Hem Securities Ltd. BSE LIMITED CENTRAL DEPOSITORY SERVICES (INDIA) LIMITED Hem Finlease Pvt. Ltd. NATIONAL STOCK EXCHANGE OF INDIA LTD. eKYC Account Opening Kit (Prerequisite - Valid Aadhar Card) Segment Documents Equity Equity Derivatives & Currency Derivatives Power of Attorney Nominee Selection NACH Form Submitted (Please Tick) Yes No Yes No Yes No Please Tick BSE NSE Registered Office : 203, Jaipur Tower, M. I. Road, Jaipur-302001(Rajasthan) • Phone : 0141-4051000 / 2363278 Mumbai Office : 904, A-Wing, Naman Midtown, Senapati Bapat Marg, Prabhadevi Station, Lower Parel, Mumbai-400013 (Maharashtra) Ph. : 022-49060000 POA Checked by with Date Nominee details Checked by with Date NACH details Checked by with Date Store No. Nominee , POA, Declaration – Common Email- Id/ Mobile No. & NACH Form For E-KYC CLIENT NAME _____________________________________________________ BRANCH NUMBER / CODE ___________________________________________ ACCOUNT NUMBER / TRADING CODE__________________________________ DP ID _______________________ CLIENT ID _____________________________ 12017701 DP AMC (Please Tick) Annual AMC (Rs. 299/-) Annual AMC - 1st Year Free AMC (Rs. 399/-) One Time AMC - 6 Year's Free AMC (Rs. 1199/-)
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Hem Securities Ltd.BSE LIMITED
CENTRAL DEPOSITORY SERVICES (INDIA) LIMITED
Hem Finlease Pvt. Ltd.NATIONAL STOCK EXCHANGE OF INDIA LTD.
eKYC Account Opening Kit
(Prerequisite - Valid Aadhar Card)
Segment Documents
Equity
Equity Derivatives
&
Currency Derivatives
Power of Attorney
Nominee Selection
NACH Form
Submitted (Please Tick)
Yes No
Yes No
Yes No
Please TickBSE NSE
Registered Office : 203, Jaipur Tower, M. I. Road, Jaipur-302001(Rajasthan) • Phone : 0141-4051000 / 2363278
Mumbai Office : 904, A-Wing, Naman Midtown, Senapati Bapat Marg, Prabhadevi Station, Lower Parel, Mumbai-400013 (Maharashtra) Ph. : 022-49060000
POA Checked by with Date Nominee details Checked by with Date NACH details Checked by with Date
Store No.
Nominee , POA, Declaration – Common Email- Id/ Mobile No. & NACH Form For E-KYC
CLIENT NAME _____________________________________________________
BRANCH NUMBER / CODE ___________________________________________
ACCOUNT NUMBER / TRADING CODE__________________________________
DP ID _______________________ CLIENT ID _____________________________12017701
DP AMC (Please Tick) Annual AMC (Rs. 299/-) Annual AMC - 1st Year Free AMC (Rs. 399/-)
One Time AMC - 6 Year's Free AMC (Rs. 1199/-)
I/We have received and read the Right and Obligations document and terms & conditions and agree to abide by and be bound by the same and by the Byelawsare 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 changes(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 & suitable action.
NOMINATION DETAILS FOR TRADING AND DEMAT ACCOUNT
First / Sole Holder or Guardian (in case of minor)
Name
Signature of Client
Second Holder Third Holder
Nominee Details Nomination Registration No. Date
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 demat & Trading account.
I/We nominate the following person who is/are entitled to receive funds /security balances lying in my/our account, particulars whereof are given below, in the event of my / our death.
Nomination Details
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)
First Witness Second WitnessDetails of the Witness
Name of Witness
Address of Witness
Signature of Witness
Nominee 1 Nominee 2 Nominee 3
Nominee Name :*First Name:Middle Name:* Last Name
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Nomination Details Nominee 1 Nominee 2 Nominee 3
*Address :
*City:
*State
*Country
Telephone No.
PAN No.UID
Email ID
*Relationship with the BO
Date of birth (mandatory if Nominee
is minor) dd-mm-yyyy
*First Name:Middle Name:* Last Name
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*Address of the guardian of nominee
Name of the Guardian of Nominee (if nominee is a minor)
*City:
*State*CountryPIN
AgeTelephone
Email ID
*Relationship of the Guardian with the nominee
Percentage of allocation of securities
(please tick any one nominee. if tick not marked the default will be first nominee)
* Residual Securities
Whereas I/We hold a Beneficiary account no. __________________________________ (BO-ID) with Central Depository Services (India) Limited, through HEM SECURITIES LIMITED, 203, JAIPUR TOWER, M.I. ROAD, JAIPUR 302001, (Rajasthan) bearing SEBI Registration No. IN-DP-CDSL-83-2000.
And Whereas I/We am/are an investor engaged in buying and selling of securities through HEM SECURITIES LIMITED, a member of BSE Limited (BSE), Mumbai bearing SEBI registration no. INZ000168034
And Whereas due to exigency and paucity of time, I/We am/are desirous of appointing an agent/attorney to operate the aforesaid beneficiary account on my/our behalf for a limited purpose in the manner hereinafter appearing and subject to conditions as provided here in.
NOW THESE PRESENTS WITNESSTH That I/We the above named do hereby Nominate, Constitute, and Appoint Hem Securities Limited, 203, Jaipur Tower, M.I.Road, Jaipur -302001(Rajasthan) as my/our true and lawful attorney (hereinafter referred to as the attorney) and authorize it to perform the following functions on my/our behalf
i. to debit securities and/or to transfer securities from the aforesaid Demat account in respect of settlement of trades and margin obligations arising out of trades executed by me/us on the BSE Limited (BSE) through HEM SECURITIES LIMITED Clearing Member ID No. 248; MARGIN A/C NO 1201770100075330, CURRENCY MARGIN A/C NO. 1201770100854921, POOL A/C NO 1201770100075077,EARLY PAYIN A/C NO .1100001000013169.
ii. to return to me/us, the securities that may have been received erroneously or those securities that were not entitled to receive from me/us;
iii. 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.
This authority is restricted to the pay-in obligations arising out of the transactions of sale effected by me/us through HEM SECURITIES LIMITED and I/We ratify the instructions given by the aforesaid Clearing Member to the Depository Participant named herein above 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 witting by me and that the said revocation shall be effective from the date on which the revocation notice is received at office at Hem Securities Limited, 203, Jaipur Tower, M.I. Road Jaipur-302001 (Rajasthan).
To all to whom these Presents shall come I/we
Name Address
1. _______________________________ __________________________________________________
2. _______________________________ __________________________________________________
3. _______________________________ __________________________________________________
POWER OF ATTORNEY - BSE
VOLUNTARY
I Accept
Director _________________________
HEM SECURITIES LIMITED.
203, Jaipur Tower, M.I. Road, Jaipur-302001 (Rajasthan)
Date: _________________
SIGNED AND DELIVERED BY
________________________ ________________________ ________________________
(Sole/First Holder) (Second Holder) (Third Holder)
WITNESS:
Signature ___________________________
Name ___________________________
Address ___________________________
Whereas I/We hold a Beneficiary account no. __________________________________ (BO-ID) with Central Depository Services (India) Limited, through HEM SECURITIES LIMITED, 203, JAIPUR TOWER, M.I. ROAD, JAIPUR -302001(Rajasthan), bearing SEBI Registration No. IN-DP-CDSL-83-2000.
And Whereas I/We am/are an investor engaged in buying and selling of securities through HEM FINLEASE PRIVATE LIMITED, a member of The National Stock Exchange of India Ltd. (NSE) bearing SEBI registration no. INZ000167734.
And Whereas due to exigency and paucity of time, I/We am/are desirous of appointing an agent/attorney to operate the aforesaid beneficiary account on my/our behalf for a limited purpose in the manner hereinafter appearing and subject to conditions as provided here in.
NOW THESE PRESENTS WITNESSTH That I/We the above named do hereby Nominate, Constitute, and Appoint Hem Finlease Private Limited., 203, Jaipur Tower, M.I. Road, Jaipur -302001(Rajasthan) as my/our true and lawful attorney (hereinafter referred to as the attorney) and authorize it to perform the following functions on my/our behalf
I. to debit securities and/or to transfer securities from the aforesaid Demat account in respect of settlement of trades and margin obligations arising out of trades executed by me/us on the National Stock Exchange of India Ltd. (NSE) through HEM FINLEASE PRIVATE LIMITED. Clearing Member ID No.M51081;MARGIN A/C NO 1201770100000209; POOL A/C NO 1201770100000061;EARLY PAYIN A/C NO.1100001100015348, CURRENCY MARGIN A/C NO. 1201770100536141.
ii. to return to me/us, the securities that may have been received erroneously or those securities that were not entitled to receive from me/us;
iii.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.
This authority is restricted to the pay-in obligations arising out of the transactions of sale effected by me/us through HEM FINLEASE PRIVATE LIMITED. and I/We ratify the instructions given by the aforesaid Clearing Member 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 witting by me and that the said revocation shall be effective from the date on which the revocation notice is received at office at Hem Finlease Private Limited, 203, Jaipur Tower, M.I. Road, Jaipur-302001 (Rajasthan).
SIGNED AND DELIVERED BY
________________________ ________________________ ________________________
(Sole/First Holder) (Second Holder) (Third Holder)
To all to whom these Presents shall come I/we
Name Address
1. _______________________________ __________________________________________________
2. _______________________________ __________________________________________________
3. _______________________________ __________________________________________________
POWER OF ATTORNEY - NSE
VOLUNTARY
I Accept
Director _________________________
HEM FINLEASE PRIVATE LIMITED.
203, Jaipur Tower, M.I. Road, Jaipur-302001 (Rajasthan) Date: _________________
WITNESS:
Signature ___________________________
Name ___________________________
Address ___________________________
Declaration-Common E-mail ID / Mobile No. in Family Accounts(Family means : Self, Spouse, Dependent Children & Dependent Parents only)
To
Hem Securities Ltd. Hem Finlease Pvt. Ltd.Hem Multi Commodities Pvt. Ltd.
203/210, Jaipur Tower, M. I. Road, Jaipur-302001 (Rajasthan)
Client Name : _________________________
Trading Code : _________________________
Date .................................
Signature of Client
We the below mentioned entities are / will be account holders / Beneficiary owners for Trading & Demat purpose in your
company. In order to facilitate operations the below mentioned entities be treated as family. We request you to upload mobile
No. which is in the name of _____________________________________________
(Self) and Email ID ___________________________________________ in your records, i.e. for Exchanges & DP. We all
below mentioned family members have no objection if the same Email ID & Mobile No. will be used by you for sending any
documents & information.
S.No. Trading CodeName of Family MemberSignature of
Family Member
1.
2.
3.
4.
5.
6.
7.
8.
Demat Account No. Relation with Self
Self
TEN THOUSAND ONLY 10,000.00
10,000.00
10,000.00
TEN THOUSAND ONLY
TEN THOUSAND ONLY
NACH00000000007825
HEM SECURITIES LIMITED
NACH00000000021870
HEM FINLEASE PRIVATE LIMITED
NACH00000000021869
HEM MULTI COMMODITIES PVT. LTD.
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