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Name

PAN

Registered Mobile Number

Registered Email
DEMAT Debit And Pledge Instruction Annexure “A”

KNOW ALL MEN/ WOMEN/ CHILD BY THESE PRESENTS THAT I/WE Mr. / Mrs. / M/s
(First Holder) _________________________________________
(Second Holder) ______________________________________________
(Third Holder) _________________________________________

Bearing client ID 12089400/IN304502 ____________________an Individual/ a sole proprietary concern/ a partnership firm /a
body Corporate/trust, registered/incorporated, under the provisions of the Indian Partnership Act, 1932/the companies Act
1956 or any relevant Act, having his/her/its residence/registered office/place of business at,
(hereinafter referred to as “ Beneficial Owner “) wish to avail / have availed the broking/ E-broking facilities and other services
offered(hereinafter referred to as “ Services”), by FYERS Securities Pvt. Ltd. (hereinafter referred to as ”FYERS Securities Pvt.
Ltd. ”) a company incorporated under the companies Act 1956 and having its Corporate office at “Brigade Magnum, # 901 & 902,
9th Floor, A-Wing, Kodigehalli Gate, International Airport Road NH 44, Amrutahalli, Hebbal, Bengaluru, Karnataka 560092”

“Whereas FYERS Securities Pvt Ltd. is a Member (Trading Member) of The National Stock Exchange of India Limited
(NSE),Bombay Stock Exchange limited (BSE) Respectively(hereinafter referred to as “the Exchange”) and is also a “Depository
Participant” registered with Central Depository Services (India) Ltd (CDSL) and National Securities Depository Limited (NSDL)
and registered with SEBI.

Fyers Securities Pvt Ltd. has furnished the particulars of various beneficial owners account in the scheduled attached hereto
where the securities will be moved and further the client has agreed that Fyers Securities Pvt Ltd. is entitled to modify the said
particulars from time to time after informing the client about the same.

Particulars DP ID Client ID Particulars DP ID Client ID

CDSL NSE POOL A/C 12089400 00000091 CDSL NSE EARLY PAY-IN A/C 11000011 00020231

CDSL BSE Pool A/C 12089400 00139413 CDSL BSE EARLY PAY-IN A/C 11000011 00202126

CDSL POOL NSE_SLBM 12089400 00283181 NSDL POOL A/C IN304502 10000070

CDSL NSE_SLB EARLY PAY 11000023 00001279 NSDL MARGIN PLEDGE A/C IN304502 10000088
IN
CDSL MARGIN PLEDGE A/C 12089400 00283158

Annexure A

Sr.No. Purpose Signature of Client


1. Transfer of securities held in the beneficial owner accounts of the client towards Stock
Exchange related deliveries / settlement obligations arising out of trades executed by
clients on the Stock Exchange through the same stock broker

2. Pledging / re-pledging of securities in favor of trading member (TM) /clearing member


(CM) for the purpose of meeting margin requirements of the clients in connection with the
trades executed by the clients on the Stock Exchange.

3. Mutual Fund transactions being executed on Stock Exchange order entry platforms

4. Tendering shares in open offers through Stock Exchange platforms

*the same may be signed physically against each purpose of DDPI. The same may also be e-signed. In case of e-sign, client
shall be given an option for choosing the specific purpose(s) of DDPI.

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