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KARNATAKA SILK INDUSTRIES CORPORATION LTD. MyeonSi (A Government of Karnataka Enterprise) ut PHOTO APPLICATION FOR BUYING SAREES / FABRICS ON CREDIT BASIS (Please get the application scrutinised by the cashier before selection of sarees / fabrics at the counter) SI.No. Particulars ‘Space For Writing (Use Block Letters) Name of the Employee with Designation 2. Office Address Residence Address Phone No. Phone No. 3. Length of Service Rendered : Gross (Salary certificate to be enclosed) ‘Name of the Bank with address and Personal Bank Account No. (Please bring the updated pass book for verifications and Return) 6. Amoun of credit facility required Eligibility : (One month Gross salary) 10% CASH 90% CREDIT PAYABLE IN 9 POST DATED CHEQUES: DECLARATION thereby undertake to give 10% (Ten Percent) of the Purchase in CASH and for the balance amount, 1 undertake to pay Nine Post dated cheques in equal instalments against the credit facility extended to me. | assure that | wll keep sufficient funds in my account with the above Bank for the borrowings on the cheques ‘on the due date and in case of default, | will undertake to reimburse the amount to KSIC as per rules including bank charges. Signature of the Employee CERTIFICATE The above mentioned employee is working under my supervision / our organisation and has more than 3 years of continuous service in the organisation. The details given above are correct to the best of my knowledge and the application has been signed before me. Place Attestation by the Manager / Drawing Officer bes Pay 9 Enclosures Required 1, Photo 2.10% Cash —_3. Ning Post Dated Cheques 4, Salary Certificate 5. Bank Pass Book (For verification and Return)

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