Affidavit For Name Mismatch 24i1t

AFFIDAVIT FOR NAME MISMATCH I Bhupalam Govinda Chetty S/o. Late B C Venkatasubbaiah Chetty aged 75 years residing at 21/75, Bhupalam Street, Opp old Town Post office, Anantapur- 515005 solemnly affirm and declare in favor of M/s. HB Stockholdings Limited Regd Off: 2 nd Floor, Gopala Towers, 25, Rajendra Place, New Delhi- 110008. 1. That I am the sole holder of 100 Number of equity shares in M/s. HB Stockholdings Limited. Folio No 0158686 0158686

No. of Shares 50 50

Certificate No 0194115 0194116

From Dist.No’s 018980348 018980398

To: Dist No’s 018980397 018980447

2. That the above shares were acquired by me out of my own investments/funds/ against transfer on 14.09.2002 3. That my name B Govinda Chetty ed under folio No. 0158686 as found on the share certificates and my name Bhupalam Govinda Chetty as found in my demat 26920277represent me, one and only person. 4. I hereby affirm that I shall not hold the company or its agents in anyway responsible for any consequences that might occur directly or indirectly on of the Company or its agents acting on our request herein stated on

of replacing the name (B Govinda Chetty) with (Bhupalam Govinda Chetty) in the company’s records and for the consequential acts/ deeds by the company/ its agents. 5. This affidavit is executed in favor of the Company/ its agents on my/ our own volition. Verification I/ we solemnly affirm that the statements contained in the above paragraphs are true to the best of my/our knowledge, information and belief and that nothing material has been concealed from being disclosed. Solemnly declared and affirmed on identification at Anantapur on this ……. Day of 2016, March.

Signature of Shareholder

Executed before me,

Signature of Notary public (with full name and address of the notary public under his seal registration number and notarial stamps)