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BANK CERTIFICATE

STRICTLY PRIVATE & CONFIDENTIAL

Bank ………………………………………………………..…………………
Branch………………………………………………………………………

Ref. No. ……………………………A/C No. ………………………Date……………………………………..….


1. Name of the Company…………………………………………………………………………………………….
2. Addres : ……………………………………………………………………………………………………………...
………………………………………………………………………………………………………………………..
3. Constitution [Please indicate ()]
Individual  Proprietorship 

Joint Hindu Family  Partnership 

Others  Private Ltd. Co. 


4. Name of Proprietor/Partners/Directors/Karta & Co. owners of Joint Hindul Family.

1. ………………………………………………. 2. ……………………………………………….
3.. ……………………………………………… 4. ………………………………………………
5. ………………………………………………… 6. ………………………………………………
…………………………………………………………………………………………………………………………………
5. Nature of accounts in [Please (V)]
Saving  Cash Credit 
Current  Others 
…………………………………………………………………………………………………………………………………
6. Banking Since Years……………………………….No. of years……………………………….
7. Business/Company Established/Incorporation on (Date to be indicated)
8. Nature of Business activity (Main activity of the Firm)
…………………………………………………………………………………………………………………………………
3. Other Allied Activities (if known to the Bank)
…………………………………………………………………………………………………………………………………
4. If Limited Company 11. Means of Proprietor/ Partners/Directors
Authorised Capital Rs. ..………………………
Paid up Capital Rs. ……………………………
…………………………………………………………………………………………………………………………………
12. Name & Address of Associate concern of the firm (if known to the Bank)
…………………………………………………………………………………………………………………………………
12. Experience as to their dealings: Brief Write Up.
…………………………………………………………………………………………………………………………………

The Branch Manager with


Official Stamp

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