igffa.N
tllffi
{g&aL<
dbieifrm d.s*dr San.gsfriatar{a
Central Back Ofiice DP Operations, Baroda Sun Towe( Ground Floor, BKC, Bandra East, Mumbai - 400051.
Application Form for Opening a Demat Account
tr lndividual O NRI tr Foreign National
.$.cosr-
SOL
lD
/ SR. No.
(To be filled by the Deposilory Panicipant)
Application No.
DP ID
l/
1
DP lnternal Reference No.
o
3
1
8
7
0
Date
D
D
M
M
Client
o
ID
We request you to open a DematAccount in my / our name as perthe following details
:
Type ofAccount (Please tick whichever is applicable)
Status
O lndividual
Sub-Status
-l lndividual Resident o lndividual Director -J lndividual Maroin Tradino AJC (|\4ANTRA)
-l tn.livi.iual Direcfor's Relative O lndivldual HLIF/AOP l-l ln.livldual Proi-roter'E Olhersisoecifu)
I NRI Repatriable
O NRI Repatriable Promoter
C NRI
o Foreign National
J
u
NRI Non-Repatriable B NRI Depository Receipts
NRI Non-Repatriable Promoter O Others (specify)
Foreign National O Foreign National - Depository
Receipts U Others (specify)
Sole / First Holder's Oetails (To be {illed by the applicant in Block Letter6 in English)
First Name
Middle Name
Lasl Name
Father / Husband Name
ETi
Iille
,:Mrs. a Ms.
I
lsuffix
other
Correspondence
Address
(Plsase attach proof)
State
City
Country
Tolaphone No.
PIN
Mobile No.
Fax No.
PAN
Permanent Address
(Attach proof if different f.om
CorrespondenCe Address)
(lf NRI then toreign territory)
Slate
City
Country
PIN
Fax No.
E-mail lD
QHigh School Ocraduato lPost Graduale EDoctorate OProfessional Degree
Telephone NoDate of Birth
DIDIMIMIYIYIYIY
Qua,ification
UUnder High SchoolO lltiterate Oother (Please specify...) ...........,......
DOthers (sDecitu)
Nationalitv
Sex
OMale
nFemals
Service : LlCentral Govt. DState Govt.OPublic / Private SectorEl NGoOStatutory Body
'lJProfessional
lf,Business trStudent
flr)thers lSDecifv\
Occupation
Nature of business :
(Products/Services provided)
Financial Details:
lncome Range per annum
:
UUp to Rs. 1,00,000
URs. 2,O0,O01 to Rs. 5,00,0OO
URs. 1,00,001 to Rs. 2,00,00O
BMore than Rs 5,0O,OO0
Joini Holders - Second Holder's Details
First Name
N,4iddle
Name
Last Name
Faiher / Husband Name
Tille
il Mr. !
Sutfix
Mrs. U Ms. a Other
Permanent Address
(Please attach Prooi)
Cily
State
Country
PIN
PAN
TEL NO.
E-mail lD
Oate of Birlh
frTtTl:Tr.,r I-v I 'i I y Iv
ocraduate
-.rllllterale
Qualiticalion
uHigh School
uUnder High School
Nationality
i-t lndian
o Othels (6pecily)
f
:l
Sex
Occupation
Male
uPost Graduate oDoctorale :lProfossional Degree
uOther (Please speciiy...)
Female
i Slate Go\,t- iJ Public / Private Sector L.l NGO o Slalutory Body
rl Professional e Buslness ! Student
u Housewite B olhers {Speciiv) ......................
Retired
Service : n Central Govt.
r-:)
Nature of business :
(Products/services provided)
Financ,al Dctails:
lncome nange per ann um
up to Bs. 1,00,000
,
ar Bs. 2,00,001
:
lo Rs. 5,00,000
l-J
Rs. 1,00,001 to Rs. 2,00,000
u More than 8s.5,00,000
Joint llolders - Third Holder's Details
First Name
Middle Name
Fallrer /'Husband Name
tle
Perrnanent Address
(Please attach proo0
-.1
Mr_ al l\,,|.s. it Ms.
I
Sufiix
Other
City
State
Counky
PIN
PAN
Fax No.
Daie of Birlh
Q!alificalion
Nationality
Sex
Occupatlon
Nalure o, trusiness :
{Products/services provided)
Financial
li)
E-mail lD
|i4 lY IY
sPost Graduale lDoclorale
scraduate
sHigh School
stinder Hioh School ollliterale Jother (Please specifu...)
1r..,,1
S lndian
i;r l\4ale
u Others lspecity)
f
Female
o Central Govt. u Stale Govt. .l Public / Private Seclor :l NGO
I Professional o Business a Studenl
o Housewile c Others lspecify)......................
u Relired .
Service :
lncome Range per annum :
Up to Rs. 1,00,000
Rs.2,00,001 io Rs.5,00,000
o
!
.lProlessional Degre€
a Bs.
J
1,00,00'1 to Rs.2,00,000
l\Iore than Rs. 5,00,000
..1
Statutory Body
Additional Facility Details
SMS Altert
Facility
tu
ii""'.
east
i"i.ii" r..-"
s c;altlons slvenln linexure - A (siv€ us details
th;reon) duly signed by all accounl
trNO
holder/s.
j yeS, tf y"s, Please
provide us your valid email lD or register yurself for "easi' Iacrlrty
o-n cOSf-iweoslte wvrivv.cdslindia.com and submit your registration form to Branch DP
;ulv sioned bv accounl holder/s or contact your Branch DP for oetarls
rr"tiiiti tl.ouofr cosLs website : www.cdslindia.com wherein a Bo can view / print
istN oitancesl transactrons snd valLre of the port{olo oniine.)
Bank Details (Dividend Bank Details)
Bank Code (9 digit MICR
Co.le)
IFS Code ('11 digit code)
Bank Name & branch
Bank Address
City
PIN
Country
Sta'te
Account Number
Account type
(t)
(ii)
(iii)
U
Saving
tr
Current
C Cash
Credit
3
Others (specify)
Photocopy of the cancelled cheque having the name ofthe account holder where th6 cheque book is issued, (or)
photocopi of the Bank statement having name and address of the Bo and not more than 4 months otd,
(o,
Photocopy ot the Passbook having name and address of the BO, (or)
(iv) Letter ,rom the Bank,
i in case or options 1ii), (iii) and (iv) above, MICR cod€ of the branch should be present /mentioned on the document and
it should be selfcertlfi€d by the Bo.
For NRls
lM/e hereby declare that we complied with and witl continue to cornply with the FEMA regulations and other appllcable laws.
informed
l,\rve also u;dertake thatwheneve. there is/are change/s in the residential address and/or any other information same will be
immediately to the DP
Foreign Address
City
Stale
CoLrntry
PIN
Details of Guardian (lf Sole Account Holder is a minor)
First Name
Second Name
Lasrsearch Name
Relationship with the
applicant
Correspondence Address
City
State
Country
PIN
Tel. No.
PAN
Fax No.
Mobile No.
E-mail-lD
l^y'y'e have read the lerms & condilions ot DP-BO agr€emenl and agree to abide by and be bound by ihe same and by lhe By6 Laws as are
in force from time to tjme I I We declare lhai the particulars given by me/us ab(ve are true and lo ihe best ol nrylour knowledge as on the
dats ol making this application.l/We agree and undortake lo inlimale the DP any change(s) in the details / Pa(iculars modtioned by me /
u6 in this form. lA/Ve fLrrther agree thal any fals6 / misleading information given by me / us or suppression ol any maierial iniormalion will
render my accouni liabie tor terminalion a,rd suiiabie aciion.
Firsrsole Holder
Second Joint Holder
Thlrd Joint Holder
(Please sign across the
Pholograph)
(Please sign across lhe
Photograph)
(Please sign acrosg the
Pholograph)
Name
S,gnaiure
Passport size
Phoiograph
Note : Paste Laiest Colour Phoiograph/s of Account Holder/s and sign across the Photog.aph/s
(Signatures should be ptelerably in black ink).
(ln case at ninot holder, pbotograph ol guatdian has to be affixed along with fiinot's photograph-)
ln - Person veritieation by Branch DP of Bank ot Baroda
Signal.!rels veritied.
ldentity ol ihe applicanus verified and signatur€y's obtained in my presenc6
Name I Designalion / Signature
Under Stamp of Bank oi Baroda
with Signature No. / EC No.
Place:
Daie
:
tnstructions for the Apolicants /BO$ for accgunt open!ng
. Siqn alure cab e in English or H indt or any olher Iangrages conlained ln lhe 8'' sch edu le of ihe Consiituilon
b
1
2.
3.
A.
5.
6.
7.
8.
of
in
dia.
Thumb impressi6ns and signature other lhan lhe above n enlioned langLrages m! st be atiested by a Magistrate ora
Notary P!blic ora S peciai Execuli/e Magislrale under hls/her otiicial seal.
Signature shot ld be pleierably ln blacklnk.
Any alleraiion lcofieclion sho!ld be authenticated wilh signalure/s oi lhe accounl holder/s.
Delailsoilho Namos, Address, and TelNumbe(s), eic., ofthe Magisaate lNolary Pub{iclSpeciai Execuiive
[ragislrate are 1o be prov;ded,n caseof atteslalion done bythem
ln case olapplicauons undera Powerol Altorney, the r€levant PowerofAtloneyorlhe cerlitied and duly nola.ized
copyihereot. mosl be lodged along wilh lhe applicalion
All coirespondence / quea:es shallbe addressed io lhe Iirst / sole applicant.
NOMINATION is mandatory ordissenl siEnified.
Sirike otfwhlchever is not appllcable.
(Perforaled Card)
'|
3
o
1
8
7
o
o
Client lD
Annexule - A
Terms And Conditions-cum-registration Form lor receiving SMS Alerts from CDSL
lnlhesoT6rfl6 and Condilionslhe lerms shall have iollow ng meaning unless lndicated othelw'so i
,'D€pository''means Central Deposilory S€r vices (lndia) Limitsd a compa.y inco.poral6d in ladia under th6 Companies Aol 1956 aod having ils
I.
2.
3,
4.
5.
6.
7.
1_
isgislered oiJioe ar 17lh Froor, P J. Towers, Dalai'Streel, Forl, Mumbai400001 and all its bGnch ot ices and includes i1s succossors and assigns.
,DP'm6an6 Deposirory Participanl ol CDSL.The tem coverc alltypes ol DPs who arc allowed to opon demal accornts tor invoslors.
.BO,
m€ans an entily that has opensd a demai accounl wlih the deFosilory. The l€rm covers
doposilory as speci,ied bylhe deposltory irom lim€ lolime
al
types oi demat accounts, which can be op€ned wlth a
SMS means'Shod lvessaglng sorvDe"
"Alorts" m6ans a eustomized SMS s€nl lo lhe BO ovorlh€ said mobile Phone number
"service Provtde{.n6ans a cetrur service plovide(s) wilh whom the deposilory has
SIVS alorls to lhe Bo.
Seruice"means ihe service ol providlng SMS alerls
10
€nr€re;/u,
be enterLng inl6 an arangemenl tor provldinglhe
the BOon bssl ellorl basis as perlhese terms and condnions
The service witt be provided tolhe BO al his / her €guest and at the disc.elion ol lhe depositoryTho ssrvice willbe available to ihose acoounlhold€rs
who har'€ provided rheir mobite numbeBlo lhe deposilory through their DP. The services may be disconlinued ror a specilicperlod/ lnd€linlls penod,wilh
or wirholr issutng any prioi nolice for lhs pur pos6 oI socuriiy reGons or sysiem mainlenance or tor such oiher reasons as may be warranied. Ihe
dopository may also disconlinuo the oervi€eat anyi!fie wlthoutgiving prior notice lor any reasot whatsoe,/6r
2.
Tha sotuice ls cu*enlly available to the BOs who are residing in lndia.
3.
The atertswil be provided io ine BOs oniy il ihey remain wilhin the range ol the service prcviders ssruic€ ar6a orwithinih6 rangelomlng pad o, ihe
roamhg network of lhe service providBr,
tn case oi joi.n ac.ounls and non- ndividual accounls lhe seftice willbe available, only io one mobile number
iherime ot regisvalion / modilication.
i.e.
io ihe mobile number as submttied at
The BO is responsibto tor prompily iniimaiingtothe deposiloly inlhe prcscnbed rnannq anychange in mobiie number, orloss o! handsei, on whicn the
BO wants'to receive ihe ate.rs trom the depository. lncase ol change ln mobile number nol lnlimat€d 10 the depository.lhe SMS aTei(S wil!coniltrue lo
be sent to lhe last reglstered mobile phone number.The BO agrees to i.de.nnify the depository ior any loss ordamage sufleredby ii on account ot SMS
alerrs sent 6n such mobile numbar
1-
The depository shall s6nd the aleris ro rhe mobile phone nunber provlded by lh6 Bo while regisl€ring lor the seruice or lo any sush nomber lePlaced
and info.med by the BO iiom lime !o ume . Upon such regislraiion /change, the daposiiory shallmake every eifort 10 update the change in mobile
numberwithin a r€asonabta period ol time. The deposllory shallnol be rcsponsible ior any evenl ol delay or loss ol m€ssage in lhis r€gard.
2.
The BO acknowtedges ihai the ar6.ls wll be received only ii ihe rnobile phone is in'ON and in a mode lo r€ceiv€ th€ SI',4S l, the mobiL€ phonc ls
node i.6. unable to rece(e ths al€rts thef the BO may not g€t/ g€t after delay any aleds sent dudng such Period.
3,
Th6 BO also acknowledgos thatlhe readability, accuracy and timeiness ofprovidlng ihe seruice depend on many taclors including lh€ inlrastruclure,
conneclivty of rhe seNice providerThe depository shallnot be respo.sib e ior any non-deli\€ry delayed dslivery or dlslorlion of lhe alerl ln any way
in"oP
whaisoever.
4,
Tho BO lunher acknowledges that the service provided to him ls an addilional facilily provided lorhis ooryenieoce and is suscePtiblolo €rrcr, omi$ion
and or inaccuracy. tn cas€ the BO observes any error in the lntomation pmvided ln lh€ alerl, the BO shall intom ihedePostory and/orthe DP
imm€diare,y in w.iling and lhe deposilory willmake bestpossible eilorts lo reclily lhe efforas sally as possible.The BO shallnot hold lhe deposllory
tiabtoror anv loss, damages, erc. that may b6 incured/ sufiercd by ihe BO on accounl ol opllng to availSI4S alorls laclliqr
5.
TheBOaulhorizoslhedepositorytos6ndanymessagesuchaspromollonal,greetingorany
6.
The BO agrses ro tntorm th€ depostrory and DP in wrltlng ol a. y unaurhoriz od <lebit to hls BO acoounv ! nauthorlze.l lransler of s€curltles
trom hts BO account, lmmedtatety, whic h m6y come to ltls kno l/vledge on receivlng SMS alerts. Ihe BO ffa y send an email to CDSL al
comltaints@cds ndta.comTh€ BO is adyisednol lointormth€ s€rvice provider about arry suoh unauthorizeddebit t / transler ol sec'r rttlos
trom hts BO accounr bysondlng a SMS b.ckiothe servlce provlderss lhere ls no reverse communlcatlon belween the servics providsrand
olh€r moBsage that the d€posilory may consider
apprcpdato, ro ihe BO . Ths BO ag re6s 1o an ongoing .onilr malion lor us6 o, name, email addross and moblle number lor markeiing ofi66 bslw66n
CoSL and any olher entily.
the dePosltory,
Z.
ahe intormario. s6ni as an aie(on the mobile phone number shall be d66med to have been received by the BO and lhe deposilo'y shallnotb€ under
any obligation io contilm iha authsnlicily ol lhe person(s) receiving the ale(
8.
The deposirory willmake besl
€ffo s io providoth€ servlca-The
BO cannoi holdthe depository liablo lor non-a€ilability o( ihe service in any manner
whalsoe!€r.
9.
ti th€ BO llnds ihai ihe infolrnalion such a6 mobile number eic., has bson cha.rged wilhout proper aLllhoizalion, 01e AO should immedlalely
DP in wriihg.
lnbh
the
Annexure - A
Depository reserves the
righlto charge such iees irom time io time
as lt deemsflt for prcvlding thls seNice to the BO.
Disclaim€r:
The depository shatt maj€ reasonab € eiforts to ensure that the BOt personal inforrnailon is kept confidential, The depository do€s not warranty the confidentality
or security of the St45
a
eds transmitted through a service provider. FLrrther, the deposiiory makes no warranty or representaton of any kind in relation to the
system dnd the network or their lunction or their performdnce or for any loss or darnage whenev€. and howsoever suriered or incured by the BO or by any pe6on
resuttng from or n connection with availlng of Sl45 alerts lacillty. The Depository gives no w.ranq/ with resp€ct to the q uality of the serulce prov ded by the
servtce provtder- The Depository
wtl not
be liable for any unauihorlTed use or ascess to
the nformaton
and/ or Sl'1S aertsenion the mobile phone numberofthe
Bo or for fraldulent, duplicate or erroneous use/ misuse of 5uch information bv any third person.
liability and Indemnity:
The Deposirory shatt not be tiabte lor any bre.ch of coiRdentiality by the service p.ovider or by any third person due to unauthorzed access to the inform8tion
meant for the BO. h consideration ofthe depository provlding the service, the BO agrees lo indemniry and keep safe, harnrless and hdemnified th€ depository and
its officidls irom any damageq claims, demands, proceedngt loss, cost/ charges ard expenses whatsoever which a depository
may.t
any time incur, sustain,
suffer or be pui to as a consequence of or arising out of interfererce with or mlsuse, improper or fraudulent use olth€ service by the 80.
The depository may amend the terrns and conditlons at any time with or wiurout giv n9 any prior notce to the Bos. Any such amendments shall be bindiig on the
BOs
who are already registered as user ofthis seNice-
Gov€rning Law
a
nd
,urisdiction:
providin! the Service as outlined above shaLlbe qoverned by the laws oflndla and u,illbe
s!bjedto
the exclusive jur sdiction of the courts n l4umbal.
t/We whh to avaitthe SMS Ateds faclrq provided by the depository on my/our moblle number provided in the reglstraiion form subjectto the tems and condiUons
menrioned betow.
r/
We.onsent to CDSL providing to the servi.e provider such information pertainirg
to
a€count/transactions in
my/olr
accountas is necessary lor th€ purposes otg€nerating SMS Alerts by service provider, to be sent to the said mobile number,
I/We have read and undersiood the rems and conditions menuoned above and agree to abide by them and any amendmenls thereto made by the depository from
time to ume. I/ we further undetake to pay fee/ charges as may be evied by
$e
depository fiom time lo iinr€
I / We rurhe. undeBtand that the SIVS alets would be s€nt for a maxmum lour ISINS at a time.
lf
more ihan four deblts take place, the BOs would be required to
rake up the matterwrththeir DP.
I/We am/ are aware
t/we
th
at mer€ acceptan.e of the reglsirdt on form does
provide the followinq nformation for the purpose ol RrcrsrR
I
3
0
1
no* /
a
not
mply in any way that the request has been accepted by th€ deposiiory for providing
MoDrFIc^rroN ( Please cancel out wh at is noi
7
0
0l
a
pplicable)-
tD)
5ol€
/
First Holdert flame
se.ond Holder's Name
Third Holde/. Nalne
Mobile Number on which
metsages are to be sent
The mobile number is registered ln the name of:
EmaillD:
(Pl€ase write only ONE valid email
Signatures
I0
on which communication; if any, is to be s€nt)
Third Holder
Nomination Form
'@.cosr-
Dear Sir/ Ivadam.
the so 6 Holder / Jo;nt Holders / G ardian (in case oi minor) herBby declare thal i
do not wish lo norllillate any one tor this clemal account.
(strileluluhEllEjqljpElicable) Lsionature/s oI all account holders Ghould be obtalng!t-O!J!!=slolo),
l/We norhlnate the followlhg person who is entitled to receive securily balancos lylng ln my / oor account, panlculars, whereot
are glven below, in the evenl ol the dealh ot tho sols holder or the death ot all the Joint Holders.
,?l/Ve
Ll
al
l/vYe
BO Account Details
Name ol the Sole / First Holder
As the nomine€ is a minor as on
Dale oi birih llf nominee is a
date, I / We appoint followlng person to ac1 as guardian
:
Middle Name
Flrsl Nama
Last Name
Age
Address
ot
guardian
Slate
Cilv
Country
PIN
of ihe death of the Soie hoider / all Joint holders.
This nominalion isin accoratance wlth the section 7O9 A ot the cofiganies acl 7956 enal shell ssoersede anv prior
DgDJaAAgLJ2AiE_by_Ad_AS and also any testamentary docLrment executed by me / us.
Place :
To r6c6ive the securities in this account on behalf of the nominee in ihe evenl
Second Holdsr
FlrsUsole Holder
Thlrd Holder
Name
specimen
Signatures
Nole
:
Two wiinesses shallatles
Firsl Witnas6
Detalls ot the Witness
Name ot Witness
Sacond Wllness
Address ol Wilness
Signature of Witness
(To be filled by DP)
Nomihation accepled and rogistered vid6 Registration No.
dated
For Bank o, Baroda
(Authorized Signatory)
DP SEAL
(Please
Acknowledgement
Fleceived Account Opening form with Nominalion details glven below
DP ID
1
3
o
1
I
7
0
o
:
Cli6nt lD
Nafie/s oi the Accounl Ho{der/s
Name ol Nominee /
Does not wish io nom:neo
(Branch) Participant Seal
For Bank ot Baroda
LETTEB OF AUTHORITY FOR RECOVEBY OF BANK CHARGES & ADDITIONAL INFORMATION
:
The Asstt. General/Chief / Sr. Branch / Manager,
Bank ol Bamda
Date
Branch
Dear Sir/ lvladam.
Authorliv ,or recovlll'- ot Bank's charges in resDect of Demat Accou!!
Postage / Annual Maintenanco
irrevocably aulhorize )ou tg recovervarious Bank charges such as Commission / Fee
hsreby
I / Ws
Demat
charges / Transaclion charges etc. (subject to change from time to time) incidenlal to maintenance and opelations of my/our
account lrom my / our following account :
(1) Re :
/
MICR No:
3B / Curent sccount
branch,
maintained with you I maintained with Bankb
Furthel I / We undertake to maintain sulficient balance at all iimes to meet the recovery of bank's charges in connection wilh m y / our
in any
Demat account.Failuaa on nry / our parl io maintain sufficient balance in abo,?e savings / currsnl account shall not, however, impair
account
way the right o{ Bank ot Baroda trom recovery of due charges. ln case debit balance is created in my/our above savings / current
due to recovery ot bank's charges, I / We authorize the bank to charge interest, on debit balance created, at the ratg prescribed by bank
from lime to time.
: Additional tnrormation to be a submltted
(2) Be
wlth Demat Account Opening Applicalion Form
Do you have any other Demat account with any
Name and Address ol DP.............................,,....
BranchlBranches of Bank of Baroda ?
lf so, please give details
DP ID
:
any
olher Bank's DP or any other Depository
Participani (DP) ?
Do you have any Demat account with
2.
lf so, please give dctails
Client lD :....................
Name and Address of DP .,..................................
DP ID
Client lD:...........
:
Yours
S. No.
Name/s ot Account Holder/s
1
2
3
veritication by Branch DP ot Bank ol Baroda
Signature/s Verirled & lnstructions Noted.
Name / Designatjon / Signature
under stamp of th€ Bank of Baroda
with Siqnature No / EC No.
Place:
Date
:
:
Signature ot Account Holder/s
U)
{w ifrfr .
dr
Bankof Baroda
Central Back Office DP Operations, (CBODPO)
Baroda Sun Tower. G.ound Floor. BKC, Bandra East, Mumbai- 400051
DEMAT SERVICE CHAROES
N0.
Bevised charges w.B.f. April 2009
,ypes ol Charges
1
Advanre / Deposit
2
Annua ft4ainlenance Cha€es
:
N]L
0eneI,lCIlslomer:
For lndividrah
- Flrslyear |tee (ior newaccou0ls)
- Fr0m second year onwarft fls.250/_ p a. plus Service Tax (ST.)
tor Non-'nd.vidual ' os '50/ PLq
S.T
8S0A cuslomers:
-Firslyear iree
(l
nswaccounls)
- Thersaller no AMC lo be levied il llre valus of holdi0g
h
up
lo ns.50,000, durlnq linancialyeaL
A[,lC\|il]bechaqedatBsl00lplusS.T.!nlylorlhe./alueolholdinglr0nRs.50,00l/-ulrloBs.2,00,000rdlrinqlinanckyear
3
ns.3 00 p9r certil6als!]lth minimum ot ns.34/_ plus aclualpostage.
Denrat
Ns0L 0emalaccounl:
4
posla ge Iorevery hundted sscurllies or pa heleol subiectl0 maxiiqum{a€
|r lls aclual
Rs. 10/. per cerll{icale whlchever h higherlor NS0L lemal accouhls.
C0SL Demal accounl:
fls.301dus S.l pef aciual poslaqe per lSlN
Rs.10/"
5
Tmnsartion Charg.,s
I
0 039; ol marketvaluesubiecl lo mlnlmum Rs.20?. + S per lirnsaclion.
market !a ue subtecl to minifium 8s.20/_ plus S T. per lransaclion.
BCML
KYc regislsang Agency
Chaq€s
(KBACharges)
1r-
PiedseCrcation
I
P edge Creation
I
PledgeClosure
t0
P edge
and commemialpapers
0.0370 ol
plus sewice lax per debil instluclion.
l(RA charges @ Rs 40/- plus seflice iar pl'rs aclua!poskgelor new KYC data
XRAchargos@ Rs.401- Dlus service lar per download wil beapplhd.
For modllicalions ln KRA olthe exhlinq cllenls KRA chalqes @ As
7
tor oebl inslrumenls
tuslomgls:
Tnnsaction charges alRs
6
01fls 5,00,0001' orallalle0oi
30/'Plus
10
se
b€ uploaded
ic€
lax ph,s aclualposkgo
Bs. 100/. + s.T. oer lslN per reluest
conlimalion
Rs.100/- + S.I Der lSll,J per requesl
Closureconiirmalion
Rs.100/- + S T per lSlN per requesl
11
12
Frikd inslruciion charqes
NIL
l3
0lherCharg!s
o
D
tr
AddiiioMlA/c statsment Rs. 20/_ pkrs S.lpel Equost
Sign veri,lcation or any olher cerliJlcatc & lreeze / unfleezs 8s.50/- pl!s S.T. pel requesl.
OneDlsbo0kktoll0leaveslreeofc0slatlhelimeofa/copenn0andthereallerslbsequenl0lSwillbeissued@Rs20l
oll0leaves lor General Clsl0mer,
Tvro DlSslipsonly\1,lllbs ssuedallhBlime0,accoulopeningloBS0Acuslomar.
Chanqs 0iAddress/Eos Rs.30l pius SJ per reqLiesl
+S.T. par booklet
B
n
14
0vedue Chargcs
15
Transler ol Securilies
Inlercsl @18% F.a. will be payabl0lor payfi0nlof se.vic! charoes aller due dale
lrofi
on8
0Plo anolhsr DP conseque t
16
0ther Tams & Conditions
Consequentlo clos0re olaccounl, no charges to be leued , when Beneficiary owner (80)ltande.s alllhe sscur ties Lying in thi!
accouni to anolher Blinch ol lhe sams 0P or lo OP oltho same deposiloly ot another deposilory, provided tha B0 Accounts
attransleres DP andniimnsieror 0Pare one and th€ same i.e,ldenticali0 allr€specls,
a. Reiund of Ai,,lC on closureoi 0efirai sccount will be or quafterly basis)e.! ilaccoliiis closed ln the montlloiJuly,
rclund oi Al,4C lvillbe applicabl€ lcrrcnuining lvro quaders i.e. Deceober & March ol the linancial year.
b. Th€ servi6ss rot listed abovewiilbe charged sepafilely.
c. Costof Non.Judicial pape. or trankino h lo be boffre byihe clhnl.
d. Allllre abo!e charges dro applicable unilormlyto indivlduals, non_individual eraept thal Al\ilc are dillelentlor ndividuals
and Non.lndividuals.
e The charges ars s0bidcl to terison lrom time lo I
Signalurc
Sole / First Ho,der
me at Bank's discretian
Second Holder
Third Holder
BY SEBIAI{O DEPOSIIORIES
RIGHTS AND OBLIGATIO}IS OF BENEFICIAL OWNERANO DEPOSIIORY PARTICIPANT AS PRISCRIBED
GeneralClause
1.
Act' 1996 SEBI
The Beneficial Owner and ihe Depository padicipant (DP) shall be bound by the provisions of the Depositories
ot lndia (SEBI),
Board
and
Exchange
participants)
Regulations
of
Securities
Rules
and
19d6,
Regulations,
(oepositories and
issued by the
lnstructions
Rules/Operating
and
Business
Bye
Laws
Circulars/Notjficatjong/Guidelines issued there under,
Deposltones and relevantnotiflcationsofGovernmeniAuthorities as may be
2.
in force from time to
time
-fhe Dp shall open/aotivate demat account of a beneflcia, owner i. the depository syslem ohly a{ter receipt of complele Account
time'
opening{orm, KYc and supporting documents as specified by SEBlfrom time to
Benef icial Ownor inf ormation
3.
4.
in the account opening form, supporting documents
The Dp shall maintain all the details of the beneficial owner(s) as mentioned
owner
confidentially and shail notdisclose the same to any
beneficial
pertaining
to
lhe
submitted bythem and/or any other information
in this regard'
regolatoryautho'lty
legalor
statutory,
by
any
roquired
person exceptas
in deiails provided in the account opening form
The Beneficialowner shall immedlate,y notify the DP in wriling, ifthere is any change
aSsubrfiittedtoiheDPattr}e$meofoponingthedematac6ountolfurnishedtoiheDPfromtifietotimo
Fees/Charges/Tarift
5.
purpose of holding and transferofsecurities in demaierialized form and
The Beneficial Owner sha pay such charges to the DP forthe
to time betlveen the DPand the Beneficial owner as set out in the Tariff
time
to
from
may
bJagreed
foravailing depository services as
payablolotopening afdenataccounls"
sl"uiproiiouo oy tr.r" Op. lt may be informejio the Beneficial owner lh al "no charges ara
6.
tn case of Baslc
sEBl and/or
services DematAccounis, the DP shall adhere to the charge skucturc as laid down undet the relevant
Depository circulars/directions/noliflcations
7.
issued f rom time {o time'
given a notice in writing oi noi less than ihirty days to the
The Dp shal not increase any charges/taritf agreed upon unless il has
Beneficial Owner .egarding the same.
Dematerialization
B.
on the Depositories, dematerialized in the
The Beneficiat owner sha,l have the dght to get the securities, which have been admitied
depositories.
Instructionsoithe
and
Operating
Rules
Business
Bye
Laws,
fonr and mannertaid down undertre
SeparateAccounts
and securities of each beneficial owner shall be
The Dp shall open separate accounts in ihe name of each ol the beneficial owners
DP's own securilies heid in dematerialized
owners
and/or
beneficial
ofother
with
the
securities
Lrp
segregated and shall not be mixed
form.
pledge and /or hypothecation or any other interest or
.10.
The Dp shall noi facititate the Ben6fi6ial Owner to create or permit any
and/or held in demat account except in the form and
ior
dematerialization
submiited
securilies
any
of
such
all
or
encumbrance over
Regulalions, 1996 and Bye-Laws/Operating
and
Participants)
(Depositories
manner prescribed in the Depositories Act, 1996, SEBI
Depositories'
of
the
Rules
lnstructions/Business
9.
Transfer ofSecurities
only on the basis ofan order, instrucrion. direction
11. The Dp shalleffect transfer to and from the demat accounts of the Beneficialowner
the
original documents and lhe audit trail of such
shall
maintain
DP
and
the
owner
Beneficial
the
by
or mandate duly authorized
authorizat,ons.
in his demat account and
12 The Boneficial owner reserves the right to give standing instructions with regard to the crediting of securities
the DP shal, aci accordlng to such instructions'
Statement ofaccount
in such form and manner and at such tim6 as agreed wilh the
13. The DP shall provide statements of accounls to the beneflcial owner
Beneficial Owner and as specified by SEBI/depository in this rcgard'
14-However,iftheleisnolransactjoninthedenlalaccount'or]fthebalancehasbecomeNilduringtheyear,theDPShallsendone
physicalstaten.]entofhottingannuattytosuchBosandshallresumesendingthetransactionstalerneniasandwhenth6reisa
transaction
in
tlie accourt-
l5.TheDPmayprovidetheseryicesofissuingthestatementoidemataccountsinanoloctronicmodeiftheBene{icialownersodesires.
signature, as governed under the
The Dp wi furnish to ilre Beneficial ow;er $e statement of demat accounts under its digital
providing the slatement of demat account in the
lnformaiion Technology Act, 2ooo. However lf the DP does not have the ,acility of
accounis in physical{orm.
participant
the
statemenlofdemat
to
forward
obliged
shatibe
thenthe
mode,
elecircnic
DepositoryJrom
services DematAccounts, the DPshallsend ihe lransaction statements as mandaled bysEBland/or
16. ln case of Basic
tirnetoiime.
Sigrature
Sore
l iirsfllotoet
Second Holder
Third Holder
&a!sl,*',rl*&as&i{e.d!3B"|a;t 6alcar.xt
1I.:r€lggigiit."lt1€&!:i:!ar*seaiea€nralarcounio,itheBenellclalOwner,roranyreasonswhatsoever,provldedtheDPhasgiven
I -.!.-:. r A-a'a a' - tl lEss :1a r rr ry days io ihe .Eeneflcial Owner as well as to {he Depository- Sinrilarly, the Beneficial Owner shall
:?!etre.ttt i. dase h,Sherdemat accouni
held wilh the DP provided no charges a.e payable by him/her lo the DP ln such an evenl,
in their demat accoLrnt sho!ld be iransferred lo anoiher demat accounl oflhe
3s..'!srlaal Or,ner held rvith another DP orto rematerialize ihe security balances held.
:ie ter,isfutalOw.ea shal,speciiy wheihe.lhe balances
i3
tsased on tire inslructions of the Beneflcial Owner, the DP shall initiate the procedLrre for transferring such security balances or
.enai€flalize such security balances wilhin a perlod oi thirty days as per p.ocedure specified from time to time by the depository.
Provided turlher, closure of demal account shall not affect the rights, liabilities and obligalions of eilher the Beneiicial Owner ortire DP
anc shallcontinue to bind llre parties to theirsatisfactory completion.
Detault in paymentof charges
19. ln event of BeneficialOwner commilting a default in the payment of any amoLrnt provided ih Clause 5 & 6 lrithin a perlod oithirty days
from the date of demand, witholrt prejudice to the righi cf the DP to close lhe demat accoLrnl oI ihe Benelicial Owner, the DP may
charge lnierest aia rate as specified by the Dopository irom time to lime lorthe periodofsuch detaulr.
20. in case the Beneficia Owner-hasfailed tornakethe payment of any oi the amounts as provided in Clause
5 & 6 specified above, the
DP after giving lwo days notice to lhe Beneficial Owrer shall have the r ghtto stop processing of instnrclicns oi ihe BeneUcial Olvner till
such time he makes the payment along with interest. ilany.
Liabilityof the Depository
21. As per Seciion
1
.
2.
16 of
Deposilories Act, 1936,
Without prejudice to the provisions oi any olher law for the time being ln force, any loss caused io the benelicial owner due to the
negligence oflhe depository orthe parliclpant, the depository shallindemnify such benef cialovrner.
Where lhe loss due to the negligence ol lhe participant Lrnder Clause
shallhave the riqhl to recoverlhe same from such participant.
Freezln g/Def reezing of
(1 )
above is indemn:;ieC by ihe deposjlory. the deposllory
accounts
y,,iih the DP in accordance with the
orocedLrre and subjecl io the restriclions laid down underthe Bye Laws and Business Rules/Operal:ng lnsructions.
22. The BeneficialOwner may exercise the right to freeze/defreeze his/her demat account maintained
23- The DP or the Deposilory shall have the right lo freezeldelreeze the accounls of lhe Benefcial Owners on receipl of instructions
received from anyregLrlatororcourt or any stalulory aulhorlty.
Redressal of lnvestor grievance
24. The DP shallredress allg.ievances ofihe BenefrcialOwner against the DP wilhin a period ofthirty days from the daie of receipt of the
comPlalnt.
Autlrorized representative
25. lfthe Beoeficiai Owoer is a body corporate or a legal entity, it shall, alcnq with the accornl cpening iornr. furnish to the DP, a list of
officials aulhorized by it, who shail represent and interact on ils behaliwitn lhe Pa.liclpanl. Any.hange ii .uch lisl ircluding addilions,
delelions o. altelationi thereto shall
be
forlhwiih communicated io the Partieipant.
Law and Jurisdiction
26.
ln aildition to the speciflc rights set out in this doc!ment, the DP and the Beneficiai owner shall be entiUed to exercrse any other righls
which the DP or the Beneficial Owner may have under the R!les, Bye Laws and Regulations ofthe respective Deposilory in which the
demat accounlis opened and circuiars/notices issued there under or Rules and Regulations ofSEBl.
27. The provisions oflhlsdocument shalialways be subject to Government notification, any rules regulations, guidelines and ciaculars/
nolice$ issued by SEBI and Rules. Regu ations and Bye-laws oflhe relevant Deposilory, where lhe Benoicial Owner maintaios his/
heraccount, thal may be
in
force from lirne to time.
28. The Beneficial Owner and the DP shall abide by the arbilraUon and conciliaiion pro6edirre prescribed under the 8ye'laws of the
depositoryand thatsuch procedure shallbe applicable io any disputes betweeil the DP and the Beneficial Cwner.
29. yrords and expressions which are used in this documenl but which are nol delined herein shall!nless tire conlexl olhe^! se reqrriles,
have the same meanings as assigned therelo in the Rules, Bye-laws and Regulaiions and ci.cJlarsholices iss!{]d tllere underbyihe
depository and /or SEBI
30. Any changes in the rights and obligaiions which are specified by SEBl.lDepositor es slra lalso be brought to the notice ofthe.lienls at
once,
3'1.
If the rights and obligations ofthe pa(ies he.eto are altered by virtue of change in Rules and regLrl!1ions of SEBI or Bye-laws, Rules
and Regulations of the reievant Deposllory, where the Beneficial Owner maintarns hislher account. such changes shall be doemed io
have been incorpo.ated herein in modification ofihe rights and obllgations ofthe parlies meftroned in thls docurnent.
Signature
Sole / Firsl Holder
Somnd Holder
Tlrid I lii rier
ONLY FOR HUF DEMAT ACCOUNT:
To,
Bank ol Baroda
Central Back Office OP Operalions,(CBODPO)
Baroda Sun Towers, Groind Floor, C-34, G Block,
Bandra Kurla Compiex, Bandra (E), Mumbai- 400 051.
DearSirs,
We, the undersigned, hereby declare that we are the adult members
ot tfle Joint Hindu
Undivided Family of
andthat
is ihe Karta ol our joint family and as such Kada he is entitled to deal in connection with the said Joint Hindu Undivided Family
without any authority from other members o{ the family.
we
turther declare thal the business of the said Joint Hindu Undivided Family is canied on mainly by the said Kalra.
also byothermembers, in the interesi and benelitorthe said Joint
Farily.
We also undertakolhal any claim due to the Bankfrom the said Joint Hindu Undivided Family shall be recoverab,e personally irom
us including thesharesofthe minors, ifany.
Yours faithfully,
![aDels and sionatureis ot all A
1.
2.
4.
Namd6 of the Minor Member/s
(Signature ol Karta with Bubber stamp)
MANDATORY DOCUMENTS REQUIHED FOR OPENING AN INDIVIDUAL DEMAT ACCOUNT
A
Coptes should be selt attosted by the A/c holder and duly verllled with th€ orlginElund€r slamp and slgnature ot the DP/B6nch
a) Account Opening Form (lNOlVloUAL)
b) Agreement {Rs. 100/- Non.Judicial Stamped paper or
trankng)
c) SeU attested PAN Card copy ol all account holders (must be veritied with the origlnal under stamp and slgnalure otthe
DP/Branch Official and valldated from hcome Tax web siie :- X[pi(lnoqlldaxhdjaelril&qgvJr!
d) Addltlonal Phoio idenlity proot, il photograph is not matched with PAN card copy.
e) 56lI attested Address Prool ot all holders (mus! be verilied with ihe origlnal under siamp and signature of Branch Offlcial)
t) SelI attosted copy o, MICR cheque or MICR cheque wlth tatesl siatement ol accounl or pass book copy
g) Pasle latest passport sire photograph o, all account holders on Account Openlng Form and sign across the photograph/s.
NBI: All mandatorv documents as above
-
FEMA Declaration, lndian Correspgndence Address & Foreign Address proot and Bank a/c indicating type ol a/c as NBE / NRO
MINOF : All mandatorv documents as above lThe minor should be the flrsl and sole holder in the account)
Copy of l\rinors Bi,th Ceriificate along with copies of PAN Card ol l\r,nor and Guardian with self adesiation by lhe guardian.
One passport size photograph oi Minor and the Guardian with signature of the Guardian across ihe pholographs.
f,
-
lluF: All mandaiorv documenis as above
..
PAN Card of Kana and decJaration giving detaiis of the lamily members ol the HUF with their names.
Declaratlon for e availinE of Basic Servlcos O6maiAccount (BSDA) faclllty
To,
/ We wish to avail the BSDA facitity for the new accounl for which we have submittod my / ou. account opening form
f:
I
f_--'l
I / We
wish io avail the BSDA facitity for my / our below mentioned demat account number
Cll.ht lD
DP ID
PAT{
Namo
sole/Fksl Holder
Second Holder
Third Holdor
t/We heve road and undersiood the regulalory (SEBI) guidelines foropenonga Basic S6rvicesDematAccountand undertake to comply with lhe afor€said
guidetines from lime to tims. l^ e also undertake to comply with lhe gujdelinee lssued by any such authorlty for BSDA facility from lime to lime. l^ll/s also
agreelhat in case ou.demal account opened und€rBSDAfacility do€s not meet the eligibilityfor BSDA faciliv es perguideline issued by SEBIor any such
authority atany poiniofttme. my/ our SDAaccount wlll be converled to aegular demal eccount without furthsr reference io m6/us and wlllbe levied charges
as epplicable to regulaa accounts as iniormed by the
t,
lhe i:rst / Sote holder, also herebydeclarethat
DP
ldonothave/proposeto haveanyolherdemataccountacross deposiiodes
as a first / sole holder.
Slgnature
Sole/First Hoider
Second Holder
Third Holder
Acknowledgement Rec€,pl
Received BSDAdeclaration form from
:
Name
Oale
:
Depository Prrticipant Seal and Slgnatlro
Know Your client (KYc)
anelication Form (For lndividual.
ffi
$ ffi
$
W3$
Please
Iill in
ENGLISH
i*
only) 'qF'
.nd in BLocK tErTERs with bra*
Applietion No.
:
ink [Vl
F
I
l{aneof Applkant/Asapfedinq rf s-pponr q de1]taro' oo(,Ir?rl,
1.
I rv"."
]
I FadE/s/spour€
t--
PHOIOGRAPH
I
rl
E
E
:
i
-i
.F
;
E
E
Name
Ij ,.0*a"' Dva.e Dr.nae
stutrr
pease rict
(r')
Maritalstarus
trs,l.e D'.rd,.rd coateof
i
R(5i&nr
Lndvdral nNon Residsfl Ll
...
l5.PAN ..........r
(ulD)/Aadhaar,
I unique ldeilificalion Number
I luorquar"i :
t
Plese
t
Pleas€ enc'ose
Passpor:
'tti'
re.enr
P'$Porr
'h.
iz. photoe,iph.nd
For"iln Natloral (Passport ccpy Mandarory ior Nili & toreign
llatiera,
'iq"co$
it
a dlly arlesred copy ofyourPAN card
.1\..
5. Proof of ldentily rubmitted for PAN exempt cEes Pie..e
{
Birdr
llolher .. ....
ls.Nationality L..llndi.ir
l*
B.
nvoF l) :Drvnq
lt. pl
llo'1e6.
Lrcel.e
Pleare see
I
floninP
D'owtdl
: Fl I 8. Aadre.; pq!.ils (please Eee" guidelioe overleaf)
t. .lddr*s tor corresnondence
!
|
rl
et
sl
!
#
i
f
TI
E
3
;i
E
!l
.!
st
ot
|
cq rr,riv
ige
Dlroe
I z. contact oerails
| ,.
:]|.fi€s),:i)r iiil
: :
i r ro[)
I t'rn ,,
:
Prcof of address to be provided by Appli(ant Please submit ANY ONE of the following valid do(Un:€nG & ti(k {r') agairrt the doclhonr afla.hed.
i:Jvcter lcentry Ca.d n*Latert Eank }/c siaremenl/Pajsbook
|I tr currpot ERai,J'r c,rrd EReq,:arcd i-e;r€A:ic AgEemeni o{ ilesiden.e n)dvirg License
f-.,,,,
',E el.,'mretr.lr. !1..1.:ne) E La'F,I Fle(-'.rry bi.r :'r,::..: G:s Brll ['I1P6
|
|
:
",.
rn.n 3 Monrh5
o;.
validity/ExFiry date of prcof of
addF$ bmitted
a. Permanent Addresr oI Resident Applicant if different fiom above
B
l
,
-:/
/
OR Ove6eas
,
AddHs (Mandatory) for Non-Resident Applicnr
!l
IlE
:
II cryrt^rrv,tig
...
Dq(o)e
rour]
,l
{
| S. rmof of addrers io be provided by Appli(anl. Please submit ANY ONI of the tollowihg valid documents & ti(k {r') against lhe document atladed.
.E | tr paxpon nRai:$. Card nielisier€d le.le/srie Agremsni of qesidefe nDrivirg Lice|j5e [-]VctBr ideniv Card EtLaten Bank ],/c siaierlenvPnslboi:rk
i
I tr'L;t"rt tel"p'rorE B' (orlv tand tne) n*Lai€rr Eleci ciry 8i:; i*leiE5i G;s Bi[ no:]rere
:l'Notm@lldr3Mo,'tlsold.v.lidity/Expirydateofp@totaddeir5ubmitGd.//,
: P c. other Detaik (please +e guidelines overleal)
1. Gross Annual lncome Details (Please tKk (,,): EBeowl Lac Cll-s Lac Is-lotac
€
E]
t.:"rl'l n.'
,:r: :i'r
:': ; r:'i: ''::: -'::':
;
1
j
E
El!
E
.g
<'
I z. o..upution iPlease ll(({r') !1y o,re a1d gNe ore{ deia li,
F
Net-worth in
|
=
| i
| 3.
I
Pr
(date)
I
/
service E Public Sector E Governrnent Service n Buriness lProfersional DAgriculturist
fe E sluoenr E cr,ex Dealer E o,hers ,D ease ip"{ ity)
tid, if applicable: I Politically Erposed Pe6on l] Related to a Polltically Exposed Person
vate sector
nReircd
Fou.ew
Please
r_or
as on
definition ol PtP olease reler oJioeline overleat
| 4. Any other information:
i; ts
#
3
g
[:10'2s La( t]>2sLacs
oR
DECLARAIoN
srGNAruRE oF AppucANT
lh-,eo7 de(la'e thal rl.e detd:,r h)rr;meo dbo,e are rLe anu ior!rr ro llre oe.iorr/oJr lnowledge and behefand
tunderta*e to rnformyo! ofany.h.nges tlrcrein, immed ateiy.ln(ase anyoflhea6ove inlormati6n isfound io be
fa lse or
untrue or mislea ding or misrepresentin q,
I a
m/w€
a
rc aware that vwe may be held liable for
Pleer:
ri,3i:r:1!!;:i,,tr"r:li
ri,,,rli;t,r...t:,,i::tli,rFir
Ah'C,trern Pd"1 rdme OR
i
j
i
l Gllesled)tue
l0r g nah \er
it
Dale:
fEll sell
cople5
Main lntennediary
ioFFi€10SEiiiil-!Lyriril!:;,:,ri|i:i::,
cooe
a
Cefl
lied Dr.,rmerl ropies
ol dorumlnt .ereiued
..
rpr€ied
:
:ir:r,,,
'c,.
tpv Doner
I
on
/
.
t,
irr
iiir. ,
l
,
/
INSIRTJ(TiON5
A.
(HLCK LISI'I'C]R
Se
2.
copies ol al the documenls subm tted by the applicanl 5h0!ld be
fdltested copy of PAN card
is
ind a(comparied
the ccpies sholld be prope
attesl nljthe docxmentt ds
f any prool ol ldpntlty or
fianoatcrylor a lclents.
2.
hy oiiqina s {or veriitaticn. In case
t rol
the or qina of any document
prodLjc,.d fcr verifi(ation, thef
tl
5.
address
rs n a foregn
alpl cation n
h
r indvidua name &
jafd
ty.
/Slate
Governmenl
and ts
Depatnenis,
afiiiated to Un:versilies and Professiofa Bodies 5uch as
C["/A, ](5, 3ar (o!ncil el(.,tc ihe r tu1embe15.
in lhe absenae ol D N no lor
aAl,
lf
congr ar s"ad)that c vesthe regi(ered addrers lhou d he tak,on
case
for:
oi Merchant Na\,! l'lRl!,
i!o!s
D
Nlariner's dec arat on or cenified
scliarge Certilic,rle) sto be subm tted.
Theprcolcladdresr I the fame olthe spoule
pat c pantcr,r4ltLra :!nC,
m not photocopy of the 5(hool Lea,ri.q ceftrf catell,4ark s]:eet
ssued
f ertif
by H gher
5e(ondary Board/Paslpcrt
of
Nl
rorlBlth
cate m!st be provrded.
(PEP)are
l. Polt caily
irs indivicLra s
deflne.l
Exposed Persons
"vhc:re
orhavebeenentrutteowthprcmineni pubiclunctionr rlaforeiqn
country, eg., Heads
poll(ian!, tenior
executrves
of
Slales
or
of
Gcvernment/judlcial/m
0,
ilary ollic:r!
sefror
ol state owned corporatloni rmportaft poit.al part/
(.SuIfi(ienl do(mentary eviden(e in support oI su(h (laims
to becolleded.)
L
as Proo,
of ldentity:
?Ai'l (ard w th photo!raph. Thi5 i5 a mdrddtory requiremenl
2
lnvestorsresdngrntherrdleoiSikkm.
3.
UN entil es/mu t laleral ager'r.res
lor.ll
4. S Pof[4ur!a lLfd5
5.
LJnque ldentllcation Number (L-llD)(Aadhaar)/ Passport
t,
GorerNrnent
afd ts
staruiory/Regulatory ALrthoritlet P!bLic
/Voler
D
taxerliling lax
upro
Re
50,C00i -p a
lr
.ase ol nstt!tonal cIent5, nanre\', Fllt l'41!, VCFt FVCls,
SchedLred Commercal Banks, lr'lu liatera and Bilateral
Finanaa nstitltion ae defned under se.Ion 4A cltlre Conpan:et
Act, 1956, [lstodians shal] ,/erlly the PAN carcl deta 15 wth tre
Seclcr
orig
Depailm€rtt
Unde(akings,
Banks, Publi( Flnan.ial lnstltuircn' Co eges
alllliated 10 Univerlltiet Profess ofa Boa es ruch as aA, (V,/Al,
i(S,
ng
i5titutrort 5tale lnd!rstral Developmenl
Corporationi r5uran(eCorn!ani€sregsteredwih RDAaidPubic
cardl documentvr'ith app:cants Photo, issued b)' any ofth€
Saheduled
eremptIo n pay
Development Finanoal
(ii!led inScction D)
cardl Driling l(ense
dent
cltransact ons undertaken on beha f ofCentralGovenrment
01Jc a llq!idator, aourt receiveretc.
app lcants exceptlhosewho are speclcdly exemplfrom obtainirg
folowng aeflra/5ta1e
n case
and/or Siate Governr.ent and by cllcials appoirted by Courtteq.
eturntinlndia
B. ProoI of ldentity( Pol): tist of dooments admissible
2Af'J
mn.i be dc.epted.
Exemplions/ darifi(ations to PAN
Gcvernments, senio
ollcials, etc.
Co.rme(ia
3ar Counci ei(., 10 their llenrbers; and aredll (arde/Debit cards
rssLredbyBanks.
ProofofAddress (PoA): list oI documents admissible as Prool
oI Address: (*Do(uments having an expiry date should be
valid on the date olsubmission.)
I
aiy of the {o lcwing: gank Nlanagers of
tor Flkub accolnt, Po!,rer olAltorney given by Fl /sub a,:co nt tc
the Cuslcdians (whch ar,. d!y .otarzed and/or,rpcstilea or
10. tor openrng an acaountwilh Depostcry
c.
b-v
ed
the directort thelr paesponcopy sho! d be qiven.
copy ofCDC (Cont
3
Coutludget giv nltthe
owf accounls.
statutorylRegulatcry ALrthorilet P!b ic Sector Undertak ngs,
Scheiu ed Comnrer.ial 8anks, PubIc iiranc aiinrtrtutions, (olle!es
copv ol pas5pofi/P 0Card/oclC.rd and
opt ona
r
dentity card/documenlw th address, issLred by any olthe Io'lou,in!:
overgeae address procJ is mandatory.
is
Nol rnore than 3 montht old
by H gh Coudand Supreme
As5embly/ParIamenyDocunieits srued by afy Govt. or SlalLrtcn/
1. For flon-resid€nis and foreign naionals,lallovled to irade sLrblect tc
2.
ir respeclclthe
Centra
Forlcre gn ent ties, CIN
-
Commercral Bankr/Schedu ecl ao_operatve
Eank/11!ltlnatcna Foreigf Bankrcazetted offi.erlNotary
pub crElected repreeentalives to
the Leqislalve
capacity
1.
of
new address
Autho
Sole oroprietor must rnake the
J
se f-de(laral
SchedLr
tlbm fied.
/A guideliner),
,4arnlenance
,ltlq,bilt,keTelephoneB I (onlyland ine),Ele(rlcirybilorGatbll
\otmorethan I morthsold
Prool cf adCress issued
llcor{espondence & perrnafeit adar€9t are diilererl,lhen proofs lor
RBI and FE
License/Flat
languaqe, lhen
th€ doc!menlary rroofs!bmrtted
bolh havetobe
rq
3arkAccounlStdteme[tlPassbook
by enttes autlorized for
perthe below m€ftioned l5t.
Nam€&addresroltheapp (anlmentronedontheKY(lorm,sholld
mdtch\\,
nce/Dnvi
esrde
y' attested
tran5!ationinto Enqlish r rert red.
4.
R
br:/ fgur,rr(e acp).
1.
3.
cf
Agreement
IMPORIANTPOINTS:
self attestei
KYC fORM
'ILI"ING
Pas5podvoter5 de,rtity CardlRat on Card/Reg stered Lease or
ial
PAf,l ca d and prov:de du y certif ed copres oi such veni ed
PAI'.ldeta k tcll"e iiiermediary
List ol people authorized to attest the do(ument5:
l.
f.lotarv
Publ
c,
Clfr(e, l,,lanager of a SchedLrled
or ,[]ult nat onal Fcreign Banks
lName, ies gnat cn & Sea shou d be,:llxed onthecopy).
2. ln
rase
of \Ris, althorzed offcl.k of
5dredu ed Ccmnercai Edfks
Court [1aq nrdle, ]udge,
country lyher€
Sa e
Gazetied
Commercia /Co-operative Bank
idian
o\,err".a5 bEn(h€s ol
reoirte€d n lnda. Nctary
Publrc,
Embassyi (onsulate General n the
the dei't resides are permitted to attest
the