TRADING & DEMAT ACCOUNT OPENING FORM - NJ PMS

DEBIT CARD REGISTRATION REQUESTTo,NJ India Invest Private LimitedUdhna, Surat.Subject : Undertaking with Request to register Debit Card on my/our Trading AccountDear Sir / Madam,I/ we hereby request you to get my/our Debit Card registered with your Company for the purpose ofmaking online payments through my/our Trading Account using the registered Debit Card.I/ we further confirm & undertake that my/ our below mentioned Debit card is mapped withmy/ our bank account which is registered in my/our NJ Trading Account.UCCRegistered Bank NameName as on Debit CardBank Account NumberDebit Card NumberCard Expiry DateNote:1. For verification, please attach a photocopy of your above mentioned Debit Card (Only front side)2. For security reasons, kindly do not share CVV/code/password with any person.I/we further undertake to inform your company if I/we link the above mentioned Debit card with anyother bank account. I/we would be pleased to provide the further information or explanations as &when required.The details provided hereinabove are true and correct to the best of my/our knowledge and belief, nothinghas been concealed therefrom. If anything contrary to above will be found later by the Company, I/weshall be responsible for the consequences thereof.Name of the Authorized SignatoryDesignation(For Non Individual only)Name of Constituent(For Non Individual only)…............................................................................................….......................................................….......................................….................................................SignatureDate…...........................…......................…...........................…......................