Birla Mutual Fund Update Details Form

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Birla Mutual Fund Update Details Form Powered By Docstoc
					Ahura Centre, 2nd FloorTower ‘A’ 96/A-D, Mahakali Caves Road, Andheri (E), Mumbai–400 093. • Tel.: (022)-66928000 connect@birlasunlife.com / www.birlasunlife.com / Toll Free No. 1-800-22-7000

Details Updation Form for Online Account Access
Please update my details/register my e-mail id in your records so that I can go online and register for online account access
(A) UNIT HOLDERS INFORMATION
Folio No.

NAME
First Holder Second Holder Third Holder Guardian
(In case of Minor)

Permanant Account Number (PAN)

(B) BANK DETAILS of First Holder
Bank Account No. Branch

Bank Name Address

Pin Code Bank A/c. Type Savings Current NRE NRO

(C) MAILING ADDRESS

Pin Tel.: (R) (O) Mobile:

(D) E-MAIL CONFIRMATION (Entering your email id here allows you to register on our website for online account access through www.birlasunlife.com)

First Holder

Second Holder

Third Holder

(Kindly sign as per the mode of holding. If mode of holding is “Joint” all unitholders should sign)

Details Updation Form for Online Account Access
Received From______________________________________________________________
___________________________________________________________________________

ACKNOWLEDGEMENT SLIP
APPLICATION / FOLIO NO.

Official Acceptance Point Stamp & Sign

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Description: Birla Mutual Fund Update Details Form