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    DRF No: Rta

    Uploaded by

    Anupama Balaji
    This document is a Dematerialization Request Form (DRF) used to request dematerialization of securities from physical to electronic form. The client provides details of the securities to be dematerialized such as company name, ISIN, type of security, certificate numbers, quantity and acknowledges that the securities are free from any encumbrances. The participant (SBICAP Securities Ltd) verifies and authorizes the request, certifying that the client has a beneficiary account with them. Instructions are provided for transmissions or transpositions along with the request.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DRF No: Rta

    Uploaded by

    Anupama Balaji
    177 views3 pages
    This document is a Dematerialization Request Form (DRF) used to request dematerialization of securities from physical to electronic form. The client provides details of the securities to be dematerialized such as company name, ISIN, type of security, certificate numbers, quantity and acknowledges that the securities are free from any encumbrances. The participant (SBICAP Securities Ltd) verifies and authorizes the request, certifying that the client has a beneficiary account with them. Instructions are provided for transmissions or transpositions along with the request.

    Original Description:

    wert

    Original Title

    955028

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    © © All Rights Reserved

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    This document is a Dematerialization Request Form (DRF) used to request dematerialization of securities from physical to electronic form. The client provides details of the securities to be dematerialized such as company name, ISIN, type of security, certificate numbers, quantity and acknowledges that the securities are free from any encumbrances. The participant (SBICAP Securities Ltd) verifies and authorizes the request, certifying that the client has a beneficiary account with them. Instructions are provided for transmissions or transpositions along with the request.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    177 views3 pages

    DRF No: Rta

    Uploaded by

    Anupama Balaji
    This document is a Dematerialization Request Form (DRF) used to request dematerialization of securities from physical to electronic form. The client provides details of the securities to be dematerialized such as company name, ISIN, type of security, certificate numbers, quantity and acknowledges that the securities are free from any encumbrances. The participant (SBICAP Securities Ltd) verifies and authorizes the request, certifying that the client has a beneficiary account with them. Instructions are provided for transmissions or transpositions along with the request.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    DEMATERIALISATION

    REQUEST FORM RTA COPY

    CIN : U65999MH2005PLC155485 I CDSL: SEBI REGN. No.: IN-DP-CDSL-370-2006 & DP ID: 12047200 I NSDL: SEBI REGN. No.: IN-DP-NSDL-369-2014 & DP ID: IN306114
    Corporate Office : Marathon Futurex, 12th Floor, A & B Wing, N. M. Joshi Marg, Lower Parel (E), Mumbai - 400013 ? Tel: 91-22-42273300 / 01 I Fax: 91-22-4227 3331
    Toll Free: MTNL/BSNL Users: 1800-22-3345 I Private Telecom Users: 1800-209-9345 I Website: www.sbismart.com 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 □ NSDL DP ID Client ID

    Date DRN No.


    (To be filled up by SSL)
    I/We request you to dematerialise the enclosed certificates registered in my/our name into my/our account. DRF No. 955028
    Details of Securities : Free Securities Locked - in Securities
    Name of the Company
    ISIN I N
    Type of Security Equity Debentures Bonds Units Other (Specify)
    Number of Certificates Face Value of Securities
    Quantity to be in figures
    Dematerialised in words
    Folio No.
    Certificate From
    Number To
    Distinctive From
    Number To
    Quantity
    ( if the space above is found to be insufficient, use Annexure given below)
    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 declared 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
    SSL
    Signature
    with
    RTA
    PARTICIPANT AUTHORISATION (From SSL to RTA to be filled up by SSL)
    We hereby acknowledge the receipt of certificates / documents in respect of 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. In 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
    Distinctive From
    Number To
    Quantity

    ( If the Annexure above is insufficient, attach another annexure containing certificate details in same format)
    Central Depository Services (India) Limited
    DEMATERIALISATION
    REQUEST FORM SSL COPY

    CIN : U65999MH2005PLC155485 I CDSL: SEBI REGN. No.: IN-DP-CDSL-370-2006 & DP ID: 12047200 I NSDL: SEBI REGN. No.: IN-DP-NSDL-369-2014 & DP ID: IN306114
    Corporate Office : Marathon Futurex, 12th Floor, A & B Wing, N. M. Joshi Marg, Lower Parel (E), Mumbai - 400013 ? Tel: 91-22-42273300 / 01 I Fax: 91-22-4227 3331
    Toll Free: MTNL/BSNL Users: 1800-22-3345 I Private Telecom Users: 1800-209-9345 I Website: www.sbismart.com 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 □ NSDL DP ID Client ID

    Date DRN No.


    (To be filled up by SSL)
    I/We request you to dematerialise the enclosed certificates registered in my/our name into my/our account. DRF No. 955028
    Details of Securities : Free Securities Locked - in Securities
    Name of the Company
    ISIN I N
    Type of Security Equity Debentures Bonds Units Other (Specify)
    Number of Certificates Face Value of Securities
    Quantity to be in figures
    Dematerialised in words
    Folio No.
    Certificate From
    Number To
    Distinctive From
    Number To
    Quantity
    ( if the space above is found to be insufficient, use Annexure given below)
    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 declared 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
    SSL
    Signature
    with
    RTA
    PARTICIPANT AUTHORISATION (From SSL to RTA to be filled up by SSL)
    We hereby acknowledge the receipt of certificates / documents in respect of 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. In 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
    Distinctive From
    Number To
    Quantity

    ( If the Annexure above is insufficient, attach another annexure containing certificate details in same format)
    Central Depository Services (India) Limited
    DEMATERIALISATION
    REQUEST FORM CLIENT COPY

    CIN : U65999MH2005PLC155485 I CDSL: SEBI REGN. No.: IN-DP-CDSL-370-2006 & DP ID: 12047200 I NSDL: SEBI REGN. No.: IN-DP-NSDL-369-2014 & DP ID: IN306114
    Corporate Office : Marathon Futurex, 12th Floor, A & B Wing, N. M. Joshi Marg, Lower Parel (E), Mumbai - 400013 ? Tel: 91-22-42273300 / 01 I Fax: 91-22-4227 3331
    Toll Free: MTNL/BSNL Users: 1800-22-3345 I Private Telecom Users: 1800-209-9345 I Website: www.sbismart.com 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 □ NSDL DP ID Client ID

    Date DRN No.


    (To be filled up by SSL)
    I/We request you to dematerialise the enclosed certificates registered in my/our name into my/our account. DRF No.
    Details of Securities : Free Securities Locked - in Securities
    Name of the Company
    ISIN I N
    Type of Security Equity Debentures Bonds Units Other (Specify)
    Number of Certificates Face Value of Securities
    Quantity to be in figures
    Dematerialised in words
    Folio No.
    Certificate From
    Number To
    Distinctive From
    Number To
    Quantity
    ( if the space above is found to be insufficient, use Annexure given below)
    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 declared 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
    SSL
    Signature
    with
    RTA
    PARTICIPANT AUTHORISATION (From SSL to RTA to be filled up by SSL)
    We hereby acknowledge the receipt of certificates / documents in respect of 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. In 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
    Distinctive From
    Number 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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