e-stamp certificate No.
:- IN-HP39691223426142X Date:- 19 Feb 2025
Stamp Vendor Megha Rani
AFFIDAVIT
The Branch Manager
Punjab National Bank
Gagret
Sir,
I Saroj Kumar SO Vasudev RO Village & Post Office Gagret Sub-Tehsil Gagret At Kaloh Distt Una
H.P. Hereby Solemnly declare and affirm that :-
1. That I am a farmer.
2. That I have raised a debt of Rs. 100000/- ( Rupees One Lakh Only) from money lender(s)
agriculture activity/family consumption.
3. That I have to repay the aforesaid debt and it is due with outstanding of Rs. 100000/-
( Rupees One Lakh Only) Including interest as on date.
4. That I make a request to Punjab National Bank Branch Office Gagret to grant me a loan
of Rs. 100000/- for repayment of above debt.
5. That I request authorise the Punjab National Bank to debit my loan account and credit
the proceeds of the above referred loan to my savings/KCC account with the said Punjab
National Bank Or make the payment directly to the above said money lender on my
behalf.
I hereby expressly declare and affirm that the loan sanctioned by the Punjab National Bank
as referred to above shall only be utilized by me to repay and settle the dues with money
lender(s) mentioned as above and shall not be utilized for any other purpose whatsoever.
Date : Signature of the Deponent
Place :