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    Annexure 2.1

    Uploaded by

    sunilmundhesm7720

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Annexure 2.1

    Uploaded by

    sunilmundhesm7720
    12 views3 pages

    Original Title

    ANNEXURE 2.1

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views3 pages

    Annexure 2.1

    Uploaded by

    sunilmundhesm7720

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Annexure2.

    1
    Additional KYC Form for Opening a Demat Account
    For Individuals

    (To be filled by the applicantin BTOCKTETTERSin Engtish)

    I/we requestyou to opena demataccountin myl our nameas per followingdetails:-

    PAN
    Sole / FirstHolder's
    Name UID
    PAN
    SecondHolder'sName
    UID

    PAN
    Third Holder'sName
    UID

    Name *
    * In caseof Firms,Associationof Persons(AOP),ParhershipFirm,Unreqistered
    Trust,etc., althoughthe accountis.
    -partnership
    openedin the nameofthe naturalpersons,the nameofthe Firm,Association of persons(AOp), Firfit
    UnregisteredTrust, etc., shouldbe mentionedabove.

    of
    Status Sub - Status
    o Individual O IndividualResident O Individual-Director
    tr IndividualDirector'sRelative tr IndividualHUF/ AOP
    tr IndividualPromoter O Minor
    O IndividualMarginTradingA/C(MANTRA) O Others(specify)

    O NRI O NRI Repatriable O NRINon-Reoatriable


    tr NRI RepabiablePromoter tr NRI Non-Repatriable
    Promoter
    tr NRI- DepositoryReceipts O Others(speci$r)

    tr ForeignNational flForeignNationa|trForeignNationa|-Depositorynece@

    Details of Guardian(in case the account holder is


    Guardian'sName I PAN
    Relationship with the aDDlicant
    I / We instructthe DPto receiveeachand everycreditin my / our account
    [AutomaUcCredit]
    (If not marked,the defaultopUonwouldbe 'yes,) OYes ONo
    I- 4-JVe_would_liketo instruct the Dp to acreot all the oledoe
    !ns!ru4!ons- in mv /our account withoui inv-othEi-iurtilE
    instructionfrom my/our end OYes O No
    ( If not marked,the defaultootionwouldbe.No.)
    AccountStatement I
    Requirement | tr As per sEBI Regulation o Daily tr weekly trFortniohtlv DMonrhtv
    ! / We requestyou to send AeA "- luYes
    ID ONo
    I/ We would like to share the emai! ID with the RTA
    OYes BNo
    I,/ We ryourum<e
    to rc
    Electronic
    (Tlcrlherppleable box. If not marked the default ootion would be in physical)

    Doyou wishto receivedividend/ interestOirectlyin to youibanf accoill gVd


    belowthroughECS?(If not marked,the defaultoptionwouldbe . yes')
    IECSis mandatoryfor locationsnotifiedby SEBIfrom tjme to time I

    Communiqu6
    no. CDSVOPS/DP/POLCY/3804
    datedJuty13,2013 PageI of 3
    Bank Details IDividend Bank Details]
    BankCode(9 digit MICR
    rndp)
    IFSCode(11 character)
    Accountnumber
    AccountVpe O Savino O Current O Others(soecifo)
    BankName
    BranchName
    BankBranchAddress

    Citv I State I ICountrv I PINcode

    (i) Photocopyof the cancelledchequehavingthe nameof the accountholderwherethe chequebookis issued,(or)


    (ii) Photocopyofthe BankStatementhavingnameand addressofthe BO
    (iii) Photocopyofthe Passbookhavingnameand addressofthe BO,(or)
    (iv) Letterfrom the Bank.
    > In case of opUons(ii), (iii) and (iv) above,MICRcode of the branchshouldbe present/ mentionedon the
    document.

    NO.+91
    MOBILE
    SMSAIert Facility
    Referto Terms& Conditions [(Mandatory,ifyou aregivingPowerofAttorney( POA)]
    givenas Annexure - 2.4 (if POAis not granted& you do not wishto availof this facility,cancelthis
    ootion).
    I wish to ayail the TRUSTfacility usino the Mobile number reoistered for SMS
    Alert Facilitv. I have read and understoodthe Terms and Conditions orescribed
    TransactionsUsino
    bv CDSLfor the same.
    Secured Textino Facilitv
    fiRUSD.
    Yes
    No
    Refer to Terms and
    I/We wish to reoister the followino clearino member IDs under mv/our below
    Conditions Annexure-
    mentioned BO ID reoisteredfor TRUST
    2.6
    ClearinoMemberID

    To registerfor @si, pleasevisit our websitewww.cdslindia.com.


    Easi Easr allowsa BOto view his ISIN balances,transactionsand valueof the
    portfolioonline.

    Nomination Details

    NominationReoistrationNo. Dated
    I /We the soleholder/ Joint holders/ Guardian(in caseof minor)herebydeclarethat:
    fl I/We do not wish to nominate any one for this demat account.

    Q f/We nominate the following personwho is entitledto receivesecuritybalanceslying in my/our accoun!


    pafticularswhereofare givenbelow,in the eventof my / our death,

    FullNameof the Nominee


    Address

    Citv State
    Countrv PIN code
    Teleohone
    No. Fax No.
    PAN UID
    E - m a i lI D
    Relationshiowith BO(If anv)
    Dateof birth (mandatoryIf
    nnminpo ie a minnrl

    Communiqu6
    no.CDSUOPS/DPiPOLCY/38O4
    datedJuly13,2013 Page2 of 3
    As the nomineeis a minor as on date, to receivethe securitiesin this accounton behalfof the nomineein the event of
    the deathof the Soleholder/ all Joint holders,I/We appointfollowingpersonto act as Guardian:

    Fullnameof Guardian
    of Nominee
    Address

    ciw State
    Country PIN
    Teleohone
    No. FaxNo.
    E-mailID
    Relationshio
    of Guardian
    with Nominee

    This nominationshallsupersedeany prior nominaUonmadeby me / us and alsoany testamentarydocumentexecutedby


    me/ us.

    Note: Two witnessesshallattestsignature(s)/ thumb impression(s)

    Detailsof the Witness


    First Witness Second llvitness
    Nameof witness
    Addressof witness

    Signatureof witness

    I/We have read the terms & condiUonsDP-BOagreementand agreeto abideby and be boundby the sameand by the
    ByeLawsas are in force from Umeto time. I / We declarethat the particularsgiven by me/us aboveare true and to the
    best of my/our knowledgeas on the date of makingthis application.I/We agreeand undertaketo intimatethe DPany
    change(s)in the details/ Pafticularsmentionedby me / us in this form. I/We further agreethat any false/ misleading
    informationgiven by me / us or suppressionof any materialinformationwill rendermy accountliablefor terminationand
    suitableaction.

    First/Sole Holder or
    Guardian(in caseof Minor)
    Name

    Signatures

    (Signaturesshould be preferably ln black lnk).

    AcknowledgementReceipt

    Application No.: Date:

    We herebyacknowledge
    the receiptof the AccountOpeningApplicationForm:

    Nameof the Sole/ FirstHolder


    Nameof SecondHolder
    Nameof ThirdHolder

    DepositoryPafticipant Seal and Signature

    TearHere)======
    (Please

    Communiqu6
    no. CDSVOPS/DP/POLCY/3804
    datedJuty13,2013 Page3 of 3

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