Page 318 - Tata_Chemicals_yearly-reports-2020-2021

To,
TSR Darashaw Consultants Private Limited
Unit: Tata Chemicals Limited
C-101, 1st Floor, 247 Park,
Lal Bahadur Shastri Marg,
Vikhroli West, Mumbai - 400 083
E-mail: csg-unit@tcplindia.co.in

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.:

E-mail 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/Registrar and Transfer Agent 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 :

Date : Signature of sole/first holder

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