,lPPI,ICATI0N FOR TRANSFER O! SERVI('I ION?

IECTIO\

I hcrcby sgro. b lruBfcr Ssvicc No.

Crtctsu'_1

Sri.
S/o.
. , $ith -!.r:ur(y Depo{ir nledgcd h)
S/o.
_ FuJl N&me
.ltJo.

5igIarurc ol rhc Trarstcrc..

I,S.i.
nercD) agrcc to mrkc I'rnsfcr of S.rvic.
Scrvicc Co.n&rhion l.lo-
Connccrion No
(arcSur'--sedion
CatcBory--_
Ibwn/Disrdbulion slondira h dlc nrrnc of Sri.
Vo.

Th€pr€mircr of
S.i.
h€rEby agrce r,o abide by lb! condition! of lhe
depanmcnr Dkde by rhc
NPDCL of (lrrguhtid,. .r!d by Sri
^P/TS

ro .xcurc qgre€mcnr (R€quisitionr) snd cjodilions prclcribcd

.by rher_agrce
Dcpanment ifreouiEi-

Full Nrhe: Si8 ruc- of rhe r Ensfcfcc

Ir. lelilc1tR lc !M!f.!.€ ano innraor ris,ca - .y p",.n."

('nrrrai that |he.1-ranfq!f doer nor hwlve $y shinins of nEle, bodd t.on
dn !b.c eolh€r pl.a.
10
L C.nified drr &. Thr|JfB i, gqui!..

ealn_-_-.ALa
ab4 \ ubr,4.t,u th(, Dt:J
/&' *..rtr,4. E I aa pt?o&..