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    Form Isr 1

    Uploaded by

    tinkibhati
    This document is a request form for registering, changing, or updating a shareholder's PAN, KYC details, or nominations for securities held in physical form with a registrar and transfer agent (RTA). The shareholder can request to register, change, or update their PAN, signature, mobile number, bank details, registered address, or email address. They must submit documentation based on the table in Section C, which lists requirements for PAN, demat account, proof of address, bank details, email, mobile, signature, and nomination. Acceptable proof of address documents include client master list from depository participant, passport, lease agreement, driving license, utility bills (telephone

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Form Isr 1

    Uploaded by

    tinkibhati
    32 views2 pages
    This document is a request form for registering, changing, or updating a shareholder's PAN, KYC details, or nominations for securities held in physical form with a registrar and transfer agent (RTA). The shareholder can request to register, change, or update their PAN, signature, mobile number, bank details, registered address, or email address. They must submit documentation based on the table in Section C, which lists requirements for PAN, demat account, proof of address, bank details, email, mobile, signature, and nomination. Acceptable proof of address documents include client master list from depository participant, passport, lease agreement, driving license, utility bills (telephone

    Original Title

    FORM-ISR-1

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    This document is a request form for registering, changing, or updating a shareholder's PAN, KYC details, or nominations for securities held in physical form with a registrar and transfer agent (RTA). The shareholder can request to register, change, or update their PAN, signature, mobile number, bank details, registered address, or email address. They must submit documentation based on the table in Section C, which lists requirements for PAN, demat account, proof of address, bank details, email, mobile, signature, and nomination. Acceptable proof of address documents include client master list from depository participant, passport, lease agreement, driving license, utility bills (telephone

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views2 pages

    Form Isr 1

    Uploaded by

    tinkibhati
    This document is a request form for registering, changing, or updating a shareholder's PAN, KYC details, or nominations for securities held in physical form with a registrar and transfer agent (RTA). The shareholder can request to register, change, or update their PAN, signature, mobile number, bank details, registered address, or email address. They must submit documentation based on the table in Section C, which lists requirements for PAN, demat account, proof of address, bank details, email, mobile, signature, and nomination. Acceptable proof of address documents include client master list from depository participant, passport, lease agreement, driving license, utility bills (telephone

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Form ISR-1

    (-SEBI circular No. SEBI/HO/MIRSD/MIRSD_RTAMB/P/CIR/2021/655 dated November 03, 2021 on Comm on and Simplified Norms for
    processing investor's service request by RTAs and n orms for furnishing PAN, KYC details and Nomination)

    REQUEST FOR REGISTERING PAN, KYC DETAILS OR CHANGES/ UPDATION THEREOF


    [For Securities (Shares/ Debentures/ Bonds, etc.) of listed companies held in physical form]

    A. I / We, request you to Register/ Change/ Update the following {Tick ✓relevant box} Date I I

    □ PAN □ Signature □ Mobile Number


    □ Bank details □ Registered Address □ E-mail address

    B. Security and KY C Details [ to be filled in by the First Holder ]


    Name of the Issuer Company Folio No(s)
    Face value of Securities Number of Securities I
    Distinctive number of From To
    Securities (Optional)
    E-mail Address
    Mobile Number

    C. I/We are submitting documents as per Table below (tick ✓as relevant, refer to the instructions):
    Name{s} of the Security holder{s} in Capital as per PAN PAN PAN Linked to
    Copies of PAN of all the Holder(s) duly self-attested with date to be enclosed with this Form. Aadhaar -Y/N
    Tick any one[✓]
    *
    1. Yes/ No

    2. Yes/ No

    3. Yes/ No

    4. Yes/ No
    . . . ..
    Note: * PAN shall be valid only 11 11 1s linked to Aadhaar by March 31, 2022,or any other date as may be spec1f1ed by CBDT.
    To know the status of your Pan Linked to Aadhaar check on this link: https:ljwww.incometax.gov.in/iec/foportal

    BankAccount Details ofFirst Holder


    Name of the Bank & I SC I
    F
    Branch
    BankA/c No. I
    Tick any one [ ✓]- Acct type □ Savings □current
    . . ..□
    NR0 □ NRE □ Any other [
    Note: Original cancelled cheque leaf bearing the name of the first holder 1s mandatory, failing which first security holder shall submit copy of bank
    passbook/ statement attested by the Bank for registering the Bank Account details.

    I DematAccount Number 16 digit DP/CL [


    Also provide Client Master List (CML) of your Demat Account, provided by the Depository Participant.
    Authorization: I/ We authorise you (RTA) to update the above PAN and KYC details in my/ our above folio(s) (use Separate Annexure if extra
    space is required) in which I/ we are the holder(s). [ strike off what is not applicable ]
    Declaration: All the above facts and documents enclosed are true and correct.
    First Holder Joint Holder - 1 Joint Holder - 2 Joint Holder - 3

    i
    II
    11
    �

    PIN
    Note: If the address mentioned above differs from the address registered with the Company, you are requested to record the new address by submitting the
    documents as specified in point (3} overleaf.
    I/We are submitting documents as per Table below (tick✓as relevant, refer to the instructions):

    No. ✓ Document/Information/Details Instruction/Remark

    PAN copies of all the holder(s) duly self-attested with date to be enclosed.

    1 □ PAN of (all) the (joint) holder(s)


    PAN shall be valid only if it is linked to Aadhaar by March 31, 2022, or any date as
    may be specified by the CBDT. For Exemptions / Clarifications on PAN, please
    refer to Objection Memo as specified in SEBI circular.
    Provide Client Master List (CML) of your Demat Account, provided by the
    2 □ Demat Account Number
    Depository Participant.
    Provide self attested copy of any ONE of the documents, issued by a Govt. Authority,
    only if there is change in the address;
    □ Client Master List (CML) of your Demat Account, provided by
    the Depository Participant.
    □ Valid Passport/ Registered Lease or Sale Agreement of Residence/
    Driving License/Flat Maintenance Bill*
    □ Utility bills like Telephone Bill (only land line), Electricity bill or
    Gas bill - Not more than 3 months old.
    □ Identity card (with Photo) / document with address, issued by
    3 Proof of Address of the first Holder Central/State Government and its Departments, Statutory /
    Regulatory Authorities, Public Sector Undertakings, Scheduled
    Commercial Banks, Public Financial Institutions.
    □ For FIi / sub account, Power of Attorney given by FIi / sub-
    account to the Custodians (which are duly notarized and / or
    apostilled or consularised) that gives the registered address
    should be taken.
    □ The proof of address in the name of the spouse*
    * Kindly provide additional self-attested copy of Identity Proof of the holder/
    claimant.
    Provide the latest copy of the bank statement with details of bank name, branch,
    account number and IFSC or Original cancelled cheque leaf bearing the name of
    4 □ Bank details
    first holder. Alternatively, Bank details available in the CML as enclosed will be
    updated in the folio.
    As mentioned on Form ISR-1, alternatively the E-mail address available in the
    5 □ E-mail address
    CML as enclosed will be updated in the folio.
    As mentioned on Form ISR-1, alternatively the mobile number available in the
    6 □ Mobile
    CML as enclosed will be updated in the folio.
    Provide banker's attestation of the signature of the holder(s) as per Form ISR - 2
    7 □ Specimen Signature
    and Original cancelled cheque leaf bearing the name of the first holder.

    Submit Form(s) as per any ONE of the following options.

    □ SH-13 For First Time Nomination

    8 Nomination □ SH-14 For Change in Existing Nomination

    □ SH-14 and ISR-3 For Cancellation of existing Nomination and to "Opt-Out"

    □ ISR-3 To "OPT-Out" of Nomination or if No-Nomination is required

    Note: All the above forms are also available on our website..

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