Securities and Exchange Board of India - Investor Complaint Format

1. Investor Name*
Address of the Investor*
2. Email Address*
3. Name of the Company*
Address of the Company*
4. Name and Address of the Registrar
5. Folio Number / Distinctive Numbers
6. SEBI Acknowledgement Reference No. (in case of reminder)
7. Complaint Details
	Non Receipt of Dividend Dividend Declared on
* Indicates Mandatory Field