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From: BRITISH ACCREDITED ATTORNEY <acreditedukrep1960@yahoo.fr>
Date: Wed, 16 Oct 2013 13:58:33 +0100 (BST)
Subject: TRANSFER LEGALIZATION FORM (FILL AND RETURN)
UNITED NATION ACCREDITED REPRESENTATIVE
SHANTIPATH CHANAKYAPURI
NEW DELHI - 110021
OFFICE HOURS: 0900-1700 HRS
TRANSFER OF YOUR FUND VIA RBI
Further to your email received, I wish to thank you for the confidence
reposed on my chambers to assist you with this claim and I have to
state that I will never let go that confidence and promise to deal
with this matter in all manners and platform according to my Oath of
Services.
I have been instructed and authorized accordingly, based on the
approval of your fund from the Co-coordinator United Nations
Compensation Commission, (UNCC) to effect your fund through Reserve
Bank of India within three (3) working days...
I will be guiding you accordingly as your legal accredited
representative. You are indeed required to complete the attached
Ministry of Finance Transfer Legalization FORM and return it back
along with proof of payment of Court Registration/Legalization fee
Rs13,900.00 only as stated on the Ministry of Finance FORM attached.
We are required to get Court Registration/Legalization and Stamp duty
on your payment file to enable the Reserve Bank of India carry out the
transfer of your fund to your account without any hitch.
The mode of payment of the Rs13,900.00 shall be provided to you once
you are ready to make the deposit.
Sincerely Yours,
Hon. Barrister Anthony Collins
Attorney-at-Law
Phone: #: +91-8377952174
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NOTARIZATION TRANSFER FORM
PERSONAL DETAILS
NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
GENDER: _ _ _ _ _ DATE OF BIRTH: _ _ /_ _ /_ _ _ _ / PLACE OF BIRTH _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
CONTACT ADDRESS:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _
CITY: _ _ _ _ _ _ _ _ _ _ _ _ STATE/PROVINCE: _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ COUNTRY _ _ _ _ _ _ _ _ _ _ _ _ _ _
ZIP: _ _ _ _ _ _ _ _ _ _ HOME PHONE NO.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ MOBILE/PAGER: _ _ __ _ _ _ _ _ _ _ _ _ _ _
FAX NO.: _ _ _ _ _ _ _ _ _ _ E-MAIL: _ _ _ _ _ _ _ _ _ _ _ _ SOCIAL SECURITY NO IF ANY.: _ _ _ _ _ _ _ _ _ _ _ _
JOB CONTACT DETAILS
WORKPLACE: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
JOB TITLE _ _ _ _ _ _ _ __ _ _ DEPARTMENT _ _ _ _ _ _ _ _ _ _ _ _ POSITION HELD: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
OFFICE ADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _
CITY: _ _ _ _ _ _ _ _ _ _ STATE/PROVINCE: _ _ _ _ _ _ _ _ _ _ _ _ COUNTRY _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _
WORK PHONE NO IF ANY: _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ FAX NO IF ANY: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
FAMILY AND MARITAL STATUS
Please study carefully and check all that apply
MARITAL STATUS: Single _ _ _ _ _ _ Separated _ _ _ __ _ _ Married _ _ __ _ _ _ Divorced _ _ _ _ _ _
Next of Kin
NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
GENDER: _ _ _ _ _ _ _ _ _ _ _ _ DATE OF BIRTH: _ _ /_ _ /_ _ _ _ / PLACE OF BIRTH: _ _ _ _ _ _ __ _ _ _ _ _ _ _
CONTACT ADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
TRANSFER FUND INFORMATION
Bank Account Details
NAME OF BANK: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ __
BANK ADDRESS: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _: _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ BRANCH NAME _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ACCOUNT/BENEFICIARY'S NAME: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
ACCOUNT NUMBER: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ IFSC/SWIFT CODE IF ANY_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
RETURN THIS FORM WITH NOTARY/LEGALIZATION CHARGE OF INR13, 900/ WITHIN 48 HOURS
OTHER DOCUMENTS
Please indicate the documents that you have attached to this form. Fill the appropriate Spaces for any option.
International Passport _ _ _ _ _ _ _ _ _ _ _ _
Driver's License _ _ _ _ _ _ _ _ _ _ _ _ _ __
National Identity card _ _ _ _ _ _ _ _ _ _ _ _
(If applicable in your country)
AFFIRMATION
I, _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ hereby affirm that all the information submitted by me in this form is true at the time of submission. I also accept any disciplinary action taken against me for falsifying, misrepresentation or incorrect presentation of my identity.
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(Applicant's Signature) |
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