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PANCHAYAT SAMITI OFFICE, DERABISH

At- Udayanagar, PO-Thakurpatna, Dist-Kendrapara, Pin-754250

No._______ // Date. _________

To

The Branch Manager CCB Mini Bank Nahanga

Sub:- Forwarding of the Specimen Signature of Panchayat Executive Officer,

Nahanga G.P.
Sir,

I am to enclose herewith the Specimen signature of the Panchayat Executive Officer of

Nahanga GP for necessary change in the GP accounts at your level of all financial transaction of the GP.

Yours faithfully,

Block Development Officer

DERABISH
Sl. No Name of the Bank A/C No. Scheme
1 CCB Mini Bank Nahanga IAY Nahanga G P
2 CCB Mini Bank Nahanga G P Fund Nahanga G P

Specimen Signature of Specimen Signature of

Passport size Photo Passport size Photo
Sarapanch Panchayat Executive Officer

Specimen Signature attested by me.

Block Development Officer

DERABISH