Grievance Registration Form
CITIZEN CORNER
(Entries prefixed with
*
must be filled)
Grievance Pertains to
Shareholder
General
Select Type
*
REFUND / ALLOTMENT Advice
CANCELLED Stock-invest
ALLOTMENT Advice Against ENCASHED STOCK-INVEST
Refund Sent For REVALIDATION
Refund After Furnishing The DETAILS of APLN/BANK Serial No
DUP. Refund issued in wrong NAME/Beneficiary sent for change.
DUP. Refund issued in wrong AMOUNT and sent for correction.
DUP. Refund issued in wrong BANK DETAILS and sent for change.
copy of ENCASHED INSTRUMENT IN Misappropriated cases.
Balance Amount Against SHORT REFUND made by Co. Due to Error
DUP- Refund Against Undertaking / Duly Executed INDEMNITY Bond.
Dividend on Shares
In Exchange of ALLOTMENT LETTER
After TRANSFER
After TRANSMISSION.
After CONVERSION
After ENDORSEMENT
After CONSOLIDATION
After SPLITTING
BONUS Shares.
Against INDEMNITY Bond sent to the Company.
INTEREST
REDEMPTION Amount
In Exchange of ALLOTMENT Letters.
After TRANSFER
After TRANSMISSION
After ENDORSEMENT
After CONSOLIDATION
After SPLITTING
Against INDEMNITY Bond sent to the Company
Interest on DELAYED Payment of Interest on Debentures.
Interest on DELAYED Payment of Redemption Amount of Debenture.
Annual Reports
Letter of Offer for RIGHTS.
No Registration of CHANGE IN ADDRESS
Interest on DELAYED Payment of REFUND.
Interest on DELAYED Payment of DIVIDEND
Miscellaneous
Proper despatch details not provided.
Investor advised to provide additional information. (Also refer pt.1(d) of Expected Action of performa for sending responses to SEBI)
Folio Number
*
Name
*
Complainant Category
*
Male
Female
Others(If an organisation)
Do You want to have a
Password for this Grievance?
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Password
*
Address 1
*
Address 2
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*
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*
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Phone No.
(ISD Code+STD Code-without '0' prefix+Tel.No) eg : 911100000000
Mobile No.
*
(ISD Code & Mobile Number)eg : 919999999999
Email Id.
Please enter Grievance Description upto
4000
characters
*
Have you earlier lodged the grievance to
the above organisation on the same subject?
Yes
No
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I hereby state that the facts mentioned above are true to the best of my knowledge and belief.
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