Sushil Financial Services Pvt.Ltd.
12, Homji Street, Mumbai – 400 001, India Tel.: +91-22-40778000 Fax: +91-22-40778006 E-mail: dp@sushilfinance.com
compliance@sushilfinance.com
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Depository Participant – ID 028900
Accounts Details Addition / Modifications / Deletions
Request Form for Demat & Trading A/c.
DP SEBI Reg. No. IN- DP-CDSL- 194-2002
Please fill all the details in BLOCK LETTER in English 02
Appl. No. Date
DP ID Client ID
Account Holder’s Details Client Code :
Name of First A/c Holder
Name of the Second A/c Holder
Name of the Third A/c Holder
I/We request to carry out the change of address / signature in the demat account
I/We request to carry out the change of address / signature in the KRA and demat account
{ A } I/ We request you to make the following additions / modifications / deletions to my / our account in your records
Details (Pls. specify change Pls. Specify Existing Details New Details
in Address, Email id, Mobile) (Addition/Deletion/
Modification)
{ B } Demat Details / Bank Details
A/c Type Client ID / Bank A/C No DP ID / MICR & IFSC Code
Default Saving/Current Bank Account No. MICR IFSC
Optional CDSL/ NSDL
DP / Bank Name DP / Bank
Address
Attach an Annexure (With Signature) if the space above is found insufficient.
First / Sole Holder Second Holder Third Holder
Name
Signature
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Note: For Modification of part {A} you need to attach KRA modification page along with 2 sets of proofs with IPV stamp
For Modification of part {B} no need to attach KRA modification page if KRA is already submitted
