F..N.

BANK OF BARODA(HEAD OFFICE: MANDVI: BARODA)

PA]ITICULARS TO;E SUPPTjNN gV THN APPLICANT F'OR ADVANCE

I gi've below tt'.r. pa'tituii';f ty ;Ji my family and my Assets tL Liabilities as at

3rlo3l20t41. Nanre in Full: Ankit Sachdeva

2. Age 25 Years

;, Pathers l\arne: Mr Sunil Sachdevai llTlllJliToo1'J,1, 'i'i. Ni*'ic"r"* fTkJllT');: "^"lT ;i1'i'-'iH'iffi l:]iLfi $T" Jil+l' i';,' i';;i'6or onv", n'r'ok V ihar, N ew De I hi - I 1 00s2

5. Telephc,ne Numbers: Offi ceiShop 01294323100

6. Line of Business: NBFCiniri in s3rvice:Name of employer: N'A

Address:N'ADesignation: N'A

(tl) lt'in b,t-tsiness I p'oit"ion' Name of companv: SRS Finance LirnitedAddress SRS Tower' Vain Mainura Road' Faridabad'

lJaryana'

Line/s of activities: NBFCSince ished:01/0211994In wh he is rePresenting: M'D^& CEO

7. Annual lncome: Rs a - Rs'

8. PAN (if an lncomeTax Assessed): CSSPS7426N9. DETAILS OF ASSETS9.1 Details otimmovJit'p'opt'titt (rrerf in own name/joint

name)(A) Nature or p,opt'tl' ieltu" tick whichever applicable)

./ House(B) Location f S. Nimri Colony' Ashok Vihar' New Delhi -

I 10052

SurveY House No'Area/LocalitY: Ashok Vihar

Ankit Sachdeva

ies: Rs.l 94'37 lacscumbered':Noideration and major terms & condltlons

9.2 DE AILS OF MOVABLE PROPERTIE'S IN MY NAME'

[,lC Policies PolicY No& Date

Sum Assured(Rs.)

ArtnualPremium (inR:;.r 2,000

(B)

(D)lnvest6ntE-Govern[94-SJgglqgllilqq.tn+sAlcttcBond/CertificateNo.

Office/ Post I Rs'

g.3 Details like Vehicle/s owned by me Reg. No., type and value of:

9.4 Capitat invested in business Name olFirm/comprany (As on latest balance sheet date)9.5 Full details of other investments if any:Jewellary: Rs 3.48 lacsCash/Bank: : Rs 0.15 lacs(i.e. Jewel'lery, investment in other firm, etc')g.6 total of all assets (9.1 to 9'5): Rs' 200'00 lacsIO. DETAILS OF LOANS IN INDIVIDUAL NAME/FIRM'S NAME/C:OMPANY'S

NITMs branch:NIL

erest:NA

I Institution/s:NIL --/c--^ r.^ r,,"nich rrcra

11, other details: Details of personal guarantee given for any pe^rsorvfirrn' lf so' furnish detai(i.e, name of the Bank/lnstitutions, on whose be"half, Arnount of guarant'3e' present status of i12. (A) Particulars ot!994] H-qS.M

fn *pp"rt of nty aUove declaration, I enclosel. Balance sheet, Profit & Loss Account, Trading Accpunt, capital Account of SRS Finance

No. A/c. No.id('YA{

Name ofBank/Branch

!iignature

'J *l (b,^.^t^r-a-^q q--oJ'n {*

Name of theCompany

TotalNo,of sharesheld

Certiflcate Whetlnerfully

C) TermFDR/RDYJV A/CNo.

(Audited/2. Copy c t certificate with details of salary drawn'3.. Copier axl Wealth Tax Returns/ Assessment Order'

I declare that:I am a Director in SRS Finance Limited. There is no litigation againsl me or my co', ln w

am the Director. The name of the co the name of the Director of the co" is not on the

RBI/ECGC. The Directors of the co are not the Direotors in any co-operative Bank

I also declare that above information is complete' true and correct'

ich II ist

Encls:PL.ACFI: DelhiDAI'F:: 9-08-2014

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