Perforation

PUNCH
Back Page Cover Page
APPLICATION FOR CREDIT SHIELD EXTENSION DECLARATION
I hereby declare that the above information is complete and true and the Bank is entitled to verify this directly or through any third party agent. I further
I wish to avail of the Credit Shield Extension policy offered by Tata AIG Life Insurance Co. Ltd. I authorise HSBC to debit the
state that the Bank may at its sole discretion sanction or decline this application for primary and/or add-on card(s). I confirm that the add-on cardholder(s)
monthly premium and processing fees for the Credit Shield Extension policy scheme to my credit card account as per the details and I will jointly and severally be bound by the terms and conditions of usage of the credit cards, copy of which is available on the HSBC website and
overleaf. I understand that Tata AIG Life Insurance Company Ltd. issues a group policy to HSBC for this coverage. I also understand would be made available on approval of the card. The usage of the credit card(s) by me or any of the add-on cardholder(s) will also be deemed to be
that the monthly premium amount payable and corresponding benefit will vary according to the credit card type held, and that this automatic confirmation of the acceptance of the said terms and conditions. I authorise the Bank to debit my credit card account for any fees, charges,
interest, etc. I irrevocably confirm that all dues in respect of the HSBC Credit Card utilised for services availed and goods purchased from eligible service
will automatically increase/decrease upon credit card upgrade/downgrade. I declare that I am between 18 and 60 years of age. I have establishments/merchants by me and any add-on cardholder(s), will be payable by me and I guarantee the payment towards the same in my capacity as a
never suffered from a cancer or tumour, a heart condition, a stroke or HIV infection. I am currently not suffering from, or receiving principal cardholder. I hereby agree and give consent to the Bank to modify the rate of finance charges (interest rate) at its sole discretion from time to
treatment for, any symptoms, medical conditions or disabilities. time without any prior intimation and levy such charges accordingly. I undertake and declare that usage of the credit card by me and any add-on
cardholder(s) will be strictly in accordance with the Foreign Exchange Management Act, 1999 (FEMA) and the applicable rules, regulations,
notifications, directions or orders made hereunder and I confirm that I have (on behalf of the Bank) obtained undertaking(s) from the add-on
cardholder(s) to this effect. In the event of failure by me or any add-on cardholder(s) to comply with the provision of FEMA, aforesaid, I and such add-on
Tick here if you fulfil the relevant criteria cardholder(s) will be liable for action under FEMA. In addition to any general right to set-off or other right conferred by law or under any other
agreement, I authorise HSBC to, without notice, combine or consolidate the outstanding balance on the card account with any other account(s) which I
described above and wish to enrol in HSBC’s Credit
maintain with HSBC, and set-off or transfer any money outstanding to the credit of such other account(s), in or towards the satisfaction of my liability to
Shield Extension policy scheme. For terms and X HSBC under this Agreement. I acknowledge that the Bank remains entitled to assign any activities to any third party agency at its sole discretion. I further
conditions please visit www.hsbc.co.in or refer to the acknowledge the right of the Bank to provide details of my account, including those of any add-on cardholder(s), to third party agencies for the purpose of
credit card services guide. Signature of primary credit card applicant availing of support services of any nature by the Bank, without any specific consent or authorisation from me and/or any add-on cardholder(s). I
acknowledge that the existence of this account and details thereof (including detail of credit card transaction and any defaults committed by me), will be
recorded with credit reference agencies and such information (including processed information) may be shared with banks/financial institution and other
credit grantors for the purpose of assessing further applications for credit by you and/or members of your household, and for occasional debt tracing and
MARKETING OFFERS fraud prevention. I accordingly authorise the Bank to share information relating to my credit card account, including information relating to any add-on
cardholder(s). I understand that as precondition, relating to grant of loans/advances/other non-fund based credit facilities to me, HSBC requires consent
From time to time, HSBC communicates various features/products/promotional offers, which offer for the disclosure by HSBC, of information and data relating to me/add-on credit facility availed of/to be availed of by me, obligations assumed/to be
assumed by me, in relation thereto and default, if any, committed by me in discharge thereof.
significant benefits to its customers and may use the services of third party agencies to do so. Do you wish to 1. Accordingly, I hereby agree and give consent and confirm that I have obtained consent from the add-on cardholder(s) for disclosure by HSBC of all or
be informed about such benefits? any such; (a) information and data relating to me/add-on cardholder(s) (b) the information or data relating to any credit facility availed of by me and (c)
■ I/We expressly authorise HSBC to use information or data relating to me/us, for communicating
default, if any, committed by me in discharge of my such obligation, as HSBC may deem appropriate and necessary, to disclose and furnish to Credit
Information Bureau (India) Ltd. and any other agency authorised in this behalf by Reserve Bank of India.
marketing offers as outlined above. 2. I undertake on my behalf and on behalf of the add-on cardholder(s) that (a) the Credit Information Bureau (India) Ltd. and any other agency so
authorised may use, process the said information and data disclosed by HSBC; and (b) the Credit Information Bureau (India) Ltd. and any other agency so
■ I/We do not wish to receive offers as outlined above. authorised may furnish for consideration, the processed information and data or products thereof prepared by them, to banks/financial institutions and
other credit guarantors as may be specified by the Reserve Bank of India in this behalf.
For customers who wish to receive such marketing offers but do not wish to be communicated the same by I expressly authorise HSBC to use information or data relating to me/add-on cardholder(s), including credit information, whether provided by me or
way of telephone calls/SMSes from HSBC, we offer a ‘Do not call’ service. To register for this, please visit otherwise, in connection with the offer, sale or distribution of HSBC's products and services to me/add-on cardholder(s).
our website www.hsbc.co.in

REQUEST FOR ADD-ON CREDIT CARD X

Signature of primary credit card applicant Date
Mr. Ms. Mrs. Dr.
OCCUPATION-BASED FOR BANK USE ONLY
Name DOCUMENTS REQUIREMENT
First Middle Last LT DT
Name as desired on the credit card • Salaried in MNC - Salary Slip/Certificate
• Salaried in Private Limited Company - Latest copy of Salary
Slip + last 3 months Bank Statements indicating salary credits SIGN
• Salaried in Public Limited/Government Organisation/Public
Sector - Personal Income Tax Returns/Form 16/Latest
Salary Slip P1
Sex Male Female Date of Birth D D M M Y Y
• Self-employed - Latest Personal Income Tax Returns and
Business Card A1
• Other credit cardholders - Photocopy of front and back of
Passport No. Driving Licence No. credit card and any one of last 3 months credit card
Statements A2

Other ID (Pls specify) TAK1

Marital status Single Married Mobile No.

Relationship
Loan Products
Mother's name before marriage
Application Form
Occupation details

TAK1/Verdate 12/09

Issued by The Hongkong and Shanghai Banking Corporation Limited, India. Incorporated in Hong Kong SAR with limited liability.
Issued by The Hongkong and Shanghai Banking Corporation Limited, India. Incorporated in Hong Kong SAR with limited liability. Pg 14 of 14

Perforation

Terms & Conditions

• Balance Transfer (BT) feature offers HSBC cardholders a promotional interest rate, applicable only on the outstanding balance transferred from other bank credit card(s). The promotional interest rate is valid for a pre-defined duration
called ‘Balance Transfer Term’ except in case of perpetual BT where the promotional rate is applicable till the entire transferred balance is paid off, with there being no pre-defined term. • HSBC cardholders can choose from any of the
following balance transfer options: 0% interest for 3 months term, 0.75% p.m. (9% p.a.) interest for 6 months term, 0.99% p.m. (11.88% p.a.) interest rate for perpetual BT. • W.e.f. 1 February 2006, for 0% interest for 3 months option, a
processing fee of 2% of the balance transfer amount will be applicable. For 6 months tenure option and perpetual BT option a processing fee of ‘Rs.100 per transaction’ will be applicable. It will be charged at the end of every month for
all Balance Transfer transactions processed during the month and will reflect in the credit cardholder’s subsequent monthly statement of account. • Upon completion of the ‘Balance Transfer Term’, if applicable, balance amount is
merged with the other outstanding on the credit card and interest will be charged as per regular rate applicable as communicated to the cardholder from time to time. • Any outstanding balance at the end of the Balance Transfer Term,
if applicable, cannot be transferred to another Balance Transfer Option being offered by HSBC at that time. • To avail of the Balance Transfer facility, you must enclose a copy of your latest Other Bank credit card statement. • The
minimum amount that can be transferred from any Other Bank credit card account to your HSBC Credit Card is Rs. 3,000. • The maximum amount that can be transferred from any Other Bank credit card to your HSBC Credit Card is
80% of the available credit limit on your HSBC Credit Card as on the date of approval of your application. You can transfer balances from more than one Other Bank credit card under the same or different Balance Transfer Options,
within the limit. • In the event a cardholder transfers different amounts under different Balance Transfer options; the repayment will be allocated in the same sequence that the balance transfers have been applied for. • If the amount
(as mentioned in the application form) to be transferred to your HSBC Credit Card exceeds by 80% of the available credit limit on the date of acceptance by HSBC, HSBC will automatically transfer only an amount equal to 80% of your
then available credit limit. • HSBC shall send the demand draft, favouring the other credit card account transfer amount to your mailing address. • If you have subscribed for the ‘credit card account settlement option’ to automatically
settle your credit card outstandings ‘Balance Transfer Term’, you are requested to arrange for making payments against your credit card outstandings by the payment due dates, during the period. The facility will be reactivated at the
end of the Balance Transfer promotional period. • During the Balance Transfer Term, the balance transferred will also be included for computing the minimum payment due, as mentioned in your credit card statement from HSBC. •
HSBC reserves the right to decline any Balance Transfer request. • HSBC shall not be liable for the service charges or late payment charges to your Other Bank credit card account due to decline or delay in execution of your Balance
Transfer request. • You should continue to make payments on your Other Bank credit card until you receive confirmation in a subsequent HSBC Credit Card statement that your account with the other issuer had been credited. • This
facility cannot be availed of to transfer balance from another HSBC Credit Card. • HSBC has the sole right to modify or change any of the above terms and conditions without any prior notice. • The entire balance outstanding on the
credit card (including any balances transferred) will become payable immediately upon closure of the credit card whether such closure is initiated by the bank or the cardholder.

For Office Use Only

Job No. 094034 Filename: HL Application Form.ai Close Size (cm): 21 (W) x 29.7 (H) Open Size (cm): 42 (W) x 29.7 (H)
 12 1
HOME LOAN APPLICATION PROCESS FLOW FOR OFFICE USE ONLY
No. Steps No. of Days Date/Time Responsibility
1. Customer discusses needs with HSBC Customer - Home Loan Sales Officer File Reference No.
2. Eligibility amounts are determined Home Loan Sales Officer - Customer Builder's Name
3. Customer submits Home Loan Customer
DSA/DSF Name
Application Form
4. Customer completes documentation Customer Branch Name Date Time
requirement
5. HSBC processes the application and 4 days from the time complete HSBC's Operations Department
communicates the decision of documents are submitted DOCUMENTS REQUIRED FOR ALL LOANS
Pre-approval/Decline
6. HSBC does technical evaluation of the 3 days from the time complete HSBC's Operations Department Photo Identity Proof of Residence Proof of Age
property i.e. valuation and legal evaluation property documents are submitted (Any one) (Any one) (Any one)
7. Customer submits Home Loan Disbursal Kit Customer • Passport • Passport • Passport
along with requisite original property papers
• Driving Licence • Driving Licence • Driving Licence
8. Loan decision finalised 1 day from the time customer HSBC's Operations Department • Voter's Identity Card • Voter's Identity Card • Voter's Identity Card
submits all the original property • Photo Ration Card • Ration Card • Photo Ration Card
documents and after completing
• Photo PAN Card • Telephone (Land/Mobile) Bill • Photo PAN Card
necessary property-related formalities
• Government Identity Card • Electricity Bill • Birth Certificate
9. Loan is disbursed and the Pay Order is Same day as the loan decision is finalised HSBC's Operations Department • Defence Identity Card • Society Outgoing Bill • School Leaving Certificate
made in seller's name
• Life Insurance Policy • Life Insurance Policy or Premium Receipt clearly
10. Welcome letter is dispatched along with the 4 days from the date of disbursal HSBC's Operations Department indicating the applicant's age
list of property documents held by the Bank
and documents that are yet to be received Please note: Only passport can be used as both proof of individual identity and proof of residence address.
from the customer
Passportsize photograph with signature on the reverse.
11. Satisfaction survey/Welcome call Within 6 weeks from the time Welcome HSBC
Kit is received by the customer
The loan will be disbursed in full or in instalments as per the schedule submitted by the builder and progress of construction as assessed by HSBC. Disbursal of loan will be subject to FINANCIAL DOCUMENTS REQUIRED
clearance of legal and valuation reports as per HSBC guidelines. All loans are at the sole discretion of The Hongkong and Shanghai Banking Corporation Limited, India.

Particulars Resident Indians Particulars Resident Indians

Salaried Latest salary slip showing statutory deductions Partnerships P&L and Balance Sheet for the last 2 years certified
Individuals AND by a C.A.
HOME LOAN APPLICATION PROCESS FLOW Form 16 (Declaration from the employer giving
the details of income and deductions, duly signed by Copies of acknowledged IT Returns for the
an authorised signatory of the Company) last 3 years
No. Steps No. of Days Date/Time Responsibility
OR Copies of Partnership Deed Letter of Authority
1. Customer discusses needs with HSBC Customer - Home Loan Sales Officer
2. Eligibility amounts are determined Home Loan Sales Officer - Customer Latest acknowledged IT Returns Bank statements for the last 6 months
3. Customer submits Home Loan Customer AND
Proof of office
Application Form Bank statements for the last 3 months
4. Customer completes documentation Customer Private Limited P&L and Balance Sheet for the last 3 years certified
Self-employed Computation of income for the last
requirement Companies by a C.A.
Individuals/ 2 years certified by a C.A.
5. HSBC processes the application and 4 days from the time complete HSBC's Operations Department Proprietors OR Copies of acknowledged IT Returns for the
communicates the decision of documents are submitted last 3 years
Pre-approval/Decline P&L and Balance Sheet for the last
2 years certified by a C.A. Memorandum and Articles of Association
6. HSBC does technical evaluation of the 3 days from the time complete HSBC's Operations Department
AND
property i.e. valuation and legal evaluation property documents are submitted Board Resolution to borrow as well as
Copies of acknowledged IT Returns for create a charge
7. Customer submits Home Loan Disbursal Kit Customer the last 2 years
along with requisite original property papers Bank statements for the last 6 months
AND
8. Loan decision finalised 1 day from the time customer HSBC's Operations Department Authority letter from all Directors to accompany the
submits all the original property Bank statements for the last 6 months
application form with photographs of authorised
documents and after completing Additionally, for self-employed professionals, signatories if not specified in the board resolution
necessary property-related formalities a copy of the degree certificate or final year marksheet
is required Proof of office
9. Loan is disbursed and the Pay Order is Same day as the loan decision is finalised HSBC's Operations Department
made in seller's name
10. Welcome letter is dispatched along with the 4 days from the date of disbursal HSBC's Operations Department
list of property documents held by the Bank
and documents that are yet to be received
from the customer
11. Satisfaction survey/Welcome call Within 6 weeks from the time Welcome HSBC
Kit is received by the customer
The loan will be disbursed in full or in instalments as per the schedule submitted by the builder and progress of construction as assessed by HSBC. Disbursal of loan will be subject to
clearance of legal and valuation reports as per HSBC guidelines. All loans are at the sole discretion of The Hongkong and Shanghai Banking Corporation Limited, India.

Pg 12 of 14 Pg 1 of 14
 2 11
APPLICANT BANK COPY

ACKNOWLEDGEMENT
PERSONAL INFORMATION

Name | | | | | | | | First| | | | | | | | | | | Middle

_______________________________________ | | | | | | | | | | |
Last
| | | | | | | | | | Loan Application received on | | || | || | | | |
__ __ __ __ Complete Document set received on | | || | || | | | |
__ __ __ __

■ Mr. ■ Mrs. ■ Ms. ■ Dr. ■ Others | | | | | |

___________________ | | | | | | | | | | | | | | Request will be disposed of and acceptance/rejection notification will be mailed within 15 days from the date of receipt of completed
Former or other name if any* | | | | | | | | | | | | | | | | |
_______________________________ | | | | | | | | | | | | | | | application form with supporting documentation.
First Middle Last
Nationality | | | | | | | | | | | Resident Status
__________ | | |
______________ | | | | | | | | | | | | Affix Processing fees of Rs. | | | | | | | received by Cheque No. | | | | | | | dated | | | | | | | | | | | drawn
______ ______ __ __ __ __

Passport No. | | | | | | | | | | | Driving Licence No.

__________ | | |
______________ | | | | | | | | | | | | photo here
on | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Bank, which will
__ __ ____ __ ____ _____ __ ____ __ __ ____ __ ____ __ __

PAN No./GIR No. | | | | | | | | | | |

__________
be refunded/not refunded.
Photo Identification (ID) : Document Type | | | | | | | | | | | | | | | |
___________________________ | | | | | | | | | | | |
Photo (ID) Document : Number | | | | | | | | | | | | | | | |
___________________________ | | | | | | | | | | | | Please see overleaf for Home Loan Application Process Flow.

Sex: ■ Male ■ Female Date of Birth (dd/mm/yyyy) | | | | | | | | __ __ ____ | Marital Status: ■ Single ■ Married
No. of Dependants | | | Name of Spouse | | | | | | | | | |
__ | | |
________________________ | | | | | | | | | | | | No. of Children | | | __

Mother's name before marriage (We will only use this for caller identification) | | | | |
________________________ | | | | | | | | | | | | | | | | | | | |
Do you possess a car? ■ Yes ■ No Make of car | | | | | | | | | | | | | | | | | | | | | |
____________ _________

If yes, your car is ■ Your own ■ Company provided ■ Financed

Do you have a club membership? ■ Yes ■ No Name of the club | | | | | | | | | | | | | | |
______________

In case the applicant is a Non-individual ■ Partnership ■ Pvt. Ltd. Company ■ Public Ltd. Company
■ Sole Proprietorship ■ Others | | | | | | | | | | | | | | | | | | | | | |
____________ _________

Residence Accommodation Ownership ■ Company provided ■ Self-owned ■ Mortgaged ■ Rented ■ Parents/Relatives

■ Others | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
_______________________________

Residence Accommodation Type ■ Flat/Apartment ■ Independent House ■ Bungalow/Villa ■ Others |_|_|_|_|_|_|_|_|

Please direct all correspondence to my ■ Residence Address ■ Office Address
Present Address:
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | CUSTOMER COPY
City & State | | | | |
____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | | ACKNOWLEDGEMENT
Residence Telephone No. | | | | |
_____ ________
STD Code
|| | | | | | | | | Mobile No. | 0 | | | | |
___________ | | | | | |
E-mail | | | | | | | | | |
_ _ _ _____________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Loan Application received on | | || | || | | | |
__ __ __ __ Complete Document set received on | | || | || | | | |
__ __ __ __

Duration at current address | __ | | years | | | months

__
Request will be disposed of and acceptance/rejection notification will be mailed within 15 days from the date of receipt of completed
Previous Address (To be filled if duration at current address is less than one year): application form with supporting documentation.
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | Processing fees of Rs. | | | | | | | received by Cheque No. | | | | | | | dated | | | | | | | | | | | drawn
______ ______ __ __ __ __

Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | on | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Bank, which will
__ __ ____ __ ____ _____ __ ____ __ __ ____ __ ____ __ __

City & State | | | | |

____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | | be refunded/not refunded.
Duration at previous address |
__ | | years |
__ | | months
Permanent Address (Local address mandatory for NRI): Please see overleaf for Home Loan Application Process Flow.
House/Flat/Apt. No. & Name | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | |
Street Name & No. and Area/Location | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | |
Landmark | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | |
City & State | | | |
____________________ | | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | |
Residence Telephone No. | | |
_____ ________
STD Code
| | || | | | | | | | | Mobile No. | 0 | | | | |
___________ | | | | | |
Educational Qualifications:
■ Undergraduate ■ Graduate ■ Postgraduate ■ Professional ■ Tertiary (Diploma) ■ Others |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|

______________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant
*Applicant/Co-applicant is required to provide the support documents in case of having ‘former’ or ‘other’ names. Pg 2 of 14 Pg 11 of 14
 10 3
SERVICE CHARGES AND FEES ABOUT JOB/PROFESSION/OCCUPATION

Home Loan / Smart Home ■ Salaried ■ Self-employed ■ Others

Processing fees 1% of the loan amount applied for, or Rs. 10000,
whichever is higher plus service tax. This fee is Designation You work for Your firm is Profession
payable on application and is not refundable. ■ Senior Management ■ Government ■ Proprietorship ■ C.A. ■ Student
For Delayed Instalments on account of cheque, ECS or SI (Standing Instruction) dishonours Rs. 250 per instance ■ Middle Management ■ Public Ltd. Co. ■ Partnership ■ Journalist ■ Housewife
Duplicate Statements Rs. 250 per statement
■ Junior Management ■ Public Sector ■ Private Limited ■ Architect ■ Retired
Prepayment Charges ■ Officer ■ Pvt. Ltd. Co. ■ Consultant ■ Others _________
Up to 25% of the loan amount sanctioned in every financial year Nil ■ Clerical ■ MNC ■ Doctor
For amount in excess of 25% of the loan amount sanctioned 3% of amount prepaid
Job Title _____________ ■ Partnership/Proprietorship ■ Lawyer
Note ____________________ ■ Others ________________ ■ Others _______________
Prepayment is permitted after a minimum of 6 months following the loan disbursal. For processing prepayment requests, customers are
required to send us a written instruction communicating their desire to prepay. Office Address :
Switching Charges Name of Firm/Employer & Dept. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________________

From Home Loans to Smart Home or MyHome and vice versa 1.5% of the outstanding loan amount. Street Name & No. and Area/Location | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________________

From Floating Rate to Fixed Rate*

- At the time of annual review of account Nil
Landmark | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________________

- Any other time during the year 1.5% of the outstanding loan amount City & State | | | | | | | | | | | | | | | | | | | | | Pin Code | | | | | | |
__________ __________ ______

Switching from Fixed Rate to Floating Rate is allowed only after completion of fixed term. Office Tel. No. | | | | | || | | | | | | | || | | | | |
_____ ________ _____
STD Code Extn.
Fax No. | | | | | | | | | | | | | | |
_____ ________
STD Code
* Fixed rate is not available under Smart Home. E-mail | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
_ _ _ _____________________________________

MyHOME Employee No. | | | | | | | | | Nature of Business | | | | | | | | | | | | | | | | | | | | | |

________ _____________________

Processing fees 1% of the loan amount applied for, or Rs. 10000, Duration in current Organisation | __ | | years | | | months
__ Duration in previous Organisation | | | years | | | months
__ __

whichever is higher plus service tax. This fee is Total work experience | __ | | years | | | months
__

payable on application and is not refundable. Previous Employer Name | | | | | | | | | | | | | | | | | | | | | | (if less than 2 years in current organisation)
_____________________

For Delayed Instalments on account of cheque, ECS or SI (Standing Instruction) dishonours Rs. 500 per instance
Duplicate Statements Rs. 250 per statement INCOME DETAILS
Prepayment Charges
Up to 15% of the outstanding loan amount once in every financial year Nil Annual Salary/Income in Rs. (current year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ _________ _

For amount in excess of 15% of the outstanding loan amount 3% of amount prepaid Annual Salary/Income in Rs. (previous year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ _________ _

Note
BANK ACCOUNT DETAILS
Prepayment is permitted after a minimum of 12 EMIs and is not allowed during interest only period. For processing prepayment requests,
customers are required to send us a written instruction communicating their desire to prepay. Bank Name & Branch Account Number Account Type Account Since
Switching
From MyHOME to Home Loan or Smart Home and vice versa 1.5% of the outstanding loan amount.
Loan Against Property
Processing fees 1% of the loan amount applied for or Rs. 10000,
whichever is higher plus service tax. This fee is CREDIT CARDS HELD BY YOU
payable on application and is not refundable.
For Delayed Instalments on account of cheque, ECS or SI (Standing Instruction) dishonours Rs. 250 per instance Card Number Issued By Member Since Limit (Rs.)
Duplicate Statements Rs. 250 per statement
Prepayment Charges
Up to 25% of the outstanding loan amount once in every financial year Nil
For amount in excess of 25% of the outstanding loan amount 4% of amount prepaid
OTHER BANK LOANS
Note
Prepayment is permitted after a minimum of 6 months following the loan disbursal. For processing prepayment requests, customers are Loan Type Bank/Financial Institution Monthly Commitments/Loan Instalment
required to send us a written instruction communicating their desire to prepay.
AssetLink
Annual Service Charges 1.5% of limit
Duplicate Statements Rs. 250 per statement
Service Withdrawal Charge Rs. 200 per scrip (Max. Rs.500 per withdrawal)
Unauthorised Overdraft/Overlimit 2% over and above the applicable interest rate HSBC RELATIONSHIP
Charge for unsuccessful execution of Standing Instruction for payment/Cheque bounce charge Rs. 250 Details of Applicant having accounts with HSBC
• The above is an extract of our tariff. Please refer to www.hsbc.co.in for details. Nature of Account Account Holder's Name Account Number
• Service tax at the applicable rates will be levied on fees and charges. Please refer to www.hsbc.co.in for details.
• The interest rate on your floating rate loans are linked to HSBC's Retail Lending Rate (RLR) and any revision in the RLR would impact
your interest rate.
• Fees and charges are subject to change at the sole discretion of the Bank.
• All loans are subject to terms and conditions and are at the sole discretion of The Hongkong and Shanghai Banking Corporation Limited, India.
_____________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant
Pg 10 of 14 Pg 3 of 14
 4 9
CO-APPLICANT ADDITIONAL DECLARATION FOR ASSETLINK APPLICANTS
I/We confirm that I am/we are Resident Indian/s, that funds will be used for personal purposes and will not be used for speculative and/or
PERSONAL INFORMATION anti-social purposes, that the securities to be pledged are not held in our capacity as a trustee or a guardian for another purpose and that
all applicants (including co-applicants) are major by age. I/We understand that the Bank has the right to recall the funds if they are not
Name | | | | | | | | First| | | | | | | | | | | Middle
_______________________________________ | | | | | | | | | | | | |
Last
| | | | | | | | used for the stated purpose at its sole discretion.
■ Mr. ■ Mrs. ■ Ms. ■ Dr. ■ Others | | | | | |
___________________ | | | | | | | | | | | | | | I/We have understood the terms and conditions of the AssetLink facility and agree that the Bank reserves the right to sell the pledged
Former or other name if any* | | | | | | | | | | | | | | | | |
_______________________________ | | | | | | | | | | | | | | | shares immediately, when the loan to value ratio exceeds the level as per the Terms and Conditions of the Bank which may be changed
First Middle Last without notice.
Nationality | | | | | | | | | | | Resident Status
__________ | | |
______________ | | | | | | | | | | | | Affix
I/We, ___________________ (name), understand that as per Reserve Bank of India guidelines, the following maximum ceilings apply in
Passport No. | | | | | | | | | | | Driving Licence No.
__________ | | | | | | | | | |
______________ | | | | | photo here
respect of borrowings against security of shares, convertible bonds, convertible debentures and units of equity oriented mutual funds
PAN No./GIR No. | | | | | | | | | | |
__________
(hereinafter referred to as ‘Capital Market Investments’) availed of by individuals from the entire banking system; confirm that I use/
Photo Identification (ID) : Document Type | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________ intend to use funds from my AssetLink Account No. _____________________, for the following purpose(s):
Photo (ID) Document : Number | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________ • Borrowal limits should not exceed Rs. 20 lacs per individual if the securities are held in demat form.
Sex: ■ Male ■ Female Date of Birth (dd/mm/yyyy) | | | | | | | | | Marital Status: ■ Single
__ __ ____ ■ Married • Borrowal limits should not exceed Rs. 10 lacs per individual if securities are held in physical form.
No. of Dependants | | | Name of Spouse | | | | | | | | | |
__ | | | | | | | | | | | | | | | No. of Children | | |
________________________ __ • Utilisation for subscribing to IPOs should not exceed Rs. 10 lacs per individual.
Relationship with applicant | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________ _______________________
I/We confirm that the aggregate borrowal limits availed of by me/us, from the entire banking system, in respect of loans/overdrafts against
Mother's name before marriage (We will only use this for caller identification) | | | | | | | | | | | | | | | | | | | | | | | | |
________________________ the security of Capital Market Investments, including the AssetLink facility availed of from the Bank, does not exceed the above mentioned
Do you possess a car? ■ Yes ■ No Make of car | | | | | | | | | | | | | | | | | | | | | | ____________ _________
regulatory ceiling, as applicable, and shall ensure that the said ceiling is not exceeded at any given point in time in future.

If yes, your car is ■ Your own ■ Company provided ■ Financed I/We also confirm that if the proceeds of the aforesaid borrowal limits from the entire banking system, including the AssetLink facility
availed of from the Bank, are utilised for subscribing to IPOs then such utilisation shall not exceed the regulatory ceiling of Rs. 10
Do you have a club membership? ■ Yes ■ No Name of the club | | | | | | | | | | | | | | |
______________

lacs per individual.

In case Co-applicant is a Non-individual ■ Partnership ■ Pvt. Ltd. Company ■ Public Ltd. Company
I/We understand and accept that the Bank will recall the AssetLink facility granted to me/us in the event it comes to the notice of the
■ Sole Proprietorship ■ Others | | | | | | | | | | | | | | | | | | | | | |
____________ _________
Bank or the Bank has reason to believe that I/we have breached the above-mentioned regulatory ceilings.
Residence Accommodation Ownership ■ Company provided ■ Self-owned ■ Mortgaged ■ Rented ■ Parents/Relatives
Date:
■ Others | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
_______________________________

Residence Accommodation Type ■ Flat/Apartment ■ Independent House ■ Bungalow/Villa ■ Others | | | | | | | | | ________

Please direct all correspondence to my ■ Residence Address ■ Office Address _____________________________ _____________________________ _____________________________
Present Address: Signature of the Applicant Signature of the Co-applicant Signature of the Guarantor
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | || | | |
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | || | | | TERMS AND CONDITIONS FOR PRE-APPROVED CREDIT CARD OFFER
Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | || | | | 1. Your income should be more than Rs. 1,44,000 per annum for Classic card and Rs. 2,40,000 for Gold card. 2. The offer is applicable
City & State | | | | |
____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | | only on approval of your Home Loan application. 3. To avail of this offer, you need to submit the Credit Card Application Form and
your Home Loan Application Form simultaneously. 4. Only the primary loan applicant will be eligible for this offer. The credit card will
Residence Telephone No. | | | | |
_____ ________
STD Code
|| | | | | | | | | Mobile No. | 0 | | | | | ___________| | | | | | be free for the first year only. Normal fees will be applicable from the second year onwards. 5. Credit card issuance will be at the sole
E-mail | | | | | | | | | |
_ _ _ _ _ ___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | discretion of The Hongkong and Shanghai Banking Corporation Limited, India. 6. Other terms and conditions as applicable for credit
Duration at current address | __ | | years __| | | months card shall apply.
Previous Address (To be filled if duration at current address is less than one year):
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | FOR OFFICE USE ONLY
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | Debt to Income Ratio (%) __________________________________________________________________________________________
Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
EMI Amount __________________________________________________________________________________________
City & State | | | | |
____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | |
Duration at previous address |
__ | | years | | | months
__
HSBC Customer ID __________________________________________________________________________________________
Permanent Address (Local address mandatory for NRI): AAP Application ID No. __________________________________________________________________________________________
House/Flat/Apt. No. & Name | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | || | | For Home Loans only __________________________________________________________________________________________
Street Name & No. and Area/Location | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
| | |
Agreement Value __________________________________________________________________________________________
Landmark | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | || | |
City & State | | |
____________________ | | | | | | | | | | | | | | | | | | Pin Code: | |
______ | || | | Valuation Date __________________________________________________________________________________________
Residence Telephone No. | | |
_____ ________ | | || | | | | | | | | Mobile No. | 0 | | | | |
___________ | | | | | | Valuation Amount __________________________________________________________________________________________

Ver. date: 05/09

STD Code

Educational Qualifications:
Location of Property __________________________________________________________________________________________
■ Undergraduate ■ Graduate ■ Postgraduate ■ Professional ■ Tertiary (Diploma) ■ Others | | | | | | | | | | | | | | | | |
____ __ __ ___ __ _ __

City where Property is located __________________________________________________________________________________________

Loan to Value Ratio __________________________________________________________________________________________

_____________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant File Reference No. __________________________________________________________________________________________
*Applicant/Co-applicant is required to provide the support documents in case of having ‘former’ or ‘other’ names. Pg 4 of 14
Pg 9 of 14
 8 5
MARKETING OFFERS ABOUT JOB/PROFESSION/OCCUPATION
From time to time, HSBC communicates various features/products/promotional offers which offer significant benefits to its customers
and may use the services of third party agencies to do so. Do you wish to be informed about such benefits? ■ Salaried ■ Self-employed ■ Others
■ I/We expressly authorise HSBC to use information or data relating to me/us, for communicating marketing offers as outlined above. Designation You work for Your firm is Profession
■ I/We do not wish to receive offers as outlined above. ■ Senior Management ■ Government ■ Proprietorship ■ C.A. ■ Student
■ Middle Management ■ Public Ltd. Co. ■ Partnership ■ Journalist ■ Housewife
For customers who wish to receive such marketing offers but do not wish to be communicated the same by way of telephone
calls/SMSes from HSBC, we offer a ‘Do not call’ service. To register for this, please visit our website www.hsbc.co.in ■ Junior Management ■ Public Sector ■ Private Limited ■ Architect ■ Retired
■ Officer ■ Pvt. Ltd. Co. ■ Consultant ■ Others ________
DECLARATION ■ Clerical ■ MNC ■ Doctor
Job Title ____________ ■ Partnership/Proprietorship ■ Lawyer
I/We certify that the information provided by me/us in this application form is true and correct in all respects and The Hongkong and Shanghai
Banking Corporation Limited (the Bank) is entitled to verify this directly or through any third party agent. I/We confirm that the _________ (mention ____________________ ■ Others _______________ ■ Others _____________
number of pages) attached containing copies of financials/Bank Statements/Title/Legal documents etc. are submitted by me/us against my/our loan
Office Address :
application and certify that these are true copies. I/We further acknowledge the Bank's right to seek any information from any other source in this
regard. I/We understand that all of the above-mentioned information shall form the basis of any facility that the Bank may decide to grant to me/us at Name of Firm/Employer & Dept. | | | | | |
___________________________________ | | | | | | | | | | | | |
| | | | | | | | | | | | | | | ||
its sole discretion. Street Name & No. and Area/Location | | | | | |
___________________________________ | | | | | | | | | | | | |
| | | | | | | | | | | | | | | ||
I/We further agree that any facility that may be provided to me/us shall be governed by the rules of the Bank that may be in force from time to time. Landmark | | | | | |
___________________________________ | | | | | | | | | | | | |
| | | | | | | | | | | | | | | ||
I/We will be bound by the terms and conditions of the facility/ies that may be granted to me/us. I/We authorise the Bank to debit my/our card City & State | | | |
____________________ | | | | | | | | | | || | | | | |
Pin Code | | | | | | | ______

account/any other account with the Bank for any fees, charges, interest etc. as may be applicable.
Office Tel. No. | | | | |
_____ ________ _____
STD Code
|| | | | | | | | | | | | | | | Fax No. | | | | | | | | | | | | | | |
Extn.
_____ ________
STD Code
I/We undertake and declare that I/we will comply with the Foreign Exchange Management Act, 1999 (‘FEMA’) and the applicable rules, regulations, E-mail | | | | | | | | | |
_ _ _ _____________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
notifications, directions or orders made thereunder and any amendments thereof. I/We undertake to intimate the Bank before proceeding overseas on
permanent employment and/or emigrating and/or changing my/our nationality.
Employee No. | |
________ | | | | | | | Nature of Business | | | | | | | | | | | | | | | | | | | | | |
_____________________

Duration in current Organisation |

__ | | years |
__ | | months Duration in previous Organisation | | | years | | | months __ __
Individuals/Sole Proprietors - I/We hereby declare that I/we am/are not a near relation to any senior officer of the Bank or any directors of any HSBC
Group Companies (please strike off if this is not the case and provide a separate list of relevant related persons). I/We also confirm that as on date of Total work experience |
__ | | years |
__ | | months
this application, there are no litigations, initiated by other banks/financial institutions, being faced by me/us (please strike off if this is not the case and Previous Employer Name | | | | |
_____________________ | | | | | | | | | | | | | | | | | (if less than 2 years in current organisation)
provide a separate list of initiated/pending litigations).
Partnerships/Limited Companies - We hereby declare that none of the director(s) on our board/partners are near relatives of any senior officer of the INCOME DETAILS
Bank or any directors of any HSBC Group Companies (please strike off if this is not the case and provide a separate list of relevant related persons).
We also confirm that as on date of this application, there are no litigations, initiated by other banks/financial institutions, being faced by the Annual Salary/Income in Rs. (current year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ __________

company/directors/firm/partners (please strike off if this is not the case and provide a separate list of initiated/pending litigations). Annual Salary/Income in Rs. (previous year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ __________

I/We acknowledge that I/we have been advised to seek independent legal advice on the legal status of property being purchased. In case I approach the
Bank’s empanelled Lawyer for legal advice, I/we acknowledge that I/we do not require independent legal advice and I/we have chosen to approach the BANK ACCOUNT DETAILS
Bank’s empanelled Lawyer on my/our own volition.
Bank Name & Branch Account Number Account Type Account Since
I/We acknowledge that the Bank remains entitled to assign any activities to any third party agency at its sole discretion. I/We further acknowledge the
right of the Bank to provide details of my/our account to third party agencies for the purpose of availing support services of any nature by the Bank,
without any specific consent or authorisation from me/us.
I/We acknowledge that the existence of this account and details thereof (including details of transactions and any defaults committed by me), will be
recorded with credit reference agencies and such information (including processed information) may be shared with banks/financial institutions and other
credit grantors for the purposes of assessing further applications for credit by me/us and/or members of my/our household, and for occasional debt tracing CREDIT CARDS HELD BY YOU
and fraud prevention. I/We accordingly authorise the Bank to share information relating to my/our credit card account.
Card Number Issued By Member Since Limit (Rs.)
I/We understand that as a precondition, relating to grant of loans/advances/other non-fund-based credit facilities to me/us, HSBC requires consent for the
disclosure by the Bank, of information and data relating to me/us, of the credit facility availed of/to be availed of by me/us, obligations assumed/to be
assumed by me/us, in relation thereto and default, if any, committed by me/us in discharge thereof.
1. Accordingly, I/we hereby agree and give consent for the disclosure by the Bank of all or any such; (a) information and data relating to me/us (b) the
information or data relating to any credit facility availed of/to be availed of by me/us and (c) default, if any, committed by me/us in discharge of
my/our such obligation, as the Bank may deem appropriate and necessary, to Credit Information Bureau (India) Limited (CIBIL) and any other agency OTHER BANK LOANS
authorised in this behalf by RBI.
Loan Type Bank/Financial Institution Monthly Commitments/Loan Instalment
2. I/We undertake that (a) CIBIL and any other agency so authorised may use, process the said information and data disclosed by the Bank; and (b) CIBIL
and any other agency so authorised may furnish for consideration, the processed information and data or products thereof prepared by them, to
banks/financial institutions and other credit grantors, as may be specified by the Reserve Bank in this behalf.
I/We further agree to receive SMS alerts related to my/our application status and account activity as well as product use messages that the Bank will
send, from time to time, on my/our mobile phone number as mentioned in this application form. I/We undertake to intimate the Bank in the event of any
change in my/our mobile phone number. HSBC RELATIONSHIP
Details of Co-Applicant having accounts with HSBC
Nature of Account Account Holder's Name Account Number

_____________________________ _____________________________ _____________________________ _____________________________

Signature of the Applicant Signature of the Co- Applicant Signature of the Applicant Signature of the Co-Applicant
Pg 8 of 14 Pg 5 of 14
 6 7
MY REQUIREMENTS REFERENCE/LOCAL CONTACT PERSON

I would like to avail of a Fixed Interest Rate ■ Home Loan ■ (Name of Product) | | | | | | | | | | | | | | | | | | | |
______ _____________ Reference - 1 (In case of NRIs, please mention details of a local contact person)
Fixed Interest Tenor for Home Loan | | |
(12/24/36 months only)
__
Name | | | | | | | | | | First| | | | | | | | | | | | | | | Middle
___________________ __________________ ___________ | | | | | | | | | | | | | Last
| | | | | | | | | | |
I would like to avail of a Floating Interest Rate ■ MyHome ■ Home Loan ■ Smart Home ■ FlexiFinance ■ AssetLink
Residence Address
■ Loan Against Property ■ (Name of Product) | | | | | |
_____________ | | | | | | | |
Loan/Overdraft amount required | | | | | | | | |
________ Loan tenor required | | | | months/years
___
| | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
TO BE COMPLETED FOR ASSETLINK City & State | | | | | | | | | | |
______________________________ __ | | | | | | | | | | | | | | | | | | | | | | Pin Code | | | |
______ | | |
E-mail | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
__________________________________________
Depository Participant _________________ Depository Account No. ________________

Residence Telephone No. | |

_____ | | | | | |
________| | | | | | | Fax No. | | | | | | | | |
_____ ________| | | | | |
STD code STD code
PURPOSE OF LOAN
Mobile No. |_
0 |_|_|_|_|_|_|_|_|_|_|

■ Purchase of ready property ■ Home improvement ■ Marriage ■ Retiring other debt(s)

Relationship with Applicant | | | | | | | | | | | | | | | | | | | | | |
_____________________ Date of Birth (dd/mm/yyyy) | | || | || | | | |
__ __ ____

■ Purchase of plot ■ Takeover of existing loan ■ Purchase of professional ■ Any other Reference - 2
■ Purchase of under ■ Medical needs equipment (please specify) Name | | | | | | | | | | First| | | | | | | | | | | | | | | Middle
___________________ __________________ ___________ | | | | | | | | | | | | | Last
| | | | | | | | | | |
construction property ■ Education ■ Purchase of other ______________
consumer durable(s) Residence Address
■ Self-construction ■ Travel
■ Purchase of car | | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
COLLATERAL DETAILS City & State | | | | | | | | | | |
______________________________ __ | | | | | | | | | | | | | | | | | | | | | | Pin Code | | | |
______ | | |
E-mail | | | | | | | | | | | | | |
__________________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Name of Registered Owner/Developer | | | | | | | | | | | | | | | | |
___________ _ ___________ _ ___________ _ _ | | | | | | | | | | | | | | | | | | | | |
Residence Telephone No. | |
_____ | | | | | |
________| | | | | | | Fax No. | | | | | | | | |
_____ ________| | | | | |
Property Address | | | | | | | | | | | | | | | | |
___________ _ ___________ _ ___________ _ _ | | | | | | | | | | | | | | | | | | | | | STD code STD code

| | | | | | | | | | | | | | | | |
___________ _ ___________ _ ___________ _ _ | | | | | | | | | | | | | | | | | | | | | Mobile No. |0| | | | | | | | | | |
___________

Built-up area of Property (sq. ft.) | |

_____ | | | | Age of Property | ___| | | years Ownership ■ Sole ■ Joint Relationship with Applicant | | | | | | | | | | | | | | | | | | | | | |
_____________________ Date of Birth (dd/mm/yyyy) | | || | || | | | |
__ __ ____

Occupancy details: ■ Self occupied ■ Rented

INSURANCE COVER
(To be filled in case of loan against property ■ Vacant ■ Others | | | | | | | | | | | | | | | | |
________________

and home loan top-up) For your benefit and convenience, the following group insurance plans underwritten by the Tata AIG Life Insurance Company Limited
Estimated Requirements of Funds Estimated Sources of Funds and the Tata AIG General Insurance Company Limited are available for your consideration. If you opt for any of these covers, HSBC
(To be filled in case of Home Loan, Smart Home & MyHome) (To be filled in case of Home Loan, Smart Home would administer your enrolment for the chosen plan(s). Please note these insurance covers are optional for the purpose of the loan
& MyHome) application and may also be obtained from other providers.
Total Purchase Price Rs. | | |
________ | | | | | | Savings Rs. | |
________ | | | | | | | • Home Loan Protection Plan (HLPP) is a group mortgage reducing term insurance policy underwritten by the Tata AIG Life Insurance
Incidental Costs Including Brokerage & Taxes Rs. | | |
________ | | | | | | Investments Rs. | |
________ | | | | | | | Company Limited, which covers you against death and/or disability (as defined in the policy) to protect your dependants from the
Stamp Duty & Registration Rs. | | |
________ | | | | | | From Family/Friends Rs. | |
________ | | | | | | | liability of the loan outstanding. The amount of life cover is based on a predetermined schedule of reducing principal.
Any other Rs. | | |
________ | | | | | | Loan from HSBC Rs. | |
________ | | | | | | | ■ Yes, I/we would like to opt for HLPP. ■ No, I/we would not like to opt for HLPP.
Total Estimated Requirements Rs. | | |
________ | | | | | | Total Rs. | |
________ | | | | | | |
• Home Secure is a group fire insurance policy underwritten by Tata AIG General Insurance Company Ltd, for protection against
destruction or damage caused to the property insured due to fire and allied perils.
FOR FLEXIFINANCE, SMARTHOME AND ASSETLINK ONLY
■ Yes, I/we would like to opt for Home Secure. ■ No, I/we would not like to opt for Home Secure.
Mode of Operation: ■ Single ■ Joint ■ Either or survivor ■ Any one or survivor
• Home Contents policy is a group fire insurance policy underwritten by Tata AIG General Insurance Company Ltd, which provides
coverage for home contents against the perils of: a) Fire & allied perils b) Burglary & theft.
■ Yes, I/we would like to opt for the Home Contents plan. ■ No, I/we would not like to opt for the Home Contents plan.

Signature of the Applicant Signature of the Co-Applicant

_____________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant
Pg 6 of 14
Pg 7 of 14
 6 7
MY REQUIREMENTS REFERENCE/LOCAL CONTACT PERSON

I would like to avail of a Fixed Interest Rate ■ Home Loan ■ (Name of Product) | | | | | | | | | | | | | | | | | | | |
______ _____________ Reference - 1 (In case of NRIs, please mention details of a local contact person)
Fixed Interest Tenor for Home Loan | | |
(12/24/36 months only)
__
Name | | | | | | | | | | First| | | | | | | | | | | | | | | Middle
___________________ __________________ ___________ | | | | | | | | | | | | | Last
| | | | | | | | | | |
I would like to avail of a Floating Interest Rate ■ MyHome ■ Home Loan ■ Smart Home ■ FlexiFinance ■ AssetLink
Residence Address
■ Loan Against Property ■ (Name of Product) | | | | | |
_____________ | | | | | | | |
Loan/Overdraft amount required | | | | | | | | |
________ Loan tenor required | | | | months/years
___
| | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
TO BE COMPLETED FOR ASSETLINK City & State | | | | | | | | | | |
______________________________ __ | | | | | | | | | | | | | | | | | | | | | | Pin Code | | | |
______ | | |
E-mail | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
__________________________________________
Depository Participant _________________ Depository Account No. ________________

Residence Telephone No. | |

_____ | | | | | |
________| | | | | | | Fax No. | | | | | | | | |
_____ ________| | | | | |
STD code STD code
PURPOSE OF LOAN
Mobile No. |_
0 |_|_|_|_|_|_|_|_|_|_|

■ Purchase of ready property ■ Home improvement ■ Marriage ■ Retiring other debt(s)

Relationship with Applicant | | | | | | | | | | | | | | | | | | | | | |
_____________________ Date of Birth (dd/mm/yyyy) | | || | || | | | |
__ __ ____

■ Purchase of plot ■ Takeover of existing loan ■ Purchase of professional ■ Any other Reference - 2
■ Purchase of under ■ Medical needs equipment (please specify) Name | | | | | | | | | | First| | | | | | | | | | | | | | | Middle
___________________ __________________ ___________ | | | | | | | | | | | | | Last
| | | | | | | | | | |
construction property ■ Education ■ Purchase of other ______________
consumer durable(s) Residence Address
■ Self-construction ■ Travel
■ Purchase of car | | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | | | | | | | | | | | | | | | |
__________________ __________________ __________ ____ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
COLLATERAL DETAILS City & State | | | | | | | | | | |
______________________________ __ | | | | | | | | | | | | | | | | | | | | | | Pin Code | | | |
______ | | |
E-mail | | | | | | | | | | | | | |
__________________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Name of Registered Owner/Developer | | | | | | | | | | | | | | | | |
___________ _ ___________ _ ___________ _ _ | | | | | | | | | | | | | | | | | | | | |
Residence Telephone No. | |
_____ | | | | | |
________| | | | | | | Fax No. | | | | | | | | |
_____ ________| | | | | |
Property Address | | | | | | | | | | | | | | | | |
___________ _ ___________ _ ___________ _ _ | | | | | | | | | | | | | | | | | | | | | STD code STD code

| | | | | | | | | | | | | | | | |
___________ _ ___________ _ ___________ _ _ | | | | | | | | | | | | | | | | | | | | | Mobile No. |0| | | | | | | | | | |
___________

Built-up area of Property (sq. ft.) | |

_____ | | | | Age of Property | ___| | | years Ownership ■ Sole ■ Joint Relationship with Applicant | | | | | | | | | | | | | | | | | | | | | |
_____________________ Date of Birth (dd/mm/yyyy) | | || | || | | | |
__ __ ____

Occupancy details: ■ Self occupied ■ Rented

INSURANCE COVER
(To be filled in case of loan against property ■ Vacant ■ Others | | | | | | | | | | | | | | | | |
________________

and home loan top-up) For your benefit and convenience, the following group insurance plans underwritten by the Tata AIG Life Insurance Company Limited
Estimated Requirements of Funds Estimated Sources of Funds and the Tata AIG General Insurance Company Limited are available for your consideration. If you opt for any of these covers, HSBC
(To be filled in case of Home Loan, Smart Home & MyHome) (To be filled in case of Home Loan, Smart Home would administer your enrolment for the chosen plan(s). Please note these insurance covers are optional for the purpose of the loan
& MyHome) application and may also be obtained from other providers.
Total Purchase Price Rs. | | |
________ | | | | | | Savings Rs. | |
________ | | | | | | | • Home Loan Protection Plan (HLPP) is a group mortgage reducing term insurance policy underwritten by the Tata AIG Life Insurance
Incidental Costs Including Brokerage & Taxes Rs. | | |
________ | | | | | | Investments Rs. | |
________ | | | | | | | Company Limited, which covers you against death and/or disability (as defined in the policy) to protect your dependants from the
Stamp Duty & Registration Rs. | | |
________ | | | | | | From Family/Friends Rs. | |
________ | | | | | | | liability of the loan outstanding. The amount of life cover is based on a predetermined schedule of reducing principal.
Any other Rs. | | |
________ | | | | | | Loan from HSBC Rs. | |
________ | | | | | | | ■ Yes, I/we would like to opt for HLPP. ■ No, I/we would not like to opt for HLPP.
Total Estimated Requirements Rs. | | |
________ | | | | | | Total Rs. | |
________ | | | | | | |
• Home Secure is a group fire insurance policy underwritten by Tata AIG General Insurance Company Ltd, for protection against
destruction or damage caused to the property insured due to fire and allied perils.
FOR FLEXIFINANCE, SMARTHOME AND ASSETLINK ONLY
■ Yes, I/we would like to opt for Home Secure. ■ No, I/we would not like to opt for Home Secure.
Mode of Operation: ■ Single ■ Joint ■ Either or survivor ■ Any one or survivor
• Home Contents policy is a group fire insurance policy underwritten by Tata AIG General Insurance Company Ltd, which provides
coverage for home contents against the perils of: a) Fire & allied perils b) Burglary & theft.
■ Yes, I/we would like to opt for the Home Contents plan. ■ No, I/we would not like to opt for the Home Contents plan.

Signature of the Applicant Signature of the Co-Applicant

_____________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant
Pg 6 of 14
Pg 7 of 14
 8 5
MARKETING OFFERS ABOUT JOB/PROFESSION/OCCUPATION
From time to time, HSBC communicates various features/products/promotional offers which offer significant benefits to its customers
and may use the services of third party agencies to do so. Do you wish to be informed about such benefits? ■ Salaried ■ Self-employed ■ Others
■ I/We expressly authorise HSBC to use information or data relating to me/us, for communicating marketing offers as outlined above. Designation You work for Your firm is Profession
■ I/We do not wish to receive offers as outlined above. ■ Senior Management ■ Government ■ Proprietorship ■ C.A. ■ Student
■ Middle Management ■ Public Ltd. Co. ■ Partnership ■ Journalist ■ Housewife
For customers who wish to receive such marketing offers but do not wish to be communicated the same by way of telephone
calls/SMSes from HSBC, we offer a ‘Do not call’ service. To register for this, please visit our website www.hsbc.co.in ■ Junior Management ■ Public Sector ■ Private Limited ■ Architect ■ Retired
■ Officer ■ Pvt. Ltd. Co. ■ Consultant ■ Others ________
DECLARATION ■ Clerical ■ MNC ■ Doctor
Job Title ____________ ■ Partnership/Proprietorship ■ Lawyer
I/We certify that the information provided by me/us in this application form is true and correct in all respects and The Hongkong and Shanghai
Banking Corporation Limited (the Bank) is entitled to verify this directly or through any third party agent. I/We confirm that the _________ (mention ____________________ ■ Others _______________ ■ Others _____________
number of pages) attached containing copies of financials/Bank Statements/Title/Legal documents etc. are submitted by me/us against my/our loan
Office Address :
application and certify that these are true copies. I/We further acknowledge the Bank's right to seek any information from any other source in this
regard. I/We understand that all of the above-mentioned information shall form the basis of any facility that the Bank may decide to grant to me/us at Name of Firm/Employer & Dept. | | | | | |
___________________________________ | | | | | | | | | | | | |
| | | | | | | | | | | | | | | ||
its sole discretion. Street Name & No. and Area/Location | | | | | |
___________________________________ | | | | | | | | | | | | |
| | | | | | | | | | | | | | | ||
I/We further agree that any facility that may be provided to me/us shall be governed by the rules of the Bank that may be in force from time to time. Landmark | | | | | |
___________________________________ | | | | | | | | | | | | |
| | | | | | | | | | | | | | | ||
I/We will be bound by the terms and conditions of the facility/ies that may be granted to me/us. I/We authorise the Bank to debit my/our card City & State | | | |
____________________ | | | | | | | | | | || | | | | |
Pin Code | | | | | | | ______

account/any other account with the Bank for any fees, charges, interest etc. as may be applicable.
Office Tel. No. | | | | |
_____ ________ _____
STD Code
|| | | | | | | | | | | | | | | Fax No. | | | | | | | | | | | | | | |
Extn.
_____ ________
STD Code
I/We undertake and declare that I/we will comply with the Foreign Exchange Management Act, 1999 (‘FEMA’) and the applicable rules, regulations, E-mail | | | | | | | | | |
_ _ _ _____________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
notifications, directions or orders made thereunder and any amendments thereof. I/We undertake to intimate the Bank before proceeding overseas on
permanent employment and/or emigrating and/or changing my/our nationality.
Employee No. | |
________ | | | | | | | Nature of Business | | | | | | | | | | | | | | | | | | | | | |
_____________________

Duration in current Organisation |

__ | | years |
__ | | months Duration in previous Organisation | | | years | | | months __ __
Individuals/Sole Proprietors - I/We hereby declare that I/we am/are not a near relation to any senior officer of the Bank or any directors of any HSBC
Group Companies (please strike off if this is not the case and provide a separate list of relevant related persons). I/We also confirm that as on date of Total work experience |
__ | | years |
__ | | months
this application, there are no litigations, initiated by other banks/financial institutions, being faced by me/us (please strike off if this is not the case and Previous Employer Name | | | | |
_____________________ | | | | | | | | | | | | | | | | | (if less than 2 years in current organisation)
provide a separate list of initiated/pending litigations).
Partnerships/Limited Companies - We hereby declare that none of the director(s) on our board/partners are near relatives of any senior officer of the INCOME DETAILS
Bank or any directors of any HSBC Group Companies (please strike off if this is not the case and provide a separate list of relevant related persons).
We also confirm that as on date of this application, there are no litigations, initiated by other banks/financial institutions, being faced by the Annual Salary/Income in Rs. (current year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ __________

company/directors/firm/partners (please strike off if this is not the case and provide a separate list of initiated/pending litigations). Annual Salary/Income in Rs. (previous year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ __________

I/We acknowledge that I/we have been advised to seek independent legal advice on the legal status of property being purchased. In case I approach the
Bank’s empanelled Lawyer for legal advice, I/we acknowledge that I/we do not require independent legal advice and I/we have chosen to approach the BANK ACCOUNT DETAILS
Bank’s empanelled Lawyer on my/our own volition.
Bank Name & Branch Account Number Account Type Account Since
I/We acknowledge that the Bank remains entitled to assign any activities to any third party agency at its sole discretion. I/We further acknowledge the
right of the Bank to provide details of my/our account to third party agencies for the purpose of availing support services of any nature by the Bank,
without any specific consent or authorisation from me/us.
I/We acknowledge that the existence of this account and details thereof (including details of transactions and any defaults committed by me), will be
recorded with credit reference agencies and such information (including processed information) may be shared with banks/financial institutions and other
credit grantors for the purposes of assessing further applications for credit by me/us and/or members of my/our household, and for occasional debt tracing CREDIT CARDS HELD BY YOU
and fraud prevention. I/We accordingly authorise the Bank to share information relating to my/our credit card account.
Card Number Issued By Member Since Limit (Rs.)
I/We understand that as a precondition, relating to grant of loans/advances/other non-fund-based credit facilities to me/us, HSBC requires consent for the
disclosure by the Bank, of information and data relating to me/us, of the credit facility availed of/to be availed of by me/us, obligations assumed/to be
assumed by me/us, in relation thereto and default, if any, committed by me/us in discharge thereof.
1. Accordingly, I/we hereby agree and give consent for the disclosure by the Bank of all or any such; (a) information and data relating to me/us (b) the
information or data relating to any credit facility availed of/to be availed of by me/us and (c) default, if any, committed by me/us in discharge of
my/our such obligation, as the Bank may deem appropriate and necessary, to Credit Information Bureau (India) Limited (CIBIL) and any other agency OTHER BANK LOANS
authorised in this behalf by RBI.
Loan Type Bank/Financial Institution Monthly Commitments/Loan Instalment
2. I/We undertake that (a) CIBIL and any other agency so authorised may use, process the said information and data disclosed by the Bank; and (b) CIBIL
and any other agency so authorised may furnish for consideration, the processed information and data or products thereof prepared by them, to
banks/financial institutions and other credit grantors, as may be specified by the Reserve Bank in this behalf.
I/We further agree to receive SMS alerts related to my/our application status and account activity as well as product use messages that the Bank will
send, from time to time, on my/our mobile phone number as mentioned in this application form. I/We undertake to intimate the Bank in the event of any
change in my/our mobile phone number. HSBC RELATIONSHIP
Details of Co-Applicant having accounts with HSBC
Nature of Account Account Holder's Name Account Number

_____________________________ _____________________________ _____________________________ _____________________________

Signature of the Applicant Signature of the Co- Applicant Signature of the Applicant Signature of the Co-Applicant
Pg 8 of 14 Pg 5 of 14
 4 9
CO-APPLICANT ADDITIONAL DECLARATION FOR ASSETLINK APPLICANTS
I/We confirm that I am/we are Resident Indian/s, that funds will be used for personal purposes and will not be used for speculative and/or
PERSONAL INFORMATION anti-social purposes, that the securities to be pledged are not held in our capacity as a trustee or a guardian for another purpose and that
all applicants (including co-applicants) are major by age. I/We understand that the Bank has the right to recall the funds if they are not
Name | | | | | | | | First| | | | | | | | | | | Middle
_______________________________________ | | | | | | | | | | | | |
Last
| | | | | | | | used for the stated purpose at its sole discretion.
■ Mr. ■ Mrs. ■ Ms. ■ Dr. ■ Others | | | | | |
___________________ | | | | | | | | | | | | | | I/We have understood the terms and conditions of the AssetLink facility and agree that the Bank reserves the right to sell the pledged
Former or other name if any* | | | | | | | | | | | | | | | | |
_______________________________ | | | | | | | | | | | | | | | shares immediately, when the loan to value ratio exceeds the level as per the Terms and Conditions of the Bank which may be changed
First Middle Last without notice.
Nationality | | | | | | | | | | | Resident Status
__________ | | |
______________ | | | | | | | | | | | | Affix
I/We, ___________________ (name), understand that as per Reserve Bank of India guidelines, the following maximum ceilings apply in
Passport No. | | | | | | | | | | | Driving Licence No.
__________ | | | | | | | | | |
______________ | | | | | photo here
respect of borrowings against security of shares, convertible bonds, convertible debentures and units of equity oriented mutual funds
PAN No./GIR No. | | | | | | | | | | |
__________
(hereinafter referred to as ‘Capital Market Investments’) availed of by individuals from the entire banking system; confirm that I use/
Photo Identification (ID) : Document Type | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________ intend to use funds from my AssetLink Account No. _____________________, for the following purpose(s):
Photo (ID) Document : Number | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________ • Borrowal limits should not exceed Rs. 20 lacs per individual if the securities are held in demat form.
Sex: ■ Male ■ Female Date of Birth (dd/mm/yyyy) | | | | | | | | | Marital Status: ■ Single
__ __ ____ ■ Married • Borrowal limits should not exceed Rs. 10 lacs per individual if securities are held in physical form.
No. of Dependants | | | Name of Spouse | | | | | | | | | |
__ | | | | | | | | | | | | | | | No. of Children | | |
________________________ __ • Utilisation for subscribing to IPOs should not exceed Rs. 10 lacs per individual.
Relationship with applicant | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________ _______________________
I/We confirm that the aggregate borrowal limits availed of by me/us, from the entire banking system, in respect of loans/overdrafts against
Mother's name before marriage (We will only use this for caller identification) | | | | | | | | | | | | | | | | | | | | | | | | |
________________________ the security of Capital Market Investments, including the AssetLink facility availed of from the Bank, does not exceed the above mentioned
Do you possess a car? ■ Yes ■ No Make of car | | | | | | | | | | | | | | | | | | | | | | ____________ _________
regulatory ceiling, as applicable, and shall ensure that the said ceiling is not exceeded at any given point in time in future.

If yes, your car is ■ Your own ■ Company provided ■ Financed I/We also confirm that if the proceeds of the aforesaid borrowal limits from the entire banking system, including the AssetLink facility
availed of from the Bank, are utilised for subscribing to IPOs then such utilisation shall not exceed the regulatory ceiling of Rs. 10
Do you have a club membership? ■ Yes ■ No Name of the club | | | | | | | | | | | | | | |
______________

lacs per individual.

In case Co-applicant is a Non-individual ■ Partnership ■ Pvt. Ltd. Company ■ Public Ltd. Company
I/We understand and accept that the Bank will recall the AssetLink facility granted to me/us in the event it comes to the notice of the
■ Sole Proprietorship ■ Others | | | | | | | | | | | | | | | | | | | | | |
____________ _________
Bank or the Bank has reason to believe that I/we have breached the above-mentioned regulatory ceilings.
Residence Accommodation Ownership ■ Company provided ■ Self-owned ■ Mortgaged ■ Rented ■ Parents/Relatives
Date:
■ Others | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
_______________________________

Residence Accommodation Type ■ Flat/Apartment ■ Independent House ■ Bungalow/Villa ■ Others | | | | | | | | | ________

Please direct all correspondence to my ■ Residence Address ■ Office Address _____________________________ _____________________________ _____________________________
Present Address: Signature of the Applicant Signature of the Co-applicant Signature of the Guarantor
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | || | | |
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | || | | | TERMS AND CONDITIONS FOR PRE-APPROVED CREDIT CARD OFFER
Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | || | | | 1. Your income should be more than Rs. 1,44,000 per annum for Classic card and Rs. 2,40,000 for Gold card. 2. The offer is applicable
City & State | | | | |
____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | | only on approval of your Home Loan application. 3. To avail of this offer, you need to submit the Credit Card Application Form and
your Home Loan Application Form simultaneously. 4. Only the primary loan applicant will be eligible for this offer. The credit card will
Residence Telephone No. | | | | |
_____ ________
STD Code
|| | | | | | | | | Mobile No. | 0 | | | | | ___________| | | | | | be free for the first year only. Normal fees will be applicable from the second year onwards. 5. Credit card issuance will be at the sole
E-mail | | | | | | | | | |
_ _ _ _ _ ___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | discretion of The Hongkong and Shanghai Banking Corporation Limited, India. 6. Other terms and conditions as applicable for credit
Duration at current address | __ | | years __| | | months card shall apply.
Previous Address (To be filled if duration at current address is less than one year):
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | FOR OFFICE USE ONLY
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | Debt to Income Ratio (%) __________________________________________________________________________________________
Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
EMI Amount __________________________________________________________________________________________
City & State | | | | |
____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | |
Duration at previous address |
__ | | years | | | months
__
HSBC Customer ID __________________________________________________________________________________________
Permanent Address (Local address mandatory for NRI): AAP Application ID No. __________________________________________________________________________________________
House/Flat/Apt. No. & Name | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | || | | For Home Loans only __________________________________________________________________________________________
Street Name & No. and Area/Location | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
| | |
Agreement Value __________________________________________________________________________________________
Landmark | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | || | |
City & State | | |
____________________ | | | | | | | | | | | | | | | | | | Pin Code: | |
______ | || | | Valuation Date __________________________________________________________________________________________
Residence Telephone No. | | |
_____ ________ | | || | | | | | | | | Mobile No. | 0 | | | | |
___________ | | | | | | Valuation Amount __________________________________________________________________________________________

Ver. date: 05/09

STD Code

Educational Qualifications:
Location of Property __________________________________________________________________________________________
■ Undergraduate ■ Graduate ■ Postgraduate ■ Professional ■ Tertiary (Diploma) ■ Others | | | | | | | | | | | | | | | | |
____ __ __ ___ __ _ __

City where Property is located __________________________________________________________________________________________

Loan to Value Ratio __________________________________________________________________________________________

_____________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant File Reference No. __________________________________________________________________________________________
*Applicant/Co-applicant is required to provide the support documents in case of having ‘former’ or ‘other’ names. Pg 4 of 14
Pg 9 of 14
 10 3
SERVICE CHARGES AND FEES ABOUT JOB/PROFESSION/OCCUPATION

Home Loan / Smart Home ■ Salaried ■ Self-employed ■ Others

Processing fees 1% of the loan amount applied for, or Rs. 10000,
whichever is higher plus service tax. This fee is Designation You work for Your firm is Profession
payable on application and is not refundable. ■ Senior Management ■ Government ■ Proprietorship ■ C.A. ■ Student
For Delayed Instalments on account of cheque, ECS or SI (Standing Instruction) dishonours Rs. 250 per instance ■ Middle Management ■ Public Ltd. Co. ■ Partnership ■ Journalist ■ Housewife
Duplicate Statements Rs. 250 per statement
■ Junior Management ■ Public Sector ■ Private Limited ■ Architect ■ Retired
Prepayment Charges ■ Officer ■ Pvt. Ltd. Co. ■ Consultant ■ Others _________
Up to 25% of the loan amount sanctioned in every financial year Nil ■ Clerical ■ MNC ■ Doctor
For amount in excess of 25% of the loan amount sanctioned 3% of amount prepaid
Job Title _____________ ■ Partnership/Proprietorship ■ Lawyer
Note ____________________ ■ Others ________________ ■ Others _______________
Prepayment is permitted after a minimum of 6 months following the loan disbursal. For processing prepayment requests, customers are
required to send us a written instruction communicating their desire to prepay. Office Address :
Switching Charges Name of Firm/Employer & Dept. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________________

From Home Loans to Smart Home or MyHome and vice versa 1.5% of the outstanding loan amount. Street Name & No. and Area/Location | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________________

From Floating Rate to Fixed Rate*

- At the time of annual review of account Nil
Landmark | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
___________________________________

- Any other time during the year 1.5% of the outstanding loan amount City & State | | | | | | | | | | | | | | | | | | | | | Pin Code | | | | | | |
__________ __________ ______

Switching from Fixed Rate to Floating Rate is allowed only after completion of fixed term. Office Tel. No. | | | | | || | | | | | | | || | | | | |
_____ ________ _____
STD Code Extn.
Fax No. | | | | | | | | | | | | | | |
_____ ________
STD Code
* Fixed rate is not available under Smart Home. E-mail | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
_ _ _ _____________________________________

MyHOME Employee No. | | | | | | | | | Nature of Business | | | | | | | | | | | | | | | | | | | | | |

________ _____________________

Processing fees 1% of the loan amount applied for, or Rs. 10000, Duration in current Organisation | __ | | years | | | months
__ Duration in previous Organisation | | | years | | | months
__ __

whichever is higher plus service tax. This fee is Total work experience | __ | | years | | | months
__

payable on application and is not refundable. Previous Employer Name | | | | | | | | | | | | | | | | | | | | | | (if less than 2 years in current organisation)
_____________________

For Delayed Instalments on account of cheque, ECS or SI (Standing Instruction) dishonours Rs. 500 per instance
Duplicate Statements Rs. 250 per statement INCOME DETAILS
Prepayment Charges
Up to 15% of the outstanding loan amount once in every financial year Nil Annual Salary/Income in Rs. (current year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ _________ _

For amount in excess of 15% of the outstanding loan amount 3% of amount prepaid Annual Salary/Income in Rs. (previous year) Gross | | | | | | | | | | | | | | |
____ __________ Net | | | | | | | | | | | | | | |
____ _________ _

Note
BANK ACCOUNT DETAILS
Prepayment is permitted after a minimum of 12 EMIs and is not allowed during interest only period. For processing prepayment requests,
customers are required to send us a written instruction communicating their desire to prepay. Bank Name & Branch Account Number Account Type Account Since
Switching
From MyHOME to Home Loan or Smart Home and vice versa 1.5% of the outstanding loan amount.
Loan Against Property
Processing fees 1% of the loan amount applied for or Rs. 10000,
whichever is higher plus service tax. This fee is CREDIT CARDS HELD BY YOU
payable on application and is not refundable.
For Delayed Instalments on account of cheque, ECS or SI (Standing Instruction) dishonours Rs. 250 per instance Card Number Issued By Member Since Limit (Rs.)
Duplicate Statements Rs. 250 per statement
Prepayment Charges
Up to 25% of the outstanding loan amount once in every financial year Nil
For amount in excess of 25% of the outstanding loan amount 4% of amount prepaid
OTHER BANK LOANS
Note
Prepayment is permitted after a minimum of 6 months following the loan disbursal. For processing prepayment requests, customers are Loan Type Bank/Financial Institution Monthly Commitments/Loan Instalment
required to send us a written instruction communicating their desire to prepay.
AssetLink
Annual Service Charges 1.5% of limit
Duplicate Statements Rs. 250 per statement
Service Withdrawal Charge Rs. 200 per scrip (Max. Rs.500 per withdrawal)
Unauthorised Overdraft/Overlimit 2% over and above the applicable interest rate HSBC RELATIONSHIP
Charge for unsuccessful execution of Standing Instruction for payment/Cheque bounce charge Rs. 250 Details of Applicant having accounts with HSBC
• The above is an extract of our tariff. Please refer to www.hsbc.co.in for details. Nature of Account Account Holder's Name Account Number
• Service tax at the applicable rates will be levied on fees and charges. Please refer to www.hsbc.co.in for details.
• The interest rate on your floating rate loans are linked to HSBC's Retail Lending Rate (RLR) and any revision in the RLR would impact
your interest rate.
• Fees and charges are subject to change at the sole discretion of the Bank.
• All loans are subject to terms and conditions and are at the sole discretion of The Hongkong and Shanghai Banking Corporation Limited, India.
_____________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant
Pg 10 of 14 Pg 3 of 14
 2 11
APPLICANT BANK COPY

ACKNOWLEDGEMENT
PERSONAL INFORMATION

Name | | | | | | | | First| | | | | | | | | | | Middle

_______________________________________ | | | | | | | | | | |
Last
| | | | | | | | | | Loan Application received on | | || | || | | | |
__ __ __ __ Complete Document set received on | | || | || | | | |
__ __ __ __

■ Mr. ■ Mrs. ■ Ms. ■ Dr. ■ Others | | | | | |

___________________ | | | | | | | | | | | | | | Request will be disposed of and acceptance/rejection notification will be mailed within 15 days from the date of receipt of completed
Former or other name if any* | | | | | | | | | | | | | | | | |
_______________________________ | | | | | | | | | | | | | | | application form with supporting documentation.
First Middle Last
Nationality | | | | | | | | | | | Resident Status
__________ | | |
______________ | | | | | | | | | | | | Affix Processing fees of Rs. | | | | | | | received by Cheque No. | | | | | | | dated | | | | | | | | | | | drawn
______ ______ __ __ __ __

Passport No. | | | | | | | | | | | Driving Licence No.

__________ | | |
______________ | | | | | | | | | | | | photo here
on | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Bank, which will
__ __ ____ __ ____ _____ __ ____ __ __ ____ __ ____ __ __

PAN No./GIR No. | | | | | | | | | | |

__________
be refunded/not refunded.
Photo Identification (ID) : Document Type | | | | | | | | | | | | | | | |
___________________________ | | | | | | | | | | | |
Photo (ID) Document : Number | | | | | | | | | | | | | | | |
___________________________ | | | | | | | | | | | | Please see overleaf for Home Loan Application Process Flow.

Sex: ■ Male ■ Female Date of Birth (dd/mm/yyyy) | | | | | | | | __ __ ____ | Marital Status: ■ Single ■ Married
No. of Dependants | | | Name of Spouse | | | | | | | | | |
__ | | |
________________________ | | | | | | | | | | | | No. of Children | | | __

Mother's name before marriage (We will only use this for caller identification) | | | | |
________________________ | | | | | | | | | | | | | | | | | | | |
Do you possess a car? ■ Yes ■ No Make of car | | | | | | | | | | | | | | | | | | | | | |
____________ _________

If yes, your car is ■ Your own ■ Company provided ■ Financed

Do you have a club membership? ■ Yes ■ No Name of the club | | | | | | | | | | | | | | |
______________

In case the applicant is a Non-individual ■ Partnership ■ Pvt. Ltd. Company ■ Public Ltd. Company
■ Sole Proprietorship ■ Others | | | | | | | | | | | | | | | | | | | | | |
____________ _________

Residence Accommodation Ownership ■ Company provided ■ Self-owned ■ Mortgaged ■ Rented ■ Parents/Relatives

■ Others | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
_______________________________

Residence Accommodation Type ■ Flat/Apartment ■ Independent House ■ Bungalow/Villa ■ Others |_|_|_|_|_|_|_|_|

Please direct all correspondence to my ■ Residence Address ■ Office Address
Present Address:
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | CUSTOMER COPY
City & State | | | | |
____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | | ACKNOWLEDGEMENT
Residence Telephone No. | | | | |
_____ ________
STD Code
|| | | | | | | | | Mobile No. | 0 | | | | |
___________ | | | | | |
E-mail | | | | | | | | | |
_ _ _ _____________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Loan Application received on | | || | || | | | |
__ __ __ __ Complete Document set received on | | || | || | | | |
__ __ __ __

Duration at current address | __ | | years | | | months

__
Request will be disposed of and acceptance/rejection notification will be mailed within 15 days from the date of receipt of completed
Previous Address (To be filled if duration at current address is less than one year): application form with supporting documentation.
House/Flat/Apt. No. & Name | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | |
Street Name & No. and Area/Location | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | Processing fees of Rs. | | | | | | | received by Cheque No. | | | | | | | dated | | | | | | | | | | | drawn
______ ______ __ __ __ __

Landmark | | | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | on | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Bank, which will
__ __ ____ __ ____ _____ __ ____ __ __ ____ __ ____ __ __

City & State | | | | |

____________________ | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | | be refunded/not refunded.
Duration at previous address |
__ | | years |
__ | | months
Permanent Address (Local address mandatory for NRI): Please see overleaf for Home Loan Application Process Flow.
House/Flat/Apt. No. & Name | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | |
Street Name & No. and Area/Location | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | |
Landmark | | | | | | | | |
___________________________________ | | | | | | | | | | | | | | | | | | | | | | | | | | |
City & State | | | |
____________________ | | | | | | | | | | | | | | | | | Pin Code: | |
______ | | | | |
Residence Telephone No. | | |
_____ ________
STD Code
| | || | | | | | | | | Mobile No. | 0 | | | | |
___________ | | | | | |
Educational Qualifications:
■ Undergraduate ■ Graduate ■ Postgraduate ■ Professional ■ Tertiary (Diploma) ■ Others |_|_|_|_|_|_|_|_|_|_|_|_|_|_|_|

______________________________ _____________________________
Signature of the Applicant Signature of the Co-Applicant
*Applicant/Co-applicant is required to provide the support documents in case of having ‘former’ or ‘other’ names. Pg 2 of 14 Pg 11 of 14
 12 1
HOME LOAN APPLICATION PROCESS FLOW FOR OFFICE USE ONLY
No. Steps No. of Days Date/Time Responsibility
1. Customer discusses needs with HSBC Customer - Home Loan Sales Officer File Reference No.
2. Eligibility amounts are determined Home Loan Sales Officer - Customer Builder's Name
3. Customer submits Home Loan Customer
DSA/DSF Name
Application Form
4. Customer completes documentation Customer Branch Name Date Time
requirement
5. HSBC processes the application and 4 days from the time complete HSBC's Operations Department
communicates the decision of documents are submitted DOCUMENTS REQUIRED FOR ALL LOANS
Pre-approval/Decline
6. HSBC does technical evaluation of the 3 days from the time complete HSBC's Operations Department Photo Identity Proof of Residence Proof of Age
property i.e. valuation and legal evaluation property documents are submitted (Any one) (Any one) (Any one)
7. Customer submits Home Loan Disbursal Kit Customer • Passport • Passport • Passport
along with requisite original property papers
• Driving Licence • Driving Licence • Driving Licence
8. Loan decision finalised 1 day from the time customer HSBC's Operations Department • Voter's Identity Card • Voter's Identity Card • Voter's Identity Card
submits all the original property • Photo Ration Card • Ration Card • Photo Ration Card
documents and after completing
• Photo PAN Card • Telephone (Land/Mobile) Bill • Photo PAN Card
necessary property-related formalities
• Government Identity Card • Electricity Bill • Birth Certificate
9. Loan is disbursed and the Pay Order is Same day as the loan decision is finalised HSBC's Operations Department • Defence Identity Card • Society Outgoing Bill • School Leaving Certificate
made in seller's name
• Life Insurance Policy • Life Insurance Policy or Premium Receipt clearly
10. Welcome letter is dispatched along with the 4 days from the date of disbursal HSBC's Operations Department indicating the applicant's age
list of property documents held by the Bank
and documents that are yet to be received Please note: Only passport can be used as both proof of individual identity and proof of residence address.
from the customer
Passportsize photograph with signature on the reverse.
11. Satisfaction survey/Welcome call Within 6 weeks from the time Welcome HSBC
Kit is received by the customer
The loan will be disbursed in full or in instalments as per the schedule submitted by the builder and progress of construction as assessed by HSBC. Disbursal of loan will be subject to FINANCIAL DOCUMENTS REQUIRED
clearance of legal and valuation reports as per HSBC guidelines. All loans are at the sole discretion of The Hongkong and Shanghai Banking Corporation Limited, India.

Particulars Resident Indians Particulars Resident Indians

Salaried Latest salary slip showing statutory deductions Partnerships P&L and Balance Sheet for the last 2 years certified
Individuals AND by a C.A.
HOME LOAN APPLICATION PROCESS FLOW Form 16 (Declaration from the employer giving
the details of income and deductions, duly signed by Copies of acknowledged IT Returns for the
an authorised signatory of the Company) last 3 years
No. Steps No. of Days Date/Time Responsibility
OR Copies of Partnership Deed Letter of Authority
1. Customer discusses needs with HSBC Customer - Home Loan Sales Officer
2. Eligibility amounts are determined Home Loan Sales Officer - Customer Latest acknowledged IT Returns Bank statements for the last 6 months
3. Customer submits Home Loan Customer AND
Proof of office
Application Form Bank statements for the last 3 months
4. Customer completes documentation Customer Private Limited P&L and Balance Sheet for the last 3 years certified
Self-employed Computation of income for the last
requirement Companies by a C.A.
Individuals/ 2 years certified by a C.A.
5. HSBC processes the application and 4 days from the time complete HSBC's Operations Department Proprietors OR Copies of acknowledged IT Returns for the
communicates the decision of documents are submitted last 3 years
Pre-approval/Decline P&L and Balance Sheet for the last
2 years certified by a C.A. Memorandum and Articles of Association
6. HSBC does technical evaluation of the 3 days from the time complete HSBC's Operations Department
AND
property i.e. valuation and legal evaluation property documents are submitted Board Resolution to borrow as well as
Copies of acknowledged IT Returns for create a charge
7. Customer submits Home Loan Disbursal Kit Customer the last 2 years
along with requisite original property papers Bank statements for the last 6 months
AND
8. Loan decision finalised 1 day from the time customer HSBC's Operations Department Authority letter from all Directors to accompany the
submits all the original property Bank statements for the last 6 months
application form with photographs of authorised
documents and after completing Additionally, for self-employed professionals, signatories if not specified in the board resolution
necessary property-related formalities a copy of the degree certificate or final year marksheet
is required Proof of office
9. Loan is disbursed and the Pay Order is Same day as the loan decision is finalised HSBC's Operations Department
made in seller's name
10. Welcome letter is dispatched along with the 4 days from the date of disbursal HSBC's Operations Department
list of property documents held by the Bank
and documents that are yet to be received
from the customer
11. Satisfaction survey/Welcome call Within 6 weeks from the time Welcome HSBC
Kit is received by the customer
The loan will be disbursed in full or in instalments as per the schedule submitted by the builder and progress of construction as assessed by HSBC. Disbursal of loan will be subject to
clearance of legal and valuation reports as per HSBC guidelines. All loans are at the sole discretion of The Hongkong and Shanghai Banking Corporation Limited, India.

Pg 12 of 14 Pg 1 of 14
 Back Inside

G O L D C R E D I T C A R D A P P L I C AT I O N F O R M

Please complete all sections. Tick boxes as appropriate. Please fill in the form in block (CAPITAL) letters only.
PLEASE TELL US ABOUT YOURSELF
If salaried, you work for Government Public Ltd. PSU Private Ltd.
Mr Ms Mrs Dr Partnership Proprietor Others

Name
First Middle Last If self-employed, your firm is a Proprietorship Partnership
Former / other name (if any) HUF Private Limited

First Middle Last If self-employed, your profession is C.A. Journalist Architect

Name as desired on the credit card Consultant Doctor Lawyer

Others

Sex Male Female Date of Birth D D M M Y Y Please specify nature of business of your Company/Organisation

Passport No. Driving licence No. YOUR ANNUAL INCOME JOB DETAILS
PAN No. (Please attach a photocopy of your PAN card/
allotment letter/IT return or TDS certificate. If you do not have a PAN, please provide us with the duly signed
Form No. 60/61 along with the requisite enclosures.) Gross salary Job title

Other ID (Pls specify) Gross business income Department

Previous employment/
Other income business
Your educational background
Years in Years in Y Y
Professional Postgraduate Graduate Diploma holder Others Total Income current job Y Y previous job

Name of University/Institute
YOUR BANK REFERENCE

Nationality
Name & address
Name No. of of your main Bank
Marital status Single Married of Spouse Dependants Type of
A/c
Do you possess a car ? Yes No Make of car A/c M M Y Y
A/c No. since
If yes, your car is Your own Company provided Financed
Your A/c No. with A/c
HSBC (if applicable) since M M Y Y
Mother's name before marriage

YOUR ADDRESS OTHER CREDIT CARDS HELD BY YOU (Including HSBC)

Home address
Address line 1
1. Credit card No.

Member since MM Y Y Credit Limit Rs.

Address line 2
Credit card issuer name

Address line 3 2. Credit card No.

City MM Y Y
Member since Credit Limit Rs.
Pin Tel. No.
Credit card issuer name
Mobile No.

E-mail: CREDIT CARD ACCOUNT SETTLEMENT OPTION

Years at present address Your residence is Your own Company provided

Years
Type of residence
Permanent address
Address line 1
Please mail my statement to My home address My office address
Months Rented Parental Others
I wish to automatically settle my credit card bills by a debit to my HSBC’s Current/Savings A/c No.
Flat Independent house/bungalow
for % of my credit card monthly outstandings.
(Please note that you have to pay a minimum of 5%)

ASSIGNMENT FOR CREDIT CARDHOLDER’S CREDIT SHIELD EXTENSION

Address line 2

Please nominate a beneficiary to your Accident Insurance and Credit Shield Extension.

Address line 3 I, do hereby assign the balance of the cover remaining after offsetting
my outstanding on the credit card from HSBC under the Credit Shield Extension in the event of my death
City

Pin Tel. No. to my .

Mobile No.
ATM SERVICES FOR HSBC ACCOUNT HOLDERS ONLY
YOUR OCCUPATION DETAILS Your credit card can also be used as an ATM card to access your current/savings account(s) with HSBC in India.
Please indicate the account(s) which you wish to access.
Company Name
Address line 1 Primary credit cardholder account details

Additional credit cardholder account details

Address line 2 Please note that the account you nominate for access through ATM and/or for settlement, must be your sole
account or a joint account with 'any' or 'either' signing mandate.
I acknowledge that the account operated in conjunction with the credit card service will be subject to normal
Address line 3 terms and conditions which govern the ATM facility as stated in the credit cardholder agreement issued by The
Hongkong and Shanghai Banking Corporation Limited.
City

Pin Tel. No.

X X
Extn. No. Fax No. Primary credit card applicant's signature Signature of joint A/c holder (in case of joint A/cs.)

Balance Transfer Form

TAK1/Verdate 12/09
I would like to avail of the Balance Transfer facility on my HSBC Credit Card as per the terms and conditions stated in the HSBC card services guide. I would like to avail of the following option
(please tick only one of the following): 0% interest for 3 months term 0.75% p.m. (9% p.a.) interest for 6 months term 0.99% p.m. (11.88% p.a.) interest rate for perpetual balance transfer.
I authorise HSBC to debit my HSBC Credit Card with the amount given below. Please issue me a demand draft payable to my existing credit card, details for which I have provided below. I have
noted that the demand draft will be delivered to my mailing address as indicated in my HSBC Credit Card application form. I also understand that pursuant to the Balance Transfer facility, the
Standing Instruction facility will be disabled during the "Balance Transfer Term" and during such period, I undertake to make payments against my credit card bills by payment due dates*.
Details of the credit card from which the balance has to be transferred
Name of the bank Amount to be transferred in Rs. (Figures)
(Words)

Credit card number

Credit card expiry date: Signature Date

*Applicable only if you have availed of the Standing Instruction facility i.e., if you have instructed the Bank to automatically settle part or 100% of your credit card outstandings to the debit of your current/savings account.
Issued by the Hongkong and Shanghai Banking Corporation Limited, India. Incorporated in Hong Kong SAR with limited liability.
 Perforation
PUNCH
Back Page Cover Page
APPLICATION FOR CREDIT SHIELD EXTENSION DECLARATION
I hereby declare that the above information is complete and true and the Bank is entitled to verify this directly or through any third party agent. I further
I wish to avail of the Credit Shield Extension policy offered by Tata AIG Life Insurance Co. Ltd. I authorise HSBC to debit the
state that the Bank may at its sole discretion sanction or decline this application for primary and/or add-on card(s). I confirm that the add-on cardholder(s)
monthly premium and processing fees for the Credit Shield Extension policy scheme to my credit card account as per the details and I will jointly and severally be bound by the terms and conditions of usage of the credit cards, copy of which is available on the HSBC website and
overleaf. I understand that Tata AIG Life Insurance Company Ltd. issues a group policy to HSBC for this coverage. I also understand would be made available on approval of the card. The usage of the credit card(s) by me or any of the add-on cardholder(s) will also be deemed to be
that the monthly premium amount payable and corresponding benefit will vary according to the credit card type held, and that this automatic confirmation of the acceptance of the said terms and conditions. I authorise the Bank to debit my credit card account for any fees, charges,
interest, etc. I irrevocably confirm that all dues in respect of the HSBC Credit Card utilised for services availed and goods purchased from eligible service
will automatically increase/decrease upon credit card upgrade/downgrade. I declare that I am between 18 and 60 years of age. I have establishments/merchants by me and any add-on cardholder(s), will be payable by me and I guarantee the payment towards the same in my capacity as a
never suffered from a cancer or tumour, a heart condition, a stroke or HIV infection. I am currently not suffering from, or receiving principal cardholder. I hereby agree and give consent to the Bank to modify the rate of finance charges (interest rate) at its sole discretion from time to
treatment for, any symptoms, medical conditions or disabilities. time without any prior intimation and levy such charges accordingly. I undertake and declare that usage of the credit card by me and any add-on
cardholder(s) will be strictly in accordance with the Foreign Exchange Management Act, 1999 (FEMA) and the applicable rules, regulations,
notifications, directions or orders made hereunder and I confirm that I have (on behalf of the Bank) obtained undertaking(s) from the add-on
cardholder(s) to this effect. In the event of failure by me or any add-on cardholder(s) to comply with the provision of FEMA, aforesaid, I and such add-on
Tick here if you fulfil the relevant criteria cardholder(s) will be liable for action under FEMA. In addition to any general right to set-off or other right conferred by law or under any other
agreement, I authorise HSBC to, without notice, combine or consolidate the outstanding balance on the card account with any other account(s) which I
described above and wish to enrol in HSBC’s Credit
maintain with HSBC, and set-off or transfer any money outstanding to the credit of such other account(s), in or towards the satisfaction of my liability to
Shield Extension policy scheme. For terms and X HSBC under this Agreement. I acknowledge that the Bank remains entitled to assign any activities to any third party agency at its sole discretion. I further
conditions please visit www.hsbc.co.in or refer to the acknowledge the right of the Bank to provide details of my account, including those of any add-on cardholder(s), to third party agencies for the purpose of
credit card services guide. Signature of primary credit card applicant availing of support services of any nature by the Bank, without any specific consent or authorisation from me and/or any add-on cardholder(s). I
acknowledge that the existence of this account and details thereof (including detail of credit card transaction and any defaults committed by me), will be
recorded with credit reference agencies and such information (including processed information) may be shared with banks/financial institution and other
credit grantors for the purpose of assessing further applications for credit by you and/or members of your household, and for occasional debt tracing and
MARKETING OFFERS fraud prevention. I accordingly authorise the Bank to share information relating to my credit card account, including information relating to any add-on
cardholder(s). I understand that as precondition, relating to grant of loans/advances/other non-fund based credit facilities to me, HSBC requires consent
From time to time, HSBC communicates various features/products/promotional offers, which offer for the disclosure by HSBC, of information and data relating to me/add-on credit facility availed of/to be availed of by me, obligations assumed/to be
assumed by me, in relation thereto and default, if any, committed by me in discharge thereof.
significant benefits to its customers and may use the services of third party agencies to do so. Do you wish to 1. Accordingly, I hereby agree and give consent and confirm that I have obtained consent from the add-on cardholder(s) for disclosure by HSBC of all or
be informed about such benefits? any such; (a) information and data relating to me/add-on cardholder(s) (b) the information or data relating to any credit facility availed of by me and (c)
■ I/We expressly authorise HSBC to use information or data relating to me/us, for communicating
default, if any, committed by me in discharge of my such obligation, as HSBC may deem appropriate and necessary, to disclose and furnish to Credit
Information Bureau (India) Ltd. and any other agency authorised in this behalf by Reserve Bank of India.
marketing offers as outlined above. 2. I undertake on my behalf and on behalf of the add-on cardholder(s) that (a) the Credit Information Bureau (India) Ltd. and any other agency so
authorised may use, process the said information and data disclosed by HSBC; and (b) the Credit Information Bureau (India) Ltd. and any other agency so
■ I/We do not wish to receive offers as outlined above. authorised may furnish for consideration, the processed information and data or products thereof prepared by them, to banks/financial institutions and
other credit guarantors as may be specified by the Reserve Bank of India in this behalf.
For customers who wish to receive such marketing offers but do not wish to be communicated the same by I expressly authorise HSBC to use information or data relating to me/add-on cardholder(s), including credit information, whether provided by me or
way of telephone calls/SMSes from HSBC, we offer a ‘Do not call’ service. To register for this, please visit otherwise, in connection with the offer, sale or distribution of HSBC's products and services to me/add-on cardholder(s).
our website www.hsbc.co.in

REQUEST FOR ADD-ON CREDIT CARD X

Signature of primary credit card applicant Date
Mr. Ms. Mrs. Dr.
OCCUPATION-BASED FOR BANK USE ONLY
Name DOCUMENTS REQUIREMENT
First Middle Last LT DT
Name as desired on the credit card • Salaried in MNC - Salary Slip/Certificate
• Salaried in Private Limited Company - Latest copy of Salary
Slip + last 3 months Bank Statements indicating salary credits SIGN
• Salaried in Public Limited/Government Organisation/Public
Sector - Personal Income Tax Returns/Form 16/Latest
Salary Slip P1
Sex Male Female Date of Birth D D M M Y Y
• Self-employed - Latest Personal Income Tax Returns and
Business Card A1
• Other credit cardholders - Photocopy of front and back of
Passport No. Driving Licence No. credit card and any one of last 3 months credit card
Statements A2

Other ID (Pls specify) TAK1

Marital status Single Married Mobile No.

Relationship
Loan Products
Mother's name before marriage
Application Form
Occupation details

TAK1/Verdate 12/09

Issued by The Hongkong and Shanghai Banking Corporation Limited, India. Incorporated in Hong Kong SAR with limited liability.
Issued by The Hongkong and Shanghai Banking Corporation Limited, India. Incorporated in Hong Kong SAR with limited liability. Pg 14 of 14

Perforation

Terms & Conditions

• Balance Transfer (BT) feature offers HSBC cardholders a promotional interest rate, applicable only on the outstanding balance transferred from other bank credit card(s). The promotional interest rate is valid for a pre-defined duration
called ‘Balance Transfer Term’ except in case of perpetual BT where the promotional rate is applicable till the entire transferred balance is paid off, with there being no pre-defined term. • HSBC cardholders can choose from any of the
following balance transfer options: 0% interest for 3 months term, 0.75% p.m. (9% p.a.) interest for 6 months term, 0.99% p.m. (11.88% p.a.) interest rate for perpetual BT. • W.e.f. 1 February 2006, for 0% interest for 3 months option, a
processing fee of 2% of the balance transfer amount will be applicable. For 6 months tenure option and perpetual BT option a processing fee of ‘Rs.100 per transaction’ will be applicable. It will be charged at the end of every month for
all Balance Transfer transactions processed during the month and will reflect in the credit cardholder’s subsequent monthly statement of account. • Upon completion of the ‘Balance Transfer Term’, if applicable, balance amount is
merged with the other outstanding on the credit card and interest will be charged as per regular rate applicable as communicated to the cardholder from time to time. • Any outstanding balance at the end of the Balance Transfer Term,
if applicable, cannot be transferred to another Balance Transfer Option being offered by HSBC at that time. • To avail of the Balance Transfer facility, you must enclose a copy of your latest Other Bank credit card statement. • The
minimum amount that can be transferred from any Other Bank credit card account to your HSBC Credit Card is Rs. 3,000. • The maximum amount that can be transferred from any Other Bank credit card to your HSBC Credit Card is
80% of the available credit limit on your HSBC Credit Card as on the date of approval of your application. You can transfer balances from more than one Other Bank credit card under the same or different Balance Transfer Options,
within the limit. • In the event a cardholder transfers different amounts under different Balance Transfer options; the repayment will be allocated in the same sequence that the balance transfers have been applied for. • If the amount
(as mentioned in the application form) to be transferred to your HSBC Credit Card exceeds by 80% of the available credit limit on the date of acceptance by HSBC, HSBC will automatically transfer only an amount equal to 80% of your
then available credit limit. • HSBC shall send the demand draft, favouring the other credit card account transfer amount to your mailing address. • If you have subscribed for the ‘credit card account settlement option’ to automatically
settle your credit card outstandings ‘Balance Transfer Term’, you are requested to arrange for making payments against your credit card outstandings by the payment due dates, during the period. The facility will be reactivated at the
end of the Balance Transfer promotional period. • During the Balance Transfer Term, the balance transferred will also be included for computing the minimum payment due, as mentioned in your credit card statement from HSBC. •
HSBC reserves the right to decline any Balance Transfer request. • HSBC shall not be liable for the service charges or late payment charges to your Other Bank credit card account due to decline or delay in execution of your Balance
Transfer request. • You should continue to make payments on your Other Bank credit card until you receive confirmation in a subsequent HSBC Credit Card statement that your account with the other issuer had been credited. • This
facility cannot be availed of to transfer balance from another HSBC Credit Card. • HSBC has the sole right to modify or change any of the above terms and conditions without any prior notice. • The entire balance outstanding on the
credit card (including any balances transferred) will become payable immediately upon closure of the credit card whether such closure is initiated by the bank or the cardholder.

For Office Use Only

Job No. 094034 Filename: HL Application Form.ai Close Size (cm): 21 (W) x 29.7 (H) Open Size (cm): 42 (W) x 29.7 (H)