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Ahmedabad (8th Floor) Extn.

Ahmedabad
Mahalay 8th floor 803, Mahalay, Opp. Mahalay 2 ND FLOOR 201-203, Mahalay,
President Hotel, Off C.G. Road Opp. President Hotel Off C.G. Road,
Navrangpura Navrangpura,
Ahmedabad, Gujarat Ahmedabad, Gujarat
380009 380009
Phone: (079) 26408836 / 38 Phone: (079) 26408836 / 38

Ahmedabad Satellite
Sunrise Complex 332, Sunrise Complex,
B/s Swaminarayan Temple, Judges
Bunglaw Road,
Ahmedabad, Gujarat
380054
Phone: (079) 26766723 / 25

Mehsana
Contact Person1: Mr. Ashish Acharya
Mail Id: mfsmehsana@karvy.com
Contact Person2:
Mail Id:
Address: Karvy Computershare Pvt Ltd
Ul-47, Appolo Enclave,Opp Simandhar Temple
Modhera Char Rasta, Highway
City: Mehsana
Pincode: 384002

Karvy stock broking


AHMEDABAD - C G ROAD
7-8, 2ND FLOOR,
3RD EYE BUILDING,
PANCHAVATI CIRCLE
AHMEDABAD
GUJARAT
INDIA
PIN CODE: 380 009
Dear Rishikant Sagar,

Please find below the secure CIP and TPIN combination that would allow you access to your Mutual
Fund investment account on our Web site.

We urge you to change your TPIN number to any other 4-digit number of your choice.

For your reference, please note the CIP and TPIN,

CIP Number
- 1014005129

TPIN
Number
- 8815

Dear Sir/Medam

1) I have hold 500 shares of Indiabulls securities since long. Dividend


declared by the company in May 2010 Re. 2.00 per share which is not
received till date, As per your instruction, I have been sent Indemnity
Bond on Re.20 stamp paper on 10.11.2010. But no dividend warrant
received till date.
2) Again company declared dividend Re.1.00 per share on 28.10.2010. But
same is not received till date.

Kindly arrange to send above dividend amount as early as possible.


Thanks for co-operation.

With regards

Rishikant Sagar

DP/Client Id IN301276/30162930
ceo.securities@indiabulls.com, khera@indiabulls.com, mediaquery@indiabulls.com,
ragarwal@indiabulls.com ,
helpdesk@indiabulls.com , sebiwro@sebi.gov.in, sebi@sebi.gov.in
Life Insurance Corporation of India
PCMC, Network Operating Center
1st Floor, Jeevan Seva Annexe
S.V.Road, Santacruz(W)
Mumbai - 400 054

PREMIUM PAID STATEMENT FOR THE YEAR 2010-2011


DATE OF ISSUE: 18/12/2010

The following premia have been received under the following life insurance
policies of Rishikant Mohanlal Sagar

Number Of
Instalments Premium
Dt of Due Received Collecting Servicing Email id of
Policy No. Due To and Amount
Commencement From Date Branch Branch Servicing Branch
Payment Received
Mode
85418107 06/201 06/201 26/06/201
16/03/2007 1 QLY 2,500.00 831 831 bo_831@licindia.com
3 0 0 0
81183046 07/201 07/201 23/07/201
15/07/2000 1 YLY 3,667.00 831 831 bo_831@licindia.com
9 0 0 0
85418107 09/201 09/201 16/09/201
16/03/2007 1 QLY 2,500.00 831 831 bo_831@licindia.com
3 0 0 0
85184181 12/201 12/201 10/12/201
28/12/2002 1 YLY 7,459.00 831 831 bo_831@licindia.com
2 0 0 0
85418107 12/201 12/201 10/12/201
16/03/2007 1 QLY 2,500.00 831 831 bo_831@licindia.com
3 0 0 0

All the above payments are subject to cheque realisation, wherever applicable.

Total amount received towards premium for the policies listed above is Rs.18,626.00 for the financial
year 2010-2011.

This document is electronically generated, for any queries please contact the servicing branch of
respective policies.

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