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Request For change in signature and/or change in photograph(To avoid mistake(s), please follow the accompanying instructions carefully before filling up the form)Acknowledgement No.(To be filled by FC)Subcribers Name Permanent Retirement Account NumberI hereby, request you to carry out the following change.The necessary details are provided as below:Change in signatureSection A:Change in SignatureReason for change in signature:Section B: Change in photographReason for change in photograph:Subscriber's Signature(New Signature)For DDO UseFor PAO UseDate of Receipt_______Date of ReceiptName & SignatureName & Signatureof Authorised person/of Authorised person/Stamp of DDOStamp of PAOInstructions1. This form is to be submitted to CRA appointed Facilitation Centre.2. Please indicate whether request is for change in signature and/or Photograph by ticking the relevant box.3. The change request will be chargeable.4. This request must be accompanied with a DDO Covering letter on official stationery. ................
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