INDOC No.

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 (E), Mumbai - 400 051.
• Help Desk: 1800 22 0488 (Toll free for MTNL/BSNL users) / Ph.: 022-26592123 • Fax : 022-26592127 • Email : querydp@sbi.co.in

PLEDGE REQUEST FORM (PRF) (CDSL)

Please fill all the details in Block Letters in English
PRF NO. DATE D D M M Y Y Y Y
I/We request you to pledge the following securities held in my/our name in our demat account with you. I/We have read and understood the Depositories Act,
SEBI Regulations, Bye-Laws and the Pledge Agreement in relation to pledge of securities and I/We agree to abide by and be bound by the Act, Regulations,
Bye-Laws and the Pledge Agreement as are in force from time to time for such pledges.
PLEDGor’s DETAILS
DP ID
Pledgor’s Name 1.
2.
3.

PLEDGEE’s DETAILS
DP ID
Pledgee’s Name 1.
2.
3.

Details of securities : Free-securities Lock-in securities

PLEDGE DETAILS
Details of Securities offered for Pledge
Sr. No. ISIN ISIN Name Quanity PSN(To be filled in by D.P.)

Attach an annexure duly signed by the account holder(s), if the space above is insufficient.
Pledge Expiry Date D D M M Y Y Y Y
Pledge Value (Rs.)
Agreement No.
Date of Pledging
I/We declare that the particulars given by me / us above are true to the best of my / our knowledge.
Signature of the Pledger
Name

Signature*

First / Sole Holder Second Holder Third Holder

I/We confirm that the details of the Beneficial Owners stated above are true and correct. Also the Balance of ISIN’s offered for pledge is unencumbered and is a free balance.

Signature verified
Name & Signature of Authorised Bank Official
I/We agree to accept the above securities for pledge and a pledge be created in my/our favour. This pledge is subject to the Act, Regulation, Bye Laws as are in force from time to
time and also to the pledge agreement entered into with the pledgor(s) mentioned above.
Signature of the PledgeE
Name

Signature*

First / Sole Holder Second Holder Third Holder

Pledge Sequence Number Accepted Rejected

Signature verified
Name & Signature of Authorised Bank Official