India Glycols : Form ISR-1

3

Proof

of

Any one of the documents, only if there is change in the address;

Address

of

Client Master List (CML) of your Demat Account, provided by DP.

the

first

Valid Passport/ Registered Lease or Sale Agreement of Residence / Driving

holder

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 / document with address, issued by any of the following:

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

4

Bank details

Account Number: _________________________________

Bank Name: _____________________________________

Branch Name: ___________________________________

IFS Code: _______________________________________

Provide the following:

original cancelled chequewith name of security holder printed on it or Bank

Passbookor Bank Statement attested by the Bank#

5

E-mail

address

___________________________________________#

6

Mobile

______________________________ #

* or any date as may be specified by the CBDT

(DP: Depository Participant)

Declaration: All the above facts stated are true and correct.

Holder 1

Holder 2

Holder 3

Signature



Name



Full address



PIN



2 | P a g e

∙ Specimen

∙ Provide banker's attestation of the signature of the holder(s) as per Form

Signature

ISR - 2inSEBI circular SEBI/HO/MIRSD/MIRSD_RTAMB/P/CIR/2021/655

dated November 03, 2021) and

No.

Item

Documents / Details to be provided to the RTA by the holder(s) /

claimant(s)

1

PAN - Exceptions and

'Exemptions/clarifications to PAN', as provided in clause D to

Clarification

'Instructions/Check List for Filing KYC Forms' in Annexure - 1 to SEBI

circular No.MIRSD/SE/Cir-21/2011dated October 05, 2011on

Uniform Know Your Client (KYC) Requirements for the Securities

Market, shall also applicable for holder(s) / claimant(s) of securities

held in physical mode.

2

Minor

mismatch

in

The RTA shall intimate the holder at the existing address, seeking

Signature - minor

objection, if any, within 15 days

3

Major

mismatch

in

∙ Banker's attestation of the signature of the holder(s) as per Form

Signature or its non-

ISR - 2

availability

with

the

∙ Original cancelled chequewith name of security holder printed

RTA

on it or Bank Passbookor Bank Statement attested by the Bank

4

Mismatch in Name

Furnish any one of the following documents, explaining the

difference in names;

∙ Unique Identification Number (UID) (Aadhaar)

∙

Valid Passport

∙

Driving license

∙ PAN card with photograph

∙ Identity card / document with applicant's Photo, issued by any of

the following: Central / State Government and its Departments,

Statutory / Regulatory Authorities, Public Sector Undertakings,

Scheduled Commercial Banks, Public Financial Institutions

∙

Marriage certificate

∙

Divorce decree

5

Present

address

of

RTA shall issue intimation to both the old and new addresses.

the holder

is

not

∙ In case where the letter is undelivered at the old address, RTA

matching with

the

shall not insist for any proof of the old address provided the

address

available in

current address proof is in the form of an address proof issued

the folio

by a Government Authority.

The above procedure will be applicable for request for change in

address of the holder also