CENTRAL REGISTRY CHARGE REGISTRATION REQUEST
Request date: __________
To __________, __________. Borrower/security provider: __________, __________. Loan: __________.
SECURITY CREATED
Security type: __________. Creation date: __________. Instrument/event: __________. Secured amount: __________.
ASSET AND MATCHING
Property/asset: __________ (__________), __________, __________. Borrower identifier: __________. Asset identifier: __________.
FILING ACTION
Action: __________. Supporting documents: __________.
CONFIRMATION
Please provide __________ after filing and ensure the particulars match the security actually created.
This request does not itself create the mortgage/security interest.
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 evidence Central Registry/CERSAI registration or modification of the stated security interest, communicate about that purpose, verify expressly supplied lending, identity and property information, and retain an evidentiary transaction record.
The record will be held by __________ and may be shared only with the borrower, co-borrower, guarantor, lender, authorised professional, registering or revenue authority, Central Registry/CERSAI-related service, insurer or other person directly involved in the stated credit or security transaction.
If the transaction is withdrawn, refused or cancelled, personal data will be retained for 90 days and then erased. If the transaction proceeds, the record will be retained for the loan/security term plus 12 months, except where a named statutory or regulatory record-retention period requires longer retention.
A person named here may withdraw consent for future consent-based processing, request correction or erasure when the stated purpose has ended, or raise a grievance by writing to __________. The record-holder should acknowledge and respond within 30 days.
Data minimisation: this document does not collect full Aadhaar numbers, Aadhaar-card copies, passwords, PINs, OTPs or unrelated bank credentials, and none should be written into it. Use masked account/identity references where an identifying reference is genuinely necessary.
Personal-data instruction: __________.
Record-holder: __________
SIGNATURE
Borrower: __________