SOVEREIGN GOLD BOND CUSTOMER REQUEST FORMAT

From, To,
Name………………………………….. The Branch Manager
Address……………………………….. Canara Bank
………….……………………………… Branch :……………………………….

Dear Sir/Madam,

Sub:: Request for SGB Demat Conversion

Investor ID : ………………………………………………………….
SGB Certificate No1: ………………………………………………....
SGB Certificate No2: ………………………………………………....
……………………………………………………………………………

With reference to the captioned subject, I hereby request you to update the DEMAT details for
conversion of above mentioned physical Sovereign Gold Bond to DEMAT form, the demat
details are given below

DP ID
CLIENT ID

Place :
Date : ___/____/________ Signature of the SGB Holder/s

-----------------------***---------------------
FOR OFFICE USE

DP ID
CLIENT ID

We have verified the details provided by the customer and please update the same.

Place :
Date : ___/____/________ Signature of the Branch Head with Seal