Application for relief under resolution framework
for COVID related stressed - Personal Loan

1. Account Number (For which restructuring is required)

Enter OTP Details Reference No.: OTP No.:
2. Name of the Borrower
3. Facility Type (Scheme Name)
4. Status of account as on 01.03.2020
5. PAN
6. Aadhaar No.
7. Registered Mobile No.
8. Alternate Mobile No.
9. Address:
Office:
Residence:
10. Employment details:	Salaried Other
11. If Salaried:
Organisation:
Designation:
11.1. As on 29/02/2020:
Gross salary:
Net salary:
11.2. As on Latest:
Gross salary:
Net salary:
11. If other than Salaried Class:
Nature of Activity:
Present Income up to 31.03.2021:
12. Nature of Relief Sought:	Extension of Loan Period Moratorium on Payment of EMI
13. Are you affected in COVID ?:	Yes No
13.1. If yes, enter details: