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Incase of any query relating to the Company's securities kindly fill up the following form and submit.
Fields Marked with * are Mandatory
Name of sole/first holder *
Occupation
Address *
E-mail ID *
Folio number
DP ID No.
Client ID No.
Number of ordinary shares held
Telephone No. *
Queries *
  Image Verification Code
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(Please key in the above code as it appears in the box. All letters are in capital.)