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  • Demat Request Form

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    Hemanth Aremanda
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    This document is a Dematerialization Request Form (DRF) submitted to State Bank of India to dematerialize securities. It includes details of the account holder such as account number and DP ID. The applicant requests dematerializing various securities like equity shares, debentures, bonds, and units held in physical form and provides certificate numbers, distinctive numbers, quantity and face value. The applicant signs to confirm the original certificates are surrendered and free of any encumbrances. SBI verifies and certifies the details match and the holder has a beneficiary account before processing the request.

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    Dematerialisation Request Form

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    This document is a Dematerialization Request Form (DRF) submitted to State Bank of India to dematerialize securities. It includes details of the account holder such as account number and DP ID. The applicant requests dematerializing various securities like equity shares, debentures, bonds, and units held in physical form and provides certificate numbers, distinctive numbers, quantity and face value. The applicant signs to confirm the original certificates are surrendered and free of any encumbrances. SBI verifies and certifies the details match and the holder has a beneficiary account before processing the request.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    362 views1 page

    Demat Request Form

    Uploaded by

    Hemanth Aremanda
    This document is a Dematerialization Request Form (DRF) submitted to State Bank of India to dematerialize securities. It includes details of the account holder such as account number and DP ID. The applicant requests dematerializing various securities like equity shares, debentures, bonds, and units held in physical form and provides certificate numbers, distinctive numbers, quantity and face value. The applicant signs to confirm the original certificates are surrendered and free of any encumbrances. SBI verifies and certifies the details match and the holder has a beneficiary account before processing the request.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    INDOC No.

    State Bank of India

    DP ID No. : 13019300 SebI Regn. No.: IN-DP-CDSL-80-2000

    DP Centralised Processing Cell, CMC House, C-18, Bandra-Kurla Complex, Bandra (East), Mumbai 400 051.
    Help Desk: 1800 22 0488 (Toll free for MTNL/BSNL users) / Ph.: 022-26592123 Fax : 022-26592127 Email : querydp@sbi.co.in

    DEMATERIALISATION REQUEST FORM (CDSL)


    Please fill all the details in Block Letters in English (FILL UP ISIN WISE SEPARATE DRF FOR FREE SECURITIES AND LOCKED-IN SECURITIES)

    Account No.
    D D

    3
    Y

    0
    Y

    1
    Y

    0 DRN (to be filled by DP) Application Slip/Ref. No. /DRF No.

    Date
    M M Y

    I/We request you to dematerialise the enclosed certificates registered in my/our name into my / our demat account.

    Details of Securities Name of the Company ISIN Type of Security Folio No. I N

    Free Securities

    Locked-in-Securities

    Equity Certificate No. From To

    Debentures

    Bonds Distinctive No.

    Units

    Other (Specify) Quantity

    From

    To

    Total Number of Certificates (In words) Quantity to be Dematerialised (In Figures) (In words) Face Value of Securities Rs.

    (If the space above is found to be insufficient, an annexure containing the certificate details duly signed in the same format may be attached.) In case of Locked-in Securities fill up a separate DRF for Locked - in Securities having different release dates. Lock-in Reason Lock-in Release Date 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 bona fide securities of the Issuer Company to the best of my / our knowledge and belief. Names Signature with DP Signature with RTA/Issuer/Co. First / Sole Holder Second Holder Third Holder

    We have received the above mentioned securities bearing ISIN No.___________________ 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 name (s) and order of name(s). Signature verified

    Participant Authorisation (From DP to RTA)


    Acknowledgement (DP TO BO)

    Name & Signature of Authorised Bank Official

    State Bank of India

    DP ID No. : 13019300 SebI Regn. No.: IN-DP-CDSL-80-2000

    Application No. CDSL We hereby acknowledge the receipt of the following securities for dematerialisation subject to verification : Account No. 1 3 0 1 9 3 0 0 Sole / First Holder Name Name of the Company Type of the Security ISIN Branch Stamp & Signature

    DP Centralised Processing Cell, CMC House, C-18, Bandra-Kurla Complex, Bandra (East), Mumbai 400 051. Help Desk: 1800 22 0488 (Toll free for MTNL/BSNL users) / Ph.: 022-26592123 Fax : 022-26592127 Email : querydp@sbi.co.in

    Equity Debentures No. of Securities

    Bonds

    Units Other Specify) No. of Certificates

    Branch Name: Branch Code:

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