From, Date: To, M/S Fortune Capital Services Private Ltd No 905, First Floor, Soundarya Colony,

(Syndicate Bank Colony), Anna Nagar West Extension, Chennai 600 101.

Ph.No:044-45609696 Dear Sir,

SUB: Name Declaration This is with reference to consideration of my Name for activation of my NSE Account. As per the documents given below, my name varies in each of these documents. I hereby confirm that all the names are representing me only and request you to kindly activate the NSE account as per PAN CARD.

PROOF OF DOCUMENT NAME ON PROOF

PAN No.

PAN CARD

BANK PROOF

ADDRESS PROOF

IDENTITY PROOF

I would like to inform you that my complete and correct name is

_____________________________________________

Yours faithfully,