Annexure 7.1 : Transmission Request Form

Annexure 7.1 : Transmission Request Form

<p> Annexure 7.1</p><p>Transmission Request Form (In case of death of the sole holder)</p><p>Application No. Date D D M M Y Y Y Y ( Please fill all the details in Block Letters in English)</p><p>To, Depository Participant Name Address</p><p>Dear Sir / Madam,</p><p>I, Successor/ Guardian of the successor (in case of Minor) request you to transmit the following securities due to the death of account holders(s):</p><p>Name of the deceased BO: Account Number of the deceased BO: DP ID Client ID</p><p>Kindly transmit all securities balance in the deceased BO’s account mentioned above to the below mentioned account.</p><p>Successor BO Account Number DP ID Client ID Name</p><p>Details of Transmission Sr. Name of the Security ISIN Quantity of securities to be No transmitted</p><p>Attach an annexure duly signed by account holders(s) if the space above is insufficient.</p><p>(Successors / Heirs / Nominees) First / Sole Holder Second Holder Third Holder</p><p>Name</p><p>Signature</p><p>======(Please tear here)======Acknowledgement Receipt Application No. Date: -</p><p>We hereby acknowledge the receipt of the following instructions for transmission from the deceased BO account as per details given on the transmission form.</p><p>Account number of the deceased BO DP ID Client ID</p><p>Successor BO Name(s) First/Sole Holder Second Holder Third Holder</p><p>Documents Submitted</p><p>Subject to verification.</p><p>Depository Participants Seal & Signature </p><p>CDSL - DP Operating Instructions – June 2006 Page 1 of 1</p>

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