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Dis Requisition Form

This document is an option form for issuing a Delivery Instruction Slip (DIS) booklet from GROWW INVEST TECH PRIVATE LIMITED. Clients can choose between two options: to receive the DIS booklet immediately or to defer the request while allowing for future issuance upon request. The form requires client details and signatures of all account holders.

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sisatmpruqwe
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125 views1 page

Dis Requisition Form

This document is an option form for issuing a Delivery Instruction Slip (DIS) booklet from GROWW INVEST TECH PRIVATE LIMITED. Clients can choose between two options: to receive the DIS booklet immediately or to defer the request while allowing for future issuance upon request. The form requires client details and signatures of all account holders.

Uploaded by

sisatmpruqwe
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

GROWW INVEST TECH PRIVATE LIMITED

Correspondence Address: 1st Floor, Obeya Tulip, Regent Insignia, No. 414/8, 4th Block, Koramangala,
Bengaluru 560034 | SEBI Registration Number: IN-DP-417-2019 | CDSL DP:12088700

OPTION FORM FOR ISSUE OF DIS BOOKLET

Date D D M M Y Y Y Y

DP ID 1 2 0 8 8 7 0 0 Client ID
First Holder Name
Second Holder Name
Third Holder Name

To,
GROWW INVEST TECH PRIVATE LIMITED
1st Floor, Obeya Tulip, Regent Insignia, No. 414/8, 4th Block, Koramangala, Bengaluru 560034
Dear Sir / Madam,

I / We hereby state that: [Select one of the options given below]

❑ OPTION 1:
I / We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening of my / our CDSL
account though I / we have issued a Power of Attorney (POA) / registered for eDIS / executed PMS agreement in favour
of / with _______________________________(name of the attorney / Clearing Member / PMS manager) for executing
delivery instructions for settling stock exchange trades [settlement related transactions] effected through such $Power of
Attorney holder -Clearing Member / by PMS manager/ for executing delivery instructions through eDIS.

Yours faithfully
First/Sole Holder Second Joint Holder Third Joint Holder
Name

Signatures

OR

❑ OPTION 2:
I / We do not require the Delivery Instruction Slip (DIS) booklet for the time being, since I / We have issued a POA/
registered for eDIS / executed PMS agreement in favour of / with _______________________________________ (name
of the attorney / Clearing Member / PMS manager) for executing delivery instructions for settling stock exchange trades
[settlement related transactions] effected through such Power of Attorney Holder - Clearing Member / by PMS manager or
for executing delivery instructions through eDIS. However, the Delivery Instruction Slip (DIS) booklet should be issued to
me / us immediately on my / our request at any later date.

Yours faithfully
First/Sole Holder Second Joint Holder Third Joint Holder
Name

Signatures

============================= (Please Tear Here) ================================

Acknowledgement Receipt

Received OPTION FORM FOR ISSUE / NON ISSUE OF DIS BOOKLET from :

DP ID 1 2 0 8 8 7 0 Client ID
Name of the Sole / First Holder
Name of Second Joint Holder
Name of Third Joint Holder

Depository Participant Seal and Signature

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