E65129 PDF
E65129 PDF
E65129 PDF
Client Code
To,
Prabhudas Lilladher Pvt. Ltd.
Client Relations Department
3rd Floor, Sadhana House,
570, P.B. Marg, Worli,
Mumbai – 400018
Dear Sirs,
Permanent Address* No change As per that given on KRA cum CERSAI KYC Form
Mobile Number No change As per that given on KRA cum CERSAI KYC Form
E-mail ID No change As per that given on KRA cum CERSAI KYC Form
RTGS / NEFT facility* No change As per that given on Direct Credit Form
Gross Annual Income (Rs.) Below 1 Lac 1-5 Lac 5-10 Lac 10-25 Lac Above 25 Lacs
(* In case of any change in details, self-attested copies of documents in support of changes are to be attached with respective form/s)
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I/We hereby confirm that I/We have read and understood the contents of Rights & Obligations, Risk Disclosure
Document, Guidance Note and Policy & Procedures which have been displayed for information on PL’s
designated website viz. www.plclients.com. I/We confirm that Account Opening Form (AOF) / Modification
form(s), Agreement(s), and other written requests etc. signed by me/us prior to date herein mentioned are
valid and binding on me/us. I/We shall complete required formalities as you deem fit from time to time.
I/We enclose the required document(s) for processing my request.
Thanking You,
Yours Sincerely,
Client Name Client Signature Date
- - 2 0 2
Note:
In case of individual accounts, this form should be signed by Client only and not by his/ her Power of Attorney holder.
In case of non-individual accounts, this form should be signed by the Authorised Signatory(ies) only.
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