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BCVS - CERTIFICATION REQUEST SLIP Date To Branch Bank I request for certificate with the following details Name Current/Savings/Time/Others No Purpose VISA Application with the Embassy of Others I undertake to indemnify and hold the Bank free and harmless from any liability loss or damage that it may suffer in connection with its issuance and my use of the said Certification. Further I authorize the bank to disclose any/all information regarding.

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