Account Details Addition / Modification / Deletion Request From Depository Participant Name / Address

Application No. : Date : D D M M Y Y Y Y
Application No. : Date : D D M M Y Y Y Y
Please fill all the details in Block Letters in English
DP ID Client ID
Account Holder’s Details
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
I/We request you to make the following addition / modifications / deletions to my/our account in your records.
Details (Pl. specify change of
address, bank details, telephone
number, e-mail etc.)
Addition / Modification / Deletion
( Please specify)
Existing Details New Details
Attach an Annexure (with signature(s)) if the space above is found insufficient.
DP ID Client ID
Name(s) of the
holder(s)
Signature(s) of
the holder(s)
First / Sole Holder Second Holder Third Holder
Account Holder’s Details
Name of the First / Sole Holder
Name of the Second Holder
Name of the Third Holder
Reason for Closure
Received Account Details / Modification / Deletions Request as per details given below :
Acknowledgement Receipt
Name and Signature of the Branch official
For DPCPC Use
Appproved for modification
Name and Signature of the Authorised Signatory
State Bank of India
DP Centralised Processing Cell, CMC House, C-18, Bandra-Kurla Complex, Bandra (East), Mumbai 400 051.
• Help Desk: 1800 22 0488 (Toll free for MTNL/BSNL users) / Ph.: 022-26592123 • Fax : 022-26592127 • Email : querydp [at] sbi [dot] co [dot] in
INDOC No.
DP ID No. : 13019300
Sebi Regn. No.: IN-DP-CDSL-80-2000