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Branch Seai VI JU! L\/l *U ..i'];:;.Nk
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UNT TITLE
L-j Request for Balance Confirmation Certificate. Balance should be mentionecj in .
il BDT I cgp I usn D others
L-..I Request for Bank Cedifrcate:
related
il Account related
n Tax reiated
I Requert [Link] Statement (Fronn .1........t........ To... .,...1.....,....t...........)
fl Request to Hold Statement Reason :
[i Cther lnstr-uctrons
i unclerstand that fees and VAT will be deducted from my/ our account for this purpose as per Schedule of
Charges,
Authorized person must bring an authoi-lzation lettervyhere his/ her signature is attested by the accounthcider-(s).
Cusror'rrr R(s )' S roniniu Rr
Nanre: Name:
(in biock letter) (in block letter)
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SI ruRe Venrpteo