Guarantor’s Statement Form

UCO Bank
Guarantor’s Statement form 1
To
The Manager
UCO Bank
……………………..Branch
Sir / Madam,
Sub: - ……………………………………………………………. / Loan for Rs……………………
(Name of the Applicant/s)
I understand that the above named applicant/s has/have applied to you for a loan of the above
stated amount and as guarantor of the above stated loan I furnish you under my signature the
necessary information regarding myself:-
First Name Middle Name Surname
Name
(In Block letter)
Father’s Name
Husband’s Name
Date of Birth
(dd/mm/yyyy)
Age
(years)
Gender ( √ ) Male/Female Category ( √ ) Gen/SC/ST/OBC
Marital Status ( √ )
Married/ Bachelor/Widow/Widower/ Divorced
CURRENT ADDRESS PERMANENT ADDRESS
Address
(Holding/
Premises no.
Flat/floor no.
Street
Ward no. etc.)
Municipality
/Corporation /
Panchayat
Village/Town
Municipality
/Corporation
/ Panchayat
Village
/Town
City Post- Office City Post-
Office
District State District State
Pin Code E mail Pin Code Phone
Phone Mobile
No. of years in
Current Address
RELATIONSHIP WITH ANY MEMBER OF UCO BANK STAFF
Relationship with any Member of UCO
Bank Staff ( √ )
Yes / No
If yes, Nature of
relationship
Name of the UCO Bank Staff PFM No.
Category of the UCO Bank Staff ( √ ) Officer/Clerk/Sub-staff Present Place of Posting
Passport size
Photograph
Guarantor
UCO Bank
Guarantor’s Statement form 2
EDUCATIONAL QUALIFICATION
Academic
Qualification
Professional
Qualification
FAMILY MEMBERS
Minors (No.) Adults (No.)
No. of Family Members No. of Dependents
OTHER INFORMATION
Pan Card/ GIR no. Ration Card no.
Voter Id Card no. Passport no.
Driving License no. Office Identity Card no
OTHER INFORMATION
Age of Banking Relationship with UCO Bank New Customer / …………(Months)
/ …………. (Years)
Whether you are guarantor of someone else? ( √ )
Yes / No
Relationship with the Applicant & Co-applicant
SB/Current a/c no. with UCO BANK
(CBS Branch)
OCCUPATION PARTICULARS:-
Occupation ( √ ) Service/Business/Professional/Self-employed/Agriculture/Retired
/House wife/Student/Others
Designation
Department
No. of years in Present
Occupation
Emp / PF No.
Date of Retirement
(As per Employer’s certificate)
Retirement Age
Name of the Employer /
Business Organization
Address of the Employer /
Business Organization
Village/Town/ City Post- Office
District State
Pin Phone
Fax E mail
Nature of Employment ( √ ) Transferable / Non- Transferable
No. of years in the present
occupation
INCOME PARTICULARS:-
Monthly Income from Occupation (A)
Rs……………..
Other Regular Income per month (B)
Rs……………..
Source
Total Monthly Income (C=A+B)
Rs……………..
Monthly Deductions / Expenses (D)
Rs……………..
Net Income (E=C-D)
Rs……………..
Monthly Repayment (EMI) of any
outstanding loan/s
Rs……………..
UCO Bank
Guarantor’s Statement form 3
DECLARATION
I declare that all particulars and information given in the above form are true, correct and complete
and that they shall form the basis of loan to be availed from UCO Bank.
I confirm that I have had no insolvency proceedings against me nor have I ever been adjudicated
/insolvent.
I also agree to UCO Bank making enquiries in respect of the above statement/information made by
me. I further agree as guarantor of the above stated loan if sanctioned shall be governed by the rules
of UCO Bank which may be in force from time to time.
(Guarantor’s Signature)
Date:-
Place:-
List of Enclosure: - As per Annexure
UCO Bank
Guarantor’s Statement form 4
Annexure
LIST OF DOCUMENTS TO BE SUBMITTED BY THE APPLICANT
{A} Statement of means of the Guarantor (format enclosed)
{B} Two passport size photographs of Guarantor
{C} Proof of Identity/Age
Any two of the following documents but one document as mentioned in 1 – 5 below is mandatory
1. Ration Card
2. Voter’s Identity Card
3. PAN Card
4. Pass Port
5. Driving Licence
6. Office Identity Card
7. Birth Certificate
8. School Leaving Certificate
• Bank’s Pass Book/ Statement of accounts for last six month
** Submission of Bank’s Pass Book / Statement of accounts (of Guarantor/s) for last six month is COMPULSORY.)
{D} Proof of Employment/Income
1. Employment Verification Certificate (Format enclosed)
2. Salary Slip for the last three months
3. Form 16 issued by the office
4. Income Tax Return/Assessment Order.
{E} Proof of undertaking the business (For Non-Salaried Class people)
a) Trade license
b) The statement of accounts (CA/CC)
c) Financial statements
{F} Additional documents, if any, as per the terms & conditions of the loan scheme as well as norms
& guidelines of the Bank.