APPLICATION FOR CHANGES IN CLIENT MASTER

(Fill up the details in CAPITAL letters only) Date _____________ Aditya Birla Money Ltd / Aditya Birla Commodities Broking Ltd. Ali Towers No.55, Greams Road, Chennai- 600 006. Trading Account DP Account Commodity Account

I / We request you to update the following in your records: 1. Change of Address for Client (Permanent
(

/ Correspondence
Please tick the relevant box)

/ Both

Old Address

New Address

Pin Code Proof of Address Enclosed (self attested)

Pin Code : Bank Pass Book / Ration Card / Passport / Driving License / Voter ID/ Copies of Electricity bills / Telephone bills. (not more than 2 months old)

2. (a) Additional Bank Details / Change of Bank details: Old Bank Details Account Type Account Number Bank Name Bank Address MICR number IFSC code Account Type Account Number Bank Name Bank Address MICR number IFSC code Existing Account Existing Account
(

New Bank Details

(b) Bank Account to be mapped for Payout of funds:

DP Account :

New Account New Account

Please tick the relevant box)

Bank A/C number to be mapped Proof of details to be enclosed: Cancelled cheque leaf with preprinted name (or) Letter from Bank Manager on the Banks Letter head (or) Bank Passbook /Bank statement(not more than 6 months old). (Maximum of 4 bank accounts can be mapped to a client) 3. Additional DP details DP Name Change of DP Account Details: DP ID Client ID

Proof of DP details to be enclosed: Attested Client Master Report system.

4. (a) Request for Email ID Updation:___________________________

(Enclose Annexure -1 -Client Agreement, Annexure 2 - Internet Trading Agreement, Annexure 3 Tripartite Agreement)

(b) Mobile Number __________________________ Phone Number ___________________________ (c) Request Email ID cancellation _______________________________________________________ (d) Request for contract note Digital Physical Yes No
( ( Please tick the relevant box) Please tick the relevant box)

5. (a) F&O (Futures & Options) Activation

Note: If Yes, Enclose Income Proof (b) Inter Branch Transfer: I / We wish to transfer my / our trading Account number _______________ From ______________ _______________________ To ______________ _____________________ Branch id Branch name Branch id Branch Name *Latest Trading SOA to be submitted *Tripartite agreement to be attached if the Franchisee is not a SEBI authorized person. 6. (a) Request for conversion of Online trading account to Offline trading account (b) Request for conversion of Offline trading account to Online trading account
( Please tick the relevant box)

* I /We Authorize you to debit the conversion fee towards my / our trading account. *For trading accounts opened before Jan 2006, internet agreement is to be attached duly signed by the client. 7. Running Account Authorization: I request you to settle my fund and securities account Once in every calendar Quarter 8. Closure of account: (a) I / We hereby request you to close my / our Trading / Commodities account Number _________ held at your ____________ branch (b) I / We hereby request you to close my / our DP account _______________ held at ____________ branch and transfer the securities to DP account No: _______________ DP ID _______________ *Enclose target DP Client Master Report (Generated from NSDL/CDSL Server) for transaction fee waiver. Reason for closure ________________________________________________________ 9. POA Activation: Yes No
( Please tick the relevant box)

Once in a calendar Month

or such other higher period as allowed by SEBI/ FMC / Exchange (s) time to time.

If yes, Please enclose POA agreement, Mobile no is mandatory

Signature of 1st Holder

Signature of 2nd Holder

Signature of 3rd Holder

10. Other Request: _____________________________________________________________________ ________________________________________________________________________________________ For office use only: Enclosures checked and verified with original documents: Name Employee Authorized Person Sub-Broker Back office user id Date & Time
Note: All proofs to be self attested by the client, duly attested by ABML Employee along with his/her Name and Employee code.

Signature

Acknowledgement

Received communication from the client ___________________account number_____________ for __________ 1. Change of Address 3. Change of DP Account Details 5. Inter Branch Transfer 7. Running Account Authorization 9. POA Activation 2. Change of Bank Account Details 4. Email ID/Mobile number Updation/Cancellation Request for Digital Contract note F&O activation 6. Conversion of Account - Online to Offline 8. Closure of Account 10. Other Request

Name Employee Authorized Person Sub-Broker Back office user id Date & Time

Signature