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(To be obtained only in cases where such information is not available
in the application form)

Particulars to be furnished by the Guarantor in respect of the application of

Mr/Mrs/Messers : IDAYATHULLA for a loan /credit facility oft 1,25,00,000.00
NameMr/M s : MAIDEEN BEEVI
2 Father's Husband Name : IDAYATHULLA
3 Relationship with the applicant (if applicable) : WIFE
4 Date of Birth : 28/11/1991 Age 31 years
5 Address Present : NO. 15 MIDDLE STREET Permanent : NO. 15 MIDDLE STREET
MADUKARAI, PONDICHERRY 605105 MADUKARAI, PONDICHERRY 605105

Telephone(O) +918973666573 (O)....................................(R)...........................

EMail ID ........................................................
6 Employment details
Unemployed Seff Employed
Name of the employer .................................. Nature of Business

Address of employer .................................... Address of business ...............................................

Tel No.................................................... Tel No........................................................

Designation /Roll No............. Amount of income.........................................
No. of years of service................................. Other income................................................
Retirement Age Sources of other income
Annual Tax paid Amount of tax paid
Annual Tax paid Are your assessed to Income Tax Yes/No
(If you have income other than salary or if you are self employed, true copies of IT Assessment orders for the last
three years should be attached. If the assessment in respect of any of the last three years is pending, true copies of
the returns filed with the Income Tax Department should be attached)
Particulars of immovable property owned : PLOT AT MADUKARAI, PONDICHERRY
7
 Have you availed any housing loans/other loans? No
If Yes, Please give particulars

Have you stood or agreed to stand as guarantor for any other borrower? Yes/No .
Yes
If Yes, please give particulars

I hereby declare that all aforesaid particulars are true and correct to the best of my knowledge and belief. I offer to stand as
guarantor for the loan/credit facilities to be sanctioned to the above named applicant(s)

Place: Pondicherry
Date: 02/ Dec / 2022 Signature of the Guarantor