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(Please do not close your eartr account before you receive your new Pay In the new bankers) ‘Appx “A" to A.0 24/2005, ‘CHANGE OF BANKERS 1. CD.A(O) ACCOUNT NUMBER: ] 2 PERSONAL NUMBER: le Seen Oe ce rate (ages ———) ‘ —a NATURE OF BANK ACCOUNT: SAVINGS.BANK ACCOUNT/ CURRENT ACCOUNT 5. BANK ACCOUNT NUMBER (® LEDGER FOLIO (UP TO 3 DIGrTs) : (©) ACCOUNT NUMBER (UP TO 15 DIGITS) : ] 6 BANKER'S NAME 7. FULL POSTAL ADDRESS OF : ‘THE BANKERS (INCLUDING. BUILDING NUMBER, ROAD i NAMES, LOCALITY, ETC.) g = Awa: 9 PINCODE: a ees Fg ea 5] DATE: SIGNATURE OF THE OFFICER (TO BE FILLED IN BY BANKERS) 12, @) UNIFORM CODE (PART I) ALLOTTED TO THE BANK BY R.BL(7 DIGHS): () MICR CODE ALLOTTED BY RBL (9 DIGITS): 7 (©) FOR EXTENSION COUNTERS: |._ NAME OF THE BASE BRANCH: |. UNIFORM CODE (PARTI) ALLOTTED ‘TO THE BASE BRANCH BY RBL (7DIGITS): li, MICR CODE OF BASE BRANCH (9 Dicris): [|_| Wy, IFS CODE: (11 DIGITS ) I \. WHETHER BANK IS NEFTENABLED OR NOT: YES NO (PLEASE TICK WHICH EVER IS APPLICABLE INTO THE BOX PROVIDED) BANK STAMP: ‘SIGNATURE OF BANK OFFICIAL

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