Mandatory Fields*

Name: *

Email: *

Contact Number: *

Relevant particulars (Please fill in the appropriate section of the table, as is applicable to your case)


For shares held in electronic form


Client ID No: *

DP ID No: *

No of Shares : *

For shares held in physical form


Folio No: *

No of Shares: *

Certificate Nos: *

to


Distinctive Nos: *

to


Nature of query: *

Remarks: *
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Note: Please post single query/grievance at a time. In case of multiple queries, please fill the form again, only one query will be replied through one form)


Attachment, if any:
(only pdf, jpeg, bmp, gif files) *

Note:Limit the upload size upto 7 MB