Date

To,
Zerodha Broking Limited,
153/154, 4TH Cross, J P Nagar, 4th Phase,
Bangalore-560078
Karnataka

Dear Sir / Madam,

Re : Application No. _______________

Sub : Declaration towards address provided in the account opening form {NRI / FN}

This has reference to my / our application for opening of a demat account with you

In this connection, please find below our residential address:

______________________________________

______________________________________

______________________________________

______________________________________

Further, I/ we confirm that in case of any change in our above residential address, the same will
be brought to your notice

Thanking you,

Yours truly,

___________________ ___________________ _______________

Sole / First Holder Second Holder / Third Holder /
Authorised Signatory Authorised Signatory Authorised Signatory