Date: 19-02-2019

The Branch Manager

Eastern Bank Limited
Gulshan North Branch

Dear Sir/Madam,

Subject: Letter of Authorization of DPS/FD/Card/A.C No 1271070092620:

I / we here by authorize Mr./Mrs.Md. Aminul Haque

Address: House # 150, Road # 01, Baridhara DOHS, Dhaka. mobile no. 01777489978
who is my/our officer our company in relation to collect the below mentioned item from
your counter onmy /our behalf.

[ ] Sanchyapatra/ Bond [ ] Account statement [ ] Account certificate

[ ] No Objection Certificate [ ] FD Advice [ ] Loan certificate
[ ] DPS advice [√ ] Cheque Book
[ ] Unpaid clearing cheque (Ch. no…………..……….. amount……………….…………
drawn on ……………………………………..……….Bank)
[ ] Other Item (pls specify)…………………………………………………………………..

In this connection, I/we indemnify the Bank that, I/we will bear all the risks and
responsibilities that may arise due to handing over the mentioned item(s) to the
authorized person.

___________________________ ________________________
Signature of the Account holder(s) Signature of Authorized Person
Name: Gumti Textiles Limited
Address: House # 150, Road # 01, Baridhara DOHS, Dhaka.
Contact Number: 01707770999 (Signature attested by a/c holder)

For Bank use only

Signature, Mandate & Call Back Confirmed (As per call Back Process)
Contact number____________________

Date: ____________ ………………………

Time: ____________ (Signature with seal)

…………………………….. ………………………………..………..
Delivered by Officer Approved by BM / BSSM / BOM with seal&ID
with seal & ID

Received: _______________

Date: ________