7/26/2019 Issuance of New Dis Booklet

1/1

Name :

Address :

Date: : _______________ 200

To,

SBICAP Securities Ltd.

Mafatlal Chambers, 'A' Wing, 2nd Floor,

N.M. Joshi Marg, Lower Parel (E), Mumbai400 013.

Ref. : Issuance of New DIS booklet, DP Account No.

Dear Sir/Madam,

I /We have a above mentioned Demat account with your Branch.

I/We declare that I/We have misplaced / lost the earlier Delivery Instruction Slip (DIS) booklet and hence I/

We request you to Issue a fresh DIS booklet.

In case the original DIS booklet comes into my/our possession, I/We undertake not to present it for

execution and to return it to you immediately. I/We also keep you indemnified against all losses, claims,

damages, demands and charges etc., if any, arising out of misuse of the lost DIS and as a consequence

of your acting on the basis of my/our above declaration and issuing a duplicate of the DIS under reference,

at my request.

I/We request you to do the needful.

Yours faithfully,

ISSUANCE OF NEW DIS BOOKLET

(Name & Sign of Sole/1st Holder) (Name & Sign of 2nd Holder) (Name & Sign of 3rd Holder)

Date :

Place : DP ID 12047200 & SEBI REGN. No.: IN-DP-CDSL-370-2006