Appendix-4 Under the Bye-law No. 19(a)(v)

Hemant Joshi

Senior Manager - CRM & New Business

Appendix-4

A Form of undertaking to be furnished by the person, on whom the prospective Non-Earning Member is dependent for discharge of liabilities to the society.

To,
The Secretary
……………….Co-operative Housing Society Ltd.
……………………………………………

Sir,

I, Shri /Shrimati …………………………. has made an application for membership of the ………………………… Co-operative Housing Society Ltd having address at ……………………….. Mumbai ……………………… He/ She has no independent source of income a dependent on me. I therefore, undertake to discharge all the liabilities, present and future, payable by her/his on her/ admission to membership of the society on her/his behalf as communicated to me directly or through her/him from time to time, by the Society. On failure of such discharge in respect of dues, I shall also be liable for recovery u/s 101 of the MSC Act 1960, along with the said member who is dependent on me.

My details are given below:-
1. Name: Shri/ Smt. ……………………………………..

2. My Address. …………………………………………….
a. Office: ……………………………………………………
b. Residence: …………………………………………….
c. Contact Details: …………………………………….

3. Occupation: ………………………………………………

4. Name & Full Address of the employer:

5. Monthly Income: …………………………………………

Place:
Date:

Yours faithfully,

Signature………………………….