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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: Section B: Change in ph.

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