Icici Demat Services Form
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Subscription/Unsubscription Form For Mobile Alerts or getting statements by E-mail /post Date D D MM Y Y Y Y
DP ID
A/c no
Name of Sole/First Holder Name of 2nd Holder Name of 3rd holder To ICICI Bank Limited (Demat Services) Dear Sir, Please tick to choose a facility: I/We wish to register my/our e-mail Id in my Demat A/c I/We wish to register my/our mobile number in my Demat A/c I/We wish to subscribe to your service that offers to send my/our demat account transaction statements through e-mail I/We wish to subscribe to your service that offers to send SMS alerts of DP to my/our mobile phone. I/We wish to unsubscribe my/our e-mail address from my Demat a/c I/We wish to unsubscribe my/our mobile number from my/our Demat A/c for DP alerts I/We wish to subscribe to your service that offers to send SMS alerts of NSDL to my/our mobile phone I/We wish to unsubscibe my/our mobile number from my/our Demat A/c for NSDL alerts I/We wish to get statements by post instead of by e-mail and be charged Rs. 50 per annum for this facility Mobile no.
E-mail Id
1ST HOLDER
1ST HOLDER
2ND HOLDER
2ND HOLDER
3RD HOLDER
3RD HOLDER
Declaration s for usage of the Internet Banking, phone B
Terms and conditions of providing Transaction Statements to Clients by email or on website
Signature of : (SOLE/FIRST HOLDER)
(SECOND HOLDER)
Page 1
(THIRD HOLDER)
Tick for verification by branch
Item to be checked 1 Application should be signed by all account holder. 2 If category of demat a/c is HUF , then HUF Stamp is required on application. 3 E-mail Id & mobile no should be legible. 4 Check the category of demat a/c. If a/c is NRI category, mobile alert facilities cannot be provided.
Acknowledgement We have received your request for Mobile Alerts for the following Demat accounts : DP ID
A/c no
Received by: ..................................................................................... Office signature: ............................................................................ Branch:........................................................................................................
Page Page-22
Date D D MM Y Y Y Y
DP ID
A/c no
Name of Sole/First Holder Name of 2nd Holder Name of 3rd holder To ICICI Bank Limited (Demat Services) Dear Sir, Please tick to choose a facility: I/We wish to register my/our e-mail Id in my Demat A/c I/We wish to register my/our mobile number in my Demat A/c I/We wish to subscribe to your service that offers to send my/our demat account transaction statements through e-mail I/We wish to subscribe to your service that offers to send SMS alerts of DP to my/our mobile phone. I/We wish to unsubscribe my/our e-mail address from my Demat a/c I/We wish to unsubscribe my/our mobile number from my/our Demat A/c for DP alerts I/We wish to subscribe to your service that offers to send SMS alerts of NSDL to my/our mobile phone I/We wish to unsubscibe my/our mobile number from my/our Demat A/c for NSDL alerts I/We wish to get statements by post instead of by e-mail and be charged Rs. 50 per annum for this facility Mobile no.
E-mail Id
1ST HOLDER
1ST HOLDER
2ND HOLDER
2ND HOLDER
3RD HOLDER
3RD HOLDER
Declaration s for usage of the Internet Banking, phone B
Terms and conditions of providing Transaction Statements to Clients by email or on website
Signature of : (SOLE/FIRST HOLDER)
(SECOND HOLDER)
Page 1
(THIRD HOLDER)
Tick for verification by branch
Item to be checked 1 Application should be signed by all account holder. 2 If category of demat a/c is HUF , then HUF Stamp is required on application. 3 E-mail Id & mobile no should be legible. 4 Check the category of demat a/c. If a/c is NRI category, mobile alert facilities cannot be provided.
Acknowledgement We have received your request for Mobile Alerts for the following Demat accounts : DP ID
A/c no
Received by: ..................................................................................... Office signature: ............................................................................ Branch:........................................................................................................
Page Page-22
Date D D MM Y Y Y Y
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