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Moratorium or Instalment Holiday Request

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You and the lender
The relief requested
Privacy

Step 1 of 3

You and the lender

What is the primary applicant/borrower's full name?Needed

For example: Aarav Sharma

What is the borrower's correspondence address?Needed

House / flat / plot no.

Street, sector or locality

City area and PIN code

Which lender or housing-finance company is this addressed to?Needed

For example: ABC Bank Ltd

What branch/loan-processing office address applies?Needed

House / flat / plot no.

Street, sector or locality

City area and PIN code

Who will hold the final document record?Needed

For example: Kagaznama

More details — you may leave these

What phone number should the lender use?You may leave this

A number somebody can be reached on. Ten digits is the usual Indian form, and a country code in front of it is fine if you want it there.

For example: 98765 43210

What email should the lender use?You may leave this

An email address somebody actually reads. Notices under a document like this can be sent to it, so a working one matters more than a tidy one.

For example: aarav@example.com

What loan application/account reference is available?You may leave this

For example: HL-2026-118

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The live draft

The draft, as it stands

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MORATORIUM OR INSTALMENT HOLIDAY REQUEST

To __________, __________.

Borrower: __________, __________..

RELIEF REQUESTED

HARDSHIP

ACCOUNT STATUS

COST / REPAYMENT DISCLOSURE

Please advise the relief options actually available under your current policy and provide the revised repayment, interest, tenure, fee and credit-reporting consequences before implementing any change.

PERSONAL DATA NOTICE

This notice is given under the Digital Personal Data Protection Act, 2023.

Personal data in this document is collected only to request and administer temporary repayment relief on the stated loan account, communicate about that purpose, verify expressly supplied lending and property information, and retain an evidentiary application record.

The record will be held by __________ and may be shared only with the applicant, co-applicant, lender or housing-finance company, authorised loan-processing agent, employer or income verifier, advocate, valuer, technical professional, insurer, registering authority, Central Registry/CERSAI-related service, or other person directly involved in the stated loan process.

If the request is withdrawn, declined or does not proceed, personal data will be retained for 90 days and then erased. If it proceeds, the record will be retained for the loan process plus 12 months, except where a statutory, regulatory or lender record-retention rule requires a longer named period.

Data minimisation: this template does not require a full Aadhaar number, Aadhaar-card copy, passwords, PINs, OTPs or complete bank-login credentials. Only masked account/identity references genuinely required for the loan process should be inserted.

Record-holder: __________

SIGNATURE

______________________________
Signature
Borrower: __________
Place: ____________________
Date: ____________________

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