Birla Mf Update Details Form

Ahura Centre, 2nd FloorTower ‘A’ 96/A-D, Mahakali Caves Road, Andheri (E), Mumbai–400 093. • Tel.: (022)-66928000 [email protected] / www.birlasunlife.com / Toll Free No. 1-800-22-7000

Details Updation Form for Online Account Access Please update my details/register my e-mail id in your records so that I can go online and register for online account access (A) UNIT HOLDERS INFORMATION Folio No.

Permanant Account Number (PAN)

NAME First Holder Second Holder Third Holder Guardian (In case of Minor)

(B) BANK DETAILS of First Holder Bank Account No. Branch

Bank Name Address

Pin Code Bank A/c. Type

Savings

Current

NRE

NRO

(C) MAILING ADDRESS

Pin Tel.: (R)

Mobile:

(O)

(D) E-MAIL CONFIRMATION (Entering your email id here allows you to register on our website for online account access through www.birlasunlife.com)

First Holder

Second Holder

Third Holder

(Kindly sign as per the mode of holding. If mode of holding is “Joint” all unitholders should sign)

Details Updation Form for Online Account Access

ACKNOWLEDGEMENT SLIP

Received From______________________________________________________________

APPLICATION / FOLIO NO.

___________________________________________________________________________ Official Acceptance Point Stamp & Sign

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