Regd.
Office : 9th floor, Antriksh Bhawan, 22 Kasturba Gandhi Marg, New Delhi - 110 001
                                                     Website : www.pnbhfl.com
                                                 GUARANTOR FORM
Branch Office : …………………………………………………
Loan Account No. ……………………………………………..
Please write all the information in BLOCK LETTERS.
Particulars of the Guarantor in respect of the application of Mr./Ms/ Dr………………………………………………………………………...………… for
a loan of Rs. ………………………………………………………………………………………… under ………………………………………………………………………………
1   Name of the Guarantor                 Mr./Ms/Dr. ……………………………………………………………………………………………………………………………….
                                          ……………………………………………………………………………………………………………………………………………………
2   Father's Name/Spouse Name             Mr./Ms ……………………………………………………………………………………………………………………………………..
                                          ……………………………………………………………………………………………………………………………………………………
3   Relationship with the applicant       ……………………………………………………………………………………………………………………………………………………
                                          ……………………………………………………………………………………………………………………………………………………
4   Date of Birth                         DD             MM          YY
5   Current Residence
                                         City                                      State
                                          Pin
6   Permanent Residence
                                          City                                     State
                                          Pin
7   Phone Number                          Office with STD code
                                          Residence with STD code
                                          Mobile No.
8   Occupation of the Guarantor (if in
    service, name of employer, nature
    of business carried on by the
    employer, Designation held by the
    Guarantor. If in business, exact
    nature thereof).
9   Guarantor's Monthly income            Rs.                                   Source …………………………………………………………
10 (a) Is the guarantor assessed          Yes            No.
    to Income Tax?
    (b) If yes, what us the lates
    assessment for Income tax has
    been finalised? (true copies of I.T.
    Assessment orders for the last 3
    years should be attached. If the
    assessment in respect of any of
    the last 3 year is pending, true
    copies of the returns filed with the
    Income-tax authories, should be
11 Particulars of Immovable Property
   Owned.
12 Has the Guarantor raised any
   housing loan or intend to take
   such from any institution? If yes,
   please give particulars on a
   separate sheet
13 Particulars of other borrowings, if
   any
14 Has the Guarantor stood or
   agreed to stand as Guarantor for
   any other borrower/ lender? If
   yes, Please give particulars on a
   separate sheet.
15 Financial Information
           Saving / Investment                                                      Loan Taken
    Particulars                            Sources of       Purpose of     Outstanding         EMI           Balance
                                           Loan             Loan           Amount                            Term (Months)
Saving in Bank                             Bank I
Immovable Property                         Bank II
Other Assets (Specify)                     Employer
1                                          Other
2
3
    I hereby declare that above particulars are true and correct to my knowledge and belief.
    Place : ………………………………………………
    Date : ………………………………………………                                                                        Signature of Guarantor