Combined Account Modification Form

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GEPL CAPITAL PVT. LTD.

CDSL
Your Depository

Depository Participant ID 12012600


Central Depository Services (India) Limited
D-20/21, Dhanraj Mahal, C.S.M. Marg, Colaba, Mumbai - 400 001.
Tel.: 66182400 Fax: 2204 3452 Web: www.geplcapital.com
Email: cdsl@geplcapital.com; customercare @geplcapital .com

ACCOUNT DETAILS ADDITION / DELETION / MODIFICATION FORM


Application No.

Date

(To be filled by the BO. Please fill all the details in Block Letters in English)
Account Holders Details
DP ID

Client ID

Name of the First/Sole Holder


Name of the Second Holder
Name of the Third Holder

I/ We request to carry out the change of address/ signature in the demat account.
I/ We request to carry out the change of address/ signature in the KRA and demat account.
Dear Sir / Madam,
I/We the Sole Holder / Joint Holders / Guardian (in case of Minor) / Clearing Member request you to make the following additions / deletions
/ modifications to my/our account with you from the date of this application. The details of my/our account are given below.

Details (Pl.specify
change of address, bank
details, telephone number,
email, phone no etc.)

Addition /
Deletion /
Modification
(Please specify)

Existing Details

New Details

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


First/Sole Holder

Second Holder

Third Holder

Name

Signature

TRADING ACCOUNT ADDITION / DELETION / MODIFICATION FOR GEPL CAPITAL PVT LTD /
GEPL COMMODITIES PVT LTD
Equity Client Code:

Commodity Client Code:

Dear Sir / Madam,


I Mr. /Mrs. / Ms. ______________________________________________________________ hold a trading Account with GEPL Capital Pvt. Ltd. /
GEPL Commodity Pvt Ltd. I need to make Additions / Deletions / Modifications to my Trading account with you as per the details mentioned above.
(Please attach proof for Addition / Modification / Deletion)
Signature: _____________________________
(Please tear here) .

Application No:

Acknowledgement Receipt

Date:

We hereby acknowledge the receipt of your instruction for Addition / Modification / Deletion of the following Account subject to verification:DP ID

Equity
Trading ID

DP Client ID

Commodity
Trading ID

Name of the First/Sole Holder


Name of the Second Holder
Name of the Third Holder

For GEPL CAPITAL Pvt. Ltd.


(Authorised Signatory)

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