GUARANTOR'S FORM RECENT

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Particulars to be furnished by the Gurantor in respect of the application of Shri. ......................................................................

loan/ credit facility of Rs. .............................................................. ..................................................................................

1. Name : ..............................................................................................................................

2. Father's / Husband's Name : ..............................................................................................................................

3. Relationship with the Applicant

(if applicable) : ..............................................................................................................................

4. Date of Birth : .......................................... Age........................... Years

5. Address Present : ..............................................................................................................................

..............................................................................................................................

.......................................................................Telephone.........................................

Permanent : ..............................................................................................................................

..............................................................................................................................

............................................................................Telephone....................................

6. Employment Details : Employed / Self employed

Name of the Employer: ........................................................ | Nature of Business: ............................................

Address of Employer: ........................................................ | Address of Business: ............................................

Tel No: ........................................................ | Tel No: ............................................

Designation/ Roll No: ........................................................ | Amount of Income: ............................................

No. of years of service: ........................................................ | Other Income: ............................................

Retirement age: ........................................................ | Amount of Tax paid: ............................................

Sources of Income: ........................................................ | Amount of Tax paid: ............................................

Annual tax paid: ........................................................

7. Are your assessed to Income Tax ? Yes / No

If so what is the latest year of assessment? ..........................................................................................................

(If you have income other than salary or if you are self employed true copies of assessment orders for the last two years should be
attached. If the assessment in resource of any last two years is pending, true copies of the returns files with the income tax department
should be attached.)

8. Particulars of the immovable property owned : ..........................................................................................................

..........................................................................................................

..........................................................................................................

9. Have you availed any housing loans/

other loans? Yes / No

If Yes, please give particulars : ..........................................................................................................

..........................................................................................................

..........................................................................................................

10. Have you stood or agreed to stand as

guarantor for any other Borrower ? Yes / No

If Yes, please give particulars : ..........................................................................................................

..........................................................................................................

..........................................................................................................

I hereby Declare that all the aforesaid particulars are true and correct to the best of my knowledge offer to stand as guarantor for
the loan/ credit facilities to be sanctioned to the above named applicant(s).

Place:

Date: Signature of the guarantor