Date: ____________ 
 
To, 
SPS Share brokers Pvt ltd	
66, Tamarind lane,
4/5 hajji kasam bldg,
1st floor, fort, Mumbai-1

Re:  Beneficial Owner (BO) Account no 12022000000____________ 
 
I/We _____________________________________________________ _________________________________ [name(s) of the BO(s)] had entered into agreement dated _________________ with you at the time of opening of the aforesaid BO account.   
 
Pursuant to the amendment in Clause 3 of the agreement (Annexure C to the Bye Laws of CDSL), I/We confirm having opted to receive the statement of accounts pertaining to the above mentioned BO account in electronic mode in lieu of physical copy of the statement of account. 
 
I/We confirm that the dispatch of statement of account to me/us at the following email address shall constitute full and absolute discharge of your obligation under the above agreement to provide me/us with statement of my/our BO account. But, I/we reserve my/our right to receive the physical copy of statement of accounts despite receiving the same in electronic mode, if such a demand is made in writing on you. 

Email address:_____________________________________________
 
I/We confirm that any change in the aforesaid email address or any other instructions with regard to dispatch/ service of my/our statement of account on me/us shall not be binding upon you unless you are intimated in writing by me/us by acknowledged delivery. 
 
Yours faithfully, 
 
Name/s of the beneficial owner/s                             Signature/s 

Holder 1	:							______________

Joint 2	:							______________

Joint 3	:							_______________