AFFIDAVIT I, of Shri resident of do hereby solemnly affirm and declare as under: - 1. That I have been allotted Plot No. sector area sq. yards/Mtrs.

 

¾eUU’ƒ T ÒÑÝ ¾Hdw lØ A/C No. _____________.

 

A2eHUUH 3a npeBogu ISO 9001 :2000 Uoyd· s Regi ster Quality Assurance CO¢I1Sl 1504, YIl. CB. KI1I1MeHT OXPI1ACI I. 1 No4 TeJ1. : 02/946 1392;.

 

I son/daughter of resident of do solemnly affirm and declare as under: That I am the deponent of this undertaking and hence fully conversant with the contents of this.

 

PRINTNAME SIGNATURE. not requestitems.

 

VERAVAL – 362266 Gujarat Phone: 02876 - 243220 ARD Name s :. 2. 3. 4. Occupation:1. 2. 3. 4. Name s. 1. 2. 2. 3. 3. 4. 4. with hiscode 2. 3. Address: Attestedby. BranchManagerof seal.

 

BAJAJ ALLIANZ LIFE INSURANCE COMPANY LTD. GE Plaza, Airport Road Yerawada, Pune 411006 Specimen Signature Form From Date.

 

SPECIMEN SIGNATURE F ORMAT Please put down all signa ture used by you Please strike off the boxes which are not applicable to prevent forgery Proposal.

 

To be notarized on Rs. 20/- Stamp Paper I son/daughter of resident of do solemnly affirm and declare as under: That I am the deponent of this undertaking and hence fully.

 

63 ,0 1 6, 1 785 6 3DJH RI URXQG ORRU 0HQDUD 7RNLR 0DULQH /LIH -DODQ 7XQ 5D DN. XDOD /XPSXU 7HO D :HEVLWH ZZZ WRNLRPDULQHOLIH FRP P 6 7 3URSRVDO 3ROLF 1R , WKH XQGHUVLJQHG KHUH.

 

EXTRACT OF SPECIMEN SIGNATURE BORANG Re : Proposal / Policy No. : Rujukan : No. Cadangan / Polisi I «««««««««««««« « «« , certify that the following are all my true signatures. I use any of them.

 

KENYA POLICE SACCO SOCIETY LIMITED P. O BOX 51042 – 00200 – NAIROBI SPECIMEN SIGNATURECARD Date: ___________ _________ Title of Account: Identity.

 

BKMEA ELECTION 2010 - 12 Specimen signature Form Unit Name : Name of Voter : Designation : Address : Phone : Signature of the Voter Signature.

 

POS / SSF / Version1. 1 Specimen Signature Specify Request Type:- Revival, ECS/SI/CC , Add Change, Name Change, Nomination Change, Mode Change, Bonus.

 

The brand name “FxPro” and the domain name “www. FxPro. com” are owned by EuroOrient Securities and Financial 182, Ayias Phylaxeos Street,.

 

Identification marks in respect of Thiru/Tmt. Height : i Scar or mole : ii Scar or mole : ATTESTED No. Pol/Accts. /B4/GPF F /99-2000 GOVERNMENT OF PONDICHERRY OFFICE.

 

The specimen signature in respect of Thiru/Tmt.

 

UNITED NATIONS HUMANITARIAN AIR SERVICE Specimen Signature Form Date: ORGANIZATION: Organization Contacts for Flights: Name of Booking Officer Office.

 

CLASSIFICATION: FILLABILITY : CATEGORY: POINTS OF CONTACT: USERS: FILE FORMATS: OPTIMIZED PRINTABLE FILLABLE SAVABLE OBTAINING FROM: ISSUANCES: ADOPTED.

 

SPECIMENSIGNAT URECARD KBC Se curities N. V. Polish Branch account number Specim als authorised to carry out the brokerage services agre e ment s on beh alf of a le galperson or entity.

 

Specimen of Affidavit or “Hope Certificate” To be notarized on Rs. 20/- Stamp Paper I son/daughter of resident of do solemnly affirm and declare as under: a That I am the deponent.

 

8/F Don Chua Lamko Building H. V. de la Costa corner Leviste Streets Makati City BUYER’S SPECIMEN SIGNATURE Principal Buyer: Printed Name.

 

Date : _______________ To, The Manager, SBI Life Insurance Co. Ltd. Dear Sir/Madam, Re: Change in Signature for your records under the Policy Number ffix official.

 

GRASIM INDUSTRIES LIMITED SHARE DEPARTMENT Registered Office : Birlagram, Nagda 456331 M. P. SPECIMEN SIGNATURE S FORM FOR SHARES HELD IN PHYSICALFORM.

 

Company. THE SPECIMEN SIGNATURES BELOW MUST BE MADE FIRMLY WITH BLACK INK AND SHOULD NOT GO BEYOND THE LINES NAME JOB TITLE SPECIMEN SIGNATURE.

 

Buyers Specimen Signature In Oracle Financials elVIS , a person who creates Purchase Orders is a ‘Buyer’. A Buyers signature is electronically placed on to the Purchase.

 

SPECIMEN SIGNATURE CARD Name of Compa. Name of director Specimen Signature of director Date ………………………………… ………………………………… ………………………………… ………………………………… ………………………………….