Form For 6 60 Ars Bonds – Fill Out and Use This PDF

Re d e m p t ion Ap p lica t ion For m f or 6 . 6 0 % ARS Bon d s issu e d b y t h e Ad m in ist r a t or of t h e Sp e cif ie d U n d e r t a k in g of t h e U n it Tr u st of I n d ia

For office use only

Dat e of accept ance

		I nw ar d No.
UTI Technology Ser v ices Lt d.	Dat e:
Regist r ar for ARS Bonds
Plot no. 3, Sect or 11,
CBD Belapur ,
Nav i Mum bai
400 614
Dear Sir ,
I nv est or I D No.	Bond Cer t ificat e No.

Wit h r efer ence	t o y our r edem pt ion not ice issued in t he m ont h of Januar y 2009 . I / w e,
t he Regist er ed	Holder s( s) of t he 6 . 60% Tax Fr ee ARS Bonds, offer t hese Bonds for

r edem pt ion as per t he det ails giv en below :

I / We her eby	r equest y ou t o r edeem t he above bonds at t he face v alue of t he bond( s) .
I / We fur t her	declar e/ confir m t hat t he issue of r edem pt ion w ar r ant in m y / our fav our

/pay m ent t her eof of t he due am ount t ow ar ds t he r edem pt ion shall fully dischar ge t he Adm inist r at or of t he Specified Under t ak ing of t he Unit Tr ust of I ndia fr om all claim s, dem ands and pr oceedings under t he said bonds w hat soev er . Please updat e m y / our det ails as under :

Ba n k Accou n t d e t a ils: Bank a/ c No.

A/ c Ty pe – SB/ Cur r ent / NRE/ NRO Bank Nam e

Br anch nam e Bank addr ess

Pin:

Re sid e n t ia l Ad d r e ss: ( Please fur nish t he pr esent post al addr ess for sending t he r edem pt ion w ar r ant ( I n capit al let t er s) t hr ough r egist er ed post ( if t her e is any change) . I n an ev ent t her e is no change in addr ess, t he r edem pt ion w ar r ant shall be despat ched at t he bond holder ’s addr ess av ailable w it h SUUTI . )

…………………………..

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Tel:E- m ail:

Signat ur e:

1 st Bond Holder	2n d Bond Holder	3 r d	Bond
holder