FORM NO. IEPF- 5 - chembondindia.com 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the 'Particulars of the applicant' section. Ensure you provide your name, address, phone number, mobile number, and email ID. Fields marked with an asterisk (*) are mandatory.
  3. Next, move to 'Particulars of the Company / Bank from which the amount is due'. Enter the Corporate Identification Number (CIN) or Bank Corporate Identification Number (BCIN), along with the company or bank's name and address.
  4. In 'Details of shares claimed', input your Folio No./DP ID - Client ID Account number, kind of share, number of shares, and total nominal amount.
  5. Proceed to 'Details of amount claimed'. Fill in amounts for dividends, application money due for refund, matured deposits, and any other relevant claims.
  6. Complete the 'Details of Bank account' section with your bank account number, bank name, branch details, type of account, and IFSC code.
  7. Finally, review all entries for accuracy before submitting. Remember to print out the form and gather required attachments as specified in the declaration section.

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Claimant to submit the print out of Form IEPF-5 along with other documents to the Nodal Officer of the company at its registered office for verification of the claim. Company to send the verification report to IEPF within 15 days of receipt of the claim.
Duly filled application form along with the required documents is to be sent to the nodal officer of the concerned company/R T Agent (RTA) as indicated in the companys website. This is an important step because it is the nodal officer who will verify your claim and forward it to the IEPF authority for processing.
DOWNLOAD THE FORM IEPF-5 Download the IEPF-5 form from our website .iepf.gov.in. Read the instructions kit carefully before filling the form. UPLOAD THE FILLED E-FORM Upload the filled e-form on link provided on website. Save a copy of uploaded e- form and acknowledgement receipt generated with SRN.
Proof of Entitlement (Certificate of share/interest warrant Application No. etc.) Original Cancelled Cheque Leaf. Copy of Passport, OCI and PIO card in case of foreigners and NRIs.
A claimant who wishes to get a refund or recover the shares back in his/her name should submit the Form IEPF-5 on the MCA portal. The claimant should provide the following information on the form: The applicants (claimants) information. The company information from which the amount is due, including CIN number.

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The IEPF Authority must decide on the claimants reimbursement application within 60 days after obtaining the verification report from the relevant company that has validated the claimants application.