Form B
[See paragraph 6(c) and (d)]
Declaration to be submitted by the new
retail investor to the depository participant on purchase of eligible
securities.
To
Depository
participant
Address
It is hereby
informed that I have demat account no
_________________ in ____________________ depository participant and the
following securities
(a)
(b)
(c)
(d)
(e) purchased
in the aforesaid demat account on
______________are not to be included as investment for the purpose of the
Rajiv Gandhi Equity Savings Scheme.
Signature
Name of the Investor:
(first holder)
Address of the investor: