Request For Change/Correction in Subscriber Master details And/OrReissue of I-Pin/T-Pin/PRAN For POP-SP Date of Receipt: Receipt No.: Entered By : Date: Verified By: Date: POP-SP Registration No. : 111000770520 14/06/2021 I hereby request for the following details for the change. (Please tick ) I) Change or Correction in name III) Changes or Correction in Nomination II) Changes or Correction in other Personal V) Reissue of PRAN Card IV) Reissue of I PIN and/or T PIN Permanent Retirement Account Number *: PRAN is mandatory. Fill only the field(s) which is/are to be modified with the revised details. Section A – Change in Personal Details 1. Full Name (Full expanded name: Initials are not permitted) Please Tick as applicable Shri Smt Kumari First Name * Middle Name Last Name If the correction in the name to be made in Hindi, Yes 2. Gender Male Female 3. Date of Birth 4. PAN 5. Category: Self Employed Government Private NRI Others 6. Fathers Full Name: Middle Name First Name * Last Name 7. Present Address* Flat/Unit No, Block no. Name of Premise/Building/Village District/Town/City State / Union Territory Country Pin Road/Street/Lane Landmark 8. Permanent Address*: Flat/Unit No, Block no. Name of Premise/Building/Village District/Town/City State / Union Territory Country Pin Code else Road/Street/Lane Landmark If same as above, Please Tick Annexure S2 Page 1
5
Embed
Entered By : Date: 111000770520 14/06/2021 - cra-nsdl.com
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Request For Change/Correction in Subscriber Master details And/OrReissue of I-Pin/T-Pin/PRAN
For POP-SP
Date of Receipt:
Receipt No.:
Entered By : Date:
Verified By: Date:
POP-SP Registration No. :
111000770520 14/06/2021
I hereby request for the following details for the change. (Please tick )
I) Change or Correction in name
III) Changes or Correction in Nomination
II) Changes or Correction in other Personal
V) Reissue of PRAN Card
IV) Reissue of I PIN and/or T PIN
Permanent Retirement Account Number *:
PRAN is mandatory. Fill only the field(s) which is/are to be modified with the revised details.
Section A – Change in Personal Details
1. Full Name (Full expanded name: Initials are not permitted)
Please Tick as applicable Shri Smt Kumari
First Name *
Middle Name
Last Name
If the correction in the name to be made in Hindi, Yes