173309 - G K S MOBILE

2149 BAREILLY

Date : 22-09-2017 Time : 07:33:37

MID : 059000000173309 TID : 83590267
Batch : 000001

SALES
Transaction Details
XXXX XXXX XXXX 1582

Customer Name : R K RATHORE

Deal ID : CS726514213427 RRN : 726514213427
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Model : 73564
ROI(%) : 00.00 Product : SM-G570FZDGINS/SAMSUNG J5
Loan Amount (Rs.) : 13500.00 Tenure : 6
EMI Amount (Rs.) : 2250.00 Advance EMI : 0
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Advance EMI Amount : 00.00 Charges/Fees : 00.00
EMI Card Fees : 00.00 DLR-INT-SUB : 01.77
Preferred Card Fees : 00.00 Co-Brand Card Fees : 00.00
Total Down Payment : 00.00 Auth Code : 615738
Auth Description : APPROVED VERIFY ID & Loan Amount Available : 86500.00
SIGNATURE
First Due Date : Please contact FOS for First Due Date
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Bank Details

ECS Mandate : Not Required Bank Name : STATE BANK OF INDIA

Account Number : 30400551824 MICR Code : 243002007
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Address Details

Address Line 1 : S/O SHYAM PRAKASH H.NO.754

Address Line 2 : SADAR BAZAR
Address Line 3 : CANTT - NEAR URMILA ENGLISH
SCHOOL
Residence City : BAREILLY

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Customer Signature:
I have understood the EMI Scheme & agree to pay the Loan Amount as per the Master Terms and Conditions for Loans & EMI Cards.
---------------------BFL Copy---------------------
Credit card undertaking and declaration:
I want to apply for Bajaj Finserv RBL bank cobranded credit card and I hereby consent for below:
i) To share my application details and attached KYC with RBL Bank and use the same for my credit card application. The above is being done at my specific request in order to
avoid resubmission of personal details such as KYC documents and I shall not raise any objection/issue whatsoever with regard to the same against BFL or RBL bank. Further I
undertake to read the credit card features and most important terms and conditions (MITC) as mentioned on www.rblbank.com.
ii) To authorize Bajaj Finance Limited and RBL Bank to contact me, as required, for the purposes of Bajaj Finance-RBL Bank Cobranded Credit Card. I also provide my consent
to RBL Bank to call me for issuance, upgrade or downgrade of my credit card basis my telephonic, email, OTP based consent if I qualify for the same. I agree that the approval
for credit card issuance and credit limit will be at sole discretion and option of RBL Bank. I confirm that laws in relation to the unsolicited communication referred in “National Do
Not Call Registry” (the “NDNC Registry”) as laid down by TELECOM REGULATORY AUTHORITY OF INDIA will not be applicable for such communication.
Place ___________________
Case ID _________________
Mobile No. _______________ Signature of the customer