Annexure IV

JAGANNATHPRASAD BRANCH

Utilization Certificate to be signed by the borrower

Name of the borrower

Address
Account Number

Details of Loans & Advances sanctioned

Limit
Facility DP O/s
( in Rs.)
e-Mudra Term Loan

I / We have been sanctioned / granted the above-mentioned loans / advances / non

fund based credit facilities for the purpose(s) of financing the business in the name of
_________________________

I / We certify that the funds availed/ to be availed from the Bank have been/ will be
utilized only for the purpose(s) stated above.

Place:
Date:

Signature of the Borrower(s)