SPEED-e Application Form

(For Password Users)

 

To,

(Name of Depository Participant)

Dear Sir/Madam,

I/We wish to register for SPEED-e service as per the details given below. I/We are also enclosing a letter from the pre-notified account holders in the prescribed format. I/We request you to activate our account.

Registration Request No:  
Name  

Account Details

Client ID  
DP ID  
Sole/First Holder Name  
Second Holder Name  
Third Holder Name  

Mode of Usage

 Mobile Application*
Mobile No.  
*Please tick the Mobile Application check box for confirmation of e-DIS instructions through Mobile Application.

Pre-Notified Accounts

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

To be signed by the account holder(s).

 

Name

Signature

Sole/First Holder Name

 

  

Second Holder Name

 

  

Third Holder Name

 

  

To be signed by SPEED-e User
 

Name

Signature

User Name

 

  

(Acknowledgment)

Received an application as per the details given below:

Registration Request No:  
Name  

Account Details

Client ID  
DP ID  
Sole/First Holder Name  
Second Holder Name  
Third Holder Name  

 

(Name & Seal of the DP)