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CHECK LIST FOR Change in Authorise Person Reg.

Address FAN Code : Tel No: FAN Name : RM Name: Location Date of Receipt Zone

Sr.No 1

Type of Organization Individual/ Sole Proprietor

Checklist

No.of Sets 1 Set 1 Set 2 Sets 2 Sets 1 Set 1 Set 1 Set 2 Sets 2 Sets 2 Sets 2 Sets 1 Set 1 Set 1 Set 2 Sets 2 Sets 2 Sets 2 Sets 2 Sets 1 Set

Letter from AP requesting member for change in Address- BSE


(Signed by Individual/Proprietor with rubber stamp)

Letter require from Authorised person on the letterhead of AP NSE


(Signed by Individual/Proprietor with rubber stamp) New address proof 3 sets C.A. certified Pan card C.A Certified Photocopy of BSE Certificate

Partnership

Letter from AP requesting member for change in Address- BSE


(Signed by Partners with rubber stamp)

Letter require from Authorised person on the letterhead of AP NSE


(Signed by Partners with rubber stamp) New address proof 3 sets C.A. certified Firm Pan card C.A Certified Supplementary Partnership deed with new address changes C.A Certified. Registration of Firm Certificate C.A.Certified Photocopy of BSE Certificate 3 Corporate

Letter from AP requesting member for change in Address- BSE


Form BNSE & BSE (Signed by Directors with rubber stamp)

Letter require from Authorised person on the letterhead of AP NSE


(Signed by Directors with rubber stamp) New address proof 3 sets C.A. certified Company Pan card C.A Certified MOA/ AOA with Registration of certificate & trading clause C.A Certified Form 18 with ROC Receipt C.A Certified Board Resolution for address change Photocopy of BSE Certificate

Note: 1) In addition to CA Certification of above address proof need to be duly verified with original document and duly attested by receiving officer of India Infoline Ltd along with the name and employee code. 2) Above mention documents should be send to FAN department at Thane. 3) New address proof 3 sets C.A. certified : One of the following (Not more than one month old) Telephone bill (Landline MTNL/BSNL) Electricity bill Ration Card / Passport / Driving License in case of Individual Bank Statement/ Bank Passbook with transaction statement with Original Bank seal and sign.

(On the letter head of Authorised Person) Date: To India Infoline Ltd IIFL House, Sun Infotech Park, Road No.16V, Plot No.B-23, MIDC, Thane Industrial Area, Wagle Estate, Thane- 400 604. Dear Sir/Madam, I/We hereby request you to make following changes in authorised person. Details of Authorised Person are as follows: Name of the Trade Name of the Segment (Cash/ Authorised Person Authorised Person Derivative)

AP Registration number

AP Registration Date

Following changes to be made: AP Name and / AP Trade Name, Address, Partners/ Directors (mention details of changes to be made)

We request you to make an application for aforesaid changes to the Exchange.

Date: ______________ Place: ______________ Authorised Signatory of Authorised Person # should be signed by a Proprietor/Partner/Director/ Authorised Signatory of Authorised Person.

On the letterhead of Authorised person.

Date :Authorised person name: To, India Infoline Ltd IIFL House, Sun Infotech Park, Road No.16V, Plot No.B-23, MIDC, Thane Industrial Area, Sub.:Ref. :Dear Sirs, I am the registered Authorised Person with your company with Registration No.. _______________________As my subject line indicates, I want to change my correspondence address previously provided by me to you. I am attaching herewith my new correspondence address proof duly certified by C.A._______________________( C.A.)with membership no.____________ Details of my change in address are as under; Old Address New Address Change of Address for Registration No.

You are requested to make the necessary changes in the original certificate which has been enclosed herewith. Please do the needful and oblige. Thanking you, Yours faithfully,

Encl. : As Above.

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