Application Form
for
Internet-based Demat Account Statement (IDEAS)
(For Clients)
Date: __________
To,
(Name of Depository Participant)
I/We would like to subscribe to IDEAS and request for activation of my/our account for this purpose.
|
DP Id |
I |
N |
Client Id |
|
Account Details: |
|||
|
Sole / First Holder Name |
|||
|
Second Holder Name |
|||
|
Third HolderName |
|||
|
Address |
|
||
|
|
|||
|
Telephone No. (with STD code) |
|||
|
Fax No. (with STD code) |
|||
|
Type of User |
Password / Smart Card |
||
|
Registration Request No.(for password users) |
|||
|
Preferred User-Id (for smart card users) |
|||
I/We understand that IDEAS is available for a limited purpose of viewing the details in respect of my/our account.
I/We have read, understood and agree to the terms and conditions (mentioned overleaf) for using IDEAS.
Applicable only in case of Power of Attorney(POA)/Authorised Signatory(ies)
|
I / We also authorise the below mentioned POA/Authorised Signatory(ies) to view the details in respect of my/our account. POA/Authorised Signatory ____________ Sign _____________ |
|
Date :_____/_____/_____ DD MM YYYY |
Place_____________
|
|
|
Signature(s) |
|
_____________ ____________ ___________ |
|
|
(sole/first holder) (second holder) (third holder) |
Acknowledgment
Received an application for subscription to IDEAS from ________________________(name of client) having Client Id _____________.
Date: ___/___/_______ Place_____________ Signature _____________
DD MM YYYY (Authorised Signatory)
(Stamp of the DP)