LIC Housing Finance Ltd.

Name of the Institution

Nature of Constitution

Business Office Address

Telephone Number

Mobile Number

Nature of Business (Profile to be attached separately)

No. of years in the business

No. of Employees on Roll

Details of past experience in Collection [Housing Loans, Personal Loans, Credit Cards, Other(specify)]

Name of the Institution / Bank / Others

Nature of Collection

Period of such work undertaken

No. of cases/ Accounts procured

Quantum of Collection (Amt. Involved)

Whether the activity is continuing

No. and nature of defaulters
you can to contact in 1 month

Estimated Collection
you expect in 1 year

How many persons
you intend to allocate for collection

Give your brief business plan/ Strategy for collection of amount due

Any Other Information

Brief Profile of the Applicant

KYC Detail

Copy of IIBF Certificate

Copy of GST Registration Certificate

Copies of Empanelment letters with Other Financial Institutations

Copy of Partnership Deed / Memidandum of Associatation / Registration Certificate

Police Verification Report

Date

Place