I, _________ son/daughter/wife of _________ resident of _________ do hereby Solemnly affirm and declare as under :-
1. That I am a businessman. My _________ is situated at _________, My _________ is In the name of _________.
2. That the said firm deals in _________.
3. That I am the _________ of the said business.
4. That my investment in the said Business is _________ /-.
5. That my monthly income is _________ /- per month.
6. That I am not a member of any other society/bank.
The statement given above is true to my knowledge and belief.