Date:

Photo :

To,
Mr. Ashutosh S. Mane

Dear Sir,

I have read all terms & conditions of the offer, and I am interested in the offer made by you. I agree to purchase Preference Shares. I am enclosing a cheque/NEFT of Rupees issued in your bearing Cheque No./UTIR No.

My Details

Enclosed Documents (Self-Attested Copies)

Declaration

Thank You,

I have read & agreed upon all terms & conditions.