Requisition for Delivery Instruction Booklet

Date :
To,
The Manager
DP Department
Edelweiss Broking Limited
MUMBAI-400098.
Corporate Identity Number: U65100GJ2008PLC077462

DP ID : IN303719 / IN302201

Sub: Kindly issue a New Delivery Instruction Slip booklet for

Demat Account no: ________________________

Kindly issue a new Delivery Instruction Slip booklet for my above mentioned Demat Account.

The Slip Booklet issued to me earlier has either, not been received / has been misplaced. Hence am
requesting you to send me another Delivery Instruction Slip booklet on basis of this letter.

I/We also understand that the unused Delivery Instruction Slips of the earlier DIS Book issued to me/us,
which is misplaced, will stand cancelled in your system and no further instruction slips will be issued
even if the earlier issued DIS Book is found.

You are requested to hand over the new Delivery Instruction Slips booklet to me (Sole Holder) /
____________ , who is one of the joint holders of the aforesaid account.
Kindly find enclosed herewith copy of my / _________________’s proof of identity.

Tick appropriate Box

 New booklet will be collected in person.

 Please send New booklet by Post / Courier

 *Please deliver New booklet to bearer whose signature is attested below.

*(In case booklet collected through bearer, his/her identity proof is required)
Bearer Name. _____________________ Bearer Signature __________________

Thanks & Regards,

Name of the holder

Signature of the holder

Note : OLD Dis request letter is not valid for issuing new DIS Book.
Sep - 15
Edelweiss Broking Limited
Registered Office: Unit No. 801-804, Eighth Floor, Abhishree Avenue, Nehru Nagar, Ambawadi, Ahmedabad - 380 015
Board Line No: 079-40019900 & 079-66629900 Fax No: 079-40019999
Corporate Office: Edelweiss House, Off C.S.T. Road, Kalina, Mumbai – 400098. Tel+91 22 4009 4400 www.edelcap.com
Helpline No. 18001023335.