DECLARATION

Your application Reference Number :___________________________(please quote your application reference

number).

I, .........................................do hereby declare that the details given below are correct to the best of my knowledge.
Residential address:
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..............................................................City............................................................................................PinCode............
....................................Landmark.........................................................
Mobile Number...............................................TelephoneNumber.....................................
Account Number: ...............................................
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IFCS Code......................................................................
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Swift Code...............................................................
Icode.................................................................................
Declaration......................................................................................................................................................................
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VERIFICATION

I ........................... .......................................do hereby declare that which is stated above is true to the best of my
knowledge and belief.Verified today the ...............................day of ....................................................
Place:....................................................

(Signature of declarant)