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Change of Name Annexure “A” Document required (please tick): [Any one of the relevant document:- | Occupancy Certificate issued by statutory body / Competent Authority. | b Curersip Documenvform 8 / Form 7-12/ tax / lease issued by Local Authority | © Gefed coos of Corresponding Legal Docurnent (In case of inheritance / succession / will/ Gift D Cextificate of Incorporation issued as per provision of companies Act 1956. Affidavit / Gazette Notification for himself (In case applicant himself has changed his name) Legal document supporting letting and NOC of the owner. (In case of premises is let out to the | applicant) spa FORM “Xx” As Transfer of Security Deposit 1, Shri / Smt. / M/s. INA x hereby give consent for transfer of Security Di transferee Shri / Smt/ IMA, OR 1, Shri /Sme / Ms. hereby give consent tb trarster the contin Inthe of trancferee Shri / Smt. /M/s__ refund the scourity deposit held against my consumer no. of security deposit Original Receipt is enclosed. OR my ain For ity bond. The Account details for ECS are as below. Original Receipt of S.0. is lost, | am enclosi - Name of Account Holder: ~ Name of Bank & Branch: ~ Bank A/e no.: “IFSC no.: - Original Receipt no..: Signature of Old Consumer

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