PART-II
CENT SUVIDHA
(For Common Application Form, Guarantor’s Consent Letter & Acknowledgement-Please fill PART-I)

1 NAME OF THE EMPLOYER
2 ADDRESS
3 TELEPHONE NUMBER
4 NAME OF KEY PERSON, DESIGNATION, TELEPHONE NUMBER
5 DETAILS OF SALARY OF APPLICANT
GROSS SALARY
DEDUCTUIONS
NET SALARY
6 AMONT OF OD LIMIT REQUESTED
I submit followings papers/documents in support of my above submission.
(Please mark tick against each)
(i) Original Salary Slip/ Salary Sheet for the month of
(ii) Undertaking from the borrower to rout salary through bank account with us
(iii) I undertake that my salary shall be deposited every month in the OD account and I shall not change salary account without adjusting the OD in full alongwith upto date interest

Place: Signature of the Applicant
Date :