Kotak Securities Address Update Form

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To, Kotak Securities Ltd. Nirlon House, 4th Floor, Dr. A. B. Road, Worli, Mumbai – 400 025.

Sub: Application For updation of Change of address. Dear Sir/Madam, I hereby request you to update my address in your records for both the trading and demat account held with you. The details of my account are as follows: Client id User id Demat account number

-

Old Address – Communication Address: __________________________________ __________________________________ __________________________________ __________________________________

Permanent Address:

__________________________________ __________________________________ __________________________________ __________________________________

New address – Communication Address: _________________________________ __________________________________ __________________________________ __________________________________

Permanent Address:

_________________________________ __________________________________ __________________________________ __________________________________

Please provide the below listed documents Documents that Establish New Ration Card *Telephone Bill (not more than 1 months old) *Electricity Bill (not more than 1 months old) Passport (copy of name, address and photo pages) Voter's identity card (front and back) Driving license (copy of name, address and photo pages) Pan Card with signature (front and back

Identity No No No yes yes yes yes

Address yes yes yes yes yes yes No

(Please tick the appropriate document text boxes in the application. For example if passport is given for name (or identity) proof then select the text box Passport in the application) *Please note:  In case of Telephone Bill and Electricity bill, the bill should in the name of the Account holder itself.

Thanking You

Yours Faithfully (signatures of all the account holders)

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