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Client Name :

Login ID:

Date:

To,
IIFL Securities Limited,
IIFL House, Sun Infotech Park, Road No. 16V,
Plot No. B-23, MIDC, Thane Industrial Area,
Wagle Estate, Thane - 400 604

Dear Sir/Madam,

Sub: Authorization letter to send password via email on exceptional basis

I would like to inform you that (Please tick any of the below options) :

a) I do not possess a mobile phone.


b) I am currently not available in India.
c) I am NRI client.
d) I have more than one/my family member(s) account with you.
e) (any other reason).

Hence I hereby authorize IIFL Securities to send the password on my email ID registered in your records.
As soon as I receive the password, I shall login and change it for security.

I hereby undertake and confirm that the password received by me on basis of this authorization letter
for sending password via email on exceptional basis will be kept confidential by me and I will be solely
responsible for the security of the same. Further, I agree and undertake to indemnify IIFL and its group
companies, that they will not be held liable/responsible for any losses, claims, damages, cost and
liabilities etc. caused to me due to misuse of this information or pursuant to any litigations, non-litigation
cases, complaints, actions, etc. that may arise in future on account of my above authorization request.

Please provide below any 4 details ;-

1. Client Name :-
2. Date of Birth :-
3. Pan number :-
4. Address :-
5. Email address (Mandatory) :-
6. Demat Account Number
7. Bank Account Details :-

Yours faithfully,

Signature:

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