Website: www.dspblackrock.com
eMail: service@dspblackrock.com
Toll Free Number: 1800 200 4499
Change in Mode of Holding: Request Form
(for folios having multiple holders only)
1. Folio No
2. Sole/First Unitholder
name of the 1st holder
3. Second Unitholder
name of the 2nd holder
4. Third Holder
name of the 3rd holder
Please update the new mode of holding as per details below.
5.
New Mode of Holding (Please tick )
6.
Anyone or Survivor
Contact Details:
Joint Holding
(Mention your contact details here for easy communication)
Email id: (in capital)
Mobile Number:
+91
Tel:
( STD code )
Telephone Number
7. Declaration and Signatures (as existing in records)
I / We request DSP BlackRock Mutual Fund (the Fund), to change the mode of mode of holding and operation of the
folio/s mentioned above.
I/we hereby agree that after the updation of new mode of holding/operation, any request based on previous
holding/operation will not be honoured by the fund.
Sole/First Holder
Second Holder
Third Holder
All unit holders need to sign irrespective of mode of holding.
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ _
Acknowledgement
Mode of Holding Change: Request Form
DSP BlackRock Mutual Fund
Received, subject to verification, request for updation of new mode of holding in:
Folio No:… …………………………………………………………………………………………………………….…………..
email: service@dspblackrock.com
www.dspblackrock.com
Call: 1800 200 4499
ISC Stamp & Signature