0% found this document useful (0 votes)
116 views2 pages

Request Form

The document is a Pledge Request Form (PRF) from Motilal Oswal Financial Services Limited, requesting the creation or confirmation of a pledge for specific securities by the pledgor, Surjeet Prakash Verma. It includes details such as the DP IDs, client IDs, securities offered, total pledge value, and expiration date. The form requires signatures from both the pledgor and pledgee to complete the pledge setup process.

Uploaded by

mosl.prarthana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
116 views2 pages

Request Form

The document is a Pledge Request Form (PRF) from Motilal Oswal Financial Services Limited, requesting the creation or confirmation of a pledge for specific securities by the pledgor, Surjeet Prakash Verma. It includes details such as the DP IDs, client IDs, securities offered, total pledge value, and expiration date. The form requires signatures from both the pledgor and pledgee to complete the pledge setup process.

Uploaded by

mosl.prarthana
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Motilal Oswal Financial Services Limited

Corr. Office: Palm Spring Centre, 2nd Floor


Link Road, Malad (West), Mumbai 400064
[Link].: 022 - 71881000
Email: query @[Link]
DP SEBI REG. [Link]-DP-16-2015
Date : ___/___/______
PLEDGE REQUEST FORM (PRF) PRF No:
81823
Setup of Pledge Confirmation of Pledge

I/We request you to create the pledge / confirm the creation of pledge for the following securities. I/We have read and understood
the Depositories Act, SEBI Regulations and the Bye Laws in relation to pledge of securities and I / We agree to abide by and be
bound by the Act, Regulations and the Bye Laws as are in force from time to time for such pledges.

DP ID (Pledgor) 1 2 0 1 0 9 0 0 Client ID 1 9 5 6 2 9 1 9
1. SURJEET PRAKASH VERMA
Pledgor Name's 2.
3.

C O P Y
DP ID (Pledgee) 1 2 0 1 0 9 0 0 Client ID 1 1 3 3 7 3 7 1
1. MOTILAL OSWAL FINANCIAL SERVICES LTD-
Pledgee Name's 2.
3.
Details of Securities offered for Pledge Free Securities Locked-in Securities
PSN
Sr. Date of Release (System Accepted/Rejected Pledged
ISIN Company Name Quantity
No (lock-in) by Pledgee Value
Generated)

M O F S L
1 INE528G01035 YES BANK 720.000 15343.000
2 INE335Y01020 INDIAN RAILWAY 20.000 15494.000
3 INE245A01021 THE TATA POWER 200.000 79460.000
4 INE114A01011 STEEL AUTHORITY OF 200.000 25992.000
Attach an annexure duly signed by the account holder(s), if the space above is insufficient.
Pledge Execution Date Pledge Expiry Date 30-09-2040
Total Pledge Value 136289.0000 Agreement No. 11337371
(Rs.)
Date of Pledging 30-05-2025
Collateral -Debt I Issuance by Co./Grp Co. Collateral for loan by Company/Group Co
Pledge Reason [tick
mark whichever is Collateral for loan by the Third Party Margin Pledge/MTF for Exchange Trade
applicable] Personal use by promoters and PACs Collateral for Self Loan
Target Pledgee Pan no. AAECM2876P

To be filled and signed in case of Set-up of Pledge by Pledgor BO

Signature of Pledgor(s) *
First/ Sole Applicant Second Applicant Third Applicant

To be filled in case of acceptance of Pledge by Pledgee BO


As a pledgee, I/We are aware that the pledge recorded in the system only prohibits the Pledgor from dealing with securities until redemption/maturity/
expiry date of the securities pledged and that the records of pledged securities may be removed from the system as a result of redemption / maturity /
expiry of the securities.

Signature of Pledgee(s) *
First/ Sole Applicant Second Applicant Third Applicant

* If the Pledgee is a bank DP, the signature of the pledgee need not be taken on the Pledge request form
“Kindly submit the pledge set up acknowledgment copy to your Pledgee DP for acceptance of pledge
request, so that pledge request gets completed.”

Depository Participant Seal and Signature


Motilal Oswal Financial Services Limited
Corr. Office: Palm Spring Centre, 2nd Floor
Link Road, Malad (West), Mumbai 400064
[Link].: 022 - 71881000
Email: query @[Link]
DP SEBI REG. [Link]-DP-16-2015
Date : ___/___/______
PLEDGE REQUEST FORM (PRF) PRF No:
81823
Setup of Pledge Confirmation of Pledge

I/We request you to create the pledge / confirm the creation of pledge for the following securities. I/We have read and understood
the Depositories Act, SEBI Regulations and the Bye Laws in relation to pledge of securities and I / We agree to abide by and be
bound by the Act, Regulations and the Bye Laws as are in force from time to time for such pledges.

DP ID (Pledgor) 1 2 0 1 0 9 0 0 Client ID 1 9 5 6 2 9 1 9
1. SURJEET PRAKASH VERMA
Pledgor Name's 2.

C O P Y
3.
DP ID (Pledgee) 1 2 0 1 0 9 0 0 Client ID 1 1 3 3 7 3 7 1
1. MOTILAL OSWAL FINANCIAL SERVICES LTD-
Pledgee Name's 2.
3.
Details of Securities offered for Pledge Free Securities Locked-in Securities
PSN
Sr. Date of Release (System Accepted/Rejected Pledged
ISIN Company Name Quantity

C L I E N T
No (lock-in) by Pledgee Value
Generated)
1 INE528G01035 YES BANK 720.000 15343.000
2 INE335Y01020 INDIAN RAILWAY 20.000 15494.000
3 INE245A01021 THE TATA POWER 200.000 79460.000
4 INE114A01011 STEEL AUTHORITY OF 200.000 25992.000
Attach an annexure duly signed by the account holder(s), if the space above is insufficient.
Pledge Execution Date Pledge Expiry Date 30-09-2040
Total Pledge Value 136289.0000 Agreement No. 11337371
(Rs.)
Date of Pledging 30-05-2025
Collateral -Debt I Issuance by Co./Grp Co. Collateral for loan by Company/Group Co
Pledge Reason [tick
mark whichever is Collateral for loan by the Third Party Margin Pledge/MTF for Exchange Trade
applicable] Personal use by promoters and PACs Collateral for Self Loan
Target Pledgee Pan no. AAECM2876P

To be filled and signed in case of Set-up of Pledge by Pledgor BO

Signature of Pledgor(s) *
First/ Sole Applicant Second Applicant Third Applicant

To be filled in case of acceptance of Pledge by Pledgee BO


As a pledgee, I/We are aware that the pledge recorded in the system only prohibits the Pledgor from dealing with securities until redemption/maturity/
expiry date of the securities pledged and that the records of pledged securities may be removed from the system as a result of redemption / maturity /
expiry of the securities.

Signature of Pledgee(s) *
First/ Sole Applicant Second Applicant Third Applicant

* If the Pledgee is a bank DP, the signature of the pledgee need not be taken on the Pledge request form
“Kindly submit the pledge set up acknowledgment copy to your Pledgee DP for acceptance of pledge
request, so that pledge request gets completed.”

Depository Participant Seal and Signature

You might also like