The Regional Rural Banks Act, 1976

THE SCHEDULE

[See section 25 (2)]

I,...................., do hereby declare that I will faithfully, truly and to the best of my skill and ability

execute and perform the duties required of me as a director, member of a committee, officer, employee or

auditor (as the case may be) of the Regional Rural Bank and which properly relate to any office or

position in the said Bank held by me.

I further declare that I will not communicate or allow to be communicated to any person not legally

entitled thereto any information relating to the affairs of the Regional Rural Bank or to the affairs of any

person having any dealings with the Regional Rural Bank, nor will I allow any such person to inspect or

have access to, any books or documents belonging to, or in the possession of the Regional Rural Bank

and relating to the business of the Regional Rural Bank, or to the business of any person having any

dealings with the Regional Rural Bank.

Signature.

Signed before me.

Dated