RetailBoost | Loan Application

👤

Personal Information

🔒 Your data is safe & encrypted · All ★ fields are required

First Name * Please enter your first name (letters only, min 3 characters)

Last Name * Please enter your last name (letters only, min 3 characters)

Date of Birth *

📌 Applicant must be 18 years or older

Date of birth is required

Phone Number *

Resend in 60s

Resend OTP

✅ Mobile number verified!

Enter a valid 10-digit mobile number Please verify your mobile number with OTP

Email Address * Please enter a valid email (e.g. rahul@gmail.com)

PAN Card Number * Invalid PAN — format should be ABCDE1234F (5 letters, 4 digits, 1 letter)

Name as per Aadhaar / PAN * Enter valid name (letters only, minimum 3 characters)

📌 PAN format: ABCDE1234F (5 letters, 4 digits, 1 letter)

Street Address * Street address must be at least 10 characters

City * City is required

State * State is required

PIN Code * 6-digit PIN required

📄 PAN Card *

🪪

Upload PAN Card

Click to select image

PAN Card is required

📷 Customer Photo *

🤳

Upload Photo

Click to select image

Customer photo is required

🪪 Aadhaar Front Side *

📋

Upload Front

Front side of Aadhaar

Aadhaar front side is required

🪪 Aadhaar Back Side *

📋

Upload Back

Back side of Aadhaar

Aadhaar back side is required

📌 Accepted: JPG, PNG
📌 Max size: 5MB per file
📌 Upload both sides clearly
📌 All uploads are mandatory

Step 1 of 6

💼

Employment Information

Used to assess repayment capacity — information stays confidential

Employer Name * Employer name must be at least 5 characters

Work Type * Work type is required

Length of Employment *

Below 2 years

2–5 years

Above 5 years

Please select length of employment

Monthly Income (₹) * Monthly income is required and must be greater than 0

💡 Default value: ₹25,000 (editable)

💰 Salary Slip / Income Proof optional

📊

Upload Salary Slip

Salary slip, bank statement, or ITR — not mandatory

Step 2 of 6

🤝

References

Two contacts who know you — they may be reached for verification

Reference 1

First Name * Required

Last Name * Required

Relationship * Required

Phone Number * Valid 10-digit number required

Reference 2

First Name * Required

Last Name * Required

Relationship * Required

Phone Number * Valid 10-digit number required

Credit Eligibility

CIBIL / Credit Score *

📌 Enter -1 if no CIBIL history. Score 700+ required for approval.

Credit score must be between -1 and 900

⚪ -1 — No CIBIL history (acceptable)
🟢 700–900 — Good (approved)
🟠 1–699 — Low (not approved)
🔴 0 — Invalid entry

Step 3 of 6

📱

Loan Details

Enter device details and choose your EMI plan — loan up to ₹18,000

Product / Device Name * Product name is required

Total Product Amount (₹) * Product amount is required

Down Payment Amount (₹) * Down payment too low — loan basis would exceed ₹18,000

Loan Calculation Summary

🏷️ Product: ₹0
💳 Down Pmt: ₹0
📊 Loan Basis: ₹0
💰 Interest: ₹0
✅ Total Loan: ₹0

Loan Amount (Auto-Calculated) * Loan amount is required

EMI Duration *

3 Months

6 Months

📌 RetailBoost offers 3-month and 6-month EMI plans only

Please select EMI duration

Your Monthly EMI

₹0

per month

🏦 Bank Account Details

Account Number *

📌 Enter 9–18 digit account number

Enter a valid account number (9–18 digits)

IFSC Code *

📌 Format: 4 letters + 0 + 6 chars (e.g. SBIN0001234)

Invalid IFSC — format: SBIN0001234 (4 letters, 0, 6 chars)

Bank Name *

Please select your bank

Specify Bank Name * Please enter your bank name

Step 4 of 6

🏪

Store Details & Summary

Review your loan details and complete the application

📊 Loan Summary

Product

—

Product Price

—

Down Payment

—

Loan Basis

—

Interest

—

Total Loan Amount

—

Monthly EMI

—

Bank

—

Account (last 4)

—

IFSC Code

—

🏪 Store Information

Store Name * Store name is required

Store Phone * Valid 10-digit number required

Sales Executive Name * Sales executive name is required

I/we certify that all information provided in this application is true and complete to the best of my/our knowledge.

I/we authorize RetailBoost to verify any information and obtain credit reports deemed necessary to process this application.

You must check the declaration before submitting

✅ Application reviewed by RetailBoost team
✅ Confirmation via WhatsApp / phone call
✅ Decision within 1-2 Minutes

Step 5 of 6

📱

Device Information

Last step! Dial *#06# on the device to find its IMEI numbers

IMEI Number 1 * IMEI must be 15 digits

📌 IMEI is a 15-digit number (dial *#06# to check)

IMEI Number 2 * IMEI must be 15 digits

📌 Leave blank if device has only one IMEI

ℹ️ IMEIs are used to verify device authenticity
ℹ️ Both IMEIs must be valid 15-digit numbers
ℹ️ This information is kept strictly confidential

📄 Loan Agreement

Please read the agreement carefully before signing.

I have read and accept the Loan Agreement above. I confirm that all details are true and accurate.

Please read and accept the loan agreement to continue

Step 6 of 6

New Loan Application

Personal Information

Employment Information

References

Loan Details

Store Details & Summary

Device Information

📄 Loan Agreement

✍️ Customer Signature

Congratulations!

Loan Not Approved

Congratulations! 🎉

RetailBoost Loan Portal

New Loan Application

Personal Information

Employment Information

References

Loan Details

Store Details & Summary

Device Information

📄 Loan Agreement

✍️ Customer Signature

Congratulations!

Loan Not Approved

Congratulations! 🎉