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LETTER OF UNDERTAKING

ANNEXURE – KA
The Manager Date:
Dhaka Bank Limited
Card Division, Head Office

Information regarding Ownership of Borrowing Individual/Organisation


Sir:
I, ……………………………………………………………………………………………………, Managing Director/Director/
Owner of ………………………………………………………, Father:………………………………………………………………….
Mother: ………………………………………………………………… Husband (in-case of married women): ………………
………………………………………………………………………………….., Present Address :………………………………………
……………………………………………………………………………………………………………………………………………………..,
Permanent Address:……………………..…………………….……………………………………………………………………………
Business Address:..………………………………………………………………………………….., am applying for
Sanctioning / Renewal/Re-scheduling of Credit Facility (ies) in my name / in the name of institution under my
ownership.

Besides the above institution, I attach herewith the list of institutions in my own name / under my
ownership/management or institution in which I have interest. I shall be held legally responsible for mis-
reporting of information regarding any institution in my name / under my ownership/management other than
those mentioned below. The authority may take any action against me for concealment of facts and I shall be
legally bound to abide by the decision of the authority.

Sl. Name of the Permanent Business Whether the Company is enjoying any
Institutio Address Address Credit Facility
n Yes No
Name of Bank / Name of
Financial Insti. Branch

Note: Use separate sheet if necessary for providing full information.

TIN No. of the Company /Firm :


TEL No. :
Obtained any credit facilities in individual name: YES NO
Director of any Bank/Financial Institution/Insurance Company: YES NO

Signature: ________________________________

Name:
Name of Borrowing Company:

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