Brokers

REC 54EC BONDS APPLICATION ENTRY FORM

Investor Category
(As per Income Tax Act, 1961) *

BROKER DETAILS *

Application Through

Sub Broker Code

MODE OF HOLDING *

Mode of Application *

NSDL

CDSL

Physical

DPID	IN * enter 6 digit DPID and 8 digit ClientID
Client ID	* (enter 16 digit ClientID)

REC advises all investors to apply in Demat Mode. Further REC shall pay incentive of Rs. 500/- per investor once if the bonds are applied in Demat mode

DETAILS OF INVESTMENT AMOUNT * (Minimum 2 Bonds, Maximum 500 Bonds)

No. of Bonds *

Amount Payable

DETAILS OF APPLICANT(S) *

First Holder Name *

PAN*

Gender

Occupation

Second Holder Name

PAN

Gender

Occupation

Date of Birth of First Holder

FIRST/SOLE APPLICANT'S CORRESPONDENCE / COMMUNICATION ADDRESS * (Corresponding Address Proof is Not Required)

Address 1 *

Address 2

Address 3

City *

PIN Code *

Email *

Mobile
(Indian Mobile No. Preferable) *

FIRST/SOLE APPLICANT’S PERMANENT ADDRESS IN FULL *(Do Not Write Name Again)

IS THE CORRESPONDENCE ADDRESS SAME AS ABOVE ?

YES

NO

Address 1 *

Address 2

Address 3

City *

PIN Code *

Father's Name *

BANK PARTICULARS FOR PAYMENT OF INTEREST/REDEMPTION *

MICR Code

IFSC Code *

Bank Name

Branch Name

Account Type

Account No *

NOMINATION DETAILS (Investors have to either fill Nomination below or Form ISR-3 i.e. Declaration to opt out of Nomination.) * (Only One Nominee)

Nominee Name

Nominee DOB *

Is the Nominee address same as Above ?

Nominee Address is same as Permanent

Correspondence Address

Other

Address 1 *

Address 2

Address 3

City *

PIN Code

Nominee Email *

Relationship with Bond Holder

Nominee Mobile
(Indian Mobile No. Preferable)

Nominee is Minor ?

YES

NO

Name of Guardian *

MODE OF PAYMENT

Online Mode (Net-Banking)

Offline Mode (RTGS/Cheque/DD)

PAYMENT DETAILS *

Cheque / Demand Draft/RTGS
Drawn on (Name of the Bank)

Cheque / Demand Draft/RTGS
Drawn on (Name of the Bank Branch)

Bank A/c Number from which
investment is made

Cheque / Demand Draft / UTR No.

Payment Dated


	REC LIMITED A Government of India Enterprise	Serviced by