In case you want physical dividend warrants I request Jubilant Organosys Limited to include the following Bank particulars in my dividend warrant N ID: 521284
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PARTICULARS OF BANK DETAILS (In case you want physical dividend warrants) I, ________________________________________________ request Jubilant Organosys Limited to include the following Bank particulars in my dividend warrant: Name of first/sole shareholder Folio no. / Client ID & DP ID Bank name Branch name and address Bank Account No. Account type ) the proper box) SB Current Others (please specify) E-mail ID, if any. Phone/Mobile no. _________________________________ Signature of the First/Sole Shareholder(as per specimen signatures registered with the Company) 1. Please send the duly completed and signed form The Registrar and Transfer Agent of the Company (in case of shares held in physical form) the following address: Alankit Assignments Limited Unit: Jubilant Organosys Limited 2E/21, Jhandewalan Extension NEW DELHI 110 055 (in case of shares held in electronic form)2. For any change in Bank details, a fresh form needs to be submitted in the same format. Fax/Scanned copy of the signed forms shall not be accepted. A copy of the cancelled cheque may please be sent with this form for ensuring accuracy of the