Sbi Bank
Sbi Bank
Sbi Bank
AFFIDAVIT
1. That may business place is Vill+P.O- Chitmu, P.S- kotshila, Dist- Purulia.
2. That educational qualification is VIII Pass.
3. That my occupation is business.
4. That no. of my family members are Three and no. of dependents are Three.
5. That the State Bank of India, a bank established under State Bank of India Act, 1955 having
its Branch at Kotshila( hereinafter referred to as Bank) has at my request granted/and/or
agreed to grant credit facility(ies)to me Dipankar Gorain (name of the borrower), inter alia,
against my guarantee and hence, this affidavit are my statement /details of Assets &
Liablities as on _________________(give here date of swearing the affidavit).
Place
Village
Taluka
Police station
Registration
Sub-District
District
Survey No.
Plot No.
Door No.
Name of street
Ward No.
Holding No.
Mouza
Khatina No.
Bounded by
North
South
East
West
TOTAL
Contd.................P/3
- : 3 : -
b. LIQUID ASSETS
Cash
Bank balance
c . GOVERNMENT SECURITIES :
(PLEASE GIVE FULL DETAILS)
d .SHARES :
(PLEASE GIVE FULL DETAILS)
POLICY NOS:
f . JEWELLERY :
g . INVESTMENT IN BUSINESS IN :
ASSOCIATE FIRM IF ANY
i. LIABILITIES :
PARTICULARS: i ) BORROWING FROM BANKS
ii )BORROWING FROM MARKET
iii)BORROWING FROM OTHER SOURCES
iv) ASSUMED INDIRECT LIABILITY
Contd.................P/4
- : 4 : -
7. That I undertake and declare further to notify to the State Bank of India, Kotshila Branch,
any change, whether by way of increase or diminution, in the assets liabilities as detailed above
every year.
8. That the Statements/declaration made in this affidavit in paragraphs 1 to 3 above are true
to my knowledge.
Deponent
Date :
Deponent in identified
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