Application for Change Of Email and Mobile ef. No: UEM0000096182 rate 13/Nov/2020 Space for cone fegistration Number 300563 Pp . Name in Full SAURAV AGRAWAL . Professional Address uthiesace City PUNE Pincode 411027 . Email Address sauravagrawal2007@gmail.com . Mobile Number 09480942915 Declaration . | hereby declare that all the information above is true to the best of my knowledge. . Since we are in the process of digitization and committed to provide paperless and seam ervices, we wish to inform you. our updated mobile number and email id will be used for all future correspondence and uthentication purposes as in lieu of your signature, where ever it is required to approve o1 uthenticate any form/transaction with ICAI. ‘Signature of Member Bangalore ate: _ 13th Noy'2! —