TO
THE BRANCH MANAGER
CENTRAL BANK OF INDIA
SHAHABAD MOHAMMAD PUR
NEW-DELHI-110061
DATE: 01/05/2018
AFFIDAVIT REGARDING MY LOST PASSBOKK
I, SARITA W/o Sh. SANDEEP KUMAR aged about 32 years, presently
residing at HNO-978 SHAHABAD MOHAMMAD PUR NEAR OLD SHIV
MANDIR NEW-DELHI- 110061, do hereby solemnly affirm and declare
as under:
1. That I am the holder of the Savings Bank A/c No 3061598609 in
the Central Bank Of India situated at Shahabad Mohammad Pur New-
Delhi 110061 .
2. That I have lost my bank pass book of A/c No 3061598609
since 15 days I had deposited a Sum of Rs 24000/- on 16/04/2018 in
my Bank A/c personally and after that I have lost my pass book.
3. Thereby I request you to issue a new pass book to me so that I
can have the correct info of my Bank a/c no 3061598609 in Centarl
Bank of India situated at SHAHABAD MOHAMMAD PUR NEW_DELHI
110061.
4. That the deponent states that the contents of the accompanying
affidavit may be read as part of this affidavit which is not being
reproduced here for the sake of brevity.
Deponent
VERIFICATION
Verified at Delhi on this ----- Day of May 2018 that the contents of the
above affidavit are true and correct to the best of my knowledge and
belief and no material has been concealed there from.
Deponent