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Bandhan

Bank IHcad OMicc: Adventz Ba 1dhan Bank


Limitcd
Kolkata- 700091Infinity@5, BN-S, Scctor V, Salt lake City
Phonc No: +91-33-( 6090909. 27062396

Annexure -IV ofSEL Application Form


Declaration of existing loan facilities held by the Applicant:
SI, Name of the
No. Type of Loan EMI
Bank/ FI loan
Loan account Tenure FOI
amount Current
opening date
outstanding

Declaration of bank accounts held bythe Applicant:


SI. Name of the Bank Branch Account Number
No. Type of accourt Banking since

Date:
DDM MYYYY

Place:
ALRICK SCLAR PRIVATE LIMITEC
ALRICK SOUAR PRIVATE MITED

UDIRECTOR
DHRECTOR
Signatureof the pplitdi Signature of Co-Applicant/ Guarantor

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