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Finwizz Retail Finance Pvt. Ltd.
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Loan Account Number
Name
Registered Mobile Number
Email ID
Account Status
Active
Closed
Type of Request
Cancel
Reason for Cancel
Loan Closed
Change in Payment Method
Do You Want To Foreclose Loan Account?
Yes
No
Alternative Method for Repayment
Cheque
NACH
Other Facility
Mode of Alternative Instrument
ECS
Cheque
Branch Name
Account Number
IFSC Code
Account Holder Name
Is This New Account or Existing Account
Existing
New
Are There Any Other EMI being debited from this account
Yes
No
I hereby declare that the information provided in this document/application is true and correct, and I take full responsibility for its accuracy.
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