Name Deletion Name Change Name Correction

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Name deletion / Name change / Name correction procedure in case of physical holding of

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.

The above Documents to be sent to RTA on the below mentioned address


Name : Shri S Chandrasekaran
Address : M/s. Data Software Research Company Private Limited
19, Pycrofts Garden Road, Nungambakkam,
Chennai 600 006,
Phone No : +91 44 28213738 , +91 44 28214487.
Email : [email protected]
Procedure:
1. The Shareholder has to approach a Depository Participant (DP) for opening a demat
account.
2. After opening the demat account the shareholder has to submit request letter in ISR-4 along
with the documents mentioned therein to the RTA together with the above mentioned
documents.
3. After certain internal processes and approval from the appropriate authorities(s) and as per
SEBI Circular dated 25.01.2021, RTA will send the Letter of Confirmation (LOC) to the
shareholder and retain the Physical share certificate and deface the certificate with a stamp
“Letter of Confirmation Issued” on the face / reverse of the certificate.
4. The LOC will be valid for 120 days from the date of its issue, within which the shareholder
shall make a request to the DP for dematerializing the said securities.
5. DP shall generate the demat request on the basis of LOC and forward the same to the Issuer
Company / RTA for processing the demat request.
6. After receiving the demat request form from DP, the RTA will process the same and credit
the shares to the demat account of the applicant.
7. The RTA / Issuer Companies shall issue a reminder after the end of 30 days, 60 days and
90 days from the date of issuance of LOC, informing the applicant to submit the demat
request as above, in case no such request is received by the RTA / Issuer Company.
8. In case the Shareholder fails to submit the demat request within the aforesaid period
of 120 days from the date of issue of LOC, RTA / Issuer Company shall credit the
securities to the Suspense Escrow Demat Account of the Company. The Shares can
subsequently be claimed back by the shareholder by applying in the format in Form
ISR-4 by ticking the appropriate service request.
Annexure-1
Form ISR-4
(Refer circular No. SEBI/HO/MIRSD/MIRSD_RTAMB/P/CIR/2022/8 dated January 25,
2022 on Issuance of Securities in dematerialized form in case of Investor Service
Requests)
Request for issue of Duplicate Certificate and other Service Requests
(for Securities - Shares / Debentures / Bonds, etc., held in physical form)

Date:___ /___ /______

A. Mandatory Documents / details required for processing all service request:


I / We are submitting the following documents / details and undertake to request
the Depository Participant to dematerialize my / our securities within 120 days from
the date of issuance of Letter of Confirmation, received from the RTA/Issuer
Company (tick as relevant, refer to the instructions):
• Demat Account No. (If available): �������� ��������
Provide Client Master List (CML) of your Demat Account from the Depository
Participant*

• 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

Nomination / Declaration to Opt-out

* (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

� Replacement / Renewal / Exchange of � Endorsement


securities certificate

� Sub-division / Splitting of securities � Consolidation of Folios


certificate

� Consolidation of Securities certificate � Transmission

� Transposition (Mention the new order of holders here)

C. I / We are enclosing certificate(s) as detailed below**:


Name of the Issuer
Company
Folio Number
Name(s) of the security 1.
holder(s) as per the 2.
certificate(s) 3.
Certificate numbers
Distinctive numbers
Number & Face value of
securities
** Wherever applicable / whichever details are available

D. Document / details required for specific service request:


I. � Duplicate securities certificate

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II. � Claim from Unclaimed Suspense Account

Securities claimed (in


numbers)

(in words)

III. � Replacement / Renewal / Exchange of securities certificate


(that is defaced, mutilated, torn, decrepit, worn out or where the page on the
reverse is fully utilized)
IV. � Endorsement
V. � Sub-division / Splitting of securities certificate
VI. � Consolidation of securities certificate/Folios
VII. � Transmission
VIII. � Transposition

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

PIN  ������ ������ ������

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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