APPLICATION FOR CANCELLATION OF LOAN
To:
The Manager.
Dhani finance Pvt Ltd
No.
Retail Loan Service Centre.
_____________________ Centre
Sub : Cancellation of loan availed from our Bank - Loan Agreement No. ________________
In the name of Lokendra Kumar
Type of Loan
☐ New Car Loan ☐ Used Car Loan ☐ Personal Loan
☐ Two Wheeler Loan ☐ Commercial Vehicle Loan ☐ Others, please specify_______________
Dear Sir,
I/We wish to cancel the above loan availed from your bank. Following is the reason for cancellation of the loan
☐ Delay in disbursement ☐ Model not available. ☐ MLooking to change the Make/Mode
Any other reason, Please specify__________________________________________________________________________________________
Disbursement cheque encashed ☐ Yes ☐ No
I am returning herewith the Manager's Cheque / Demand Draft issued by you in respect of above loan with following details
(If Disbursement Cheque is not encashed)
MC / DD No Amount (Rs)
Date Payable to
Current Address : _________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Telephone No: 04843101704 Support: 04843101704 Email: support@dhaniloan.org.in
I hereby confirm and accept as follows:
➢ The Loan was granted by the Bank on basis of my application and on Terms/ Conditions accepted by me.
➢ Acceptance of request for cancellation of loan is at sole discretion of the Bank
➢ Processing fees or any other charges levied at the time of sanction/ disbursement will not be refunded
➢ In case of vehicle loans, cancellation is subject to refund of Loan amount from the Dealer/ Direct Selling Associate through
whom the deal was negotiated
➢ Cancellation charge of Rs. 12,585/- will be levied by the Bank
➢ Interest from date of disbursement to date of cancellation will be charged at the contracted rate on the loan amount.
Name and Signature of Customer / Bearer: _____________________________________________________________________________________
For Branch Use only
MC / Instruction received from: ☐ Dealer ☐ Customer
Date of receipt of
Date of cancellation request
MC/Instruction
MC/DD No (If applicable) Amount (Rs)
GR Account No Date of credit in GR
SFR No. Date of SFR authorisation
❑ Address mentioned above, matches with address mentioned in system
❑ Informed the customer on Cancellation charge of Rs. 12,585/- and Interest for the period from date of
disbursement to date of recovery at the contracted rate on the loan amount.
Checked by: Signature of Official:
Employee Code: __________________________________________________________________________________________________________
For CPU Use only
MC / DD No. Refund issued on
Date of MC Customer intimated on
Checked by: Signature of Official:
Employee Code: __________________________________________________________________________________________________________
ACKNOWLEDGEMENT
We acknowledge the receipt of your cancellation request and confirm receipt of the below MC/DD issued (if applicable)
MC / DD No. Refund issued on
Date of MC Customer intimated on
Note:
Please allow upto 15 days to cancel the loan in our books. In case next installment falls due prior to said date, the EMI already lodged with us will be
presented for payment.
✹ In case of vehicle loans cancellation is subject to receipt of Loan Amount from Dealer.
✹ A charge of Rs. 12,585/- will be levied for cancellation.
✹ Interest from the date of disbursement to date of cancellation will be charged at the contracted rate on the loan amount.
✹ If any of your EMI is realized, same will be refunded after adjusting above dues and proceeds if any, will be despatched to your mailing address within
15 days along with detailed working of cancellation.
✹ All refunds etc. will only be made in name of the first/ sole Applicant only.
✹ Please contact our customer service at numbers provided below or write to us at support@dhaniloan.org.in incase any further assistance is required.
Signature and Stamp of Receiving Office Date of Receipt Name & Employee No
Your loan application has been submitted for cancellation. Your payment will be fully refundable to your bank account within the next 7 working
days.
Finance Manager
Sangeet Nair
