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    Keshavnand Bharti Vs State of Kerela

    Uploaded by

    Keshav Aggarwal
    1. This is a Dematerialization Request Form for The South Indian Bank Ltd to dematerialize security certificates into a demat account. 2. It requests dematerialization of enclosed certificates registered in the name of the account holder. The form requires details like DP ID, Client ID, name of security holders, company name, ISIN, quantity, and certificate numbers. 3. The form certifies that the original certificates are free from any encumbrances and represent the bonafide securities of the company. It needs to be signed by the security holders and authorized by the Depository Participant.

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    © All Rights Reserved
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    Keshavnand Bharti Vs State of Kerela

    Uploaded by

    Keshav Aggarwal
    32 views2 pages
    1. This is a Dematerialization Request Form for The South Indian Bank Ltd to dematerialize security certificates into a demat account. 2. It requests dematerialization of enclosed certificates registered in the name of the account holder. The form requires details like DP ID, Client ID, name of security holders, company name, ISIN, quantity, and certificate numbers. 3. The form certifies that the original certificates are free from any encumbrances and represent the bonafide securities of the company. It needs to be signed by the security holders and authorized by the Depository Participant.

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    Keshavnand Bharti vs State of Kerela

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    1. This is a Dematerialization Request Form for The South Indian Bank Ltd to dematerialize security certificates into a demat account. 2. It requests dematerialization of enclosed certificates registered in the name of the account holder. The form requires details like DP ID, Client ID, name of security holders, company name, ISIN, quantity, and certificate numbers. 3. The form certifies that the original certificates are free from any encumbrances and represent the bonafide securities of the company. It needs to be signed by the security holders and authorized by the Depository Participant.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views2 pages

    Keshavnand Bharti Vs State of Kerela

    Uploaded by

    Keshav Aggarwal
    1. This is a Dematerialization Request Form for The South Indian Bank Ltd to dematerialize security certificates into a demat account. 2. It requests dematerialization of enclosed certificates registered in the name of the account holder. The form requires details like DP ID, Client ID, name of security holders, company name, ISIN, quantity, and certificate numbers. 3. The form certifies that the original certificates are free from any encumbrances and represent the bonafide securities of the company. It needs to be signed by the security holders and authorized by the Depository Participant.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    DEMAT CENTRE, 2nd Floor, Shanu Tower, No.

    IV/461A,
    North Kalamassery, Ernakulam-683104, Ph: 0484-2933561,
    E-mail: [email protected] Website: www.southindianbank.com

    Dematerialisation Request Form


    Normal Dematerialization Transmission-cum- Dematerialization
    Transposition-cum-Dematerialization

    THE SOUTH INDIAN BANK LTD - 13027900


    (To be filled up by the Depository Participant)

    DRN Date D D M M Y Y Y Y
    DRF No. Date D D M M Y Y Y Y

    (To be filled by the BO. Please fill all the details in BLOCK LETTERS in English. Fill up a separate DRF for Free
    securities and Locked – in securities. In case of locked - in securities fill up a separate DRF for different lock-in reason
    / lock-in expiry dates.)

    I / We request you to dematerialise the enclosed security certificate(s) registered in my / our name into my
    / our demat account.

    DP ID 1 3 0 2 7 9 0 0 Client ID
    Name of First Holder
    Name of Second Holder
    Name of Third Holder
    Name of the Company
    ISIN I N
    Quantity to be Dematerialized (In Figures)
    (In Words)
    Number Of Certificates (in words)
    Nature of Securities Free Securities Lock-in Securities
    Lock-in reason
    Lock in Expiry Date D D M M Y Y Y Y

    Details of Securities:
    Type of Security Equity Debentures Bonds Units
    Other (Specify)
    Face Value of Securities
    From To From To From To
    Folio No.
    Certificate Numbers
    Distinctive Numbers
    Quantity

    Attach an annexure (duly signed by account holder(s)) in the above format if the space is not sufficient.

    The original certificates / documents are hereby surrendered by me / us for dematerialisation and the same are free
    from any lien or charge or 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 DP
    X
    Signature with RTA
    X

    Participant Authorization (From DP to RTA)

    We have received the above-mentioned securities bearing ISIN__________________ for Dematerialisation. The
    Application form is verified with the Certificates / Documents surrendered for dematerialisation and we certify that the
    application form is in accordance with the details mentioned in the enclosed certificates / documents. It is also
    certified that the Holder(s) of securities have a beneficiary account with us in the same name(s) and order of name(s)
    Acknowledgement Receipt (DP to BO)
    DRF
    No. CDSL DRN Date
    We hereby acknowledge the receipt of certificates/original option letter, in respect of the following securities for dematerialisation subject to
    verification.
    Account No. Sole/First Holder Name
    Name of the Company
    Type of security ○ Equity ○ Debentures ○ Bonds ○ Units ○ Other (Specify)
    ISIN
    No. of securities No. of certificates
    Original option letter Date Unique option No.

    The South Indian Bank


    Depository Participant

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