Jen)ct ACCO'4'I*_ T 3C6U9

DEMATERIALISATION
REQUTSI FORM CLIENT COPY
Investment our Trust, Dono

CIN U65999MH2005PLC155485 I DP Registration No.: IN-DP-314-2017

Corporate Office Marathan Futures, Unit No. 1201, B-Wing, 12th Floor, N M loshi Marg, Maftll Mill Compound, Lower Parel East, Mumbai 400013
Tel.: 91-22-42273300 / 01 I Fax: 91-22-4227 3331 I Call us: (022) 6854 5555 I Website: www.sbisecurities.in I Email: helpdesk@sbicapsec.com

Please fill all the details in BLOCK LETTERS in English (Fill up a separate DRF for Free Securities and Locked - in securities).
CDSL I t/ISDL DP ID 30C Client ID 3 3 :3 6 50
Date ORN No.

l/W request you to dematerialise the enclosed certificates registered in my/our name into mylour account. DRFNo 1449023
Details of Securities: -t' 'ee Securities Locked - in Securities
NarneottheConpany ECE JTRS L1MiTE3
ISIN N E 0 o 0 1 0i
Type of Security .€tiity [:]Debentures EBonds EEl Units ITOther (Specify)
Nurilber of 'ertificotc-s
Q3 Face Value of Securities
Quantity to be n figures

Dernaleriolised in words )IiT OML

FolioNo. Olj3O o9I5Pf3O O8I1'13O
Certificate From 2..I9O 92'3 9 O I1-13
Number To
Dislinctive From 29I-4 9bLj 3IO J22.... 5O IC3
Number To 21LjIL48% %3I9i2.€8
QuantilyT.. 68 I sf- I'I- 3'I
I if the space above is found to be insufficient, use A inexure given below)
[T1 case of locked-in Securities fill up separate DRFs for Locked-in Securities having different release dates.
Lock-in Reason

LLo-mn Release Dale

liwe hereby declared that the above mentioned securities surrendered by me/us for deinaterialisatiori and the same are free from any lien, or charge o
encumbrance and represent the bonafide securities of the issuer Company to the best of my! ourkriowledge and belief.
First / Sole Holder I Second t-lolder Third Holder
Name
j"/ <Mcr
Signature
with I
SSL
Signature
with
RTA

Firsi/So(e holder Mobile No.:% 0 l8'3 email: 'HULRVftTFfl'1'#3 • (O')

PARTICIPANTAUTHORISATION (From SSLto RTAto be filled up by SSL)
We hereby acknowledge the receipt of certificates / documents in respect of the following securities for demalerialization. The application form is verified
with the certificates surrendered for dematerialisation and we certify that the application form is in accordance with the details mentioned in the enclosed
certificates. It is also certified that the holders of the securities have beneficiary account with us in the same name(s).

Depository Participant Seal and SIgnature

Name oF the Executive Signature SBICAP Securities Limited

Instructions
1. lit case of transmission cum demat, a notarized copy of aeeth certificate of the deceased holder, copy of the order of the court etc. to be attached with the DRF.
2. ri case of the transposition cum demat. a duly executed transposition request form to be attached with DRF.
Annexure
Foliø No.
Certificate From
Number To
Distinctive From
Number To
Quantity
-- -
(If the Annexure above is insufficient. attach another annexure containing certificate details in same format)
Cen!a1 Depository Services (India) Limited
 D 1 a± /(14Ylt — ft 306 Lt

DEMATERIALISATION
REQUEST FORM
Investment our Trust, Dono
RTA COPY

CIN U65999M1-12005PLC155485 oP Re6istration No.: iN-OP-314-2017

Corporate Office : Marathan Futurox, Unit No. 1201, B.Wing, 12th Floor. N M Joshi Marg, Mafatlal Mill Compound, Lower Pacel East, Mumbai 400013
Tel.: 91-22-42273300 / 01 I Fat: 91-22-4227 3331 I Call us: (022) 6854 5555 I Website: www.sbisecurities,in I Email: helpdesk@sbicapsec.com

Please till all the details in BLOCK LETTERS in English (Fill up a separate DRF for Free Securities and Locked - in securities).
r.' CDSL I .tr'NSDL DP ID 3: M :3 0 6 '4 '4 Lr Client ID 33 E;. 0
Date 22- 2b2-V NNo.

INVe request you to dematerialise the enclosed certificates registered in my/our name into my/our account. DRFNo
1449023
Details of Securities: T' ee Securities f Locked - in Securities
Name of the Company
RLlCE IPUUSTR1 L)V1TEb
ISIN I NE: 00 2A 01 0 1
Type of Security Eiuity Debentures LIBonds flUnits Other (Specify)
Number of Certificates 03 Face Value of Securities
Cuantily to he in figures
S
Dematerialised in words 6VC'Tf C1Q-rT O"4L
FolioNo. Or3O OVN3 OFO
Certificate From 2.L13J €tO 11I3
Nutnher To
Distinctive From 24f1.,8QL I)b112-2 9O'5)O
Number To 2tc4jO6S IT3I0 t2 G15I36
Quantity
7/— 34
ii the space above is found to be insufficient. use Annexure given beow)

In case of locked-in Securities fill up separate DRFs for Locked-in Securities having different release dates.
Lock-in Reason
Lock-in Release Date

I/We hereby ioctared that the above mentioned securities surrendered by me/us for dematerialisation and the same are free from any lien, or charge of
encumbrance and represent the bonafide securities of the issuer Company to the best of my / our knowledge and belief.
First / Sole Holder Second Holder Third Holder
Name

Signature
with '-.2c-\
SSL

'-3 4)\
Sianalure
with
RTA
.
FirstiSule holder Mobile No.:BLj 3 email:
PARTICIPANT AUTHORISATION (From SSL to RTA to be filled up by SSL)
We hereby acknowledge the receipt of certificates I documents in respect.oi the following securities for dematerialization. The application form is verified
with the certificates surrendered for dematerialisation and we certify that the application form is in accordance with the details mentioned in the enclosed
certificates, It is also certified that the holders of the securities have beneficiary account with us in the same name(s).

Depository Participant Seal and Signature

Name of the Executive Signature SBICAP Securities Limited

Instructions
1. Itt case of transmission cum demat, a notarized copy of death certificate of the deceased holder, copy of the order of the court etc. to be attached with the DRF.
2. In case of the transposition cum demat, a duly executed transposition request form to be attached with DRF.
Annexure
Folio No,
Certificate From
Number To
DIstirittive Frorri
.Nuriiher To
Quantity

(If the Annexure above is insufficient, attach another annexure containing certificate details in same format)
Central Depository Services (India) Limited
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INCOME TAX DEPARTMENT GOVT. OF INDIA

Permanent Account Number Card

BUTPS8O75D

TIaine -
UDAY KANT SINGH
ti i.;Wi
JAGP

DateotBi
01/01/i 9
 MT

of In tha
Address:
Uday Kant Singh
y Sb: Ja9dev Singh, Village -
ff/DOB :01/01/1955 lr -
/ Male i5r, Dame, Posi - Darha P S. -
813212 Belhar Darha, Banka
I, Sangrampur Bihar 813212

8550 3733 9212

- 31Tr 311 C d-ft T 31f 18O 300 1547
fl8POuidLgovin
WWS.Uj4a gQ
 STATE BANK OF INDIA
SANGRAMPUR(DISTT MUNGER)
OPPOSFIE BLOCK OFFICE
STATEMENT OF ACCOUNT Al AND P0 SANGRAMPuftDIsrT MONGER 1311-tAR
Phi Code 813212
,.UDA'( KANT SINGH
Branch Code 12532
Sb- JAGDEV SINGH
Branch Email sbi.12532@Sbi.CO.jfl
AT- [)Al'HA Branch Phone 8809223373
l:)C) OAR HJ\ SAI'JGRAM1 UR
Mtiriger
Pirl Code : 81 321 2 ClFNo 85649268302
Account No 3O93598673(Sr Cttizen)
Jate of Statement I Product REGULAR SB CHQ-INDR/lDuALS
:14-07-2025
Finte of Statement 18:30:25 lFSC Code SB1N0012532
Cleared B;.ilance MICR Code :811002705
43,419.02CR
ljnc:learocj Amount Currency INR
0.00
'MDI) i3a1 Account Status OPEN
0.00
L r iii Nominee Name
0.00
Monthly Avg Balance CKYC No Not Available
0.00
Interest Rate Email : Not Available
2.50 % p.a.
Drawing Power 0.00
Accaijrit Open Date 27-10-2009
Lstatnt From 01-06-2025 To 14-07-2025

ic::;1 Dme
Value Date - Cheq Lie
Uescription Debit
No/Reference Credit Balance

ruc;i- ii FOI.tIA!At E
43. 13902cp

7l (;-202t, rNrrEREsu CR1:DFI

2025
280.00 43,619.02CR

Cl OSINC nAl.ANCF:
4341 902CR

Statement Summary 01-06-2025 To 14-07-2025

Brouit Forward Dr Count Cr Count Total Debits Total Credits Closing Balance
'13, 139 02CR C) 0.00 280.00 43,419.02CR

In Case Your Account is Opemlod Ov A L.eilor Cl AuIhorityll'owr

01 Attorney Holder Please Check r'tie Transact ion With Extra Caro
LaL trlfl5aCTiO, date and lime appearing iii this sLatemenl is 25-06-2025 & 0
8:31:65

* END OF STATFI ENT*

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State 5fl%(
BO oeogtar. J no. 1
 PASS BOOK

• II j1Jc1 • Tips for Secure Banking

• 1fr Ttf (Specia1
Characters)i - 1 Keep your password strong and complex with a combination
ofsmallandcapi ''"-
'aracters.
• 44Pi'4'ahJ, aWt, oiiw, • Do not share yo a,
Password, OTP,
anyone.
• R T qHr/rJ bo not click on Ii
m unknown
senders or on so
• Do not install an
tr.angers.
• • SMS sent by 581
t irni SBJaNK, SBIINB, SBYONO, BISBonly,
e.g., SSIBNK,SB
ATMSBI

1800 11 22 11/1800 425 3800118001234/1800111109 Call our helpline number for assistance-
1800 11 22 11/1800 425 3800/18001234/1800111109

report ar,y SiSpdu

actiVJty. kFndly emit on report.phjj5b
r9 Co in o- .B C" :- e yo r'e
"°-- t• on %'St, https:llw yine,',•
p 'c 'l.rnber 1930.

OSBI STATE SANK OF INDIA

l3ldflch: SANGRAMP'p
(Dl
OPPOSITE CLOCK OFF I CE SIT M(JNGFP I

Email :sb I 1 2 5 3 2 .; !.
. c o. In
Phe No 09223
Nalile: UDAY IFS:' SB INOOI 2532
KANT SINGII
S/U/HI0
JAGDE\f SJN(jjj
CJ.F Nijjihej-
5() 492 5 3 1
EAccount No.
A/c TVD€ 309 59S56'3
REGULAR SAVI NGS BANK ACCOUNT
Add r e s s
S/0- JAGfliv S INGil
AT- DARHA
P0- DARt-IA S ANG RA M1 (JR
Phone No.
'Eiaj I
DO.B.(if inorj
PP() Number

BRANCH MANAGER