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 Permanant Account Number (PAN)

First Holder

Second Holder

Third Holder

Guardian
(In case of Minor)

(B) BANK DETAILS of First Holder

Bank Account No.

Bank Name Branch

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 ACKNOWLEDGEMENT SLIP

Received From______________________________________________________________ APPLICATION / FOLIO NO.

___________________________________________________________________________

Official Acceptance Point Stamp & Sign

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