Account Modification Request Commodity

Account Details Addition / Modification / Deletion Request Form Date D

D

M

M

Y

Y

Unicon Securities Private Limited/Commodities Private Limited 69, 2nd Floor, Regal Building Connaught Place, New Delhi-110001 Please fill all the details in Block Letters in English Client ID

Account Holder’s Details Name of Account Holder Please write in Block Letters I/We request you to make the following additions / modifications / deletions to my/our account in your records. Details (Pl. specify change of address, bank details, telephone number, Email id, DP etc.)

Addition/ Modification/ Deletion (Please specify)

Existing Details

New Details

Attach an Annexure (with signature(s)) if the space above is found insufficient. Account Holder Name(In Block Letters)

Signature

Unicon Investment Solutions. Instructions to Account Holder(s) • • • •

This form can be used for both Equity and Commodity Segment. Please submit copies of proof of new address in case of address modification with supporting documents. In case of Bank Details Modification/Change, please provide preprinted personalized Cancelled cheque and Bank Statement with Bank’s seal. In case of addition of new Demat A/C please submit a copy of client master/DP Holding or DP Transaction Statement.

Please call us on our Customer Care no 0120-4515555 or mail us at [email protected] for any assistance.