Undertaking

I / We take full responsibility for the activities and conduct

Mr./Mrs. ___________________ a national of ___________ during his/her stays in
India. If anything adverse comes to notice during this period, we undertake to
repatriate him/her at our cost.

GUARANTOR’S PARTICULARS -

1. Name :

2. Residence Address : Flat/House no.- _______, Building name - _________,

Street - ______________________________,
City - _____________, State - ___________.
Telephone :
Mobile No. :

3. Residential Premises : (Owned / Rented / Provided by company)

If other than above, please specify.

4. Proof of Residence : Electric Bill / Telephone Bill (Landline)/Leave

&License agreement.
5. Indian nationality : Indian passport / Election card
Proof

6. Relationship with the :

foreigner

I am aware that;
(i) Suppressing of material facts and furnishing of false or incorrect information
would lead to legal action on the undertaker and cancelation of visa of
the concerned foreigner.
(ii) It is liability of the undertaker along with the foreigner to inform change in
foreigner’s address, or change/termination of employment/end of
contract/final departure.

Seal : ( Signature of Guarantor )

(With Name & Designation )