EDC LIMITED
EDC House Dr. Atmaram Borkar Road,
Panjim, Goa - 403001, INDIA
Tel : (0832) 227604-08 Telegrams : EDC IN Telex : 0194 304 EDC IN Fax : (0832) 224938
(P. & B. D.)
APPLICATION FORM
Credit Facilities of over Rs. 15 Lacs & Upto Rs. 1 Crore)
Name : ____________________________________________________________________
Address : ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________ Date : _____________________
To, The Managing Director,
The EDC Limited,
EDC House. Dr. Atmaram Borkar Road,
P.B. No. 275,
PANAJI - GOA
CERTIFICATE
I/We hereby certify that the particulars given in the attached form are
furnished for the express purpose of securing financial accommodation from the Economic development Corporation of Goa, Daman & Diu Limited and are to the best of my/our knowledge and belief true and correct, and that no
material fact has been concealed or withheld. I/We also tender herewith Rs.______________ by cash/cheque/draft No.________________ dated ____________ drawn on
_____________________________________________________ as required, confirming that in case of rejection, closure or withdrawal of my/our application or in case I/we do not avail of the loan sanctioned, the deposit will be forfelted.
Siganuture of applicant _______________________ Name of the Applicant _______________________
(Proprietor/Partner/Director)
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