Business Facilitator Empanelment
Unit: All India HDFC BANK Branches, Head Office - Mumbai
for
July 05, 2024
Application for Business Facilitator Empanelment
1.1)
Name of the Service Provider
Answer Here
Marked as not applicable
1.2)
Constitution of the Service Provider
Marked as not applicable
1.3)
Address 1 (Address of establishment / Registered Address)
Answer Here
Marked as not applicable
1.4)
Address 2 (Address of establishment / Registered Address)
Answer Here
Marked as not applicable
1.5)
Address 3 (Address of establishment / Registered Address)
Answer Here
Marked as not applicable
1.6)
City
Answer Here
Marked as not applicable
1.7)
State (Please select the state only from the drop down values)
Marked as not applicable
1.8)
Pincode
Enter zip code (6 digits) Answer Here
Marked as not applicable
1.9)
Place of the Agreement
Answer Here
Marked as not applicable
1.10)
Sales Manager Code
Answer Here
Marked as not applicable
Name of First Partner as per Aadhaar
Answer Here
Marked as not applicable
Mobile Number of the First Partner
Answer Here
Marked as not applicable
Email ID of 1st Partner
Enter email address
Marked as not applicable
Name of the Second Partner as per Aadhaar
Answer Here
Marked as not applicable
Mobile Number of the Second Partner
Answer Here
Marked as not applicable
Email ID of the 2nd Partner
Enter email address
Marked as not applicable
Name of the Third Partner as per Aadhaar
Answer Here
Marked as not applicable
Mobile Number of the Third Partner
Answer Here
Marked as not applicable
Email ID of 3rd Partner
Enter email address
Marked as not applicable
Name of the Fourth Partner as per Aadhaar
Answer Here
Marked as not applicable
Mobile Number of the Fourth Partner
Answer Here
Marked as not applicable
Email ID of 4th Partner
Enter email address
Marked as not applicable
Name of the Fifth Partner as per Aadhaar
Answer Here
Marked as not applicable
Mobile Number of the Fifth Partner
Answer Here
Marked as not applicable
Email ID of the 5th Partner
Enter email address
Marked as not applicable
Upload extract of Board Resolution format available below
Answer Here
Marked as not applicable
Name of the First Authorized signatory as per Aadhaar
Answer Here
Marked as not applicable
Mobile Number of the First Authorised Signatory
Answer Here
Marked as not applicable
Email ID of the First Authorized signatory
Enter email address
Marked as not applicable
Name of the Second Authorized signatory as per Aadhaar
Answer Here
Marked as not applicable
Mobile Number of the Second Authorized signatory
Answer Here
Marked as not applicable
Email ID of the Second Authorized signatory
Enter email address
Marked as not applicable
Name of the Proprietor / Individual depending on the constitution ( as per Aadhaar )
Answer Here
Marked as not applicable
Mobile Number of the Proprietor / Individual
Answer Here
Marked as not applicable
Partnership Deed (Please upload copy of Partnership deed below)
Marked as not applicable
Email ID of the Proprietor / Individual
Enter email address
Marked as not applicable
1.11)
Application Name: Schedule VI (System which is used by Vendor at their premises)
Answer Here
Marked as not applicable
Partnership Authority Letter ( Upload your documents below )
Answer Here
Marked as not applicable
Extract from MCA on list of Directors (Image to be uploaded below)
Marked as not applicable
Existing Service Provider Relationship Declaration
1.1.1)
Are you an Existing Service Provider of the Bank.
Marked as not applicable
Enter Existing Service Provider Vendor Code.
Enter numerics
Marked as not applicable
Name of Kartha as per Aadhaar
Answer Here
Marked as not applicable
Email ID of Kartha
Enter email address
Marked as not applicable
Mobile Number of the Kartha
Answer Here
Marked as not applicable
Name as per Aadhar for Authorised Partner
Enter text
Marked as not applicable
Mobile Number of the Authorised Partner
Answer Here
Marked as not applicable
Email ID of the Authorised Partner
Enter email address
Marked as not applicable
Name as per Aadhar of the second Authorised Partner
Answer Here
Marked as not applicable
Mobile Number of the Second Authorised Partner
Answer Here
Marked as not applicable
Email ID of the Second Authorised Partner
Enter email address
Marked as not applicable
LLP Deed ( Pl upload )
Marked as not applicable
HUF Deed in case of constitution is HUF
Marked as not applicable
Please Upload HUF Declaration
Marked as not applicable
Upload MOA ( Please note AOA not required )
Marked as not applicable
Sub Processors Declaration from the Service Provider
1.2.1)
Specify the sub-processors engaged by the Service Provider (if any) and the purposes for which the Personal Data is processed by such sub-processor (Insert full company name(s) of the sub-processor(s)] [Describe the purpose(s) for which this sub-processor is engaged]
Answer Here
Marked as not applicable
1.2.2)
Specify all locations where the Personal Data will be processed by the Service Provider and any sub-processor (if applicable .[E.g. the Personal Data will be hosted on servers located in a data center at Mumbai in India and will be accessed by the Service Provider’s employees located in India]
Answer Here
Marked as not applicable
Application Name: Schedule VI (System which is used by Vendor at their premises)
I / We have received Key performance standards & deadlines ,Communication on the SLA
Please Upload Valid Insurance Licence Copy issued by IRDA Insurance Regulatory and Development Authority
Please upload Insurance License issued for Individual / Proprietor
Marked as not applicable
Please upload Insurance License issued for Partner / Partners
Marked as not applicable
Please upload Insurance License issued for Director / Directors
Marked as not applicable
Please Upload Insurance Licence Issued to Kartha / Karthas
Marked as not applicable
Declaration
Conflict of Interest Declaration from the Service Provider
2.1.1)
Kindly confirm on Conflict of Interest with the Bank if any - A. No Bank employee or Bank employee’s immediate family member has ownership interest/ holds management control or holds decision making position in the CBF' set up / Organization or is deriving any personal financial gain from this contract. B. No retired/ ex Bank employee (employee who has resigned from the Bank for less than one year) has an ownership interest or holding managerial/ decision making position in
Marked as not applicable
Name of Employee / Official
Enter text
Marked as not applicable
Relationship of the employee of the Bank 
Answer Here
Marked as not applicable
Holds managerial control/ directorship/ Key Managerial position in Service Provider's setup / Organisation 
Marked as not applicable
Any other conflict of interest (please elaborate)
Answer Here
Marked as not applicable
I/We declare existing Vendor code will continue
I/We declare ,the existing products of the Bank linked to my existing vendor code to continue.
I/We declare existing Account Details maintained by the Bank for payout/reversal will remain in effect.
I/We Declare GST and TRAI details maintained by the Bank against my existing vendor code will continue without alteration.
HDFC BANK Privacy Policy
2.1)
HDFC Bank Ltd privacy policy - Click here
Marked as not applicable
Please view and agree the terms and conditions
I agree to the Business Facilitator empanelment terms and conditions 
Submit
OTP Validation
  
  
OK
Powered by