DP ID: Client Id - Karvy

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Application for incorporating Changes in Client Details To: Karvy Stock Broking Ltd., Depository Participant, Karvy House , 46, Avenue 4, Street , Banjara Hills, Hyderabad 500 034 (DP Ids: IN300394; IN301557; IN301926; IN302470) I/We hereby request you to incorporate changes in my/our demat / Trading A/c as per the following details: Trading A/c Only Demat A/c Only Trading A/c + Demat A/c Change of Address Bank Details DP Details in Trading A/c Contact Details Trading Code: ____________________ dp id : ____________________ Client Id: ________________________________ Old Address Details: New Address Details: City: PIN: City: PIN: Address Proof Enclosed.

A - 5 IDENTITY DETAILS Please affix your recent passport size photograph and sign across it PHOTOGRAPH 1. Name of the Applicant 3a. Gender Male Female 3b.

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