Annexure A
FORMAT FOR LETTER
To,
M/s ( Name of OMC)
Dear Sirs,
I Mr. / Mrs. …………… son/daughter/wife of Mr ……………. aged …. years, residing at ………………………………….. hereby solemnly affirm as under :
That Mr / Mrs. …………………………………. I was residing at ……………………………………………………………………… and have left your equipment covered under your Subscription Voucher No……………………. dt. ………… to Mr. / Mrs ………………………………………. as I am no more in need of the same.
I request that the same may be transferred to the name of Mr. / Mrs. …… and a fresh consumer number given along with subscription voucher.
I hereby authorise you to handover the deposit amount held in my name to Mr./Mrs………………. I will not stake any claim at a later date on you in respect of either equipment or the security deposit towards the same.
Thanking you,
Yours faithfully,
SIGNATURE
NAME
Date:
Place: