UNDERTAKING
Md. Nahid Alom
Attachment-Ka
Father: Md. Miraj Uddin
ToMother: Mst. Nunnahar Khatun Date:
The Manager
DOB: 13 January 2002
…………………….
Place of Birth: Chapai Nawabganj, Bangladesh
…………………….
NID: 1982178350
…………………….
TIN: 2807109434315
Gender:
Subject: Male
Provision of information on the ownership of companies and their bank liabilities.
Permanent Address: 86/07 Chotobangram Purbopara, Ward 19, Rajshahi, 6203, Bangladesh
Dear Sir,
Business Address: 86/07 Chotobangram Purbopara, Ward 19, Rajshahi, 6203, Bangladesh
I, ……………………………..…………… owner/partner/director/guarantor of ..................., am applying
for sanctioning/renewal/rescheduling of a loan in my own name/ aforementioned company’s name. My
father’s name: …………………………….., mother’s name: …………………………, husband’s name (in
case of married woman):…………………………., Main (Permanent) address: Street No/Village.…………
Street Name/PS/Upazilla …………………District …………… Postal code……… country……………..,
Additional (Business) address: Street No/Village ………..………… Street Name/PS/Upazilla
…………………District……………Postal code………country…………….., Date of Birth:…………….,
District of Birth:……………., Country of Birth:……………., National ID Number:………..……………..,
Other ID documents (Passport/Driving license/Nationality Certificate): ID number………………….ID
issue date……………ID issue country……………….., TIN: ……………………………., Gender:
Male/Female, Telephone Number:………………are given for your kind consideration. The list of
companies under the ownership of mine along with their bank liability status is given in the following table:
Serial Name of the Company Main Address Additional Whether the company is availing any
no. Address loan or not
Yes No
Name of the Name of the
bank/FI branch
Customer’s Signature: Md. Nahid Alom
Apart from stated above, if any liability in my own name or my company’s name is found, I will be bound
Name: Md. Nahid Alom
to obey any decision made by the authority concerned relating to sanctioning/renewal/rescheduling of the
loan applied for and I will be punishable by law for providing this false or fabricated information.
Seal and Signature of the bank official Customer’s Signature:
who certified the borrower Name:
Name of the Borrowing organization:
*If necessary, extra paper could be used for list of companies.
