Page 334 - Tata_Chemicals_yearly-reports-2019-20

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To tSr darashaw Consultants private limited
TSR Darashaw Consultant Private Limited (erstwhile TSR Darashaw Limited)
unit: Tata Chemicals Limited
Unit: Tata Chemicals Limited
6-10 Haji Moosa patrawala Industrial estate
6-10 Haji Moosa Patrawala Industrial Estate
20 dr. e. Moses road, Mahalaxmi, Mumbai 400 011
20 Dr. E. Moses Road, Mahalaxmi, Mumbai 400 011
e-mail: csg-unit@tsrdarashaw.com
Updation of Shareholder Information

I/We request you to record the following information against my/our Folio No.:
General Information:
Folio No.:

Name of the first named Shareholder:
PAN:*
CIN/Registration No.:*
(applicable to Corporate Shareholders)
Tel. No. with STD Code:
Mobile No.:

Email Id:
* Self attested copy of the document(s) enclosed

Bank Details:

IFSC:
(11 digit)
MICR:
(9 digit)

Bank A/c Type:
Bank A/c No.: @

Name of the Bank:
Bank Branch Address:
@ A blank cancelled cheque is enclosed to enable verification of bank details

I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed because of incomplete or
incorrect information, I/We would not hold the Company/RTA responsible. I/We undertake to inform any subsequent changes in the
above particulars as and when the changes take place. I/We understand that the above details shall be maintained till I/We hold the
securities under the above mentioned Folio No./Beneficiary account.

Place: ____________________________________
____________________________________________
Signature of sole/first holder
Date: ____________________________________

Note: Members holding shares in demat form are requested to submit the Updation Form to their respective Depository Participant.