a Dwova inFoune uinarreD Clinpia INFOLINE comMoDimEs LIMITED ibe ate nda ew Wal at Thane a0 664 net Ot nade 200056 a Change of Bank details (Addition/ Change/ Removal) a {Please fil all the details in BLOCK LETTERS in English) Application No. CHANGE FORO Only Trading A/c © Only Demat Ale (1 Both (esse Tick iV) whichever applicable SEGMENT (i Cash & F&O C Currency D Commodities £1 Spot (esse Tckiv) whichever sappicable) Login ID: (For Trading AC) Date DSL Client D:12044700 - J NSDL CLIENT ID: (For Demat A/C) Account Holder's Details: Name of Fist/ Sole Holder Name of Second Holder Name of Third Holder live request you to make the following changes to my/our account in your records, Please tick (v) the details to be change: TiAddition Trading Ae Ti Change - Demat & Wading Ne Ti Removal - Tiasing Ae Note1: Addition - Bank details willbe added only in Trading and not in demat account. This bank will not be considered as default bank for funds payout purpose. Change -Will allow to change the bank in both Demat and Trading account details. Funds payout, if any, will be sent to the changed bank only. (We require the original request letter with hard copy of any of the mentioned proof documents) Removal - Vil allow removing the specific Bank Details from trading account only. Also please note that default Bank account cannot be removed untess alternative bank details are provided, Note2: Copy of cheque is required as a compulsory proof for any Change/Addition in Bank Details. Name(s) of the Account Holder(s) should be printed on the cheque copy. if name(3) of the Account Holder()isiare not printed on the Cheque copy, then they should be ‘accompanied by Client attested Bank Statement or Passbook updated til ast three months along with cancelled cheque. Copies ofall the documents submitted alongwith application should be selfattested by client. Existing Bank Details: Bank Name Bank Address Bank Account Number Bank Account ype Tr Savings Dcurent Ty Over Draft MICR Code FSC New Bank Details Bank Name Bank Address: Bulding /Tower /Apartment Street / Road / Marg/ lane ‘Area Name [city Na Bank Account Number PIN Code Bank Account Type Savings current Ti Over Draft MICR Code™ FSC *3eigit Code Number ofthe Bank and branch appearing on the Cheque issued by the Bank. For availing ECS facility MICR Code needs tobe provided. First/Sole Holder Second Holder Third Holder Name Signature [We do hereby solemnly declare that the details hereinabove subri Dy mefus is/are tue to my /our own knowledge + For DP use only + Instruction ID Release Date Maker Name Checker Name ‘Application No ‘Acknowledgment Receipt Recess Account Dstals Adition/ Moc fication Deletions request as per deta given below Date ff (SLD? Io: 12064706) NSDL DP ID: N302269, Nome of FisU Soe Holder Nome of Second Holder Nomeot Third Holder ‘oaiieation requested Tar (pec aon Depository Participant Seal and Signature