Recent Photograph
of Guarantor
Part II GUARANTOR INFORMATION
Personal and Employment Details
Personal Details Employment Details
Sh. Smt. Km. Others
Employment Nature
First Name
Salaried Self employed Professional Other
Middle Name
If professional
Last Name
CA Doctor Engineer/Architect Lawyer
Small/Marginal farmer Other agriculturist Other
Father’s/Husband's Name
Nature of Organization
Income Tax PAN No.* Govt./PSU Public Ltd. Co. Pvt. Ltd.
Proprietorship Partnership Other
AADHAR No. *
Identification no.(tick any one)* Period in Current Employment/Business
Passport no. Voter ID
Driving License UID Years Months
Male Female Name of Organization, Designation and Address
Date of Birth* and Gender d d m m y y y y
Third gender
Educational Qualification and Spouse Parents
Relationship with applicant Son/Daughter Other
Email Id City: State:
Pin: Country:
Address Current Residence Address* Permanent Address
Address
City: State: City: State:
Pin: Country: Pin: Country:
Phone details (STD code – __
Mobile No:
Number)
Financial Details
Information Guarantor
Is he/she an Income tax payee Yes No
Total Income in last 2 Financial FY 1 (20__ - 20__) FY 2 (20__ - 20__)
years (Rs.)
Bank Account Details (Existing customer should give details of PNB account)
Name of Bank Branch
A/c No. (details of salary a/c. for
salaried)
Statement of Assets and Liabilities
Liabilities Assets
Outstanding Loans/Advances Amount (Rs.) Immovable Properties Amount (Rs.)
Bank(s) Building/House
Employer Land
Relatives /Friends Movable Properties
Provident Fund Cash
Deposits
Investment in govt. securities
Others Others
Total Total
Net Worth (Actual in Rs.)
*Supporting documents duly signed by the guarantor should be attached
Having fully apprised myself of the particulars submitted in loan application dated…………….. for ……………………... (mention purpose) loan of
Rs. ………………………………to be considered by the bank to Shri/Smt/Miss Son/Wife/ Daughter of Shri ………………………………………………
I have agreed to furnish my guarantee for repayment of the loan. I hereby declare that I know the above mentioned applicant(s) very well for the
last………no. of years. The information furnished by me is true and correct to the best of my knowledge and belief.
Yours faithfully,
Signature of Guarantor: ________________________________
Name of Guarantor: ___________________________________
Date:
Place:
Note: In case there is more than one guarantor, he/she should fill up another form (Part-II Guarantor Information).
