether assessed to tax under the Income-tax Act, 19615 Yes No If yes, latest assessment year for which assessed

16. Estimated income for which this declaration is made

17. Estimated total income of the P.Y. in which income mentioned in column 16 to be included

18. Details of Form No. 15G other than this form filed during the previous year, if any
Total no. of Form No. 15G filed Aggregate amount of income for which Form No. 15G filed

19. Details of income for which the declaration is filed

Sr. no. Identification number of relevant Nature of income Section under which Amount of income
investment/account, etc. tax is deductible

1 Fixed Deposit Interest 194 A

2 Fixed Deposit Interest 194 A

3 Fixed Deposit Interest 194 A

4 Fixed Deposit Interest 194 A

20. Declaration/Verification
Signature of the Declarant
*I/We ………………………………………………………………………………………. do hereby declare that to the best of *my/our knowledge and belief what is stated above is correct,
complete and is truly stated. *I/We declare that the incomes referred to in this form are not includible in the total income of any other person under sections 60 to 64 of the
Income- tax Act, 1961. *I/We further declare that the tax *on my/our estimated total income including *income/incomes referred to in column 16 *and aggregate amount of
*income/incomes referred to in column 18 computed in accordance with the provisions of the
Income-tax Act, 1961, for the previous year ending on 31.03……………. relevant to the assessment year 20……-20…….. will be nil. *I/We also declare that *my/our *income/in-
comes referred to in column 16 *and the aggregate amount of *income/incomes referred to in column 18 for the previous year ending on 31.03………………. relevant to the
assessment year 20……-20…….. will not exceed the maximum amount which is not chargeable to income-tax.

Place

Date Signature of the Declarant

*Delete whichever is not applicable

Page 6 of 12
PART II
[To be filled by the person responsible for paying the income referred to in column 16 of Part I]

Name of the person responsible for paying BAJAJ FINANCE LIMITED


Unique Identification No.
PAN of the person responsible for paying AABCB1518L

Complete Address: 4TH FLOOR, BAJAJ FINSERV CORPORATE OFFICE, OFF PUNE AHMEDNAGAR ROAD, VIMAN NAGAR, PUNE - 411014

TAN of the person responsible for paying: PNEB00001B

Email ID Telephone No. (with STD Code) and Mobile No. 020-30405060 Amount of income paid Gross Interest for FY

Date on which Declaration is received Date on which the income has been paid/credited (DD/MM/YYYY)

Place

Date Signature of the Declarant

As per provisions of section 206AA(2), the declaration under section 197A(1) or 197A(1A) shall be invalid if the declarant fails to furnish his valid Permanent
Account Number (PAN). Declaration can be furnished by an individual under section 197A(1) and a person (other than a company or a firm) under section
197A(1A).
1. Enter the name of the declarant
2. Enter the PAN of the declarant
3. Tick whichever status is applicable
4. The financial year to which the income pertains.
5. Please mention the residential status as per the provisions of section 6 of the Income-tax Act, 1961.
6-14. Enter residential address and contact details
15. Please mention ‘Yes’ if assessed to tax under the provisions of Income-tax Act, 1961 for any of the assessment year out of six assessment years
preceding the year in which the declaration is filed.
16. Please mention the amount of estimated total income of the previous year for which the declaration is filed including the amount of income for which
this declaration is made.
17. Enter income from all sources, including income filled in 16. above
18. In case any declaration(s) in Form No. 15G is filed before filing this declaration during the previous year, mention the total number of such Form No. 15G
filed along with the aggregate amount of income for which said declaration(s) have been filed.
19. Mention the distinctive number of shares, account number of term deposit, recurring deposit, National Savings Schemes, life insurance policy number,
employee code, etc.
20. Indicate the capacity in which the declaration is furnished on behalf of a HUF, AOP, etc.
Before signing the declaration/verification, the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all
respects. Any person making a false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961 and on
conviction be punishable-
a. In a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment which shall not be less than six months but
which may extend to seven years and with fine;
b. In any other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fine.
The person responsible for paying the income referred to in column 16 of Part I shall allot a unique identification number to all the Form No. 15G received
by him during a quarter of the financial year and report this reference number along with the particulars prescribed in rule 31A(4)(vii) of the Income-tax
Rules, 1962 in the TDS statement furnished for the same quarter. In case the person has also received Form No.15H during the same quarter, please allot
separate series of serial number for Form No. 15G and Form No. 15H.
The person responsible for paying the income referred to in column 16 of Part I shall not accept the declaration where the amount of income of the
nature referred to in sub-section (1) or sub-section (1A) of section 197A or the aggregate of the amounts of such income credited or paid or likely to be
credited or paid during the previous year in which such income is to be included exceeds the maximum amount which is not chargeable to tax. For
deciding the eligibility, he is required to verify income or the aggregate amount of incomes, as the case may be, reported by the declarant in columns 16
and 18.

Page 7 of 12
Customer ID: ‘FORM NO. 15H’

[See section 197A(1), 197A(1A) and rule 29C]


Declaration under section 197A(1C) to be made by an individual who is of the age of
sixty years or more claiming certain incomes without deduction of tax.

PART I
1. Name of Assessee (Declarant)
2. PAN of the Assessee
First Middle Last
3. Date of Birth 4. Previous year (P.Y.) 5. Flat/Door/Block No.
(for which declaration is being made)
6. Name of Premises

7. Road/Street/Lane 8. Area/Locality

9. Town/City/District 10. State 11. PIN 12. Email

13. Telephone No. (with STD Code) and Mobile No.


14. Whether assessed to tax Yes No If yes, latest assessment year for which assessed

15. Estimated income for which this declaration is made

16. Estimated total income of the P.Y. in which income mentioned in column 15 to be included

17. Details of Form No. 15H other than this form filed for the previous year, if any
Total No. of Form No. 15H filed Aggregate amount of income for which Form No. 15H filed

18. Details of income for which the declaration is filed

Sr. no. Identification number of relevant Nature of income Section under which Amount of income
investment/account, etc.8 tax is deductible

1 Fixed Deposit Interest 194 A

2 Fixed Deposit Interest 194 A

3 Fixed Deposit Interest 194 A

4 Fixed Deposit Interest 194 A

Declaration/Verification
Signature of the Declarant
*I/We ………………………………………………………………………………………. do hereby declare that to the best of *my/our knowledge and belief what is stated above is correct,
complete and is truly stated. *I/We declare that the incomes referred to in this form are not includible in the total income of any other person under sections 60 to 64 of the
Income- tax Act, 1961. *I/We further declare that the tax *on my/our estimated total income including *income/incomes referred to in column 16 *and aggregate amount of
*income/incomes referred to in column 18 computed in accordance with the provisions of the Income-tax Act, 1961, for the previous year ending on 31.03……………. relevant to
the assessment year 20……-20…….. will be nil. *I/We also declare that *my/our *income/incomes referred to in column 16 *and the aggregate amount of *income/incomes
referred to in column 18 for the previous year ending on 31.03………………. relevant to the assessment year 20……-20…….. will not exceed the maximum amount which is not
chargeable to income-tax.

Place

Date Signature of the Declarant

Page 8 of 12
PART II
[To be filled by the person responsible for paying the income referred to in column 16 of Part I]

Name of the person responsible for paying BAJAJ FINANCE LIMITED


Unique Identification No.
PAN of the person responsible for paying AABCB1518L

Complete Address: 4TH FLOOR, BAJAJ FINSERV CORPORATE OFFICE, OFF PUNE AHMEDNAGAR ROAD, VIMAN NAGAR, PUNE - 411014

TAN of the person responsible for paying: PNEB00001B

Email Telephone No. (with STD Code) and Mobile No. 020-30405060 Amount of income paid Gross Interest for FY

Date on which Declaration is received Date on which the income has been paid/credited (DD/MM/YYYY)

Place

Date Signature of the Declarant

As per provisions of section 206AA(2), the declaration under section 197A(1C) shall be invalid if the declarant fails to furnish his valid Permanent Account
Number (PAN). Declaration can be furnished by a resident individual who is of the age of 60 years or more at any time during the previous year.
1. Enter the name of the declarant
2. Enter the PAN of the declarant
3. Enter the date of birth of the declarant
4. The financial year to which the income pertains.
5-13. Enter residential address and contact details
14. Please mention ‘Yes’ if assessed to tax under the provisions of Income-tax Act, 1961 for any of the assessment year out of six assessment years
preceding the year in which the declaration is filed.
15. Please mention the amount of estimated total income of the previous year for which the declaration is filed including the amount of income for which
this declaration is made.
16. Enter income from all sources, including income filled in 15. above
17. In case any declaration(s) in Form No. 15H is filed before filing this declaration during the previous year, mention the total number of such Form No. 15H
filed along with the aggregate amount of income for which said declaration(s) have been filed.
18. Mention the distinctive number of shares, account number of term deposit, recurring deposit, National Savings Schemes, life insurance policy number,
employee code, etc.
Before signing the declaration/verification, the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all
respects. Any person making a false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961 and on
conviction be punishable-
a. In a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment which shall not be less than six months but which
may extend to seven years and with fine;
b. In any other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fine.
The person responsible for paying the income referred to in column 15 of Part I shall allot a unique identification number to all the Form No. 15H received
by him during a quarter of the financial year and report this reference number along with the particulars prescribed in rule 31A(4)(vii) of the Income-tax
Rules, 1962 in the TDS statement furnished for the same quarter. In case the person has also received Form No.15G during the same quarter, please allot
separate series of serial number for Form No.15H and Form No.15G.
The person responsible for paying the income referred to in column 15 of Part I shall not accept the declaration where the amount of income of the
nature referred to in section 197A(1C) or the aggregate of the amounts of such income credited or paid or likely to be credited or paid during the previous
year in which such income is to be included exceeds the maximum amount which is not chargeable to tax after allowing for deduction(s) under Chapter
VI-A, if any, or set off of loss, if any, under the head “income from house property” for which the declarant is eligible. For deciding the eligibility, he is
required to verify income or the aggregate amount of incomes, as the case may be, reported by the declarant in columns 15 and 17."

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