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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 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 Signature Address Details Bank Details


Any one of the following proofs will suffice
Correspondence Permanent
Proofs Sign 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 from 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 sent to Head Office along
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.

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