Name *

Email *

Mobile *

City *
—Please choose an option—PuneMumbaiBangaloreDelhi NCRChennaiHyderabadOther

Marital Status *
—Please choose an option—SingleMarriedWidowed

Employment Status *
—Please choose an option—Not employedEmployed with GovernmentEmployed with private companySelf employed/ Small businessBusiness with more than 10 employees

Monthly Income *
—Please choose an option—Currently no incomeLess than Rs.15,000 per monthRs.15,000 - 20,000 per monthRs.20,000 - 40,000 per monthRs.40,000 - 60,000 per monthRs.60,000 - 80,000 per monthRs.80,000 - 100,000 per monthMore than Rs.100,000 per month

Total credit card dues *
—Please choose an option—No credit card duesLess than Rs.1 lacsRs.1-2 lacsRs.2-3 lacsRs.3-4 lacsRs.4-5 lacsRs.5-10 lacsRs.10-15 lacsRs.15-20 lacsMore than Rs.20 lacsProvide total outstanding dues for all credit cards for which you want resolved

Are you sure the total credit card outstanding dues is correct? *
—Please choose an option—Yes, my credit card dues are less than Rs.2 lacsNo, my credit card dues are more than Rs.2 lacs

Total personal loan amount *
—Please choose an option—No personal loanLess than Rs.1 lacsRs.1-2 lacsRs.2-3 lacsRs.3-4 lacsRs.4-5 lacsRs.5-10 lacsRs.10-15 lacsRs.15-20 lacsMore than Rs.20 lacsProvide total outstanding for all personal loans for which you want resolved. Do NOT include secured loans like home loan, auto loan, gold loan etc.

Payment Status *
—Please choose an option—Paying full amount but with difficultyPaying Minimum Amount for few monthsPaying Minimum Amount for many monthsNot paying Minimum & getting collection calls

Are you facing any harassment? *
—Please choose an option—Not facing any harassmentFacing some harassment (getting many recovery calls)Facing severe harassment (getting threatening calls, recovery agents visiting home/ office)Some harassment - getting many recovery calls; Severe harassment - getting threatening calls, recovery agents visiting home/ office or calling friends/ relatives

You can start resolution process with Rs.3,000 and arrange additional funds towards first installment later. Is that manageable for you? *
—Please choose an option—Yes I can arrange Rs.3000 in next 1-2 daysYes I can arrange Rs.3000 in next 2-3 daysNo I cannot arrange Rs.3000 to start the process

Are you comfortable with English or would prefer another language for phone call or WhatsApp messaging? *
—Please choose an option—EnglishHindiMarathiKannadaTamilTelguMalyalamBengaliGujratiOther

Explain Your Problem/Queries: *