Filled — address written from the sanction letter (PNB_HFL's rule); payer from the case's name; loan Rs.4,99,999 as the case holds it; office named on this case's own challan. The co-pilot types exactly what this page shows. Every box came from the papers (the source is under it); change one only when the paper says otherwise — your words are kept, recorded with your name, typed as written, and still read against the papers.