National Securities Depository Limited

Trade World, A Wing,4th Floor, Kamala Mills Compound

Senapati Bapat Marg, Lower Parel (W)

Mumbai - 400 013.

Tel No. (022) 2497 2964 -70 Fax No. 2497 2993

NSDL website: http://www.nsdl.co.in

SPEED-e website: https://eservices.nsdl.com

Email:speede@nsdl.co.in

Internet-based Demat Account Statement (IDEAS)

APPLICATION FORM

(For Depository Participants) Date: ________

We hereby request you to register us for IDEAS service as per the details given below:

Depository Participant (DP) Name

 

DP ID

 

SEBI registration no.

 

Address

 
 
 

City :

Pin:

           

Telephone No.

 

Fax No.

 

DETAILS OF AUTHORISED SIGNATORY NOMINATED FOR IDEAS:

Name of authorised signatory

 

Designation

 

Signature

 

Email address

 

 

Please find enclosed a cheque/demand draft (payable at Mumbai) No.__________ for Rs.______________ in favour of "National Securities Depository Limited" towards IDEAS subscription fee.

The terms and conditions (mentioned overleaf) pertaining to IDEAS 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 details given above are true and correct in every respect.

Date: ___/___/_____

DD/MM/YYYY

 

Signature: ________________________

( to be signed by senior management official)

 

Name:____________________________

Place: _____________________

 

Seal/ Stamp of the organisation