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Application Form for Updating Phone No / …

Application form for Updating Phone No / registration for SMS alert facility Date: To, Karvy Stock Broking Limited 46, Avenue 4, Street Banjara Hills, Hyderabad 500 034 I/We are herewith providing our latest Phone no. / Mobile no and we request you to kindly update the information provided hereunder in my / our Demat & trading accounts. I also request you to kindly register my mobile no.

Application Form for Updating Phone No / Registration for SMS Alert Facility Date: To, Karvy Stock Broking Limited 46, Avenue 4, Street No.1

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Transcription of Application Form for Updating Phone No / …

1 Application form for Updating Phone No / registration for SMS alert facility Date: To, Karvy Stock Broking Limited 46, Avenue 4, Street Banjara Hills, Hyderabad 500 034 I/We are herewith providing our latest Phone no. / Mobile no and we request you to kindly update the information provided hereunder in my / our Demat & trading accounts. I also request you to kindly register my mobile no.

2 Provided below for SMS alert facility for receiving alerts relating to my Demat account. DP ID IN300394 IN301557 IN301926 IN302470 13014400 A Client Id / BO ID: Trading Account No: Sole / First Holder s Name : _____ Second Holder s Name : _____ Third Holder s Name : _____ 1st Holder 2nd Holder 3rd Holder Phone Number with STD Code Mobile No on which messages are to be sent Mobile No is registered in the name of Email Id (Only For Demat)* : * Note: For Updating / Changing Email ID in Trading a/c, new ECN agreement & client mail confirmation copy duly signed by client has to be submitted.

3 Sole / First Holder s Signature: _____ Second Holder s Signature: _____ Third Holder s Signature: _____ MOBILE DECLARATION 1. I/We, _____ are the sole /first /joint holder of the depository account bearing Client ID _____ & Trading Account_____ with Karvy Stock Broking Limited (KSBL) held jointly with _____and _____. 2. I/We have been informed by the KSBL as a Depository Participant (KSBL) about the mandatory requirement of providing the particulars of mobile telephone connection for receiving alerts in respect of the above depository account as we have opted for operation of the depository account through Power of Attorney.

4 3. I/We have been informed by the KSBL as a Trading member about the availability of facility of receiving alerts on Phone in respect of the Trades executed in the market segments of the respective exchanges opted by the undersigned in the form . 4. I/We are herewith providing the mobile connection details as mentioned below for receiving the alerts mentioned preceding Para 3 & 4. 5. a. I/We hereby declare that the mobile telephone number, whose details are given above, is owned by undersigned and it is registered in my name with same address given in Client registration form . I am enclosing monthly bill for the same as proof.

5 (OR) b. I/We hereby declare that the mobile telephone connection given above held in my name is a pre-paid connection hence I do not receive monthly bills for the same. (OR) c. I/We hereby declare that the mobile telephone connection above is held in my personal name and the address registered for the telephone connection differs as the same is _____ (specify reason). (OR) d. I/We do not own any mobile Phone connection in my name and hence providing hereunder mobile number of A member of my family*.

6 * Family for this purpose would mean self, spouse, dependent children and dependent parents. 6. I/We understand and hereby accept that any message sent to the above mobile connection regarding my Depository account and Trading in Equity, F&0 & Currency Derivative Segment would be deemed to have been delivered to me. 7. I/We hereby agree to notify KSBL as a Broker and Depository Participant immediately on notice of any discrepancy / erroneous transaction done in my Trading account and Depository account, intimated to me through SMS alerts to the above mentioned mobile telephone connection.

7 8. I/We also understand that KSBL provides Promotional Telephone Calls/SMS alerts/Email alerts/ blast dialing/Telephone alerts services for Fundamental, Technical, intraday Research & other calls. I agree to receive such promotional calls/ services from KSBL to the above mentioned mobile telephone number and may act upon any of the calls only obtaining and independent advise and shall not hold KSBL accountable for any loss/damage arising out of such calls. 9. I/We also undertake to inform you in writing of any change in mobile connection immediately. 10.

8 All alerts sent on the aforesaid number shall be deemed to be have been duly received and acknowledged by me in due course unless I have made a written request for change in mobile connection and have obtained acknowledgement of the same from KSBL. 11. I undertake and agree that I shall not register this number as DND with the service provider or any other competent Authority/agency to disable receipt of SMS alerts and Telephone calls from KSBL. 12. I/We agree and authorize KSBL to upload the mobile number specified to any Stock Exchange and/or Exchange designated Agency to enable the concerned Exchange(s) to send details of Transactions made on my account.

9 CONSTITUENT X _____ X _____ X _____ (Signature of Sole/First Holder) (Signature of Second Holder) (Signature of Third Holder) MEMBER In the presence of KSBL Employee Name: _____Designation: _____Emp Code: _____ Signature of KSBL Employee & Branch Seal _____ Mobile Numbers Name of the holders of Mobile Sole / First Holder s NO: Second Holder s NO: Third Holder s NO: Name of the applicants Account Holder Mobile Connection No s Name of the Persons in Whose name the Mobile connection exists Relationship with the applicants Address recorded Against Mobile connection


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