5
E
@ Sharekhan
BR lent Name
Sharethan Uinted
Lodha Tink Teco Cay Beta Bing OF NLR, Contact No.
Opp Karurarg Ral Slaton, Karma (2), Mrbal- 400082 Trading Cote
Tel: 022-611511 1 Fax 022-6748189 ema at
k@share
(051 0P -12036000 80
NSDL DP 1.300513 Clnt 1
Sub.: Application for Change in Clent Master (To be Filed in CAPITAL ketters only)
Dear Sir,
Please make necessary change/add in my / our cent account as per details given below, (PLEASE TICK APPROPRIATE OPTION TO MAKE NECESSARY CHANGES)
‘CHANGE TO BE EFFECTED IN:] Trading Account [] Depository Account [_] Trading + Depository Account C_]
Tame of 1st Holder _
Name of 2nd Holder.
Name of 3rd Holder.
Date
INew Address. [dls Address
Candimark landmark
city PIN" kcty PIN"
state state
el. No. Fax No Te. No Fax No
‘CHANGE OF CORRESPONDENCE ADDRESS AND TELEPHONE NUMBER (Proof Required)
INew Address. fois Address
Candmark landmark
city pe TTT TT deity pn TT TTT 4
state state
el No, Fax No Tel. No Fax No
a ‘st Holder 2nd Holder 3rd HoWer
Iwemper HEEL DebbE LTT fest | deb TT EE Wifele le LY Pll TELL |
Mert an hereby Gelare tate Noble No Debngs to | hereby decare tat he Wie No befongsto | Thereby deh athe Noble Wo aangs to
(set FSpouse [1 My Children [Lisett L1Spouse My Cnidren Lisett 1Spouse [My Cniren
(Cosy ares iy Parents City parents
{Consent for SMS Nert Facity|C¥e:_CoNo _|(Consent for SMS Alert Faciy)(Nes [No _| (Consent or SMS Alert Facy) Yes (No
erat
TRereydechre Wal he Ema belongs Thereby declare ate Emal Dbeongs to | Thevey dere at te Ena Oblong o
femal | LIsett CSpouseL My Children [Lise CispouseLImy Cridren Lise Cspousel_My ciiren
Declaration] =) My Parents my Parents 1M Parents
BANK DETAILS (Proof required) _ Update Bank in Mutual Fund] Update the Given Bank A/C as Default / Future Transaction [—]
[Bank Name
Bank Alc No. Type of Ne
ICR No, IFSC Code
lBranch Address,
DP Details (Proof to be submitted for same) Default Option]
unkoP DEL LL LLL | Pnamel | tL PLP EE PL euenrioL | Pt
Update PAN Details tst oie | J J 1 LL 1 1 1 | | pod tiovett {PPP ett Pit peed | Pitti iiil)
‘SMS Facility tstHoled | LP dP PP ppd fend | PP pore otter! | PP
Signature
maser 2, Plate adie ste in dphale or acknowledgment 3. Fdagesare lobe de nDP-ben al
strlyincudes spouse, dependence and dependent paren’ nl Kin tek eleva option)
Please frish proper sparing oral x changein
alder as pr DP Ac rast signe documents 5. "Fay
For Ofc Use Onl
Sera Erp Code
Data Entered By
Verified By
Feference Wa
+ For any assistance, plas fa ret coract your branch Mo all Cstome Service on 1-80-22-7500/ 30307600 (Local Call charges} or ite to myaccount@sharebhan can,
+ ConlaneeOficar = Nant Gebel - Ena conplanceshareéan am Coriac No, 022-61150000
+ For Conplsets ena at ge@shatecan com