CERT NO : D1223862

REF : MAT732000120030409005

FROM,

BHARATBHAI MOTIBHAI PATEL

AJAYWADI, SUBHASHNAGAR, PLOT NO 18,

DIST BHAVNAGAR,

GUJARAT,

PIN 364001

TO,

THE PEERLESS GENERAL FINANCE & INVT. CO. LTD.

CENTRAL MATURITY CELL,

13A,DACRES LANE (3RD FLOOR),

KOLKATA – 700 069.

SIR,

AS PER INSTRUCTION, I AM SENDING HEREWITH THE DISCRIBED FORM DULY FI8LLED, ALONG WITH

(I) THE PHOTO COPY OF DRIVING LICENSE(II) PHOTO COPY OF MY BANK PASS BOOK “THE BANK OF BARODA, KRISHNANAGAR

BRANCH, BHAVNAGAR” A/C NO. IS 03490100009015.

SO, FURTHER NECESSARY ACTION IS REQUESTED FOR SENDING THE DUE AMOUNT.

THANKING YOU,

YOURS FAITHFULLY,

BHARATBHAI M. PATEL

FROM,

BHARATBHAI MOTIBHAI PATEL

AJAYWADI, SUBHASHNAGAR, PLOT NO 18,

DIST BHAVNAGAR,

GUJARAT,

PIN 364001

TO,

THE PEERLESS GENERAL FINANCE & INVT. CO. LTD.

CENTRAL MATURITY CELL,

13A,DACRES LANE (3RD FLOOR),

KOLKATA – 700 069.