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Modification Form

This document is a form for requesting changes to trading and depository accounts. It allows the client to specify the nature of changes such as address, bank details, contact details or signature. The client provides their old and new information such as addresses, bank details, contact details. They must submit identity proofs and additional documents depending on the type of change requested, such as bank statements for bank detail changes or holding statements for depository account changes. Signatures of all account holders are required at the bottom.
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0% found this document useful (0 votes)
33 views

Modification Form

This document is a form for requesting changes to trading and depository accounts. It allows the client to specify the nature of changes such as address, bank details, contact details or signature. The client provides their old and new information such as addresses, bank details, contact details. They must submit identity proofs and additional documents depending on the type of change requested, such as bank statements for bank detail changes or holding statements for depository account changes. Signatures of all account holders are required at the bottom.
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
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Changes to be effected in:

Trading A/c Only

Depository A/c Only

Trading A/c + Depository A/c

Nature Of Changes:
Change of Address Bank Details DP Details Contact Details
Phone No.
E-mail ID.
Signature Change Change of Address in KRA Change of Signature in KRA Change of Name
Trading Code: _____________________

DP BO ID: 12030000-___________________.

Old Address Details:_____________________________


_______________________________________________
_______________________________________________
_______________________________________________
__________________ City:__________ PIN:__________

New Address
Details:________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
__________________________ City:__________ PIN:__________

Documents Required: Passport Voters ID card Driving License Ration Card Rent Agreement
Telephone Bill/ Electricity Bill (not older than 2 months)
Bank Statement / Passbook (not older than 2 months)
Aadhar Card
ID Proof Submitted: PAN Card
Passport
Voters ID Card
Driving License
Aadhar Card
Old Bank Details:
Bank Name:
Address:
Account No.
IFSC Code:

Type:
MICR:

New Bank Details:


Bank Name:
Address:
Account No.
IFSC Code:

Type:
MICR:

Documents Submitted:Cancel Cheque Bank Statement Bank Passbook


ID Proof Submitted:
Pan Card
Passport
Voters ID card
Driving License

Aadhar Card

Additional Depository Details (For Trading Only):


Old Details:
DP ID_________________ Client Id_____________________

New Details
DP ID_________________

DP Name:_____________________________________

DP Name:_____________________________________

DP ID_________________

DP ID_________________

Client Id_____________________

Client Id_____________________

Client Id_____________________

DP Name:____________________________________

DP Name:____________________________________

DP ID_________________

DP ID_________________

Client Id_____________________

DP Name:___________________________________________

Client Id_____________________

DP Name:___________________________________________

Documents Submitted: DP Client Master Statement of Transaction (not older than 3 months) Statement of Holding
ID Proof Submitted:
Pan Card
Passport
Voters ID card
Driving License
Aadhar Card
Contact Details: (OLD)
Land Line:
Mobile:
Email Id: 1)
Email Id :2)

Fax:

Contact Details: (NEW)


Land Line:
Mobile:
Email Id: 1)
Email Id:2)

Fax:

Signatures:
Signature(s)
Name Of the Account Holder (s)
First Holder
Second Holder
Third Holder
Note: 1.All Documents Should be self Attested. 2. All Documents should be verified against original.
3 In Case of Non-Individual use separate PCR for Trading A/c & Depository A/c.

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