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CENTRAL RECORD KEEPING AGENCY Annexure S7 Request For change in signature and/or change in photograph To avoid mistake s please follow the accompanying instructions carefully before filling up the form Acknowledgement No. To be filled by FC Subcribers Name To affix colour photograph 3. 5 cm x 2. 5 cm Permanent Retirement Account Number Subscriber s sign/Thumb impression in black ink only. Applicable in case of change of Photograph I hereby request you to carry out the following change. The necessary details are provided as below Change in signature Change in photograph Section A Change in Signature Reason for change in signature New Signature For DDO Use Date of Receipt Date of Authorised person/ Stamp of DDO For PAO Use For FC Use Entered by Time of Receipt Verified by Stamp of PAO Instructions 1. This form is to be submitted to CRA appointed Facilitation Centre. 2. Please indicate whether request is for change in signature and/or Photograph by ticking the relevant box. 3. The change request will be chargeable. 4. This request must be accompanied with a DDO Covering letter on official stationery. 5 cm x 2. 5 cm Permanent Retirement Account Number Subscriber s sign/Thumb impression in black ink only. Applicable in case of change of Photograph I hereby request you to carry out the following change. The necessary details are provided as below Change in signature Change in photograph Section A Change in Signature Reason for change in signature New Signature For DDO Use Date of Receipt Date of Authorised person/ Stamp of DDO For PAO Use For FC Use Entered by Time of Receipt Verified by Stamp of PAO Instructions 1. Applicable in case of change of Photograph I hereby request you to carry out the following change. The necessary details are provided as below Change in signature Change in photograph Section A Change in Signature Reason for change in signature New Signature For DDO Use Date of Receipt Date of Authorised person/ Stamp of DDO For PAO Use For FC Use Entered by Time of Receipt Verified by Stamp of PAO Instructions 1. This form is to be submitted to CRA appointed Facilitation Centre. 2. Please indicate whether request is for change in signature and/or Photograph by ticking the relevant box. This form is to be submitted to CRA appointed Facilitation Centre. 2. Please indicate whether request is for change in signature and/or Photograph by ticking the relevant box. 3. The change request will be chargeable. 4. This request must be accompanied with a DDO Covering letter on official stationery. 5 cm x 2. 5 cm Permanent Retirement Account Number Subscriber s sign/Thumb impression in black ink only. Applicable in case of change of Photograph I hereby request you to carry out the following change. The necessary details are provided as below Change in signature Change in photograph Section A Change in Signature Reason for change in signature New Signature For DDO Use Date of Receipt Date of Authorised person/ Stamp of DDO For PAO Use For FC Use Entered by Time of Receipt Verified by Stamp of PAO Instructions 1. This form is to be submitted to CRA appointed Facilitation Centre. 2. Please indicate whether request is for change in signature and/or Photograph by ticking the relevant box.

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