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DRF Form

1) The document is a Dematerialization Request Form used by ZEBU SHARE AND WEALTH MANAGEMENTS PRIVATE LIMITED to request dematerialization of securities certificates into electronic form. 2) It requests dematerialization of enclosed certificates and provides fields to fill in details of the securities like name of company, ISIN, type of security, quantity, certificate numbers, and lock-in details if applicable. 3) The form also requires signatures of holders to confirm the original certificates are free from any liens and represent bonafide securities of the issuer company.

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1K views1 page

DRF Form

1) The document is a Dematerialization Request Form used by ZEBU SHARE AND WEALTH MANAGEMENTS PRIVATE LIMITED to request dematerialization of securities certificates into electronic form. 2) It requests dematerialization of enclosed certificates and provides fields to fill in details of the securities like name of company, ISIN, type of security, quantity, certificate numbers, and lock-in details if applicable. 3) The form also requires signatures of holders to confirm the original certificates are free from any liens and represent bonafide securities of the issuer company.

Uploaded by

srinivasanssc
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ZEBU SHARE AND WEALTH MANAGEMENTS PRIVATE LIMITED DP ID :12080400

CIN : U67120TZ2013PTC019704
DEMATERIALISATION REQUEST FORM
P S K Booshnam Mahal, No 127, First Floor, 100 Feet Bypass Road, Velachery, Chennai-600042
044-48557991 www.zebuetrade.com assist@zebuetrade.com
Please fill all the details in BLOCK LETTERS in English (Fill up a separate DRF for free securities and Locked-in-Securities)
DRF NO. Client ID 1 2 0 8 0 4 0 0
(To be filled up by the Depository Participant) DRN
Date D D M M Y Y Y Y (To be filled up by the Depository Participant)
I/We request you to dematerialise the enclosed certificates / certificates as registered in my / our account

Details of Securities Free Securities Locked-in-Securities

Name of the Company


ISIN
Equity Debentures Bonds
Type of Securities
Units Others(Specify)

No. of Certificates

Face Value of Securities


Quantity to be ( in figures )
Dematerialised ( in words )

Folio No.
From
Certificate Nos.
To
From
Distinctive Nos.
To
Quantity

* if the space above is found to be insufficient, an Annexure containing the certificate details in the same
format may be attached.

In case of Locked - In Securities fill up a separate DRF for Locked - In Securities having different release dates

Lock in Reason

Lock in Release Date

The original certificates / original option letter / documents are hereby surrendered by me / us dematerialisation and the same are free
any lien or change or encumbrance and represent the bonafide securities of the Issuer Company of the best of my / our knowledge
and belief.

First / Sole Holder Second Sole Holder Third Sole Holder

Name

Signature with DP

Signature with RTA

Participant Authorisation (From DP to RTA)


( For Office Use Only )

We have received the above mentioned securitied bearing above ISIN for dematerialisation.
The application form is verified with certificates / original option letter / Documents surrendered for dematerialisation and we certify
that the application form is in a accordance with the details mentioned in the enclosed certificates/documents. It is also certified that
the holder (s) of securities have a beneficiary account with us in the same name(s) and order of name(s).

Name of the Executive Authorised Signatory & Seal

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