Golden Forests India Ltd — claim form not fill

Address:Surat, Gujarat, 395004

Dear sir/madan
I am dipositer of golden forest india ltd & golden projects ltd when i fill the form online red high light in email & mobil no because ajent provided his email address & mobil no i contect ajent he forget email address @ his mobil no change what i do?
My allotement letter no. 98/96393
I diposite rs 5000
Date 22/01/1998 i have all documents
Account no gal96393
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    A 20, Vashi Plaza, Sector 17, Vashi, Navi Mumbai, Maharashtra, India - 400703
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