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BSE Activation Form

Zerodha

Uploaded by

xytise
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27 views3 pages

BSE Activation Form

Zerodha

Uploaded by

xytise
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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#175/176,2nd Floor, Bannerghatta Main Road, Bilekahalli, Bangalore 560076

Date: dd/mm/yyyy
To,
Zerodha
Clearing Code: 6498
SEBI Reg. No: INF011390623 (F&O)
INB011390623 (Cash)

Sub: - Application for dealing/trading in Cash & Derivatives Segment of BSE


I/We hereby declare that I/We wish to deal/trade in the following segments of
BSE provided by you and furnish the following details:
Please sign in the relevant boxes where you wish to trade. The segment not chosen should be
struck off .

BSE Cash Segment

BSE F&O Segment

PAN of the Client

: ___________________

UCC allotted

: ___________________ (Mention Existing NSE Client Code)

Full Name of the client

: ___________________________________________

(as per PAN card)

Address

: ____________________________________________

(as per address proof already provided)

____________________________________________________________________
____________________________________________________________________

Email Id

: ____________________________________________

(mandatory in case of ECN)

Details of Income
Proof given*

: ____________________________________________

I/We hereby declare that the details furnished above are true and correct to
the best of my/our knowledge and belief and I/We undertake to inform you of
any changes therein immediately.
I understand that the Member-Client Agreement executed is construed as an
Agreement for the Cash and Derivatives Segment of Bombay Stock Exchange
also.
___________________________________
Signature of the client

Documents required to be submitted along with this form:


1)*A copy of any of the below documents to be submitted as Income Proof:
Pay Slip (Latest)
Form 16/ IT Returns (Latest)
6 Months Bank Statement (Latest)
Copy of Demat Holdings with other broker
2) Copy of PAN Card which is self-attested.

dd/mm/yyyy
IL&FS Securities Services Limited
IL&FS House
Plot No. 14, Raheja Vihar
Chandivli
Andheri East
Mumbai - 40072
DP Id

IN300095

Client Id

Name(s) of the holder(s)

Mention name of DP account holder

Sub

Amendment to the list of specific accounts

(Mention 8 digit DP ID)

Dear Sir / Madam,


This is in connection with the captioned demat account held with ISSL
Kindly note that to facilitate proper execution and completion of all trade transactions
done through ZERODHA, I/we have granted Power of Attorney (POA) to ZERODHA in
its capacity as a Broker to operate the said Demat account.
This is to inform you that in addition to the pre-notified accounts mentioned in
Schedule II of the POA, we authorize ZERODHA, for effecting transfers from the
aforesaid Demat Account to the Demat Account, particularly mentioned herein below
Request you to kindly take note of the same in your records
(Details of the New Account)
Account Type
CM BPID
DPID
Pool
11496000 IN300095
Pool
16014800
Ben
IN300095
Pool
11619878 IN300095
Pool
16014800

DP Name
ISSL
ISSL
ISSL
ISSL
ISSL

Sincerely,

1st holder

2nd holder

3rd holder

Client ID
11496000
00278209
11614253
11619878
00446187

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