To, Compliance Officer name; ?> address; ?>

Dear Sir/Madam, Subject: Declaration for KYC Documents

I, , have agreed to borrow from name; ?> and my mobile number is . I have provided copies of one of the below mentioned documents (“KYC Documents”), to complete the KYC of my loan account, as prescribed by the Reserve Bank of India:

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I hereby declare that the proof of address document furnished herewith is of my current address. Further, I hereby confirm that the information and KYC documents provided by me are correct and up-to-date and name; ?> is entitled to verify the same either directly or through any third party agent. I hereby delcare that I undertake to inform you of any changes to the KYC documents immediately. In case any of the above information is found to be false or not genuine, I am aware that I may be held liable for it.

Once the loan amount is disbursed to loan will not be cancelled.