JUNIOR
CITIZEN BOND
Private
Placement of Bonds in the nature of
Secured Redeemable Non Convertible Debentures (NCD’s) aggregating
Rs. 10 Crores.
No. of NCDs applied
for________________(In words____________________________________
Amount Rupees___________________(Rupees_________________________________________
________________________________________________________________________________
Cheque / DD No._______________________ dated___________drawn on____________________
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Applications must
be made for a minimum of one debenture and in multiples of one thereof.
1. APPLICANT’S NAME IN FULL
______________________________________(SOLE/FIRST)
Guardian’s
Name_________________________________________DOB_______________________
Address________________________________________________City_________________________
Pin____________Tel No.____________________________Date
of Majority_____________________
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JOINT APPLICANT(S)
Name______________________________________________Age___________________________
Name______________________________________________Age___________________________
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Specimen Signature
Guardian ______________________________________
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