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OSBI Request for change of Personal Details in NRE/NRO account (Genera Res: 1h Phe ick he sppopriat box), where apleabeand give te new deta nthe pe provide, 2 fem infra fr ld) wherever () symbols mentor, prin th USA, ten plese fll Annexe comply. However. fe fomation owgt in Annexes lend een provide Jou th Buk haps got Annu ‘Change address for cs cn(__]Curet (Overseas) Address [—] Permanent (Overets /Indlan) Adios ‘Address Type: []Residenial or Business []Resideial C]Business []Reritered Offi JUmpecifod ‘City Towa [Distr [rr ro mt esas tobe changed for sou: [] Pasport [_] VISA/ Work Permit ‘Nunber ‘ssueDate | Placeoflasve | National? Valid Upto | STR TIT Fi Dee ‘Old Signature * New Specimen Signatare “en or mala rips your ld ase. naa wl cpy of pom Piper To nw ie ARSE snl ea 0 Fe nee to beta os pe atte ropa ® Aston Requirement poo steed person In bi ts hid prt eros oped ERE ign ony ofthe pot co vricatn nal tere, pote be ya fy yan ote lw 4. Sl orsign ce hereer ls permitted) 2. Idan Halsey Nigh Commission” 3.Htay Pub Dectaration: [request bank to amend the informatio provided in my account as stated above and confirm that all Sanaa lecpeccnese — Visavgateraonm — LLG bediy— me wat a enue beneath preach Sel Samap Customer Acknowledgement Copy (to nerd Aveo Ale Holder Nae! ‘Type of request: ange ofeeonl details Date ot receipts / Signature of authored oficial

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