BANK ACCOUNT PAYMENT MANDATE FORM

DR. S.C. DEB AND NAMITA DEB WELFARE TRUST
Bank: State Bank of India
Branch: Esplanade, Kolkata
Account Type: Current Account
Account Name : DR. S.C. DEB AND NAMITA DEB WELFARE TRUST
Account Number : 00000045243024588
IFSC Code : SBIN0001971
Branch : Esplanade, Kolkata
Declaration

We confirm that the above payment is being made voluntarily in favor of DR. S.C. DEB
AND NAMITA DEB WELFARE TRUST and the information furnished above is true and
correct.