AFFIDAVIT FOR CHANGE OF SIGNATURE

I ....................................................................s/o .............................................................
...............aged.....................................years and ......................................... s/o ......................
................................ aged..........................................years residing at .....................................
............................................................ .......................................................................... .........................
solemnly affirm and declared in favour of hdfc bank ltd whose registered office is situates at
mumbai
1 that i am the sole holder of .....................................number of equity shares in hdfc bank ltd under
folio no ..........................................no of shares ................................details of the shares held giving
distinctive nos...........................to...................................certificate no.......................................
2 that i am residing at the above address and have not changed my address in the past 3 years (in
case there has been a change in address the investor should furnish the details)
3.that the above shares was acquired by me /us out of my/ our own investment/funds against
allotted in public issue/allotment in right issue or acquired from the marketin the year ................
4 that my signature might have changed /altered by passing of time and therefore i request the
bank (hdfc bank ltd) to treat my signatures as per the records maintain with the bank(hdfc bank
ltd)as cancelled
5 that my specimen signature given below be taken on record in respect of my holdings of
securitiesin the company as mentioned in the para 1 place of my existing signature in company
records

6 i hereby affirm that i shall not hold the bank(hdfc) or its agents anyway responsible for any
consequences that might occur directly or indirectly on the bank (hdfc) or its agents acting on out
request here in stated by replacing the signature/s in the banks (hdfc) recordfor the consequential
acts/deed by co or its agents
7 i here by further affirm that the transfer deeds for sale of securities bearing my signature as
appended herein below can be taken as validity executed by me for all purpose and intents of
transferring the ownership of securities held by me under the folio stated in para 1 above
8. i here by affirm and state that i have not signed any transfer deed earlier at any time with our
earlier signature
9 this affidavit is executed in favour of hdfc bank ltd and is on the form as required by the company
/its agent forwarded to me /us wide its letter no 5339688/2552082

Verification
I solemnly affirm that statement contained in the above paragraphs are true to the best of my
knowledge, information and belief and that nothing material has been concealed from being
disclosed
Solemnly declared and affirmed on identication at ................................................... on this
...........day of .......................................................................
Deponents

1 .......................................................................... 2 ........................................................
............................................................................. ..................................................................
............................................................................. ...... .............................................................

N.B the delivery to the bank (hdfc) on this form duly filled in shall not in any way affect the bank
(hdfc) right to refude the application altogether or to insist on the fulfilment of the additional
conditions of the stated in coloumn c-1 & 2 on reverse of this form before acceptance