REQUEST FOR CHANGE OF ADDRESSDear Sir/Madam,

I hereby request you to update my address in your records.

Address : Kotak Infinity, 6th floor, Building No 21, Infinity Park, Off Western Express Highway, Gen A.K. Vaidya Marg, Malad (E), Mumbai – 400097. Tel – 91-22-66056495

Date D D M M Y Y Y Y

Demat Account No.Trading Code

For office use only

I would like to update my Address in: (tick any one) Only Trading Account Only DP Trading & DP both

Local/Permanent Address Correspondence Address

DP ID : IN300214

OLD Address

New Address

Note 1 : For Trading A/c all the communication will be sent to correspondence address by default. For DP A/c all thecommunication will be sent to Local Address if unticked or tick the below Box as per requirement.

For individual client, unable to visit the branch:

I am unable to personally visit your branch and hence I authorize Mr./Ms. ____________________________________________ to submitthe required documents to you for updation of my address. Signature of authorised representative

Local /Permanent Correspondence

Query ID

Dematrix No

Signature of the client / authorized representative in presence of Kotak Securities official

First / Sole Holder Second Holder Third Holder

Name Name Name

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Documents Required for Address change

Address Proof for the new address

1) Identity Proof (of the holder or authorized representative submitting the documents to DP)2) Latest DP Bill cum transaction statement (if documents submitted through authorized representative)

Below mentioned documents will be accepted for Address Change

Documents that Establish Identity Address

New Ration Card No Yes

*Telephone Bill (not more than 2 months old) No Yes

*Electricity Bill (not more than 2 months old) No Yes

Passport (Copy of name, address and photo pages) Yes Yes

Voter’s Identity Card (front and back) Yes Yes

Driving license (copy of name, address and photo pages) Yes Yes

Pan Card with Signature (front and back) Yes No

Bank Statement/ Bank Pass Book (not more than 3 months old) No Yes

Leave License Agreement / Sale deed No Yes

*Please Note :• In case of Telephone Bill and Electricity bill, the bill should be in the name of the Account Holder

ACKNOWLEDGEMENT

For Kotak Securities Ltd. (Company Seal)

Name of the Employee

Kotak Infinity, 6th Floor, Bldg. No.21, Infinity Park, Off Western Express Highway, Gen A.K. Vaidya Marg, Malad (E), Mumbai - 400 097 Tel.: 91-22-66056495

Your request will be processed within a tentative period of 7 days from the date of receipt of complete documents.In case of queries regarding the status of the request, we request you to call up your home branch.

Date D D M M Y Y Y Y

Employee Code

Query ID

Employee signature

Received the Address change from ________________________________________________________________

having Trading code and Demat Account No.

Note 2: In case of documents submitted through authorized representative, ID proof of the representative should be provided for verification.

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