Name Deletion Name Change Name Correction
Name Deletion Name Change Name Correction
Name Deletion Name Change Name Correction
shares
In case the shares are held in dematerialized mode, Shareholders are requested to contact
their Depository Participant (DP) where they maintain their demat account.
Documents required:
1. Request letter in Form ISR-4 (Annexure -1) duly signed by the shareholder(s) along with the
Original Share Certificates and other documents mentioned therein including self - attested copy
of Pan Card.
2. Attested copy of the death certificate of the deceased joint shareholder. (in case of Name
Deletion) (see note below).
3. Attested copy of the Gazette Notification (in case of name correction / name change) (see note
below).
4. Attested copy of the Marriage Certificate issued by the competent authority (in case of name
change due to Marriage) (see note below).
NOTE
• Attestation of photocopies/xerox copies should be done by a Magistrate/Notary Public/
Special Executive Magistrate or a similar authority holding a public office and authorised
to use the seal of this office.
• Notarised documents should also contain Notary Serial no. / Register no. etc. as per the
provisions of the Notaries Rules, 1956.
• Provide the following details, if they are not already available with the RTA (see SEBI
circular dated November 03, 2021 in this regard)
PAN Specimen Signature
* (Your address, e-mail address, mobile number and bank details shall be updated in your
folio from the information available in your CML). You can authorize the RTA to update
the above details for all your folios. In this regard, please refer to and use Form ISR-1 in
SEBI circular dated November 03, 2021.
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B. I / We request you for the following (tick relevant box)
� Issue of Duplicate certificate �Claim from Unclaimed Suspense
Account
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II. � Claim from Unclaimed Suspense Account
(in words)
Provide / attach original securities certificate(s) for request for item numbers III to VIII
above.
Declaration: All the above facts stated are true and correct to best of my / our knowledge
and belief.
Security Holder 1 / Claimant Security Holder 2 Security
Holder 3
Signature
Name
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Full
address
After processing the service request, the RTA shall issue a ‘Letter of Confirmation’ to the
securities holder/claimant, which is valid only for 120 days. Using this ‘Letter of
Confirmation’, the securities holder/claimant shall request the DP to dematerialize the
securities, failing which the securities shall be credited to the Suspense Escrow Demat
Account of the Company.
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