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ANNEXURE-II

MAP CLIENT TO BRANCH (ENDORSEMENT REQUEST)


To, RELIANCE SECURITIES LIMITED Dear Sir/Madam TRADING CLIENT NAME TRADING CLIENT CODE First Name Middle Name MOBILE NUMBER EXISTING MAPPING DETAILS Branch Name: _____________________________ Branch Code: _______________Region Name: ______________________________ Mapped to (tick any one) Partner BDD RSL Online
ATPC Code/Dealer Code SERVICE CODE/RM Code NEW MAPPING DETAILS

QRC NO:
Last Name

Branch Name: _____________________________ Branch Code: _______________ Region Name: ______________________________


ATPC CODE/DEALER CODE SERVICE CODE/RM CODE
Indemnification: In connection with the above authority vested by me/us, I/we agree that the Company shall have no Liability for the order(s) placed by you under my/our
instructions. I/we agree that the Company shall not at any time be liable whether to me/us or to anyone claiming through me/us or any other third party with Respect to any damage, losses, costs, expenses liabilities or lost profits sustained or alleged to have been sustained as a result of the order(s) placed by you in my/our account. You are hereby authorized at your discretion to square off loss making positions. In case of debit balance in my/our account the Company is authorized to square off positions/sell shares in my/our Account to recover the outstanding amount. I/we accept that the Company may not provide trading limits against cheques/DDs until realization of funds. The outstanding positions may get squared off by the Company in the absence of clear ledger balance in my/our account with Reliance Securities Limited. I/we confirm that I/we shall regularly check contract notes, margin reports, demat statements and ledger accounts sent to My/our Reliance Securities email id and in case any discrepancy is noticed, the same will be brought to your notice within 24 hours of receipt of the email.

Client Signature
Date: dd/mm/yyyy
FOR BRANCH USE ONLY Branch Head Name CURRENT LEDGER BALANCE (Rs) Existing Regional Head Branch Head SAP ID
LAST 6 MONTHS BROKERAGE (Rs)

EMAIL APPROVALS ATTACHED ( as relevant as per approval matrix )


Online Segment Head

Branch Head Signature


Date: dd/mm/yyyy FOR CBO USE ONLY CBO Receiving Date: dd/mm/yyyy Updated by Authorized By Final Updating Date: dd/mm/yyyy Employee ID

-------------------------------------------------------------------Please tear here and handover to client----------------------------------------------Received MAP CLIENT TO BRANCH (ENDORSEMENT REQUEST) as per details given below
TRADING CODE BRANCH HEAD STAMPSIGNATURE : _______________ : _______________ QRC NO.: _______________ DATE : dd/mm/yyyy

Client PAN CARD copy to be attached with this request for processing

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Ver 6.0 / Jan 2012

PMG-Broking

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