Draft Format of Authorization
(To be obtained separately from Borrower and each Guarantor)
(Signature to be obtained marking property as appropriate in case of non-individual as
Borrower/Guarantor)
Place:
Date:
To:
(Nameof the Bank]
Dear Sir,
Borrower's Name: z
(“the Borrower”)
We acknowledge that the Borrower has applied for from you/ been granted by you certain credit
facility/ ies wherein I am/We are the: ‘Borrower/Guarantor.
In this regard I/We hereby expressly authorize you to approach Income Tax Department as also any
other Government Department/Authority/ Agency to access the information (including without limitation,
Balance Sheet, Profit & Loss Account, Income Statement and Returns) about me/ us and about our business
oractivity submitted by me/us to such authority or entity, for the purpose of verification of the same with the
information submitted by me/ us to you in relation to the credit facility/ ies applied for/ availed of from you
by the Borrower.
This authorization shall continue to be valid, continuing and in force until all amounts due to you
under the credit facility (ies) granted/ to be granted by you to the Borrower are not fully repaid to you and
receivedby you.
Yours faithfully,
Signature of Borrower/ Guarantor:
‘Name of Borrower/ Guarantor:
Address of the Borrower/ Guarantor:
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_(CERSAI KYC DOCUMENT) re
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vows cart Forvga-10-2017Draft Format of Authorization
(To be obtained separately from Borrower and each Guarantor)
(Signature to be obtained marking property as appropriate in case of non-individual as
Borrower/Guarantor)
Place:
Date:
To:
{Name of the Bank]
Dear Sir,
Borrower's Name:
(“the Borrower”)
We acknowledge that the Borrower has applied for from you/ been granted by you certain credit
‘wherein [am/ Weare the Borrower/Guarantor.
facility
In this regard I/We hereby expressly authorize you to approach Income Tax Department as also any
other Government Department/ Authority/ Agency to access the information (including without limitation,
Balance Sheet, Profit & Loss Account, Income Statement and Returns) about me/ us and about our business
or activity submitted by me/us to such authority or entity, for the purpose of verification of the same with the
information submitted by me/us to you in relation to the credit facility/ ies applied for/ availed of from you
by the Borrower.
This authorization shall continue to be valid, continuing and in force until all amounts duc to you
under the credit facility (jes) granted/ to be granted by you to the Borrower are not fully repaid to you and
received by you.
Yours faithfully, $3.
Signature of Borrower/ Guarantor:
Name of Borrower/ Guarantor:
Address of the Borrower/ Guarantor:
RA/SBBIIBA LegalMarch 19/Version1.0,