Client Registration Form KUNVARJI FINSTOCK PVT. LTD. Individual & Non-Individual Form No. : Client Name : _________________________________________________ Client Code : ________________ BO ID : 12048400 _________________ Branch / RM Name : _________________________________________________ Sub-broker / AP Name : _________________________________________________ Group Code : _________________________________________________ FOR OFFICE USE ONLY CASH F&O CURRENCY DEMAT NSE NSE NSE CDSL BSE BSE BSE MCX-SX MCX-SX MCX-SX
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Client Registration Form KUNVARJI FINSTOCK PVT. LTD. · • Politically Exposed Persons(PEP) are defined as individuals who are or have been entrusted with prominent public functions
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UCC Client Code: ______________ BO ID: 12048400 ______________
Client risk categorisation under PMLA: (Tick () any one) Low risk Medium risk High risk
I/We undertake that we have made the client aware of 'Policy and Procedures', tariff sheet and all the non-mandatory documents. I/We have also made the client aware of 'Rights and Obligations' document (s), RDD and Guidance Note. I/We have given/sent him a copy of all the KYC documents. I/We undertake that any change in the 'Policy and Procedures', tariff sheet and all the non-mandatory documents would be duly intimated to the clients. I/We also undertake that any change in the 'Rights and Obligations' and RDD would be made available on our website, if any, for the information of the clients.
Signature of the employee
For Kunvarji Finstock Pvt. Ltd.
Signature of Sub-broker orAuthorised person
Introduced by: Another Constituent Director Employee of Trading member Sub Broker Any other person (please specify):__________________
Signature
UCC of the Introducer(if registered with the Trading Member)
Name of the Introducer First Name Middle Name Last Name
Signature of the employee
Introducer’s PAN Number(Kindly enclose copy of PAN Card)
Introducer’s Address(Kindly enclose proof of address)
(Name and designation of the employee who interviewed the client)
Name of the employee : _____________________________
In case the Introducer is not registered with the Trading Member, kindly provide details of the introducer.
FOR OFFICE USE ONLY
01
Name of the Employee
Employee Code
Designation of the employee
Date
Signature
Documents verifiedwith Originals
Client Interviewed By In-Person Verification
done by
KRA Upload
Index of Documents
Sr. No. Name of the Document Brief Significance of the Document Page No.
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI, EXCHANGES & CDSL
1 KYC and Account Opening Form A. KYC Form documents captures the Basic information about 4 - 14
(For Trading and Demat Account) the client and an instruction / checklist
B. Document captures the Additional Information about the 15 - 23
client relevant to Trading Account and beneficial
owner’s account
2 Tariff Sheet for Trading and A. Document provides details of rate / amount of brokerage 24
Demat Account and other charges levied on the client for trading on the
Stock Exchange(s)
B. Document provides details of charges for depository 25
services
3 Rights and Obligations of beneficial Document stating the rights and obligations of beneficial owner
owner and depository participant as and Depository Participant for Demat Account as prescribed by
prescribed by SEBI and depository SEBI and Depositories
4 Rights and Obligations of stock Document states the Rights & Obligations of the Stock Broker,
broker and client Sub-Broker and Client for trading on exchanges (including
additional rights & obligations in case of Internet / Wireless
Technology based tradings)
5 Risk Disclosure Document (RDD) Document provides the details of risks associated while dealing
in the Securities Market
6 Guidance Note Document details Do's and Don'ts for trading on Exchanges, for
the education of the investors
7 Policies & Procedures Document describes significant policies and procedures of the
Stock Broker
VOLUNTARY DOCUMENTS AS PROVIDED BY
THE STOCK BROKER AND DEPOSITORY PARTICIPANT
8 Direct Credit authorisation Document authorises KFPL to credit amount due to the Client to
Form his Bank Account
9 Terms & Conditions for SMS Document details the Terms & Conditions for getting alerts 26 - 28
alert from CDSL (Annexure 2.4) through SMS from CDSL for securities debited & credited to
client's demat account (Recommended to register in the Client's
own interest)
10 Terms and Conditions for Document details Terms And Terms And Conditions for availing 29 - 30
TRUST (Annexure 2.6) Transaction Using Secured Texting (TRUST) Service offered
by CDSL
11 Power of Attorney in favour Limited Power of Attorney given by a Client to KFPL to debit his 31 - 32
of KFPL demat A/c with KFPL-DP to deliver securities as per client’s
settlement margin obligation
Included
in client
copy
Perforated
Page
03
Index of Documents
Sr. No. Name of the Document Brief Significance of the Document Page No.
12 Declaration by Karta Document for declaration by Karta & details of 33
Coparceners for HUF
13 Additional Clauses of Rights and Document states the additional Rights & Obligations of 34 - 36
Obligations of Stock Broker, Stock Broker / Sub-broker / Authorised Person and client for
Sub-Broker and client trading on exchanges
14 Running Account Authorisation Document authorises KFPL to maintain Client’s Account on 37 - 38
Running Account mode i.e. funds will be remitted only on his request
15 Letter of Operation of Account Various operative instructions to the stock broker for day to day 39 - 40
operation of account of the client including authority for debit of
depository charges
16 Letter giving details of Authorised Letter giving details of persons authorised by the client to 41
representatives interact with the stock Broker on His/Her its behalf
17 Acknowledgement and Letter signed by client acknowledging and confirming receipt 42
Confirmation of the documents prescribed and that the same have been
explained to the client
18 Information about Provisions of Document provides a brief note on Prevention of
Prevention of Money Laundering Money Laundering Act. and Rules
Act, 2002 (PMLA)
19 Board Resolution Format Format of Board Resolution for Corporate Client to open and
operate Trading and Demat Account
20 Declaration by Partnership Firm for Format of Declaration for opening a demat account by
Opening a demat account Partnership Firm
21 Declaration by Partnership Firm for Format of Declaration by Partnership Firm for mapping a
mapping a demat account with their demat account with their trading account
trading account
22 Shareholding Pattern Format of Shareholding pattern for Corporate Client
COLOR REPRESENT DOCUMENTS HANDED OVER TO CLIENT
SYMBOL REPRESENT CLIENT SIGNATURE
First Holder / Authorised Person Signature
Second Holder / Authorised Person Signature
Third Holder / Authorised Person Signature
Included
in client
copy
INSTRUCTION / CHECK-LIST OF DOCUMENTS FOR OPENING TRADING AND DEMAT ACCOUNT
Instructions to the Applicants (BOs) for account opening:
1. Signatures can be in English or Hindi or any of the other languages contained in the 8th Schedule of the Constitution of India. Thumb impressions and signatures other than the above mentioned languages must be attested by a Magistrate or a Notary Public or a Special Executive Magistrate / Special Executive Officer under his/her official seal.
2. Signatures should be preferably in black ink.
3. Details of the Names, Address, Telephone Number(s), etc., of the Magistrate / Notary Public / Special Executive Magistrate / Special Executive Officer are to be provided in case of attestation done by them.
4. In case of additional signatures (for accounts other than individuals), separate annexures should be attached to the account opening form.
5. In case of applications containing a Power of Attorney, the relevant Power of Attorney or the self-certified copy thereof, must be lodged along with the application.
6. All correspondence / queries shall be addressed to the first / sole applicant.
7. Strike off whichever option, in the account opening form, is not applicable.
1. Additional documents in case of trading in derivatives segments - illustrative list:
INSTRUCTIONS / CHECK LIST
Copy of ITR Acknowledgement Copy of Annual Accounts
In case of salary income - Salary Slip, Copy of Form 16 Net worth certificate
Copy of demat account holding statement. Bank account statement for last 6 months
Any other relevant documents substantiating ownership of assets. Self declaration with relevant supporting documents.
2. Copy of cancelled cheque leaf/ pass book/bank statement specifying name of the constituent, MICR Code or/and IFSC Code of the bank should be submitted.
3. Demat master or recent holding statement issued by DP bearing name of the client.
4. For individuals:
a. Stock broker has an option of doing 'in-person' verification through web camera at the branch office of the stock broker/sub-broker's office.
b. In case of non-resident clients, employees at the stock broker's local office, overseas can do in-person' verification. Further, considering the infeasibility of carrying out 'In-person' verification of the non-resident clients by the stock broker's staff, attestation of KYC documents by Notary Public, Court, Magistrate, Judge, Local Banker, Indian Embassy / Consulate General in the country where the client resides may be permitted.
5. For non-individuals:
a. Form need to be initialized by all the authorized signatories.
b. Copy of Board Resolution or declaration (on the letterhead) naming the persons authorized to deal in securities on behalf of company/firm/others and their specimen signatures.
*In respect of other clients, documents as per risk management policy of the stock broker need to be provided by the client from time to time.
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General Instruction:
• Self attested copy of Pan Card is Mandatory for all holders
• Client Name on KYC form must be as per PAN Card
• Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted
• If correspondence & permanent address are different, then proofs for both have to be submitted.
• Signature must match with signature on Photo ID Proof
• Latest Passport Size Colour Photo need to paste on required places and signature across the photograph
• All documents submitted by client must be self attested and accompanied by originals for verification. In case the original of any document is not produced for verification, then the copies should be properly attested by entities authorized attesting the documents, as per mentioned list.
• Proprietary firm and Partnership firm can not open demat account. They must make application in individual name & capacity.
• Minor: Trading A/c cannot be opened in name of Minor. Demat A/c - Joint A/c not permitted with minor, KRA form, Pan and Proof of address of both Minor and Guardian to be submitted.
• All Corrections on the form should be countersigned with full signature. White ink is not allowed either in form or agreement.
• For opening an account with Depository Participant for a minor, photocopy of the school leaving certificate/Mark sheet issued by Higher Secondary Board/Passport of Minor/Birth Certificate must be provided.
• If any proof of identity or address is in a foreign language then translation into English is required.
• For Non-residents and foreign nationals (allowed to trade subject to RBI and FEMA guidelines), copy of passport/PIO Card/OCI Card and overseas address proof is mandatory.
• Politically Exposed Persons(PEP) are defined as individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of Governments, senior politicians, senior Government/judicial/military officers, senior executives of state owned corporations, important political party officials, etc.
List of People authorized to attest the documents:
• Notary Public, Gazetted Officer, Manager of a scheduled Commercial/Co-operative Bank or Multinational Foreign Banks (Name, Designation & Seal should be affixed on the copy).
• In Case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in India, Notary Public, Court Magistrate, Judge, Indian Embassy/Consulate General in the country where the client resides are permitted to attest the documents.
For Introducer:
• Introducer should personally verify account holders details like, Photograph, identity, address, etc. and affix “In Person Verification” stamp with his name, designation, signature on it.
• All Copies of documents must be Verified against their originals, stamped as “Verified with Original” and signed by authorized person with his name mentioned alongside his signature.
• Witness details should be filled up and witness should sign on all required places
Note:
• If Demat A/c is to be opened with two or more joint holders, Kindly submit KRA from for each joint holder along with specified documents
• In case of Demat A/c to be opened in the name of minor, please submit separate KRA form of guardian with specified documents
Table A - Individual
Type of Proof Acceptable Validity Period
KYC Proofs
Identity Proof Passport Valid on date of account opening
(Any One) Voter ID Card N.A.
Driving License Valid on date of account opening
UID - Aadhaar Card N.A.
Address Proof Passport Valid on date of account opening
(Any One) Voter ID Card N.A.
Ration Card N.A.
UID - Aadhaar Letter N.A.
Driving License Valid on date of account opening
Registered Lease or sale agreement of Residence Valid on date of account opening
BSNL/MTNL Landline Telephone Bill Not more than 3 months old on date of A/c opening
Bank Account Statement/Passbook Not more than 3 months old on date of A/c opening
Electricity Bill Not more than 3 months old on date of A/c opening
Bank Proof A. Preprinted name of the account holder on cancelled cheque leaf specifying the MICR Code and/or IFSC Code
(Any One) B. Bank Statement - Not more than 3 months old on date of A/c opening
C. Bank Passbook having name and address of the BO with bank name & logo
D. Letter from Bank
In case of options B, C, and D above, MICR / IFSC code of the branch should be present / mentioned on the
document and it shall be self-certified by the BO.
Income Proof • Copy of ITR Acknowledgement
(Any One) • Copy of Annual Reports
• Copy of Form 16 in case of Salary Income
• Latest Net worth Certificate
• Salary Slip - 3 months latest
• Bank Account Statement for last 6 months
• Copy of Latest demat account holding statement with valuation
• Any other relevant documents substantiating ownership of assets
• Self declaration along with relevant supporting documents
Table B - Non Individual
Type of Proof Acceptable Validity Period
KYC Proofs
Address Proof Registered Leave and License agreement Agreement date not more than 3 months old as on
(Any One) date of A/c opening
BSNL/MTNL Landline Telephone Bill Not more than 3 months old on date of A/c opening
Bank Account Statement/Passbook Not more than 3 months old on date of A/c opening
Electricity Bill Not more than 3 months old on date of A/c opening
Bank Proof Preprinted name on cancelled cheque leaf specifying the MICR Code or/and IFSC Code
(Any One) Cancelled cheque leaf specifying the MICR code or/and IFSC code along with Latest Bank Passbook/
Bank Statement
Income Proof • Copy of ITR Acknowledgement
(Any One) • Copy of Annual Reports
• Latest Net worth Certificate
• Bank Account Statement for last 6 months
07
Type of A/c Type of KYC Proofs Proof Required & Acceptable Proof Options
Individual Pan Card Required for all holders Pan card copy
Proof of Identity Required for all holders Pls. refer Table A
Photograph Photograph of all holders singed across by client himself
Proof of Address Required for all holders Pls. refer Table A
Bank Proof Required for First/Sole holder Pls. refer Table A
DP Proof Demat Client master of recent holding statement issued by
DP bearing name of the A/c
Income proof for trading Required for Trading A/c client Pls. refer Table A
in Derivatives Segments
HUF Pan Card Required for following 1. HUF 2. Karta Pan card copy
Proof of Identity Required for Karta Pls. refer Table A
Photograph Photograph of Karta signed & stamp across on it
Proof of Address Required for following 1. HUF 2. Karta For HUF:
Pls. refer Table B
For Karta:
Pls. refer Table A
Bank Proof Required for HUF Pls. refer Table B
Income proof for trading Required for HUF Pls. refer Table B
in Derivatives Segments
Additional Docs • Deed of Declaration of HUF/List of Coparceners
• Bank Passbook/Statement - not more than 3 months old
Partnership Pan Card Copy of pan card require ........................ for following:
1 Partnership Firm 2 All Partners
Photograph Photographs of All Partners
Proof of Identity Require for all Partners Pls. refer Table A
Proof of address Required for following: For Partnership Firm:
1 Partnership Firm 2 All Partners Pls. refer Table B
For Partners:
Pls. refer Table A
Bank Proof Required in name of Partnership Firm Pls. refer Table B
Additional Docs • Certificate of registration (for Registered partnership
firm only)
• Copy of the balance sheets for the last 2 financial years
(to be submitted every year)
• Copy of Partnership deed
• Letter from partnership firm with list of Authorised
signatories with specimen signatures
• Authority Letter to Open demat A/c in the partner’s name
• Authority letter for operation of trading A/c
• Pan card & Address proof of person who hold more than
15% share of profit of the firm
Corporate Pan Card Copy of pan card require for following:
1 Applicant Corporate
2 Authorised Signatories
3 Whole time Directors
4 Individual Promoters holding control - either directly or indirectly
Photograph Photographs for following:
• Authorised Signatories
• Whole time Directors
• Individual promoters holding control - either directly or indirectly
Type of A/c Type of KYC Proofs Proof Required & Acceptable Proof Options
Proof of Identity Required for following: Pls. refer Table A
1 Authorised Signatories
2 Whole time Directors
3 Individual Promoters holding control - either directly or indirectly
Proof of address Required for following: For Applicant
1 Applicant Corporate Corporate:
2 Authorised Signatories Pls. refer Table B
3 Whole time Directors For Authorised
4 Individual Promotes holding control - either directly Signatories, Whole
or indirectly time Directors,
Individual Promoters:
Pls. refer Table A
Bank Proof Required in name of Corporate Pls. refer Table B
Additional Docs • Copy of the Memorandum and Articles of Association
and Certificate of incorporation
• Copy of the Annual Audit Reports for the last 2 financial
years (to be submitted every year)
• Copy of latest share holding pattern including list of all
those holding control, either directly or indirectly, in the
company in terms of SEBI takeover Regulation, duly
certified by the company secretary/whole time director/
MD (to be submitted every year)
• DIN number of whole time directors/two directors in
charge of day to day operations.
• Board Resolution for investment in securities market,
Authorised signatories list with specimen signatures
• Pan card & Address proof of persons holding more than
25% of paid up capital of company
Trust Pan Card Required for following:
1 Applicant Trust 2 All Trustees
Photograph Photographs of all Trustees
Proof of Identity Require for all Trustees Pls. refer Table A
Proof of address Required for following: For Trust:
1 Trust 2 All Trustees Pls. refer Table B
For Trustees:
Pls. refer Table A
Bank Proof Required in name of Trust Pls. refer Table B
Additional Docs • Certificate of registration (for Registered trust only)
• Copy of the balance sheets for the last 2 financial years
(to be submitted every year)
• Copy of Trust deed
• List of trustees certified by managing trustees/CA
• Certified true copy of Board Resolution to open the demat
account and specifying the persons authorized by the
Board to act as Authorized signatory (ies) to operate the
demat account - For Registered Trust.
• Authority letter for operation of trading A/c
• Pan card and address proof of beneficiaries, who has 15%
or more interest in the Trust.
Know Your Client (KYC)Application Form (For Individuals Only)
Please fill in ENGLISH and in BLOCK LETTERSApplication No.:
A. Identity Details (please see guidelines overleaf)
1. Name of Applicant (As appearing in supporting identification document).Name
Father’s/Spouse Name
PHOTOGRAPH
Please affix
the recent passport
size photograph and
sign across it2. Gender Male Female B. Marital status Single Married C. Date of Birth
(Please specify)
4. Status Please tick () Resident Individual Non Resident Foreign National (Passport Copy Mandatory for NRIs & Foreign Nationals)
3. Nationality Indian Other
5. PAN Please enclose a duly attested copy of your PAN Card
Aadhaar Number, if any:
6. Proof of Identity sumbitted for PAN exempt cases Please tick ()
UID (Aadhaar) Passport Voter ID Driving Licence Others
B. Address Details (please see guidelines overleaf)
1. Address for Correspondence
2. Contact Details
Tel. (Off.)
Mobile
E-Mail Id.
(ISD) (ISD)
(ISD) (ISD)
(ISD)
(ISD) (ISD)
(ISD)Tel. (Res.)
Fax
4. Permanent Address of Resident Applicant if different from above B1 OR Overseas Address (Mandatory) for Non-Resident Applicant
3. Proof of address to be provided by Applicant. Please submit ANY ONE of the following valid documents & tick () against the document attached.
Passport Ration Card Registered Lease/Sale Agreement of Residence Driving License Voter Identity Card *Latest Bank A/c Statement/Passbook
*Latest Telephone Bill (only Land Line) *Latest Electricity Bill *Latest Gas Bill Others (Please specify)
* Note more than 3 Months old. Validity/Expiry date of proof of address submitted
d d m m y y y y
d d m m y y y y
5. Proof of address to be provided by Applicant. Please submit ANY ONE of the following valid documents & tick () against the document attached.
Passport Ration Card Registered Lease/Sale Agreement of Residence Driving License Voter Identity Card *Latest Bank A/c Statement/Passbook
*Latest Telephone Bill (only Land Line) *Latest Electricity Bill *Latest Gas Bill Others (Please specify)
* Note more than 3 Months old. Validity/Expiry date of proof of address submitted d d m m y y y y
6. Any other information:
DECLARATION SIGNATURE OF APPLICANT
FOR OFFICE USE ONLY IPV Done on d d m m y y y y
I hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief andI undertake to inform you of any changes therein, immediately. In case any of the above information is found to befalse or untrue or misleading or misrepresenting, I am/we are aware that I/we may be held liable for it.
Place: Date:
Kunvarji Finstock P. Ltd.Code: 1200003087
(Originals Verified) Self Certified Document copies received
(Attested) True copies of documents received
Main Intermediary
Seal/Stamp of the intermediary should contain
Staff Name
Designation
Name of the Organization
Signature
Date
Seal/Stamp of the intermediary should contain
Staff Name
Designation
Name of the Organization
Signature
Date
City / Town / Village
State
Pin Code
Country
City / Town / Village
CountryState
Pin Code
I
09
INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM
Kunvarji Finstock P. Ltd.Code: 1200003087
Know Your Client (KYC)Application Form (For Non-Individuals Only)
Please fill in ENGLISH and in BLOCK LETTERS
A. Identity Details (please see guidelines overleaf)
1. Name of Applicant (Please write complete name as per Certificate of Incorporation / Registration; leaving one box blank between 2 words. Please do not abbreviate the Name).Name
PHOTOGRAPH
Please affix
the recent passport
size photograph and
sign across it
4. Status Please tick () Private Ltd. Co. Public Ltd. Co. Body Corporate Partnership Trust / Charities / NGOs FI FII HUF AOP Bank Government Body Non-Government Organisation
Defence Establishment Body of Individuals Society LLP Others
5. Permanent Account Number (PAN) (MANDATORY)
DECLARATION
FOR OFFICE USE ONLY
I hereby declare that the details furnished above are true andcorrect to the best of my/our knowledge and belief and I/we undertaketo inform you of any changes therein, immediately. In case any of theabove information is found to be false or untrue or misleading ormisrepresenting, I am/we are aware that I/we may be held liable for it.
Place: Date:
(Originals Verified) Self Certified Document copies received
(Attested) True copies of documents received
Main Intermediary
Seal/Stamp of the intermediary should contain
Staff Name
Designation
Name of the Organization
Signature
Date
B. Address Details (please see guidelines overleaf)
1. Address for Correspondence
City / Town / Village
State
Pin Code
Country
N
2. Date of Incorporation d d m m y y y y
Place of Incorporation
3. Registration No. (e.g. CIN)
Date of commencement of business d d m m y y y y
(Please specify)
Please enclose a duly attested copy of your PAN Card
4. Registered Address (If different from above)
City / Town / Village
State
Pin Code
Country
NAME & SIGNATURE(S)
OF AUTHORISED
PERSON(S)
3. Proof of address to be provided by Applicant. Please submit ANY ONE of the following valid documents & tick () against the document attached.
*Latest Telephone Bill (only Land Line) *Latest Electricity Bill *Latest Bank Account Statement Registered Lease / Sale Agreement of Office Premises
Any other proof of address document (as listed overleaf). (Please specify)
* Note more than 3 Months old. Validity/Expiry date of proof of address submitted d d m m y y y y
5. Proof of address to be provided by Applicant. Please submit ANY ONE of the following valid documents & tick () against the document attached.
*Latest Telephone Bill (only Land Line) *Latest Electricity Bill *Latest Bank Account Statement Registered Lease / Sale Agreement of Office Premises
Any other proof of address document (as listed overleaf). (Please specify)
* Note more than 3 Months old. Validity/Expiry date of proof of address submitted d d m m y y y y
C. Other Details (please see guidelines overleaf)
1. Name, PAN, DIN/Aadhaar Number, Residential address and Photographs of Promoters/Partners/Karta/Trustees/whole time directors(Please use the Annexure to fill in the details)
2. Any other information:
11
Application No.:
2. Contact Details
Tel. (Off.)
Mobile
E-Mail Id.
(ISD) (ISD)
(ISD) (ISD)
(ISD)
(ISD) (ISD)
(ISD)Tel. (Res.)
Fax
13
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ADDITIONAL DETAILS FOR OPENING TRADING ACCOUNT(Individual / Non-Individual)
D. PROOF OF FINANCIAL DETAILS (Attached any one of the below. Mandatory for trading in F&O /
Currency segment)
ITR Acknowledgment Annual Accounts Net Worth Certificate Salary Slip Form 16Bank Account Statement (for last 6 months) Demat holding statement Self declaration
along with relevant supporting Any other relevant documents substantiating ownership of assets
B. DEPOSITORY ACCOUNT DETAILS:
Depository Participant Depository Name Beneficiary Name DP ID Beneficiary ID Name (NSDL/CDSL) (BO ID)
15
A. BANK DETAILS:
Bank Name & Account Number Account Type: (Strike off MICR Code# IFSC code# Branch Address which ever is not applicable)
SB / Current / NRE / NRO
SB / Current / NRE / NRO
SB / Current / NRE / NRO /
PIS-NRE / PIS-NRO
Note:
1. Account number mentioned in 1 Row will be updated in your Trading account (for receipt and payment of funds).
2. If you wish to make pay-in of funds for your purchases from more than one bank account, please provide details of additional bank account(s).
3. Please submit copy of cheque for all Bank Accounts mentioned above to confirm MICR & IFSC Code of the Bank's Branch.
PAN No.:
C. TRADING PREFERENCE:Please sign in the boxes relevant to the exchange and segment where in you wish to trade. Strike Off remaining al other boxes:
#If in future the client wants to trade on any new segment/exchange separate authorization /letter should be submitted to the stock broker.
SECURITIES LENDING BORROWING
MUTUALFUNDS
DEBTMARKET
CURRENCYDERIVATIVES
EQUITYDERIVATIVES
CASHMARKET
USEMCX-SXBSENSE Segment / Exchange
Name of Applicant:
Please provide details of any actions/proceedings initiated/pending/ taken by SEBI/ Stock Exchange/ any other authority against the applicant/constituent or its partners/promoters/whole time directors/authorized persons in charge of dealing in securities during the last 3 years (Use annexure for additional information, if required)
F. DETAILS OF PAST REGULATORY ACTIONS:
I. Consent for receiving SMS/EMAIL alerts from Concerned Stock Exchanges
I/We wish to avail the SMS/Email alert facility offered by respective Exchanges showing details of my daily transactions executed through Kunvarji Finstock Pvt. Ltd on my e-mail id / mobile no. provided in KYC form.
(The above facility is provided by Exchanges and will be activated once the details are verified by Exchanges and confirmed by you)
DECLARATION
1. I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/We undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am/we are aware that I/We may be held liable for it.
2. I/We confirm having read/been explained and understood the contents of the document on policy and procedures of the stock broker and the tariff sheet.
3. I/We further confirm having read and understood the contents of the 'Rights and Obligations' document(s)and 'Risk Disclosure Document' and 'Guidance Note'. I/We do hereby agree to be bound by such provisions as outlined in these documents. I/We have also been informed that the standard set of documents has been displayed for Information on KFPL's designated website.
H. ADDITIONAL DETAILS:
Whether you wish to receive Electronic Contract Note (ECN) which may be sent at your email id as stated in KYC OR
Physical Contract note
Whether you wish to avail of the facility of Internet Trading Yes No
If Yes, whether you wish to avail facility of Mobile Trading Yes No
Number of years of Investment / Trading Experience
Any other information:
G. DEALINGS THROUGH SUB-BROKER(S) / AUTHORISED PERSONS (APs) AND OTHER STOCK BROKER(S)
/ SUB-BROKERS / APs:(A) If dealing through KFPL's Sub-broker / APs, please provide the following details: (SBs/APs to provide their prescribed details or
affix their rubber stamp here)
(B) If dealing through other Stock-brokers and/or their Sub-broker /APs, please provide the following details:
Sub-Broker's Name
Office Address
SEBI Registration No.
Phone No.
Stock-Broker’s Name
Sub-Broker / AP Name, if any
Client Code Exchange
Details of disputes / dues pending from/to such Stock Broker/Sub-broker:
Signature of Client /(all) Authorised Signatory (ies)
E. PROOF OF EXISTING DEMAT ACCOUNT:
Client Master Latest Transaction / Holding Statement of Demat Account (please tick whichever is applicable)
ADDITIONAL DETAILS FOR OPENING DEMAT ACCOUNT (Individual)
1 2 0 4 8 4 0 0DP ID Client ID
(To be filled by Applicant in BLOCK LETTERS in English)
I / We request you to open a demat account in my / our name as per following details
Holders Details:
Sole/First Holder's Name
PAN No. UID
Second Holder's Name
PAN No. UID
Third Holder's Name
PAN No. UID
Name*
*In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the name of the natural persons, the name of the Firm, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be mentioned above.
TYPE OF ACCOUNT* (Tick whichever is applicable)
Status Sub-Status
Individual �� Individual Resident� ���Individual Director
� ���Individual Director Relative� ���Individual HUF /AOP
Foreign National� ���Foreign National� ���Foreign National Depository Receipts
� ���Others (Specify)________________________
OTHER DETAILS
1. Gross Annual Income details in Rs. (Please tick ():Below 1 lac 1-5 lac 5-10 lac 10-25 lac > 25 lacs OR
Net-worth in Rs. _____________________ as on date ___________ (Net-worth should not be older than 1 year)
2. Occupation (Please tick () any one and give brief details):Private Sector service Public Sector Service Government Service Business RetiredProfessional Agriculturist Housewife Student Others(specify)___________
3. Please tick, if applicable: Politically Exposed Person (PEP) Related to Politically Exposed Person(RPEP)
4. Any other Information:
17
Details of Guardian (in case the account holder is minor)
Guardian's Name
PAN no.
Relationship with the
applicant
I/We have received and read the Rights and Obligations document and terms & conditions and agree to abide by and be bound by the
same and by the Bye Laws as are in force from time to time. I / We declare that the particulars given by me/us above are true and to the
best of my/our knowledge as on the date of making this application. I/We agree and undertake to intimate the DP any change(s) in the
details / Particulars mentioned by me / us in this form. I/We further agree that any false / misleading information given by me / us or
suppression of any material information will render my account liable for termination and suitable action.
In case non -resident account, I / We also declare that I / We have complied and will continue to comply with FEMA regulations.
Name
Signature
First / Sole Holder or
Guardian (in case of Minor)
Second Holder Third Holder
ADDITIONAL DETAILS FOR OPENING DEMAT ACCOUNT (Non - Individual)
(To be filled by Applicant in BLOCK LETTERS in English)
I / We request you to open a demat account in my / our name as per following details
1 2 0 4 8 4 0 0DP ID Client ID
Holders Details:
Sole/First Holder's Name
Search Name
PAN No.
TYPE OF ACCOUNT* (Tick whichever is applicable)
Status
Body Corporate Bank Trust Mutual Fund OCB FII
CM FI Clearing House Others(specify)______________
Sub-Status
To be filled by the DP
SEBI RegistrationNo. (If applicable)
RBI RegistrationNo.(If applicable)
SEBI Registration(Date)
RBI ApprovalDate
Nationality Indian Others (specity)
Clearing Member Details (To be filled by CMs only)
2. Net-worth in Rs. _____________________ as on date ___________ (Net-worth should not be older than 1 year)
3. Please tick, if any of the authorized signatories / Promoters / Partners / Karta / Trustees / Whole Time Directors is either
Politically Exposed Person (PEP) or Related to Politically Exposed Person(RPEP)
Please provide details as per Annexure 2.2 A.
4. Any other Information:
I/We have received and read the document of ‘Rights and Obligations of BO-DP (DP-CM agreement for BSE Clearing Member Accounts) including the schedules thereto and the terms & conditions and agree to abide by and be bound by the same and by the Bye Laws as are in force from time to time. I / We declare that the particulars given by me/us above are true and to the best of my/our knowledge as on the date of making this application. I/We further agree that any false / misleading information given by me / us or suppression of any material information will render my account liable for termination and suitable action.
Name
Sole / First Authorised Signatory
SecondAuthorised Signatory
ThirdAuthorised Signatory
Designation
Signature
19
COMMON DETAILS FOR INDIVIDUAL AND NON-INDIVIDUAL DEMAT A/c
I / We instruct the DP to receive each and every credit in my / our account [Automatic Credit] (If not marked, the default option would be ‘Yes’) Yes No
I / We would like to instruct the DP to accept all the pledge instructions in my /our account without any other further instruction from my / our end Yes No( If not marked, the default option would be ‘No’)
Account Statement Requirement As per SEBI Regulation Daily Weekly Fortnightly Monthly
I / We request you to send Electronic Transaction-cum-Holding Statement at the Yes No email ID______________________
I/ We would like to share the email ID with the RTA Yes No
I / We would like to receive the Annual Report Physical / Electronic / Both Physical and Electronic(Tick the applicable box. If not marked the default option would be in Physical)
I / We wish to receive dividend / interest directly in to my bank account given below through ECS (If not marked, the default option would be ‘Yes’) Yes No
[ECS is mandatory for locations notified by SEBI from time to time]
Bank Details [Dividend Bank Details]
(i) Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued, (or)
(ii) Photocopy of the Bank Statement having name and address of the BO
(iii) Photocopy of the Passbook having name and address of the BO, (or)
(iv) Letter from the Bank.
In case of options (ii), (iii) and (iv) above, MICR code of the branch should be present / mentioned on the document.
Bank Code (9 digit MICR code)
IFS Code (11 character)
Account number
Account type Saving Current Others (specify)______________
Bank Name Branch Name
Bank Branch Address
City: State: Country: PIN code
SMS Alert Facility MOBILE NO. +91 _______________________Refer to Terms & Conditions [(Mandatory , if you are giving Power of Attorney ( POA)] given as Annexure - 2.4 (if POA is not granted & you do not wish to avail of this facility, cancel this option).
Transactions Using Secured I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility.Texting Facility (TRUST). Refer I have read and understood the Terms and Conditions prescribed by CDSL for the same. to Terms and Conditions Yes NoAnnexure - 2.6 I/We wish to register the following clearing member IDs under my/our below mentioned BO ID registered for TRUST
Stock Exchange Name / ID Clearing Member Name Clearing Member ID
Easi To register for easi, please visit our website www.cdslindia.com. Easi allows a BO to view his ISIN balances, transactions and value of the portfolio online.
Sole / First Holder / Second Holder / Third Holder / Authorised Signatory Authorised Signatory Authorised Signatory
Signature
Name
21
Details of Politically Exposed Persons (PEP) / Related to Politically Exposed Person (RPEP) (For Non - Individual)
Sr. No. Name of the Authorised signatories / Relation with the Applicant ( i.e. promoters, Please tick the Promoters / Partners / Karta / Trustees / whole time directors etc. relevant option. Whole Time Directors
PEP
RPEP
PEP
RPEP
PEP
RPEP
PEP
RPEP
PEP
RPEP
Name of Applicant____________________________________________________ Pan of the applicant_________________
Name & signatureof the Authorised signatories Date: ___/___/_____
This nomination shall supersede any prior nomination made by me / us and also any testamentary document executed by me / us.
Note: Two witnesses shall attest signature(s) / thumb impression(s)
Name of witness
Address of witness
Signature of witness
Details of the Witness
First Witness Second Witness
Name
Signature
(To be filled by DP)Nomination form accepted and registered wide Registration No.:_____________ Date: ___/___/_____
Trading ID 2 0 4 8 4 0 0BO ID 1
First / Sole Holder or
Guardian (in case of Minor)
Second Holder Third Holder
As the nominee is a minor as on date, to receive the securities in this account on behalf of the nominee in the event of the death of the Sole holder / all Joint holders, I/We appoint following person to act as Guardian:
Full Name of Guardian of Nominee
City State
Country PIN code
Telephone No. Fax No.
E-mail ID
Relationship of Guardianwith Nominee
Address
I / We the sole holder / Joint holders / Guardian (in case of minor) hereby declare that:
I / We do not wish to nominate any one for this account.
I / We nominate the following person who is entitled to receive security / funds balances lying in my / our account, particulars whereof are given below, in the event of my / our death.
I / We hereby state that: [Select one of the options given below]
OPTION 1:
I / We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening my / our CDSL account though I / we have issued a Power of Attorney (POA) / executed PMS agreement in favour of / with _____________________________________________________________________________________ (name of the attorney / Clearing Member / PMS manager) for executing delivery instructions for setting stock exchange trades [settlement related transactions] effected through such Clearing Member / by PMS manager.
Yours Faithfully
OR
OPTION 2:
I / We do not require the Delivery Instruction Slip (DIS) for the time being, since I / We have issued a POA / executed PMS agreement in favour of / with ______________________________________________________________ (name of the attorney / Clearing Member / PMS manager) for executing delivery instructions for setting stock exchange trades [settlement related transactions] effected through such Clearing Member / by PMS manager. However, the Delivery Instruction Slip (DIS) booklet should be issued to me / us immediately on my / our request at any later date.
Yours Faithfully
Second Holder /Authorised Person’s Signature
First Holder /
Authorised Person’s Signature
Third Holder /
Authorised Person’s Signature
Third Holder /Authorised Person’s Signature
Second Holder /
Authorised Person’s Signature
First Holder /
Authorised Person’s Signature
Note:
1. If Brokerage rates are not filled up by the client, the client will deemed to have agreed to default brokerage rates as mentioned
above.
2. KFPL reserves the right to change any of the terms mentioned herein above from time to time.
st st nd ndEquity 1 Leg Default 1 Leg 2 Leg (same day) Default 2 Leg
%age Min. %age Min. %age Min. %age Min.
Intraday Cash 0.10% 10 paisa 0.10% 10 paisa
Delivery 1 % 10 paisa 1 % 10 paisa
Future 0.10% 10 paisa 0.10% 10 paisa
Options (Per lot) 2.5 % 100 Rs. 2.5 % 100 Rs.
Contract Minimum 25 Rs.Brokerage
st st nd ndCurrency 1 Leg Default 1 Leg 2 Leg (same day) Default 2 Leg
Derivatives %age Min. %age Min. %age Min. %age Min.
Future 0.10% 10 paisa 0.10% 10 paisa
Options (Per lot) 2.5 % 100 Rs. 2.5 % 100 Rs.
Sr. No. Other Charges Amount
1 Dispatch Charges for physical contract note Rs. 10 per contract note
2 Securities pay out from client beneficiary A/c Rs. 15 per scrip
3 Clearing Charges Reimbursement of charges levied by Clearing Member
4 Security Transaction Tax @ rates notified by Government
5 Stamp Duty @ rates notified by Government
6 Service Tax @ rates notified by Government on brokerage & other charges except STT & Stamp duty
Client Code: _______________
TARIFF SHEET FOR TRADING ACCOUNT
Signature of Client /(all) Authorised Signatory (ies)
DEPOSITORY TARIFF PLAN
Sr No. Description Scheme for New Demat Account
1 Account Opening Charges NIL
2 Agreement, Form & Courier Charges (One Time Charge) ` 100/-
12 On Demand: ` 5/- per page, subject to minimum ` 10/- Additional Holding / Transaction
Note:
• We reserve the rights to change the service charges with 30 days prior notice.
• In Case of delays in payment of charges within the due date, demat account will be frozen for all operation till such time all dues are cleared.
• All instruction for market Transfer must be received at least 24 hours before the execution date, late instruction would be accepted at the account holder's sole risk and responsibility.
• Client will be provided one slip book free at the time of opening account, thereaf ter on request additional delivery slips will be issued at 30 for every 10 slips.
• Service Tax will be charged extra as applicable on all above services.
I/We confirm that, I/we have been explained provisions of SEBI Circular No. CIR/MRD/DP/22/2012 dated 27-08-2012 in respect of facility of Basic Services Demat Account and applicable reduced AMC charges subject to fulfillment of eligibility criteria.
I/We confirm that, I/we are not opting for the said facility and have opted for normal services demat account with applicable charge structure as agreed by us.
Wish to opt for Rajiv Gandhi Equity Saving Scheme.
Date: ___/___/_____ Scheme Code : __________
Yes No
Third Holder /Authorised Person’s Signature
Second Holder /
Authorised Person’s Signature
First Holder /
Authorised Person’s Signature
25
ANNEXURE - A
Terms And Conditions-cum-Registration / Modification
Form for receiving SMS Alerts from CDSL Definitions:
In these Terms and Conditions the terms shall have following
meaning unless indicated otherwise:
1. “Depository” means Central Depository Services (India)
Limited a company incorporated in India under the
Companies Act 1956 and having its registered office at 17th
Floor, P.J. Towers, Dalal Street, Fort, Mumbai 400001 and all
its branch offices and includes its successors and
assignees.
2. ‘DP’ means Depository Participant of CDSL. The term
covers all types of DPs who are allowed to open demat
accounts for investors.
3. ‘BO’ means an entity that has opened a demat account with
the depository. The term covers all types of demat
accounts, which can be opened with a depository as
specified by the depository from time to time.
4. SMS means “Short Messaging Service”
5. “Alerts” means a customized SMS sent to the BO over the
said mobile phone number.
6. “Service Provider” means a cellular service provider(s)
with whom the depository has entered/will be entering into
arrangements for providing the SMS alerts to the BO.
7. “Service” means the service of providing SMS alerts to the
BO on best effort basis as perthese terms and conditions.
Availability:
1. The service will be provided to the BO at his / her request
and at the discretion of the depository. The service will be
available to those account holders who have provided their
mobile numbers to the depository through their DP. The
services may be discontinued for a specific period /
indefinite period, with or without issuing any prior notice for
the purpose of security reasons or system maintenance or
for such other reasons as may be warranted. The
depository may also discontinue the service at any time
without giving prior notice for any reason whatsoever.
2. The service is currently available to the BOs who are
residing in India.
3. The alerts will be provided to the BOs only if they remain
within the range of the service provider’s service area or
within the range forming part of the roaming network of the
service provider.
4. In case of joint accounts and non-individual accounts the
service will be available, only to one mobile number i.e. to
the mobile number as submitted at the time of registration/
modification.
5. The BO is responsible for promptly intimating to the
depository in the prescribed manner any change in mobile
number, or loss of handset, on which the BO wants to
receive the alerts from the depository. In case of change in
mobile number not intimated to the depository, the SMS
alerts will continue to be sent to the last registered mobile
phone number. The BO agrees to indemnify the depository
for any loss or damage suffered by it on account of SMS
alerts sent on such mobile number.
Receiving Alerts:
1. The depository shall send the alerts to the mobile phone
number provided by the BO while registering for the service
or to any such number replaced and informed by the BO
from time to time. Upon such registration / change, the
depository shall make every effort to update the change in
mobile number within a reasonable period of time. The
depository shall not be responsible for any event of delay or
loss of message in this regard.
2. The BO acknowledges that the alerts will be received only if
the mobile phone is in ‘ON’ and in a mode to receive the
SMS. If the mobile phone is in ‘OFF” mode i.e. unable to
receive the alerts then the BO may not get / get after delay
any alerts sent during such period.
3. The BO also acknowledges that the readability, accuracy
and timeliness of providing the service depend on many
factors including the infrastructure, connectivity of the
service provider. The depository shall not be responsible for
any non-delivery, delayed delivery or distortion of the alert
in anyway whatsoever.
4. The BO further acknowledges that the service provided to
him is an additional facility provided for his convenience
and is susceptible to error, omission and/ or inaccuracy. In
case the BO observes any error in the information provided
in the alert, the BO shall inform the depository and/ or the
DP immediately in writing and the depository will make best
possible efforts to rectify the error as early as possible. The
BO shall not hold the depository liable for any loss,
damages, etc. that may be incurred/ suffered by the BO on
account of opting to avail SMS alerts facility.
5. The BO authorizes the depository to send any message
such as promotional, greeting or any other message that
the depository may consider appropriate, to the BO. The BO
27
agrees to an ongoing confirmation for use of name, email
address and mobile number for marketing offers between
CDSL and any other entity.
6. The BO agrees to inform the depository and DP in writing
of any unauthorized debit to his BO account /
unauthorized transfer of securities from his BO account,
immediately, which may come to his knowledge on
receiving SMS alerts. The BO may send an email to CDSL
Whereas I/ we hold beneficial owner account number _________________________________________________ with Central
Depository Services (India) Limited (CDSL), through M/S KUNVARJI FINSTOCK PVT. LTD., registered with Securities and Exchange
Board of India (SEBI) as Depository Participant having DP ID - 12048400 and SEBI Registration No.- IN-DP-CDSL-390-2007.
And Whereas I/ we am/ are desirous to buy and sell securities through M/S KUNVARJI FINSTOCK PVT. LTD. who is a stock broker
registered with SEBI and member of recognized stock exchange/s.
And Whereas I / we am / are desirous of appointing M/S KUNVARJI FINSTOCK PVT. LTD., as my / our constituted attorney to operate
my / our beneficial owner account on my / our behalf for a limited purpose in the manner hereinafter appearing and subject to
conditions as provided herein.
NOW KNOW WE ALL AND THESE PRESENTS WITNESS THAT I/ we do hereby nominate, constitute and appoint M/S KUNVARJI
FINSTOCK PVT. LTD. (hereinafter referred to as “the stock broker”) as my true and lawful attorney and authorise it to perform the
following functions on my behalf:
I. to transfer securities held in my / our aforementioned beneficial owner account(s) or any other account informed by me in writing
to the stock broker from time to time to the demat accounts (as per details given below) of the stock broker maintained for the
purpose of settlement of trades and margin obligations arising out of trades executed by me / us on any recognized stock
exchange through the stock broker. However, the said power will be restricted to only transfer of securities towards margin /
delivery obligations arising out of trades executed by me / us through the stock broker on any recognized stock exchange,
provided that I / we have executed a Client Member Agreement with the stock broker for such Exchanges.
KUNVARJI FINSTOCK PVT. LTD.
iii. to apply for various products like Mutual Funds, Public Issues (shares as well as debentures), rights, offer of shares, tendering
shares in open offers etc pursuant to oral/written/electronic instructions given by me/us to the stock broker.iv. to pledge the securities in favor of the stock broker for the limited purpose of meeting my/our margin requirements in connection
with the trades executed by me/us on any recognized stock exchange through the stock broker.v. to return to me/us, the securities or funds that may have been received by the stock broker erroneously or those securities or funds
that the stock broker was not entitled to receive from me/us;vi. to send consolidated summary of my/our scrip-wise buy and sell positions taken with average rates to me/us by way of SMS/
email on a daily basis, notwithstanding any other document to be disseminated as specified by SEBI from time to time. I/We ratify the instructions given by the aforesaid stock broker to the depository participant named hereinabove in the manner
specified herein.I/We further agree and confirm that the powers and authorities conferred by this Power of Attorney shall continue until it is revoked
(without notice) in writing by me and that the said revocation shall be effective from the date on which the revocation notice is received
by the stock broker in his office at :
Signed and delivered by the within named Beneficial Owner/s
This is confirm that the declaration has been carefully read, understood & made by me/us.
From
To
Or
PERIOD
Until Cancelled
Signature Primary A/c Holder Sign of A/c Holder Sign of A/c Holder
1 Name as in bank records 2 Name as in bank records 3 Name as in bank records
UMRN
FREQUENCY Mthly Qtly H-Yrly As & when presentedYrly
ACKNOWLEDGEMENT
Form No. :
Received the application from Mr./Ms. ....................................................................................... as the Sole / First holder along
with ................................................................................... and ..................................................................................... as
the Second and Third holders respectively for opening Trading and / or Demat account selected as below Your account will be
opened after due verification by us.
Your Client Id will be intimated to you once your account gets opened successfully. Please quote BO ID & Client ID allotted to you in
all your future Correspondence.
NSE CASH BSE CASH MCX-SX CASH DEMAT A/C
NSE F & O BSE F & O MCX-SX F & O
NSE CURRENCY BSE CURRENCY MCX-SX CURRENCY
Name of Relationship Manager ________________________________
Mobile No. of Relationship Manager ________________________________
For, Kunvarji Finstock Pvt. Ltd.
Authorised SignatoryDate: ___/___/_____
OTHER DETAILS FOR OPENING TRADING ACCOUNT
Client Code : ______________
Client Name : ______________________________________________________
OTHER DETAILS FOR NON INDIVIDUAL ACCOUNT:
1. Gross Annual Income details in Rs. (Please tick (√)):
2. Net-worth in Rs. ____________________ as on date ___________ (Net-worth should not beolder than 1 year)
3. Please tick, if any of the authorized signatories / Promoters / Partners / Karta / Trustees / Whole Time Directors is either Politically Exposed Person (PEP) or Related to Politically Exposed Person(RPEP) . Please provide details as per Annexure 2.2 A.
4. Any other Information: ______________
Sole / First Authorised Second Authorised Third Authorised Signatory Signatory Signatory
Name
Designation
Signature withStamp
OTHER DETAILS FOR INDIVIDUAL ACCOUNT:
1. Gross Annual Income details in Rs. (Please tick (√)): Below 1 lac 1-5 lac 5-10 lac 10-25 lac > 25 lacs OR Net-worth in Rs. ___________________ as on date ___________ (Net-worth should not be older than 1 year)
2. Occupation (Please tick (√) any one and give brief details): Private Sector service Public Sector Service Government Service Business Retired
Professional Agriculturist Housewife Student Others(specify)___________
3. Please tick, if applicable : Politically Exposed Person (PEP) Related to Politically Exposed Person(RPEP)