AFFIDAVIT CUM DECLARATION

I Mr. LESLIE GABRIEL VAZ, an adult, aged 66 years. Indian Inhabitant, s/o
Louis Anthony Vaz, residing at 402, Jai Gauri CHS, 20, Juhu Versova Link
Road, Near Skylark Tower, Andheri (West), Mumbai-400053, do hereby
solemnly affirm and declare in favour of Piramal Enterprises Limited, whose
registered office is at Kamani Junction, LBS Marg.
1. That I am sole holder of 581 number of equity shares on Piramal
Enterprises Limited (Hereinafter referred to as the ‘Company’)

Folio No. Certificates Distinctive Quantity Face

Numbers Numbers Value of
Securities
From To
L000155 5652 1337876 1337900 25 10/-
L000155 46879 3778734 3778758 25 10/-
L000155 78706 6609278 6609297 25 10/-
L000155 106333 8952929 8952963 35 10/-
L000155 38245 190157250 190157305 56 2/-

2. That the above shares were acquired by me for valuable consideration out
of my own investment / funds against allotment in public issue from the
market.
3. That I have not pledged the original certificate by way of security or
collateral or otherwise have not sold the above mentioned shares anytime
to any person.
4. That the stop transfer instructions given by me are not on the grounds of
the non-payment by my broker/sub-broker.
5. That I have genuinely lost/misplaced the above mentioned share
certificates.
6. That I am solely responsible for any future liabilities in respect of the
above mentioned securities.
7. This affidavit is executed on favour of the company on my own volition
and is in the form as required by the company.

VERIFICATION
I solemnly affirm that the statement contained in the above paragraphs
are true to the best of my knowledge, information and belief and that
nothing material has been concealed from being disclosed.

Solemnly Declared and affirmed on Identification at Mumbai )

On this day of October, 2022 )

Deponent

Before me;

AFFIDAVIT CUM DECLARATION

I Mr. LESLIE GABRIEL VAZ, an adult, aged 66 years. Indian Inhabitant, s/o
Louis Anthony Vaz, residing at 402, Jai Gauri CHS, 20, Juhu Versova Link
Road, Near Skylark Tower, Andheri (West), Mumbai-400053, do hereby
solemnly affirm and declare in favour of Reliance Industries Limited, whose
registered office is at Maker Chambers 1 V, 222, Nariman Point, Mumbai.
1. That I Mr. Leslie Gabriel Vaz have been residing at the above mentioned
address along with my family for the past several years.
2. That I am the sole holder of 77 number of equity shares in four
certificates as detailed below

Folio No 000312142 21 Shares lost

Folio No 030899555 40 Shares lost
Folio No 002210061 9 Shares lost
Folio No 031646391 7 Shares lost

3. That the above shares were acquired by me for valuable consideration out
of my own investment / funds against allotment in public issue from the
market.
4. That I have not pledged the original certificates by way of security or
collateral or otherwise have not sold the above mentioned share
certificates anytime to any person.
5. That the stop transfer instructions given by me are not on the grounds of
the non-payment by my broker/sub-broker.
6. That I have genuinely lost/misplaced the above mentioned share
certificates.
7. That I am solely responsible for any future liabilities in respect of the
above mentioned securities.
8. This affidavit is executed on favour of the company on my own volition
and is in the form as required by the company.

VERIFICATION

I solemnly affirm that the statement contained in the above paragraphs

are true to the best of my knowledge, information and belief and that
nothing material has been concealed from being disclosed.

Solemnly Declared and )

affirmed on Identification at Mumbai )
on this day of October, 2022 )

Deponent
 Before me;

AFFIDAVIT CUM DECLARATION

I Mr. LESLIE GABRIEL VAZ, an adult, aged 66 years. Indian Inhabitant, s/o
Louis Anthony Vaz, residing at 402, Jai Gauri CHS, 20, Juhu Versova Link
Road, Near Skylark Tower, Andheri (West), Mumbai-400053, do hereby
solemnly affirm and declare in favour of Hindustan Unilever Limited, whose
registered office is at Unilever House, B. D. Sawant Marg, Chakala (East),
Mumbai-400099.
1. That I have been residing at the above mentioned address along with my
family for the past several years.
2. That I am the sole holder of 50 number of equity shares of face value of
Rs. 10/- on Hindustan Unilever Limited (Hereinafter referred to as the
‘Company’)

Folio No. Certificates Distinctive Quantity

Numbers Numbers
1222712 242472 19841626 - 675 50

3. That the above shares were acquired by me for valuable consideration out
of my own investment / funds against allotment in public issue from the
market.
4. That I have not pledged the original certificates by way of security or
collateral or otherwise have not sold the above mentioned share anytime
to any person.
5. That the stop transfer instructions given by me are not on the grounds of
the non-payment by my broker/sub-broker.
6. That I have genuinely lost/misplaced the above mentioned share
certificates.
7. That I am solely responsible for any future liabilities in respect of the
above mentioned securities.
8. This affidavit is executed on favour of the company on my own volition
and is in the form as required by the company.

VERIFICATION

I solemnly affirm that the statement contained in the above paragraphs

are true to the best of my knowledge, information and belief and that
nothing material has been concealed from being disclosed.

Solemnly Declared and )

affirmed on Identification )
at Mumbai on this day of
October, 2022 )

Deponent
 Before me;

LESLIE GABRIEL VAZ, (Folio No. HLL 1222712)

402, Jai Gauri CHS Ltd, 20,
Juhu Versova Link Road, Near Skylark Tower,
Andheri (West), Mumbai-400053

Date :
K Fin Technologies Private Limited
Selenium Tower B
Plot 31-32,
Gachibowli,
Financial District,
Hyderabad-500032

Unit Hindustan Unilever Limited

Subject : 1) To notify the company that my wife’s Pan card was erroneously
sent along with my documents.
2) To submit details requested by the company along with the
documents required for the same.
3) Request for duplicate securities.
Dear Sir,
I the undersigned Leslie Vaz wish to put on record that, since I am now
blind, I depend on my wife to help me with various correspondences. When
sending my documents and the original 265 Share Certificates of Rs. 10/- each,
my wife Mrs. Gale Noemia Vaz erroneously sent her Pan card Xerox copy.
This is also to notify the company that my name has not changed and so
continues to remain the same.
I am enclosing the following documents
1) Pan Card - Self Attested
2) Aadhar Card – Self Attested
3) Cancelled Cheque
4) CML
5) Doctor’s Original Certificate
6) Copy of Self Attested Electric Bill
7) Copy of Company’s Letter.

Ref. No. gsr/GEN/HLL/1735744C/13422030 Duly filled and signed (thumb

impression left hand)

ISR – 4 forms
ISR – 2 forms
ISR – 1 forms
Looking forward to your quick and whole hearted co-operation as I am a senior
citizen and I am now blind.

Thanking you.
 AFFIDAVIT CUM DECLARATION
I Mr. LESLIE GABRIEL VAZ, an adult, aged 66 years. Indian Inhabitant, s/o
Louis Anthony Vaz, residing at 402, Jai Gauri CHS, 20, Juhu Versova Link
Road, Near Skylark Tower, Andheri (West), Mumbai-400053, do hereby
solemnly affirm and declare in favour of Venky’s India Limited, whose
registered office is at Venkateshwara House, Hyderguda, Hyderabad.
 1. That I have been residing at the above mentioned address along with my
family for the past several years.
2. That I am the sole holder of 20 number of equity shares of Venky’s India
Limited, of the face value of Rs. 10/- which are now lost.
Folio No.: 0009587
3. That the above shares were acquired by me for valuable consideration out
of my own investment / funds against allotment in public issue from the
market.
4. That I have not pledged the original certificates by way of security or
collateral or otherwise have not sold the above mentioned shares anytime
to any person.
5. That the stop transfer instructions given by me are not on the grounds of
the non-payment by my broker/sub-broker.
6. That I have genuinely lost/misplaced the above mentioned share
certificates.
7. That I am solely responsible for any future liabilities in respect of the
above mentioned securities.
8. This affidavit is executed on favour of the company on my own volition
and is in the form as required by the company.

VERIFICATION

I solemnly affirm that the statement contained in the above paragraphs

are true to the best of my knowledge, information and belief and that
nothing material has been concealed from being disclosed.

Solemnly Declared and )

affirmed on Identification )
at Mumbai on this day of )
October, 2022 )

Deponent

Before me;
AFFIDAVIT CUM DECLARATION
I Mr. LESLIE GABRIEL VAZ, an adult, aged 66 years. Indian Inhabitant, s/o
Louis Anthony Vaz, residing at 402, Jai Gauri CHS, 20, Juhu Versova Link
Road, Near Skylark Tower, Andheri (West), Mumbai-400053, do hereby
solemnly affirm and declare as under :
1. That I am a citizen of India.
2. That I hereby declare that my name mentioned in some documents
written as Leslie and in some documents name written as Leslie Gabriel
Vaz.
3. I hereby declare that both the name pertain to the one and same person
i.e. Leslie Gabriel Vaz.
4. That my real name is Leslie Gabriel Vaz.
5. That it is my true and correct statement.
6. That I am enclosing a self-attested copy of Pan card and Aadhar card as a
proof of my correct name.

Deponent

VERIFICATION

Verified at Mumbai on this __________day of October 2022 that the

contents of the above affidavit are true and correct to the best of my
knowledge and that nothing material has been concealed there from.

Deponent