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Application for ITGK's Ownership Change

(To be filed, Scan & uploaded)


Existing ITGK Details
Name of ITGK
ITGK Code
Name of Organistion under which above ITGK is
operating
Year of association with RKCL
Ownership Status Proprietorship/Partnership/Company/Society/Trust/other specify (Mark √ as applicable)
Name of Owner

PAN Details of Owner


Bank Name & Address
Bank Account Number IFSC Code
Bank A/c Holder Name
Name of Contact Person Mobile
Designation E-mail ID
Address of ITGK
Landmark Village/ Mohalla
Tehsil District
Pin Code Landline Number
Reason for change of Ownership

Proposed ITGK Details


Name of ITGK

Name of Organistion under which above ITGK


propose to operate
Ownership Status Proprietorship/Partnership/Company/Society/Trust/other specify (Mark √ as applicable)
Name of Owner
PAN Details of Owner
Bank Name & Address
Bank Account Number IFSC Code
Bank A/c Holder Name
Name of Contact Person Mobile
Designation E-mail ID

We hereby certify that above information is correct

(Singature of Existing ITGK) Seal of Existing ITGK


Name of Signatory
Mobile No of signatory

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