SPEED-e Application Form
For Smart Card Users – Corporates / Clearing Members)
To, Date:
DP Name : _________________________
DP Id : _________________________
We wish to register for SPEED-e service and intend to operate our demat accounts using a smart card as per the details given below:
(allotted by Registrar of Companies
in case of a company)
Bank Name : _____________________________________
Branch : _____________________________________
Account No. : _____________________________________
Type of Account : _____________________________________
: _____________________________________
: _____________________________________
: City _____________ PIN ________________
: Designation ___________________________
: Address _______________________________
: _____________________________________ : _____________________________________
: City _____________ PIN ________________
: Tel No. _______________________________
: Fax No. ______________________________
: Email ________________________________
(Enclose one sheet as per format for each director)
No. of smart cards required : ___________
Smart Card No. 1
Tick 4 any one of the following:
o Full smart card kit required
o Only smart card required
To be filled by Client |
To be filled by DP |
To be filled by NSDL |
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Sr. No. |
Client Id |
CM-BP-Id (if Clearing Member) |
User Id |
Registration Request No. |
Token Id |
Smart Card Serial No. |
Certificate Serial No. |
1 |
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2 |
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3 |
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4 |
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5 |
Smart Card No. 2
Tick 4 any one of the following:
o Full smart card kit required
o Only smart card required
To be filled by Client |
To be filled by DP |
To be filled by NSDL |
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Sr. No. |
Client Id |
CM-BP-Id (if Clearing Member) |
User Id |
Registration Request No. |
Token Id |
Smart Card Serial No. |
Certificate Serial No. |
1 |
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2 |
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3 |
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4 |
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5 |
Smart Card No. 3
Tick 4 any one of the following:
o Full smart card kit required
o Only smart card required
To be filled by Client |
To be filled by DP |
To be filled by NSDL |
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Sr. No. |
Client Id |
CM-BP-Id (if Clearing Member) |
User Id |
Registration Request No. |
Token Id |
Smart Card Serial No. |
Certificate Serial No. |
1 |
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2 |
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3 |
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4 |
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5 |
Declaration
The rules and regulations pertaining to SPEED-e service which are in force have been read and understood by us and we agree to abide by and to be bound by the same. We declare that the account details given above indeed belong to us.
Sr. No. |
Name of Authorised Signatory |
Signature |
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For office use (DP) – Not to be filled up by Applicant
The application form is verified with the details of the beneficial owner’s account and certify that the same is in order.
Name of Authorised Signatory : __________________________
Signature : __________________________
(DP’s stamp & Date)
For office use (NSDL)
Maker : ______________ Sign. & Date : _____________
Checker : ______________ Sign. & Date : _____________
Instructions:
In case you need more smart cards or want to attach more accounts to a specific smart card, please fill-up details in a separate sheet and attach to this form.
Enclose the following :
a copy of the Memorandum of Association and Articles of Association.
enclose a board resolution for authorised signatories for SPEED-e facility
the details of directors as per prescribed format
Strike off whichever is not applicable.
______________________________________________________________________________________
Acknowledgment
Date : _____________
Received an application for subscribing to SPEED-e from _________________________ having Client Id _________
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(DP’s Stamp & Signature)