LETTER OF SURETY ( not required in case of Nomination)

5th Floor, Vinay Bhavya Complex, 159-A,CST Rd, Kalina, Santacruz (E) Mumbai 400 098.

Name of Surety * __________________________________________________________Permanent Residential __________________________________________________________Address __________________________________________________________ __________________________________ Pin ________________

Age ________ years Permanent Account No. **____________________________________

* A person cannot stand as surety for spouse/ family member ** Furnish proof of PAN

(Fill in any one or more of the following boxes, whichever is applicable)A. Details of Employment1. Name of Employer : ____________________________________________2. Place of Employment : ____________________________________________

____________________________________________ ____________________________________________

3. Annual salary : ____________________________________________4. Other emoluments : ____________________________________________

B. Details of immovable property owned :(Absolutely in own name and not as member of a joint & undivided Hindu family. Specifywhether the immovable property consists of houses or mere land)1. Within the municipal limits : ____________________________________________2. Situation : ____________________________________________3. Value : ____________________________________________4. Annual rent realised : ____________________________________________

C. Details of business owned(absolutely in own name and not as a partner)1. Name of organisation : ____________________________________________2. Nature of business and location : ____________________________________________3. Annual turnover : ____________________________________________4. Annual profits : ____________________________________________

Date : ______________ ____________________________________________(Signature of Surety)

Full Name and Address of Bank Manager Signed in the presence of__________________________________________________ ___________________________________________________________Pin _______ (Bank Manager)