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Demat Account Modification Request Form

This document is a request form for account details addition, modification, or deletion for Zerodha Broking Limited. It requires the account holder's information and specifies the type of changes needed, such as address or bank details. The form also includes sections for in-person verification and acknowledgment of the request by the company.
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0% found this document useful (0 votes)
13 views1 page

Demat Account Modification Request Form

This document is a request form for account details addition, modification, or deletion for Zerodha Broking Limited. It requires the account holder's information and specifies the type of changes needed, such as address or bank details. The form also includes sections for in-person verification and acknowledgment of the request by the company.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Account details addition/modication/deletion request form

Application number Dated


Zerodha Broking Limited

Please ll all details in BLOCK LETTERS in English


DP ID BO ID Client (Login) ID

Account holder details


First/sole holder Second holder Third holder
Name
Mother’s name
PAN

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 you to make the following additions/modications/deletions to my/our account in your records.
Details: Please specify ‘Change of Type of change: Please specify
address’, ‘Change of bank details’, Existing details New details
if addition/modication/deletion
‘Change of telephone number’, etc.

Attach an annexure (with signature(s)) if the space above is found insufcient.

First/Sole Holder
or Guardian
F (in case of Minor) S Second Holder T Third Holder

FOR OFFICE USE ONLY


In Person Verification (IPV)details:
Name of the Person who has done the IPV:___________________________________________________
Designation: ____________________________________ Employee ID: __________________________
Name of the Organization: ZERODHA BROKING LTD.

Date of the IPV: D D M M Y Y Y Y Signature of the Person who has done the IPV Seal/Stamp of the Intermediary

Acknowledgement
We have received the account modication/addition/deletion request for the account with details below on D D M M Y Y Y Y
DP ID Client ID Application no.
First/sole holder Second holder Third holder
Account holder’s name
Modication request for
Seal & signature of
authorised signatory

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