TO WHOM SO EVER IT MAY CONCERN

Date
Unit:

Sir,

Sub: specimen signature(s)

I/We request you to record my/our latest signature (s) for

all future refrence

Folio .

Name(s)of the share holder(s) specimensignature(s)of the

Share holder(s)

1.

2.

3.

4.

Bank account no.

Attested by

Signature

Name and address of manager (seal/rubberstamp of bank)

code no.
TO WHOM SO EVER IT MAY CONCERN