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Rsec Crf Form
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Reliance Securities Limited 11th Floor, R-Tech IT Park, Western Express Highway, Goregaon (East), Mumbai 400063.
Equities - Change Request Form (for Individuals Only)Please fill details in BLOCK LETTERS in English
Date DP ID: 13041400 BO IDTrading Client Code
I/We request you to update the following details in your client master. I/We understand that the change(s) is / are being carried out at my/ our request and will affect in accounts held by me/us with Reliance Securities Ltd., under the captioned client code / BO ID.
1. Bank Details Addition/Modification for Trading & Demat Account
Add / Modify New Bank Details Existing Bank Details
Bank Name
Bank Branch
Bank A/c No
A/c Type
MICR Code
IFSC Code (compulsory)
Bank Name
Bank Branch
Bank A/c No
“Delete Existing Secondary bank details(Please tick, if required)Primary bank details can never be deleted”
Please tick any one of 'a' or 'b'
a) Make above new bank details as bank (This new bank details to be used for Funds Payin, Payout & Dividend credit.
Existing bank details, if any will be marked as Secondary bank account)
b) Make above new bank details as bank (This new bank details to be used for Funds Payin only )
Primary/Default
Secondary
Bank details provided in the POA executed by me/us, shall stand modified with the bank details provided under this request form
For Change in Bank details: ? Copy of Cheque with name printed, copy of bank passbook, Copy of bank statement of Accounts duly stamped and attested by bank Authorities, Not older than 3 Months.
2. KYC details updation in Trading, Demat account & KRA updation
Change of Address details
Change of Contact Details (Email id and Phone number )
“Change in Gross Annual Income Details / Occupation detail
(Please fill and sign the attached "KYC details change form" and submit along with this form dully signed)
3. Running Account Authorisation - Settlement Preference
Once in a calendar Quarter (Tick any one) Once in a calendar month This authorisation shall remain valid until it is revoked by me/us
4. Exchange Segment Addition Deletion
NSE F&O ______________________________________ BSE F&O MCX-SX F&O
NSE Currency MCX-SX Currency MCX-SX Cash Derivatives _____________________________________ Derivatives ____________________________________ Segment _____________________________________
_____________________________________ _________________________________
For Derivative segment activation (any one required) Copy of ?ITR Acknowledgment ?Annual Accounts ?Form 16 in case of salary income ?Net-worth certificate ?Salary Slip ?Bank Account Statement for last 6 months reflecting income.
First/Sole Holder Second Holder Third Holder
Name
Signature @ @ @
RSL accepting branch should affix rubber stamp of “ l” & “ ” seal on Proofs, pages should be signed by branch official.
Branch Name:_________________________________ Received on
Verified with Origina In Person Verification
Name of Staff
Employee ID: QRC No. : (Sign): ________________________
Customer Signature Verified by
(For CBO use only)
Updated by Authorized by
Employee ID Employee name
Important Instructions:- a) Applicant has to bring the original documents for verification of the proofs, and all photo copies should be self attested b) Copy of PAN, dully signed by customer should be submitted along with CRF for all changes requested.
(Tick any one)
@
@
@ @
Acknowledgment Receipt for CustomerDate QRC NO
Trading Client Code Name of the First applicant
Type of Request’s
Tear Off
Reliance Securities Limited CRF/Ver 2.7/Feb 2013Page 1 of 3
I/ We have read, understood and are agreeable to the changes as filled, signed and attached
@ @
Mandatory to be filled by branch official
Reliance Securities Limited CRF/Ver 2.7/Feb 20133