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TO BE ROUTED THROUGH EASYPAY ONLY TO BE ROUTED THROUGH EASYPAY ONLY TO BE ROUTED THROUGH EASYPAY ONLY TO BE ROUTED THROUGH EASYPAY ONLY

Deposit Slip for Investments vide Cash Deposit Slip for Investments vide Cash Deposit Slip for Investments vide Cash Deposit Slip for Investments vide Cash

Cash in code 004010200818711 Cash in code 004010200818711 Cash in code 004010200818711 Cash in code 004010200818711

Folio No. Folio No. Folio No. Folio No.

Date D D M M Y Y Y Y Date D D M M Y Y Y Y Date D D M M Y Y Y Y Date D D M M Y Y Y Y

Investor Name Investor Name Investor Name Investor Name

Pick-up location Pick-up location Pick-up location Pick-up location

Mobile No. Mobile No. Mobile No. Mobile No.

PAN / KRN PAN / KRN PAN / KRN PAN / KRN

Scheme Name Scheme Name Scheme Name Scheme Name

Amount (Not over Rs. 50,000) Amount (Not over Rs. 50,000) Amount (Not over Rs. 50,000) Amount (Not over Rs. 50,000)
Denomination Rupees Denomination Rupees Denomination Rupees Denomination Rupees

1000 x 1000 x 1000 x 1000 x

500 x 500 x 500 x 500 x
100 x 100 x 100 x 100 x
50 x 50 x 50 x 50 x
20 x 20 x 20 x 20 x
10 x 10 x 10 x 10 x
Total Total Total Total

Depositors Depositors Depositors Depositors

signature signature signature signature

AXIS Bank’s AXIS Bank’s AXIS Bank’s AXIS Bank’s

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(Date, Sign
 (Date, Sign
 (Date, Sign
 (Date, Sign

and Stamp) and Stamp) and Stamp) and Stamp)