MOTILAL OSWAL SECURITIES LIMITED

DP OF Central Depository Services (I) Ltd.

2ND FLOOR, PALM SPRING CENTRE,NEXT TO D-MART SHOPP.CENTRE,LINK
ROAD,MALAD (WEST),
MUMBAI,MAHARASHTRA-400064
Phone-022-30801000 Fax-022-28449002
Email-neeraj.agarwal@motilaloswal.com,grievances@motilaloswal.com
Sex M DP Int Ref No 70091374
A/c Status Active
A/c Opening Dt 04-JUL-2014

DP Id 12010900

Client Id 05408836

BO Status Individual

BO Sub Status

Nationality INDIA

Stmt Cycle

SMS Register YES

SMS Mobile No 9886693866

UID

BSDA Flag

RGESS Flag

Pledge SI Flag

No

Individual- Resident Negative Nomination

End of Month

No

Occupation

OTHERS

No

A/c Category Regular BO

Freeze Status

Registered for Easi

Closure Init By

A/c Closure Dt

Registered for Easiest

RBI Ref No

RBI Approval Dt

Email D/L Flag

Annual Report Flag

Yes

Physical

First Holder Name

MR SHRISH MADHUKAR KULKARNI .

First Holder PAN

AHSPK0410B

Date of Birth

Second Holder Name

GEETA KULKARNI .

Second Holder PAN ASAPK8718K

Date of Birth

Third Holder PAN

Date of Birth

Third Holder Name

Correspondence NO 172 VRINDAVAN 10 TH CR
IDEAL HOME 1ST STG
Address

RAJARAJESHWARI NAGAR
BANGALORE, 560098, KARNATAKA INDIA

Permanent
Address

9886693866 / /

Phone / Fax 9886693866 / /

Email

SHRISH.KULKARNI@GMAIL.COM

Email

ICICI BANK LIMITED - RAJARAJESHWARI NAGAR BRANCH, BANGALORE

NO 483, MAIN ROAD
RAJARAJESHWARI NAGAR
BANGALORE 560098, KARNATAKA INDIA

Nominee Details (Name and Address)

02-JAN-1971

NO 172 VRINDAVAN 10 TH CR
IDEAL HOME 1ST STG
RAJARAJESHWARI NAGAR
BANGALORE, 560098, KARNATAKA INDIA

Phone /Fax

Bank
Name

Purchase Waiver

SHRISH.KULKARNI@GMAIL.COM

Bank A/C Type

Bank A/C No
MICR Code
IFSC Code
ECS Flag

Savings Bank Account

007801022766
560229038
ICIC0000938
Yes

Nominee's Guardian Details

POA Details
POA Master Id

POA Name

POA Reference

Holder(1st\2nd\3rd)

2201090000000404

MOTILAL OSWAL SECURITIES LTD . MOSL

70091374

First Holder

2201090000000404

MOTILAL OSWAL SECURITIES LTD . MOSL

70091374

Second Holder

29-Oct-2014-05:06:45PM/DPADM/WSDEF1