Candidate is

referred by-
Proposed Department/
Name Location Date of Birth Agency /
Role Business Unit
Name of
Employee

CREDIT
Anil kumar Sahu NA 3 July 1982 CREDIT RISK NA
MANAGER

Declaration-l hereby confirm that the information contained in this form is valid and correct to the best of my knowledge.
communications relating to the agreement Growth Source Financials Technologies Private Ltd. (GSFT) may be sent to me/u
above. I certify that GSFT may by itself or through authorized persons, lawyers, agencies, bureau etc. verify any/ all inform
references, employment details and obtain credit reports to determine my eligibility for association with GSFT and the sam
additional/ further checks in order to assess my eligibility on periodically in future.

Any relatives currently employed with GSFT? NO

If Yes - please give names and location
 Employement Details (Last 2, covering

Reporting
Manager PAN Aadhaar Name of
Name in GSFT Designation
Organization

NORTHERN
NA BHLPS8840P 7516 3035 3754 ARC CAPITAL CREDIT MANAGER
LTD

AXIS BANK LTD

DEPUTY MANAGER

the best of my knowledge. l herewith confirm that all

(GSFT) may be sent to me/us through the E-mail mentioned
au etc. verify any/ all information given, check credit
ation with GSFT and the same can be used to conduct
Employement Details (Last 2, covering last 5 years)

Working period Name of

Phone
Branch/Office Address (From , To - Reporting
Number
Month/Year) Manager

S Govindrajan
Indiqube ,KOROMONGOLA , Dual
(919384821117
NEAR UNION BANK OF INDIA 10/12/2022 to reporting -
) , Pusparaj
( SME ) BRANCH , BANGLORE , 01-09-2023 Business &
Singh
PIN CODE - 560034 Credit
(7722093335)
RAMA Trade Centre , Near Bus
14-08-2019 to
Stand , Bilaspur , CG , Pin code - D Mahasuar 9.19938E+11
19-01-2020
495001