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Download - Abhyudaya Co-operative Bank Ltd.

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2Native PlaceAddress:Name of theEmployer/BusinessPin <strong>Co</strong>de:Pin <strong>Co</strong>de:Tel. No.Tel. No.Business Place Ownership Rental Pagadi Ownership Rental PagadiNo. of years inBusiness/ServiceDesignation inServiceType of Business(Nature of Job)Gross Salary /Income p.m. (Rs.)Net Salary/ Incomep.m. (Rs.)Income Tax Paid(Rs.)2. Details of Applicant’s Family members:a) SpouseNameDate of Birth/Ageb) Childreni)ii)iii)Other LegalHeirs- FatherMother3. Accounts Details:Applicant<strong>Abhyudaya</strong> <strong>Co</strong>-op. <strong>Bank</strong> <strong>Ltd</strong>._______________________Br.<strong>Co</strong>-Applicant<strong>Abhyudaya</strong> <strong>Co</strong>-op. <strong>Bank</strong> <strong>Ltd</strong>.______________________BrOther <strong>Bank</strong> Accounts(<strong>Bank</strong>, Branch & A/c Nos.)Other <strong>Bank</strong> Accounts(<strong>Bank</strong>, Branch & A/c Nos.)4. Details of all Associate <strong>Co</strong>ncerns: (Rs. in Lakh)Name <strong>Co</strong>nstitutionOwners Nature ofBusiness<strong>Bank</strong>ers FacilityEnjoyed

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