Joint Declaration-Cum-Undertaking from
Borrower and License/Occupier of Property
Mortgaged to the Bank
The Manager,
Abhyudaya Co-op. Bank Ltd.
BPT Colony, Nadkarni Park,
Wadala (E), Mumbai-400 037
Sub: Housing loan availed by _____________________
bearing loan A/c. No.________________
We,
(1) MR. VIJAY VISHNU JOGDAND, residing at Room
No.331-6/7, Korba Mithagar, Mahatma Phule Wadi,
Wadala (E), Mumbai-400 037
(Borrower/Lessor/Licensor), an adult of Mumbai, Indian
Inhabitant
AND
…2/-
--2--
(2) MISS. PANCHAMI MUKESH ADHANGALE,
(Occupier/Lessee/Licensee) residing at Golden
Nest Apartment, Sector-6, Room No.408, Sarsole
Gaon, Nerul (W), New Mumbai temporarily
occupying/residing at Golden Nest Apartment,
Sector-6, Room No.408, Sarsole Gaon, Nerul
(W), New Mumbai (hereinafter referred to as the
“Mortgaged property or Premises”) an adult of
Mumbai, Indian Inhabitant, through
________________________________
(proprietor/partner/Director/Authorized Signatory)
do hereby jointly and severally state, swear on solemn
affirmation as under:-
1. We hereby state and declare that the above-
mentioned premises i.e. Golden Nest Apartment,
Sector-6, Room No.408, Sarsole Gaon, Nerul
(W), New Mumbai is mortgaged by the Borrower
herein to Abhyudaya Co-op. Bank Ltd., having its
administrative Office at K.K. Towers, off. G.D. Ambekar
Marg, Abhyudaya Bank Lane, Parel Village, Mumbai-
400 012 (hereinafter referred to as the “Bank”) by
executing Deed of Mortgage/Memorandum of Deposit
of title deeds dated ____________ besides other loan
security documents for availing Housing loan of
Rs.9000/- (Rupees Nine Thousand Only) upon
such terms and conditions stipulated therein.
2. We hereby state that by an agreement of Lease/Leave
and License dated ____________ entered between us,
the Borrower has given the said mortgaged premise
on lease/licence to MISS. PANCHAMI MUKESH
ADHANGALE (Lessee/Licensee) for a period of 11
month/year on monthly compensation of Rs.9000/-
and security deposit/premium/advance of
Rs.30,000/-.
3. We hereby declare that MR. VIJAY VISHNU
JOGDAND is the owner of the said property which is in
occupation of MISS. PANCHAMI MUKESH
ADHANGALE temporarily as a care taker on behalf of
the said owner and the occupant is having no
independent right, title and interest in the said
property.
4. We hereby agree and undertake to make payments of
monthly lease rent/compensation every month to the
Bank at its Branch office or Administrative Office
mentioned hereinabove, on the due dates payable by
Licensee to Borrower under the Leave & License
/Lease Agreement and in case there is no such
agreement, on or before 10th date of every month, to
appropriate the said amount towards repayment of
interest or further interest and principal or EMI or any
other amount payable by Borrower in connection with
the said loan account or other dues to the Bank.
…3/-
--3--
5. We undertake to draw the cheque of monthly rental
amount in favour of “Abhyudaya Co-op. Bank Ltd.,
Wadala Branch MR. VIJAY VISHNU JOGDAND A/c.
No. 32664 “and send to Wadala Branch.
6. We hereby further undertake that the payment of
lease rents/compensation by the Licensee/Occupier to
the Bank shall continue till the dues of the Bank are
fully paid or the Licensee vacates and hands over
possession of the premises to the Borrower or Bank.
7. We hereby agree and undertake not to modify the
terms and conditions of the said Lease /Leave and
License Agreement without prior written permission of
the Bank.
8. The Borrower hereby undertakes that in case the lease
rent/compensation is not paid by the Licensee, as
agreed hereinabove, and even if paid and the same is
not sufficient to fully liquidate the agreed installment
of repayment and interest, the Borrower shall make
the payment of the balance or full installments (EMI),
as the case may be with interest and other costs and
dues payable by him/her/it.
9. We further undertake to pay all rates, taxes, cesses,
fees, revenue, duties, charges, assessment with
penalty, if any, as and when demanded by the
concerned authority and also maintenance and other
outgoings in respect of said mortgaged premises and
shall observe and perform all rules and regulations
pertaining to the same and will not do or omit to do or
suffer to be done, anything, whereby the mortgage
security as created in favour of Bank, be affected or
prejudiced in any manner whatsoever.
10. We further declare and undertake that we have not
done and we will not do any act of omission or
commission, which would deteriorate the value of said
premise or which would amount to sale, transfer,
mortgage or in any way encumbering the right, title or
interest, into and in respect of
mortgaged property.
11. We hereby undertake to permit inspection of the said
mortgaged premise whenever the Bank demands for
the same and make every possible provision and
facilitate and co-operate the Bank officials without
raising any objection for the same.
…4/-
--4--
12. It is declared and undertaken by the parties herein
that the mortgage of the premises shall continue till
the entire dues of the Bank are paid and discharged
and the mortgage is released and “No Dues”
certificate is issued by the Bank in writing.
13. We specifically hereby declare and undertake
unconditionally, to handover vacant and peaceful
possession of the said mortgaged property/premises
to the Bank or its Nominee/s as desired by the Bank, in
case of enforcing the mortgage on account of the
default in repayment or for violation of any of the
terms of loan/limit granted by the Bank to the
Borrower.
Solemnly declared at Mumbai )
On this 23rd day of January, 2021 )
MR. VIJAY VISHNU
JOGDAND
(Borrower/Lessor/Licensor)
MISS. PANCHAMI MUKESH
ADHANGALE
(Occupier/Lessee/Licensee)
Identified by me
SAVE ON 22.01.2021
Joint Declaration-Cum-Undertaking from
Borrower and License/Occupier of Property
Mortgaged to the Bank
The Manager,
Abhyudaya Co-op. Bank Ltd.
BPT Colony, Nadkarni Park,
Wadala (E), Mumbai-400 037
Sub: Housing loan availed by _____________________
bearing loan A/c. No.________________
We,
(1) MR. VIJAY VISHNU JOGDAND residing at Room
No.331-6/7, Korba Mithagar, Mahatma Phule
Wadi, Wadala (E), Mumbai-400 037
(Borrower/Lessor/Licensor), an adult of Mumbai,
Indian Inhabitant
AND
(2) MRS. PANCHAMI MUKESH ADHANGALE
(Occupier/Lessee/Licensee) residing at Golden
Nest Apartment, Sector-6, Room No.408, Sarsole
Gaon, Nerul (W), New Mumbai temporarily
occupying/residing at
______________________________________ (hereinafter
referred to as the “Mortgaged property or
Premises”) an adult of Mumbai, Indian Inhabitant,
through _______________________
(proprietor/partner/Director/Authorized Signatory)
do hereby jointly and severally state, swear on
solemn affirmation as under:-
1. We hereby state and declare that the above-
mentioned premises i.e. Golden Nest Apartment,
Sector-6, Room No.408, Sarsole Gaon, Nerul
(W), New Mumbai is mortgaged by the Borrower
herein to Abhyudaya Co-op. Bank Ltd., having its
administrative Office at K.K. Towers, off. G.D. Ambekar
Marg, Abhyudaya Bank Lane, Parel Village, Mumbai-
400 012 (hereinafter referred to as the “Bank”) by
executing Deed of Mortgage/Memorandum of Deposit
of title deeds dated ____________ besides other loan
security documents for availing Housing loan of
Rs.9000/- (Rupees Nine Thousand Only) upon such
terms and conditions stipulated therein.
2. We hereby state that by an agreement of Lease/Leave
and License dated ____________ entered between us,
the Borrower has given the said mortgaged premise
on lease/licence to MRS. PANCHAMI MUKESH
ADHANGALE (Lessee/Licensee) for a period of 11
month/year on monthly compensation of Rs.9000/-
and security deposit/premium/advance of Rs.3000/-.
3. We hereby declare that MR. VIJAY VISHNU
JOGDAND is the owner of the said property which is in
occupation of MRS. PANCHAMI MUKESH
ADHANGALE temporarily as a care taker on behalf of
the said owner and the occupant is having no
independent right, title and interest in the said
property.
4. We hereby agree and undertake to make payments of
monthly lease rent/compensation every month to the
Bank at its Branch office or Administrative Office
mentioned hereinabove, on the due dates payable by
Licensee to Borrower under the Leave & License
/Lease Agreement and in case there is no such
agreement, on or before 10th date of every month, to
appropriate the said amount towards repayment of
interest or further interest and principal or EMI or any
other amount payable by Borrower in connection with
the said loan account or other dues to the Bank.
5. We undertake to draw the cheque of monthly rental
amount in favour of “Abhyudaya Co-op. Bank Ltd.,
Wadala Branch MR. VIJAY VISHNU JOGDAND A/c.
No. 32664 “and send to Wadala Branch.
6. We hereby further undertake that the payment of
lease rents/compensation by the Licensee/Occupier to
the Bank shall continue till the dues of the Bank are
fully paid or the Licensee vacates and hands over
possession of the premises to the Borrower or Bank.
7. 7. We hereby agree and undertake not to modify the
terms and conditions of the said Lease /Leave and
License Agreement without prior written permission of
the Bank.
8. The Borrower hereby undertakes that in case the lease
rent/compensation is not paid by the Licensee, as
agreed hereinabove, and even if paid and the same is
not sufficient to fully liquidate the agreed installment
of repayment and interest, the Borrower shall make
the payment of the balance or full installments (EMI),
as the case may be with interest and other costs and
dues payable by him/her/it.
9. We further undertake to pay all rates, taxes, cesses,
fees, revenue, duties, charges, assessment with
penalty, if any, as and when demanded by the
concerned authority and also maintenance and other
outgoings in respect of said mortgaged premises and
shall observe and perform all rules and regulations
pertaining to the same and will not do or omit to do or
suffer to be done, anything, whereby the mortgage
security as created in favour of Bank, be affected or
prejudiced in any manner whatsoever.
10. We further declare and undertake that we have not
done and we will not do any act of omission or
commission, which would deteriorate the value of said
premise or which would amount to sale, transfer,
mortgage or in any way encumbering the right, title or
interest, into and in respect of
mortgaged property.
11. We hereby undertake to permit inspection of the said
mortgaged premise whenever the Bank demands for
the same and make every possible provision and
facilitate and co-operate the Bank officials without
raising any objection for the same.
12. It is declared and undertaken by the parties herein
that the mortgage of the premises shall continue till
the entire dues of the Bank are paid and discharged
and the mortgage is released and “No Dues”
certificate is issued by the Bank in writing.
13. We specifically hereby declare and undertake
unconditionally, to handover vacant and peaceful
possession of the said mortgaged property/premises
to the Bank or its Nominee/s as desired by the Bank, in
case of enforcing the mortgage on account of the
default in repayment or for violation of any of the
terms of loan/limit granted by the Bank to the
Borrower.
Solemnly declared at Mumbai )
On this 22nd day of January, 2021 )
________________________________
(Borrower/Lessor/Licensor)
_________________________________
(Occupier/Lessee/Licensee)
Identified by me Before me.
AFFIDAVIT CUM INDEMNITY
I, MR. BALIRAM B. GUPTA, son of BHIKHARI GUPTA
aged about 43 years, Indian Inhabitant, presently residing at Ground
Floor, Room No.112/4/6, Shivshankar Nagar, Salt Pan Road, Near
Saibaba Mandir, Wadala(E), Mumbai- 400 037, do hereby solemnly
state, declare and affirm as under:
..2/-
--2--
1. I say and declare on___________________, I submitted the
proposal for the _______________________Plan from Kotak
Mahindra Old Mutual Life Insurance Limited having their
Registered Office at4th floor, VinayBhavya Complex, 159-
A,C.S.T. Road, Kalina, Santacruz (E), Mumbai - 400 098 (“the
Company”) under a Proposal Application Form bearing
number___________(if available).
2. I say and declare that subsequent to the aforementioned
Proposal Application, the Company issued the policy contract
bearing number 01283053 (the “said Policy/said Original
Policy Contract”) was issued and dispatched to us on
________________________ and the same was acknowledged
by us.
..3/-
--3--
3. I say and declare that the life insured on the aforesaid policy is
MR. BALIRAM B. GUPTA son/daughter of MR. BHIKHARI
GUPTA aged about 43 years, Indian inhabitant, residing at
Room No.112/4/6, Shivshankar Nagar, Salt Pan Road, Near
Saibaba Mandir, Wadala(E), Mumbai- 400 037.
4. I say and declare that, I am the bonafide policyholder in the said
Policy.
5. I say, declare and confirm that the said Policy has been lost /
misplaced and is no longer available with me.
6. I say, declare and confirm that I have tried to locate the same to
the best of my efforts and am unable to do so and have
despaired of locating the same. I therefore request you to issue
a duplicate policy to me.
7. I say and declare that at my request and based on the aforesaid
representation, the Company have agreed to issue a duplicate
policy contract in lieu of the misplaced / lost of the said
Original Policy Contract against furnishing this Affidavit-cum-
Indemnity.
8. I say and declare that in event of the said Original Policy
Contract is recovered or found, I agree to forthwith return the
same to the Company immediately, without any delay. I further
confirm and declare that the duplicate policy contract will not
be misused. Failure to return the same, shall amount to breach
of contract.
9. In consideration of the Company issuing a duplicate policy
contract, I hereby indemnify and undertake to continue to hold
the Company fully indemnified and harmless from and against
any payment that may be made and / or any loss, damage or
costs (including any legal fees) that may suffered and / or
incurred by the Company towards issuance of the duplicate
policy contract and / or towards or in respect of the said
Original Policy Contract.
10. I say that the above submission and declaration are true and no
portion thereof is false and I have concealed nothing material or
relevant to the matter.
11. Any stamp duty payable on this Affidavit cum Indemnity shall
be the responsibility of and shall be borne by the Deponent
alone.
Solemnly affirmed as aforesaid at Mumbai.
This 18th day of August, 2014
Deponent
INDEMNITY BOND
ABHYUDAYA CO-OP BANK LTD., SHARE DEPT
36/2512, ABHYUDAYA NAGAR, G.D. AMBEDKAR MARG, MUMBAI-400 033.
APPLICATION FOR ISSUE OF DUPLICATE SHARE CERTIFICATE
FROM: Date : 13.08.2014
Name : ASHAULLAH A. KHAN
Address: Barkat Ali Dargah Road,
Jaikar Wadi, Near Laxmi Hotel,
Wadala(E), Mumbai-400 037. Phone No.8425899001
..3/-
--2--
To,
THE MANAGING DIRECTOR,
ABHYUDAYA CO-OP BANK LTD.
PAREL VILLAGE, MUMBAI-400 012
DEAR SIR,
RE: MEMBERSHIP NO: 125827
Whereas I have lost/mislaid/mutilated the share certificate of Rs.10/-
each held by me in your bank and have made a careful search and unable to find
the same.
..3/-
--3--
----------------------------------------------------------------------------------------------
SR NO. NO. OF SHARE DATE SHARE CERTIFICATE NO.
----------------------------------------------------------------------------------------------
1. 230 125827 27.08.2014 202703
2. 750 12.12.2008 240497
3. 980
------------------------------------------------------------------------------------------------
I request you to issue a certificate in respect of the above shares held by me.
I hereby undertake and agree that if any claim hereafter found to be in
existence, I will indemnity harmless the Bank, its Directors and Employees
from and against all losses and damage and all costs and expenses arising out of
such claim or costs incurred in relation thereto. I further undertake to deliver the
said Share Certificate to the bank if the same if the same shall be found
hereafter.
Your Faithfully
========================================================
Witness:-
I___________________________, Membership No. _____________ do hereby
agree to witness the application. SB/CD/OD AC NO. ____________
Branch:__________________ Address: _____________________________
_______________________________________________________________
Signature:_______________________
FOR OFFICE USE:
Application received on ___________ particular of certificates charges
collected vd rt. no. __________ at checked by ___________ signature
verified by ___________
The application appears to be genuine. ISSUE CERTIFICATE
ACCOUNTANT
Issued Duplicate Share Certificate on _______________
INDEMNITY BOND
ABHYUDAYA CO-OP BANK LTD. SHARE DEPT
36/2512, ABHYUDAYA NAGAR, G.D. AMBEKAR MARG, MUMBAI-400 033.
Notice of Information regarding Mortgage by way of Deposit of Title Deeds
I/We, the undersigned parties, is/are by this notice of intimation, giving
notice to the public at large that, the mortgagor herein had deposited the title
deeds of the property for the Security of the loan given/agreed to be given by the
mortgagee herein.
1) Party Details:
a) Mortgagee(s): ABHUYDAYA CO.OP. BANK LTD.
Address :Nadkarni Park, B.P.T.
Colony, Wadala(E),
Mumbai-400 037
PAN (For Individual) AAAAA0300L
/TAN (for organization) MUMA01872D
Phone/Mobile No.:24187125/24184512
------------------------------------------------------------------------------------
Email ID :[email protected]
------------------------------------------------------------------------------------
C) NOC from CIDCO for Mortgage of Flat (in due course)
a. Copy of Occupation Certificate
b. Original Payment Receipt/s
c. Memorandum of Entry of Titles Deeds
d. Declaration cum Undertaking by Mortgagors.
5) Loan amount : Rs. 22.10 Lakhs
6) Rate of Interest : 11%
7) Date of Mortgage : _______________________________
8) Date of Notice : _______________________________
Name of the Party Photo (To Party Thumb Signature of
Mortgage be attested by Impression Mortgagor (In
Mortgage) Case Institution
sign & seal of
Institution)
MR.
SHASHIKANT
MARUTI
MAMLUSKAR
MRS. NEETA
SHASHIKANT
MAMLUSKAR
The information of vermed and round correct
(Sign & Seal of the authorized person of Mortgagee )
c) Mortgagor(s) : 1) MR. SHASHIKANT MARUTI MAMLUSKAR
2) MRS. NEETA SHASHIKANT MAMLUSKAR
d) Address : OmkarChawl, Room No.35, Ganesh Nagar, Salt
PanRoad, Wadala(E), Mumbai No.400037
PAN : ANOPM9449G
Phone/Mobile
No. : 9819913765
Email ID : NA.
2) Property Location(s):
a) Dist : Raigad
Tal. :
Village : Kamothe, Navi Mumbai
3) Property details : Flat No. 102, 1st Floor, A wing
4) Building known as : Sai Miracle,
Plot No. 70A,84A, Sector 22,
Kamothe, NaviMumabai
PIN-410209
5)
6)
7) List of Documents Deposited with Bank:
a) Original Agreement for Sale dated.
Executed between MR. SHASHIKANT MARUTI MAMLUSKAR
AndMRS. NEETASHASHIKANT MAMLUSKAR
M/S Resicom Construction
b) NOC from Builder to Mortgage the said Flat to our bank.
c) Rs.3,00,000/- Paid Receipt in favour of MR. SHASHIKANT
MARUTI MAMLUSKAR
Payment Details :
Stamp Duty of Rs. __________/- has been paid vide ______________
dated _____________
If Stamp Duty is paid on another instrument, details of the instrument & Stamp
Duty:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Filing charges of Rs. 1000/- has been paid vide _________________________
dated_________________
Document handling charges of Rs. 300/- has been paid vide _______________
__________________ dated _________________________
(for office use only)
Name of the Sub Registrar Office Submission No * Date of
Submission *
Filed On Serial Number ______________ on ________________day of
________________ 20
Signature and Seal of Sub-Registrar
Notice of Information regarding Mortgage by way of Deposit of Title Deeds
I/We, the undersigned parties, is/are by this notice of intimation, giving
notice to the public at large that, the mortgagor herein had deposited the title
deeds of the property for the Security of the loan given/agreed to be given by the
mortgagee herein.
1) Party Details:
a) Mortgagee(s): ABHUYDAYA CO.OP. BANK LTD.
Address :Nadkarni Park, B.P.T.
Colony, Wadala(E),
Mumbai-400 037
PAN (For Individual) AAAAA0300L
/TAN (for organization) MUMA01872D
Phone/Mobile No.:24187125/24184512
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Email ID :[email protected]
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C) NOC from CIDCO for Mortgage of Flat (in due course)
a. Copy of Occupation Certificate
b. Original Payment Receipt/s
c. Memorandum of Entry of Titles Deeds
d. Declaration cum Undertaking by Mortgagors.
5) Loan amount : Rs.6.47 Lakhs
6) Rate of Interest : 11%
7) Date of Mortgage: _______________________________
8) Date of Notice : _______________________________
Name of the Party Photo (To Party Thumb Signature of
Mortgage be attested by Impression Mortgagor (In
Mortgage) Case Institution
sign & seal of
Institution)
MR.
KASHINATH
GANGARAM
MALI
MRS. KALPANA
KASHINATH
MALI
The information of vermed and round correct
(Sign & Seal of the authorized person of Mortgagee )
c) Mortgagor(s) : 1) MR. KASHINATH GANGARAM MALI
2) MRS. KALPANA KASHINATH MALI
d) Address : Behind Ganesh Mandir, Room No. 574, Rupesh
Tailor , Ganesh Nagar, Salt Pan Road,
Wadala(E), Mumbai No.400037
PAN : APEPM1026M
Phone /Mobile
No. : 9870308125
Email ID : NA.
2) Property Location(s) :
a) Dist : Raigad
Tal. :
Village : Kamothe, Navi Mumbai
3) Property details : Flat No. 604, 6th Floor, C wing
4) Building known as : Shubh Nil Shivam,
Plot No. 40, Sector 11,
Kamothe, NaviMumabai
PIN-410209
5)
6)
7) List of Documents Deposited with Bank:
a) Original Agreement for Sale dated.
Executed between MR. SAGAR SHANTILAL KARPEAnd
MR. KASHINATHGANGARAM MALI
M/S Resicom Construction
b) Copy of wing C plan
c) Copy of commencement certificate date : 12.08.2010 issued by
CIDCO
d) Copy of search Report issued by Advocate Suhasini S.
Mohite
e) NOC issued by L.K. Infrastructure pvt.ltd. in our banks format to
Mortgage flat to our bank.
f) Rs.6,75,000/- Paid Receipt in favour of MR. KASHINATH
GANGARAM MALI
Payment Details :
Stamp Duty of Rs. __________/- has been paid vide ______________
dated _____________
If Stamp Duty is paid on another instrument, details of the instrument & Stamp
Duty:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Filing charges of Rs. 1000/- has been paid vide _________________________
dated_________________
Document handling charges of Rs. 300/- has been paid vide _______________
__________________ dated _________________________
(for office use only)
Name of the Sub Registrar Office Submission No * Date of
Submission *
Filed On Serial Number ______________ on ________________day of
________________ 20
Signature and Seal of Sub-Registrar
