Filled — address written from the technical report (ICICI_HFC's rule); payer from the case's name; loan Rs.23,22,129 as the case holds it; office named on this case's own challan; 1 change from the main paper, each with its reason (in blue). The co-pilot types exactly what this page shows. Every box came from the papers (the source is under it); change one only when the paper says otherwise — your words are kept, recorded with your name, typed as written, and still read against the papers.