Annexure 7

KYC Certificate issued by Gazetted officer appointed by Central/State

Government.

KYC Certificate from Gazetted Officer

Individual

Name of the Applicant

(Mr./Mrs/Ms)
Seal
Photo Name of Husband / Father

Address

Date of Birth DD/MM/YYYY

Signature / thumb
impression of Borrower /
Co-borrower

Above mentioned photo and details are of the corresponding individual, and he/she has put in his/her
signature in front of me. I know the individual for …….years, and confirm the aforementioned details in the
capacity of a Gazetted officer appointed by Central/State Government.

This certificate is issued for procuring credit facility / loan

Gazetted officer
details

Name
Designation _____________________________ Seal and Signature

Office address __________________________________________________________________________

__________________________________________________________________________

Contact No. _____________________________