Nsme

AccountNo:
:
O ttateBankof lndia
r
Request for, td..*.urk'y''l

( ) Pay cash in SLRS............. EQVUSD

( ) Issuecurrencynotesfor USD................

( my aboveaccountto account
) TransferequivalentUSD......,..............,....,.............from

( ) Open a fixed deposit A/c for USD....................................for ..........Months

You are alsokindlyrequested to recover your costand other bank charges by

debiting my above account.

Yours faithfullv.

fr-+-