AFFIDAVIT

I / We……………………………………………………… S/o, W/o………………

………………………………………Age………………….. years and resident
of…………………………………………………………

Telephone No. (O)………………………………………………………………….. (R)

……………………………………………(M)………………………………….

Working in ……………………………..…………………………....... Department

of…………………………………………Or carrying on the business / profession of
……………………………………………………………………………………. do solomonly
affirm and state as under.

1. I / we have not taken any loan for …………………………(purpose) from my department

/ any other bank or financial institution(s)
2. That I /we have not been defaulter of any bank so far.
3. That I /we am/are not guarantor to any loan .
4. That following loan (S) of Rs……………………………………………….. and
Rs…………………………………………….
Taken for …………………………………………………………… is/are yet to be
repaid by me to………………………
5. That the loan being taken for …………………………………………………………..
shall be utilized for the said purpose and the repayment shall be made timely.
6. That I /we undertake to deposit the original money receipt duly stamped by the supplier /
seller as also other papers desired by the bank from me/ us to the bank immediately
failing which the bank shall have the right to recover penal service charge after 3 days.
7. That I /we shall repay the loan being taken timely along with interest.
8. That I / we have already applied for permanent A/C no.(PAN)
9. I / We confirm that the title deeds being deposited have not been mortgaged with other so
far and they are in my / our name as on this day.
10. I confirm that the search report dated ………………………… being deposited is still
valid and current.

Deponent(s)

VERIFICATION
I/ We …………………………………………………………………………………………. do
hereby solomonly affirm that the contents set out above are true to our personal knowledge and
that no part of it is false.

Verified at ……………………………………… this …………………………………….. day

of………………………….20

Deponent(s)