Usha Martin

Investor Relation / Shareholders Info / Shareholder Query Form

Dear Shareholders,

In case of any query relating to the company's securities, please fill up the following form and submit it.

Fields marked with ( * ) are mandatory

Name of Sole / First holder : *

Occupation :

Address :

E-mail ID : *

Folio Number :

DP ID No. :

Client ID No. :

Number of ordinary shares held : *

Telephone : *

Query : *

Security Code :
(Mention the code shown in the image)