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MARINER’S INTERNATIONAL DECLARATION

I hereby declare and confirm that I am a Non-Resident Indian and I am presently on contract
with_________(Company registered)____ in____________________ (address of the
principal)____________________

I also confirm that I will inform the Bank, in case:


 I do not renew my contract or choose to go on a new contract OR
 I am unable to proceed on a new contract or in any case in the event that my status of Non-
Resident Indian is altered.
Accordingly, I will have the Non-Resident accounts opened in my name re-designated to Resident /
RFC accounts (as applicable).

Signature of the Applicant

Signature of Branch official:

Name of Branch official:

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