Addition of Pre-Notified Accounts Form

(For Password Users)

To,

(Name of Depository Participant)

Date : _____________

Dear Sir/Madam,

I/We request you to authorize the following Pre-notified account . I/We are also enclosing a letter from the pre-notified account holders in the prescribed format.

Pre-Notified Accounts

CM BP ID
CM Name
e-DIS Flag
Opted / Not Opted*
     
     
     
     
     
     
*Please mention whichever is applicable

As per the details given below.

DP Id : ______________________________________

Client Id : ______________________________________

To be signed by the account holder(s) and SPEED-e User

 

Name

Signature

Sole/First Holder Name

 

  

Second Holder Name

 

  

Third Holder Name

 

  

 

SPEED-e User
 

Name

Signature

User Name

 

  

 

 

 

 

Acknowledgment

Date : ______________

Received an application for Addition of Pre-notified Account from _______________ having Client Id _____________.

 

(DP’s Stamp & Signature)