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MANDATE FORM FOR DIRECT CREDIT OF SUB-BROKERAGE

(PLEASE ENSURE THAT ALL THE PARTICULARS ARE FILLED)


Associate Code No.:_____________
Name of the Associate:__________________________________________________________________________
Address:______________________________________________________________________________________
_______________________________________________________________________Pin____________________
City:__________________________________________________________________________________________
Details of your bank account
Bank Name:___________________________________________________________________________________
Branch:_______________________________________________________________________________________
City:__________________________________________________________________________________________
Savings Bank / Current A/C No.____________________________________________________________________
IFSC Code.____________________________________________________________________________________
MICR Code No.

* Please enclose a cancelled cheque leaf along with the form.


I hereby opt for ECS facility for receipt of brokerage into the above mentioned account.

Signature of the Associate / Authorised Signatory

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