Original filename: AccountDetailsModificationDeletionForm.pdf
Author: Nikhil Aralimatti
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Account details addition/modication/deletion request form
Zerodha Securities Private Limited
Zerodha Commodities Private Limited
Please ll all details in BLOCK LETTERS in English
Account holder details
I/We request to carry out the change of address/signature in the demat account.
I/We request to carry out the change of address/signature in the KRA and demat account.
I/We request you to make the following additions/modications/deletions to my/our account in your records.
Details: Please specify ‘Change of
address’, ‘Change of bank details’,
‘Change of telephone number’, etc.
Type of change: Please specify
Attach an annexure (with signature(s)) if the space above is found insufcient.
(in case of Minor)
FOR OFFICE USE ONLY
In Person Verication (IPV) Details:
Name of the Person who has done the IPV: ___________________________________________________
Designation: ____________________________________ Employee ID: __________________________
Name of the Organization: ZERODHA
Date of the IPV:
Signature of the Person who has done the IPV
Seal/Stamp of the Intermediary
We have received the account modication/addition/deletion request for the account with details below on D D M M Y Y Y Y
Account holder’s name
Modication request for
Seal & signature of
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