Scribd
Upload
97 views1 page

Account Modification Form

This document is a request from a client to Axis Securities Limited to update and modify various account details, including address, contact, bank, and depository participant details. The client provides both existing and proposed new details and requests changes to their permanent or correspondence address. Copies of documents verifying the new information are included with the request. The client declares the updated information is true and correct to the best of their knowledge.

Uploaded by

Jigar M. Upadhyay
Copyright
© Attribution Non-Commercial (BY-NC)
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
97 views1 page

Account Modification Form

This document is a request from a client to Axis Securities Limited to update and modify various account details, including address, contact, bank, and depository participant details. The client provides both existing and proposed new details and requests changes to their permanent or correspondence address. Copies of documents verifying the new information are included with the request. The client declares the updated information is true and correct to the best of their knowledge.

Uploaded by

Jigar M. Upadhyay
Copyright
© Attribution Non-Commercial (BY-NC)
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
You are on page 1/ 1

DATE ____ / ____ / 20____

AXISDIRECT ACCOUNT NO. :


CLIENT NAME:

..........................................................................................................................................................................................................................................

To,
AXIS Securities Limited
Unit No. 2, Phoenix Market City, 15, LBS Road, Near Kamani Junction, Kurla (west), Mumbai-400070
Dear Sir,
I/We request you to update the following details in your records for the above mentioned Client code
Address Details

Contact Details

Bank Details

DP Details

Income in Lac__________

ADDRESS MODIFICATION DETAILS

Modification requested in

Permanent or

Correspondence Address

Existing Details
Address ........................................................................................................................................

New Details
.....................................................................................................

........................................................................................................................................

.....................................................................................................

........................................................................................................................................

.....................................................................................................

City

...............................................................................Pin code...........................................

.....................................................................................................

State

.........................................................................................................................................

.....................................................................................................

Document:

Passport

Driving License

Voter Id

Bank Passbook

Ration Card

Telephone Bill

Electricity Bill

Rent Agreement

CONTACT DETAILS
Tel. No

Existing Details
....................................................................................................................................

New Details
....................................................................................................

Mobile No

..........................................................................Pin code............................................

...................................................................................................

Email ID

...................................................................................................................................

....................................................................................................

ADDITIONAL/ MODIFICATION OF BANK DETAILS

A/C No

Existing Details
.....................................................................................................................................

New Details
...................................................................................................

A/C Type

....................................................................................................................................

..................................................................................................

Bank Name .....................................................................................................................................

..................................................................................................

Branch

............................................................................Pin code..........................................

...................................................................................................

MICR

...................................................................................................................................

...................................................................................................

....................................................................................................

..................................................................................................

...........................................................................................................................

...................................................................................................

IFSC Code (RTGS / NEFT) :


Branch Code :

ADDITIONAL/ MODIFICATION OF DP DETAILS


Existing Details

..............................................................................................................................

New Details
...................................................................................................

Second Holder .............................................................................................................................

....................................................................................................

Third Holder

..............................................................................................................................

...................................................................................................

DP ID

............................................................................Pin code.....................................

....................................................................................................

Client ID

..............................................................................................................................

....................................................................................................

First Holder

Document:

Copy of Holding statement

Client Master.& Duly executed Power of Attorney for Demat account

I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/We undertake to inform you of any changes therein immediately in writing.
Note: Addition or Change in Demat /SB account will be charged at Rs 100 + applicable service tax per request.

Place

DATE ____ / ____ / 20____

Signature (Client)

Copies of the documents may be obtained after due verification and certification by the client with the originals thereof
SEBI Reg. No.- NSE-INB/INF/INE 231481632, BSE- INB 011481638,MCX SX-INB/INF/INE 261481635, ARN No. 64610, CDSL-IN-DP-CDSL-693-2013. Main/Dealing off.- Unit No. 2, Phoenix Market City, 15, LBS Road, Near Kamani Junction, Kurla (west),
Mumbai-400070, Tel No. 18001030808/022-61480808, Reg. off. address-Axis House, 8th Floor, Wadia International centre, Pandurang Budhkar Marg, Worli, Mumbai-400 025.

You might also like