The Maharashtra Cooperative Societies Rule 1961
Model Bye-Laws – Appendix
FORM NO. 4
[Under the Bye-law No. 19(a)(v)]
Download the Word or PDF Format of Form No. 4 from here.
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.
……………………………………………
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: …………………………………….
a. Office: ……………………………………………………
b. Residence: …………………………………………….
c. Contact Details: …………………………………….
3. Occupation: ………………………………………………
4. Name & Full Address of the employer:
5. Monthly Income: …………………………………………
Place:
Date:
Date:
Yours faithfully,
Signature ……………………
Signature ……………………