Change Details Form - gulshan polyols limited

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FORM OF REQUEST FOR CHANGE OF ADDRESS / BANK DETAILS UPDATE

Request Form

I request you to effect change of my address in your records as follows :


Folio No(s)*

DP ID / Client ID*

My old address as per Company’s records


Name*:


Address*:


PIN Code*:


State*:

My New current address


Name*:


Address*:


PIN Code*:


State*:

I am enclosing the following documents towards proof of my identification and current address:

Upload PAN*:

(with signature appearing thereon)



Upload New Address Proof:

(Aadhar / Voter ID Card/ Passport / Driving License)


Upload Cancelled cheque / Copy of Passbook:

Upload ISR-1 Form:

(Note : PAN and Cancelled Cheque/ Copy of Passbook is mandatory)

I am also providing below my current bank particulars for your records (required only if bank particulars were not furnished to the Company earlier or if there is any change):

Name as per Bank Records*

Name of the Bank*

Address of the Bank*

Bank Account Number*

IFSC Code*

Mobile No*

Email ID*

Date*

 
 

Note : 1. Change of Address will be effected only on receipt of this Form, duly completed, alongwith all requisite documents as mentioned above. Incomplete Form / Form with insufficient documents will not be acted upon and the same will be returned.