EDC Limited
EDC House, Dr. A. B. Road,
Panaji-Goa
DETAILS OF THE GUARANTOR
PLEASE COMPLETE ALL PARTICULARS IN BLOCK LETTERS
TICK BOXES WHEREVER APPLICABLE
Name of Guarantor
Name of Spouse
Name of Father
FIRST NAME MIDDLE NAME SURNAME
PARTICULARS
1. Detail Residential Address
(House No., Road Name,
Locality,
City, PIN, District, State)
2. Office Address (House No.,
Road, Name, Locality, City,
PIN, District, State)
3.Email address
4. Date of Birth (DD/MM/YYYY)
5. Telephone No Office Residence Mobile
6. Academic Qualification
(Year wise)
7. Present Occupation
Along with designation
8. Details of previous
Occupation
9. Whether guarantor for any
Other loan. If so please furnish
Details
PARTICULARS
1. Source of Income
(Pease tick and enclose
Supporting document) Salary Certificate Income Tax Returns
2. Annual Gross Salary/Income
For last three years
3. Annual Net Salary/Income
4. Other Annual Income as per
IT Returns.
5. Monthly Deductions
(Please furnish details)
EDC Limited
EDC House, Dr. A. B. Road,
Panaji-Goa.
Signed photograph of
The guarantor
1. PERSONAL INFORMATION OF THE GUARANTOR
DETAILS OF THE GUARANTOR
3. FINANCIAL INFORMATION OF THE GUARANTOR
Details like Account No / Folio No, Cost of acquisition Present value
Plot No etc/description
1. Savings in Banks
2. Investment in NSCs/Shares/
Debentures/ Bonds/Mutual
Fund,/LIC/ etc
3. Details of immoveable
Assets
4. Details of moveable
Assets like vehicles
5. Details of other assets
(Gold, jewellery etc)
Total
Purpose Name of Creditor- Loan Amt. EMI Mode of Repayment Security charged
1. Housing Loan
2. Car Loan
3. Personal & Others
(Please Specify)
Total Liabilities
List of any other concerns where
The guarantor has interests
Litigation pending against the
Guarantor or any of associate
Firms/concerns
Name and addresses of all
Bankers of the guarantor
And the associate concerns
In which he has interests
The Managing Director,
EDC Limited
EDC House,
Dr A.Borkar Road,
Panaji, Goa
Dear Sir,
Sub: Financial Assistance to Shri/Smt_____________________________________________________
This is to inform you that I am willing to stand as a personal guarantor for the proposed loan from your Corporation to
Shri/Smt______________________________________________________.
My Biodata and personal details are as indicated above.
I hereby state that all the above information furnished by me is true and complete to the best of my knowledge and belief. I understand
that action can be taken against me if found incorrect.
Place_________________
Date:________________ Guarantor’s Signature
2. INFORMATION ON ASSETS OF THE GUARANTOR
4 . DETAILS OF EXISTING LIABILITIES
5. OTHER INFORMATION
6. DECLARATION