Client Confirmation Registration

Registration for e-DIS facility in the existing Pre-Notified Accounts Form

(For Password Users)

To,

(Name of Depository Participant)

Date : _____________

Dear Sir/Madam,

I/We request you to authorize the e-DIS facility in the following Pre-notified account.

Pre-Notified Accounts

CM BP ID	CM Name	e-DIS Flag Opted / Not Opted*

*Please mention whichever is applicable

As per the details given below.

DP ID : ______________________________________

Client ID : ______________________________________

To be signed by the account holder(s) and SPEED-e User

	Name	Signature
Sole/First Holder Name
Second Holder Name
Third Holder Name

SPEED-e User

	Name	Signature
User Name

Acknowledgment

Date : ______________

Received an application for e-DIS facility in the existing Pre-notified Account from _______________ having Client ID _____________.

(DP's Stamp & Signature)