Nodal Officer Form

• Customer First Name*

  Customer Last Name*

• Registered Mobile Number with Chola*

  Registered Email ID with Chola:*

• Type of Loan* Select Loan Type Vehicle Finance Home Loan Loan Against Property Others

  Enter Vehicle Number*

• Loan Account Number:* (If you are an existing customer please enter your Loan A/C Number)

  Service Request Number / Ticket Number: (Complaint number provided while raising complaint - Provided by Chola )

• Pervious Mode Communication: Select Pervious Mode Communication Call Email Letter App Website SMS Branch

  City*

• Issue/Complaint Description: *

• Branch Visited: YesNo

  Branch Contact Person: (If customer visited any Branch and met any specific person in connection with the specific issue)