CENTRAL REGISTRY FORM I Creation and modification of charge

(Particulars for creation or modification of charges) 1. (a) This form is for (b) Charge created by Individual Proprietorship Firm Partnership Firm Company O Creation of charge O Modification of charge

Limited Liability Partnership Firm(LLP) Trust HUF

(c) Whether the charge holder is authorized to assign the charge as per the loan/security documents(in case of company and partnership firm) O Yes O No (d) Charge Identification (ID) number of the charge to be modified 2. (a) Company (i) Company name (ii) Corporate Identity Number (CIN) or foreign company registration number. (To get the CIN and the address of the company a link may have to be established with MCA site) (iii) Corporate Borrower ID Number OR (b) Individual Borrower (i) Name Title (Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name Age Date of Birth (dd/mm/yyyy) 1

(ii) Individual Borrower PAN OR (c) Proprietorship Firm (i) Name of Proprietorship Firm (ii) Prop. Firm Permanent Account Number (PAN) (iii) Name of the Proprietor (a) in case of company Corporate Identity No. (b) in case of individual (i) Name Title (Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name Age Date of Birth (dd/mm/yyyy) OR (d) Limited Liability Partnership Firm (LLP) (i) Limited Liability Partnership (LLP) Firm Name (ii) Name of the partner who is mortgaging the property belonging to the Limited Liability Partnership (LLP) Firm Title (Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name

Age Date of Birth (dd/mm/yyyy) (iii) Limited Liability Partnership (LLP) Firm Permanent Account Number (PAN) OR (e) Partnership Firm (iv)Partnership Firm Name (v) Name of the partner who is mortgaging the property belonging to the Partnership Firm Title (Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name Age Date of Birth (dd/mm/yyyy) (vi)Partnership Firm Permanent Account Number (PAN) OR (f) Trust (i) Name of the Trust (ii) Trust Permanent Account Number (iii) Name of the Trustee/person who is authorized to mortgage the property belonging to the Trust Title (Mr/Mrs/Ms)

Surname

Name

Fathers/Husbands name

Age Date of Birth (dd/mm/yyyy (g) HUF Title Name Father/Husband name Age Date of birth (dd/mm/yyyy) Surname (Mr/Mrs/Ms)

3. Address of the borrower: Shop/ Flat/House No. Plot No. Bulding No. Building Name Street Name/No. Village District PIN Code

Taluka State/UT

4. THIRD PARTY MORTGAGE (a) Name of the person who gives security of immovable property to secure the loan of the borrower Individual Individuals Company Partnership Firm Trust HUF

Limited Liability Partnership Firm (LLP) (b) Name of the person creating charge Title Surname Fathers/Husbands name House No. Village 4 Mr/Mrs/Ms Name

Street Name /No Taluka State District PIN Code

(c) In case of Company/Limited Liability Partnership Firm (LL) /Partnership Firm/Trust whether the person is duly authorized O Yes O No (c) Third Party Permanent Account Number (PAN) 5. Type of charge Mortgage by deposit of title deeds Charge on: Immovable property (Freehold) Any interest in immovable property (leasehold interest) Flat Others 6. (a) Whether consortium finance is involved (b) Whether joint charge involved without consortium finance (c) Single Charge only (d) Number of charge holders O Yes O No O Yes O No O Yes O No

7. Particulars of the charge holder(s) (Banks/Financial Institutions) Permanent Account Number (PAN) Name of charge holder Seniority of Charge Expected Repayment Period (in months) Amount secured Address Building Number Building Name Street Name/No. 5

Village Town Taluka City District State /UT Pin Code e-mail ID (The above fields may have to be created further depending upon the number of charge holders) 8. Description of the property which is given as security by deposit of title deeds in favour of the bank/financial institution along with boundaries (*) Agricultural O Non-Agricultural O Survey No./Gat No./Plot No./House No. Carpet / Built up Area (Sq Feet, Sq. Meter, Acre, Gunta, Cents, Hectars,) Building Name Flat Shop No. Plot No. Street Name/No. Stage/Sector No./Ward Latitude Longtitude Village Taluka State /UT Plot bounded by 6 Pin code Town District House / Floor No.

By North By South By East By West (* Survey number, gut number, plot number, as appearing in the revenue record, Flat No. House No, municipal office/municipal corporation/grampanchyat are to be specified and also the area of the immovable property as well as boundaries) 9. Description of Document by which the Borrower/Third Party acquire title: (Sale Deed/Lease Deed/Award, etc.) Document No. Date of Document SubRegistrar Taluka

District

State

Pin code

10. Amount secured by the charge (in case the amount is in foreign currency, rupee equivalent to be stated) Rs..(Rupees ___________________________________ only) 11. Date of creating/modifying the charge by actual/constructive deposit of the title deeds (dd/mm/yyyyy) 12. Brief particulars of the principal terms and conditions and extent and operation of the charge A. Rate of interest

B.

Terms of repayment details in month

C.

Margin Amount Details

D.

Extent and operation of the charge

E.

Others

13. Particulars of present modification Asset ID Area of Modification To be digitally signed by charge holder (financial institution or bank or asset reconstruction company)

CENTRAL REGISTRY FORM II Satisfaction of Charge

(Particulars for Satisfaction of charges) 1. Borrower Permanent Account Number (PAN) 2. (a) Name of the Borrower (b) Address of the Borrower Building No. Building Name City 8

State/UT 3. Third Party Permanent Account Number (PAN) 4. Charge creation ID Number (a) Particulars of the charge holder Permanent Account Number Name Address Building No. Building Name City State/UT (b) Particulars of creation of original charge and subsequent modifications (i) Charge creation date (ii) Charge last modification date (iii) Charge satisfied Status (iii) Final amount secured (in Rs) (dd/mm/yyyy) (dd/mm/yyyy) (dd/mm/yyyy)

5. Date of satisfaction of charge in full

For office use only It is certified that the above document for charge satisfaction is hereby registered Digital signature of the authorised officer at the Central Registry