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: *


Distinctive Nos: *


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:
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