OUTLET DETAILS

If you already own a business or are working your revenue/Income Per month including pension (if any is)

(Please enclose copy of I.T. Return/Pension Payment Certificate)

Particular of immovable property (Property extracts should be attached)

I certify that the above information is true to the best of my knowledge and belief.

ANNEXURE:-

DECLARATION

I Mr. / Ms___________________________________________________________
S/o / D/o / W/o. Shri_________________________________________resident of ________________________________________

Do hereby solemnly affirm and declare as under:-

1. That I am resident & citizen of India.
2. I am not a defaulter of any bank with loan or any other instrument. I/we have not violated the code of conduct specified of any bank or declared As willful defaulter by any bank or financial institution.
3. l have not been found/pronounced to be of unsound mind by any
4. Competent authority or not declared / adjudicated as insolvent by any competent court.
5. I have not been found guilty of or to have knowingly participated in or connived at any fraud. Dishonestly or misrepresentation against an banker or an insured in the course of any judicial proceeding relating any banking or the course of an investigation of the affairs of an Banker 6. I am not affiliated to any political party
7. I have no criminal record against me since birth.
8. I have the capability to handle the cash and operate the technology.
9. I am familiar with the local language.
10. I have the knowledge of the area being assigned to me.
11. The place mentioned as my residence is my own/rented.
12. I understand that the fees paid for this joining is non-refundable in all case.
13. The place mentioned as my business location is my own/rented
14. I will not resort to any irregular transactions / practices in my day to day dealings with the customers at the outlet so as to arouse/bring disrepute to Ezee Junction Pvt. Ltd. and their principals. I further undertake to keep Ezee Junction Pvt.
Ltd. and their principals Indemnified against any losses that may arise due to acts of omissions/commissions on my part

And I have enclosed my documents herewith the application form. (Please mark an appropriate)

DEPONENT/APPLICANT Verification

Verified at __________________________________________on this day _____________________________________that the contents of the above affidavit are true And correct to the best of my knowledge and belief and nothing has been concealed therein.

______________________________________

(DEPONENT/APPLICANT SIGNATURE) on