INFORMATION UPDATE FORM

BP/CONTRACT ACCOUNT NUMBER *

NAME OF INSTITUTION *

PROPERTY/BUILDING NAME *

BUILDING/PLOT NUMBER *

SURBUB *

CITY/TOWN *

POSTAL ADDRESS *

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POSTAL CODE *

CENTRAL EMAIL ADDRESS *

CONFIRM CENTRAL EMAIL ADDRESS *

CONTACT PERSON *

NAME *

EMAIL ADDRESS *

CONTACT DETAILS (CELLPHONE) *

ANY OTHER CHANGES *

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