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Request for Updation of Records Change of Signature

To,
________________________
________________________
________________________
________________________
________________________
Folio No.: _______________________ Date Of Effect: _______________________
Dear Sir/Madam,
I/We hereby request you to incorporate the latest signature duly attested by my bank in your
records for the above mentioned folio number.
Name of the Shareholder (as
appearing on the share
certificate(s)

New signature to be
updated

Sole/1st Holder
2nd Holder
3rd Holder

Verification of Signature by Banker with Name, Designation & Seal:


Account No.:
Account
Type:
Bank Name &
Branch
Address:
code:
Name of the
officer:

Designatio
n of the
officer:

Signature of the
officer with
Seal/Stamp
I am enclosing the self-attested copies of the following documents towards proof of my
identification & current address: (Please tick (x) the boxes & attach the relevant documents
to this form. At least 2 self-attested documents of the following documents are required to
be submitted.)
Self-attested
(x)
Self-attested
(x)
Document
Document
Passport
Driving License
Election ID
Electricity/Telephone
Bill
PAN Card
Passbook/Bank
Statement
I hereby declare that the particulars given above are correct and complete & the copies of
the documents are valid & true.

Request for Updation of Records Change of Signature


________________________________
Signature of Holder
Name:
Address:
Phone No. & E-mail ID:

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