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------------------ With reference to the proposal for annuity submitted by me / us, I / We give below the specimen signature/s of the Annuitant Sri / Smt. Teken in my / our presence. Yours faithfully, (Signature of the Proposer) Specimen Signature of Annuitant Sri / Smt Specimen Signature of Alternate Beneficiary Sri/Smt. (1) (2) (1) (2).

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