Freeze / Unfreeze Request Form (CDSL)

ACCOUNT DETAILS
Please fill all the details in Block Letters in English
Ref No.
Freeze
BO Account BO ISIN Freeze ID (system generated, to enter DP of BO Account is frozen)
Unfreeze
Date
D D M M Y Y Y Y
Acknowledgement Receipt
Details of Securities (To be entered for BO - ISIN freeze)
Sr. No. ISIN ISIN Name Quantity For Partial Freeze Freeze ID (To be entered by DP)
Attach an annexure duly signed by the account holder(s), if the space above is insufficient.
Frozen For Debit Credit Both Freeze Activation Date* D D M M Y Y Y Y
Activation Type Current Future Freeze Expiry Date D D M M Y Y Y Y
Reason For Freeze
Freeze Initiated by
Freeze Remarks
* To be entered for future dated freeze.
I/We declare that the particulars given by me / us above are true to the best of my/ our knowledge.
Signature of the account holder(s)
Name
Signature
First / Sole Holder Second Holder Third Holder
Signature verified
Name & Signature of Authorised Bank Official
Signature verified
Name & Signature of Authorised Bank Official
$ (Please Tear Here) $
Name
First / Sole Holder Second Holder Third Holder
DP ID 1 3 0 1 9 3 0 0 BO ID
DP ID 1 3 0 1 9 3 0 0 BO ID
INDOC No.
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
DP ID No. : 13019300
Sebi Regn. No.: IN-DP-CDSL-80-2000
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
DP ID No. : 13019300
Sebi Regn. No.: IN-DP-CDSL-80-2000
Received Freeze / Unfreeze request form