kms stock modification form MAY BUILDING

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                                   KMS STOCK BROKING CO PVT LTD
                                      Requisition form for Addition / Modification / Deletion of Client Account details
                             ( Please forward through Branch or Cluster Manager / Relationship Manager / Dealer / Sub Broker )

                                                                                     Office Use
                                                                    Signature & Name of BM or CM / RM / SB / Dealer
To,


                                                                                    (Name & Signature)
KMS STOCK BROKING CO. PVT. LTD.                                              Approved by - (KYC Department staff)
297/301, MAY BUILDING, GR FLR, PRINCESS STR
MUMBAI - 400002, TEL:22071111/22081111
                                                                                     (Name & Signature)
Sir / Madam,
                                                                                                  Date: ___/__ /______
I / We Request you to make the following Addition / Modification to my / our account in your records :
(Tick the below mentioned point as per application)

Unique Client Code
(UCC):

Client Name:
(As appear in the KYC
physical form)


Depository Account
Number:

Request 1                      Trading A/c               Demat A/c                    Both Trading & Demat A/c

Category:                      Address Modification      Cont No Modification         Email ID Modification             DP Map Modification
                                                                                                                        (appl only for Brok)

                               DP Map Add                Bank Modification            Bank Addition                     Bank Add for Trading A/c
                               (appl only for Brok)                                   (appl only for Brok)               & Bank Mod for DP A/c

                        Exisiting Details                                                      New Details
                                                                  *Mention if change in bank / DP default.




Request 2                      Trading A/c               Demat A/c                    Both Trading & Demat A/c

Category:                      Address Modification      Cont No Modification         Email ID Modification             DP Map Modification
                                                                                                                        (appl only for Brok)

                               DP Map Add                Bank Modification            Bank Addition                     Bank Add for Trading A/c
                               (appl only for Brok)                                   (appl only for Brok)               & Bank Mod for DP A/c

                        Exisiting Details                                                      New Details
                                                                  *Mention if change in bank / DP default.




       Application / Holder                                 Name                                                   Signature
         First / Sole Holder

         Second Holder

         Third Holder
                                                                                      *(Full Client Signature) should tally with KYC form