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For Head Office Use Application No: Accepted By: Accept Date: Modified By: Modified Date: Requisition
For Head Office Use
Application No:
Accepted By:
Accept Date:
Modified By:
Modified Date:
Requisition form for Addition/ Modification of Account Details
To,
Motilal Oswal Securities Ltd,
DP ID: 12010900
2nd Floor, Palm Springs Center,
New Malad Link Road, Malad (W)
Mumbai 400 064
Date:
/ /
I/We request you to make the following Additions/ Modifications to my/our account in your records:
* Depository Account Number:
1
2
0
1
0
9
* Trading Account Number:
*Mandatory Fields
Kindly use one form per client
Request 1
Request Type:
Addition
Modification
Category:
Address Details
Bank Details
POA
Signature
Contact Number
Email ID
In case of Bank Details, please select any one:
Only Trading
Only DP
Both
Existing Details (Not required for Email ID)
New Details
Note: In case of Addition, please enter 'Nil' in "Existing Details' along with 'New Details"
Request 2
Request Type:
Addition
Modification
Category:
Address Details
Bank Details
POA
Signature
Contact Number
Email ID
In case of Bank Details, please select any one:
Only Trading
Only DP
Both
Existing Details (Not required for Email ID)
New Details
Note: In case of Addition, please enter 'Nil' in "Existing Details' along with 'New Details"
*
Applicant/ Holder
Name
Signature
First/ Sole Holder
Second Holder
Third Holder

Acknowledgement Receipt

Received Account Details Addition / Modification / Deletions request as per details given :

Application No:

Date:

dd /

mm /

yyyy

Depository Account Number: 1 2 0 1 0 9 Name of First/ Sole Holder Name
Depository Account Number:
1
2
0
1
0
9
Name of First/ Sole Holder
Name of Second Holder
Name of Third Holder

Please refer mandatory checklist/Guidelines before submitting the document to avoid any delays

Motilal Oswal Securities Ltd

(Seal and Signature)

Checklist for Addition/ Modification of Account Details

1 Table: Proofs acceptable for Validation

Required Validation

Required Validation Signature Address Details   Bank Details

Signature

Address Details

 

Bank Details

 

Any one of the following proofs will suffice

 

Proofs

 

Sign

Correspondence

Permanent

Bank Name

Bank A/C number

Bank MICR code

Address

Address

Pan Card (Photocopy)

         

Bank Verification Letter (Original)

Passport * (Photocopy)

     

Driving License * (Photocopy)

     

Voter ID (Photocopy)

 

     

Ration Card (Photocopy)

 

     

Telephone Bill # (Original)

 

     

Electricity Bill # (Original)

 

     

Leave & License Agreement * (Photocopy)

 

     

Cancelled Cheque (Original)

     

Bank Passbook (Photocopy)

 

 

Bank Statement (Original)

 

 

For example:

To change signature you can send us either Pancard or Bank verification letter or passport or driving license as proof

* The Proof should be Valid on the date of receipt of Modification Form at HO # The Proof should not be more than 2 Months old fr om the date of receipt of Modification Form at HO

2 MOSL's Account Modification Policies/ Guidelines:

a) For any account modification request, a duly filled and signed physical modification form needs to be

with valid proofs.

b) All modification requests (except for Bank Details) would be done in Back Office and DP both

c) Not more than two requests per client should be entered in one modification form.

d) All the proofs must have 'Verified with Original' stamp along with DP Seal and Signature

e) For sign.modificaiton required clients existing(Old) sign. and new sign. in new details as well as

in the Applicanats signature column.

f) In case of bank addition existing details should be kept blank in modification form

sent to Head Office along