PLEASEREADTHISDOCUMENTCAREFULLYBEFOREAGREEINGTOITSCONTENTSANDENSUREALLTHEDETAILSPROVIDEDARECORRECT.
LoginID CRN
DepositoryService CDSL NSDL
1 2083300
ForAccountOpeningTeamPurpose
ProcessEmployeeCode&NameProcessEmployeeCode&Name
Pre-AuditMaker DateEntryMaker
Pre-AuditChecker DateEntryChecker
NSDL-ClientID
CDSL-ClientID IN304158
Documentdetailingtherate/amountofbrokerageandotherchargesleviedontheclientfortradinganddemataccount.
PartII-Documentcapturestheadditionalinformationabouttheconstituent.
SR.NO. NAMEOFTHEDOCUMENT BRIEFSIGNIFICANCEOFTHEDOCUMENT PAGENOS.
SECTION-A-MANDATORYDOCUMENTSASPRESCRIBEDBYSEBIANDEXCHANGES
5-9
INDEX OF DOCUMENTS
PartI-KYCform-Documentcapturesthebasicinformationabouttheconstituentandtheinstructionandguidelines.
11-13
Declaration/Consent
Tariffsheet
15-16
17
19
RiskProfilingoftheclient
ClientDeclaration/Consent
IncludedinClientCopy
DocumentstatingtheRights&Obligationsofstockbroker/tradingmember,sub-brokerandclientfortradingonexchanges(includingadditional rights & obligations in case of internet / wirelesstechnologybasedtrading).
Rights and Obligations of Beneficial Owner and DepositoryParticipantasprescribedbySEBIandDepositories.
AccountOpeningForm
RiskProfiler
RiskDisclosureDocument(RDD)
Guidancenote
PoliciesandProcedures
Rights&ObligationsofStockBrokers,Sub-Broker&Clients
Rights&ObligationsofBeneficialOwner&DepositoryParticipant
Documentdetailingdo’sanddon’tsfortradingonexchange,fortheeducationoftheinvestors.
1.
2.
3.
5.
6.
7.
8.
9.
Documentdetailingrisksassociatedwithdealing in thesecuritiesmarket.
SECTION-B - VOLUNTARY DOCUMENTS - AS PROVIDED BY STOCK BROKER/ DEPOSITORY PARTICIPANT / DISTRIBUTOR
1. PowerofAttorney
2. AuthorisationLetter/StandingInstructions
3. Terms&ConditionsForDistributionofSecurities
A.AvailingMutualFundServiceSystem(MFSS) facility/BSEStAR MUTUAL FUND (hereinafter jointly referred to “Mutual FundTransactionFacilities”)B.AuthorizationforSystematicInvestmentinMutual Fund /Securities C.Running Account AuthorisationD.AuthorisationforReceiptofContractNotesandOtherdocumentsin Digital Mode E.Authorisation for Online Trading SoftwarePassword.
Terms&ConditionsforDistributionofSecurities
VoluntaryandLimitedpurposePOAforoperationalrequirements.
4. Formats Formatsofboardresolution,partnershipdeclaration,declarationofbeneficialowners&hufdeclearation
5. Acknowledgement
ClientAcknowledgementCopy
30-33
37-39
34-36
40-42
44
1
FATCA,CRSandUBO 20-28FATCA,CRSandUBO&SupplementryKYCinformation
4.
10. Documents describing significant policies and procedures of IIFLWealthManagementLimited(IIFLW)relatedtoTradingAccountoftheclient.
For any grievance/dispute please contact stock broker IIFL Wealth Management Limited at the above address or email [email protected] and Phone no. 91-22 39585600. In case not satisfied with the response, please contact the concerned exchange(s) [email protected]/[email protected]/02261363100.
2
1. SelfattestedcopyofPANcardismandatoryforallclients,includingPromoters/Partners/Karta/Trusteesandwholetimedirectorsandpersonsauthorizedtodealinsecuritiesonbehalfofcompany/firm/others.
2. KYCnumberofapplicantismandatoryforupdate/changeofKYCdetails.3. Forparticularsectionupdate,pleasetick(P)intheboxavailablebeforethesectionnumberandstrikeoffthesectionsnotrequiredtobe
updated.4. Copiesofalldocuments thataresubmittedneed tobecompulsorilyself-attestedby theapplicantandaccompaniedbyoriginals for
verification.Incasetheoriginalofanydocumentisnotproducedforverification,thenthecopiesshouldbeproperlyattestedbyentitiesauthorizedforattestingthedocuments,asperthelistmentionedunder[I].
5. Ifanyproofofidentityoraddressisinaforeignlanguage,thentranslationintoEnglishisrequired.6. Name&addressoftheapplicantmentionedontheK)/Cform,shouldmatchwiththedocumentaryproofsubmitted.7. Ifcorrespondence&permanentaddressesaredifferent,thenproofsforbothhavetobesubmitted.8. Soleproprietormustmaketheapplicationinhisindividualname&capacity.9. Fornon-residentsandforeignnationals,(allowedtotradesubjecttoRBIandFEMAguidelines),copyofpassport/PlOCard/OClCardand
overseasaddressproofismandatory.10. IncaseofMerchantNavyNRl‘s,MarinersdeclarationorcertifiedcopyofCDC(ContinuousDischargeCertificate)istobesubmitted.11. ForopeninganaccountwithDepositoryparticipantorMutualFund,foraminor,photocopyoftheSchoolLeavingCertificate/Marksheet
issuedbyHigherSecondaryBoard/PassportofMinor/BirthCertificatemustbeprovided.12. Forforeignentities,CINisoptional;andintheabsenceofDINno.forthedirectors,theirpassportcopyshouldbegiven.B. Clarification/Guidelinesonfilling‘IdentityDetails’section 1. Name:PleasestatethenamewithPrefix(Mr/Mrs/Ms/Dr/etc.).ThenameshouldmatchthenameasmentionedintheProofofIdentity
submittedfailingwhichtheapplicationisliabletoberejected. 2. Eitherfather'snameorspouse‘snameistobemandatorilyfurnished.IncasePANisnotavailablefather’snameismandatory.C. Clarification/Guidelinesonfillingdetailsifapplicantresidencefortaxpurposesinjurisdiction(s)outsideIndia 1. TaxidentificationNumber(TIN):TINneednotbereportedifithasnotbeenissuedbythejurisdiction,However,ifthesaidjurisdictionhas
issuedahighintegritynumberwithanequivalentlevelofidentification(a“Functionalequivalent"),thesamemaybereported.Examplesofthattypeofnumberforindividualinclude,asocialsecurity/insurancenumber,citizen/personalidentification/senricescode/number,andresidentregistrationnumber)
D. ClarificationIGuidelinesonfilling‘ProofofIdentity[Pol]’section.ifPANCardcopyisnotenclosed/ForPANexemptInvestors 1. Ifdrivinglicensenumberorpassportisprovidedasproofofidentitythenexpirydateistobemandatorilyfurnished. 2. Mentionidentification/referencenumberif‘Z—Others(anydocumentnotifiedbythecentralgovernment)’isticked. 3. Othersincludes—Utilitybillwhichisnotmorethantwomonthsoldofanysen/iceprovider(electricity,telephone,post-paidmobile
phone, piped gas, water bill); Bank account or Post Office savings bank account statement; Documents issued by GovernmentdepartmentsofforeignjurisdictionsandletterissuedbyForeignEmbassyorMissioninIndia;Identitycardwithapplicant'sphotographandaddressissuedbyanyofthefollowing:CentrallStateGovernmentDepartments,Statutory/RegulatoryAuthorities,PublicSectorUndertakings,ScheduledCommercialBanks,PublicFinancialInstitutions,CollegesaffiliatedtoUniversities,ProfessionalBodiessuchasICAI,ICWAI,ICSI,BarCouncil,etc.,totheirMembers;andCreditcards/DebitcardsissuedbyBanks.
4.Proofofaddress issuedbyanyof the following:BankManagersofScheduledCommercialBanks/ScheduledCo-OperativeBank/MultinationalForeignBanks/GazettedOfficer/Notarypublic/ElectedrepresentativestotheLegislativeAssembly/Parliament/DocumentsissuedbyanyGovt.orStatutoryAuthority.
5.ForFPI,PowerofAttorneygivenbyFPItotheCustodians(whicharedulynotarizedand/orapostiledorconsularised)thatgivestheregisteredaddressshouldbetaken.
6.Theproofofaddressinthenameofthespousemaybeaccepted. 7. POA for Resident Individual Constituent opting for only Equity Segment under Saral KYC Form would be obtained vide SEBI
CIR/MIRSD/1/2015datedMarch04,2015.E. Clarification/Guidelinesonfilling‘ProofofAddress[PoA]section 1. PoAtobesubmittedonlyifthesubmittedPoldoesnothaveanaddressoraddressasperPolisinvalidornotinforce. 2. State/U.TCodeandPin/PostCodewillnotbemandatoryforOverseasaddresses. 3. Othersincludes—Utilitybillwhichisnotmorethantwomonthsoldofanysen/iceprovider(electricity,telephone,post-paidmobile
phone, piped gas, water bill); Bank account or Post Office savings bank account statement; Documents issued by GovernmentdepartmentsofforeignjurisdictionsandletterissuedbyForeignEmbassyorMissioninIndia;Identitycardwithapplicant'sphotographandaddressissuedbyanyofthefollowing:CentrallStateGovernmentDepartments,Statutory/RegulatoryAuthorities,PublicSectorUndertakings,ScheduledCommercialBanks,PublicFinancialInstitutions,CollegesaffiliatedtoUniversities,ProfessionalBodiessuchasICAI,ICWAI,ICSI,BarCouncil,etc.,totheirMembers;andCreditcards/DebitcardsissuedbyBanks.
4.Proofofaddress issuedbyanyof the following:BankManagersofScheduledCommercialBanks/ScheduledCo-OperativeBank/MultinationalForeignBanks/GazettedOfficer/Notarypublic/ElectedrepresentativestotheLegislativeAssembly/Parliament/DocumentsissuedbyanyGovt.orStatutoryAuthority.
5.ForFPI,PowerofAttorneygivenbyFPItotheCustodians(whicharedulynotarizedand/orapostiledorconsularised)thatgivestheregisteredaddressshouldbetaken.
6.Theproofofaddressinthenameofthespousemaybeaccepted. 7. POA for Resident Individual Constituent opting for only Equity Segment under Saral KYC Form would be obtained vide SEBI
CIR/MIRSD/1/2015datedMarch04,2015.
Instructions/Guidelines for filling KYC Application Form
A. General Instructions:
3
1. Additionaldocumentsincaseoftradinginderivativessegments-illustrativelist:(anyoneofbelow)
CopyofAnnualAccounts
Networthcertifcate
Bankaccountstatementforlast6months
Selfdeclarationwithrelevantsupportingdocuments.
CopyofITRAcknowledgement
Incaseofsalaryincome-SalarySlip,
CopyofForm16
Copyofdemataccountholdingstatement.
Anyotherrelevantdocumentssubstantiating
ownershipofassets.
*Inrespectofotherclients,documentsasperriskmanagementpolicyofthestockbrokerneedtobeprovidedbytheclientfromtimetotime.2. Copyofcancelledchequeleaf/passbook/bankstatementspecifyingnameoftheconstituent,MICRCodeor/andIFSCCodeofthebank
shouldbesubmitted.
3. DematmasterorrecentholdingstatementissuedbyDPbearingnameoftheclient.
4. Allcommunicationshallbesentatthecorrespondenceaddress/mobilenumber/e-mailIDoftheSole/FirstHolderonly.
5. ThumbimpressionsandsignatureotherthanEnglishorHindioranyof theother languagenotcontain inthe8thScheduleof theConstitutionofIndiamustbeattestedbyaMagistrateoraNotaryPublicoraSpecialExecutiveMagistrate.
6. Tradinga/ccannotbeopenedinjointnames.
7. Allcorrectionsontheformshouldbecountersignedwithfullsignature.Whiteinkisnotallowedeitherinformorauthorization
NOTES :
Pleasenotethatthemodeofpaymentshouldbeonlybywayofaccountpayeecrossedcheques/Demanddraftinfavourof“IIFLWealthManagementLtd.-(Client’sLoginid)”.Nocashreceiptspaymentswillbeentertainedforanytransactionsmadebytheclient.IIFLWwillnotberesponsibleforanykindofclaimsraisedbytheclientsregardingpaymentmadeincash.MobilenumberiscompulsoryforopeningofDemat/TradingaccountwithIIFLW.Incaseofchangeinmobilenumberanytimeafteropeningofthisaccount,forpostpaidconnectionitismandatorytosubmitthephotocopyofthelatest/last2monthsmobilebillandforprepaidconnectionclientmustpersonallyvisitthebranch/FAN’salongwiththeirIDproof(eg.PANCard/DrivingLicence/Passport/ElectionVoterID)andgetthesameverified.
1.HDFCBANK 2.ICICIBANK
4.CITIBANKN.A 6.YESBANK
LISTOFDESIGNATEDDEPOSITORYPARTICIPANTS
LISTOFDESIGNATEDBANKS
3.AXISBANK
5.BANKOFBARODA
1.IIFLWealthManagementLtd.
NOTE:IIFLWreservestherighttomakeanymodifcations
intheabovelists.
We refer to circular no. SEBI / MRD / SE / Cir.42 / 2003 dated19/11/2003 issued by Securities and ExchangeBoard of India inconnection with the above and in terms of the said circular wedisclosethatwehaveundertakenproprietarytrading,arbitrageaswell as investment business on our account in addition to Clientbasedbusiness.
TOCLIENT:
DISCLOSUREOFPROPRIETARYTRADINGBYBROKER
OTHER INFORMATION ABOUT IIFLW
F. ClarificationIGuidelinesonfilling‘Contactdetails’section 1. Please mention two- digi t country code and 10 dlgi t mobi le number (e .g . for Indian mobi le number
mention91-9999999999). 2. Donotadd‘O’inthebeginningofMobilenumber.G. ClarificationIGuidelinesonfilling‘RelatedPersondetails-ProofofIdentity[Pol]ofRelatedPerson’section 1. Mentionidentification/referencenumberif‘Z-Others(anydocumentnotifiedbythecentralgovernment)‘isticked.H. ForreceivingstatementofaccountinelectronicForm: I. ClientmustensuretheconfidentialityofthepasswordoftheEmailaccount/Mobile. II. ClientmustpromptlyinformIIFLWealthManagementLtd.(IIFLW)iftheemailaddresshaschanged. III.Clientmayopttoterminatethisfacilitybygiving10dayspriornotice.SimilarlyIIFLWealthManagementLtd.mayalsoterminatethis
facilitybygiving7dayspriornoticeI. Strikeofwhicheverisnotapplicable.
4
TYPESOFENTITY DOCUMENTARYREQUIREMENTS
Corporate
Partnershipfrm/LLP
Trust
HUF
Unincorporated
associationora
bodyofindividuals
Banks/Institutional
ForeignInstitutional
Investors(FII)
Army/Government
Bodies
RegisteredSociety
ADDITIONAL DOCUMENTS TO BE OBTAINED OVER & ABOVE THE POI & POA, AS MENTIONED BELOW:
•Copyofthebalancesheetsforthelast2financialyears(tobesubmittedeveryyear).
• 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 Regulations, duly certified by the companysecretary/Wholetimedirector/MD(tobesubmittedeveryyear).
•Photograph,POI,POA,PANandDINnumbersofwholetimedirectors/twodirectorsinchargeofdaytodayoperations
•Photograph,POI,POA,PANofindividualpromotersholdingcontrol-eitherdirectlyorindirectly.
• POI and POA of the natural person as per declaration submitted for identification of beneficial owner. (Not applicable in case client or controlling owner is a listed company or is a majorityownedsubsidiaryoflistedcompany)
•CopiesoftheMemorandumandArticlesofAssociationandcertificateofincorporation.
•CopyoftheBoardResolutionforinvestmentinsecuritiesmarket.
•Authorisedsignatorieslistwithspecimensignatures.
•Copyofthebalancesheetsforthelast2financialyears(tobesubmittedeveryyear).
•Certificateofregistration(forregisteredpartnershipfirmsonly).
•Copyofpartnershipdeed.•Authorisedsignatorieslistwithspecimensignatures.
•Photograph,POI,POA,PANofPartners.
•POIandPOAofthenaturalpersonasperdeclarationsubmittedforidentificationofbeneficialowner.
•Copyofthebalancesheetsforthelast2financialyears(tobesubmittedeveryyear).
•Certificateofregistration(forregisteredtrustonly).•CopyofTrustdeed.
•Listoftrusteescertifiedbymanagingtrustees/CA.
•POIandPOAofthenaturalpersonasperdeclarationsubmittedforidentificationofbeneficialowner.
•PANofHUF.•DeedofdeclarationofHUF/Listofcoparceners.
•Bankpass-book/bankstatementinthenameofHUF.•Photograph,POI,POA,PAN.
•ProofofExistence/Constitutiondocument.POA,PANofKarta.
•Resolutionofthemanagingbody&PowerofAttorneygrantedtotransactbusinessonitsbehalf.
•Authorizedsignatorieslistwithspecimensignatures.
•POIandPOAofthenaturalpersonasperdeclarationsubmittedforidentificationofbeneficialowner.
•Copyoftheconstitution/registrationorannualreport/balancesheetforthelast2Investorsfinancialyears.
•Authorizedsignatorieslistwithspecimensignatures.
•CopyofSEBIregistrationcertificate.
•Authorizedsignatorieslistwithspecimensignatures.
•Self-certificationonletterhead.
•Authorizedsignatorieslistwithspecimensignatures.
•CopyofRegistrationCertificateunderSocietiesRegistrationAct.
•ListofManagingCommitteemembers.
•Committeeresolutionforpersonsauthorisedtoactasauthorisedsignatorieswithspecimensignatures.
•TruecopyofSocietyRulesandByeLawscertifiedbytheChairman/Secretary.
5
PART - I - KYC AND ACCOUNT OPENING FORM - FOR NON - INDIVIDUAL
3. TYPE OF ACCOUNT (FOR DEMAT)
BodyCorporate FI/FPI CMTrust
Others(Pleasespecify)
MutualFund HUF AOP Bank
1 IDENTITY DETAILS
PAN (MANDATORY)
NameofApplicant(PleasewritecompletenameasperCertifcateofIncorporation/Registration;leavingoneboxblankbetween2words.PleasedonotabbreviatetheName).
DateofIncorporation Placeofincorporation
RegistrationNo.(e.g.CIN) DateofCommencementofBusiness
Bank GovernmentBody Non-GovernmentOrginazation DefenseEstablishment
PrivateLimitedCompany PublicLimitedCompany BodyCorporate PartnershipStatus
Trust/Charities/NGO FPI__________________ HUF AOPPleasetick(anyone)
BOI Society LLP Other (pleasespecify)
4. GST Registered (Goods and Services Tax) Yes No
GSTINNo.IfGSTRegistered) Note:ProofofGSTregistrationisrequiredifselectedYES
TheGoodsandServiceTaxNumber(GSTN)iscorrectandIIFLAMCwillnotberesponsibleforveri�icationofGSTNIftheGSTNnotprovided,itwillbeconsideredasunregisteredandwillbeunabletoclaimtheinputtaxcreditonthefeesandchargespaid.
FaxNo.
Tel(Off)
5. CONTACT DETAILS
Mobile
Tel(Res)
RegisteredAddress
(Ifdifferentfromabove)
City/Town PINCode
ProofofaddresstobeprovidedbyApplicant.(PleasesubmitselfcertifiedcopyofANYONEofthefollowingvaliddocuments)
DocumentNo. DateofIssue PlaceofIssue
IssuingAuthority Validity/Expirydateofproofofaddresssubmitted
CorrespondenceAddress
City/Town PINCode
State Country
State Country
Anyotherproofofaddressdocument(aslistedinaddtionaldocumentspage) (Notmorethan3Monthsold.)
LatestTelephoneBill(onlyLandLine) LatestElectricityBill LatestBankA/cStatement/Passbook RegisteredLease/SaleAgreementofOffcePremises
2. ADDRESS DETAILS
(Aadhar card is mandatory for all the Authorised Signatories/Partners/Designated Partners/Trustees/Members of theentityholdingaccountwithus)
6
124
stSignature/ThumbImpressionof1 Applicant
[Signature/ThumbImpression]Date
Place
a)IncomeRangeperannum:
b)NetworthRs.____________ason(Networthshouldnotbeolderthanoneyear)
BelowRs.1,00,000
Rs.1,00,001toRs.5,00,000 Rs.5,00,001toRs.10,00,000
D DM M Y Y Y Y
Rs.10,00,001toRs.25,00,000MorethanRs.25,00,001OR
6. GROSS ANNUAL INCOME
Business-NatureofBusiness_________________________________ Others(plsspecify)______________________________
Whetheryouwishtoavailtheinternettradingfacility(pleasespecify)_________________________________
Pleasetick,ifapplicable,foranyofyourauthorizedsignatories/Promoters/Partners/Karta/Trustees/wholetimedirectors:
PoliticallyExposedPerson(PEP) RelatedtoaPoliticallyExposedPerson(PEP)NA
7. OCCUPATION DETAILS
a)DINofwholetimedirectors:(PleaseusetheAnnexuretofillinthedetails)b)AadhaarnumberofPromoters/Partners/Karta:(PleaseusetheAnnexuretofillinthedetails)
2.
Name,PAN,DIN/UID,residentialaddressandphotographsofPromoters/Partners/Karta/Trustees/wholetimedirectors(PleaseusetheAnnexuretofillinthedetails)
1.
8. OTHER DETAILS (Please see guidelines)
IherebydeclarethatthedetailsfurnishedabovearetrueandcorrecttothebestofmyknowledgeandbeliefandIundertaketoinformyouofanychangestherein,immediately.Incaseanyoftheaboveinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,Iamawarethat Imaybeheld liable for it. Iherebydeclare that Iamnotmaking thisapplication for thepurposeofcontraventionofanyAct.Rules,Regulationsoranystatuteoflegislationoranynotifications/directionsissuedbyanygovernmentalorstatutoryauthorityfromtimetotime.I/Weherebyauthoriseyoutokindlyupdate/modifyKRA/CKYCbasisthedocumentssubmittedandalsotoupdatetheaccountdetailsbasisanychangesdoneonKRA/CKYC.I/Weherebyprovidemy/ourconsentinaccordancewithAadhaarAct,2016andregulationsmadethereunder,for(i)collecting,storingandusage(ii)validating/authenticatingand(ii)updatingmy/ourAadhaarnumber(s)inaccordancewiththeAadhaarAct,2016(andregulationsmadethereunder)andPMLA.
IherebyconsenttoreceivinginformationfromCentralKYCRegistrythroughSMS/Emalontheaboveregisterednumber/emailaddress.
9. APPLICANT DECLARATION
7
PART- I - KYC AND ACCOUNT OPENING FORM - GUARDIAN (IN CASE SOLE HOLDER OF DEMAT ACCOUNT IS MINOR)PART- I - KYC AND ACCOUNT OPENING FORM - GUARDIAN (IN CASE HOLDER IS MINOR)
CKYCNumberPANNumber(mandatory)
AadhaarCard(mandatory)
PassportExpiryDatePassportNumber
(SelfCertifiedcopyofanyoneoftheabovementionedneedstobesubmittedtwowordsIdentity&Addressproofseparately)
PROOFS SUBMITTED FOR IDENTITY & ADDRESS3.
1. PERSONAL DETAILS
Name(sameasIDproof)
Maiden Name(Ifany)
Father/SpouseName
MotherName
MiddleName LastNameFirstNamePrefix
Married Unmarried OthersMaritalS tatus
Male Female TransgenderDateofBirth Gender
IN-Indian Others-Country_______________CountryCodeCitizenship
ForeignNational PersonofIndianOriginResidentResidentialStatus NonResident
OccupationType Service PrivateSector PublicSector ProfessionalGovernmentSector Others
SelfEmployed Retired Housewife Student Business NotCategorised
Whetheryouwishtoavailtheinternettradingfacility Yes No
Pleasetick,ifapplicable PoliticallyExposedPerson(PEP) NARelatedtoaPoliticallyExposedPerson(PEP)
13
PleaseaffixtherecentpassportsizePhotographand
signacrossit
2. ADDRESS DETAILS
2.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS
Line1
Line2
City/Town/VillageLine3
State/UTCodeZip/PostCode asperIndianMotorVehicleAct,1988District
Country CountryCode asperISO3166State/UT
AddressType Residential/Business Residential Business RegisteredOffice Unspecified
2.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS
Line1
Line2
City/Town/VillageLine3
State/UTCodeZip/PostCode asperIndianMotorVehicleAct,1988District
Country CountryCode asperISO3166State/UT
AddressType Residential/Business Residential Business RegisteredOffice Unspecified
8
23
stSignature/ThumbImpressionof1 Applicant
[Signature/ThumbImpression]Date
Place
a)IncomeRangeperannum BelowRs.1,00,000
Rs.1,00,001toRs.5,00,000 Rs.5,00,001toRs.10,00,000
b)NetworthRs.____________ason(Networthshouldnotbeolderthanoneyear)D DMMY Y Y Y
Rs.10,00,001toRs.25,00,000MorethanRs.25,00,001OR
5. GROSS ANNUAL INCOME
7. APPLICANT DECLARATION
I/Weacknowledgeandconfirmthattheinformationprovidedaboveistrueandcorrecttothebestofmy/ourknowledgeandbelief.Incaseanyoftheabovespecifiedinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,I/Weam/areawarethatI/Wemaybeliableforit I/Weherebyauthorize IIFLWealthManagementLimitedtodisclose,share,remitinanyform,modeormanner,all/anyoftheinformationprovidedbyme/us,includingallchanges,updatestosuchinformationasandwhenprovidedbyme/ustoassociatesofIIFLGroup,issuers, brokers, banks andother relevantparties ('theAuthorizedParties') or any Indianor foreign governmental or statutoryor judicialauthorities/agenciesincludingbutnotlimitedtotheFinancialIntelligenceUnit-India(FIU-IND),thetax/revenueauthoritiesinIndiaoroutsideIndiawhereveritislegallyrequiredandotherinvestigationagencieswithoutanyobligationofadvisingme/usofthesame,Further,I/WeauthorizetosharethegiveninformationtootherAuthorisedPartiestofacilitatesinglesubmission/updation&forotherrelevantpurposes,I/Wealsoundertaketokeepyouinformedinwritingaboutanychanges/modificationtotheaboveinformationinfuturepromptly,i.e.,within30daysandalsoundertaketoprovideanyotheradditionalinformationasmayberequiredatyourend,Asmayberequiredbydomesticoroverseasregulators/taxauthorities,I/WeauthorizetheAuthorisedPartiestowithholdandpayoutanysumsfromyouraccountorcloseorsuspendyouraccount(s)withoutanyobligationofadvisingmeofthesame.I/Weherebyauthoriseyoutokindlyupdate/modifyKRA/CKYCbasisthedocumentssubmitted
IherebydeclarethatthedetailsfurnishedabovearetrueandcorrecttothebestofmyknowledgeandbeliefandIundertaketoinformyouofanychangestherein,immediately.Incaseanyoftheaboveinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,IamawarethatImaybeheldliableforit.IherebydeclarethatIamnotmakingthisapplicationforthepurposeofcontraventionofanyAct.Rules,Regulationsoranystatuteoflegislationoranynotifications/directionsissuedbyanygovernmentalorstatutoryauthorityfromtimetotime.
I/Weherebydeclarethati/weareFit&Properpersonasperregulation20ofSECCregulation2012forexecutingtransactionsinthesecuritiesofthelistedexchanges.I/Weherebyprovidemy/ourconsentinaccordancewithAadhaarAct,2016andregulationsmadethereunder,for(i)collecting,storingandusage(ii)validating/authenticatingand(ii)updatingmy/ourAadhaarnumber(s)inaccordancewiththeAadhaarAct,2016(andregulationsmadethereunder)andPMLA.
IherebyconsenttoreceivinginformationfromCentralKYCRegistrythroughSMS/Emailontheaboveregisterednumber/emailaddress.
4. CONTACT DETAILS
FaxNo.
Mobile
Tel(Off) Tel(Res)
AddressinthejurisdictionwhereapplicantisresidentoutsideIndiaforTaxpurpose
CountryofJurisdictionofResidence CountryCodeofJurisdictionofResidence asperISO3166
TaxIdentificationNumberorequivalent(Ifissuedbyjurisdiction)
CountryofBirthPlace/CityofBirth CountryCode asperISO3166
State/UT Country CountryCode asperISO3166
Line1
Line2
City/Town/VillageLine3
Zip/PostCodeDistrict State/UTCode asperIndianMotorVehicleAct,1988
6. FATCA/CRS INFORMATION (tick If Applicable) A. Residence for Tax Purposes in Jurisdiction(s) outside India B. Not Applicable
AdditionalDetailsRequired(mandatoryonlyifaboveoption(A)isticked)
9
DETA
ILS
OF P
RO
MO
TER
S/PA
TN
ER
S/K
ARTA
/TR
UST
EES/
WH
OLE T
IME D
IREC
TO
R A
ND
AU
TH
OR
ISED
SIG
NAT
ORY
FO
RM
ING
A P
ART O
F K
NO
W Y
OU
R C
LIE
NT (
KY
C)
KY
C A
PPLIC
AIO
N F
RO
M F
OR
NO
N-I
ND
IVID
UA
L -
AN
NEXU
RE
Nam
e
PAN
Resi./
Reg
d.A
ddress
DIN
(Fo
rDirectors)
DIN
(Fo
rDirectors)
DIN
(Fo
rDirectors)
DIN
(Fo
rDirectors)
DIN
(Fo
rDirectors)
Photograp
h
UID(Fo
rOthers)
UID(Fo
rOthers)
UID(Fo
rOthers)
UID(Fo
rOthers)
UID(Fo
rOthers)
Whether
Politica
lly
Exp
osed
Relationsh
ip
withapplica
nt
(i.e.P
romoters,
Ben
efciary/
Wholetim
e
Directors,etc.)
PEP
RPEP
N.A.
PEP
RPEP
N.A.
PEP
RPEP
N.A.
PEP
RPEP
N.A.
PEP
RPEP
N.A.
Nam
eofA
pplica
nt
PANoftheApplica
nt
Nam
e&SignatureoftheAuthor
ised
Signator
y(ies)
PEP:P
olitica
llyExp
osedPerso
nRPEP:R
elated
toPolitica
llyExp
osedPerso
n
224
Sr.
No.
1.
2.
3.
4.
5.
Date:
DIN
ofwholetim
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INTENTIONALLYLEFTBLANK
11
PART II - ACCOUNT OPENING FORM
1. APPLICANT NAME
PANFirstSignatory
SecondSignatory PAN
ThirdSignatory PAN
5. DEPOSITORY SERVICE
For HUF, Association of persons (AOP), Partnership Firm, Unregistered Trust, etc, although the account is opened in the name ofthenaturalpersons,thenameandPANoftheHUF,AOP,PartnershipFirm,UnregisteredTrustetc.shouldbeasmentionedabove
Name PAN
I/WewishtoopenDepositoryAccountwith CDSL:12083300NSDL:IN304158
DPName
CDSLNSDL
DPID:IN BeneficiaryAccountNo.
DPName
BeneficiaryAccountNo.
2. EXISTING DEPOSITORY ACCOUNT DETAILS
BankA/cNo. IFSCCode
TypeofA/c
BankNameAddress
SavingsCurrentNRENROOthersMICRCode
4. EXISTING / EXTERNAL BANK ACCOUNT DETAILS
Yes No
b.I/Weauthoriseyoutoreceivecreditsautomaticalyintomy/ouraccount Yes No
a.AccounttobeoperatedthroughPowerofAttorney(PoA)
c.I/Wewishtoreceivedividend/interestdirectlytomy/ourbankaccountgivenhereinthroughECS Yes No
d.AccountStatementRequirement Daily Weekly Fortnightly Monthly(Defaultoptionismonthly)
I/WedonotrequiretheDeliveryInstructionSlip(DIS)forthetimebeing,sinceI/WehaveissuedPowerofAttorneyinfavourof IIFLWealthManagementLtd. (IIFLW) forexecutingdelivery instructions for settling transactionsexecutedthrough(IIFLW)However,theDISbookletshouldbeissuedtome/usimmediatelyonmy/ourrequestatanylaterdate. Yes No
6. STANDING INSTRUCTIONS (FOR DEMAT ACCOUNT)
Ifinfuture,youwanttotradeonanynewsegment/newexchange,seperateauthorisation/lettershouldbesubmittedtoIIFLW.
NSE BSE
CapitalMarketSegment
NameoftheExchangeNameoftheSegment
324
424
Futures&Options
CurrencyDerivatives
Debt
MFSS/BSEStAR
524
624
724
824
924
1024
1124
1224
STOCKEXCHANGE(S)&SEGMENTONWHICHYOUWISHTOTRADE:(Pleasesignintherelevantboxeswhereyouwishtotrade.TheSegmentnotchosenshouldbestruckoffbyyou.)
7. TRADING PREFERENCE
BankA/cNo. IFSCCode
TypeofA/c
BankNameAddress
Savings Current NRE NRO OthersMICRCode
3. POA BANK ACCOUNT DETAILS
12
CopyofITRacknowledgement Copyofannualaccounts CopyofForm16 Networthcertifcate
Bankaccountstatementforlast6months Copyofdemataccountholdingstatement
Anyotherrelevantdocumentssubstantiatingownershipofassets.
PROOF OF FINANCIAL DETAILS (MANDATORY IN CASE OF DERIVATIVES/ CURRENCY) ANY ONE10.
AuthorisedSignatory
SIGNATURE 1324
IwouldliketoreceivethebelowdocumentsthroughPhysicalElectronicMode
1.RightsandObligations2.UniformRiskDisclosuredocuments3.Do’sandDon't’s4.Allothercommunications
11. COMMUNICATION MODE
Mobile3 Onetimeveri�icationcall
Mobile1 Dayendtransactioncon�irmation Transactionauthorisation(forPOAcasesonly)
Mobile2 Dayendtransactioncon�irmation Transactionauthorisation(forPOAcasesonly)
Transactionauthorisation(forPOAcasesonly)Dayendtransactioncon�irmation
Transactionauthorisation(forPOAcasesonly)Dayendtransactioncon�irmation
E-mail1 :
E-mail2 :
E-mail3 :
Dayendtransactioncon�irmation Transactionauthorisation(forPOAcasesonly)
NameofPersonforveri�icationcall_______________________________________________________________________________________________________________________
12. CONTACT DETAILS
Whetherdealingwithanyotherstockbroker/sub-broker(ifcasedealingwithmultiplestockbrokers/sub-brokers,providedetailsofall)
8. DEALINGS THROUGH STOCK BROKERS AND OTHER SUB-BROKERS
Ifclientisdealingthroughthesub-broker,providethefollowingdetails
Stockbroker’sName&Code
Registeredofficeaddress
Website
Tel.SEBIRegistrationnumber Fax
Detailsofdisputes/duespendingfrom/tosuchstockbroker/sub-broker______________________________________
Stockbroker’sName&Code
Registeredofficeaddress
Website
Tel.SEBIRegistrationnumber Fax
9. ADDITIONAL DETAILS (PAST ACTIONS IF ANY )
Detailsofanyaction/proceedingsinitiated/pending/takenbySEBI/Stockexchange/anyotherauthorityagainsttheapplicant/constituentoritsPartners/promoters/wholetimedirectors/authorizedpersonsinchargeofdealinginsecuritiesduringthelast3years:
Particulars NameofAuthority Month&YearofAction
13
StatusofIntroducer Sub-Broker AuthorisedPerson Remisier ExistingAccountHolder BankOfficial
IIFLEmployee AnyOtherPerson
13. INTRODUCER’S DETAILS
OrganizationName For existing client only
Introducer’sName
Address
City Country
State Tel.PINCode
Occupation COMPULSORYPAN
Signature
ForIIFLWealthManagementLtd.
14
(i.e., Owner/ Promoter in case of Non-individual entity and family head incase of an individual)TOUCH POINT DETAILS 14.
1
Prefix
Name
Address
City
MobileNo.
Organization
Designation
Industry
DateofBirth
NameofSpouse
DOBofSpouse
Dr. Mr. Mrs. Ms. Other Gender Male Female
PinCode
Tel(Off)
MaritalStatusD D M M Y Y Y Y
Relationshipwithheadoffamily
SubIndustry
Country
D D M M Y Y Y Y AnniversaryDate D D M M Y Y Y Y
2
Prefix
Name
Address
City
MobileNo.
Organization
Designation
Industry
DateofBirth
NameofSpouse
DOBofSpouse
Dr. Mr. Mrs. Ms. Other Gender Male Female
PinCode
Tel(Off)
MaritalStatusD D M M Y Y Y Y
Relationshipwithheadoffamily
SubIndustry
Country
D D M M Y Y Y Y AnniversaryDate D D M M Y Y Y Y
3
Prefix
Name
Address
City
MobileNo.
Organization
Designation
Industry
DateofBirth
NameofSpouse
DOBofSpouse
Dr. Mr. Mrs. Ms. Other Gender Male Female
PinCode
Tel(Off)
MaritalStatusD D M M Y Y Y Y
Relationshipwithheadoffamily
SubIndustry
Country
D D M M Y Y Y Y AnniversaryDate D D M M Y Y Y Y
15
ThisquestionnaireendeavourstobringoutyourcurrentattitudetowardsRisk,orthe“ChanceofLoss”andyourviewofhowaninvestmentshouldperformoverthenextdecade.Itwillsuggestwhattypeofstrategyyoushouldadopttowardsyourinvestments.Sincetheseanswerswillbeusedasinputsinyourlong-termassetallocation,weurgeyoutoinvestsometimeinunderstandingandansweringeachquestion.
RISK PROFILER
(Pleasetickany1optionamongthosepresented)
WerecommendthatyouanswerthequestionnairewithoutanyinputsfromyourIIFLWWealthRepresentative
RISKASSESSMENT:
1. NoofYearsinBusiness
5.
“Beatinginflationoverthelongtermismoreimportanttomethanpossibleshorttermlosses”
2. Yourcurrentandfutureincomesources(example:Salary,BusinessIncome,InvestmentIncome,etc)are:
6.
Imaginethemarketgoesdown25%inamatterof3Months,whatwouldbeyourresponse?
4. Which of the following statements would be
representativeofyourriskappetite?
8. As a percentage of your overall financial portfolio,whatwouldbetheextentofyourcurrentborrowings:
A I do not want my investment to lose any
value, even if thismeans it takes longer to
achievemyinvestmentgoals
A 0%
B Upto5%
C Greaterthan5%andupto10%
B I can tolerate small fluctuations in my
portfolio value in order to achieve my
investmentgoals
D Greaterthan10%andupto20%
E Greaterthan20%
C I can tolerate moderate fluctuations in my
portfolio value in order to achieve my
investmentgoals
D I can tolerate large fluctuations in my
portfolio value in order to achieve my
investmentgoals
E I can tolerate extreme fluctuations in my
portfolio value in order to achieve my
investmentgoals
Veryunstable
Unstable
Somewhatstable
Stable
Verystable
A
B
C
D
E
StronglyDisagree
Disagree
Neutral
Agree
StronglyAgree
AB
C
D
E
A Notatallinterested B SlightlyInterested
C Interested D VeryInterested.
E ExtremelyInterested.
7. ThegoalofLeveraging istoprovideahigherreturnoninvested equity by building in fixed cost of interest.Howeverthisstrategycanoftenleadtosteeperlossesifthereturnoninvestmentsislessthaninterestcost.Howinterestedwouldyoubeinleveraging?
AB
C
D
E
Above10-20Years
Above5-10Years
Firstyear
Above2-5Years
Above20Years
A
B
C
D
E
ExitmyinvestmentscompletelyExitmyriskierassetsevenatalossandputthemoneyinto
saferassetsHoldallmyinvestmentsandselltheriskierassetsoncethey
reachparvalueHold all my investments and sell nothing, waiting for
conditionstoimproveInvestmorecapitalandlowermyaveragepurchaseprice
3. How would you describe your investment
experiencetilldate?
A
Primarilyfixedincomeinvestments/
currentlydeployedinBankFixedDeposits.
B
MixofFixed Income andEquitieswithhigher
allocationinEquities.
C Primarilyequityinvestments
E Primarilyrealestateinvestments
D MixoffixedIncome,equitiesandrealestate
withhigherallocationinReal
investments
Estate/alternative
16
RISK PROFILER
Signature
ForIIFLWealthManagementLtd.
INVESTMENTOBJECTIVES: 9. While making an investment decision, which is
mostimportanttoyou? A CapitalPreservation
B RegularIncome/CashFlows
C StableInflationBeatingReturns
D LongTermCapitalGrowth
E SignificantCapitalAppreciation 10. What is your investmenthorizon?How long can
youkeepyourmoneyinvestedinsecuritiesbeforeneedingaccesstoit?
Disclaimer:
This assessment is built on the theoretical correlation between
risk tolerance, investment term, liquidity needs and attitude
towards risk. Should the client not feel comfortable with the
outcome of this assessment, his/her specific requirements will
takeprecedence.
A LessthanaYears
B 1-3Years
C Above3years-Lessthan5years
D Above5years-Lessthan10years
E Above10years 11. If you are planning significant expenditure, how
many years do you estimate you can let your
investment grow before you may need to tap into
them? A Lessthan1year(VeryShortterm)
B 1-3years(Shortterm)
C Above3years-Lessthan5years(Mediumterm)
D Above5years-Lessthan10years(Longterm)
E Above10years(Verylongterm)
12. Althoughitisdifficulttoplanfortheunexpected,incaseof any special circumstances (College, Retirement,Medical,etc)outsideyourusualneedswhatproportionofyourportfoliowould require immediate liquidationoverthenext3-5years?
ClientDeclaration I/wehereby confirm that I/wehave read, reviewed andunderstood
theabovementionedriskassessmentquestionnaireandagreetomy
categorization,basedon investmentobjectivesandriskassessment.
A FullPortfoliocouldbeliquidated
B MajorLiquidations
C Halfoftheportfoliocouldbeliquidate
D Somesmallliquidations
E NoLiquidations
SignedanddeliveredonbehalfoftheClientbythehandof
No.ofA X1=
No.ofB X2=
No.ofC X3=
No.ofD X4=
No.ofE X5=
Total
Conservative (score0-20)
Moderate(score21-40)
Aggressive (score41-60)
AuthorisedSignatory
SIGNATURE 1424
Clientcategorizationbasedonriskassessmentand
objectivesquestionnaire:
investment
SCHEDULE OF BROKERAGE AND OTHER CHARGES
TARIFF SHEET
RemarkNOTESDelayedPaymentCharges-Anyamountwhichareoverduefromtheclient towards tradingeither incashorderivativesegmentsoronaccount of any other reason, the Client will be charged delayedpaymentchargesattherateof2%permonthorsuchotherrateasmaybedeterminedbytheStockBroker.1. Physicalprintcopyofdigitalcontractnotecanbeavailedfromthebranches.2. DocumenthandlingchargeofRs.30/-shallbeapplicable: • Customerwhohasoptedforreceivingdocumentsbyelectronic
mode:Incasesuchcustomeralsointendstoreceivedocuments(contract notes and other related documents) by physicalmode.
• Customerwhohasoptedforreceivingdocumentsbyphysicalmode: In case such customer intends to receiveadditional/duplicatecopiesofdocuments(contractnotesandotherrelateddocuments)byphysicalmode.
Thischargemaybepartly/fullywaivedoffforhighnetworth/largecustomeratthediscretionofIIFLW.
3. The above charges are exclusive of Service tax, SecuritiesTransactionTax,otherchargesandstampduty.ThesameshallbechargedtotheClient’saccountonactualbasis.
4. Inter/settlement/Beneficiarytopooltransferwouldbecharged0.04%(MinimumRs.25)perscripplusservicetax.
5. Charges/servicestandardsaresubjecttorevisionatsolediscretionof IIFL Wealth Management Ltd. and as informed bycommunicationavailableonwebsiteorsentbyordinarypost/E-mail.
6. ValueofthetransactionwillbeinaccordancewithratesprovidedbyDepository.
7. Statutory and other levies being charges related to the executionand/orsettlementoftransactionsshallbeseparatelychargeableasinforcefromtimetotime.
8. Charges quoted above are for the services listed. Any service notquotedabovewillbechargedseparately.
9. CustomerisrequiredtomaintainaminimumbalanceofRs.1000/-inhis/herledgeraccount.
10.Norefundofaccountopeningchargeswouldbegiveniftheaccountcouldnotbeopenedduetononsubmissionofcompletedocumentsbytheclientorduetolackofdesiredco-operationfromtheclient.
11.Managementreservestherighttofreeze,discontinueorsuspendanyaccountifrequired.
12. Incaseofexpiryoffuturecontractsandexerciseandassignmentofoption,DerivativesSettlementChargesmaybelevied.
13. Incaseofbuy/sellofsamesecurityduringtheday,thebrokeragewillbeleviedonhighersideofthetransactionamount/priceforbothintra-dayanddeliverytransactions.
14.CallcenterservicechargesofRs20percallfornoofcallsexceeding20inanymonth.
15.TheminimumaggregatebrokeragewillbeRs.25perscripperdayfordeliverytradesincashsegment,subjecttoregulatorycaps,asapplicable.
16. Brokerageisalso applicableonExpiry/Exercise/Assignmentof OptionsContract
17.Dematchargesshallbeapplicableformutualfundtransactions.
Depository Charges
CreditCharges NIL
DebitCharges 0.04%(MinimumRs.25perdebittransaction)
A/cMaintenanceCharges* YearlyRs.400/-+ServiceTax
BROKERAGE(CASH) STANDARD QUOTEDRATE RATE
BrokingServices
Brokerage(Futures)
Brokerage(Options)
Intra-day
Delivery:(Normal)settlementExchangeTradeforTradeandZgroupscrip
Brokerage(Futures)
Brokerage(Options)Minimum
MinimumBrokerage
AuctionChargesLiquidBees
Currency
Currency
EquityFundsandBalancedFunds
DebtFunds/MIP/ArbitrageFunds/GoldETFShortTermFunds/UltraShortTermFunds/LiquidFundsStructuredProductsThirdPartyAIF/PMSBonds(>3yearmaturity)Bonds(<3yearmaturityTaxFreeBonds
0.05%
0.50%0.75%
0.05%
1%ofPremiumorRs.100/-perlotwhichever
ishigher
0.05pershareor0.05%whichever
ishigher
1.00%
Rs.25perlot
Rs.10perlot0.50%0.10%
Nil0.05%0.25%0.10%0.05%0.01%
OtherCharges
Standardcharges
Rejection/Failureperentry
ReconversionofMFunitsintoSOAorRedemption/RestatmentisationPerSOA
Pledgecreation
Pledgeclosure
DEMAT-Percertificate
REMAT-PercertificateORPer100Units/shares(Whicheverishigher)
ConversionofMFunits/Destatmentisation
PerSOA
PostalChargesperrequestshallbechargedseparately
--
Rs.50
Rs.15
Rs.15
Rs.15
Nil
Rs.15
--
*The charges will be pro-rated monthly from the month in which the account isopenedtilltheendofthefinancialyear.Forsubsequentfinancialyears,thesameispayable at the beginning of the financial year **AMC and other charges will bedebitedtoyourledgeronyearlyandmonthlybasisrespectively
I/WehaveunderstoodandacceptedtheScheduleofChargesasstatedhereinabove.
17
SIGNATURE 1524
Sole/FirstAuthorisedSignatory’s SecondAuthorisedSignatory’s ThirdAuthorisedSignatory’s
13
13
18
5.
RM NOTE AND CONFIRMATION
2. CLIENT RISK CATEGORISATION UNDER PMLA Low Medium High
1. PERSONAL DETAILS
ClientName
FamilyDetails
FamilyName FRN:
NewExisting*(*IfExisting,pleaseconfirmthefollowing)
DowemapthisclientastheHeadoffamily?
3. WHERE DID YOU GET THE REFERENCE OF THIS CLIENT?:
Self-AcquiredExistingClient(ifapplicablepleasehelpwiththenameoftheexistingclientaswell)
AcquisitionLeadAnyothersourceotherthantheabove;PleaseSpecify:
4. CLIENT BACKGROUND(Please provide a brief about the client in 2-3 lines)
OTHER DETAILS
ExpectedAUM_____________________(Rs.inCrs)
ProductofHighInterestDirectEquityMutualFundsStructuredProductsBonds&OtherDebts
ManagedAccounts(DiscretionaryPMS)Commodities
YesNo
Clientspreferences(selectfrombelow:)
ResearchReport
ProductUpdate/Launches
RegulatoryCommunication
CorporateCommunication
Gift
GreetingsYesNo
CompleteDocumentationreceivedasmentionedinadditionaldocumentspage: Yes No
6. SUBMISSION CHECKLIST
7. “VERIFIED WITH ORIGINAL” STAMP AFFIXED ON PROOFS Yes No
8. SOURCE RM (PRIMARY RM)
Name Emp.Code
9. RM 2 (EQUITY RM/SUPPORTING RM)
10. SERVICE RM
Name Emp.Code
Name Emp.Code
I/Weundertakethatwehavemadetheclientawareof‘PolicyandProcedures’,tariffsheetandallthenon-mandatorydocuments.I/Wehavealsomadetheclientawareof‘RightsandObligations’document(s),RiskDisclosureDocumentandGuidanceNote.I/Wehavegiven/senthimacopyofalltheKYCdocuments.I/Weundertakethatanychangeinthe‘PolicyandProcedures’,tariffsheetandallthenon-mandatorydocumentswouldbedulyintimatedtotheclients.I/Wealsoundertakethatanychangeinthe‘RightsandObligations’andRDDwouldbemadeavailableonourwebsite,ifany,fortheinformationoftheclients.IhavereadandunderstoodthatifanyoftherequirementsisnotfulfilledthenapenaltywouldbechargedtomeoranyotheractionmaybetakenasdeemedfitbytheManagementfornoncompliancefrommyend.
11. DECLARATION
NameoftheEmployeeofIIFLW EmployeeCode
EmployeeSignature&Stamp Date
YesNo
YesNo
YesNo
YesNo
YesNo Wouldyouliketomapheldawayassetsaswell? YesNo
DocumentsverifiedwithOriginals ClientInterviewedByIn-PersonVerificationdoneby
NameoftheEmployee
EmployeeCode
Designationoftheemployee
Signature
Date D D M M Y Y Y Y
1. I/Weherebydeclarethatthedetailsfurnishedabovearetrueandcorrecttothebestofmy/ourknowledgeandbeliefandI/We undertake to inform you of any changes therein,immediately.Incaseanyoftheaboveinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,Iam/weareawarethatI/Wemaybeheldliableforit.
2. I/We confirm having read/been explained and understoodthecontentsofthedocumentonpolicyandproceduresofthestockbrokerandthetariffsheet.
3. I/We confirmhaving received ahard copyof the followingdocumentsandfurtherconfirmhavingreadandunderstoodthecontentsofthesedocuments:-
• RightsandObligationsofStockRightsandObligationsofStockBrokers,Sub-BrokersandClientsasprescribedbySEBIandStockExchanges
• RightsandObligationsofBeneficialOwnerandDepositoryParticipantasprescribedbySEBIandDepositories
• Risk disclosure Document for Capital and Derivatives Segment
• Guidance Note-Do’s and Don’ts for Trading on theExchange(s)forInvestors
• PoliciesandProceduresapplicabletoclients.
I/We do hereby agree to be bound by such provisions asoutlinedinthesedocuments.I/Wehavealsobeeninformedthat the standard set of documentshasbeendisplayed forInformationonstockbroker’sdesignatedwebsite,ifany.
I/We further understand that any change in the saiddocuments including the “Policies andProcedures” shall bemadeavailableonthewebsiteofIIFLWandalsointimatedtome through circulars in internet trading platform/e-mails.I/Weshallkeepmyselfupdatedofthesame.
4. Therulesandregulationsof theDepositoryandDepositoryParticipantspertainingtoanaccountwhichareinforcenowhavebeenreadbyme/usandI/WehaveunderstoodthesameandI/Weagreetoabidebyandtobeboundbytherulesasarein force from time to time for such account. I/We herebydeclarethatthedetailsfurnishedaretrueandcorrecttothebestofmy/ourknowledgeandbeliefandI/Weundertaketoinformyouofanychangestherein,immediately.Incaseanyofthe above information is found to be false or untrue ormisleadingormisrepresenting,I/Weam/areawarethatI/Wemaybeheldliableforit.Incasenonresidentaccount,I/Wealso declare that I/We have complied and will continue tocomplywithFEMAregulation.
5. I/WeherebyagreethatIIFLWmayassign/transferentireorpartofitsbroking,depositoryparticipantand/ordistributionservices,toitsassociateorgroupcompanies,withoutmy/ourpriorconsent
6. The instruction/authorization received from the any ofauthorizedrepresentativeasperBoardResolutionprovidedshallbeexecutedbytheattorney.
19
MODEOFOPERATION(Incaseofjointholdings,alltheholders/AuthorisedSignatoriesmustsign)
ANYONESINGLY ASPERRESOLUTION
JOINTLYBY OTHERS(PLEASESPECIFY)
DECLARATION / CONSENT
33
AuthorisedSignatories(EncloseaBoardResolutionforAuthorisedSignatories)
Signature(s)Name
1624
Sole/FirstHolder
FirstSignatory
SecondSignatory
ThirdSignatory
SecondHolder
ThirdHolder
OtherHolders
23
23
Guardian
(incasesoleholderofdemataccountisminor)
FATCA/CRS & UBO Declaration
1) IncasecustomerhasthefollowingIndiciapertainingtoaforeigncountryandyetdeclaresselftobenon-taxresidentintherespectivecountry,customertoproviderelevantCuringDocumentsasmentionedbelow:
Listofacceptabledocumentaryevidenceneededtoestablishtheresidence(s)fortaxpurposes:1.Certificateofresidenceissuedbyanauthorizedgovernmentbody*2.Valididentificationissuedbyanauthorizedgovernmentbody*(e.g.Passport,NationalIdentitycard,etc.)
*Governmentoragencythereoforamunicipality
IfTIN/FunctionalEquivalentavailable AnydocumentevidencingTINissuedbyanauthorisedgovernmentbody
Anexplanationandattachittotheform.NoTINisyetavailable
2) It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such dentifiers.
20
FATCA/CRSIndiciaobserved(ticked)
IfcustomerdoesnotagreetobeSpecifiedU.S.person/reportablepersonstatus
DocumentationrequiredforCureofFATCA/CRSindicia
1U.S.placeofbirth
2Residence/mailingaddressinacountryotherthanIndia
1.Self-certification(inattachedformat)thattheaccountholderisneitheracitizenofUnitedStatesofAmericanoraresidentfortaxpurposes;and2.Documentaryevidence(referlistbelow)
3TelephonenumberinacountryotherthanIndia(andnotelephonenumberinIndiaprovided)
1.Self-certification (in attached format) that the account holder is neitheracitizenofUnitedStatesofAmericanoraresidentfortaxpurposes;and2.Documentaryevidence(referlistbelow)
1. Self-certification (in attached format) that the account holder is neitheracitizenofUnitedStatesofAmericanoraresidentfortaxpurposes;and2.Documentaryevidence(referlistbelow)
4Standinginstructionstotransferfundstoanaccountmaintainedinacountryotherthanindia
1.Self-certification(inattachedformat)thattheaccountholderisneitheracitizenofUnitedStatesofAmericanoraresidentfortaxpurposes;
2.Non-USpassportoranynon-USgovernmentissueddocumentevidencingnationalityorcitizenship(referlistbelow);AND
3.Anyoneofthefollowingdocuments:a.CertifiedCopyof“CertificateofLossofNationalityor.b.ReasonableexplanationofwhythecustomerdoesnothavesuchacertificatedespiterenouncingUScitizenship;orReasonthecustomerdidnotobtainU.S.citizenshipatbirth
21
FATCA-CRS Declaration & Supplementary KYC Information - Declaration Form for Non-IndividualPlease seek appropriate advice from your professional tax professional on your tax residency and related FATCA & CRS guidance
Name
AddressType[forKYCaddress]
PlaceforIncorporation
Istheentityinvolvedin/providinganyofthefollowingservices:
GrossAnnualIncomeDetailsinINR
Residential Business Residential/Business RegisteredOf�ices
CountryforIncorporation
Below1Lakh1-5Lacs
5-10Lacs10-25Lacs
25Lacs1cr>1Crore
Networthin
INRinLacs
Networthasof dd/mm/yyyy
[Pleasespecify]
[ifapplicable]
Anyotherinformation
ForeignExchange/MoneyChangerServicesGaming/Gambling/LotteryServices[e.g.casinos,bettingsyndicates]MoneyLaundering/Pawning
IsyourlEntity]CountryofTaxResidencyotherthanIndia-YesNo
If‘Yes’pleasespecifythedetailsofallcountrieswhereyou[Entity]holdtaxResidencyanditsTaxIdenti�icationNumber&type
Sr.No. CountryofTaxResidency
123
Identi�icationType
[TINorotherpleasespecify]
IncasetheEntity’sCountryofIncorporation/TaxResidenceisUSbutEntityisnotaSpeci�iedUSPerson,mentionEntity’sexemptioncodehere______________________(ReferInstructions)
[to be filled By Financial Instructions or Direct Reporting NFFEs]
GIIN(GlobalIntermediaryIdenti�icationNumber):
Nameofthesponsoringentity
GIINnotavailable[tickanyone]:AppliedForNotrequiredtoapplyfor-specifysub-categorycode[referinstructionsc]
Notobtained-Non-participatingFFI
Wearea
FinancialInstitution/FFI[referinstructionsa.]
DirectReportingNFFE[referinstructionsb.]
[Fill any one as applicable - to be filled by NFEs other than Direct Reporting NFFEs]
1
2
3
4
Istheentityisalistedcompany[whosesharesareregularlytradedonarecognizedstockexchange[referinstructionsd.]
Istheentitya‘RelatedEntity’ofalistedcompany[whosesharesareregularlytradeonarecognizedstockexchange][referinstructionse.]
IstheentityanActiveNFE?
IstheentityaPassiveNFE:[referinstructionsh.]
Yes(PleasespecifythenameoftheStockExchange(s)whereitistradedregularly)
1.____________________________________________________________
2.____________________________________________________________
Yes(Pleasespecifythenameofthelistedcompany,nameoftheStockExchange(s)whereitistradedregularly)Nameofthelistedcompany:_____________________________________________
NameoftheStockExchange:_____________________________________________
YesNatureofbusiness_________________________________________________
Pleasespecifysub-categoryofActiveNFE:[referinstructionsg.]
YesNatureofbusiness_________________________________________________
AlsosubmitUBOForm[providedseparately]
TaxPayerIdenti�icationNumber/FunctionalEquivalent/CompanyIdenti�icationNumber
orGlobalEntityIdenti�icationNumber
PAN
PAN
I/Weacknowledgeandconfirmthattheinformationprovidedaboveistrueandcorrecttothebestofmy/ourknowledgeandbelief.Incaseanyoftheabovespecifiedinformationisfoundtobefalseoruntrueormisleadingormisrepresenting,I/Weam/areawarethatI/Wemaybeliableforit.I/WeherebyauthorizeIIFLWealthManagementLimitedtodisclose,share,remitinanyform,modeormanner,all/anyoftheinformationprovidedbyme/us,includingallchanges,updatestosuchinformationasandwhenprovidedbyme/ustoassociatesofIIFLGroup,issuers,brokers,banksandotherrelevantparties(‘theAuthorizedParties’)oranyIndianorforeigngovernmentalorstatutoryorjudicialauthorities/agenciesincludingbutnotlimitedtotheFinancialIntelligenceUnit-India(FIU-IND),thetax/revenueauthoritiesinIndiaoroutsideIndiawhereveritislegallyrequiredandotherinvestigationagencieswithoutanyobligationofadvisingme/usofthesame.Further,I/WeauthorizetosharethegiveninformationtootherAuthorisedPartiestofacilitatesinglesubmission/updation&forotherrelevantpurposes.I/Wealsoundertaketokeepyouinformedinwritingaboutanychanges/modificationtotheaboveinformationinfuturepromptly,i.e.,within30daysandalsoundertaketoprovideanyotheradditionalinformationasmayberequiredatyourend.Asmayberequiredbydomesticoroverseasregulators/taxauthorities,I/WeauthorizetheAuthorisedPartiestowithholdandpayoutanysumsfromyouraccountorcloseorsuspendyouraccount(s)withoutanyobligationofadvisingmeofthesame.
Declaration:
22
Signaturewithrelevantseal:
Date:
Place:
AuthorisedSignatory
SIGNATURE 1724
23
Instruction for FATCA & CRS Declaration
GovernmentalEntity,InternationalOrganizationorCentralBank
TreatyQuali�iedRetirementFund;aBroadParticipationRetirementFund;aNarrowParticipationRetirementFund;oraPensionFundofaGovernmentalEntity,InternationalOrganizationorCentralBank
Code
01
02
04
05
06
07
08
09
10
11
12
13
14
Sub-category
Non-publicfundofthearmedforces,anemployees'stateinsurancefund,agratuityfundoraprovidentfund
EntityisanIndianFIsolelybecauseitisaninvestmententity
Quali�iedcreditcardissuer
InvestmentAdvisorsandInvestmentManagers
Exemptcollectiveinvestmentvehicle
TrusteeofanIndianTrust
FIwithalocalclientbase
Non-registeringlocalbanks
FFIwithonlyLow-ValueAccounts
Sponsoredinvestmententityandcontrolledforeigncorporation
Sponsored,CloselyHeldInvestmentVehicle
OwnerDocumentedFFI
01
02
03
04
05
06
07
a.FinancialInstitution/ForeignFinancialInstitution[FFI]–Meansanynon-US�inancialinstitutionsthatisa–(1)Depositoryinstitution–acceptsdepositsintheordinarycourseofbankingorsimilarbusiness;(2)Custodianinstitution-asasubstantialportionofitsbusiness,hold�inancialassetsfortheaccountsofothers;(3)Investmententity–conductsabusinessoroperatesfororonbehalfofacustomerforanyoftheactivitiesliketrading inmoneymarket instruments, foreignexchange, foreigncurrency,etc.or individualorcollectiveportfoliomanagementor investing,administeringormanagingfunds,moneyor�inancialassetsonbehalfofotherpersons;oranentitymanagedbythistypeofentity;or(4)Insurancecompany–entityissuinginsuranceproductsi.e.lifeinsurance;(5)HoldingorTreasurycompany–entitythatispartofanexpandedaf�iliategroupthatincludesadepository,custodian,speci�iedinsurancecompanyorinvestmententity
b.DirectReportingNFFE–aNFFEthatelectstoreportinformationaboutitsdirectorindirectsubstantialU.S.ownerstotheIRS
c.GIINnotrequiredcategory:
d.ListedCompany-Acompanyispubliclytradedifitsstockareregularlytradedononeormoreestablishedsecuritiesmarkets(Establishedsecuritiesmarketmeansanexchangethatisof�iciallyrecognizedandsupervisedbyagovernmentalauthorityinwhichthesecuritiesmarketislocatedandthathasameaningfulannualvalueofsharestradedontheexchange)
e.RelatedEntity-anentityisa“RelatedEntity”ofanotherentityifonecontrolstheother,orthetwoentitiesareundercommoncontrol(wherecontrolmeansdirectorindirectownershipofmorethan50%ofthevoteorvalueinanentity)
f.Non-�inancialforeignentity[NFFE]–Non-USentitythatisnota�inancialinstitution[includingaterritoryNFFE].
FollowingNFFEsareexcludedfromFATCAreporting–(a)Publiclytradedcorporation/listedcompanies;(b)RelatedEntityofalistedcompany;and(c)ActiveNFFE
g.ActiveNFFE–Anyoneofthefollowing–
Lessthan50%oftheNFE’sgrossincomefortheprecedingcalendaryearorotherappropriatereportingperiodispassiveincomeand<50%oftheassetsheldbyNFEareassetsthatproduceorareheldfortheproductionofpassiveincome
TheNFEisaGovernmentalEntity,anInternationalOrganization,aCentralBank,oranentitywhollyownedbyoneormoreoftheforegoing;
SubstantiallyalloftheactivitiesoftheNFEconsistofholding(inwholeorinpart)theoutstandingstockof,orproviding�inancingandservicesto,oneormoresubsidiariesthatengageintradesorbusinessesotherthanthebusinessofaFinancialInstitution,exceptthatanentityshallnotqualifyforNFEstatusiftheentityfunctions(orholdsitselfout)asaninvestmentfund,suchasaprivateequityfund,venturecapitalfund,leveragedbuyoutfund,oranyinvestmentvehiclewhosepurposeistoacquireorfundcompaniesandthenholdinterestsinthosecompaniesascapitalassetsforinvestmentpurposes;
TheNFEisnotyetoperatingabusinessandhasnoprioroperatinghistory,butisinvestingcapitalintoassetswiththeintenttooperateabusinessotherthanthatofaFinancialInstitution,providedthattheNFEshallnotqualifyforthisexceptionafterthedatethatis24monthsafterthedateoftheinitialorganizationoftheNFE;
TheNFEwasnotaFinancialInstitutioninthepast�iveyears,andisintheprocessofliquidatingitsassetsorisreorganizingwiththeintenttocontinueorrecommenceoperationsinabusinessotherthanthatofaFinancialInstitution;
TheNFEprimarilyengagesin�inancingandhedgingtransactionswith,orfor,RelatedEntitiesthatarenotFinancialInstitutions,anddoesnotprovide�inancingorhedgingservicestoanyEntitythatisnotaRelatedEntity,providedthatthegroupofanysuchRelatedEntitiesisprimarilyengagedinabusinessotherthanthatofaFinancialInstitution;
AnyNFEisa'nonforpro�it'organizationwhichmeetsallofthefollowingrequirements:Ÿ Itisestablishedandoperatedinitsjurisdictionofresidenceexclusivelyforreligious,charitable,scienti�ic,artistic,cultural,athletic,or
educationalpurposes;oritisestablishedandoperatedinitsjurisdictionofresidenceanditisaprofessionalorganization,businessleague,chamberofcommerce,labourorganization,agriculturalorhorticulturalorganization,civicleagueoranorganizationoperatedexclusivelyforthepromotionofsocialwelfare;
Ÿ ItisexemptfromincometaxinIndia;Ÿ Ithasnoshareholdersormemberswhohaveaproprietaryorbene�icialinterestinitsincomeorassets;
Code Sub-Category
03
24
Ÿ TheapplicablelawsoftheNFE'sjurisdictionofresidenceortheNFE'sformationdocumentsdonotpermitanyincomeorassetsoftheNFEtobedistributedto,orappliedforthebene�itof,aprivatepersonornon-charitableEntityotherthanpursuanttotheconductoftheNFE'scharitableactivities,oraspaymentofreasonablecompensationforservicesrendered,oraspaymentrepresentingthefairmarketvalueofpropertywhichtheNFEhaspurchased;and
Ÿ TheapplicablelawsoftheNFE'sjurisdictionofresidenceortheNFE'sformationdocumentsrequirethat,upontheNFE'sliquidationordissolution,allofitsassetsbedistributedtoagovernmentalentityorothernon-pro�itorganization,orescheattothegovernmentoftheNFE'sjurisdictionofresidenceoranypoliticalsubdivisionthereof.
h.PassiveNFE-meansanyNFEthatisnot(i)anActiveNFFEorlisted/publiclytradedentityorentityrelatedtothelisted/publiclytradedentity,or
(ii)awithholdingforeignpartnershiporwithholdingforeigntrustpursuanttorelevantU.S.TreasuryRegulationsor(iii)thegrossincomeof
which isprimarilyattributable to investing, reinvesting,or trading in �inancialassets, if theentity ismanagedbyanotherentity that isa
depositoryinstitution,acustodialinstitution,aspeci�iedinsurancecompany,oraninvestmententity-(Note:Foreignpersonshavingcontrolling
interestinapassiveNFEareliabletobereportedfortaxinformationcompliancepurposes)i. PassiveIncome–portionofgrossincomethatconsistsofdividends,interest,rentsandloyalties(otherthanrentsandloyaltiesderivedinthe
activeconductofatradeorbusinessconducted,atleastinpart,byemployeesoftheNFFE),incomeequivalenttointerest/amountreceivedfrom
poolofinsurancecontracts,annuities,excessofgainsoverlossesfromthesaleorexchangeofproperty/fromtransactions(includingfutures,
forwardsorsimilartransactions)inanycommoditiesbutnotincluding(i)anycommodityhedgingtransaction,determinedbytreatingtheentity
asacontrolledforeigncorporationor(ii)activebusinessgainsorlossesfromthesaleofcommoditiesbutonlyifsubstantiallyalltheforeign
entity’scommoditiesareproperty,excessofforeigncurrencygainsoverlosses,netincomefromnotionalprincipalcontracts,amountsreceived
under cash value insurance contracts, amounts earned by insurance company in connectionwith its reserves for insurance and annuity
contractsj.ControllingPersonsmeansthenaturalpersonswhoexercisecontroloveranentity.Inthecaseofatrust,suchtermmeansthesettlor,thetrustees,
theprotector(ifany),thebene�iciariesorclassofbene�iciaries,andanyothernaturalpersonexercisingultimateeffectivecontroloverthetrust,
andinthecaseofalegalarrangementotherthanatrust,suchtermmeanspersonsinequivalentorsimilarpositions.Theterm“Controlling
Persons”shallbeinterpretedinamannerconsistentwiththeFinancialActionTaskForceRecommendations.k.Non-ParticipatingFFIs[NPFFIs]–anFFIotherthanparticipatingFFI,adeemed-complaintFFI,oranexemptbene�icialownerl. Speci�iedUSPersons–AnyUSPersonotherthanI).Apubliclytradedcorporation;ii).Acorporationthatisamemberofthesameexpanded
af�iliategroup;iii).Ataxexemptorganization;iv).anindividualretirementplan;v).theUnitedStatesoranagencyorinstrumentalityofthe
UnitedStates;vi).Anystate[includingDistrictofColumbiaandUnitedStatespossession]orStateAuthorities;vii).Abank,viii).Arealestate
investmenttrust;ix).Aregulatedinvestmentcompany;x).anentityregisteredwiththeSECundertheInvestmentCompanyActof1940;xi).A
commontrustfund;xii).Ataxexempttrust;xiii).Aregistereddealer;xiv).Aregisteredbrokerm.Expandedaf�iliatedgroup–Oneormorechainsofmembersconnectedthroughownership(50%ormore,byvoteorvalue)byacommonparent
entityifthecommonparententityownsstockorotherequityinterestsmeetingtherequirementsinatleastoneoftheothermembersn. OwnerdocumentedFFI–ANFFImeetingthefollowingrequirements–(a)FFIisanFFIsolelybecauseitisaninvestmententity;(b)FFIisnot
ownedbyorrelatedtoanyFFIthatisadepositoryinstitution,custodialinstitution,orspeci�iedinsurancecompany;(c)FFIdoesnotmaintaina
�inancialaccountforanynon-participatingFFI;(d)FFIprovidesthedesignatedwithholdingagentwithallofthedocumentationandagreesto
notifythewithholdingagentifthereisachangeinthecircumstances,and(e)ThedesignatedwithholdingagentagreestoreporttotheIRS(or,in
caseofareportingModel1IGA,totherelevantforeigngovernmentoragencythereof)alloftheinformationdescribedinor(asappropriate)with
respecttoanyUSspeci�iedpersonsand(2)Notwithstandingtheprevioussentence,thedesignatedwithholdingagentisnotrequiredtoreport
informationwithrespecttoanindirectowneroftheFFIthatholdsitsinterestthroughaparticipatingFFI,adeemed-compliantFFI(otherthanan
owner-documentedFFI),anentitythatisaUSperson,anexemptbene�icialowner,oranexemptedNFE
Code
A
B
C
D
E
Sub-category
Adealerinsecurities,commodities,orderivative�inancialinstruments(includingnotionalprincipalcontracts,futures,forwards,andoptions)thatisregisteredassuchunderthelawsoftheUnitedStatesoranystate
Aregulatedinvestmentcompanyasde�inedinsection851oranentityregisteredatalltimesduringthetaxyearundertheInvestmentCompanyActof1940
F
G
H
I
J
K
L
M
Abankasde�inedinsection581
Abroker
Atrustexemptfromtaxundersection664ordescribedinsection4947(a)(1)
Ataxexempttrustunderasection403(b)planorsection457(g)plan
Anorganizationexemptfromtaxundersection501(a)oranyindividualretirementplanasde�inedinsection7701(a)(37)
TheUnitedStatesoranyofitsagenciesorinstrumentalities
Astate,theDistrictofColumbia,apossessionoftheUnitedStates,oranyoftheirpoliticalsubdivisionsorinstrumentalities
Acorporationthestockofwhichisregularlytradedononeormoreestablishedsecuritiesmarkets,asdescribedinReg.section1.1472-1(c)(1)(i)
Acorporationthatisamemberofthesameexpandedaf�iliatedgroupasacorporationdescribedinReg.section1.1472-1(c)(1)(i)
Arealestateinvestmenttrust
Acommontrustfundasde�inedinsection584(a)
Decla
rati
on F
orm
of
Ult
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wners
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Contr
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II:Category
Ourcompan
yisaListedCompan
ylisted
/SubsidiaryorControlled
byaListedCompan
y[Ifthiscategoryisselected,noneedtoprovideUBOdetails]
PartnershipFirm/LLP
Unlisted
Compan
y
PrivateTrust
Unincorporatedassociation/bodyofindividuals
PublicCharitab
leTrust
ReligiousTrust
Trustcreated
byaW
ill
Others
[ple
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____
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___
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___
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Nam
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UBO#
Country
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Residen
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Taxpayer
Iden
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Equivalen
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Iden
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%of
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CP/U
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Place&
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Dateof
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Address$
Address
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Sr.
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stordetails:
Nam
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UBO/ControllingPerson(s)details
PAN
25
FAT
CA
, C
RS &
UBO
Decla
rati
on
Declaration
Place___________________
Date____/______/_______
I/Weacknowledgeandconfirm
thatth
einform
ationprovided
aboveis/aretruean
dcorrecttoth
ebesto
fmy/o
urknowledgeandbeliefandprovided
afterconsultingnecessarytax
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dconditions.Incasean
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*AddressTypeshouldeitherResiden
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AuthorisedSignatory
SIGNATURE
18
24
26
AsperSEBIMasterCircularNo.CIR/ISD/AML/3/2010datedDecember31,2010regardingClientDueDiligencepolicy,relatedcircularsonanti-moneylaunderingandSEBIcircularNo.CIR/MIRSD/2/2013datedJanuary24,2013,non-individualsandtrustsarerequiredtoprovidedetailsofcontrollingpersons[CP]/ultimatebene�iciaryowner[UBO]andsubmitappropriateproofofidentityofsuchCPs/UBOs.Thebene�icialownerhasbeende�inedinthecircularasthenaturalpersonorpersons,whoultimatelyown,controlorin�luenceaclientand/orpersonsonwhosebehalfatransactionisbeingconducted,andincludesapersonwhoexercisesultimateeffectivecontroloveralegalpersonorarrangement.
A.ForInvestorsotherthanindividualsortrusts:
(i)The identityofthenaturalperson,who,whetheractingaloneortogether,orthroughoneormorejuridicalperson,exercisescontrolthroughownershiporwhoultimatelyhasacontrollingownershipinterest.Controllingownershipinterestmeansownershipof/entitlementto:-morethan25%ofsharesorcapitalorpro�itsofthejuridicalperson,wherethejuridicalpersonisacompany;-morethan15%ofthecapitalorpro�itsofthejuridicalperson,wherethejuridicalpersonisapartnership;-morethan15%ofthepropertyorcapitalorpro�itsofthejuridicalperson,wherethejuridicalpersonisanunincorporatedassociationor
bodyofindividuals.
(ii) Incaseswherethereexistsdoubtunderclause(i)aboveastowhetherthepersonwiththecontrollingownershipinterestisthebene�icialownerorwherenonaturalpersonexertscontrolthroughownershipinterests,theidentityofthenaturalpersonexercisingcontroloverthejuridicalpersonthroughothermeanslikethroughvotingrights,agreement,arrangementsorinanyothermanner.
(iii)Wherenonaturalpersonisidenti�iedunderclauses(i)or(ii)above,theidentityoftherelevantnaturalpersonwhoholdsthepositionofseniormanagingof�icial.
B.ForInvestorswhichisatrust:Theidentityofthesettlerofthetrust,thetrustee,theprotector,thebene�iciarieswith15%ormoreinterestinthetrustandanyothernatural
personexercisingultimateeffectivecontroloverthetrustthroughachainofcontrolorownership.
C.Exemptionincaseoflistedcompanies/foreigninvestorsTheclientortheownerofthecontrollinginterestisacompanylistedonastockexchange,orisamajority-ownedsubsidiaryofsuchacompany,
itisnotnecessarytoidentifyandverifytheidentityofanyshareholderorbene�icialownerofsuchcompanies.Intermediariesdealingwithforeigninvestors'viz.,ForeignInstitutionalInvestors,SubAccountsandQuali�iedForeignInvestors,maybeguidedbytheclari�icationsissuedvideSEBIcircularCIR/MIRSD/11/2012datedSeptember5,2012,forthepurposeofidenti�icationofbene�icialownershipoftheclient
D.KYCrequirementsBene�icialOwner(s)is/arerequiredtocomplywiththeprescribedKYCprocessasstipulatedbySEBIfromtimetotimewithanyoneoftheKRA&submitthesametoAMC.KYCacknowledgementproofistobesubmittedforallthelistedBene�icialOwner(s).
E.ControllingPersonType[CP/UBO]Codes:
CP/UBO CodeDescriptionCP/UBO CodeDescription
C01 C08
C02 C09
C03 C10
C04 C11
C05 C12
C06 C13
C07 C14
CPoflegalperson-ownership
CPoflegalperson-othermeans
CPoflegalperson-seniormanagingof�icial
CPoflegalarrangement-trust-settlor
CPoflegalarrangement-trust-trustee
CPoflegalarrangement-trust-protector
CPoflegalarrangement-trust-bene�iciary
CPoflegalarrangement-trust-other
CPoflegalarrangement-trust-other-settlorequivalent
CPoflegalarrangement-trust-other-trustee-equivalent
CPoflegalarrangement-trust-other-protectorequivalent
CPoflegalarrangement-trust-other-bene�iciary-equivalent
CPoflegalarrangement-trust-other-other-equivalent
Unknown
InstructionsonControllingPerson/UltimateBene�icialOwner
27
IntentionallyLeftBlank
29
ThisPowerofAttorney(POA)ismadebythepersonsmentionedintheSchedule 1 in favour of “IIFLWealthManagement Ltd.”, a companyincorporatedundertheprovisionsoftheCompaniesAct,1956inIndiaandhavingitsregisteredofficeatIIFLHouse,SunInfotechPark,RoadNo.16V,PlotNo.B-23,ThaneIndustrialArea,WagleEstate,Thane-400604and(hereinafterreferredtoas'IIFLW',anexpressiondeemedtomeanandincludeitssuccessorsandassigns)WHEREASIIFLW isinteraliaregisteredwithSEBIasaStockBrokerbearingSEBIregistrationnos.INZ000011437andisamemberoftheNational Stock Exchange of India Limited (“NSE”) and BSE Limited(“BSE”) on the Capital Market Segment, Wholesale Debt Segment,Futures&OptionsSegmentandCurrencyDerivativesSegment.ANDWHEREAS IIFLW is also registeredwith SEBI as a DepositoryParticipant, bearing SEBI registration number IN-DP-271-2016 andregisteredwith theNationalSecuritiesDepositoryLimited(“NSDL”)andwithCentralDepositoryServices(India)Limited(“CDSL”).ANDWHEREASIIFLWisregisteredwithAssociationofMutualFundsinIndia(“AMFI”)asMutualFundDistributorhavingRegistrationno.ARN-59563;AND WHEREAS IIFLW as a part of / incidental to the aboveemblements, offers distribution of Initial Public Offers/Follow onPublicOffers,OfferforSale,MutualFunds,AlternateInvestmentFunds,Bonds/Debts,NationalPensionSchemeandotherfinancialproducts;ANDWHEREASI/WewishtoavailtheservicesofferedbyIIFLWandhasenteredintonecessarydocumentswithIIFLWforavailingvariousservicesfortransactingand/orinvestinginsecuritiesorotherfinancialproducts with/without Online trading/E-broking & web basedfacilities and/or services through itswebsitewww.iiflw.com or anyotherwebsiteusedforofferingsaidServicesordirectlyinourtrading,depository, distribution, bank account (collectively referred to as'clientaccounts')andwhereinthedetailsofourTradingandDemataccountandbankaccountdetailsareprovidedinSchedule2hereunderand WHEREAS for facilitating smooth investments redemption/operationsoftheservicesasmentionedhereunderbeingavailedfromIIFLW byme/us, I/We am/are desirous of appointing IIFLW as anattorneyandconferuponitpowershereinafterstated.NOWTHESEPRESENTSWITNESS that I/We, dohereby, jointly andseverallynominate,constituteandappoint“IIFLWealthManagementLtd.”(IIFLW) being a Stock Broker and Depository ParticipantregisteredwithSecuritiesandExchangeBoardofIndia(“SEBI”)andAMFIregistereddistributorofMutualFundsandasdistributorofvariousfinancialproducts,actingthroughanyofitsofficersand/oragents,asmy/ourtrueandlawfulConstitutedAttorney(hereinafterreferredtoasthesaidAttorney)for
POWER OF ATTORNEY (POA) IN FAVOUR OF IIFL Wealth MANAGEMENT LTD.
Voluntary and Limited purpose Power of Attorney (POA) in favour of IIFLW for operational requirements as per client authorization/ instruction.
me/us,inournameandonmy/ourbehalfand at our sole risk and costs to do,exercise and perform all or any of thefollowingacts,deedsandthings:1. To i n s t r u c t t h e D epo s i t o r y
Participant, being IIFLW to transfersecurities held in our beneficialowner/demataccountasprovidedinSchedule 2 or such other demataccount as may be intimated byme/us to IIFLW from time to time(“clientdesignateddemataccounts”)to such demat account of IIFLW asprovided in Schedule 2 and/ordesignatedbyIIFLWandintimatedtome from time to time (“IIFLWdesignateddemataccount”)towardss t o c k e x c h a n g e r e l a t e d margin/delivery obligations andother transactions arising out oftrades executed by me/us throughIIFLWinanysegmentincludingcash,derivativesandcurrencyderivativessegment.
2. TooperatetheBankAccountonourbehalf in connection with theTrading/Distribution Account andperformthefollowingfunctions:
i. TowithdrawortransferanysumsfromtheBankAccount towardsany transactions/obligations tothe Stock Exchanges/IIFLW,irrespective of debit or creditbalance inour ledgerstatementof trading / distribution /distributionaccount;
ii. Toset-offanysumofmoniesfromthe Bank Account against anyoutstanding amount payable byme/ustoIIFLW;
iii. Topreparesignandsubmitallthef o r m s , s t a t e m e n t s a n d declarationsasmayberequiredin respect of the Bank Account
AuthorisedSignatory
SIGNATURE 1924
30
and collect cheque books/leaves/bank statement from thebank in respect of theBankAccount opened in connectionwiththetrading/distributionservicesaccountopenedwithIIFLW.
3. Pursuanttoourinstructions,to make investments in variousfinancialproductsi.e.MutualFunds,AlternateInvestmentFunds,Bonds/Debts, National Pension Scheme and other financialproductsfromthecreditbalanceavailableinledgerstatementoftrading/depository/distributionaccount and/orredeemtheinvestments from the above towards meet ing our obl igat ions/ledger debi ts towards fac i l i tat ing our investments/disinvestments and in this regard IIFLW isauthorized:
i. To enable/execute the transactions throughourdesignatedBrokingaccount/Demataccount/Bankaccount/IIFLWledgeraccount/IPO, Bonds & Debts Account/Direct Investmentaccountfromtimetotime.
ii. Tosign/execute/submitnecessaryapplication/instructions/forms/intimationasmayberequiredbytherespectiveFundHouses/Institutions/Banks/
Issuers/Companies or other entities for purchase, sell,redemptionortransferofSecuritiesetc.throughphysicalorelectronicorinternetplatformsfromtimetotime.
4. To make application and/or issue instruction for creation/invocation/closureofpledgeonthesecurities/unitsheld inourclientdesignateddemataccountsinfavourofIIFLWforthelimitedpurposeofmeetingthemarginrequirementsinconnectionwiththe trades executed by me/us through IIFLW on any StockExchange and / or any other transactions arising out of tradesexecutedbyme/usthroughIIFLWinanysegmentincludingcash,derivativesandcurrencyderivativessegment.
5. Generallytodoallsuchacts,deeds,mattersandthingsasmaybenecessaryfororincidentaltoensuringthatallpaymentsforanddelivery of securities arising out of transactions undertakenbyme/usthroughIIFLWaredulyandproperlycompleted.
6.Pursuanttoourinstruction,tomakenecessaryapplicationsonourbehalf to any officials or authorities in India, including but notlimitedto,theCentralGovernment,and/ortheReserveBankOfIndia, Income Tax Authority, Stock Exchanges, Securities andExchangeBoardofIndiainconnectionwithourpurchase/sale/transferofthesecurities,andtorepresentmeinallrespectsbeforesuch authority/ies and establish without encumbrance theownershipofsecuritiesinourname;
7. Theterm“Securities”shall includeshares,scrips,stocks,bonds,warrants, options, futures, derivatives, convertible debentures,non-convertibledebentures, securitizeddebt instruments, fixedreturninvestment,equitylinkedinstrumentsorothermarketableSecuritiesofalikenatureinorofanyincorporatedcompanyorother body corporate, negotiable instruments, usuance Bills ofExchange, deposits or other money market instruments,commercialpaper,certificateofdeposit,unitsissuedbyUnitTrustof Indiaandunits issuedbyMutualFunds,mortgagebackedorother asset backedSecurities issuedby any institutionorbodycorporatecumulativeconvertiblepreferencesharesissuedbyanyincorporatedcompanyandSecuritiesissuedbyanyincorporatedcompanyandSecurities issuedby theCentralGovernmentoraStateGovernmentforthepurposeofraisingpublicloanandhavingoneoftheformsspecifiedinClause(2)ofSection2ofthePublicDebtAct,1944,anyothernewformofcapitalormoneymarketinstrumentsthatmaybeissuedinthefuturebyanyincorporatedcompany/firm/institutionorGovernment.
8. Pursuanttoourinstruction(generalorspecific)orinstructionofourAuthorisedRepresentative,toapplyforvariousproductsandsecuritiesincludingMutualFunds,AlternativeInvestmentFunds,StructuredProducts,Publicissuesofsecuritiesincludingshares,
debentures,rights,offerforsale,tenderingsharesinopenoffersetc.
9. Pursuant to our instruction or instruction of our AuthorisedRepresentative, to acquire by subscribing to or by purchase ofsecuritiesoranyotherinvestmentproductsandtosell,transferandendorsethesameorredeemthesameorotherwisedealinthesecuritiesand/oranyotherinvestmentproductsincludingbutnotlimited to Initial PublicOfferings, FurtherPublicOfferings,BuyBack Offers, Right Issues either through internet usingidentificationnumberissuedbyanyAuthorityfromtimetotimeorotherwise, and/or to sign and to execute all transfer deedswhetherastransferorortransfereeandsuchotherinstruments,applications and papers as may be necessary for acquiring ortransferring/redeeming the same,markingpledge/lienon suchsecuritiesand/orfortransferringtheinvestmentsintheunitsofMutual Funds from one scheme to another or betweenMutualFunds and/or otherwise as may be required to deal in thesecuritiesorotherinvestmentproducts.
10. Pursuant to our instruction or instruction of our AuthorisedRepresentative,tomakeapplicationsforortorenounceandsignrenunciationformsinrespectofbonds/debentures,rightsharesand additional shares of any Company/Body/Authority and toreceive and hold such rights or additional shares bonds ordebentures.
11.Toissueordersandinstructionsforacquisitionsanddisposal ofinvestmentsforandonbehalfofmyself/ourselvesandto purchase or otherwise acquire, invest and sell or otherwisedisposeoffsecurities.
12 Tosignthenecessaryformsandotherdocumentsifanyandtofilethesamewiththecompany/iesand/orMutualFundconcernedorany other entity for purchase, sell, redemption or otherwisetransferofsuchsecurities/unitsofMutualFundsandtransferringitinourname.
13. Toforwardallsuchapplicationsplacedthroughthewebsitetotheonline-IPOmoduleoftheconcernedExchangeorowner/issuerofInvestmentProduct.
14.Toreceivestatementsandotherdocumentspertainingtotheaboveunits/securitiesandtoacknowledgereceiptofthesame.
15.Todoall suchactsand thingsasmaybenecessary toeffect thesubscription/purchase/redemption or any other transaction inanysecuritiesand/orInvestmentProductforwhichservicesareavailedfromIIFLW.
16. To debit the purchase price of such securities or any otherfees/chargesetc.duetoIIFLWandtodischargeallobligationinthisregardonourbehalftoIIFLW,inouraccountwithIIFLWealthManagementLtd.
17. Tooperate and to givedelivery/receive instructions, borrowingand lending instructions, pledge instructions, pledge closureinstructionsandtodoallsuchotherthingsthatmaybenecessaryinthecourseofbusinessrelatingtooperationofclientdesignateddemataccount(s)ortowardstheobligationfortransactionsdonethrough IIFLW, including transactions on NSE, BSE and otherExchange,underourinstructions.
18. Toexecutethesharetransferrequestsgivenbyme/usthroughthewebsite or any other medium and process the documentsauthenticatedbyauthorizedsignatoriesempoweredtodoso inthisregard.
19. Tosquareoffatitsdiscretionourpositionoftransactionsthatarenotdeliverymarkedduringtheday.
20. To demand, receive and give good and effectual receipt(s) anddischarge(s)foralloranydividends,interest,bonusesoranyothersum(s)and/orincomearisingfromtheshares,debentures,unitsand other investments and to sign and endorse pay orders,dividend/interestwarrantsorcertificates,receivealldebts,sumsofmoney,principal,interest,dividendorotherduesofwhatever
AuthorisedSignatory
SIGNATURE 2024
31
natureoraccountwhicharenoworatanytimedueandpayableandbelongtome/us.
21.Forthepurposeoftheaforesaidtosigncontracts,agreements,transfers, acceptances, receipts, or other instruments,documents and forms, to accept and carry out correspondencewithsuchperson(s)orauthority/authoritiesordepartment(s)andtodoallsuchlawfulactsrequisiteforeffectingthesame.
22. To correspondwith and givenotice to the correspondingAssetManagement Company/Body Corporate/Registrar & TransferAgentofsecuritiesincludingbutnotlimitedtogivinginstructionswithregardtonomination/changeininvestmentplans/anyotherchangesthatmaybenecessitated/instructedbyme/us.
23. Tocomplyand/orcausetobecompliedwithallstatutoryandotherrequirementsattachedtoorarisingoutofthesepremisesandforthesepurposetotakesuchstepsandactionsnecessaryorproper,including signing of affidavits, indemnity, declarations, legaldocuments,deedsandwritingsrequired.
24. To send consolidated summary of our scrip wise buy and sellpositionstakenwithaverageratesbywayofSMS/e-mailatourregisteredmobile no./email id as provided byme/ us throughcontract note or any other intimation, on a daily basis,notwithstanding any other document to be disseminated asspecifiedbySEBIfromtimetotime.
25. Toarrangetoreturntome/usthesecuritiesthatmayhavebeenreceivedbyIIFLWerroneouslyorthosesecuritiesthatIIFLWisnotentitledtoreceivefromme/us.
26. Foralloranyofthepurposeaforesaidtoappointfromtimetotimearepresentativeandtorevokesuchrepresentationbutsothattheappointment of any such representative shall not affect orprejudicetherightsorpowersoftheAttorneytoacthereunderandthe Attorney may continue to do so notwithstanding suchappointments.
27. To temporarily invest, without our consent, the credit balancewhichislyingidleinourledgerand/orbankstatementoftrading/depository/distributionaccount,inliquidassetsincludingunitsofliquid,moneymarketandultra-shorttermschemesofmutualfundsandalsoredeem/sellthesaidtemporaryinvestment(s);
28. To instruct the bank to transfer the funds and debit our bankaccount(s) mentioned hereunder to meet with the followingrequirement;
i. Towards meeting the settlement obligations / marginrequirements in connection with the trades executed byme/us in connection with the trades executed by me/usthrough IIFLW on any Stock Exchange and / or any othertransactionsarisingoutoftradesexecutedbyme/usthroughIIFLW,
ii. To recover any outstanding amount due/debit balance asreflectinginmyledgerstatementarisinginconnectionwiththe trades executed byme/us through IIFLWon any StockExchangeand/oranyothertransactionsarisingoutoftradesexecutedbyme/usthroughIIFLW.
iii. Towards the payment for subscription of financialproducts/facilities/servicesthroughIIFLWlikeMutualFunds,PublicIssues(sharesaswellasdebentures),rights,offerofsharesetc.
iv. Topayanyothermonies/fees/charges/costexpensesetc.duepayab le to I I FLW for ava i l i ng/subscr ib ing to facilities/servicesavailedbyme/us.
v. ToinvestavailablecreditbalanceinanyoffinancialproductsasperourinstructiontoIIFLW.
29. Toprepare,complete,signandsubmitallforms,statementsanddeclarationsasmayberequiredinrespectofoperatingofthebankaccount(s).
30. Tomake,draw,sign,endorse,negotiate,acceptandreleaseasthecase may be cheques, drafts, pay orders, telegraphic
transfers/directtransfersontheinternetorothersecuritiesforpaymentofmoneywhetherdebitorcreditinouraccount(s)withtheIIFLW.
31.Tomake,signandexecuteallformsanddocumentsasrequiredtooperate depository account with depository participant and toissueinstructionsrelatingtodematerializationorrematerialisingof securities, freezing of accounts, to block and/or debit theaccount,togivedelivery/receiptinstructions,pledgeinstruction,pledgeclosureinstructions,lendingandborrowinginstructions,andtodoallsuchotherthingsthatmayberequiredinthecourseofbusinessrelatingtothedepositoryaccountopenedonourbehalfincludingclosureoftheaccountifdeemednecessaryorexpedient.
courseofbusinessrelatingtothedepositoryaccountopenedonourbehalfincludingclosureoftheaccountifdeemednecessaryorexpedient.
32. Subject to Exchange Control Regulations in India to demand,receiveandgivegoodandeffectualreceipt(s)anddischarge(s)foralloranydividends,interest,bonusesoranyothersum(s)and/orincomefromtheshares,debentures,unitsandotherinvestmentsand to sign and endorse pay orders, dividend or other dues ofwhatevernatureoraccountwhicharenoworatanytimemaybedueandpayableandbelongtome/orusonanyaccount(s).
33. Toenterintoandexecutesuchdeeds,documentsandwritingsasmayberequired for thepurposesofopening,operatingand/orclosingofanybankaccountwithanyBankinIndiainournameandonourbehalf,inconnectionwiththesaidcreditfacilities.
34. Toprepare,complete,signandsubmitallforms,statementsanddeclarations as may be required in respect of the opening,operatingandclosingthebankaccount(s).
35. To receive and deposit the monies realized from sale of thesecurities or any other financial products and all interest/dividendsinourbehalfinourbankaccount;
36. Further to standing authority to invest in liquid assets, asmentionedinpointnumber27ofthispowerofattorney, IIFLWmay invest/redeem the available credit balance in our ledgeraccount/demataccount/bankaccountininsuchothersecuritiesandfinancialproducts,asinstructedbyme/us;
37.Todooromit todoallsuchactsandthingsas IIFLWmay in itsdiscretion consider to be necessary or desirable in order toexerciseitspowershereunderortocomplywithanylaws,orders,rules,regulationsordirectionsofanygovernmentorregulatoryorotherauthorities.
38.OurAttorneyIIFLWshallnotbeliableforanylossthatmayresultfromfailure/inabilityofelectronicconnectivityorrejectionofourapplicationforanyreasonwhatsoever.
39.Our Attorney IIFLW shall not be liable for anytransactionprocessedonthebasisof informationprovidedbyIIFLWtotheissuers/owners of securities or investment products in theapplicationsorotherwisebasedontheinformationprovidedbyme/us.
40. Toattend,voteandotherwiseactasattorneyorproxyatmeetingsofthemembers,creditors,debenturesholdersofanycompanyinwhichSecuritiesareacquiredorheldpursuanttothisauthorityforandonourbehalfand/orperourinstructions.
41. To buy/sell foreign exchange on our behalf and to sign alldocumentsrelatedtorepatriatingthefundfromouraccount.
42. ItisherebyclarifiedanddeclaredthattheAttorneybeingabodycorporate,thepowerhereinabovegrantedmaybeexercisedbyanyofitsagentsoremployeestowhomtheAttorneymaydelegateany of the powers aforesaid and accordingly the Attorneymayappointandremoveanysub-agentorAttorneyfromtimetotimeasitmayconsiderappropriate.
43. TheAttorneyshallhavethesoleauthorityandpowertooperatethe said Account with the Bank and I/we hereby declare andundertakenottooperatesuchAccountduringthecurrencyofthis
AuthorisedSignatory
SIGNATURE 2124
PowerofAttorneyinanymannerwhatsoeverOurAttorneyIIFLWshallnotbeliableforanylossthatmayresultfromfailure/inabilityofelectronicconnectivityorrejectionof ourapplicationforanyreasonwhatsoever.
44. I/Weherebyagreethatallsuchactsdonebyourabovementionedattorney shall be deemed to be acts done by me/ us and ifnecessaryshallberatifiedbyme/usontheinstructionsofthesaidattorney.
AND I/Wehereby agree that IIFLW shall exercise such powers andauthoritiesconferredundertheabovePowerOur “Authorised Representative” for the purpose of this Power ofAttorneyshallmeanMr./Ms.__________________orsuchotherpersonappointedbyme/usandintimatedbyme/usinwritingtotheAttorneyfromtimetotime.ANDI/Weherebyagreethatallsuchactsdonebyourabovementionedattorneyshallbedeemedtobeactsdonebyme/usandifnecessaryshallberatifiedbyme/usontheinstructionsofthesaidattorney.ANDI/WEDOHEREBYCONFIRMANDDECLARETHATthisPowerof
Attorneyshallbevalid,effectiveandoperativeonlyaftertheexecutionbybothpartiesandacceptancebyIIFLWandshallremaininforcetillouraccountisintheoperationandactive.I/WemayrevokethisPowerofAttorneyatanytimebygivinganoticetoIIFLWinwritingandthecessationofthisauthorityshallnotaffectorimpairanyacttheretodoneinexerciseofthesepresents.Suchnoticeshallbedulysignedbyme/usandshouldbereceivedat5thFloor,IIFLCentre,KamalaCity,SenapatiBapatMarg,LowerParel(W),Mumbai-400013.I/Weherebyundertaketoensurethatpriortotherevocation of this power of attorney all amounts of debit balancesincluding penalties and other charges & expenses till the date ofrevocationduetotheAttorneyasperitsrecordsarepaid/clearedinfull.Therevocationofthispowerofattorneyshallbecomeoperativeonlyafterallamountsofdebitbalancesincludingpenaltiesandotherchargesandexpensesthatarepayablebymearepaidinfull.This document shall be subject to the jurisdiction of the Courts
in_____________________. MADE and executed at _________________ on
this_____________dayof_________________20_________.
SignedandDeliveredby
INWITNESSWHEREOFI/Wehavehereuntosetandsubscribedmy/ourrespectivehandstothesepresentsthedayandtheyearhereinabovewritten
SCHEDULE1
Name Age Address
AuthorisedSignatory
(TradingAccountClient)
AuthorisedSignatory
AuthorisedSignatory
TradingAccountNo./ClientID
DematAccountNo.
SCHEDULE2
ClientDesignatedDematAccountNos.:
IIFLWDesignatedDematAccountNos:
DPName:IIFLWEALTHMANGEMENTLTD.
DPID:IN304158(NSDL)DPID:12083300(CDSL)
NSE-12083300-00000042BSE-12083300-00000023
NSE-10000012BSE-10000004
32
AuthorisedSignatory
SIGNATURE 2224
BankAccountNo.
AnnexureEnclosed-AnnexuretoSchedule2
Weherebyagreetoexercisethepowersconferreduponusintermsoftheclausesmentionedhereinabove.
For IIFL Wealth Management Ltd.
AuthorisedSignatory Date:__________________________
CLIENT’SWITNESSFORPOWEROFATTORNEY(forandonbehalfoftheClient)
Witness2
Name
Address
Witness1
Name
Address
Signature Signature
33
SrNo Category DPName DPID Client/BOId
1 CMPOOL IIFLWealthManagementLtd. 12083300 00000042
2 CMPOOL IIFLWealthManagementLtd. 12083300 00000038
3 CMPrincipal IIFLWealthManagementLtd. 12083300 00000023
4 CMPOOL IIFLWealthManagementLtd. 12083300 00000116
SrNo Category DP Name DP ID Client/BOId
1 CMPOOL IIFLWealthManagementLtd. IN304158 10000012
2 CMPOOL IIFLWealthManagementLtd. IN304158 10000004
3 ClientMarginAccount IIFLWealthManagementLtd. IN304158 10000037
4 ClientMarginAccount IIFLWealthManagementLtd. 12083300 00000057
5 ClientMarginAccount IIFLWealthManagementLtd. IN304158 10024902
6 ClientAccount IIFLWealthManagementLtd.-ClientAccount 12083300 00000061
7 ClientAccount IIFLWealthManagementLtd.-ClientAccount IN304158 10022343NSDL
Annexure to Schedule - 2 IIFLW Designated Demat A/c with IIFL Wealth Management Ltd
NSDL
NSDL
NSDL
CDSL
NSDL
CDSL
Depository
CDSL
CDSL
CDSL
CDSL
Depository
AUTHORIZATION LETTER
To, Date:_____/_____/________
IIFLWealthManagementLtd.IIFLHouse,SunInfotechPark,RoadNo.16V,PlotNo.B-23,ThaneIndustrialArea,WagleEstate,Thane-400604.
Sir,
A. AvailingMutualFundServiceSystem(MFSS)facility/BSEStARMUTUALFUND(hereinafterjointlyreferredto“MutualFundTransactionFacilities”)YesNo
I/Weam/areinterestedinavailingthetradingfacilityoftheExchangesforthepurposeoftransactingintheunitsofMutualFundsSchemespermittedtobedealtwithontheMFSSandBSEStARMUTUALFUNDofNSEandBSErespectively.
I/Wethereforerequestyoutoregisterme/usasyourclientforparticipatingintheMutualfundtransactionfacilities(MFSSandBSEStARMUTUALFUND).
I/WearewillingtoabidebythetermsandconditionsasmentionedintheNSECirculardated24/11/09,BSECirculardated02/12/2009andfurthercircularsasmaybespecifiedbytheExchangesfromtimetotimeinthisregard.
I/WeshallalsoensurecompliancewiththerequirementsasmaybespecifiedfromtimetotimebySecuritiesandExchangeBoardofIndiaandAssociationofMutualFundsofIndia(AMFI).Forthesaidpurposeofavailingthesefacilities,I/WestatethatKnowYourClientdetailsassubmittedbyme/usforthestockbrokingmaybeconsideredforthepurposeofMutualfundtransactionfacilitiesandI/Wefurtherconfirmthatthedetailscontainedinsameremainunchangedasondate.
I/WeshallreadandunderstandthecontentsoftheSchemeInformationDocumentandKeyInformationMemorandum,addendaissuedregardingeachMutualFundSchemeswithrespecttowhichI/Wechoosetosubscribe/redeem.I/Wefurtheragreetoabidebythetermsandconditions,rulesandregulationsoftheMutualFundSchemes.
WithreferencetomyapplicationforregisteringasaclientforMutualFundTransactionfacilitiesofferedbyNSEandBSE,I/WeherebyundertaketoprovidefundstotheParticipantequivalenttothesubscriptionamountandapplicablebrokerage/fees/chargesbeforeapplyingformutualfundunitsthroughtheParticipant.
Forthispurpose,I/WeherebyauthorizeIIFLWealthManagementLtd.toutilizethesurplusfundsinmy/ourBrokingaccountheldwithIIFLWealthManagementLtd. initscapacityasaStockBrokerandtransferfundstotheextentofsubscriptionamountand/orapplicablebrokerage,fees,chargesandotherstatutorylevies(incaseofbothsubscriptionandredemption)and/oranyotherobligationtomeetthedebitinmy/ourMutualfundtransactionaccount.
My/ourexposurelimitsinmytradingaccountshallbereducedtotheextentoftheamountutilizedfortransactinginthemutualfundunitsaspermyinstruction.Incaseofsubscriptionrequest,I/Weherebyunderstandandagreethatbasedonmyinstruction,theamountwillbedebited inmyMutual fund transactionaccountandsurplus fundsshallbe transferred frommyBrokingaccount tomymutual fundtransactionaccountasperthisauthorityletter.I/WefurtheragreeandunderstandthatsuchfundswillbeusedbytheParticipantforapplyingformutualfundunitsafterdeductingtheapplicablebrokerage,fees,chargesandotherstatutorylevies.I/WeagreeandundertaketomakegoodsuchshortfallimmediatelyasmaybeinformedbyIIFLWealthManagementLtd.fromtimetotime.
Incaseofaredemptionrequest,I/WeagreeandauthoriseIIFLWealthManagementLtd.todebitmymutualfundtransactionaccounttotheextentofapplicablebrokerage,fees,chargesandotherstatutoryleviesandfurtherauthorizetoutilizethesurplusfundsinmy/ourBrokingaccountheldwithIIFLWealthManagementLtd.initscapacityasaStockBrokerandtransferfundstotheextentofapplicablebrokerage,fees,chargesandotherstatutorylevies(incaseofbothsubscriptionandredemption)and/oranyotherobligationtomeetthedebitinmy/ourMutualfundtransactionaccount.
B. AuthorizationforSystematicInvestmentinMutualFund/SecuritiesYesNo
I/WeherebyauthorizeIIFLWtoexecuteanorderinmy/ouraccountheldwithIIFLWforpurchaseofthesecuritiesand/ormutualfundunitsundersystematicinvestmentplanonmy/ourbehalfaspermy/ourinstructions.
I/Wefurtheragreeandunderstandthatallthetermsandconditionsofthetradingagreement/termsandconditionenteredinto/agreedwithIIFLWshallbealsoapplicabletotheinstructionsforsystematicinvestmentinmutualfundunits/securitiesandI/Weherebyagreetoabidebythesameatalltimes.
I/WeunderstandthattheinstructionsforsystematicinvestmentcanbegivenbymeinwritingorthroughtheonlinefacilityprovidedbyIIFLWoroverrecordedtelephoneline.I/Weherebyagreeandunderstandthatthesaidinstructionsshallbevalidandbindinguponme/usuntilmodifiedand/orcancelledbyme/usbygivingvalidinstructiontoIIFLWeitherinwritingorthroughtheonlinefacilityprovidedbyIIFLW.
I/WeherebyundertaketogiveanECSmandate/standinginstructioninfavorofIIFLWtowardsmy/ourtradeobligationsarisingoutofthisauthorizationorI/weherebyauthorizeIIFLWtoexecuteorderunderSIPonthebasisofclearfundavailableinmyledgeraccountandasperriskmanagementpolicy.
I/WeherebyauthorizeIIFLWtodebitmy/ourtradingaccountheldwithIIFLWtowardsmy/ourtradeobligationsandallthefees,charges,taxes,brokerageetcdueandpayablebyme/us.
I/Weunderstandthatthisauthorizationcanberevokedbyme/usatanytimebygivingawrittennoticeatleast30daysinadvancetoIIFLW.I/WeunderstandthatsuchrevocationshallbeeffectivefromthedateofreceiptofconfirmationofthesamefromIIFLW.I/Weagreeandundertaketofulfillallmy/ourobligationsaspertheinstructionsforsystematicinvestmentarisinginmy/ouraccountbeforetheeffectivedateofsuchrevocation.
I/We agree to abide by the Terms and Conditions applicable for Systematic Investment inMutual Fund and/or Securities and anyamendmentstheretoatalltimes.
I/WeundertaketoindemnifyandkeepindemnifiedIIFLWanditsdirectors/officersforalltradesexecutedonmy/ourbehalfaspertheinstructionsgivenbyme/us.
C. RUNNINGACCOUNTAUTHORISATIONYesNo AuthorisationtoIIFLWealthManagementLtd.a) Iwould like tokeep securitiespurchasedbymewithyouas collateral for givingmeexposure limits inmy tradingaccount/margin
obligation. I authorizeyounot to transfer shares/securitiespurchasedbyme tomydematbeneficiaryaccountandkeep themwithyourselves.Ialsoauthoriseyoutopledgetheseshares/securitieswiththeClearingMember/Exchange/Custodian,atyourdiscretion.Incaseanyoftheshares/securitiesaresoldinsubsequentsettlements,youmaytakethisasastandinginstructiontoadjustagainstmy
34
35
previouspurchasepositionsinanyofExchanges.b) WheneverIrequiredeliveryofanyshares/securities,Ishallsendyouawrittenrequest.Iunderstandthatsuchpayoutofsecuritieswillbe
madesubjecttoyourriskmanagementpolicies.c) Incasethereisadebitbalanceinmyaccount,youareauthorizedtosellatanypointoftimetheshares/securitiesheldbyme/heldonmy
behalf,atyoursolediscretion.Anyprofitorlossmadeonsuchtransactionswillbetomyaccountasitwouldhaveoccurredonnormalpurchase/salemadebyme.Ialsoagreetopaythebalanceamount,ifanyafterdeductingcreditofsaleofshares.
d) Ialsorequestyounottoissuecheques/makepaymentssettlementwiseunlessspecificallydemandedbyme,aspayinandpayoutareverycloseandthereforeexchangeofchequebecomesunnecessarypaperwork.
e) I/Weunderstandandagreethatnointerestwillbepayabletome/usontheamountsorsecuritiessoretainedwithyou.f) Ifurtherauthoriseyoutosetoff/adjustanyofmydebits/duesinanysegmentofanyExchangewithcreditsofanyothersegment(s)ofany
Exchange(s)inmyaccountwithintheperiodofsettlementofmyaccount(SecuritiesandFunds)asoptedbyme.g) TheSecuritieslyinginclientbeneficiaryaccountonmy/ourbehalfand/orcreditbalanceslyinginmy/ourledgeraccountofanysegments
ofanyExchangescanbeconsideredasmarginfortheanysegmentsofanyExchanges.h) I/Weunderstandthatthisauthorizationshallremainvaliduntilrevokedbyme/us.I/weundertaketoclearallmyduesarisingduringthe
validityofthisauthorizationelsethemembershallrecoverallmy/ourduesinmy/ourledgertilldate.Ialsoundertaketoclearallmyduestoyoubeforeservingrevocationofthisauthorisationelsethememberwillrecoverallmyduesinmyledgertilldateandtheneffecttherevocation.
I) I/Wefurtherwishtohavesettlementofmyaccount(fundsandsecurities):-(Tickanyoneoption):- OnceinQuarterOnceinMonth I/Weunderstandthatsettlementamountshallbesubjecttoretentionofrequisitesecurities/fundstowardsoutstandingobligationsand
marginsinmyaccountcalculatedinthemannerspecifiedbySEBI/Exchangeanddetailsmentionedinthe“StatementofAccount”atthetimeofsettlement.I/Weauthoriseyoutosendthestatementofaccountonfundsandsecuritiesasonthedateofsettlementtomyinternettradingaccountore-mailidregisteredwithyou.I/WeunderstandthatI/WecanobtainacopyofthesamefromanyofyourBranchoffices.
I/WeunderstandandauthorizethatyouwillnotreleasethepayoutincasethebalanceafternecessaryretentionisuptoRs.10000/-inanyofthequarters,tillmyrevocationinwritingasI/Wewillbedoingregularlytradingwithyou.
IalsoundertaketobringanydisputearisingfromStatementofaccountsorsettlementsomadetoyournoticewithinsevenworkingdaysfromthedateofreceiptoffunds/securitiesorStatementasthecasemaybe.
Sokindlymaintainmyaccountasarunningaccountbasisforfundsandsecurities.
D. AUTHORISATIONFORRECEIPTOFCONTRACTNOTESANDOTHERDOCUMENTSINDIGITALMODEYesNo
I/WeherebyconsenttoreceivefromIIFLWealthManagementLtd.thedigitalcontractnotes,bills,ledgers,transactionstatements,dematstatementofaccounts/holdingstatement(s)/bills/otherstatements,notices, circulars,amendmentsandsuchothercorrespondencedocuments,recordsbywhatevernamecalledinelectronicformdulyauthenticatedbymeansofadigitalsignatureasspecifiedintheInformation Technology Act 2000 and the rules made thereunder to my below mentioned email id (said email id). E-mail Id :_________________________________I/WefurtherherebyagreethattheIIFLWealthManagementLtd.shallfulfillthelegalobligation,iftheabovedocumentsaresentelectronicallytothesaide-mailidandI/Weam/areawarethatI/wewillnotreceivethestatements/documentsinpaperform.Inthisregard,I/wefurtherconfirmandagreethat:
(i) Theaboveismy/ourpersonalE-mailid.I/Weshalltakeallnecessarystepstoensureconfidentialityandthesecrecyoftheloginandpasswordoftheabovementionede-mailaccount.IIFLWshallnotbeliabletoorresponsibleforanybreachofsecrecy.I/Weam/areawarethatthestatements/documentsmaybeaccessedbyotherentitiesincasetheconfidentiality/secrecyoftheloginnameandpasswordiscompromised.I/Wewillbesolelyresponsibleforthesecurityoftheinformationprovidedonmy/ouraforesaide-mailid.
(ii) E-mailssenttoanyoftheabovementionede-mailaccountshallbedeemedtobedulydeliveredtotheme/us.However,emailsbouncedbackonaccountoferrors/systemsissueattributabletoanyactofIIFLWwillnotbeconsiderdasdulydelivered.
(iii) IIFLWshallnottakecognizanceofout-of-office/outofstationautorepliesandI/Weshallbedeemedtohavereceivedsuchelectronicmails.
(iv) SuchStatementsshallbedeemedtohavebeendeliveredonthedaywhenthee-mailissentbyIIFLW.
(v) I/WefurtheragreethatIIFLWmayatitssolediscretionalsoprovide/discontinuesuchstatementsinphysicalform.
(vi) IIFLWshallnotbeliableorresponsibleforanyStatementreceivedfromfraudsorimpostorsoranyconsequencesthereof.
(vii) IIFLWshallnotbeliableforanyproblem,whicharisesatmy/ourcomputernetworkbecauseofmy/ourreceivinganyStatementfromIIFLW.
(viii) I/WeshallinformIIFLWbywayofaletterinwritingdulysignedbymeorinformthroughinternetplatformifthereisanychangeintheEmailgivenabove.
(ix) I/WeundertaketochecktheStatementandbringthediscrepanciestoyournoticewithinthetimeperiodasspecifiedundertherelevantagreementsenteredintowithIIFLW.My/Ournon-verificationornotaccessingtheStatementonregularbasisshallnotbeareasonfordisputingthesameatanytime.
(x) I/WeshallinforminwritinginprescribedformattoIIFLWtodiscontinuethesaidfacilities.I/WeandIIFLWshallhavetherighttoterminatesuchserviceprovidedawrittennoticeisgivenatleast10daysinadvancetotheotherparty.
I/WeshallimmediatelyinformIIFLWaboutchangeinemailaddress,ifany.I/WefurtheragreethatIIFLWwillnotberesponsiblefornonreceiptofdocumentssentviaelectronicdeliveryduetochangein/incorrectemailaddress/correspondenceaddressasmentionedoranyotherreasonwhichinteraliaincludetechnicalreasonsormalfunctionofmy/ourcomputersystem/server/internetconnectionetc.FurtherI/WeagreeandundertaketoindemnifyIIFLWanditsgroupcompanies,thattheywillnotbeheldliable/responsibleforanylosses,claimsdamages,costandliabilitiesetc.causedtome/usduetomisuseofthisinformationorpursuanttoanylitigationcases,complaints,actions,etcthatmayariseinfutureonaccountofmy/ouraboveauthorizationrequest.
E. AUTHORISATIONFORONLINETRADINGSOFTWAREPASSWORDYesNo
IwishtouseonlineTradingSoftwareinthisregardsFollowing:-
I. Pleasesendmysystem-generated,internetaccountfirsttimeaswellassubsequent,passwordontheregisteredmobilenumbers.Also,ifIeverneedtoresetthePasswordlater,thesameshouldalsobesentbySMSontheabovegivenmobilenumber.AssoonasIreceivethesystemgeneratedPassword,Ishallloginandchangeitforsecurityreasons.Iamawarethatsystem-generatedPasswordwillautomaticallyexpirein72hoursfromthetimeofsending.
II. IntheeventthatIdonotreceivethePasswordonSMSwithin24hoursofopeningofaccountorrequestforresetofPassword,IshallcontacttheCustomerServiceDepartmentoftheIIFLWimmediatelyandrequestforre-settingofmyPassword.
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III. IhavebeenexplainedthatIshallsetmynewPasswordasmaybeeasytorememberforme,butshouldnotbeeasytodecipherforanybodyelseandshouldbepreferablyalpha-numericandnotmyoranyfamilymember'sname/surname.
IV. Iamfullyawareoftheriskofelectronicloss/theftandagreetobesolelyliableandresponsibleforthesameaswellasforanyunauthorizeduse/misuseofthePassword.IunderstandIIFLWwillnotberesponsibleorliableinanymannerwhatsoeverforthesame.
F. AvailingIIFLWDistributionServicesYesNo
I/Weunderstandthat:
(a)IIFLWealthManagementLtd.(hereinafterreferredasIIFLW),itsassociatesandsubsidiariesofIIFLHoldingsLtd.(IIFLGroup)areengaged inprovidingvarious financialservices includingdistributionandexecutionservicesofvarioussecuritiesand financialproducts.Accordingly,forprovidingsaidservicesIIFLGroupmayearnfees(includingarrangerfees)orcommissionfromissuersofmutualfunds,alternativeinvestmentfunds,venturecapitalfunds,debtinstrumentsetc.
(b)Apartfromabove,securities/productsdistributedmaybeofIIFLGroupandaccordinglyinvestmenttransactionmayincludetransactionwith IIFLGroupascounterpartiesand IIFLGroupmayreceivevarious formof remuneration linked todistributionservicesofferedtotheClient.
I/Weherebyagreetoavailserviceslikedistributionofsecurities/financialproductsincludingbutnotlimitedtofollowingofferedbyIIFLWDistributionServices.
• InitialPublicOffer/FollowonPublicOffer/Offerforsale
• MutualFunds/AlternativeInvestmentFunds
• Bonds,Debentures
• NPS
• Otherfinancialproducts 1. Theinstruction/authorizationreceivedfromtheanyofauthorizedrepresentativeasperBoardResolutionprovidedshallbeexecuted
bytheattorney. 2. I/WeherebyauthorizeIIFLWanditsassociatestodisclose,share,remitinanyform,modeormanner,all/anyoftheinformation
providedbyme/us,includingallchanges,updatestosuchinformationasandwhenprovidedbyme/ustoassociatesofIIFLWGroup,issuers, brokers, Mutual Funds, AIFs, banks and other relevant parties ('the Authorized Parties') or any Indian or foreigngovernmentalorstatutoryorjudicialauthorities/agenciesincludingbutnotlimitedtotheFinancialIntelligenceUnit-India(FIU-IND),thetax/revenueauthoritiesinIndiaoroutsideIndiawhereveritislegallyrequiredandotheragencieswithoutanyobligationofadvisingme/usofthesame.
3. I/Weherebydeclarethatthereisnoactionpendingagainstme/usbyanyregulatoryauthorityforviolationofanylaw.Therearenounpaidfines/penaltiesleviedonme/us.I/Wehavenotviolatedanylawapplicabletousorcircular/regulationsissuedunderanylawasondate.I/Wehavenolegalorregulatoryproceedingspendingagainstme/usforanyfinancialcrimesorviolationofSecuritieslawsinitiatedbeSEBI/RBI/Banksoranyotherfinancialinstitution.
DECLARATION i. Iamawarethatthemobilenumbershallbeupdatedinallyourrecordsanddatabasesincludingtradinganddemataccount. ii. Ideclarethattheregisterednumberismypersonalmobilenumberandisalwaysinmysafecustody.IshallkeepIIFLWinformedofany
changeinmymobilenumberimmediatelyforupdatingthesameindatabases.Iamawarethatwithoutintimationforchangeinmobilenumber,IIFLWwouldnotbeabletosendmyPasswordovernewmobilenumberandalsowouldnotbeabletoupdateinrecordsanddatabases.
iii. Iamawarethatincaseofchangeinmymobilenumberanytimeafteropeningofthisaccount,itismandatoryformetosubmitthephotocopyofalatest/lasttwomonthsMobilebillforpostpaidconnection.IfIhaveprepaidconnectionthenIhavetovisitpersonallytotheBranch/FANsalongwithmyIDproofs(E.g.:PanCardorDrivingLicense)andgetthedocumentsverifiedbythebranchofficials.
iv. Iwillbesolelyresponsibleforthesecurityoftheinformationprovidedonmyaforesaidmobilenumber.Further,
v. IagreeandundertaketoindemnifyIIFLWanditsgroupcompanies,thattheywillnotbeheldliable/responsibleforanylosses,claims,damages,costandliabilitiesetc.causedtomeduetomisuseofthisinformationorpursuanttoanylitigations,non-litigationcases,complaints,actions,etc.thatmayariseinfutureonaccountofmyaboveauthorizationrequest.
vi. SMSAlertsFacilitybydepository:I/WeconsenttoCDSL/NSDLprovidingtotheserviceprovidersuchinformationpertainingtoaccount/transactionsinmy/ouraccountasisnecessaryforthepurposesofgeneratingSMSAlertsbyserviceprovider,tobesenttothesaidmobilenumber.I/Wehavereadandunderstoodthetermsandconditionsmentionedaboveandagreetoabidebythemandanyamendmentstheretomadebythedepositoryfromtimetotime.I/Wefurtherundertaketopayfee/chargesasmaybeleviedbythedepositoryfromtimetotime.I/WefurtherunderstandthattheSMSalertswouldbesentforamaximumfourISINsatatime.Ifmorethanfourdebitstakeplace,theBOswouldberequiredtotakeupthematterwiththeirDP.
vii. I/Weconfirmhavingreceivedahardcopyofthefollowingdocumentsandfurtherconfirmhavingreadandunderstoodthecontentsofthesedocuments.
• Terms&ConditionsForDistributionofSecurities.
• Terms and Conditions for availing Mutual Fund Service System (MFSS) facility and BSE StAR Mutual fund offeredbyNSEandBSErespectively.
• TermsandConditionforavailingsystematicinvestmentinMutualfund/Securities.
AuthorisedSignatory
SIGNATURE 2224
IIFL Wealth Management Ltd. being the stock broker is in thebusiness of providing Trading cumDemat Services to its clients. Inadditions, IIFLW is also engaged in marketing and distribution ofmutual funds, registered with the Association of Mutual Funds inIndia (AMFI) as a Mutual Fund Distributor and involved indistribution of various other securities and financial productsincludingproductsofferedbyitsaffiliatesorgroupcompanies.IIFLWprovides online/offline facility to apply/purchase/redeem/sale/buybackorotherwisedealintheunitsofMutualFundsandothersecuritiesincludingtransactionservicesoptedinAccountOpeningForm(hereinafterreferredtoas'transactions').TheClientwishestoavailofthefacilities/servicesthroughIIFLWonthefollowingtermsandconditionssetforthhereinbelow.ThetermsandconditionscontainedhereinarebindingontheClient.TheClienthas agreed to obtain facilities/services from the IIFLW after fullyunderstanding the entire terms and conditions. The terms andconditionsshallbesubjecttoamendment,ifanyfromtimetotimeatthesolediscretionofIIFLWandsuchamendmentsshallbindontheclient.ForthepurposeofthepresentTermsandConditions,NationalStock Exchange of India Limited and the Bombay Stock ExchangeLimitedshallbeknownastheStockExchanges.1) TheClienthasoptiontoauthorizeIIFLWbyexecutingaPowerof
AttorneyinfavouroftheIIFLWtoexecuteinstructionsoftheClientor itsauthorizedrepresentativewithregard to the transactionsincluding but not limited to acquire by subscribing to or bypurchaseofsecuritiesandtosell,transfer,endorsethesecurities(including but not limited to Initial Public Offerings, Buy backoffers,rightissuesetc.)orredeemthesameeitherthroughOnline(usingtheidentificationnumberissuedbyanyMutualFundfromtimetotime)orotherwiseand/ortosignandexecutealltransferdeeds whether as transferor or transferee and such otherinstruments,applicationandpapersasmaybenecessaryforthepurposeofacquiring,transferring/redeemingthesame,markingpledge/lien on such securities and/or for transferring theinvestments in the units of Mutual Fund from one scheme toanotherorbetweenmutualFunds,tomakeapplicationfor,ortorenounce and sign renounciation forms in respect ofbonds/debentures, right shares and additional shares of anycompany/Body/Authorityandtoreceiveandholdsuchrightsoradditionalshares,bondsordebentures.
2) AllinstructionsgivenbytheClient/itsauthorizedrepresentativeshallbebindingontheClientandIIFLWmayfurnishacertifiedcopyofthePowerofAttorneyandotherdocumentsonbehalfoftheClient to theCompany/Registrar/MutualFundoranythirdparty.
3) The Client agrees that the instructions with regard to thetransactionsshallbeintheClient'ssolenameorinthenameoftheClientjointlywithotherpersonsasintimatedbytheClient.
4) The instructions with regard to the transactions may be giventhroughbysendingemailfromregisteredemailIDorbymakingthecallfromregisteredtelephonenumber/mobilenumberoranyotherreasonablemodeaspermittedbyIIFLW.
5) IIFLWmayrefusetoactonanyinstructionsunlesstheyaregiveninthemannerandformacceptabletoIIFLW.However,IIFLWshallhave no responsibility to determine the authenticity of anyinstructionsgivenorpurportedtobegivenbytheClient.TheClientshallnotholdIIFLWliableonaccountofIIFLWactingingoodfaithoninstructionsgivenbytheClientoritsauthorizedrepresentative.
6) IIFLW at its own discretion may not carry out the Client’sinstruction, where the IIFLW has reasons to believe (whichdiscretionofIIFLWtheClientshallnotquestionordispute)thatthe instructions are not genuine or are otherwiseimproper/unclear/raiseadoubt.IIFLWshallnotbeliableifanyinstructions are not carried/ partly carried out for any reason,whatsoever. All transactions are subject to the applicableregulatorynormsand/orIIFLW’sinternalpolicyrequirements.
7) The Client understands and agrees that the mutual
fund/RTA/IssuerCompany/stockexchanges/maycancel,closeorrejectanycontractsuo-motowithoutgivinganyreasonthereof.Intheeventofsuchcancellation,closureorrejection,IIFLWshallbeentitledtocancelrelativecontract(s)withtheClientandtheClientshall not raise any objection and for it and hold IIFLWliable/responsibleforit.
8) IncaseofMutualFunds,theClientagreesandacknowledgesthatIIFLWshallprovide the facilitiesasagreedbetween thepartiesonlyinrespectoftheselectedMutualFunds,withwhomIIFLWhasenteredintoaseparatearrangement/agreement.
9)TheClientundertakestoreadalltherelevantOfferDocumentsandaddendumstheretoandtermsandconditionsofallschemesofallmutual funds and other issues of securities including but notlimitedtoInitialPublicOfferings/PublicOffers,RightsissueandBuyBackoffers,;beforeenteringintoanytransactionstheClientagreestoabidebytheterms,conditions,rulesandregulationsasapplicablefromtimetotime.
10)TheClientshallensure that the transactions through IIFLWareexecuted inaccordancewith theapplicable laws,byelaws,rulesandregulationsgoverningthespecificinvestmentproduct.IIFLWmay,fromtimetotime,imposeandvarylimitsontheorderswhichtheClientmayplace,includingbutnotlimitedtoexposurelimits,turnoverlimitsandlimitsastonumbers.TheClientagreesthatIIFLWshallnotberesponsibleforanyvariationorreductionthatmaybedeemednecessarybyIIFLWbasedonitsriskperceptionandotherrelevantfactors.
The Client understands that direct investments inbonds/debentures/equity/equity related instruments/ mutualfund/venture capital fundmay carry significant liquidity, creditand default risk, pricing risk. including the possible loss ofprincipal amount invested. Past results are not a guarantee offutureperformance;yieldorperformancefluctuatesandmaynotbea reflectionofpast results.TheClient shall investmentaftercarefullyunderstandingtheInvestmentproducts.IIFLWshallnotbeliableorheldliableforanyconsequencesthereof.
11)TheClientexpresslyagreeandacknowledgethatanyinformationcontained in the IIFLW’s Brochures or other materials orotherwise communicated by IIFLW shall not be constructed asinvestment advice and that all decisions to purchase or sellunits/securitiesmadebytheClientandshallbeonthebasisofownpersonaljudgmentarrivedatafterdueconsideration.IIFLWnotassure or promise any bonus, interest, dividend, guaranteedreturnsandprofit.
12) IIFLWshallnotbeunderanydutytoverifycompliancewithanyrestrictionontheClient’sinvestmentpowers.
13)TheClientisresponsibleforthepersonalandbankrelateddetailsprovided by the Client. Neither IIFLW nor any of the MutualFunds/Issuers or their respective Registrars shall accept anyliability which may arise as a consequence of the erroneousinformationprovidedbytheClient.
14) The Client authorizes the IIFLW to disclose/share, all suchinformation pertaining to the Client with the companies/entities/subsidiaries/affiliates of IIFLW or their agents’Banks/FinancialInstitutions/StatutoryBodiesasmayberequiredfromtimetotime,fortheClienttobeabletoavailofanyoralloftheservicesprovidedbyIIFLWunderthisarrangementoranyotherservices. The Client shall undertake not to hold IIFLW and/orcompanies/entities/subsidiaries/affiliatesofIIFLWand/ortheiragentsliableorresponsibleforuseoftheaforesaidinformation.
15) IncaseofchangeofaddressandpersonaldetailsoftheClient,theClienttshallintimatetesameviawrittenletter/emailtoIIFLWofsuchchange.
16)TheClientagreesandunderstands that the folionumberof theClientinrespectoftheMutualFundschemesshallbereceivedbyIIFLWfromtheAssetManagementCompany.
17) Further,anychangeinthedetailsoftheClientincludingbutnotlimitedtotheDemataccount,BankAccount,Address,registered
TERMS AND CONDITIONS FOR AVAILING THE SERVICES OF DISTRIBUTION OF SECURITIES/ FINANCIAL PRODUCTSAND DIRECT INVESTMENT PRODUCTS OFFERED BY IIFLW
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contactnumber,emailIDshallbefirstintimatedtotheIIFLWwhomayinturnliaisewiththeIssuerCompany/MutualFund/AssetManagementCompanyoritsrespectiveRegistrarstoupdatesuchchanges.TheIssuerCompany/MutualFund/AssetManagementCompanyoritsrespectiveRegistrarsmayrejectsuchrequestsandinsuchaneventIIFLWshallnotbeliableforanysuchrejection.
18)TheClientfurtheragreesthattheClientshallnotclose/changethedetailsoftheBankaccountwithoutpriornotificationtoIIFLWandtheClient agrees that IIFLWmay instructBankof theClient torejectanysuchrequestreceivedfromtheClient.
19)The Client shall provide IIFLW with its Permanent AccountNumber (PAN). In the event the Client has mentioned “NotApplicable” against PAN in the Application Form, the ClientconfirmsthattheClientisexemptedfromobtainingaPANundertheprovisionsoftheIncomeTaxAct,1961.However,intheeventtheClientid/applicationisforRs.50,000ormoreandPANisnotprovided,theClientshallberequiredtosubmitForm60orForm61as the casemaybe togetherwithpermissibledocumentsasproofofaddress.
20)The Client acknowledges that the purchase/applicationinstructionsshallbeprocessedbyIIFLWonlyaftersufficientfundsto cover the purchase/application price and other costs andchargesarereceivedbyIIFLW.
21) IfafterexecutionofanytransactionitisforanyreasonfoundthatIIFLWhasnotbeenprovidedwithsufficientfundsbytheClient,theClient shall pay the deficient amount to IIFLW forthwith ondemand, failing which IIFLWmay (but shall not be bound to)squareupthetransactionatanytimeattheClient’ssoleriskandcost.Anylossarisingonsuchsquaringupwillbebornesolelybythe Client and the Client shall pay to the IIFLW the additionalamount thatmaybepayableby theClient, the IIFLW’sdemandbeingconclusive.
22)TheClientdeclaresandconfirmsthattheamountbeinginvestedby the Client either directly or through its Power of Attorneyholders, in any schemes of allmutual funds or other securitiesincludingbutnotlimitedtoInitialPublicOfferings/PublicOffers,Rights issueandBuyBackoffers isobtainedthrough legitimatesourcesandisnotheldor
designedforthepurposeofcontraventionoftheprovisionsofanyAct,RulesandRegulationsoranystatueorlegislationoranyotherapplicable Laws or any Notifications, directions issued by anyGovernmentalorStatutoryAuthorityfromtimetotime.
23) IncasetheClientisaNon-residentIndian,theClientconfirmsthatthe funds remitted from abroad are through approved bankingchannelsorfromtheNRE/NRO/FCNRaccount.
24) Ifforanyreasons,IIFLWisunabletocarryoutthetransactionsasinstructedbytheClient/Client’sauthorizedrepresentativetotheextent of full quantity of units/securities, the IIFLW shall beentitled at its discretion and the Client hereby irrevocablyauthorizestheIIFLWtocarryoutatransactionofalesserquantityof units/securities. IIFLW shall not be responsible for the non-executionoftheClient’sinstructionsfortheentirequantityortheremainingquantity.
25)TheClientagreesandacknowledgesthatanyinstructiongivenorpurportedtobegivenbytheClient/itsauthorizedrepresentativebeforethecutofftimeasmaybeintimatedbytheIIFLWtotheClientfromtimetotime,willbeprocessedonthesameday.Anyinstructionreceivedafterthecutofftimewillbeprocessedonthenextworkingday,ifapplicable.
26) IncaseofMutualFund,applicableNetAssetValue(NAV)shallbeaspertheOfferDocumentandSEBIRulesandRegulations.Theunitsofschemeshallbeallotted,redeemedorswitched,asthecasemaybe, at the NAV prevalent on the date of the application, if theapplicationforpurchase,redemptionorswitchisreceivedbytheFund before the cut-off time as specified on the website andconsistentwiththetermsofthescheme.Anyrequestfallingdueonholiday would be processed on the next business day andrespective NAVwould be applicable as perMutual Funds offerdocuments.
27) Incaseofothersecurities,theorderforpurchase,sell,offerunder
BuyBacketc.shallbeacceptedbyIIFLWonlyifthesameisreceivedbythecutoffdateasindicatedonthewebsiteandconsistentwiththetermsoftheoffer.
28)TheClientagreesandacknowledgesthatafterthefirstpurchasetransactioninanyMutualFund,theClientmaynotbepermittedtotransacttillthefolionumberisallotted.IIFLWdoesnotacceptanyliability for delay in processing time at the Mutual Fund’s orRegistrar’send.
29) IIFLWshallcredittheproceedsofthesale/redemptionetc.,foranyoftheInvestmentProductsonlyafterIIFLWhasreceivedthesameunlessspecificallyagreedotherwise.
30)TheClientacknowledgesthatIIFLWoritsrepresentativesshallnotbe under any obligation to provide him with any tax, legal,accounting,investmentadviceoradviceregardingthesuitabilityorprofitabilityof investmentofanykind,nordoesIIFLWor itsrepresentativesgiveanyadviceorofferanyopinionwithrespecttothe nature, potential value or suitability of any particulartransactionorinvestmentstrategy.
31) ItisexplicitlystatedhereinthattheMutualFundSchemes/OfferDocuments/otherschemesofferedbyIIFLW,havenotbeen/shallnotbeunderstoodasrecommendedbytheIIFLW.
32)The Client can view his/her/its transactions on thewebsite. Aphysical copy of the transactions statement or the accountstatementshallbesentbyIIFLWonlyonawrittenrequestfromtheClient.
33) In case an application is made for Initial Public Offer/PublicOffer/UnitsofMutualFundthroughIIFLW,theClientauthorizesIIFLWtocollectonClient’sbehalf,therefundamount,ifany,fromthe I ssuer Company/Reg is t rar/Asset Management Company/Mutual Fund and subsequently credit the same toClient’sBankaccount,afterset-off/adjustmentofduespayablebytheClientonaccountofobligationsincurredinconnectionwiththeapplication.
34)TheClientfurtheragreesthatIIFLWshallnotbeheldresponsiblefornon-allotmentofsecuritieseitherfullyorpartlytoClient,foranyreasonwhatsoever.IIFLWshallnotbeheldresponsibleincaseduetosomereasonthebid/application/revisioninstructionssentbyClientisnotreceivedbyit,orifthebid/application/revisioncouldnotbeuploadedtotheStockExchange,orcouldnotbesenttotheBankers/Registrartotheissue.
35) IIFLW shall not be held responsible for non-receipt/delayin/incorrectreceiptoffund,ifany,fromtheRegistrar/Company.IIFLWshallnotbeheldresponsibleforincorrectTaxDeductionatSource (TDS) by the Registrar/company, if applicable, or fornonreceiptordelayin/incorrectreceiptofTDSCertificate,ifanyfromtheRegistrar/Company/MutualFund.
36) IIFLWshallnotbeliableforanylossordamagecausedbyreasonoffailureordelayofthemutualfundtodeliveranyunitspurchasedeventhoughpaymenthasbeenmade for thesameor failureordelayinmakingpaymentinrespectofanysoldthoughtheymayhavebeendelivered.
37)TheClientunderstandsthatthecorporateactions includingbutnotlimitedtoDividends,declaredbytheIssuerCompany/MutualFundshallbedirectlypaidbytheIssuerCompany/MutualFundtotheClient’sbankaccountasdetailprovidedbytheClient.
38) IIFLWshallalsonotbeliabletotheClientforanydelay,failureorrefusaloftheMutualFund/anyIssuerCompany/CorporationorotherbodyinregisteringortransferringunitstothenamesoftheClientsof for any interest, dividendorother loss caused to theClientarisingtherefrom.
39)The Client agrees to provide IIFLW with any confirmation/declaration or any other document that the concernedIssuer/AssetManagementCompanyoranyotherentitymayfromtimetotimerequireIIFLWtocollectfromtheClientinrespectoftheservicesofferedunderthisagreement.
40) IIFLWshallnotberesponsibleforanychangesinthedataofanyscheme as carried out in the Offer document or any otherdocuments/mater ia l i ssued by Asset Management company/IssuerCompany/MutualFund.
41) IIFLWdoesnotacceptanyliabilityfordelayinprocessingtimeat
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theMutualFund’s/IssuerorRegistrar’send.TheClientagreesthatIIFLWshallnotbeliableorresponsiblefornonexecutionofanytransactionsforanyreason,whatsoever.
42)NeitherIIFLW,noranyoftheMutualFunds/northeissuershallbeliableforanyfailuretoperformitsobligations,totheextentthatsuch performance had been delayed, hindered or prevented bysystemsfailuresnetworkerrors,delayorlossofdataduetotheaforesaid,actsofGod,floods,epidemics,quarantine,riotorcivilcommotionandwar.
43)TheClientagreesandunderstandsthattheapplicationinMutualFund/InitialPublicOfferingshallbesubjecttotheapplicableActs,Rules, Regulations, guidelines, circulars, notifications, anddirectives issued by the Regulatory Authorities and OfferDocumentissuedbytherespectiveMutualFund/Issuer.
44)TheClientfurtherunderstandsandagreesthathe/sheshallnotplacetradesatunrealisticpricesfromcurrentmarketpriceofthesecurity or trade in illiquid securities which create artificiall iquidity or amounts to manipulation of prices orcross/synchronizedtrades.
45) IIFLWshallprovideitsservicesonabesteffortsbasis.HoweverIIFLWshallnotbeliableforanyfailureorforanyloss,damageorothercostsarisinginanywayoutof:
a) System failure including failure of ancillary or associatedsystems, or fluctuationofpower, orother actsofGod/forcemajeure;
b) Accident,transportation,neglect,misuse,errors,fraudsonthepartoftheClientoranyagentoftheClientoragentsoranythirdparty,or
c) AnyfaultinanyattachmentsorassociatedequipmentsoftheClient
d) Any incidental, special or consequential damages includingwithoutlimitationoflossofprofit.
46) Intheeventofdisputes,differences,claimsandquestionsbetweenthePartiesarisingoutoftheseTermsandConditionsorinanyway
relatingheretoortoanyprovisionhereofortheconstructionorinterpretationthereof,thePartiesshallfirstendeavortosettlethesamebyfriendlyconsultationand, failingsuchsettlement,Boththepartiesagreetoreferanyclaimsand/ordisputestoarbitrationas per the Rules, Byelaws and Regulations of the Exchange/regulatorsandcircularsissuedthereunderinaccordancewiththeprovisionsof the IndianArbitrationandConciliationAct,1996.The language of Arbitration shall be English.The award of thearbitratorshallbefinalandbinding.
47)TheClientunderstandthatalldisputesanddifferencesarisingoutof, under or in connectionwith these terms and conditions oranythingdonehereundershallbewithintheexclusivejurisdictiononlytothecourtsofMumbai.FurtherthesetermsandconditionsaresubjecttoandshallbeconstruedinaccordancewiththelawsprevalentinIndia.
48)TheClientunderstandsthatincasesofgrossnegligence,orwillfuldefaultofClient,IIFLWshallbeindemnifiedbytheClientsfor,anyandallcosts,charges,expenses,claims,lossesorliabilitiesofanynature (direct or indirect) including reasonable legal fees andexpensesincurredand/orsufferedbyIIFLWresultingfromanyactofomission/commission(oranydelay)beingcommittedbytheClient.
49. The Client confirms that he/she has read and understood disclosuresrelatingtocommissionsonmutualfunddistributionactivities, which are made are available on our websitewww.iiflw.com. He/She is also aware that IIFL Mutual Fund issponsoredbyIIFLW&subsidiaryofIIFLWmanagesAIF'sandVCfundlaunchedbyIIFLgroup.
50)TheClientconfirmsthat thesaiddistributionarrangement isapurely executionary arrangement, without any productrecommendationoradvice.ForanyproductrecommendationoradvicetheClientmayseekservicesoftheCompany’sAdvisoryUnitwhichisdistinctandsegregated.
SecondAuthorisedSignatory ThirdAuthorisedSignatoryFirstAuthorisedSignatory
SIGNATURE 2424
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(SPECIMEN COPY OF THE BOARD RESOLUTION) (To be provided by the Corporate clients on the letterhead)
FORM
AT
CERTIFIED TRUE COPY OF A RESOLUTION PASSED BY THE BOARD OF DIRECTORS OF THE COMPANY AT THEIR MEETING HELD ON________________________________________________________________________________________,2_______________ATTHEREGISTEREDOFFICEOFTHECOMPANY
“RESOLVEDTHATtheCompanybeandisherebyauthorisedtoopenaBroking,Demat&DistributionaccountwithIIFLWEALTHMANGEMENTLTD.(“IIFLW”),MemberofBombayStockExchangeLimited(BSE),NationalStockExchangeofIndiaLimited(NSE),andDepositoryParticipantofNationalSecuritiesDepositoryLimited(NSDL)andCentralDepositoryServices(India)Limited(CDSL)forpurposeofdealinginSecuritiesinCapital/Cash,Derivatives/F&O,Debt&CurrencyDerivativesegmentandthesaidMemberbeandisherebyauthorizedtohonorinstructionsoralorwritten,givenonbehalfoftheCompanybyanyofthefollowingauthorizedsignatories:
RESOLVEDFURTHERTHATtheabovementionedofficialsareauthorizedtosell,purchase,transfer,endorse,negotiateand/orotherwisedealinsecuritiesthroughIIFLWealthManagementLtd.onbehalfoftheCompany.
RESOLVEDFURTHERTHATtheabovementionedofficialsbeandareherebyauthorizedtojointly/severallysign,executeandsubmitsuchapplicationsundertaking,agreementsDPinstructionsandotherrequisitedocuments,writingsanddeedsasmaybedeemednecessaryorexpedienttoopenandaccountandgiveeffecttothisresolution.”
RESOLVEDFURTHERTHATalltheabovementionedofficialswouldhaveauthoritytoactonbehalfoftheCompanyandtheiractionswillbebindingontheCompany.”
RESOLVEDFURTHERTHATtheSealoftheCompanybeaffixed,wherevernecessaryaspertheapplicableprovisionsoftheArticlesofAssociationoftheCompany,inthepresenceofanyoftheDirectorsoftheCompanywhoshallsignthesameintokenoftheirpresence,”
For_____________________________________________________
ManagingDirector/CompanySecretary
To,IIFLWealthManagementLtd..IIFLHouse,SunInfotechPark,RoadNo.16V,PlotNo.B-23,ThaneIndustrialArea,WagleEstate,Thane-400604.DearSir/Madam,1.I/We,havesubmittedanapplicationforopeningasingle/jointaccountforopeningaBeneficialOwner[BO]accountinthecategory
“individual’forholdingandcarryingouttransactionsinrespectofsecuritiesbelongingtoourfirm,sinceaspertheclarificationissuedbytheDepartmentofCompanyAffairsvideitsCircularNo.5/75(8/18/75-CL-V)datedMarch31,1975,PartnershipFirmisnotcapableofbeingamemberwithinthemeaningofSection41ofTheCompaniesAct,1956.
2.I/werepresentthefirm.3.InconsiderationofyouhavingagreedtoacceptthePermanentAccountNumber[PAN]issuedbytheIncomeTaxDepartment[ITD]tothefirm
alongwithourindividualidentitydocuments,I/Weacknowledgeandundertakeasunder:- a)TheacceptanceofthePANnumberofourfirmdoesnotamounttoyouhavingtakennoticeoftrustorrecognizeourfirm. b)I/WeshallcontinuetoberesponsibleforcomplyingwiththerelevantprovisionsofTheCompaniesAct,1956andtheRulesmade
thereunderandotherapplicableLawsfailingwhichI/weshallberesponsiblefortheconsequencesthereof.
Signedinmypresenceandattested(NameofBranchManager)SignatureofBranchManager(Signunderbankstamp)MICRcodeofBranch
AuthorisedSignatory
To,IIFLWealthManagementLtd..Mumbai.DearSir,Thisistocertifythat_________________________________________________________(nameoftheclient)residentof_________________________________________________________________________________________________________(fulladdress),isholdingasavings/currentbankaccountno_____________________________________withour______________________________branchsince__________________Thesignatureandphotographoftheaccountholderasperthespecimenrecordedwithusisbeingattestedbelow.
FORMAT FOR BANK VERIFICATION LETTER
FORMAT OF DECLARATION TO BE GIVEN BY PARTNERS ON LETTERHEAD OF THE FIRM
NAMEOFPARTNERS*(INBLOCKLETTERS) SIGNATURES*
*(tobesignedbyallthepartnersofthefirmunderstampofthefirm)
Sr.No. Name Designation SpecimenSignature
1.
2.
3.
PutBankstampacrossphotograph
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FORM
AT
FORMAT OF DECLARATION OF BENEFICIAL OWNERS(REQUIRED AS PER SEBI CIRCULAR NO. CIR/MIRSD/2/2013 DATED JANUARY 24, 2013) (TO BE PRINTED ON LETTER HEAD)
I.ForclientsotherthanIndividualandtrust
B-Controloverthejuridicalpersonthroughothermeans(ReferNote2)(ApplicablewherenonaturalpersonexertscontrolasperAabove
C-NameofthenaturalpersonholdingpositionofSeniorManagingOffcial(ApplicablewherenonaturalpersonisidendifedinA&Babove)
II.ForclientswhichisTrust
%ofOwnership
1.
2.
3.
4.
5.
Sr.No.Nameofthenaturalperson Detailsofcontrolthroughvoting rights,agreement,arrangementsorinanyothermanner
1.
2.
3.
4.
5.
Sr.No.Nameofthenaturalperson
Position/designationofSeniorManagingoffcial
1.
2.
3.
4.
5.
NameofTrustTrustee
Protector
Thebenefciarieswith15%ormoreinterestinthetrust
Name(s)ofanyothernaturalpersonexercisingultimateeffectivecontroloverthetrustthroughachainofcontrolorownership
1.
1.
1.
1.
2.
2.
2.
2.
3.
3.
3.
3.
For (Nameoftheclient)
Name Designation
Date:
Place:
NOTES:
1) Controllingownershipinterestthroughcapital&profts:Listofthenaturalperson,who,whetheractingaloneortogether,orthroughoneormorejuridicalperson,exercisescontrolthroughownershiporwhoultimatelyhasacontrollingownershipinterest.
2)Controloverthejuridicalpersonthroughothermeans:wherethereexistsdoubtunderclauseIAaboveastowhetherthepersonwiththecontrolling ownership interest is the benefcial owner or where no natural person exerts control through ownership, provide list ofnaturalpersonexercisingcontrolthroughothermeansi.e.throughvotingrights,agreement,arrangementsorinanyothermanner.
Note:Kindlysubmitshareholding/ownershipdetailsincase25%/15%asmentionedaboveisheldbyJuridicalpersontillbenefcialownerissatisfactorilyidentifed
SIGNATURE
Sr.No. Wherethejuridicalpersonis Ownershipof/entitlementto
1 Acompany Morethan25%sharesorcapitalorprofts
2 Apartnership Morethan15%capitalorprofts
3 Anunincorporatedassociationorbodyofindividuals Morethan15%ofthepropertyorcapitalorprofts
A-Controllingownershipinterestthroughcapital&profts(ReferNote1)
NO OBJECTION CERTIFICATE/POWER OF ATTORNEY[HUF DEMAT/ TRADING ACCOUNT]
NameoftheKarta
Signature&StampofKartaalongwithstampofHUF:
Place:
Date:
To,IIFLWealthManagementLtd.Mumbai
DearSir/Madam,
Sub:DeclarationofCoparcener(s)
I/WeherebydeclarethatI/wearecoparcenarsoftheHUF_____________________________________with_____________________________________________as“Karta”.I/WehaveopenedTrading,Demataccount&DistributionaccountwithyouunderHUFcategory.I/WeherebydeclarethatI/Weam/are
authorizingthesaidKartatoexecutethetransactionsandtodoallsuchneedfulacts/deeds inourDemat/Tradingaccount. I/Wefurther
authorizetheKartatoappointanyotherattorneyandauthorizehim/her/ittoactonbehalfoftheHUFandCoparcener(s)withregardtothe
operationsofthesaidDemat/Tradingaccount.Thedetailsofouraccountaregivenbelow:
I/Weherebystatethatthedetailsmentionedasabovearetrueandanychangeinthemwouldbeintimatedtoyouinwriting.
BOACCOUNTDETAILS:
DPID: ClientID: LoginID:
LISTOFCO-PARCENERS:
CDSLDPID:
Sr.No.
Name Sex[M/F] Signature
1.
2.
3.
4.
5.
6.
RelationshipwithKarta
DateofBirth PANNo.
42
IntentionallyLeftBlank
44
ReceivedtheapplicationfromM/s_____________________________________________asthesole/firstholderalongwith_____________________________and
_______________________________asthesecondandthirdholdersrespectivelyforopeningofatrading,depository&distributionaccount.Please
quotetheDPID&ClientIDallottedtoyou(CM-BP-IDincaseofClearingMembers)inallyourfuturecorrespondence.
ParticipantStamp&SignatureDate D D M M Y Y Y Y
IIFLWealthManagementLtd.IIFLHouse,SunInfotechPark,RoadNo.16V,PlotNo.B-23,ThaneIndustrialArea,WagleEstate,Thane-400604.
DPId:12083300/IN304158
Acknowledgement
REGD.OFF.:IIFLHouse,SunInfotechPark,RoadNo.16V,
PlotNo.B-23,ThaneIndustrialArea,WagleEstate,
Thane-400604.
TEL.:(+91-22)39294000/41035000
CEO:KaranBhagat
Email:[email protected]
TEL.:(+91-22)39585600
Compliance:DineshTanwar
Officer
Email:[email protected]
CORP.OFF.:7thFloor,IIFLCentre,WingB,KamalaMillsCompound,
SenapatiBapatMarg,LowerParel(W),Mumbai-400013,
India.
TEL.:(+91-22)39585600
EMAIL:[email protected]
WEBSITE:www.iiflw.com
MemberoftheNationalStockExchangeofIndiaLimited(“NSE”)andBSELimited(“BSE”)ontheCash,F&O,CDS,WDM
SEBIReg.No.INZ000011437
Depository-NSDL&CDSL-SEBIReg.No.IN-DP-271-2016,AMFIasMutualFundDistributorhavingReg.No.ARN-59563.
U74140MH2008PLC177884