Schedule II - Net Worth Certificate
Schedule II - Net Worth Certificate
Total
Note: In case of encumbrance in any of the properties, details of the same should be given.
B. Investment in Shares / Debentures / Capital / Securities / Bonds / Mutual Funds / Fixed Deposits (FD)/ Share in partnership firm/ HUF/ Trust, etc.:
S. No. Name of the Company/ Concern Bank Name, ID and address of Investment No. of units Cost (Rs in lakh) Market Value (Rs in
DP, Bank Type/(listed/unlisted)/Physical lakh)
form/Demat
Associate / Sister / Group concern
Sub - Total
Others
Sub - Total
Total
Note: In case of encumbrance in any of the investments/ FDs, details of the same should be provided.
C. Bank Account Details
S. No. Name of the Company/ Concern Loan type Tenor of loan Amount (Rs in lakh)
Associate / Sister / Group concern
Sub - Total
Others
Sub - Total
Total
E. Other Assets (including Gold, Jewellery, Vehicles, LIC Policy, PPF etc):
Total
S. No. Name of the Lender Nature of borrowing Purpose Amount Outstanding (Rs Amount overdue, if any, Nature of security offered
(Long term / Short term) in lakh) (Rs in lakh)
G. Details of existing debt secured by Personal Guarantee
I, ______________________ , certify and declare that the contents of this statement are true , complete and correct in all respects.
Signature
Place :
Date :