Account Details Addition / Modification / Deletion Request Form

Date
D D M M Y Y

Unicon Securities Private Limited/Commodities Private Limited

69, 2nd Floor, Regal Building
Connaught Place,
New Delhi-110001

Please fill all the details in Block Letters in English

Client ID

Account Holder’s Details

Name of Account
Holder
Please write in Block
Letters

I/We request you to make the following additions / modifications / deletions to my/our account in your records.

Details (Pl. specify change of Addition/

address, bank details, Modification/
Existing Details New Details
telephone number, Email id, Deletion
DP etc.) (Please specify)

Attach an Annexure (with signature(s)) if the space above is found insufficient.

Account Holder
Name(In Block Letters)

Signature

Unicon Investment Solutions.

Instructions to Account Holder(s)

• This form can be used for both Equity and Commodity Segment.
• Please submit copies of proof of new address in case of address modification with supporting documents.
• In case of Bank Details Modification/Change, please provide preprinted personalized Cancelled cheque and Bank Statement
with Bank’s seal.
• In case of addition of new Demat A/C please submit a copy of client master/DP Holding or DP Transaction Statement.

Please call us on our Customer Care no 0120-4515555 or mail us at helpdesk@uniconindia.in for any assistance.