Regd.

Office : 9th floor, Antriksh Bhawan, 22 Kasturba Gandhi Marg, New Delhi - 110 001
Website : www.pnbhfl.com
GUARANTOR FORM
Branch Office : …………………………………………………

Loan Account No. ……………………………………………..

Please write all the information in BLOCK LETTERS.

Particulars of the Guarantor in respect of the application of Mr./Ms/ Dr………………………………………………………………………...………… for
a loan of Rs. ………………………………………………………………………………………… under ………………………………………………………………………………

1 Name of the Guarantor Mr./Ms/Dr. ……………………………………………………………………………………………………………………………….

2 Father's Name/Spouse Name
3 Relationship with the applicant
4 Date of Birth
……………………………………………………………………………………………………………………………………………………
Mr./Ms ……………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………
DD MM YY

5 Current Residence

City State
Pin

6 Permanent Residence

City State

Pin
7 Phone Number Office with STD code

Residence with STD code

Mobile No.
8 Occupation of the Guarantor (if in
service, name of employer, nature
of business carried on by the
employer, Designation held by the
Guarantor. If in business, exact
nature thereof).

9 Guarantor's Monthly income Rs. Source …………………………………………………………

10 (a) Is the guarantor assessed Yes No.

to Income Tax?
 (b) If yes, what us the lates
assessment for Income tax has
been finalised? (true copies of I.T.
Assessment orders for the last 3
years should be attached. If the
assessment in respect of any of
the last 3 year is pending, true
copies of the returns filed with the
Income-tax authories, should be

11 Particulars of Immovable Property

Owned.

12 Has the Guarantor raised any

housing loan or intend to take
such from any institution? If yes,
please give particulars on a
separate sheet
13 Particulars of other borrowings, if
any

14 Has the Guarantor stood or

agreed to stand as Guarantor for
any other borrower/ lender? If
yes, Please give particulars on a
separate sheet.
15 Financial Information
Saving / Investment Loan Taken
Particulars Sources of Purpose of Outstanding EMI Balance
Loan Loan Amount Term (Months)

Saving in Bank Bank I

Immovable Property Bank II
Other Assets (Specify) Employer
1 Other
2
3

I hereby declare that above particulars are true and correct to my knowledge and belief.

Place : ………………………………………………

Date : ……………………………………………… Signature of Guarantor