?1) 9
 



 
son of

 

 
aged
  (date of
Birth ___________) by oocupation   resident of  c 
   
& 2) 
9
 
 
 son of 9
 


 
aged  (date of
Birth   ) by occupation 
 resident of  c 
  do
hereby solemnly affirm and declare on oath as follows:

1.  hat the  

 a bank established under  

 Act. 1955
having its branch at   Branch, (herein after referred to as Bank) has at my
request agreed to grant credit facility (ies) to me. For that purpose I have to produce
͞9  certificates from individual financing Institution /Banks and hence this
affidavit is being sworn by me.

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2.  I have not obtained any loans, credit facilities from any financial institution / Bank
and or I am not defaulter to any Bank/ Financial Institution and OR no legal action is
initiated against me for recovery of Loans or for the reasons/ purpose.
a.  I have obtained a loan of Rs. ͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙͙. From
͙͙͙͙͙͙͙͙͙͙.. & the account is regular and I am not defaulter to the
institution / Bank.
3.  hat I undertake and declare further to notify to the  

  
 
the changes.
4.  hat the statement / declaration made in this affidavit in para (1 to 3) are true to the
best of my knowledge.


       


Veponant 1)______________________ Veponant 2)___________________

Name: ___________________________ Name: ________________________

Address: _________________________ Address: ______________________

________________________________ ______________________________

________________________________ _____________________________ _

________________________________ ______________________________

Vate: 13/12/2010 Vate: 13/12/2010

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