APPLICATION FOR CHANGE IN CLIENT DETAILS CLIENT I 9 ne Manager Karur Vysya Bank Lid Demat Cell, First Floor 37 Whites Road, Chennai 600 014 Ph : 28518265 69 REQNO. ‘Sub: - Change of Address / Bank De tals | Nominee Adsress / PANN. ‘CHANGE OF ADDRESS. ‘OLD CORRES | PERMANENT ADDRESS NEW CORRES / PERMANENT ADDRESS PIN CODE, CT TT 1 PIN CODE, I I Tel No. Tal No. E-Mail adress E-Mail adaress ‘CHANGE OF BANK DETAILS [CHANGE IN NOMINEE ADDRESS SBI CURRENT ‘ACCOUNT NO NAME OF THE BANK BRANCH "ADDRESS PIN CODE PINCODE [TEL No. MIGRNO E-Malladaress Enclose a copy ofthe Cheque Leaf We hereby authorise (Name, sign to convey the information to THE KARUR VYSYA BANK LTD. SIGNATURE OF 1°" HOLOER SIGNATURE OF 2 HOLDER SIGNATURE OF 3°° HOLDER "ACCEPTED BY (EARANCH STAN) FOR OFFICE USE ONLY REQOREATED EY, AUTORISED BY PLEASE ENCLOSE PROPER PROOF, LATEST TRANSACTION STATEMENT AND PROOF OF IDENTITY FOR NECESSARY UPDATION ( PLEASE SEE eee eee ‘OVERLEAF FOR DETAILS} erences IK "ACKNOWLEDGEMENT SLIP. (CHANGE OF ADDRESS! BANK DETAILS / NONINEE ADDRESS / PAN NO. ‘CLIENTID DP.ID 1N303382 DATE RANCH SEALFOR CHANGE IN ADDRESS FOLLOWING ARE THE GUIDELINES Please note that NSDL vide Circular dated 7® Sop 2004 ( Cirouar No. NSDLI2004.2622) has laid dw the following guidelines: A) written application for change of adress from the cent in case of joint Holdings, all holders must sign the application) 8) PROOF OF IDENTITY ( Copy of any one ofthe fllowing documents) 4. Passport 2. VolerD Card 3. Driving License 4 Pan Card wih photograph 5. enti Card! document wih applicants photo issued by (@) Central /State government and its deparments (b) Statutory Regulatory Authorities (6). Public Sector Undertakings (q) Scheduled Commercial Banks {0}, Public fnancal Institutions Colleges Affliate to Universes (his canbe treated as vad only tl the te applicants a student) (g)_ Professional Boces such as ICAI, ICWAI, Bar Counc to their members (h) Credit Cards! Debit Cards issued by Banks (wth photo) (©) LATEST TRANSACTION STATEMENT OF THE ACCOUNT RECEIVED FROM THE PARTICIPANT: 1D) PROOF OF NEW ADDRESS (Copy of anyone ofthe following documents along with the orginal documents of the new address) Ration Card Passport Voler ID Card Driving Lieanse Bank Pass Book Veritiad copes of 4) Electciy Bills (Not more than 2 months ol) ) Residence Telephone Bils (Not more than 2 months old 1. Self -Declaration by HIGH cout & Supreme Court judges giving the new address in respect of hair own accounts 8. Identity Card/ Document with address, issued by 2) Contal/ State govermont and ts departments b) Statutory! Regulatory Authorities ©} Public Secor Undertakings 4) Scheduled Commercial Banks ©) Public Facial Insttutons 4) Collages Afiited to Universities (this can be eated as valid only til the time the applicantisa student) 9) Professional Bodies such as ICA, ICIWA, Bar Council to their members. )_ The dion should personaly visi the ofc ofthe Partipant were the lent maintains and operates bishher account and submit the application for change of address. Howaver, in case the cient exoresses inabity personally vst the offceof the participant, the aplication fr change of address along wit other documents canbe submited traugh an authorised representative, whose idetty the partcpant must very F)_FOR CHANGE IN BANK DETAILS FOLLOWING ARE THE GUIDELINES: 41) Requester signed by all the holders 2} Bank Pass Book / Bank attestation’ Bank cheque copy for MICR, (ECS) Mandate G)_FOR CHANGE IN NOMINATION ANNEXURE JA TO BE SUBMITTED (Note: Nomination witout NRN No, (Nomination Registration No) i INVALID.