Documente Academic
Documente Profesional
Documente Cultură
CIN: U01403AP2015PTC096026
Afix
Latest Pass Port
Size
Photograph
Here
: .
.
Amount: Rs.
Amount: Rs.
Amount: Rs.
11)
12)
Name Of Sureties
Designation
Account Number
a) ........
..
b) ........
..
DECLARATION
I hereby declare that all statements and replies given herein before are true in every particular
whether written by my hand or not I have carefully read the rules and regulations printed on this application form
and the registered by Memorandum of Association and Articles of Association of the Producer Company and bind
myself to abide by them and also coming in force in future. Further I hereby undertake to exclusively bank with you
and operate my account.
I hereby declare that I shall exclusively bank with you as provided under the Producer Company
ACT 2013 and shall not bank with any other bank/Societies. This Loan Application form is filled in my own hand
writing / or at my request by your staff who has filled in all the details after my instructions and the same are duly
interpreted to me/ understood by me.
Further I/We am/are offering the Guarantee of Lien my FD / RD / Daily Deposit Receipt A/C No.
which are mentioned above with the application.
Date: .
2..
Date: .
1) Sanctioned or Rejected:
2) Amount Sanctioned @ Rs.
3) Sureties Accepted (Yes/No) .
4) Number Of Installments : .
@ Rs. each
DEDUCTIONS
Amount Sanctioned
Rs. :
Rs. :
Rs. :
Rs. :
_____________________
Net Amount
Date: .
Rs. : _____________________
Enclosures:1.
2.
3.
4.