DISCLAIM

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LETTER OF DISCLAIMER

This letter of Disclaimer is made and executed at Bangalore, on this 25 th day of


September 2014.

We 1. SS SUNDARESH aged 47 years

2. SS JYOTHIRLINGAM aged 45 years

3. SS RENUKETH aged 42 years

All sons of Late Dr SR Siddalingappa S/o Late S Rudrappa and Late Mrs MN
Sowbhagya Devi W/o Late Dr SR Siddalingappa residing respectively at

1. #63 Pushpa Nilaya Ist Floor 2nd Main Road 3rd Cross
Income Tax Layout Bangalore 40
2. #309 A1 Block Netravathi Block NGV Kormangala Bangalore 47
3. #26 1st Main Coconut Garden Nagarbhavi Bangalore 72

Do hereby solemnly affirm and state on oath as follows :

We state that we are son’s of Late Dr SR Siddalingappa and Late Mrs MN


Sowbhagya Devi and our Late parents did not have any other children.
-2-

We state that we are residing at the above mentioned addresses respectively.

The Deponents 2 to 3 states that they have No Objection whatsoever to claim the
amount of Medical Reimbursement and Pension and Bank A/c of our Late Father
Dr SR Siddalingappa by our elder brother who is Deponent No. 1.

The Deponents 2 and 3 hereby authorize the deponent No. 1 SS Sundaresh who is
the eldest brother to collect/claim the amount of medical reimbursement and
pension bank A/C of our Father Late Dr SR Siddalingappa.

We are swearing this Letter of Disclaimer to produce before the concerned


authorities .

In witness whereof the Deponents have subscribed their respective signatures to


this Letter of Disclaimer and authorizing the 1st of us to claim the amount od
Medical Reimbursement Bank A/c and pension of our Father late Dr SR
Siddalingappa

SS SUNDARESH 2. SS JYOTHIRLINGAM

1. CLAIMER 3. SS RENUKESH

DEPONENTS/EXECUTANTS

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