BEFORE THE BRANCH MANAGER, SUDHA CO-OP. URBAN BANK LTD., SURYAPET AFFIDAVIT I, KOLISETTY NETHAJI, S/o.

Chandra Shekar, aged 39 years, Occ: Govt. Teacher, R/o. H.No. 1-4-249/102/B1/1, Balaji Nagar, Suryapet508213, Dist. Nalgonda do hereby solemnly affirm and state on oath as follows : 1. I am the deponent herein, hence I know the facts of this affidavit. 2. That I have deposited a Fixed Deposit under A/c. No. 5284FF on 07.06.2011 for an amount of Rs. 10,000/- with maturity date 06.09.2011 on my name, which is true and correct. 3. That the said original Fixed Deposit Bond was misplaced in shifting my residence, which is true and correct. 4. That the said original Fixed Deposit Bond was lost by me and I made my best efforts to trace it and it is lost beyond recovery. In case if it is traced in future I shall submit it to the Bank authorities for cancellation, which is true and correct. 5. That now I am in need of Duplicate copy of said Fixed Deposit Bond for collecting my maturity amount, which is true and correct. 6. That the Branch Manager, Sudha Co-op. Urban Bank Ltd. has got ample discretion powers for issuing me duplicate copy of said Fixed Deposit Bond and I request you to kindly issue the same in the interest of justice. The above information is true and correct to the best of my knowledge and belief. DEPONENT (KOLISETTY NETHAJI) Sworn and signed before me on this _19 day of September, 2011 at Suryapet.
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NOTARY