Modi

This document is an Account Details Addition/Modifications/Deletions Request Form for Kalpataru Multiplier Ltd. It allows account holders to request changes such as address or signature updates, and to specify whether they wish to opt for basic services in their Demat account. The form includes sections for account holder details, requested modifications, and an acknowledgment receipt for the request submitted.

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Modi

Uploaded by

shivam

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Download as PDF, TXT or read online on Scribd

Inward no………….........

Jh egkohjk; ue% Date……………………...

Account Details Addition/ Modifications / Deletions Request Form
To,
KALPATARU MULTIPLIER LTD. (DP Divn.) DP ID : 12031600 Trading Code…………….
Corp. Off. Hall no-2 GTB Complex Above Central Bank ,T.T. Nagar Bhopal (0755-4350141-143)

Application No. Date

Please fill all the details in BLOCK CAPITAL LETTERS in English

DP ID : 1 2 0 3 1 6 0 0 Client ID : 0 0
Account Holder's Details
Name of First/Sole Holder
Name of Second Holder
Name of Third Holder

I/We request to carry out the change of Address / Signature in the Demat Account

I/We request to carry out the change of Address / Signature in the KRA and demat account

I/We request to you to send the electronic transaction-cum-holding & ledger statement at the above Email address.

I/We wish to facility for basic services Demat Account (BSDA)

I/We do not wish to facility for basic services Demat Account (BSDA)

I/We request you to make the following additions /modifications /deletions to my/ our account in your Record.

Details Addition/ Modification/

(Please specify change
Existing Details New Details
Deletion
of address, bank detail,
(Please specify)
Telephone Number etc.

Attach an Annexure (with signature (s)) if the space above is found insufficient.
First/Sole Holder Second Holder Third Holder

Name
Signature

(Please Tear Here)

Acknowledgement Receipt
Received Account Details Addition/Modification/Deletions request as per details given below
:
Application No. Date

DP ID : 1 2 0 3 1 6 0 0 Client ID : 0 0

Name of the sole/First Holder

Name of Second Joint Holder
Name of Third Joint Holder
Modification requested for :
(Specify Reason)

for Kalpataru Multiplier Ltd.

(D P) Authorized Signatory

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Modi

Uploaded by

Modi

Uploaded by

Inward no………….........

Jh egkohjk; ue% Date……………………...

Application No. Date

Please fill all the details in BLOCK CAPITAL LETTERS in English

I/We wish to facility for basic services Demat Account (BSDA)

Details Addition/ Modification/

(Please Tear Here)

Name of the sole/First Holder

for Kalpataru Multiplier Ltd.

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