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AFFIDAVIT

I, Shri Anup Shantilal Chandura, aged 59, son of Shantilal Chandura & resident of 15-
Nayandeep Society-2, Hotel Sudama lane, B/h Navyug College, Rander Road, Surat-395009,
do hereby declare that I am neither connected nor involved in any of the following
transactions done on my credit card no. 4726380000000399.
Sr. No. Transaction Date Merchant Name Transaction Amount
As Per Bill As Per SMS As Per Bill As Per SMS
1 17-04-2014 18-04-2014 Lot 39, Montreal CA 394.42 396.27
2 17-04-2014 18-04-2014 Crabtree Mall Raleigh US 38.54
3 18-04-2014 18-04-2014 Fido Store 5231 Montreal CA 5660.89 5660.89

I do agree that, in case at any point of time, I am found to be connected/ Involved to any of
the aforesaid transactions as disputed by me, I shall be personally responsible / liable to
refund the same with the applicable interest to the company.
I also understand that I may be subjected to stringent legal action in case my involvement
in any of the aforesaid transactions is established at any point of time.


Signature
Name of the card holder: Anup Shantilal Chandura
Date: 05-09-2014
Place: Surat.

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