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To,

Aditya Birla Money Limited


Ali Centre, 53 Greams Road
Chennai – 600006

Dear Sirs,
Sub: Updation of Financial data

Trading Account No :

Demat Account No :

Client Name : _______________________

Mother’s Name : ___________________________

Pursuant to SEBI Circular No MIRSD/SE /Cir–19/2009 dated December 03, 2009, a client is required to share his/her
financial information to the stock broker on a periodic basis.
In view of these guidelines, please find my financial detail as mentioned below:

Financial detail of the Constituent:

Income Range (in ₹ / Per Annum – Last three years): (Tick whichever range is applicable)

Below 1,00,000 1,00,000 – 5,00,000 5,00,000 – 10,00,000 10,00,000 – 25,00,000 Above 25,00,000

Networth as on ____ / _____/ ______ (DD/MM/YYYY) is ₹ _______________________

(Please furnish any one proof of financial details as indicated in the list of documents)
1. Copy of ITR Acknowledgement
2. Copy of Form 16 in case of salary income
3. Net worth Certificate
4. Salary Slip
5. Bank account statement for last 6 months
6. Copy of Demat account holding statement
7. Any other relevant documents substantiating ownership of assets
8. Self-declaration along with relevant supporting

Thanking you,

Yours faithfully,

x
______________________________
Signature

Date : ________/________/________

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