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Finvasia Securities Pvt. LTD.: SEBI REGN. NO.: IN-DP-317-2017 - DP ID 12084300

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D ACCOUNT DETAILS ADDITION / MODIFICATION / DELETION REQUEST FORM

FINVASIA SECURITIES PVT. LTD.


SEBI REGN. NO. : IN-DP-317-2017 • DP ID 12084300
Corporate Office: Finvasia Centre D-179, Phase - 8B (Sector74) Mohali 160055, Punjab (India)
Phone: 0172-6670000, Fax: 0172-6670070, E-Mail:cdsldp@finvasia.in
Registered Office: # 1108, Sector- 21 B, Chandigarh -160022 (India)

Application No. Date D D M M Y Y Y Y

Please fill all the details in Block Letters in English.


DP ID 1 2 0 8 4 3 0 0 Client ID

Account Holder's Details


Name of Sole/First Holder
Name of Second Holder
Name of Third 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.
I/We request you to make the following additions / modification / deletions to my/our account in your records.
I/We request you to add my/our DDPI account in your records.

DETAILS (Pl. specify change Addition / Modification Existing Details New Details
of address, bank details, Deletion (Pl. Specify)
telephone number etc.)

Attach an Annexure (with signature(s)) if the space above is found insufficient.

First/Sole Holder Second Holder Third Holder

Name

Signature

Depository Participant Seal and Signature


(1)
Demat Debit and Pledge Instruction (“DDPI”)

TO ALL TO WHOM THESE PRESENTS SHALL COME I/We (name of the BO), residing at
India, Indian inhabitant/Non-resident/Corp
SEND GREETINGS. Whereas I/ we hold beneficial owner account number DP ID 12084300 Client Id
with Central Depository Services (India) Limited, through Finvasia Securities Pvt Ltd registered with Securities and
Exchange Board of India (SEBI) and Trading Code with Finvasia Securities Pvt Ltd, Trading
member of Bombay Stock Exchange Ltd. And National Stock Exchange of India Ltd having its registered address # 1108
Sector 21 B, Chandigarh -160022. India.
And Whereas I/ we am/ are desirous to buy and sell securities through Finvasia Securities Pvt Ltd who is a stock broker
registered with SEBI and member of recognized stock exchange/s.
And Whereas I/ we am/ are desirous of appointing Finvasia Securities Pvt Ltd as my/our constituted attorney to operate my/
our beneficial owner account on my/ our behalf for a limited purpose in the manner hereinafter appearing and subject to
conditions as provided herein. (REF: SEBI Circular: SEBI/HO/MIRSD/DoP/P/CIR/2022/44 dated April 04, 2022, as may be updated
from time to time)
Now know you all and these presents witness that I/ we do hereby nominate, constitute and appoint Finvasia Securities Pvt Ltd
(hereinafter referred to as “the stock broker”) as my true and lawful attorney and authorize it to perform the following functions
on my behalf:

Sr. No. Purpose Signature Of Client

First Holder Second Holder Third Holder

1. Transfer of securities held in the


beneficial owner accounts of the
client towards Stock Exchange
related deliveries / settlement
obligations arising out of trades
executed by clients on the Stock
Exchange through the stock broker.

2. Pledging / re-pledging of securities in


favour of trading member (TM) /
clearing member (CM) for the
purpose of meeting margin
requirements of the clients in
connection with the trades executed
by the clients on the Stock Exchange
3. Mutual Fund transactions being
executed on Stock Exchange order
entry platforms

4. Tendering shares in open offers


through Stock Exchange platforms

(2)
Deamt Accounts for Settlement / Margin Pledge of Finvasia Securities Pvt Ltd:

Account Holder Name Demat Account No CM ID DP Name Account Type


Finvasia Securities Pvt Ltd 1208430000000085 4043 Finvasia Securities Pvt Ltd BSE Principle account
Finvasia Securities Pvt Ltd 1208430000000070 M51912 Finvasia Securities Pvt Ltd NSE Pay-In Account
Finvasia Securities Pvt Ltd 1100001100020191 M51912 NSCCL Early Pay-In Ac NSE
Finvasia Securities Pvt Ltd 1100001000024014 4043 ICCL Early Pay-In Ac BSE
Finvasia Securities Pvt Ltd 1208430000167234 M51912 Finvasia Securities Pvt Ltd TM/CM CMPA AC(F&O)
Finvasia Securities Pvt Ltd 1208430000416025 Finvasia Securities Pvt Ltd TM-Client Securities
8550/5513 Margin Pledge
5 Account(MCX)

I/We ratify the instructions given by the aforesaid stock broker to the depository participant named here in above in the manner
specified herein.
I/We further agree and confirm that the powers and authorities conferred by this DDPI shall continue until it is revoked
(without notice) in writing by me and that the said revocation shall be effective from the date on which the revocation notice is
received by the stock broker in his office at Finvasia Centre, D179, Phase 8B, Sector 74, Mohali, Punjab: 160055 (India).

SIGNED AND DELIVERED by the within named Beneficial Owner

First/Sole Holder Second Joint Holder Third Joint Holder


Name
Specimen
Signature
If HUF, Co-Parceners Signature :
1)

2)

3)

For FINVASIA SECURITIES PVT. LTD.


I Accept
Authorised Signatory

FINVASIA SECURITIES PVT LTD


Finvasia Centre D-179, Phase 8B, Sector-74
Mohali, Punjab:160055 (India)

(3)

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