Revocation of Letter

Date:-

To,
Axis Bank Limited,
PIS operations Team,
Mumbai.

Dear Sir / Madam,

Subject: - Revocation of Letter of Authority/Mandate/ given to M/S _________________________________________

Please be advised that, with immediate effect M/s _____________________________________ is no longer

authorized to handle any of my trade transactions on my behalf. I have revoked their authority and have
also notified the same to them. You are requested NOT to honor any transactions initiated/given by M/s
__________________________________on my behalf. Accordingly, you should immediately make a notation in
your records to reflect the fact that M/s ______________________________________________ has no more power to
execute my trades.

You are also requested not to grant access to any of details or any of my personal information to them.
Incase of any further any clarifications on this matter, please contact me on below numbers. My account
details are as below.

PIS account Number _______________________________________

Contact Number ____________________________________________

Thanking you.

(Customer’s Name & Signature)

Date:
Place: