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Scanned with CamScanner Scanned with CamScanner (OF scan wen ox sean HDFC BANK Datte = ..------csscnsersncencoresssnessncnensmecnenncne }EQUEST FOR NEW CHEQUE BOOK 50 Leaves[] 75 Leaves (] 100.Leaves \need a cheque book with [J 25 Leaves{_] We would like the cheque book to be: D1 Collected fromm .sersemeeteeresersenrssereeeenee branch by the undersigned 0 Despatched to mailing address We contirm that We havelwill read “Conditions for Issue and Use of Cheque Books” on the cover and agtée to abide by such conditions applicable from time to time. We hereby acknowledge the need to be careful when drawing cheques and agree that I/We will not draw cheques which may enable alterations In a manner which Is not readily detectable. Please provide your contact numbers to help us deliver your cheque book fast. FLT NO 607 TOWER-A AARCON ABHAT APPT KARELIBAUG OPP VUDA OFFICE ra eevee | MOD 2.5 cenesseeeennvneeceneneerremeenesn | HHGIMG cs areas seeeosscnavons oveesncavesng coves OTE, creer es A/c No : 50100483894173 Mobile No : 917573003916 SEs ar Oona Mail-ID; BP.SINGH@LARSENTOUBRO.COM Res. Tel: 390018, GUJARAT Off. Tel : Cheque Leaves enclosed -: 5 Cheque Series From -: 000001 To 000005 AMBER SINGH U/G BHANU PRATAP This cheque book contains 5 leaves, please count the cheque leaves before use. Signature(s) of Account Holders) (OF sean wt EHS

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