Application Form for change in name on account of marriage

Company Name(s): 

ANNEXURE XV
Application for change in name on account of marriage
Address: ____________________________
From:
Name:______________________
___________________________________
Pin Code: _____________________
To
The Manager,
UTI Mutual Fund/SU-UTI,
Mumbai
Dear Sir,
Change in Name
Scheme: _________________________
I declare the above statements as true.
Yours faithfully,
I , Kumari _______________________________________________, a holder of units under folio no./Investor ID.
___________________________ have married to Shri _________________________________ on
____________________ and now known as Smt.
______________________________________________________________. My bank particulars have been given below.
I , therefore, request you to make the necessary amendments in your records in his regard.
_____________________ _____________________
(Signature in maiden name) (Signature in married name)
Bank Particulars: Signature of Witnesses _________________________
Pin Code:
Account No. Name & Address of the Witness _________________
Bank & Branch name: _______________________________________________
Address: _______________________________________________