Declaration for Lost Gold Loan Token

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

From : PRADIPTO ROY, Son of Subrata Roy, residing at Premises being No. 443, Peyara Bagan, Post Office – Laskarpur, Police Station – Narendrapur, Kolkata – 700153, District South 24 Parganas;

 

To ,

The Branch Manager, MUTHOOT FINANCE LIMITED, Kolkata – Garia.

 

 

 

DECLARATION FOR LOST GOLD LOAN TOKEN

 

 

 

 

 

AFFIDAVIT

 

I, PRADIPTO ROY, Son of Subrata Roy, aged about 25 years, by faith Hindu, by Occupation Service, residing at Premises being No. 443, Peyara Bagan, Post Office – Laskarpur, Police Station – Narendrapur, Kolkata – 700153, District South 24 Parganas, made this declaration in favour of M/s. MUTHOOT FINANCE LTD, KOLKATA- GARIA Whereas I have misplaced/lost the Gold Loan Token issued to me by MUTHOOT FINANCE LTD, KOLKOTA-GARIA bearing the followings;

 

1106-SRS-273   for Rs.  61400     (Sixty-One Thousand Four Hundred Rupees only)     Dated. 26/05/2022

1106-SRS-274   for Rs.  18100     (Eighteen Thousand One Hundred Rupees only)       Dated. 26/05/2022

 

I hereby request, M/s. MUTHOOT FINANCE LTD to return the said gold ornaments to me without surrendering the Gold Loan Token. I hereby solemnly and sincerely declare that ornaments described in the Schedule below being my property, the said M/s. MUTHOOT FINANCE LTD and their successors and assignees will be held harmless and indemnified from and against all consequences that may arise from their so releasing of the ornaments, and from and against all losses, changes and expenses in connection with the Gold Loan Account. I undertake to return to you the said Gold Loan Token, if found later.

 

I do solemnly and sincerely declare further that the pawn ticket (Gold Loan Token) has not been sold or transferred to any person by me or to my knowledge.

SCHEDULE OF ORNAMENTS

                Sl. No.            Description of Ornaments    Weight    Approx. Market Value

1106-SRS-273             1.         ORNAMENTS-CHAIN                   15.300                     54345.60

                                    2.         ORNAMENTS-STUD                     2.000                      7104.00

 

1106-SRS-274             1.         ORNAMENTS-RING                      5.100                      18115.20

 

 

 

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SIGNATURE OF THE BORROWER

 

 

 

 

Name of the Witness :                                     (1)                                            (2)

Customer/Employee ID :

Address of the Witness :

 

 

Signature of the Witness :

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SIGNATURE OF THE MANAGER