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PSU eC st ae Bo Ce) Ei eleaife) RTT ae eee a PI: wapL[|_]necorze —__[neorssi Janis | [wanoers | |moooanr | nsoaae Phaeton ae Troma rz nt: | neta Dama Aca [etre Veber dont court ase fekthe ype of eco Name of the 1st Demat account Holdor: Name ofthe 2nd Dermat account Holder: Name ofthe Sa Demat account Holder: ‘Select the relevant boxes ey lease suppl | _ookis) of depostory nstructons sips as par the deals seBed alow. lWe agree thatthe Instuctons book wl be dispatched by Courier / Post, Hand Datverad at my/our own sk and consequences. We Sra tld te bank labs inary manner whatsoever n respect ct Suen dspateh on instruction Dook to me asorees recorded in my/our Demat Account We confi me ongial e1ssue request nas Deen mlspioed st. ‘Type of Booklet: (ese ick ne eo Acco) Dalvery instruction Bookst Pay-Out instructions ( seneren nsucons Note: As pet SEBI circular once new DIS is issued to client Paynietstre [sai nieaston sce [testator ace te eps Boke © at- Poa a0 bane nsmctons issued on o after October 01,2014 then ol DIS can be accepted by the DP fil one month ‘rom the date of issuance of new DIS. Furthor, upon rocopt of inetrction by vcing tho now DIS from clint, tho old DIS (esuod prior Getober Of, 2044) will becom invalid, even if he petod of one month rom the issue of new DIS as not elapsed. iE Request you 1 stop mark the delvery insituction sips as per reason mention below = (Pease lek tne aporopriate reason) [| soak ost [| siptost Closure ot Account (ther Reason (ary) Sip Numbers) SrNo, Instruction Type Slip Series, From w 2 nS Please. issue me/us loose sin for (Type cf instuction) for executing myfour Demet transactions since (Reason of Locse Sip Issuance. | We anes thatthe instruction sip willbe colecteé across ‘he counte at my/our rskand consequences. [We stall nothold HDFC Bank abe in any manner whatsoever in respect of Bank processing te loose sl issue. ‘Name of the tet Demat aocount Holder ‘Name ofthe 2nd Demat account Holdor ‘Name oe 3rd Demat account Holt ‘Atestaton by DPBank ola at customer nas signee my presence (Mandatory for cose sip ssuance) Employee Code / Name. (Forloose sip issuance in presence of bark oficial) melo ]>|™y™)¥]y]y]y FoR OFRCE USE ONLY Antestton by OF / Bank oma Banc ne caster LTT iT Titi ty Employee Name. — Employee Code. ae Lstofdocuments admissible as Proot of Identity: PAN cad wt photograph. Urigueldentficatentiumber (UID) (hahaat) Passport VoterID card Driving icense ‘dent card/docament with applicant's Photo, issu by any ofthefolowing Cenia’Stae Government and its Departments, Stetiiory/ Regulatory Authotes, Public Sacior Undrtaings, Scheduled Commercial Banks, Pubic Fnarcilinstivtons, Colles ait Uriversies Professional Bods suclas (CAL, WAL CSI Bar Counce. tote Members, and Cietitcads‘DebitcardsissuedbyBanks. Instructions: 1, Fareissueandstoplrstuctonsraqest:kind cach test ransaco staksrent along wih D proof ony. 2, Fortessueand sto instructions requests submitdby representative thin person fen tach thoy ltercfoustomer on pingaparculysignedty allots 2. Faroe siplssuancs alain hav parsanalyvsthe branch,