You are on page 1of 1

NIBL Sahabhagita Fund

S/No.: ………..

Unit Redemption Request Form


-OsfO{ laqmL cfj]bg kmf/fd_
2023 /12/13
Date -ldlt_: …………..………

Collection Center -;+sng s]Gb|_:

BOID -lxtu|fxL vftf_: 1 3 0 1 0 1 0 0 0 0 2 7 2 5 2 0

Name -gfd_: English (BLOCK Letter):


R A J E S H D U L A L

g]kfnLdfM राजेश दुलाल

Redeem Order Unit (in Figure) laqmL OsfO{ ;+Vof -c+sdf_: 894

Redeem Order Unit (in words) laqmL OsfO{ ;+Vof -cIf/df_:


Eight Hundred and Ninety Four

Applicable NAV -k|lt OsfO{ v'b d"No_: 10.07

Contact Number -;Dks{ gDa/_: 9 8 6 0 9 2 0 9 3 1

E-mail Address -O{Fd]n &]ufgf_: rajesh.dulal100@gmail.com

Bank Name -a}+ssf] gfd_: Laxmi Sunrise Bank Ltd


Bank Account No. -a}+s vftf g++_: 00540317549
Declaration:

1) I/we hereby apply to redeem the above mentioned units of the scheme along with the DIS (Debit
Instruction Slip) of my Demat Account and request you to refund my unit redemption amount to
the bank account information provided at the time of unit purchase.
d/xfdL o; of]hgfsf] dfly pNn]lvt OsfO{x? laqmL ug{ d]/f] /xfd|f] lxtu|flx vftfsf] DIS (Debit
Instruction Slip) o;} kmf/dsf] ;fy ;+nUg u/L cfj]bg lbPsf] %'/%f}+ / OsfO{ laqmL jfkt kfpg] /sd
oxfnfO{ pknAw u/fO{P adf]lhdsf] d]/f] /xfd|f] a}+s vftfdf cfjZos k|s[of k'/f u/L hDdf u/Llbg x'g
;d]t cg'/fw ub{%'/ub{%f} .

……………………..
Applicant's Signature

-lgj]bssf] b:tvt_

You might also like