DECLARATION FOR COMMON MOBILE NUMBER AND EMAIL ID

FOR DEMAT & TRADING ACCOUNTS

Paragon Center, C-06, Ground floor, P B Marg, Worli, Mumbai-400013; Tel: 91 22 66175454/66299299; Fax: 91 22 66175434, E-mail:dp@emkayglobal.com, Website:www.emkayglobal.com

Date :_______________________

To,
Emkay Global Financial Services Ltd
Mumbai

Subject : Common Mobile number / Email ID For Demat and Trading accounts

Dear Sir,

I, Mr/Mrs_________________________________ would like to confirm that the Mobile number/E-mail ID _______________________________

_______________________________________ is registered in my name. I am enclosing self attested copy of latest paid bill for your information

and record. I am your registered client having trading code as ___________________ and demat account number ________________________.

Upon understanding from you that my mobile number/email id is registered with some of the clients who have trading and/or demat accounts with
you, I have to state that this is in my full knowledge and I have consented to the below clients who is / are my relative/s to state my mobile
number/email id in their KYCs to which I have no objection. All the transactions in their accounts are not only done as per their respective
instructions but they are well conveyed by me of all the SMS/Email belonging to them which are sent by you to me on my above mobile
number/email id.

All these below clients also do not have any objection to the same, in consent they have also signed:

Sr.No. Client Name Trading Code Demat A/c. Relation Signature

9
10

However, in case of any further regulatory requirements, I undertake to abide upon hearing from you.

Thanking You.

Name : ________________________________________

Address : ________________________________________

________________________________________

________________________________________

Signature : ___________________________________