Filled — address: the sanction letter's own words (PNB_HFL's rule); payer from the case's name; loan Rs.21,63,000 as the case holds it; office the office the team picked for PIN 410209 (3 of 4 challans, the last on 27 Sep) — this way was right on 2 of 7 of RAIGAD's challans; 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.