For Office Use only:

DRF (To be used in Triplicate)

Branch Code : ________________
[ ]Dematerialisation [ ]Transposition cum Dematerialisation [ ]Transmission cum Branch Name ________________
Dematerialisation [ ]GSec Dematerialisation - Request Form (NSDL & CDSL) ___________________________
RFD No:

Application / DRF No. Application/DRF Date D D M M Y Y Y Y ___________________________

Please fill all the details in CAPITAL LETTERS in English
To,
HDFC Bank Ltd. - Depository Services, Lodha - I Think Techno Campus 8th Floor, Alpha Building, Opp. Crompton Greaves, Kanjurmarg (E), Mumbai 400 042.
NSDL (DP ID - IN 300126 / IN 301151 / IN 301549 / IN 300476 / IN 300601 / IN 301436) CDSL (DP ID - 13012400/13020700)
Account Holder's Details
DP ID Client ID

Name of the 1st/Sole holder

Name of the 2nd holder
Name of the 3rd holder
Part (A) Dematerialisation Request (Fill if you want to Dematerialise the securities in your Demat Account)

I / We request you to Dematerialise the enclosed security certificate(s) registered in my / our name into my / our Demat account as per the details given above.
DRN DRN Date D D M M Y Y Y Y
Quantity of Securities to be Dematerialised (In Figures) ISIN
Quantity of Securities to be Dematerialised (In Words)________________________________________________________________________________________________________

Company Name
Face Value of Securities Types of Securities Free Lock-in Total Number of Certificates (in figures)
Total No. of Certificates (in words)____________________________________________________________________________________________________________________
Equity Other(Specify)_________________________
Security

NSDL
Type of

CDSL Equity Debentures Bonds Units Other(Specify)_________________________

Lock in Reason Lock in Expiry Date D D M M Y Y Y Y

Certificates Numbers Distinctive Numbers
Folio Number Quantity
From To From To

(Incase the space is found to be insufficient, an annexure containing the certificate details in the same format, signed by all Demat A/C holders may be attached. Please use separate form for free securities and Lock-in Securities)
Declaration: I/We hereby declare that the above mentioned securities are registered in my/our name. The original certificates are hereby surrendered by me/us for Dematerialisation. I/We also
hereby declare that the securities surrendered by me/us for Dematerialisation are free from any lien or change or encumbrance and represents the bonafide securities of the issuer company to the
best of my/our knowledge and belief.

Part (B) Transposition Request (For Transposition cum Demat Cases)

(Fill only if you want to transposition your existing securities as per account holding pattern in your Demat account)
We, the undersigned, being the joint holder(s) of securities of __________________________________________ wish to have our holdings transposed in the following order in which we
have an account with you. We are also submitting the certificates(s) along with the DRF for Dematerialisation.
Names on the certificate of security:
NSDL

Name

Signature(s)

Please transpose the names of the holders of securities as identified in the accompanying demat request form and thereafter credit the same in the Demat a/c provided in Account holder
details section of this form:

Name of the Company _________________________________________________________________ ISIN

Names of the holders as it appears on certificate:
CDSL

Sr. No. Folio Nos.:- Name of the 1st/Sole Holder Name of the 2nd Holder Name of the 3rd Holder
1
2
3

Note: 1. Separate Transposition form should be filled by the joint holders for securities having distinct ISINs. 2. Please write each combination of names in separate boxes for CDSL. 3. Use separate transposition form if there
are more than three combinations of names for CDSL.
1
HDFC bank DRF request form_V 1.01_Feb 2105

Acknowledgement Receipt
We hereby acknowledge the Dematerialisation Request Form (Normal) Dematerialisation Request Form for Government Securities Date D D M M Y Y Y Y
reciept of (Tick the relevant box) Transmission-Cum-Dematerialisation Form Transposition-Cum-Dematerialisation Form
DRF/Application No. ISIN I N
Depository Participants Seal &
DP ID Client ID Quantity
Signature
"The shares/units/bonds/debentures have been accepted for dematerialisation on best effort basis. Any rejection or delay in granting credit by the Company or Registrar & Transfer Agent is
beyond HDFC Bank's control." Securities for dematerialisation should be handed only at HDFC Bank Ltd's counters providing depository services.
 Part (C) Transmission-Cum-Dematerialisation Request [Fill if you want to Transmit & Dematerialise the securities in your name incase of Death of sole/joint holder(s)]

I/We, the undersigned, being the joint holders of the following securities along with Mr./Mrs./Ms.___________________________________________________________ (name of the deceased)
wish to have the name of the deceased deleted from the security certificates. A copy of the death certificate, duly attested by a Notary Public or by a Gazette Officer and the dematerialisation request
form along with the physical certificates are enclosed. I/We request you to process the same and advise the Issuer/R & T Agent accordingly. The details are given below:

DRN (Applicable only for NSDL requests)

Name of the Quantity to be Quantity to be Type of Security
ISIN
Sr. No. Security transmitted (In figures) transmitted (In words) Equity/Others(Pls specify) - only for NSDL

Instructions: 1. Separate forms should be filled up for each ISIN by the survivor(s).
2. Each form should be accompanied by a copy of the death certificate, duly attested by a Notary Public or by a Gazette Officer.
Name of the Survivor (s) 1 2 3

Signature

Part (D) Dematerialisation Request for Government Securities (Fill only if you want to Dematerialize the govt. securities held in your Demat Account)
DRN ISIN I N (To be filled by the Dp/in consultation with the Dp)

I/We request you to Dematerialise Government Securities into my/our account as per the details given below:
Tick (P) whichever is applicable (I) Submit Physical Government Securities to NSDL (II) Value Free Transfer of Government Securities to NSDL SGL II
Face Value of Securities (in Rs.) to be Dematerialised/Transferred

In Figures In words __________________________________________________________________________________________

Nomenclature of the Security _______________________________________________________________________ Loan Code (To be filled by the Dp/in consultation with the Dp)

Name of Issuing PDO (In case of Physical Certificate) __________________________________________________________________________________________

Details of Securities:
Sr. No. Certificate Number Face Value

(Incase the space is found to be insufficient, an annexure containing the certificate details in the same format may be attached)
Part I (Applicable when Physical Securities are submitted):
I/We hereby declare that the above mentioned person(s) are the bonafide beneficial owners of the below mentioned securities. I/We also hereby declare that the securities submitted by me/us for
Dematerialisation are free from any lien or charge or encumbrance and represent bonafide Government Securities to the best of my/our knowledge and belief.
I/We am/are also submitting an attested Form of Transfer favouring "National Securities Depository Limited". This is being done to facilitate a credit in the SGL Constituent Account of NSDL and
should not in anyway be construed as an intention of the person(s) mentioned below to sell the securities to NSDL.

Part II (Applicable for Value Free Transfer of Government Securities to NSDL SGL II):
I/We hereby declare that the above mentioned person(s) are the bonafide beneficial owners of the below mentioned securities.
I/We am/are submitting request letter for Inter SGL Transfer for Dematerialisation. This is being done to facilitate a credit in the SGL Constituent Account of NSDL and does not in anyway
constitute a sale of the securities to NSDL.

Signatures of all Account Holders [Applicable for Part-A, Part-B, Part-C & Part-D]
First/Sole Holder 2nd Holder 3rd Holder
Name

Signature as per DP records

Signature as per RTA records

(applicable for CDSL requests only)

Participant Authorization (Tick options as applicable)

Part (A) We have received the above mentioned securities bearing ISIN number (mentioned in Account holder details) for Dematerialisation. The application form is verified with
the certificate(s) surrendered for Dematerialisation and we certify that the application form is in accordance with the details mentioned in the enclosed
certificates/documents, it is also certified that the holders of the securities have beneficiary account with us in the same name(s) and order of name(s). Depository Participant Seal &
Part (B) - We state that the above details are true to the best of our knowledge Signature
Part (C) - We hereby acknowledge receipt of the transmission-cum-Dematerialisation instruction with the details mentioned in Account holder's details and Part (C) section of this form.
Part (D) The application form is verified with the certificates surrendered for Dematerialisation/request letter for Inter SGL Transfer and we certify that the application form is in
accordance with the details mentioned in the enclosed certificates/request letter for Inter SGL Transfer. It is also certified that the holders of the securities have beneficiary Name of the Executive:
account with us in the same name(s).
______________________________________________
2

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