Redemption Application Form for 6.
75% US64 Bonds issued by the
Administrator of the Specified Undertaking of the Unit Trust of India
For office use only
Date of acceptance
Inward No.
UTI Technology Services Ltd.
Registrar for US 64 Bonds
Plot no. 3, Sector 11,
CBD Belapur,
Navi Mumbai
400 614
Dear Sir,
Investor ID No.
Date:
Bond Certificate No.
With reference to your redemption notice issued in the month of April 2008. I/we,
the Registered Holders(s) of the 6.75% Tax Free US 64 Bonds, offer these Bonds for
redemption as per the details given below:
Bond Certificate No. (s)
Investor ID No. (s)
No. of Bonds
I/We hereby request you to redeem the above bonds at the face value of the
bond(s). I/We further declare/ confirm that the issue of redemption warrant in my/
our favour / payment thereof of the due amount towards the redemption shall fully
discharge the Administrator of the Specified Undertaking of the Unit Trust of India
from all claims, demands and proceedings under the said bonds whatsoever.
Please update my/our details as under:
Bank Account details:
Bank a/c No
A/c Type SB/ Current/ NRE/ NRO
Bank Name
Branch
Bank address
Pin:
Residential Address: (Please furnish the present postal address for sending the
redemption warrant (In capital letters) through registered post (if there is any change). In
an event there is no change in address, the redemption warrant shall be despatched at the
bond holders address available with SUUTI.)
..
..
Pin:
Signature**:
1st Bond Holder
Holder
2nd Bond Holder
3rd Bond
Signature/s attested by me
Name:
Designation:
Emp. Code
Signature with banks seal
**
1. If the bond holder is minor, the father/mother/legal guardian may sign.
2. If the bond holder has now become major (18 years), he/she may sign and get
his/her signature attested.
3. It is preferable to get the signatures of all other bond holders also attested by
bank manager as over a period of time the signature might have undergone
change.