DOC-20231228-WA0003.
DOC-20231228-WA0003.
Present Address
Permanent Address
Office Address
Mobile No.
Telephone No. (Residence)
Telephone No. (Office)
Date of Birth
Email id
PAN No.
Aadhaar No.
Driving License No.
Category (General/OBC/SC/ST)
Gender (Male/Female)
Educational Quallfication
Retired Staff PF No, (in case of
MC)
ii)
ii)
Please enclose details.
empanelment of
Ihave read and understood the terms & conditions relating to the
and the same are acceptable to me.
Declaration:
Ihereby declare that
No case of CBlor any other Law Enforcement Agency is pending against
i) duties
me,and Weam/are physically fit and lawfully entitled to carry out
of the MC/RLC;
i) IWe have not been depanelled /delisted/blacklisted from any other bank/
financial institutions/ insurance companies or any other professional
body/company/firm for any misconduct on mylour part;
ii) I shall abide by the Code of Conduct of IBA and guidelines of RBI for
empanelment of direct selling agents and fair practice code of PNB for
extendinghousing loan, for marketing and sourcing of financial services.
iv) am not working as business sourcing agent for any other
Bank/Financial Institutions for sourcing of home loan leads. (Applicable
only in case of MC)
IWe further declare that all statements made in this application are true, complete and
event of
correct to the best of my nowledge and belief. IWe understand that in thesatisfying
not
any information being found untrue or incorrect at any stage or of my/our time to time,
any of the eligibility criteria prescribed by Punjab National Bank from
my/our candidature is liable to be cancelled at any time without any notice.
Signature:
Name of candidate/Firm:
Date:
Place: