Appplication for Solvency Certificate

To

The Branch Manager

United Bank of India

Gournagar Branch

Sub-Application for solvency certificate

Sir,

I …………………………………………………..S/O……………………………………………

Address………………………………………………………………………………………

Need a solvency certificate for submitting to

Department………………………………………………………………………………………….

I am furnishing herewith the following details

1.Purpose of Solvency certificate………………………………………………………………..

2.Amount of solvency certificate…………………………………………………………………

3.Running A/C no………………………………………………………………………………….

4.Transaction statement per annum…………………………………………………….

I am submitting my documents and asset liability certificate with this.Also kindly debit solvency
certificate issue charge and CIBIL charge from my account bearing no……………………………

All information provided are correct and if it is found incorrect I will be held responsible

Yours sincerely
 APPLICANT’S PROFILE [BIO – DATA] IN BRIEF
Personal Profile:
1. Name :

2. Father's / Husband's Name :

3. Age (Date of birth) :

4. Address Present: Permanent:

with Telephone Number :

5. Qualification :
6. Experience in activity :

7. Identity:
(IT, PAN, Voter Card etc.
Details of the same.)

8. Do you have a Bank A/c,

Credit Card, Debit Card etc.
(Details of the same.)

9 Occupation
Position of Personal
10
assets & liabilities

The information as stated above is true to the best of my/our knowledge and belief.

Signature with date