Application Form For Change of Address

COMMUNICATION FOR CHANGE OF ADDRESS
Date:
Depository Participant Address
Client Details
To
Indian Overseas Bank
Depository Services
Auras Corporate Centre
98-A, Dr.Radhakrishnan Salai,
Maylapore,
Chennai 600004.
CLIENT ID:_____________________
DP ID : IN 302437
Name:
(Ist) holder: ________________________
(2nd) holder: ________________________
(3rd) holder: ________________________
Dear Sir,
Kindly make a note of change in my/our ADDRESS as given below in your records:
PRESENT ADDRESS
NEW ADDRESS
City:
City:
Pin :
Pin :
Phone No._______________________ Mobile No._____________________________
Thanking you,
Signature of
_______________________ _____________________ _____________________
(Sole/First Holder) (2nd Holder) (3rd Holder)
Note:
Please enclose the following along with the application for change of address:
1. Proof of New Address :(verified copies of Ration Card/Passport/Voter ID/Driving Licence/Bank Passbook/Electricity Bills (not more than 2 months old)/ Residence Telephone Bill (not more than 2 months old)/Leave Licence Agreement/Agreement to sell/ identity card/document with address, issued by
a) Central/State Govt. and its Depts.
b) Statutory/Regulatory Authorities
c) Public Sector Undertakings
d) Scheduled Commercial Banks
e) Public financial institutions
f) Colleges affiliated to Universities –this can be treated as valid only till the time the applicant is a student
g) Professional Bodies such as ICAI, ICWAI, Bar Council etc. to their members (any one of the above)

2. Proof of Identity : (Verified copies of Valid Passport/Voter ID/Driving Licence/PAN card with photograph/Credit Card with photograph (any one of the above
3. Latest Transaction Statement copy
ACKNOWLEDGEMENT
Your request for recording change in address of Client ID No. ________________ dated
______________ is received and will be entered in our records by the date ___________
Name of DP’s signatory : _______________________
Signature : _______________________ ______________________
(DP’s Stamp & Date)