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To, Date:

M/s Beetal Financial & Computer Services Pvt. Limited


99, Beetal House
Madangir, Behind Local Shopping Centre,
Near Dada Harsukhdas Mandir,
New Delhi-110 062
PH: 011-29961281/82/83

Sub: Request for Change/Update of Bank Details.

Dear Sir,

I/We request you to change/update the Bank details /mandate in your records, details of which are as
under:

1 Bond Name NHAI 54EC Long Term Capital Gain Bonds


2 Folio/Bond Holder No.
st
3 Name of the 1 Bond Holder
nd
4 Name of the 2 Bond Holder
rd
5 Name of the 3 Bond Holder
6 Email :
7 Mobile/Landline No.
Bank Details to be Incorporated -
1 Name of the Bank
2 Bank Account Number
3 IFSC Code
4 MICR No.

5 Bank Branch Address

6 Type of Account (Tick any one) Saving/ Current/ NRO

Signature of All the Bondholders :


st
1 Bondholder
nd
7 2 Bondholder

rd
3 Bondholder

Enclosed (Mandatory):
Original Cancelled Cheque Leaf for the above Bank Account

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