Application Form Page 4
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4Certificate of Financial Institution
This is to certify that M/s. …………………………………………. has
been sanctioned Rs. …………… for the project at …………………….
The unit has been disburse Rs. …………………….. Unit had made
repayment of the loan for the period ………………….. to …………….
As under :
Against Term Loan Rs. ………………………
As Interest Rs. ……………………………
Total Rs. ……………………….
On the disburse amount mentioned above @ 5 % interest for the above
period comes to Rs. ………………………
Place :
Date :
Signature
Manager/ Name of Bank
Seal
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