SAKARIA KANNUR, KERALA, INDIA Contact No.: 1234567890 To The Manager UDBL Bank Ltd.

KANUUR - KERALA, INDIA Sub: Authorization to collect my Check Book Respected Sir, I, the undersigned, have an NRI account in your Bank on my name (NRE A/C 3/493SB). I, hereby authorize Mr. Mathew whose specimen signature is attested below to collect the check book on my behalf. Authorized person's name: Mathew Specimen Signature: ............................ Signature attested by me Yours faithfully, Signature & Date