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.
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: