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Pledge Request Form

The document is a Pledge Request Form (PRF) for pledging securities held in a demat account with Sykes & Ray Equities (I) Ltd. It requires details from both the pledgor and pledgee, including identification numbers, names, and information about the securities being pledged. The form also includes declarations and signatures to confirm the accuracy of the information and acceptance of the pledge terms.

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Jash Shah
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
7 views

Pledge Request Form

The document is a Pledge Request Form (PRF) for pledging securities held in a demat account with Sykes & Ray Equities (I) Ltd. It requires details from both the pledgor and pledgee, including identification numbers, names, and information about the securities being pledged. The form also includes declarations and signatures to confirm the accuracy of the information and acceptance of the pledge terms.

Uploaded by

Jash Shah
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Annexure 11.

12

Pledge Request Form (PRF)


SYKES & RAY EQUITIES (I) LTD
3RD FLOOR,CAMA BUILDING, DALAL STREET, FORT, MUMBAI – 400001
PH : 022-61937300, FAX :22650575, E-mail : [email protected]
Please fill all the details in Block Letters in English

PRF No. Date D D M M Y Y Y Y

I/We request you to Pledge the following securities held in my/ our name in our demat account with you. I/We have
read and understood the Depositories Act, SEBI Regulations, Bye Laws and the Pledge Agreement in relation to pledge of
securities and I/We agree to abide by and be bound by the Act, Regulations, Bye Laws and the Pledge Agreement as are
in force from time to time for such pledges.
Pledgor’ s Details
DP ID Client ID
Pledgor’
s Name 1.
2.
3.

Pledgee’
s Details
DP ID Client ID
Pledgee’
s Name 1.
2.
3.

Details of Securities: ? Free Securities ? Locked – in Securities


Details of Securities offered for Pledge.
Sr. no ISIN ISIN Name Quantity PSN
(System
Generated)

Attach an annexure duly signed by the account holder(s), if the space above is insufficient.

Pledge Expiry Date D D M M Y Y Y Y


Pledge Value (Rs.)
Agreement No.
Date of Pledging
I / we declare that the particulars given by me/ us above are true to the best of my/ our knowledge.
Signature of the Pledgor
First/ Sole Applicant Second Applicant Third Applicant

I/ we confirm that the details of the Beneficial Owners stated above are true and correct. Also the balance of ISIN’
s
offered for pledge is unencumbered and is a free balance.

Depository Participant Seal and Signature

I/ We agree to accept the above securities for pledge and a pledge be created in my / our favor. This pledge is subject to
the Act, Regulation, Bye Laws as are in force from time to time and also to the pledge agreement entered into with the
pledgor(s) mentioned above.

Pledge Sequence Number Accepted Rejected

Signature of Pledgee(s) *
First Holder Second Holder Third Holder

* If the Pledgee is a bank DP, the signature of the pledgee need not be taken on the Pledge request form.

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