ContactDetails:

PRECHECK

Following precheck to be done before sending the requests for modification incontact details (Trading and DP accounts) to enable us to process the requestsexpeditiouslyandtoavoidpossiblerejections.

1. Correspondenceaddressshouldbe inthenameofclientonly, if its inthename

of Spouse, relationship proof is must (for e.g. Passport, Marriage Certificate)whichshouldcontainthenameofyourspouse.

2. IftheaddressproofprovidedcontainsshortaddressoroldLandMarkwhichdoesnotexistanymore,youcanalwaysmention famousLandMarknearby (fore.g.above, next to, opposite to, behind etc) it will help us to deliver thecorrespondencetoyouontime.

3. PermanentaddressshouldnotbeginwithC/o,Hostel,Shop;Office&Itshouldbe

inthenameoftheClientonly.

4. Supportingdocuments shouldbe self attested (whetherprovided inoriginalorphotocopy)

5. Validityofsupportingdocuments.Fore.g.billshouldnotbemorethan3months

old(Frombillingdate),&Documentshavingvaliditydateshouldnotbewithin6monthsoftheexpiryDate.

6. Allholdersarerequiredtosignthemodificationrequestform.

7. SignaturesofalltheholdersshouldmatchwithSSLrecords.

8. Mobilenoshouldbein10digits,MentionSTDorISDcode(Whicheverapplicable)

whilementioningthecontactno.

9. MobileNoprovidedshouldnotberegisteredinDONOTCALLList

CORRESPONDENCE ADDRESS OF HOLDER

PERMANENT ADDRESS OF HOLDER

Existing Details

Building / Tower / Apartment / Palace / Chamber / Mansion

Street / Road / Marg / Lane / Avenue / Rasta

City / District

State / Country

Pincode (Mandatory)

New Details

Building / Tower / Apartment / Palace / Chamber / Mansion

Street / Road / Marg / Lane / Avenue / Rasta

City / District

State / Country

Pincode (Mandatory)

Existing Details

Building / Tower / Apartment / Palace / Chamber / Mansion

Street / Road / Marg / Lane / Avenue / Rasta

City / District

State / Country

Pincode (Mandatory)

New Details

Building / Tower / Apartment / Palace / Chamber / Mansion

Street / Road / Marg / Lane / Avenue / Rasta

City / District

State / Country

Pincode (Mandatory)

Existing Details

Telephone :

Mobile :

Email Id :

CONTACT DETAILS OF HOLDERNew Details

Telephone :

Mobile :

Email Id :

Note: 1. Please furnish proper proofs for change in master. 2. If changes are to be done in DP - then all holder as per DP A/c must sign the documents.

I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we undertake to inform youof any changes therein immediately in writing.

SBICAP Securities Ltd. SBICAP Securit ies Ltd. SBICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.SB ICAP Securities Ltd. SBICAP Securit ies Ltd. SBICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.SB ICAP Securities Ltd. SBICAP Securit ies Ltd. SBICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

SB ICAP Securities Ltd. SBICAP Securit ies Ltd. SBICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.SB ICAP Securities Ltd. SBICAP Securit ies Ltd. SBICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.SB ICAP Securities Ltd. SBICAP Securit ies Ltd. SBICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

SB ICAP Securities Ltd. SB ICAP Securities Ltd. SB ICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.SB ICAP Securities Ltd. SB ICAP Securities Ltd. SB ICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.SB ICAP Securities Ltd. SB ICAP Securities Ltd. SB ICAPSecurities Ltd. SBICAP Securities Ltd. SBICAP Securities Ltd.

HolderSignature

Holders Name

FH SH TH

Contact us: Toll Free: MTNL/BSNL Users: 1800-22-3345 / Private Telecom Users: 1800-209-9345 Or E-mail: helpdesk@sbicapsec.com

SEBI Regn. No: BSE CM: INB 011053031 I NSE CM: INB 231052938 & F&O: INF231052938 I DP SEBI Reg No: IN-DP-CDSL-370-2006

For Office Use Only Demat Trading

Scrutiny By Name EMP Code

Data Entered By

Verified By

Reference No.

BRANCH STAMP HO STAMP

To,

SBICAP Securities Ltd.A Wing, 2nd Floor Mafatlal Chamber,N. M. Joshi Marg, Lower Parel (East),Mumbai 400 013.

Client Name ____________________________________________________

Contact No. ____________________________________________________

Submission Date: D D M M Y Y Y Y

Re: Change in Address and Contact DetailsDear Sir/Madam,

Please make necessary change/s / addition in my / our account/s as per details given below. (Please tick appropriate option to make necessary changes)

CHANGE TO BE EFFECTED IN: Trading Account Depository Account Trading + Depository Account

Trading Code: BO ID:

Name of 1st Holder ____________________________________________________________________________________________________

Name of 2nd Holder ____________________________________________________________________________________________________

Name of 3rd Holder ____________________________________________________________________________________________________

(To be submitted in Duplicate)

D:\Murli\Address & Contact details Change Form.p 65