SELF DECLARATION

I, _____________________________________________________________________ SO/DO

__________________________________________ age ______ years as on _____________,

resident of _______________________________________________________________________.

do hereby solemnly affirm and state on oath as under:

1. There is/are no litigation/s pending against me before any Court of Law

2. I have never been convicted for any offence by any Court of Law involving moral turpitude

3. I have not been a declared insolvent.

That the above facts are true and in future if it is proved false, I have no objection if action against

me is taken by the organization/UCO Bank as per its guidelines.

Date: ______________

Place: ______________

Full signature of the applicant: ___________________________