poonawallafincorp.com Open in urlscan Pro
15.207.145.97  Public Scan

Form analysis
1 forms found in the DOM

Name: PL_leadform — POST

<form name="PL_leadform" id="PL_leadform" method="post" action="">
  <input type="hidden" id="form_type" name="form_type" value="PL">
  <input type="hidden" id="gclid_field" name="gclid_field" value="">
  <input type="hidden" id="secure_token_enquiry" name="secure_token" value="649681f7978f9e311b2c21391c70cbc7cf02a909debe302c0a124a8b066d08f9">
  <div class="row">
    <div class="col-sm-6 col-6">
      <div class="input_container " id="first_name_msg">
        <input type="text" name="first_name" id="First_Name" class="floatlabel LettersOnlyDot">
        <label for="First_Name">First Name</label>
        <div class="first_name_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <div id="dispMsgFirst_Name" class="dispMsgFirst_Name error hide" style="display : none">Enter your name as per your PAN Card</div>
      </div>
    </div>
    <div class="col-sm-6 col-6">
      <div class="input_container" id="last_name_msg">
        <input type="text" name="last_name" id="Last_Name" class="floatlabel LettersOnlyDot">
        <label href="javascript:;" for="Last_Name">Last Name</label>
        <div class="last_name_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <!-- <div class="error hide" >Lorim ipsum dolar sit.</div> -->
        <div id="dispMsgLast_Name" class="dispMsgLast_Name error hide" style="display : none">Enter your last name as per your PAN Card</div>
      </div>
    </div>
    <div class="col-sm-6 col-12">
      <div class="input_container mobile" id="mobile_number_msg">
        <span class="code" id="code">+91</span>
        <input type="number" name="mobile_number" id="Mobile_Number" class="floatlabel" onkeyup="check(); return false;" oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);" maxlength="10">
        <label for="Mobile_Number">Mobile Number</label><span id="message"></span>
        <div class="mob_no_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <!-- <div class="error hide">Lorim ipsum dolar sit.</div> -->
        <div id="dispMsgMobile_Number" class="dispMsgMobile_Number error hide" style="display : none">Enter your Mobile Number </div>
        <span class="error_msg error" id="mobile_error_enquiry" style="display: none;"></span>
      </div>
    </div>
    <div class="col-sm-6 col-12">
      <!-- Ayush -->
      <div class="input_container otp" id="otp_msg">
        <input type="number" id="Enter_OTP" class="floatlabel" oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);" maxlength="4">
        <label for="Enter_OTP">Enter OTP</label>
        <span id="otp_validation"></span>
        <div class="otp_done done hide">
          <!-- Ayush -->
          <span class="hide" id="otp_count_before">0</span><span class="" id="otp_countdown_txt">160</span><span> sec</span>
        </div>
        <div class="otp_verified_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
      </div>
      <!-- Ayush -->
      <span id="resend_otp" class="hide resendotp">Resend OTP</span>
      <div id="dispMsgOtp" class="dispMsgOtp error hide" style="display : none">Enter 4 digit OTP </div>
    </div>
    <div class="col-sm-6 col-12" id="Email_ID_Field">
      <div class="input_container " id="email_msg">
        <input type="email" name="email_id" id="Email_ID" class="floatlabel" onkeyup="ValidateEmail()">
        <label for="Email_ID">Email ID</label>
        <span id="email_validation"></span>
        <div class="email_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <!-- <div class="error hide">Lorim ipsum dolar sit.</div> -->
        <div id="dispMsgEmail" class="dispMsgEmail error hide" style="display : none">Enter valid email </div>
      </div>
    </div>
    <div class="col-sm-6 col-12">
      <!--   <div class="input_container " id="first_name_msg">
                                        <input type="text" name="first_name" id="First_Name"
                                            class="floatlabel LettersOnlyDot" />
                                        <label for="First_Name">Birth Date</label>
                                        <div class="first_name_done done hide"><img
                                                src="festive_microsite/img/done.svg" alt="done"
                                                width="" height="" /></div>
                                        <div id="dispMsgFirst_Name" class="dispMsgFirst_Name error hide"
                                            style="display : none">Select Birth date</div>
                                    </div>
                                    
                                   <input type="date" name="Birth_Date" id="Birth_Date"
                                            class="floatlabel filled" >
                                    -->
      <div class="input_container " id="Birth_Date_msg">
        <input type="text" name="Birth_Date" id="Birth_Date" data-date-inline-picker="false" class="floatlabel hasDatepicker" readonly="">
        <!--       <input type="text" name="birthdate" id="birthdate" class="floatlabel form-control pr-0 effect-1 NumberOnlyDate datevalue" oninput = "isValidBirthdate(this);" placeholder="" readonly required >-->
        <label for="Birth_Date">Date of Birth</label>
        <div class="Birth_Date_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <div id="dispMsgBirth_date" class="dispMsgBirth_Date error hide" style="display : none">Select Birth date</div>
      </div>
    </div>
    <div class="col-sm-6 col-12" id="PAN_Number_Field">
      <div class="input_container " id="pan_number_msg">
        <input type="text" name="panno" id="PAN_Number" required="" class="floatlabel NumbersLetters" onkeyup="ValidatePan()" oninput="validPan(this);">
        <label for="PAN_Number">PAN Card Number</label>
        <span id="pan_validation"></span>
        <div class="pan_no_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <!-- <div class="error hide">Lorim ipsum dolar sit.</div> -->
        <div id="dispMsgPan_Number" class="dispMsgPan_Number error hide" style="display : none">Enter valid PAN number </div>
      </div>
    </div>
    <div class="col-sm-6 col-12">
      <div class="input_container" id="netincome">
        <input type="text" name="net_income" id="net_income" class="floatlabel NumberOnly" oninput="validDigits(this,12);" inputmode="numeric">
        <label for="net_income">Net Monthly Income</label>
        <div class="net_income_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <div id="dispMsgNet_Income" class="dispMsgNet_income error hide" style="display : none">Minimum Salary Required is Rs. 30,000/-</div>
      </div>
    </div>
    <input type="hidden" name="loan_type" value="Personal Loan">
    <div class="col-sm-6 col-12">
      <div class="input_container " id="address">
        <input type="text" name="address" id="address_input" class="floatlabel">
        <label for="address">Address</label>
        <div class="address_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <div id="addressErrMsg" class="addressErrMsg error hide" style="display : none">Enter your address</div>
      </div>
    </div>
    <div class="col-sm-6 col-12">
      <div class="input_container">
        <input type="number" name="pincode" id="Pincode" class="floatlabel" oninput="javascript: if (this.value.length > this.maxLength) this.value = this.value.slice(0, this.maxLength);" maxlength="6">
        <label for="Pincode">PIN Code</label>
        <div class="pincode_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
        <!-- <div class="error hide" >Lorim ipsum dolar sit.</div> -->
        <div id="dispMsgpincode" class="dispMsgpincode error hide" style="display : none">Enter Pincode</div>
      </div>
    </div>
    <div class="col-sm-6 col-12">
      <div class="input_container " id="first_name_msg">
        <input type="text" name="city" id="city" class="floatlabel LettersOnlyDot" readonly="">
        <label for="city">City</label>
        <div class="city_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
      </div>
    </div>
    <div class="col-sm-6 col-12">
      <div class="input_container " id="first_name_msg">
        <input type="text" name="state" id="state" class="floatlabel LettersOnlyDot" readonly="">
        <label for="state">State</label>
        <div class="state_done done hide"><img src="festive_microsite/img/done.svg" alt="done" width="" height=""></div>
      </div>
    </div>
    <!--<div class="col-sm-6 col-12">
                                    <div class="input_container select_field">
                                        <select name="qualification" id="Qualification" class="floatlabel" required="">
                                            <option selected disabled></option>
                                            <option value="Chartered Accountant">Chartered Accountant</option>
                                            <option value="Doctor">Doctor</option>
                                            <option value="Company Secretary">Company Secretary</option>
                                            <option value="Cost Accountant">Cost Accountant</option>
                                            <option value="Graduate">Graduate</option>
                                            <option value="Post Graduate">Post Graduate</option>
                                            <option value="PHD">PHD</option>
                                            <option value="Others">Others</option>
                                        </select>
                                        <label for="Select_Qualification">Qualification</label>
                                        <div id="dispMsgqualification" class="dispMsgqualification error hide"
                                            style="display : none">Please select qualification</div>
                                    </div>
                                </div>
                                <div class="col-sm-6 col-12" id="degree_div" style="display:none">
                                    <div class="input_container select_field">
                                        <select name="degree" id="Degree" class="floatlabel" >
                                            <option selected disabled></option>
                                            <option value="MS">MS</option>
                                            <option value="MD">MD</option>
                                            <option value="MBBS">MBBS</option>
                                            <option value="MDS">MDS</option>
                                            <option value="BDS">BDS</option>
                                            <option value="BAMS">BAMS</option>
                                            <option value="BHMS">BHMS</option>
                                            <option value="Other">Other</option>
                                        </select>
                                        <label for="Select_degree">Degree</label>
                                        <div id="dispMsgdegree" class="dispMsgdegree error hide"
                                            style="display : none">Please select degree</div>
                                    </div>
                                </div>-->
    <div class="col-sm-12">
      <div class="checkbox">
        <div class="checkbox-group">
          <input type="checkbox" name="authorise" value="authorise" id="chkTerm" checked="">
          <label class="check_label" for="chkTerm"> By proceeding I agree to <a href="#" class="link" data-toggle="modal" data-target="#myModal">Terms and Conditions </a> and have read/understood
            <a href="approach-for-gradation-of-risks.php" class="link" target="_blank">approach for gradation of risk</a>. </label>
        </div>
      </div>
    </div>
    <div class="col-sm-12">
      <p>Please make sure all the details are correct. Incorrect details may lead to rejection of application.</p>
    </div>
    <div class="col-sm-12">
      <div class="text-center mt-3">
        <a><button type="submit" class="btn disable" id="register" disabled="disabled">Submit</button></a>
      </div>
    </div>
  </div>
</form>

Text Content

YOUR PERSONAL LOAN OFFER IS ONE STEP CLOSER TO YOUR DREAMS

First Name

Enter your name as per your PAN Card
Last Name

Enter your last name as per your PAN Card
+91 Mobile Number

Enter your Mobile Number
Enter OTP
0160 sec

Resend OTP
Enter 4 digit OTP
Email ID

Enter valid email
Date of Birth

Select Birth date
PAN Card Number

Enter valid PAN number
Net Monthly Income

Minimum Salary Required is Rs. 30,000/-
Address

Enter your address
PIN Code

Enter Pincode
City

State

By proceeding I agree to Terms and Conditions and have read/understood approach
for gradation of risk.

Please make sure all the details are correct. Incorrect details may lead to
rejection of application.

Submit


DISCLAIMER:

Rate of Interest:
APR ranging from 9.99% to 16.5% | One-time Processing Fee up to 2% plus taxes.

Repayment:
Flexible repayment tenure from 1 year to 5 years with zero pre-payment charges.

Example:
Loan Amount Rs.10 lakh, Interest Rate: 9.99%, Tenure: 5 years, equates to EMI of
Rs. 21,242 per month.

This rate of interest is prone to fluctuation basis our internal credit and risk
policy, and as per an algorithmic multivariate score card.

*T&C Apply

© Poonawalla Fincorp 2023. All Rights Reserved | Legal Disclaimer | Terms of Use
| Privacy Policy | Contact: 18002663201 (Mon to Sat - 9 AM to 7 PM)

TERMS AND CONDITIONS

×

By proceeding, I/We hereby confirm that I/We have read, understood, accept and
hereby agree to abide by all terms and conditions including the disclaimer
pertaining to the aforementioned loan facility which is available in the website
of the Company and I/We hereby voluntarily accord my Aadhaar consent and also
hereby authorize the Company and its representatives to contact me/us through
phone call, SMS, WhatsApp and/or any other mode (this shall override any
registration by myself/us under DNC/NDNC) and also to make any enquires
regarding my/our aforementioned application as they may consider necessary at
their sole discretion. I/We also authorize the Company to make any enquiry(ies)
with NSDL/Credit bureau and/ or any regulatory authority and/ or any such third
party regarding my/our PAN, Credit history and/ or for any other
verification(s).

I/We have no insolvency proceedings initiated against me/any of us, nor have
I/We ever been adjudicated as insolvent except for the legal proceedings, the
particulars whereof are given herein below.

I hereby confirm that I am not a Politically Exposed Person in terms of
applicable regulations prescribed by Reserve Bank of India.

I/We confirm that no amount of the Credit Facility shall be used for anti-social
purposes or for money laundering activities or for any purpose other than the
purpose for which the Credit Facility is sanctioned and that the Company has the
right to recall the entire amount of the Credit Facility, if the Credit Facility
is used for any purpose other than as declared by me/us.

I/We hereby provide my consent and authorize the Company and/or its affiliated
partners to download my ‘Know Your Customer’ records/information from the
Central KYC Registry. I am/We are aware that my/our KYC records/information
would be downloaded from the Central KYC Registry, solely for performing
customer due diligence on me/us in order to process my/ our loan application.
I/We further declare that the data/ information on the Central KYC Registry is
updated and has not been subjected to any change, as on the date of making the
loan application.

I/We hereby also confirm that all the documents submitted and also the
information furnished to the Company to process my/our loan application are
true, correct and complete and upto date in all respects and I/We have not
suppressed and/ or withheld any information provided otherwise whether in
writing or orally for the Credit Facility applied for.

I/ We declare that I/ We have not made any payment in cash, bearer’s cheques
and/ or by any other mode along with or in connection with this Application Form
to the person collecting my/our Application Form. I/ We shall not hold the
Company’s employees/ representatives/ authorized agents/ service providers
liable for any such payment made by me/ us to the person collecting this
Application Form.

I/We acknowledge that the Company does not in any manner make any
representation, promise, statement and/ or endorsement in respect of any other
product or services, which may be provided by the Company and I/ we will not be
responsible or liable in any manner whatsoever for the same. I/ We understand
that the Company is a LENDER, registered with the RBI and would be lending in
the required Credit Facility.

I/We hereby also confirm that my/ our consent and declarations as provided
herein will remain valid and abiding on me/ us even if any of the details
mentioned herein above (including my/ our e-mail and/ or mobile number) changes,
in which case, I/we shall forthwith inform the Company about such change.

I/We have no objection to sharing of my name, mobile number, e-mail ID, PAN and
/or such other information, with the Company and/ or its group companies and/ or
its agents, representatives for providing me/us information on various products,
offers and services provided by the Company and/ or its group companies through
any mode (including but not limited to telephone calls, SMS/e-mails, letters
etc.).

I/ We understand that status of this Application Form will be known to me/ us
within seven working days, on my e-mail ID and/or mobile number specified in
this Application Form, from the date of submission of this Application Form
along with all necessary documents desired by the Company duly signed by the
applicant/ co-applicant(s) and guarantor(s), as the case may be.

I/We hereby agree that the rate of interest is in accordance with Interest Rate
Policy of the Company. Read more

Close

You already have an active application with us. Please call on 1800-266-3201 or
write us on customercare@poonawallafincorp.com to know the status of your active
application.

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