Esign

Know Your Client (KYC)
Applica on Form (For Individuals Only) Angel One Ltd. CDSL VENTURES LIMITED
….Exploring New Horizons
Please fill the form in ENGLISH and in BLOCK le ers Applica on Number: SP70806117
Fields marked * are mandatory
Fields marked + are pertaining to CKYC and mandatory only if processing CKYC Applica on Type*: o New KYC o
✔ Modifica on KYC
also
KYC Mode*: Please Tick ( )
Normal EKYC OTP EKYC Biometric Online KYC ✔ Digilocker
1. Iden ty Details (please refer guidelines overleaf)

PAN* HSOPK2250K
____________________________
Please enclose a duly a ested copy of your PAN Card
Name* (same as ID proof) DIPAK KUMAR

Maiden Name+ (if any)
Fathers/Spouse’s Name* BASISTH SINGH
Date of Birth* 21-05-1994
Gender* ✔ Male Female Transgender
Marital Status* ✔ Single Married Recent passport size
Na onality* ✔ Indian Other Applicant Photo
Residen al Status* ✔ Resident Individual Non Resident Indian

Please Tick ( )
Foreign Na onal Person of Indian Origin +
Cross Signature across photograph
(Passport mandatory for NRIs and Foreign Na onals. PIO selec on is only for CKYC and not for KRA KYC.
Select NRI or Foreign Na onal based on Na onality of the individual)
Proof of Iden ty (POI) submi ed for PAN exempted cases (Please ck)
A — Aadhaar Card XXXX XXXX __ __ __ __

(Expiry Date)
B — Passport Number
C — Voter ID Card
(Expiry Date)
D —Driving License
E —NREGA Job Card
F — NPR
Z —Others (any document no fied by Central Government)
Iden fica on Number

2. Address Details* (please refer guidelines overleaf)
A. Correspondence/ Local Address*
Line 1* GRAM- DHARMA BANDH THANA- MADHUBAN, MALKERA
Line 2 DHANBAD, JHARKHAND

Line3
City/Town/Village* DHANBAD District JHARKHAND Pin Code* 828304

+
State* JHARKHAND Country* India

Address Type* ✔ Residen al/Business Residen al Business Registered Office Unspecified
Applicant eSIGN
DIGITALLY SIGNED
B. Permanent residence address of applicant, if different from above A / Overseas Address* (Mandatory for NRI Applicant)
Line 1*
GRAM- DHARMA BANDH THANA- MADHUBAN, MALKERA
Line 2
DHANBAD, JHARKHAND
Line3
City/
DHANBAD JHARKHAND Pin Code* 828304
+
Town/Village* District
State* JHARKHAND Country* India
Address Type* ✔ Residen al/Business Residen al Business Unspecified
Proof of Address* (a ested copy of any 1 POA for correspondence and permanent address each to be submi ed)
✔ A — Aadhaar Card 5783

XXXX XXXX __ __ __ __
B — Passport Number (Expiry Date)
C — Voter ID Card
(Expiry Date)
E —NREGA Job Card
F — NPR Le er
Z—Others (any document no fied by Central Government)
3. Contact Details (in CAPITAL)

Email ID* [email protected]
________________________________________________________________________________________
8976042546
Mobile No. * _____ ____________________________
Tel (Off) _____ ____________________________ Tel (Res) _____ ____________________________
4. Applicant Declara on
I/We hereby declare that the KYC details furnished by me are true and correct to Applicant eSIGN Applicant Wet Signature
the best of my/our knowledge and belief and I/we undertake to inform you of any
changes therein, immediately. In case any of the above informa on is found to be
false or untrue or misleading or misrepresen ng, I am/We are aware that I/We
may be held liable for it.
I/We hereby consent to receiving informa on from CVL KRA through SMS/Email on
the above registered number/Email address.
I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be
validated against Aadhaar details. I/We hereby consent to sharing my/our masked
Aadhaar card with readable QR code or my Aadhaar XML/Digilocker XML file, along
with passcode and as applicable, with KRA and other Intermediaries with whom I
have a business rela onship for KYC purposes only.
20-01-2024
DATE: _________________________ (DDMMYYYY)
Mumbai
PLACE: _______________________________________
5. For Office Use Only

InPerson Verifica on (IPV) carried out by* Intermediary Details*
IPV Date 20-01-2024 ✔ Self cer fied document copies received (OVD)
✔ True Copies of documents received (A ested)
Emp. Name Nishu Rewani
AMC / Intermediary Name :
Emp. Code E80236
Emp. Designa on Executive Angel One Ltd.
Employee Signature and Stamp

PAN VERIFICATION RECORD
Permanent Account Number
HSOPK2250K
Name DIPAK KUMAR
Gender MALE
DOB 21/05/1994
Verified On 20/01/2024 03:36:56
Digitally Signed On:

20/01/2024 03:36:56 IST
Note:
1. This PAN data is verified by DigiLocker (https://digilocker.gov.in) as per data provided

by the issuing authority, Income Tax Department, Govt. of India.
2. This digitally signed verification document is valid as per the IT Act 2000 when used
electronically.
Powered by TCPDF (www.tcpdf.org)

DigiLocker verified e-Aadhaar
This Document is generated form Verified Aadhaar XML obtained from DigiLocker with due user consent and authentication
Document type
e-aadhaar generated from DigiLocker verified aadhaar XML
20-01-2024 03:37:02 20-01-2024 03:37:02
Generation Date Download Date
Masked Aadhaar
number xxxxxxxx5783
Name* DIPAK KUMAR
Date of Birth* 21-05-1994

Gender* Male
C/O , S/O
GRAM- DHARMA BANDH THANA- MADHUBAN,
MALKERA DHANBAD, JHARKHAND DHANBAD
JHARKHAND 828304
Address
Landmark Locality
City / District DHANBAD

PIN Code 828304 State JHARKHAND
Declaration : I say that I fetched my personal data above, from UIDAI database using my Aadhaar. The data have been
provided by UIDAI in XML format and I uploaded the data to Angel One Ltd. for doing KYC with them.
Lively Photo:
Geolocation Detail:
Country N/A
Region Maharashtra
City Mumbai
Zip N/A
Latitude 19.0748
Longitude 72.8856
ACCOUNT
OPENING FORM
FOR INDIVIDUAL
FOR CSO USE ONLY EQUITY & COMMODITY B2C

Form No. Application Type New Update
Client Code KYC Number
DP ID
Branch Code
AP Code
Ver: 3.5 Dec 2023 Connect with us

INDEX OF DOCUMENTS
S. No. Name of the Document Brief Significance of the Document Page No.
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES
A. KYC Form - Document captures the basic information

about the constituent and an instruction/check list.
1. KRA Form and Account Opening Form 1 to 5
B. Document captures the additional information about
the constituent relevant to Trading/ Demat account &
an instruction/check list.
Document detailing the rate/amount of brokerage &

2. Tariff sheet other charges levied on the client for trading on 6
exchange(s) & DP Service charges/Fee Structure
3. A Client Declaration - Open Interest Position A Client Declaration - Open Interest Position 7
Document describing significant policies and

4. Policies and Procedures procedures of the stock broker
SEPARATE COPY FOR CLIENT

Document stating the Rights & Obligations of stock
broker/trading member, Authorised Person and client
5. Rights and Obligations for trading on equity and commodity exchange
(including additional rights & obligations in case of
internet/wireless technology based trading).
Document detailing risks associated with dealing in the

6. Risk Disclosure Document (RDD)
securities & commodities market.
Document detailing do's and don'ts for trading on

7. Guidance note exchange, for the education of the investors.
Rights & Obligations of Beneficial Owners & Document stating the Rights & Obligations of Beneficial
8.
Depository Participants: Owners and Depository Participants.
VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER

1. Authorisation to maintain Running Account
Running Account Authorisation 7
Consent for ECN declaration
Additional terms & conditions specific to clients

2. Voluntary Terms & Conditions 8 to 11
for the purpose of operational efficiency.
Rights and obligations relating to margin trading

3. Rights and Obligations - MTF 11 to 13
facility provided To client
Nominee details for Trading and Demat Account / Consent

Nomination Form, Nominee opt out Form,
4. for Nominee opt out / POA provided by BO to Angel for 14 to 18
Power of Attorney & DDPI POA settlement / Margin purpose / Demat Debit & Pledge Instruction
IMPORTANT NOTE 1. Signature Types:
FH Signature of Client / First Holder SH Signature of Second Holder TH Signature of Third Holder
G Signature of Guardian Authorised Signatory of Member

FW Signature of First Witness
SW Signature of Second Witness
2. In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature
IMPORTANT INSTRUCTIONS
1. All details to be filled in Capital Block letters in Black / Blue Ink Only.
2. Email ID & Mobile number is mandatory for account related passwords and transaction details.
3. Corrections in the KYC form should be counter signed.
4. Strike off whichever option, in the account opening form, is not applicable.
5. All Originals to be produced for physical verification.
6. If any proof of identity or address is in a regional language, then translation into English is required.
7. Sole proprietor must make the application in his individual name & capacity.
8. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
KYC CHECKLIST (PLEASE TICK WHEREVER APPROPRIATE)
Acceptable Documents (Copies of all documents to be self attested) Please Tick
PAN Card Account Holder & Joint Holder’s (If any)
Photograph One Colored Front Face Photograph on photographic Paper (Passport Size)
1. Unique identification number (UID) (Aadhaar)
KRA document used
2. Valid Passport (Name, Address & Photo page)
3. Voter ID (front and back) (Email Id &
Proof of Identity Phone number
4. Valid Driving License (Name, Address & Photo page)
(Any One) to be provided on
5. Other 1 (Pls. Specify) ___________________________
given KRA Form)
6. NREGA Job Card, National Population Register Letter
7. Proof of Possession Aadhaar, E-KYC Authentication & Offline Verification of Aadhaar.
1. Valid Passport (Name, Address & Photo page)
2. Voter ID (front and back)
3. Valid Driving License (Name, Address & Photo page)
4. Unique identification number (UID) (Aadhaar) KRA document used
Proof of Address 5. Electricity Bill / Gas Bill (not more than 2months old)
(Any One)
6. Resident Landline Tel. Bill (not more than 2 months old)
Permanent /
Correspondence 7. Registered Lease/Leave & License Agreement
8. Ration Card
9. NREGA Job Card, National Population Register Letter

10. Proof of Possession Aadhaar, E-KYC Authentication & Offline Verification of Aadhaar.
Bank Proof With 1. Bank Statement / Bank Passbook with cheque leaf (not more than 3 months old)
MICR / IFSC Code 2. Banker’s Certificate on letter head of the Bank (ORIGINAL)
(1st Holder only) 3. Cancelled Personalized Cheque leaf
Demat Proof (Any One) 1. Client Master (CML copy duly attested by DP)
(1st Holder only) 2. DP Statement / Transaction cum Holding Statement
Proof of Income (Any 1. Copy of ITR Acknowledgement

One) 2. In case of salary income - Salary Slip, Copy of Form 16
(Mandatory for F&O / 3. Net-worth certificate (Not more than 1 year old)
Currency / Commodity
4. Copy of Demat Account Holding Statement
Segments) (1st Holder
only) 5. Bank Account Statement for last 6 months reflecting income
FATCA / CRS DECLARATION / SELF CERTIFICATION FOR INDIVIDUAL

Client Name DIPAK KUMAR
First/Sole Holder Second Holder (if any) Third Holder (if any)
Are you U.S. Person?
(Refer KYC Handout - Customer Copy) Yes ✔ No No Yes No Yes No
Specify country of residence for tax

purpose (Tax Residency) ✔ India Other India India Other India Other
Specify country of citizenship ✔ India Other India India Other India Other
Note: If you are a U.S. person and / or if your tax residency / nationality / citizenship is other than India, then please provide declaration / self
certification under FATCA / CRS. This declaration form can be downloaded from http://www.angelone.in or call at centralized helpdesk at
18001020 or write to [email protected]
FH DIGITALLY SIGNED SH TH
(First/Sole Holder Signature) (Second Holder Signature) (Third Holder Signature)

Know Your Client (KYC)
Applica on Form (For Individuals Only) Angel One Ltd. CDSL VENTURES LIMITED
….Exploring New Horizons
Please fill the form in ENGLISH and in BLOCK le ers Applica on Number:
Fields marked * are mandatory
Fields marked + are pertaining to CKYC and mandatory only if processing CKYC Applica on Type*: o New KYC o Modifica on KYC
also
KYC Mode*: Please Tick ( )
Normal EKYC OTP EKYC Biometric Online KYC Digilocker
1. Iden ty Details (please refer guidelines overleaf)

PAN* Please enclose a duly a ested copy of your PAN Card
____________________________
Name* (same as ID proof)

Maiden Name+ (if any)
Fathers/Spouse’s Name*
Date of Birth*
Gender* Male Female Transgender
Marital Status* Single Married Recent passport size
Na onality* Indian Other Applicant Photo
Residen al Status* Resident Individual Non Resident Indian

Please Tick ( )
Foreign Na onal Person of Indian Origin +
Cross Signature across photograph
(Passport mandatory for NRIs and Foreign Na onals. PIO selec on is only for CKYC and not for KRA KYC.
Select NRI or Foreign Na onal based on Na onality of the individual)
Proof of Iden ty (POI) submi ed for PAN exempted cases (Please ck)

(Expiry Date)
B — Passport Number
C — Voter ID Card
(Expiry Date)
E —NREGA Job Card
F — NPR
Z —Others (any document no fied by Central Government)

2. Address Details* (please refer guidelines overleaf)
A. Correspondence/ Local Address*
Line 1*
Line 2
Line3
+ Pin Code*
City/Town/Village* District
State* Country*
Address Type* Residen al/Business Residen al Business Registered Office Unspecified
Applicant eSIGN
B. Permanent residence address of applicant, if different from above A / Overseas Address* (Mandatory for NRI Applicant)
Line 1*
Line 2
Line3
City/
+
Town/Village* District Pin Code*
State* Country*
Address Type* Residen al/Business Residen al Business Unspecified
Proof of Address* (a ested copy of any 1 POA for correspondence and permanent address each to be submi ed)

B — Passport Number (Expiry Date)
C — Voter ID Card
(Expiry Date)
E —NREGA Job Card
F — NPR Le er
Z—Others (any document no fied by Central Government)
3. Contact Details (in CAPITAL)

Email ID*
________________________________________________________________________________________
Mobile No. * _____ ____________________________
Tel (Off) _____ ____________________________ Tel (Res) _____ ____________________________
4. Applicant Declara on
I/We hereby declare that the KYC details furnished by me are true and correct to Applicant eSIGN Applicant Wet Signature
the best of my/our knowledge and belief and I/we undertake to inform you of any
changes therein, immediately. In case any of the above informa on is found to be
false or untrue or misleading or misrepresen ng, I am/We are aware that I/We
may be held liable for it.
I/We hereby consent to receiving informa on from CVL KRA through SMS/Email on
the above registered number/Email address.
I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be
validated against Aadhaar details. I/We hereby consent to sharing my/our masked
Aadhaar card with readable QR code or my Aadhaar XML/Digilocker XML file, along
with passcode and as applicable, with KRA and other Intermediaries with whom I
have a business rela onship for KYC purposes only.
DATE: _________________________ (DDMMYYYY)

PLACE: _______________________________________
5. For Office Use Only

InPerson Verifica on (IPV) carried out by* Intermediary Details*
IPV Date Self cer fied document copies received (OVD)
Emp. Name True Copies of documents received (A ested)

AMC / Intermediary Name :
Emp. Code
Emp. Designa on
Employee Signature and Stamp

TRADING & DEMAT ACCOUNT RELATED DETAILS
TYPE OF ACCOUNT : Individual Sub Status ✔ Resident Other
A. BANK ACCOUNT DETAILS - Payin / Payout of funds will be routed through the said bank account only
Bank Name & Branch Location: KOTAK MAHINDRA BANK LIMITED
Account No. 2449044232 ✔ Savings Current Saving

MICR Code IFSC Code KKBK0001356
B. DEPOSITORY ACCOUNT DETAILS (DP1 DETAILS CONSIDERED FOR PAYOUT OF SECURITIES IF FILLED)
DP 1 Details DP 2 Details
Depository ✔ CDSL CDSL NSDL
DP Name Angel One Ltd
Client Name DIPAK KUMAR
DP ID 12033200, 12033201 & 12033202

BO ID 1203320243537971
Pledge instruction - I / We would like to instruct the DP to accept all the pledge instructions in my /
our account without any other further instruction from my / our end.
✔ Yes No
"I / We instruct the DP to receive each and every credit in my / our account (If not marked, the default option would be ‘Yes’)
[Automatic Credit])"
✔ Yes No
C. TRADING PREFERENCES
Please sign in the relevant boxes where you wish to trade.

Please strike off the segment not chosen by you.
Exchanges NSE, BSE & MSEI MCX

NCDEX,
BSE & NSE
Cash/
All Commodity
Mutal F&O Currency Debt
Segments Derivatives
Fund
DIGITALLY SIGNED DIGITALLY SIGNED DIGITALLY SIGNED DIGITALLY SIGNED
If you do not wish to trade in any of segments/ Mutual Fund, please mention here ___________
______________________________________________________________
Debt
Ver: 3.5 3
D. STANDING INSTRUCTIONS / AUTHORIZATION FROM THE CLIENT
Contract Note/Holding & Transaction Statement including
✔ Electronic Physical Electronic
CAS/Other Documents* (For ECN in commodity segment, please refer pg. no. 9)
Receive Delivery Instruction Slip ✔ No Yes No
Share Email ID with Registrar & Transfer Agent No ✔ Yes Yes
Receive Annual Report ✔ Electronic Physical Both Electronic
Monthly Fortnightly Weekly

DP Account Statement As per Sebi
✔ As per SEBI Regulation
Declaration for Mobile Number ✔ Self Spouse Child Parent Self
✔ Self Spouse Child Parent

Declaration for Email ID Self
Do not have
Bill-to-bill settlement Yes ✔ No No
Running Account Settlement Monthly ✔ Quarterly QUARTERLY
Whether you wish to avail of the facility of internet trading /
wireless technology ( please specify) ✔ Yes No Yes
Margin Trading Facility ( Refer Rights & Obligation document) ✔ Yes No Yes
SMS Alert Facility - Mandatory if you are giving Power Of Attorney (PoA).
Ensure that the mobile number is provided in the KYC Application Form. ✔ Yes No Yes
BSDA Facility - I / We wish to avail the BSDA facility Yes ✔ No No
Note:
1. Divided / Interest will be credited to designated bank account via ECS.
2. In case client doesn’t opt for DIS booklet, it would be issued on request at any later date.
3. BO can view his ISIN balances, transactions & value portfolio online. To register for Easi please visit website www.cdslindia.com
4. *Other documents includes SEBI prescribed standard documents i.e. Rights & Obligation documents for trading and depository account,
Risk Disclosure Document & Guidance Note or any other communication / document disseminated by Angel One.
5.Angel may carry out proprietary trades in addition to cliental trades.
E. INFORMATION FOR PREVENTION OF MONEY LAUNDERING ACT, 2002

Experience Number of years of Investment / Trading Experience
Below 1 lac 1-5 Lacs ✔ 5-10 Lacs 10-25 Lacs >25 Lacs >1 Crore 5-10 LACS
Gross Annual Income
OR Net Worth in ` (*Net worth should not be older than 1 year) as on date DD / MM / YYYY
PRIVATE
Govt Service Professional ✔ Private Sector Service SECTOR
Occupation SERVICE
Public Sector Business Retired Agriculturist
(Please tick)
Housewife Student Others _______________________
(Pls Specify)
Manufacturing Services Trading Others

Nature of Business
Consultancy Others
✔ Others_____________________________
Client Category
Commercial participant value chain participant exporter importer hedger
Noncommercial financial participant trader arbitrager
participant
Is the Client Politically Exposed Person (PEP) or Related to a PEP

No
PEP Related to PEP Not a PEP / RPEP
F. PAST ACTIONS
Details of any action / proceedings initiated / pending / taken by SEBI / Exchanges / any other authority against the applicant / constituent or its
Partners / promoters / whole time directors /authorized persons in charge of dealing in securities / commodities during the last 3 years:
✔ No If yes, please specify No

G. GST REGISTRATION DETAILS
Registration No Validity Date Name of the State
GSTIN No: DD / MM / YYYY
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.5 4
H. DEALING THROUGH AUTHORISED PERSON (AP) / OTHER STOCK BROKERS
If Yes, please specify: -
Name of Stock Broker - Name of AP -
Name of Exchange - Client Code (as given by other broker)
Details of disputes/dues pending from/to such stock broker:

Whether you are a Member / AP of any Exchange Yes ✔ No
If yes, provide SEBI / EXCHANGES REGISTRATION NO: Ph. Website:
I. INTRODUCER DETAILS
Status of Introducer AP Employee Existing Client ✔ Others (Specify): DRA
Introducer Name: NIRANJAN DALAI AP/Emp/Client Code: NNNJN
Address:
Mobile No:
Signature of the Introducer
DECLARATION
1. 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. In case any of the above information is found to be false
or untrue or misleading or misrepresenting, I am / we are aware that I/we may be held liable for it.
2. I/We confirm having read/been explained & understood the contents of the document on policy & procedures of the Stock
Broker & the tariff sheet applicable for trading as well as DEMAT account.
3. I/We further confirm having received, read & understood the contents of the ‘Rights & Obligations’ of members,
authorised person & clients, and 'Risk Disclosure Document, for capital market & derivatives segments (equity,
commodity)’ and rights & obligations related to margin trading facility provided to client. Guidance note, Do’s & Don’t for
trading on the exchange (s) for investors / demat account Do’s & Don't’ / Guidance note, Do’s & Don’t for clients / Rights &
obligations of beneficial owner & depository participant & details of terms & conditions for the investor / client for using
Mutual fund transaction facility. I/We do hereby agree to be bound by such provisions as outlined in these documents. I/We
have also been informed that the standard set of documents has been displayed for Information on Stock Broker’s
designated website i.e www.angelone.in
4. The Rules & Regulations of the Depository & Depository Participants pertaining to an account which are in force now have
been read by me / us and I/We have understood the same and I/We agree to abide by and to be bound by the rules as are
in force form time to time for such accounts.
5. I/We also instruct Angel One to download information available from KRA/CKYC
FH SH TH
Place: ___________________________ Date: DD / MM / YYYY
Trading Brokerage and Demat Tariff for Individual (POA client )
iTrade Prime
Plan Name ✔ Angel 699 Angel Classic Angel Preferred Angel Premier
Initial Margin Nil Rs. 10000 Rs. 25000 Rs. 50000
- DP AMC Charges Rs. 20 per Month Free for 1 yr Free for 1 yr Free for 2 yr Free for 3 yr
Online Brokerage per executed order
- Equity Delivery Free Free Free Free
- Intra-day, Futures, Options, Commodity, Currency Rs. 20 Rs. 20 Rs. 20 Rs. 20
Value Added Services
- Call and Trade charges per order Rs. 20 Rs. 20 Rs. 20 Rs. 20
- Premium Advisory - - Free for 1 yr Free for 2 yr
- Dedicated Relationship Manager - - - Yes
- Online Wealth Builder Training Program (Once a Month) - - - Free
- Financial Planning - - Free Free
- Online Fund Transfer via Net Banking & UPI Free Free Free Free
- ARQ - Robo based Advisory Free Free Free Free
- Technical & Derivatives trading ideas Free Free Free Free
- Franking, KRA, CKYC, eSignature Charges ,

Free
- Email statements / Electronic contract notes
- Transaction charges for Sell (Debit ) & Rs. 20

Inter-settlement Debit per transaction
- Auto square off charges Rs. 20
- Pledge Creation/ Closure / Invocation Rs. 20
- Demat / Remat (Per Certificate )

- Physical statements request/ DIS request / Rs. 50
Physical contract notes
-Cheque Bounce Charges Rs. 350
-Delay Payment Charges (DPC) on outstanding bill amount if 1.5 % Per month
not paid within due date (levied every 15 days)
Notes :
1.Brokerage is levied per executed order across all segments
2. Order Brokerage is also charged on expired, exercised and assigned options contract. Brokerage will not exceed the
SEBI prescribed limit.
3. Stamp duty, GST, Education cess & other statutory levies (if any) will be charged as applicable
4. Above tariff is subject to change. Changes if any will be intimated 30 days in advance
5. Brokerage levied to your trading account is subject to the maximum rates prescribed by the regulator(s) from
time to time.
PLEASE TICK WHICHEVER IS APPLICABLE
✔ A. CLIENT DECLARATION - OPEN INTEREST POSITION
I/We, the undersigned, have taken cognizance of circulars issued person is a partner / director I karta I trustee, takes or holds any
by SEBI / Commodity Exchanges from time to time on the position in any commodity forward contract I commodity
guidelines for calculation of net open positions permitted in any derivative on Exchanges through or through any other member (s)
commodity and I/we hereby undertake to comply with the same. or Exchanges, to enable you to restrict our position limit as
I/ We hereby declare and undertake that I/ we will not exceed the prescribed by the above referred circular of Exchanges as
position limits prescribed from time to time by Commodity modified from time to time.
Exchanges or SEBI and such position limits will be calculated in I / We confirm that you have agreed to enter order in commodity
accordance with the circulars on position limits as modified from forward contracts I commodity derivatives for me / us as your
time to time. clients on Commodity Exchanges only on the basis of our above
I/We undertake to inform you and keep you informed if I / any of assurances and undertaking.
our partners / directors I karta I trustee or any of the partnership I/We further undertake to bear any liable/penalty/charges levied
firms/companies / HUFs / Trusts in which I or any of above such by Commodity Exchanges/SEBI.
✔ B. CONSENT TO INSTRUCTION TO MAINTAIN RUNNING ACCOUNT (VOLUNTARY)
Retention statement –Clause -- I / We request you to maintain or towards other unbilled services and/or charges applicable on
my/our accounts for funds on running accounts basis instead of my account, while settling the accounts.
'bill to bill' settlement basis, unless I/we specifically request you
for a payout of available free funds in the account. You may settle I / We understand and agree that no interest will be payable on
the accounts at Monthly/Quarterly (as opted in the account the amount of funds retained by you as above. The standing
opening form) or at such other intervals as SEBI/ Exchanges may instruction/authorization for maintaining my/our account as
specify from time to time. I / We further authorize you to retain running account shall remain valid until revoked in writing,
funds as may be permitted by Exchanges/SEBI from time to time addressed to you.
✔ C. CONSENT FOR ELECTRONIC CONTRACT NOTE (ECN) - DECLARATION (VOLUNTARY)

DIPAK KUMAR
I, ________________________________________________________________________________, Client Code _______________
PAN __________________
HSOPK2250K , Registered with you as a client of Multi Commodity Exchange of India Ltd (MCX), and/or National
Commodity & Derivative Exchange Ltd (NCDEX), undertake as follows:
• I am aware that the Member has to provide physical contract note in respect of all the trades placed by me unless I
myself want the same in the electronic form.
• I am aware that the Member has to provide electronic contract note for my convenience on my request only.
• Though the Member is required to deliver physical contract note, I find that it is inconvenient for me to receive physical
contract notes. Therefore, I am voluntarily requesting for delivery of electronic contract note pertaining to all
trades carried out/ordered by me.
• I have access to a computer and am a regular internet user, having sufficient knowledge of handling the email
operations.
• My email id is [email protected]
__________________________________________ (the email id must be written in own handwriting). This has
been created by me and not by someone else.
• I am aware that this declaration form should be in English or in any other Indian language known to me.
• In the event of the Contract notes (ECN) not received by me/us in electronic mode due to the mail bouncing/failure of
email servers, loss of connectivity etc. I/we agree to acknowledge the receipt of Contract Notes in physical mode,
provided such Contract Notes are received by me/us within the time specified by regulatory authorities. In case you do
not receive intimation of the mail bouncing, the same will be construed as my/our confirmation to the receipt of Contract
Notes (ECN) in electronic mode and you will not be required to send the Contract Notes in physical mode. In this
connection, I/we hereby confirm that I/we am/are agreeable to receive Contract Notes in digital mode on my/our under
mentioned email id.
I/We understand that I/we am/are required to intimate any changes in the e mail id mentioned above needs to be
communicated by me/us.
[The above declaration has been read and understood by me. I am aware of the risk involved in dispensing with the
physical contract note, and do hereby take full responsibility for the same]
Verification of the client signature done by,
Client Signature FH DIGITALLY SIGNED
Authorised Signatory
of Member Date: DD/MM/YY
20-01-2024
Designation: Place: Mumbai
Date: DD/MM/YY
VOLUNTARY TERMS AND CONDITIONS (EQUITY & COMMODITY)
Whereas the client intends to open securities / commodities trading 5. Disclaimer: The Client understands and agrees that neither Angel nor
accounts with Angel One Ltd., (hereinafter referred as Angel) for the any other party disseminating any market data, message or
purpose of trading in Capital Market Segment, Futures & Options and information through the Website of Angel or in any other media shall
Currency Derivative Segments and Commodities Futures & Options of be liable for: (a) Any inaccuracy, error, omission or delay in the
the National Stock Exchange of India Ltd., the Bombay Stock Exchange transmission or delivery of any such data, information or message, or
Ltd., the Metropolitan (b) Any loss or damage arising from or occasioned by (i) Any such
Stock Exchange of India Limited, Multi Commodity Exchange, National inaccuracy, error, delay or omission, (ii) Nonperformance, or (iii)
Commodity & Derivatives Exchange Limited and Mutual Fund Interruption in making available any such data, information or
transactions Facilities offered by Stock Exchange and whereas for the message, due to either any act or omission by Angel or any
purpose of more fully and conveniently availing of the services agreed to disseminating party or to any "force majeure" (e.g. flood,
be provided by Angel and also the additional services that may be made extraordinary weather condition, earthquake or other act of nature,
available by Angel from time to time, the Client, on its own free will and fire, war, insurrection, riot, labour dispute/unrest, accident, action of
volition, agrees to accept and be government, communications or power failure, equipment or
bound by the following terms and conditions. The Client understands software malfunction) or any other cause beyond the reasonable
that these terms and conditions are voluntary i.e, non-mandatory in control of Angel or any disseminating party.
nature but on their acceptance, these shall constitute the contract
between the parties and bind them fully and be enforceable by each 6. Manner/Mode of placing orders/instructions & Nonexecution/
party against the other. delay/cancellation of Orders: The Client may communicate orders
and other instructions to Angel or the subbroker/ authorised person
1. Authorization to debit additional charges with regard to Trading and as the case may be over phone at the designated contact telephone
Demat Account: Without prejudice to the other rights and obligations number, or in writing, or through designated email, or by personally
of the parties, the client understands and agrees that Angel may levy visiting the designated office. The client hereby agrees that Angel or
additional charges including Annual Maintenance Charges and all the Exchanges shall not be liable for non execution or partial
transaction charges with respect to Clients Demat account / Counter execution of any orders caused due to suspension, interruption, or
Demat account for any service rendered by Angel and as may be malfunctioning of the online as well as offline trading services,
required by the Client, and recover from the Client all reasonable disruptions or congestion of communication net works, hardware or
costs, as may be incidental or consequential for rendering the said software problems, or failure of the electronic trading beyond the
services. The said charges will be debited to the clients ledger control of Angel or the Exchange.
account with AngelOne.
7. Client not to act on representations of agents, employees: Client is
2. Lien: All securities, commodities funds and/or properties (Any assets aware that Angel has not authorized any agents, representatives,
available with Angel) of the Client as may be permitted by the employees or other persons to make any representation, or to give
Exchange(s) from time to time to be placed with Angel shall be subject any promise, assurance, warranty, undertaking or commitment as to
to a lien for the payments or fulfillment of all undischarged liabilities return on investment of the Client whether in writing or otherwise on
and obligations of the Client in relation to its transactions or owing to behalf of Angel.
any of the group companies of Angel. Angel shall be entitled to
withhold such securities, commodities, funds and/or property of the 8. Recording of Conversation: The client is aware and agrees that Angel
Client as security towards any such un-discharged liabilities or may tape record the conversation between the client/client's
obligation of the Client and to sell and/or appropriate to itself all such representative and Angel, whether over the telephone or in person, as
securities, commodities, funds or properties at its sole discretion & at per applicable laws, rules and regulations of SEBI / Exchanges. Angel
any point of time, without notice to client. may produce before competent authorities, voluntarily or on such
production being required by such authorities, recorded conversation
3. Authorization for delivering / pledging shares: The client understands or transcript thereof or both as valid evidence of the content of the
and agrees that Angel may deliver to the Exchange any securities held conversation so recorded.
by it on behalf of the client to discharge settlement obligations in
respect of securities sold by the client or pledge the same with the 9. Confidentiality of Client Details: Angel may disclose the client
clearing house of the recognized stock exchange in any segment information to any person /entity as required under the law or to any
where the Client is registered for trading for the purpose of providing broker's Association or organisations in case of dispute in order to
margin for the trading positions contracted or to be contracted by the take informed decision. The Client hereby agrees and give its
Client or with any scheduled commercial bank, Non-Banking Financial consents for the disclosure by Angel to any person or entity including
Institution or other financial institution for raising funds to the extent but not limited to any independent third parties or any entities of
account of the client carries debit balance but without any obligation Angel Group, whether within or outside India, or credit bureau of any
on its part to so raise funds by pledging the securities and without information and data relating to Client or relating to Client's trading
prejudice to the right of Angel to enforce, at its option, the collateral account with Angel for the purposes of or in connection with, any
security in the securities to recover the debit balance at any time. present or proposed initiatives, including but not limited to any
marketing or cross sell initiatives, business proposals, activities,
4. Authorization for Inter segment fund balance transfer and stock facilities or services availed of or to be availed, by Client in future.
transfers: The client hereby authorizes Angel to transfer its The client agrees that Angel may appoint agents, credit
debit/credit balances in the ledger account arising during the course bureau for carrying out the acts mentioned in or in relation to
of trades in any segment including commodities segment to its ledger rendering its services and hereby consent to share his account
account in any other segment including commodities segment or to related information, reports issued by such credit bureau to any
transfer any stock purchased/lying in its account in any segment such parties for various Regulatory and other purposes.
including commodities segment to its account in any other segment
as often as may be required. The transfers may be completed by 10. Disclosure as to Proprietary Trades by Angel: Angel may carry out
passing journal entries in the books of Angel. proprietary trades in addition to trades on behalf of its Clients.
11. Severance: In case any one or more of the terms and conditions Margin Statement, Statements of Funds and Securities, margin
contained in this document become invalid, illegal or unenforceable and maintenance calls & other notices /communications
in any respect under any applicable law, the validity, legality and document mandated by SEBI/Stock Exchange/Depository in
enforceability of the remaining provisions contained herein shall not electronic mode either at the e-mail ID designated for delivery of
in any way be affected or impaired thereby. ECN or to the mobile number of the Client or both and, in case of
non receipt of bounced mail/non delivery of SMS notification,
12. No Waiver: No forbearance, relaxation or inaction by any party to Angel shall be deemed to have fulfilled his obligation to deliver to
require from the other erformance or discharge of any obligation the Client such documents. Discrepancies if any in documents
to be performed or discharged by the other under this document should be brought to the notice of Angel within reasonable time
shall in any way affect, diminish, or prejudice the right of such from issuance failing which the documents shall be deemed to be
party to require of the other party at any time such performance or true and correct record of transactions stated therein.
discharge, or performance or discharge of any other obligations
under this document or be considered to be a waiver of any rights, 16. Electronic Payment Gateway for Net Banking Services: Angel may
unless the waiver is specifically agreed in writing. provide on its internet trading website, without additional cost to
the Client, access to Electronic Payment Gateways provided by
13. Notices: All notices or communications issued by Angel shall be various banks for facilitating transfer of funds from Client's bank
served on the Client in any one or more or all of the following ways account to the account of the Client with Angel. Client
at the ordinary business address and/or ordinary place of understands that Angel is only providing access to the electronic
residence and/or last known address of the client: fund transfer facility provided by the banker of the Client through
Angel's website by means of an interface and is not liable or
13.1 (a) By ordinary post or (b) By registered post or (c) By express responsible for the proper functioning or otherwise of the
delivery post or (d) by SMS on registered mobile or by telephonic Gateway or for any transaction errors, losses, malfunctioning or
call or (e) By affixing it on the door at the last known business or hacking of the system by unscrupulous elements, frauds, and/or
residential address or (f) By oral communication to the party or on any incidental or consequential claims arising thereout. Client
the last known telephone number or on the recording machine of undertakes not to make Angel a party to any litigation, claim,
such number or (g) By advertising it in at least one rominent daily dispute, difference or complaint that the Client may initiate in
newspaper having circulation in the area where the last known respect of, arising out of or in connection with any transactions on
business or residential address of the client is situated or (h) By the Gateway and agrees that Angel’s liability shall at all time be
publishing it on the website of Angel wherein secured log-id and limited to the amount actually received in its account by electronic
password to Client is provided or (i) By a notice posted on the transfer from Client's account with the Bank.
notice board of the Exchange if no address be known or (j) By
electronic mail or fax or (k) By hand delivery or By Courier or any 17. Internet / Wireless Technology based Trading facility:
other approved mode as may be allowed for communication.
17.1. Angel offers Internet and mobile Trading facility for transaction
13.2 Notwithstanding anything stated above, communication relating in securities on the concerned Exchanges including facilities for
to orders, margins, maintenance calls and other similar matters in online application of IPO / FPO / NFO / Bond issues or any other
the ordinary course of dealings between Angel and the Client may issues of securities or services to apply/purchase/redeem/
be made orally. sale/buyback or otherwise deal in the units of Mutual Funds
(hereinafter referred to as "the Internet/wireless Trading system")
14. Electronic Contract Note (ECN): through Exchange approved software. The Client can route its
orders to Angel over the internet/mobile/laptop with data card or
14.1. Client agree to receive contract notes in Electronic/Digital Form any other devices which use internet protocol for purchasing,
(ECN) authenticated by means of a digital signature in lieu of selling and dealing in securities. The Client may avail of such
Physical Contract notes through e-mail by authorizing Angel in this Trading facility provided by Angel by complying with the
connection and providing the e-mail address(es) at which the formalities prescribed therefore.
Client wishes the ECN to be sent.
17.2. Non-usage of Internet/Wireless Trading Facility: If the Client
14.2. The Client shall access and verify the ECN and all information does not use the Internet/Wireless Trading Facility for a
contained therein, In case of discrepancy the Client, shall inform continuous period of 3 months or such other period as Angel may
Angel either in writing or via E-mail within reasonable time of the notify, the facility may be deactivated without notice and the
receipt of the same. Angel shall also publish the Contract Note on Client shall comply with the prescribed formalities for
the Web site www.angelone.in or on any other designated location reactivating the facility. Trades can, however, be executed at all
specified by Angel from time to time. The Client will be issued a time by placing orders off-line with the concerned branch of
login and password by which the Client can login in to his account Angel.
and view/save/print the ECN. Should the Client experience any
difficulty in opening the ECN, Angel may, on advice by the Client, 17.3. The client understands and agrees that Angel has different
make the Contract Note available by any other means (e-mail, product of the Internet Trading /Wireless Trading softwares
electronic mail attachment, or in the form of an available download which have been approved by the Exchanges and the client shall
from the back office web site or by delivery of a hard copy). Client's be allotted such product as may be chosen by him. The client also
failure to advice Angel of such a difficulty shall amount to valid understands and agrees that depending on the trading activity of
delivery and viewing of the document by the Client.
15. Electronic Transmission of other Documents: The Client who have

opted for ECN agrees that Angel may transmit to the Client any
statements, documents or intimation including, but not limited to,
Ver: 3.5 9
the client, Angel shall have the exclusive right and liberty to change the made subject to the Bye laws, Rules and Regulations of the
product version allotted to the client and allot a different product Exchanges shall be submitted to arbitration for resolution in
version of the Internet Trading/Wireless Trading facility. accordance with the provisions of the Arbitration and Conciliation
Act, 1996 and the Byelaws and Regulations of the concerned
17.4. Orders of Client subject to review by Angel: The Client agrees that Exchange. Provided, however, that recourse shall not be had to the
the Angel may, on being suspicious of any of the transactions, arbitration, the grievance redressal mechanisms or to the investor
review any order placed by a Client, which may cause delays in the protection schemes of the of the Exchanges or SEBI where the
processing of the Client's order or may result in rejection of such claims, differences or disputes exclusively arise out of or relate to
order.” any contracts entered into; transactions carried out; schemes,
leagues or competition joined; other arrangements or
18. Extra Ordinary Events and termination/suspension of trading facility: understandings reached or relations established by the client with a
Angel will not be liable for losses caused directly or indirectly by group concern or associate of the Stock Broker or any third parties
government restriction, Exchange rulings, suspension of trading, and to which the Byelaws, Rules and Regulations of the Exchange
computer, communication, telephone or system failure, war, are not attracted and the Client understands and agrees that any
earthquakes, flood, accident, power failure, equipment or software application for invoking the arbitration/grievance redressal
malfunction, lack of connectivity, congestion or disruption of mechanisms or investor protection schemes of the Exchange in
communication net-work or links, software glitches or corruption, relation to any such dispute, claims or differences shall be liable to
low processing speed, strikes or any other conditions beyond Angel's be dismissed.
control resulting in nonexecution, partial or incomplete execution of
orders and the resulting financial loss, if any Angel may at any time 22. Setting up of Exposure Limits:
terminate, discontinue or temporarily suspend trading facility
provided to the Client in the event of any such extraordinary event 22.1. Angel may sanction trading limits to the Client based on the margin
occurring without giving prior notice to the Client. lying to the credit of the Client in the form of found / securities /
bank guarantees / fixed deposit receipts. Angel at its sole direction
19. Amendments to the terms and conditions: Angel reserves the right may refused to accept ant securities as collateral / margin. Angel
to amend the terms and conditions herein contained by adding, shall from time to time publish a list of securities which would be
deleting, modifying or varying the provisions thereof by giving 15 acceptable as collateral / margin. In setting exposure limits for the
days’ notice to the Client. In the event where the client has not Client, Angel shall be entitled to consider such factors as it may
objected to revised terms and conditions within 15 days of receiving deem fit, including without limitation, the client’s risk profile, risk
the notification, the same shall be binding on the client. The terms appetite, loss bearing capacity, payment history, market volatility,
and conditions and amendments made by Angel from time to time is risk management policy of Angel and such other purpose. Angel
available on companies’ website www.angelone.in reserves liberty to vary the trading / exposure limits of the Client
depending upon its risk assessment from time to time having
20. Mutual Fund Service System Facility / BSE Star MF: Client is regard to the changes in any of the factors or market conditions
registered with Angel One and has executed Know Your Form and bearing on the risk profile of
certain other documents for the purpose of trading in securities the Client.
market on the recognized Stock Exchange (herein after referred as 22.2 Neither Angel, nor any affiliate of Angle nor their respective
“Exchange”). Incase client opts for the purpose of dealing in the units directors, officers, employees, agent shall any circumstances be
of Mutual Funds Schemes permitted to be dealt with on the SEBI liable for any direct or indirect loss, cost, liability, expense or
recognized Stock Exchanges (Mutual Fund Transaction Facilities). damage (including without limitation all legal fees & expenses)
Know Your Client details as submitted by the client for the stock arising from any variation or reduction of exposure or turnover
broking shall be considered for the purpose of Mutual fund limits by Angel.
transaction facilities and abide by the terms and conditions as
mentioned in the circulars as may be specified by the Exchanges 23. Client to have a Mobile connection: Client agrees to have a
from time to time in this regard. Client shall also ensure compliance mobile connection as a pre-condition to opening & maintaining
with the requirements as may be specified from time to time by the a/c with Angel & undertakes to notify Angel promptly
Securities and Exchange Board of India and Association of Mutual whenever he/she/it obtains a new mobile connection in
Funds of India (AMFI). Client shall read & understand the contents of replacement of a mobile previously notified to Angel.
the Scheme Information Document and Key Information 24. Aggregation of open market positions of the Client by the
Memorandum, addendum issued regarding each Mutual Fund exchange: Client agrees that if the Exchange directs / advise
Schemes with respect to which client choose to subscribe / redeem. Angel to reduce the exposure of the Client in any outstanding
Client further agree to abide by the terms and conditions, rules and open interest in any contract, because the market exposure of
regulations of the Mutual Fund Schemes. Client confirm to have read the client in the contact, individually, or taken together with that
& understood the terms & conditions for using Mutual Fund
of related parties, exceeds the maximum allowable open
transaction facility as stated in KYC handout (customer copy). Client
position prescribed by the Exchange for an individual client or
is aware that he/she can transact directly with the AMC without
for all clients of Angel in the contract, Angel May square off the
recourse to Distributor's name at any time under the folio(s) tagged
open market positions of the client in the contract as directed by
with the Distributor's name /broker code. The Client agrees and
the Exchange. client also agrees that, though Angel may on a
authorizes Angel as distributor of mutual funds to communicate on
best effort basis inform the client of the direction given by the
his/her behalf with the AMCs for financial and /or non-financial
Exchange, it is under no obligation to inform the client and/or
transactions including for receiving investment details from the
AMC. obtain client’s consent prior to squaring of the positions under
this clause and all losses, if any, arising from such squaring off
21. Parties agree that all claims, differences or disputes between them, shall be to the account of the client.
arising out of or in relation to this mandatory and voluntary client /
registration document, any dealings and transactions
25. Payment of Full Contract Value: Client agrees to pay Angel for all supporting documents submitted therewith and/or any other
open buy positions, excepting both side option contract positions, information pertaining to my/our account including the
full contract value less the free surplus fund of the client, if any, trades/transactions carried out through my/our account to the Direct
already with Angel, one day prior to the commencement of the tender Referral Agent/Referral Partner/Authorised Person or such agents by
period for the respective contract, and If that day is a bank holiday, whatever name they are called by affiliated to Angel One Limited.
on the day immediately preceding that day which is bank working day.
If the Client makes a default in making payment as above, Angel at its For the purpose of the aforesaid Clause, Direct Referral Agent
discretion may square off all or part of the open positions of the /Authorised Person shall mean any Company/Person and/or its
Client and all and any losses arising thereout shall be to the account employees appointed by Angel One Limited in this regard;
of the client.
26. Execute / Self / Wash / Match trades: Orders of buy and sell In case the Direct Referral Agent /Referral Partner is an Authorised
placed at such rates and which such time intervals / frequencies, and Person registered with the Exchange, I/We hereby authorize Angel
particularly in contracts considered illiquid, may be rejected or One Limited to grant access and/or permit the Authorised Person all
cancelled by Angel without prejudice to its other rights to impose the rights as governed by the existing regulatory provisions including
penalty on the client and/or deregister the client. Angel may also any changes issued from time to time.
report such instances to the Exchange or the Regulator for
appropriate action at their end. In case the Referral Partner/Authorised person is Mutual Funds
certified, hereinafter referred to as Independent Financial Provider
27. Use of services of Direct Referral Agent/Referral Partner for Mutual Fund (“IFPMF”), I/We hereby authorize Angel One Limited to
/Authorised Person : grant access and/or permit the IFPMF to view all trades and
transactions carried out through my/our account and share details of
I/We hereby authorize Angel One Limited to disclose details of such trades and transactions to enable the IFPMF to track my/our
my/our account as mentioned in the account opening form, investments and provide necessary assistance accordingly.
I/We hereby state & confirm that I have read & understood the terms & conditions as mentioned above & agree to abide by the same.
RIGHTS AND OBLIGATIONS RELATING TO MARGIN TRADING FACILITY PROVIDED

TO CLIENTS (VOLUNTARY)
1. Angel is permitted to extend MTF to the clients on such terms and ELM in case of F & O Stocks (i.e., stocks available for trading in the
conditions as specified by the Stock Exchanges / SEBI from time F&O Segment. VaR + 5 times of applicable ELM in case of stocks
to time and as mutually agreed by and between Angel and the other than F & O Stocks. VaR and ELM shall mean VaR and ELM as
Clients. This Rights and Obligation comprises the terms and applicable to respective stocks in the cash segment.
conditions applicable to MTF and Angel and clients shall abide by
the same and any other requirements of the margin trading 5. Client shall be required to provide the minimum initial margin as
framework, including other rights and obligations, if any, applicable for a particular stock to buy that stock under MTF. The
prescribed by the Stock Exchange/ SEBI/ Angel form time to time. margin shall never be lower than that prescribed by the Stock
Any modifications to the terms and conditions, other than those Exchange/SEBI. However, Angel shall have the right to demand a
prescribed by SEBI/Stock Exchanges, shall be intimated to the higher initial margin than the margin prescribed by SEBI/Stock
Clients giving 15 days notice in advance. Exchanges.
2. Equity Shares that are classified as 'Group I Security” by SEBI only 6. Subject to the initial margin as aforesaid, Angel may, at its sole and
shall be eligible for MTF. Angel, at its discretion, may not provide absolute discretion, revise and increase from time to time the
funding under MTF to certain equity shares though classified to be margin required for any stock permitted to be traded under MTF.
“Group I Security” by SEBI. Equity shares shortlisted by Angel for Where client has exposure in the stock in respect of which margin
funding (Approved List) shall be as displayed on Angel's trading has been revised but does not already have sufficient credit in the
website from time to time. account to meet increase in margin, Client shall pay margin found
short within the time prescribed for making margin payment.
3. Initial margin, increased margin, margin shortage, margin calls,
maximum allowable exposure, maximum stock specific exposure, 7. Applicable minimum initial margin, increased margin, margin
trade confirmation, square off intimation and such other shortfall, if any, can be paid in the form of cash, cash equivalent,
information in relation to MTF shall be communicated to the or Group I equity shares with appropriate hair cut as s p e c i f i e d i
Clients electronically through one or many or all of the following nSEBIMasterCircularNo.
modes, viz email, SMS, WhatsApp, mobile notifications, and SEBI/HO/MRD/DP/CIR/P/2016/135, DTD. 6/12/2016. Client shall
additionally through telephone calls. have the right to change collateral securities provided under the
MTF with other collateral securities provided that such other
4. In order to avail of margin facility, the minimum initial margin collateral securities are approved and sufficient to meet the
required to be provided by the Clients, as prescribed by margin required.
SEBI/Stock Exchanges, is as under: VaR + 3 times of applicable
8. Margin requirement on shares purchased under MTF shall be account of the Client shall become payable immediately. Failure to
computed by grossing applicable margin i.e., minimum initial make payment of the outstanding dues shall result in liquidation
margin plus increased margin, if any, on each stock and of collateral and/or funded shares held in Client's account.
shortage computed accordingly by deducting available margin
from gross margin. Collateral shares and shares purchased under 18. Client may terminate the MTF account after paying all dues in the
MTF (Funded Shares) shall be marked to market daily MTF account.
for the purpose of computing the margin/shortage of margin.
19. Angel shall not use the funds and securities of one client to
9. Applicable minimum initial margin and increased margin, if any, provide MTF to another client, even on the authority of the client.
shall be kept supplied at all times by the clients in respect of the
stocks purchased under the MTF. Client shall pay any shortage in 20. The stocks deposited as margin collateral and funded stock shall
the required margin immediately on receiving demand (margin be identifiable separately and no comingling shall be permitted for
call) and in any case not exceeding 5 working days from the day of the purpose of computing funding amount.
making margin call failing which Angel shall be at liberty to
liquidate the funded shares and/or collateral shares to recover the 21. The MTF facility may be withdrawn by the broker, in the event of
dues outstanding in the account of the Clients. Priority of shares client committing any breach of any terms or conditions therein or
to be liquidated shall depend on the parameters set forth in the at anytime after due intimation to client allowing such time to
Risk Management policy of the company as applicable from time liquidate the MTF position as per the agreed liquidation terms
to time. In case of extreme volatility in the market, Angel may without assigning any reason. Similarly, client may opt to
demand payment of margin forthwith and prescribed time for terminate the margin trading facility in the event of broker
making margin payment shall be construed accordingly. Decision committing any breach of any terms or conditions therein or for
of Angel in relation to market volatility shall be final and binding any other reason.
without Angel having to provide any reason for the decision to the
Client. 22. In the event of termination of this arrangement, the client shall
forthwith settle the dues of the Stock Broker. The Stock Broker
10. Client in margin default shall continue to be in margin default, until shall be entitled to immediately adjust the Margin Amount against
the required margin is furnished in full to eliminate the shortage. the dues of the client, and the client hereby authorizes the Stock
Partial payment of margin or a change in the required margin shall Broker to make such adjustment.
not extend the time stipulated for making margin payment which
will run from the time of making margin call to the Client. 23. Angel shall restrict the maximum gross exposure as well as
individual stock-wise exposure of a client under the MTF at any
11. In case margin is reduced by an amount equal to applicable ELM point in time according to its internal policies and market views
component of the total margin due to market volatility within a without assigning any reasons to the client. Furnishing applicable
trading day (i.e., available margin becomes equal to or less than margin shall not by itself entitle the client to seek exposure
applicable VAR margin), Angel reserves the right to liquidate the beyond the limit restricted by Angel.
collaterals and/or funded shares forthwith without prior notice to
the client. 24. Admitting clients for MTF shall be at the discretion of the Stock
Broker/Trading Member. Clients request for admission to MTF
12. MTF Clients purchasing shares not specified in Angel Approved may be disallowed without assigning any reason.
List of Group 1 securities shall be required to 100% margin upfront
for such purchases. 25. By agreeing to avail of MTF, the client shall be deemed to have
authorized Angel to retain and/or pledge the shares purchased
13. Client shall inform the broker of its intent to shift the identified under MTF (funded shares) and collateral shares provided as
transaction under Margin Trading Facility within the time lines margin till the amount due in respect of the purchase and all other
specified by the broker failing which the transaction will be dues are paid in full by the Client.
treated under the normal trading facility.
26. All outstanding dues under MTF shall carry interest @18% p.a,
14. If a client is debarred by orders of lawful authority from trading in compounded at fortnightly rest.
the securities market, Angel shall liquidate collateral and funded
shares of the client to recover its dues to the full extent forthwith. 27. Client shall be free to take the delivery of the securities at any
time by repaying the amounts that was paid by the Stock Broker to
15. Stock broker make amendments in RMS policy at any time but give the Exchange towards securities after paying all dues.
effect to such policy after the amendments are duly
communicated to the clients registered under the Margin Trading 28. Until full payment of the outstanding dues in the MTF A/c is made
Facility. by the Client, collateral shares and funded shares, as far as may be
required, shall be retained in the Demat A/c of Angel, separately
16. Any transaction to be considered for exposure to MTF shall be identified as collateral shares and funded shares.
determined as per the policy of the broker provided that such
determination shall happen not later than T + 1 day. 29. Daily margin statement sent to the MTF clients shall identify
margin/collateral for MTF transaction separately.
17. Angel reserves the right to withdraw MTF with respect to any
Client without assigning any reason after giving a reasonable 30. Angel shall declare and communicate to the Client risk
notice to the Client in which case dues if any outstanding in the management policies that it will follow with respect to MTF
transactions. Angel may amend the policies from time to time Policies and Procedures prescribed by Angel and the terms and
according to its risk perceptions and inform the Clients of the conditions of client's agreement with Angel. In case of any
amendments made. inconsistencies between the Rights and Obligations herein and
the provisions in the aforesaid SEBI and/or Stock Exchange
31. Any disputes arising between the client and Angel in connection Circulars, the later shall prevail to the extent of such
with the margin trading facility shall be resolved through the inconsistencies.
investor grievance redressal mechanism and/or arbitration
mechanism of the stock exchanges as in the case of normal 33. MTF account where there is no transaction under MTF for more
trades. than 90 days shall be settled immediately on expiry of said 90 days
provided there are no dues outstanding in the MTF account. Dues
32. The Rights and Obligations prescribed hereinabove shall be read if any outstanding in the normal trading account shall be first
in conjunction with the rights and obligations as prescribed under adjusted against the settlement amount and the remainder shall
SEBI circular No. CIR/ MIRSD/ 16/ 2011 d a t e d A u g u s t 2 2 , 2 0 11 be paid to the Client.
, S E B I C i r c u l a r N o . CIR/MRD/DP/54/2017 Dtd. June 13, 2017,
the Circulars relating to MTF issued by the respective Stock
Exchanges, any modifications thereto from time to time and the
I would like to avail of Margin Trading Facility and agree to the above Rights & Obligation
Client Signature FH DIGITALLY SIGNED
ANNEXURE-A NOMINEE DETAILS FOR TRADING AND DEMAT ACCOUNT
Client Name Trading Code DP ID 12033200, 12033201 &12033202 Client ID
I/We nominate the following persons who is/are entitled to receive security balances lying in my/our account, particulars where of are given below, in the event of my / our death
Nominee Details *Nominee 1 *Nominee 2 *Nominee 3

First Name
Middle Name
Last Name
Address
City
State
PIN
Contact Details
PAN
UIDAI
Date of birth (mandatory if Nominee is
a minor) dd-mm-yyyy
*Percentage of allocation of securities

Equally [If not equally, please specify
percentage] Or Share of each Nominee
Any odd lot after division shall be transferred to the first nominee mentioned in the form
Relationship with BO
Email ID of nominee(s)
Nominee Identification details –
[Please tick any one of following
and provide details of same]
Photograph & Signature
PAN
Aadhaar
Saving Bank Account No
Proof of Identity
Demat Account ID
GUARDIAN DETAILS (IF NOMINEE IS A MINOR)

First Name
Address
City
State / Country
PIN
Relationship with Nominee
Email ID of Guardian
Contact Details
Guardian Signature
Guardian Identification details –

[Please tick any one of following
and provide details of same]
Photograph & Signature
PAN
Aadhaar
Saving Bank Account No
Proof of Identity
Demat Account ID
FH SH TH
Ver: 3.5 14
Date
Place
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature
Name
Address
Signature
Residual securities: in case of multiple nominees, remaining after distribution of securities as per percentage of allocation
shall be transferred to the first nominee
OFFICE USE ONLY
(To be filled by Depository Participant)
DP ID 12033200, 12033201 & 12033202 Client ID
Nomination form accepted and registered vide Registration No.: _______________________________________________________________
I / We have received and read the Rights and Obligations document and terms & conditions and agree to abide by and be bound by the
same and by the Bye Laws as are in force from time to time. I / We declare that the particulars given by me/us above are true and to the
best of my/our knowledge as on the date of making this application. I/We agree and undertake to intimate the DP any change(s) in the
details / Particulars mentioned by me / us in this form. I/We further agree that any false / misleading information given by me / us or
suppression of any material information will render my account liable for termination and suitable action.
Seal/Stamp of the Intermediary

Signature of the Authorised Signatory
ACKNOWLEDGMENT RECIEPT
APPLICATION NO Date DD MM YY
We hereby acknowledge the receipt of the Account Opening and Nomination Application Form:
This nomination shall supersede any prior nomination made by the account holder (s), if any. -
Ver: 3.5 15
Declaration Form for opting out of nomination
[Annexure B to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601 dated July
23, 2021 on Mandatory Nomination for Eligible Trading and Demat Accounts]
To Date D
2 D
0 M
0 M
1 Y
2 Y
0 Y
2 Y
4
Angel One Limited

601, 6th Floor, Ackruti Star, Central Road,
MIDC, Andheri East, Mumbai - 400093.
UCC/DP ID 1 2 0 3 3 2 0 2
Client ID (only for Demat account) 4 3 5 3 7 9 7 1
Sole/First Holder Name DIPAK KUMAR

Second Holder Name
Third Holder Name
I / We hereby confirm that I / We do not wish to appoint any nominee(s) in my / our trading / demat account and
understand the issues involved in non-appointment of nominee(s) and further are aware that in case of death of all
the account holder(s), my / our legal heirs would need to submit all the requisite documents / information for
claiming of assets held in my / our trading / demat account, which may also include documents issued by Court or
other such competent authority, based on the value of assets held in the trading / demat account.
Name and Signature of Holder(s)*
* Signature of witness, along with name and address are required, if the account holder
affixes thumb impression, instead of signature
Name
Address
Signature
Ver: 3.5 16
POWER OF ATTORNEY - POA (VOLUNTARY) AS PER EQUITY
DULY STAMPED
TO ALL WHOM THESE PRESENTS SHALL COME I/we __________________________________, (name of the BO, with full address), Indian inhabitant / Non-
resident SEND GREETINGS.
Whereas I/we hold a Beneficiary account no. _____________________(BO-ID) with Central Depository Service (India) Limited, with Angel One Ltd. (a
Depository Participant registered with CDSL bearing DP-ID 12033200, 12033201 & 12033202 .
And Whereas I/we are registered as a client with Angel One Ltd. (trading member of Bombay Stock Exchange Ltd., National Stock Exchange of India Ltd.,
Metropolitan Stock Exchange of India Ltd., National Commodity & Derivatives Exchange Ltd., and Multi Commodity Exchange of India Ltd For dealing in
the securities market)
NOW KNOW WE ALL AND THESE PRESENTS WITNESSTHAT I/We THE ABOVE NAMED DO HEREBY NOMINATE, CONSTUTE / AND APPOINT M/s Angel One
Ltd. As my/our true and lawful attorney (here in after referred to as the Attorney) for me/us and on my/our behalf and in my/our name to do the following:
1. To apply for and subscribe, to on my/our instructions, to various products like Initial Public Offerings, Public Issues (shares as well as debentures), Rights
etc., including redemption where applicable, through online / offline platform and to perform, do, undertake, discharge all incidental and ancillary,
deeds, matters, things, functions and obligations in connection therewith.
2. I/we authorize my/our said Attorney to send me/us consolidated summary of scrip wise buy and sell positions, subscriptions to IPOs, Mutual Funds and
other products by way of short messaging services or e-mails whenever such transactions are carried out on my/our behalf.
3. The said Attorney shall return to me/us the Securities that may have been received by it erroneously or that it was not entitled to receive.
4. I/we do hereby ratify and confirm and agree to ratify and confirm whatsoever my/our said Attorney shall have lawfully done or may lawfully do or cause to
be done by virtue of or in exercise of any power hereby granted, given authorised or implied or intended to be so granted, given or authorised and also all
lawful acts, deeds, matters and things done by the said Attorney of the nature mentioned above or incidental or relating thereto or arising there-from or
deemed by my/our Attorney to be requisite or expedient to be done or performed in exercise if any power herein.
5. I/we further agree and confirm that the powers and authorities conferred by this Power of Attorney shall continue to be good, valid and effective until
revoked by me/us in writing given to my Attorney and that the Power of Attorney shall not be affected by lapse of time. This Power shall continue in full
force and effect until my/our Attorney shall received written notice of revocation thereof, signed by me/us; in the event of termination thereof my/our
death, until my/our Attorney shall have received actual notice thereof, and such revocation or termination shall in no way affect the validity of this Power
of Attorney with reference to any transactions initiated by my/our Attorney, prior to the actual receipt by the Attorney of the notice of such revocation or
termination, as above. Further, without prejudice to the generality of the aforesaid, such revocation of this Power of Attorney, in so far as any
transactions, settlement of which is pending on the date of receipt of notice of revocation by my/our Attorney is concerned, shall become effective only
after all pending obligations in respect of such transactions are settled on the respective settlement dates and all dues owing by me/us in connection
therewith have been fully paid by me/us to the Attorney. Further, such revocation of the power and authority given to my/our Attorney hereby shall in no
way affect the validity of any acts, deeds or things done or action taken by my/our Attorney for discharging any of my/our settlement obligations in
respect of any transactions settlement of which is pending on the date of receipt of the notice of revocation by the Attorney.
FH SH TH
I/We accept (For Angel One Ltd.)

FW
Signature of Witness:
Name: _____________________________________________ Authorised Signature: _______________________
Address: ___________________________________________ Date: _______________________
ANGEL ONE LIMITED 1203320006951435 NSE CDSL - NSE POOL ACCOUNT Payin & Payout Account
ANGEL ONE LIMITED 1203320008188083 NSESLB CDSL - SLBM POOL ACCOUNT Payin & Payout Account
ANGEL ONE LIMITED 1100001100017670 NSE NSE EARLY PAY IN Early Payin Account
ANGEL ONE LIMITED 1100002300001190 NSESLB SLBM EARLY PAY IN Early Payin Account
ANGEL ONE LIMITED 1203320186015090 NSE CDSL Client Unpaid Securities Pledge Account TM/CM CUSPA
ICICI BANK LIMITED IN30134820306643 NSE NSDL Client Unpaid Securities Pledge Account TM/CM CUSPA
ANGEL ONE LIMITED 1203320030135829 NSE CLIENT SECURITIES MARGIN FUNDING ACCOUNT MFT Pledge Account
ANGEL ONE LIMITED 1203320030135814 NSE CLIENT SECURITIES MARGIN PLEDGE ACCOUNT Margin Pledge Account
ILFS IN30009510184021 NSE NSDL - NSE POOL ACCOUNT Payin & Payout Account IN556929
HDFC BANK IN30012610003588 BSE NSDL BSE POOL ACCOUNT Payout Account In606125
ANGEL ONE LIMITED 1203320000006564 BSE CDSL BSE POOL ACCOUNT Payout Account
ANGEL ONE LIMITED 1203320000006579 BSE CDSL BSE PRINCIPAL ACCOUNT Payin Account
ANGEL ONE LIMITED 1100001000014641 BSE BSE EARLY PAY IN Early Payin Account
Ver: 3.5 17
12033200, 12033201 & 12033202.
ANGEL ONE LIMITED 1203320006951435 NSE CDSL - NSE POOL ACCOUNT Payin & Payout Account
ANGEL ONE LIMITED 1203320008188083 NSESLB CDSL - SLBM POOL ACCOUNT Payin & Payout Account
ANGEL ONE LIMITED 1100001100017670 NSE NSE EARLY PAY IN Early Payin Account
ANGEL ONE LIMITED 1100002300001190 NSESLB SLBM EARLY PAY IN Early Payin Account
ANGEL ONE LIMITED 1203320186015090 NSE CDSL Client Unpaid Securities Pledge Account TM/CM CUSPA
ICICI BANK LIMITED IN30134820306643 NSE NSDL Client Unpaid Securities Pledge Account TM/CM CUSPA
ANGEL ONE LIMITED 1203320030135829 NSE CLIENT SECURITIES MARGIN FUNDING ACCOUNT MFT Pledge Account
ANGEL ONE LIMITED 1203320030135814 NSE CLIENT SECURITIES MARGIN PLEDGE ACCOUNT Margin Pledge Account
ILFS IN30009510184021 NSE NSDL - NSE POOL ACCOUNT Payin & Payout Account IN556929
HDFC BANK IN30012610003588 BSE NSDL BSE POOL ACCOUNT Payout Account In606125
ANGEL ONE LIMITED 1203320000006564 BSE CDSL BSE POOL ACCOUNT Payout Account
ANGEL ONE LIMITED 1203320000006579 BSE CDSL BSE PRINCIPAL ACCOUNT Payin Account
ANGEL ONE LIMITED 1100001000014641 BSE BSE EARLY PAY IN Early Payin Account
Ver: 3.5 18
Registered / Correspondence Office: 601, 6th Floor, Ackruti Star, Central Road, MIDC, Andheri East, Mumbai - 400093.
Tel.: 18001020 Website: www.angelone.in CIN: U67120MH1996PTC101709
Member: Bombay Stock Exchange Ltd. / National Stock Exchange of India Ltd./ Metropolitan Stock Exchange of India Ltd. /
Multi Commodity Exchange of India Ltd. / National Commodity & Derivatives Exchange Ltd. / CDSL-Depository Participant
SEBI Registration No.: INZ000161534
BSE & NSE Cash Segment

TM Code - BSE 612 TM Code - NSE 12798
BSE & NSE Commodities Derivative Segment

BSE & NSE F&O Segment (Trading Cum Clearing Member)

NSE Currency Derivatives Segment (Trading cum Clearing Member)

TM Code - NSE Currency 12798
BSE Currency Derivatives Segment (Trading Cum Clearing Member)

TM Code - 612
Multi Commodity Exchange of India Ltd. (Trading cum Clearing Member)

TM Code - 12685
National Commodity & Derivatives Exchange Ltd. (Trading cum Clearing Member)
TM Code - 00220
NSE SLBM segment ( Trading Cum Clearing Member)

TM Code 12798
CDSL-Depository Participant - SEBI Registration No.: IN-DP-CDSL-234-2004 Date: 12/5/2004 |

CDSL DP ID: 12033200, 12033201 & 12033202
For any grievance/dispute please contact Angel One Limited at the above address or email id: [email protected] and
PhoneNo.:18001020. In case not satisfied with the response, please contact the concerned exchange (s):
BSE Email: [email protected] & Tel.: (022) 2272 8097 | NSE Email: [email protected] & Tel.: (022) 2659 8190 | MCX Email:
[email protected] & Tel No: (022) 6731 8888 | NCDEX Email: [email protected] & Tel No: (022) 6640 6899
Compliance Officer Name: Mr. Pranav Tanna. Tel.: 18001020. Email ID: [email protected]
CMD Name: Mr. Dinesh Thakkar - 08657864229 . Email ID: [email protected]
Also refer our website: www.angelone.in for updated details, if any.
For details: Please contact your nearest branch or call

Centralized Helpdesk at: 18001020
or write to [email protected]
IMPS Verified Bank Proof
Bank Name : KOTAK MAHINDRA BANK LIMITED
IFSC Code : KKBK0001356
Account No : 2449044232
Beneficiary Name : DIPAK KUMAR
MICR NO :
Date of Transaction : 2024-01-19T22:08:43.805265Z
Reference Number :
Page No .: 1
Account Branch : KALAMBOLI

Address : HDFC BANK LTD
SHOP NO 3, 4 AND 5 LABH AVANUE,
SECTOR 11, DIST - RAIGAD,
MR DIPAK KUMAR City : KALAMBOLI 410218
State : MAHARASHTRA
GRAM-DHARMA BANDH THANA-MADHUBAN Phone no. : 18002026161
MAL KERA OD Limit : 0.00
. Currency : INR
Email : [email protected]
DHANBAD 828304 Cust ID : 227890239
JHARKHAND INDIA Account No : 50100601135375 OTHER
A/C Open Date : 27/02/2023
JOINT HOLDERS : Account Status : Regular
RTGS/NEFT IFSC : HDFC0002822 MICR : 400240164
Branch Code : 2822 Product Code : 105
Nomination : Not Registered
From : 01/08/2023 To : 31/08/2023 Statement of account

Date Narration Chq./Ref.No. Value Dt Withdrawal Amt. Deposit Amt. Closing Balance
01/08/23 IMPS-321311988855-BIRENDRA KUMAR-IDIB-XX 0000321311988855 01/08/23 1.00 8.90
XXXX6942-NA
01/08/23 IMPS-321313002623-BIRENDRA KUMAR-IDIB-XX 0000321313002623 01/08/23 40.00 48.90
XXXX6942-NA
01/08/23 UPI-RANJAN KUMAR-8709276650@YBL-BDBL0001 0000321384015257 01/08/23 300.00 348.90
695-321384015257-PAYMENT FROM PHONE
01/08/23 UPI-SONU KUMAR SAW-SAWSONU999@OKSBI-UTIB 0000321383281151 01/08/23 300.00 48.90
0003309-321383281151-UPI
01/08/23 UPI-GANPAT SINGH SO RAG-Q398340343@YBL-Y 0000321388399249 01/08/23 30.00 18.90
ESB0YBLUPI-321388399249-UPI
01/08/23 UPI-PRADIP PAAN SHOP-GPAY-11201335162@OK 0000321392698256 01/08/23 10.00 8.90
BIZAXIS-UTIB0000000-321392698256-UPI
02/08/23 UPI-XXXXXX1046-ESFB0001001-321412575153- 0000321412575153 02/08/23 1.00 7.90
UPI
02/08/23 UPI-PRABHU DAYAL DHUBI-Q108288396@YBL-YE 0000321418986273 02/08/23 6.00 1.90
SB0YBLUPI-321418986273-UPI
04/08/23 UPI-DIPAK KUMAR-DIPAKGANDHAR9137-2@OKICI 0000321641268307 04/08/23 1.00 2.90
CI-IBKL0000047-321641268307-UPI
CI-IBKL0000047-321661671890-UPI
04/08/23 UPI-DIPAK KUMAR-DIPAKGANDHAR9137-2@OKICI 0000321646276220 04/08/23 1,000.00 1,003.90
CI-IBKL0000047-321646276220-UPI
04/08/23 UPI-DIPAK KUMAR-DIPAKGANDHAR9137-2@OKICI 0000358284376178 04/08/23 2,000.00 3,003.90
CI-IBKL0000047-358284376178-UPI
04/08/23 UPI-DIPAK KUMAR-DIPAKGANDHAR9137-2@OKICI 0000321607276994 04/08/23 621.00 3,624.90
CI-IBKL0000047-321607276994-UPI
04/08/23 UPI-SONU KUMAR 0000321675832830 04/08/23 200.00 3,424.90
SAW-SAWSONU999-1@OKHDFCBA
NK-UTIB0003309-321675832830-UPI
04/08/23 UPI-AMOD KUMAR-SINGHAMODH9@OKSBI-IBKL000 0000321676515203 04/08/23 190.00 3,234.90
HDFC BANK LIMITED

*Closing balance includes funds earmarked for hold and uncleared funds
Contents of this statement will be considered correct if no error is reported within 30 days of receipt of statement.The address on this statement is that on record with the Bank as at the day of requesting
this statement.
State account branch GSTN:27AAACH2702H1Z0
HDFC Bank GSTIN number details are available at https://www.hdfcbank.com/personal/making-payments/online-tax-payment/goods-and-service-tax.
Registered Office Address: HDFC Bank House,Senapati Bapat Marg,Lower Parel,Mumbai 400013
Page No .: 2

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

0047-321676515203-UPI
05/08/23 UPI-SONU KUMAR SAW-SAWSONU999@OKSBI-UTIB 0000321789842372 05/08/23 200.00 3,034.90
0003309-321789842372-UPI
05/08/23 UPI-VIKASH SINGH-VIKASHSINGH28083@OKHDF 0000321789892977 05/08/23 200.00 2,834.90
CBANK-SBIN0010177-321789892977-UPI
05/08/23 UPI-SHYAM LAL-Q587386732@YBL-YESB0YBLUPI 0000321790548748 05/08/23 236.00 2,598.90
-321790548748-UPI
05/08/23 UPI-PALAK MOBILE AND ELE-9769212142-1@OK 0000321790932087 05/08/23 760.00 1,838.90
BIZAXIS-UTIB0000000-321790932087-UPI
05/08/23 UPI-DARSHAN ANANTA PATIL-PAYTMQR28100505 0000321794729312 05/08/23 400.00 1,438.90
0101UK6GSVP1VGEC@PAYTM-PYTM0123456-32179
4729312-UPI
05/08/23 UPI-DARSHAN ANANTA PATIL-PAYTMQR28100505 0000321797722130 05/08/23 480.00 958.90
7722130-UPI
05/08/23 UPI-ROSHAN PRAMESHWAR 0000321797755439 05/08/23 20.00 938.90
CH-PAYTMQRM6E0DXMW
UG@PAYTM-PYTM0123456-321797755439-UPI
05/08/23 UPI-MANGESH GOPINATH P-Q274328802@YBL- 0000321798337954 05/08/23 19.00 919.90
YESB0YBLUPI-321798337954-UPI
0003309-321711744710-UPI
05/08/23 UPI-SONU KUMAR SAW-SAWSONU999@OKAXIS-UTI 0000321713057086 05/08/23 400.00 19.90
B0003309-321713057086-UPI
CI-IBKL0000047-358419032231-UPI
06/08/23 UPI-GANESH SINGH-Q781801926@YBL-YESB0YBL 0000321820911849 06/08/23 20.00 0.90
UPI-321820911849-UPI
07/08/23 IMPS-321910739543-CAPITAL TRUST LIMITE-I 0000321910739543 07/08/23 1.00 1.90
DFB-XXXXXXX7258-FZCUUZDZKZ
HDFC BANK LIMITED

this statement.
Page No .: 3

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

07/08/23 UPI-AMOD KUMAR-SINGHAMODH9@OKSBI-IBKL000 0000321955456058 07/08/23 75.00 426.90
0047-321955456058-UPI
07/08/23 UPI-PAYU PAYMENTS PRIVAT-BAJAJPAY.687972 0000321956761176 07/08/23 16.00 410.90
9.01151993@INDUS-INDB0002201-32195676117
6-UPI
07/08/23 UPI-NITIN CHICKEN CENTER-GPAY-1122344074 0000321958935201 07/08/23 100.00 310.90
6@OKBIZAXIS-UTIB0000000-321958935201-UPI
07/08/23 UPI-MAHADEV DIARY-GPAY-11170639758@OKBIZ 0000321959010356 07/08/23 10.00 300.90
AXIS-UTIB0000000-321959010356-UPI
07/08/23 UPI-DARSHAN ANANTA PATIL-PAYTMQR28100505 0000321959302990 07/08/23 80.00 220.90
9302990-UPI
CI-IBKL0000047-321921295449-UPI
07/08/23 UPI-RAJU SINGH HEERSINGH-PAYTMQR28100505 0000321961809473 07/08/23 25.00 200.33
0101186VNJMTXKCI@PAYTM-PYTM0123456-32196
1809473-UPI
07/08/23 A2AINT01 - C75264070823140848 - - 99933 0000000421739406 07/08/23 3,620.00 3,820.33
333366999 - B P SECURITIES (INDIA) PVT.L
TD.
2875590-UPI
07/08/23 UPI-GAURAV KIRANA STORE-GPAY-1123506142 0000321962892661 07/08/23 20.00 3,735.33
0@OKBIZAXIS-UTIB0000000-321962892661-UPI
0003309-321964793235-UPI
5126117-UPI
07/08/23 UPI-ROSHAN PRAMESHWAR 0000321965157294 07/08/23 20.00 2,990.33
CH-PAYTMQRM6E0DXMW
HDFC BANK LIMITED

this statement.
Page No .: 4

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

UG@PAYTM-PYTM0123456-321965157294-UPI
07/08/23 NWD-419188XXXXXX6244-0205WS42-RAIGARH MH 0000321916022934 07/08/23 2,500.00 490.33
07/08/23 UPI-EURONETGPAY-EURONETGPAY.PAY@ICICI-IC 0000321968493233 07/08/23 155.00 335.33
IC0DC0099-321968493233-UPI
0003309-321968519181-UPI
07/08/23 UPI-ARVIND SINGH-PAYTMQR281005050101FV6X 0000358570004863 07/08/23 30.00 5.33
88QT8ZG1@PAYTM-PYTM0123456-358570004863-
UPI
08/08/23 IMPS-322010515330-CASHFREE PAYMENTS IN-I 0000322010515330 08/08/23 1.00 6.33
DFB-XXXXXXX6991-ONECLICKMONEYTECHPLUSPRI
VATELIMITEDBANKDETAILSVALI
08/08/23 IMPS-322013416066-BABAN KUMAR-PYTM-XXXXX 0000322013416066 08/08/23 1.00 7.33
XXXXX0010-DOMESTIC REMITTANCE
08/08/23 IMPS-322013051691-PARNAV ONLINE SOLUTI-N 0000322013051691 08/08/23 480.00 487.33
SPB-XXXXXXXX9050-TRANSFER FUND
0003309-322091362912-UPI
09/08/23 UPI-XXXXXX1046-ESFB0001001-358701394284- 0000358701394284 09/08/23 1.00 6.33
UPI
09/08/23 UPI-XXXXXX1046-ESFB0001001-322129695949- 0000322129695949 09/08/23 6.00 0.33
UPI
10/08/23 UPI-DABLU KUMAR SO 0000322243319538 10/08/23 1,800.00 1,800.33
VIREN-DABLUKUMARVCSM@
OKAXIS-PUNB0224400-322243319538-IRCTC RA
ILWAY
10/08/23 UPI-CAPITAL TRUST LIMITE-CCA.1283601@ICI 0000322235479486 10/08/23 594.00 1,206.33
CI-ICIC0DC0099-322235479486-COLLECT-PAY-
REQUES
0003309-322248410761-UPI
10/08/23 UPI-SONU KUMAR SAW-SAWSONU999@OKSBI-UTIB 0000322252541436 10/08/23 1,000.00 6.33
HDFC BANK LIMITED

this statement.
Page No .: 5

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

0003309-322252541436-UPI
10/08/23 UPI-BK8162980OKICICI-BK8162980@OKICICI-I 0000358830247039 10/08/23 1.00 5.33
DIB000B848-358830247039-UPI
11/08/23 IMPS-322311595569-CASHFREE PAYMENTS IN-I 0000322311595569 11/08/23 1.00 6.33
CIC-XXXXXXXX0293-RUPEE REDEE BANK DETAIL
S VALIDATION CF
11/08/23 UPI-CAPITAL TRUST LIMITE-CCA.1283601@ICI 0000322339292384 11/08/23 1.00 5.33
CI-ICIC0DC0099-322339292384-COLLECT-PAY-
REQUES
11/08/23 UPI-PAYU PAYMENTS PRIVAT-BAJAJPAY.687972 0000322385376303 11/08/23 5.00 0.33
9.01151993@INDUS-INDB0002201-32238537630
3-UPI
11/08/23 UPI-VISHAL KACHARU PATIL-VISHPATIL129999 0000322349723296 11/08/23 990.00 990.33
-6@OKAXIS-UTIB0002170-322349723296-UPI
11/08/23 UPI-ARVIND SINGH-PAYTMQR2810050501011NJ3 0000322390433479 11/08/23 50.00 940.33
WMN7CK6L@PAYTM-PYTM0123456-322390433479-
UPI
11/08/23 UPI-JK CHINESE CORNER-JKCHINESECORNER.62 0000322390601734 11/08/23 60.00 880.33
445751@HDFCBANK-HDFC0000001-322390601734
-UPI
0003309-322390645374-UPI
12/08/23 UPI-VISHAL KACHARU PATIL-VISHPATIL129999 0000322487165677 12/08/23 990.00 1,020.33
-6@OKAXIS-UTIB0002170-322487165677-UPI
12/08/23 UPI-SONU KUMAR SAW-SAWSONU999@OKAXIS-UTI 0000322421053758 12/08/23 950.00 70.33
B0003309-322421053758-UPI
12/08/23 UPI-GANESH SINGH-Q781801926@YBL-YESB0YBL 0000322422144203 12/08/23 7.00 63.33
UPI-322422144203-UPI
IC0DC0099-322423616040-UPI
13/08/23 UPI-ARVIND SINGH-PAYTMQR2810050501011NJ3 0000322529164440 13/08/23 10.00 34.33
WMN7CK6L@PAYTM-PYTM0123456-322529164440-
HDFC BANK LIMITED

this statement.
Page No .: 6

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

UPI
IC0DC0099-322542224625-UPI
13/08/23 UPI-GOOGLEPAY-GOOG-PAYMENT@OKAXIS-UTIB00 0000322523696640 13/08/23 3.00 18.33
00553-322523696640-UPI
13/08/23 UPI-BRAHAMDEV 0000322543992949 13/08/23 10.00 8.33
RAUT-PAYTMQRFJ4XILLBTB@PAY
TM-PYTM0123456-322543992949-UPI
14/08/23 IMPS-322615776035-DIGIOTECH SOLUTIONS -Y 0000322615776035 14/08/23 1.00 9.33
ESB-XXXXXXXXXXX6178-ORICRED FINSERV BANK
ACCOUNT VERIFICATION PENNYDRO
14/08/23 NEFT CR-ICIC0000323-NDX P2P PRIVATE LIMI 000CMS3499139349 14/08/23 4,428.00 4,437.33
TED LENDER FUNDING ESCROW ACC-MR DIPAK
KUMAR-CMS3499139349
14/08/23 UPI-PALAK MOBILE AND ELE-9769212142-1@OK 0000322670161597 14/08/23 3,030.00 1,407.33
BIZAXIS-UTIB0000000-322670161597-UPI
14/08/23 UPI-KANSINGH RAJPUT-7738653393@YBL-SBIN 0000322670204304 14/08/23 20.00 1,387.33
0012944-322670204304-UPI
0003309-322670229472-UPI
14/08/23 UPI-SEEMA DIXIT-Q935130923@YBL-YESB0YBLU 0000322670622739 14/08/23 25.00 1,012.33
PI-322670622739-UPI
14/08/23 UPI-AMOD KUMAR-SINGHAMODH9@OKSBI-IBKL000 0000322673627339 14/08/23 7.00 1,005.33
0047-322673627339-UPI
14/08/23 NWD-419188XXXXXX6244-06240407-RAIGARH 0000322617017057 14/08/23 1,000.00 5.33
14/08/23 UPI-VISHAL PATIL-VISHPATIL12993@IBL-INDB 0000322669116492 14/08/23 490.00 495.33
0001373-322669116492-PAYMENT FROM PHONE
0003309-322680889316-UPI
14/08/23 UPI-BILLDESKTEZ-BILLDESK.RECHARGE@ICICI- 0000322681775418 14/08/23 25.00 20.33
ICIC0DC0099-322681775418-UPI
14/08/23 UPI-AMOD KUMAR-SINGHAMODH9@OKSBI-IBKL000 0000322682296418 14/08/23 20.00 0.33
HDFC BANK LIMITED

this statement.
Page No .: 7

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

0047-322682296418-UPI
16/08/23 UPI-SONU KUMAR SAW-SAWSONU999-2@OKICICI- 0000322828844928 16/08/23 500.00 0.33
UTIB0003309-322828844928-UPI
-3@OKHDFCBANK-HDFC0004376-322836643283-U
PI
UTIB0003309-322836729467-UPI
16/08/23 UPI-OMSINGH RAJPUT-Q080311233@YBL-SBIN0 0000322841274593 16/08/23 40.00 0.33
031192-322841274593-UPI
17/08/23 UPI-ROSHAN PRAMESHWAR 0000322970608306 17/08/23 990.00 990.33
CH-ROSHANCHAUDHARY
4933-1@OKAXIS-KKBK0001356-322970608306-U
PI
UTIB0003309-322956824600-UPI
17/08/23 UPI-KANSINGH RAJPUT-7738653393@YBL-SBIN 0000322960608237 17/08/23 30.00 10.33
0012944-322960608237-UPI
18/08/23 UPI-PALAK MOBILE AND ELE-9769212142-1@OK 0000323075490110 18/08/23 10.00 0.33
BIZAXIS-UTIB0000000-323075490110-UPI
19/08/23 IMPS-323126063565-APIBANKING-RATN-XXXXXX 0000323126063565 19/08/23 1.00 1.33
XXXXXX0168-ACCOUNTVALIDATION
22/08/23 NEFT CR-SBIN0003736-EMPLOYEE PROVIDENT F SBIN223234791271 22/08/23 200.00 201.33
UND ORGANIZATIO-DIPAK KUMAR-SBIN22323479
1271
UTIB0003309-323402730042-UPI
22/08/23 UPI-SHYAM LAL-Q587386732@YBL-YESB0YBLUPI 0000323403721900 22/08/23 15.00 36.33
-323403721900-UPI
22/08/23 UPI-SHYAM LAL-Q587386732@YBL-YESB0YBLUPI 0000323404815540 22/08/23 10.00 26.33
HDFC BANK LIMITED

this statement.
Page No .: 8

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

-323404815540-UPI
22/08/23 UPI-RAMESHWARIDEVI-Q037298791@YBL-YESB0Y 0000323404871245 22/08/23 15.00 11.33
BLUPI-323404871245-UPI
22/08/23 UPI-MANGESH GOPINATH P-Q474043542@YBL- 0000323408844003 22/08/23 10.00 1.33
31/08/23 NEFT CR-SBIN0000489-EMPLOYEE PROVIDENT F SBIN123243824887 31/08/23 1,600.00 1,601.33
UND ORGANIZATIO-DIPAK KUMAR-SBIN12324382
4887
31/08/23 UPI-SONU KUMAR SAW-SAWSONU999-2@OKICICI- 0000324366703014 31/08/23 1,000.00 601.33
UTIB0003309-324366703014-UPI
@OKHDFCBANK-HDFC0004376-324366799279-UPI
31/08/23 UPI-RAMRAJ LALTAPRASAD G-Q000105651@YBL- 0000324368700030 31/08/23 45.00 46.33
31/08/23 UPI-MD SULTAN-Q971674581@YBL-YESB0YBLUPI 0000324368943979 31/08/23 10.00 36.33
-324368943979-UPI
31/08/23 UPI-DHANANJAY ANTARAM 0000324303292873 31/08/23 500.00 536.33
KA-DHANANJAYKAMBLE
4070@OKICICI-IBKL0000047-324303292873-UP
UTIB0003309-324374414633-UPI
STATEMENT SUMMARY :-
Opening Balance Dr Count Cr Count Debits Credits Closing Bal
7.90 76 31 22,028.00 22,056.43 36.33
Generated On: 19-Jan-2024 11:46 Generated By: Requesting Branch Code: NET
227890239
HDFC BANK LIMITED

this statement.
Page No .: 9

State : MAHARASHTRA
. Currency : INR
DHANBAD 828304 Cust ID : 227890239
A/C Open Date : 27/02/2023

This is a computer generated statement and does
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HDFC BANK LIMITED

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Know Your Client (KYC)

KYC Mode*: Please Tick ( )

Normal EKYC OTP EKYC Biometric Online KYC ✔ Digilocker

1. Iden ty Details (please refer guidelines overleaf)

Name* (same as ID proof) DIPAK KUMAR

Residen al Status* ✔ Resident Individual Non Resident Indian

A — Aadhaar Card XXXX XXXX __ __ __ __

Iden ﬁca on Number

Line 2 DHANBAD, JHARKHAND

City/Town/Village* DHANBAD District JHARKHAND Pin Code* 828304

State* JHARKHAND Country* India

✔ A — Aadhaar Card 5783

Iden ﬁca on Number

3. Contact Details (in CAPITAL)

Tel (Oﬀ) _____ ____________________________ Tel (Res) _____ ____________________________

5. For Oﬃce Use Only

Employee Signature and Stamp

Digitally Signed On:

1. This PAN data is verified by DigiLocker (https://digilocker.gov.in) as per data provided

Powered by TCPDF (www.tcpdf.org)

Name* DIPAK KUMAR

Date of Birth* 21-05-1994

City / District DHANBAD

FOR CSO USE ONLY EQUITY & COMMODITY B2C

Client Code KYC Number

Ver: 3.5 Dec 2023 Connect with us

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

A. KYC Form - Document captures the basic information

Document detailing the rate/amount of brokerage &

Document describing significant policies and

SEPARATE COPY FOR CLIENT

Document detailing risks associated with dealing in the

Document detailing do's and don'ts for trading on

VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER

Additional terms & conditions specific to clients

Rights and obligations relating to margin trading

Nominee details for Trading and Demat Account / Consent

IMPORTANT NOTE 1. Signature Types:

G Signature of Guardian Authorised Signatory of Member

9. NREGA Job Card, National Population Register Letter

Proof of Income (Any 1. Copy of ITR Acknowledgement

FATCA / CRS DECLARATION / SELF CERTIFICATION FOR INDIVIDUAL

Specify country of residence for tax

(First/Sole Holder Signature) (Second Holder Signature) (Third Holder Signature)

KYC Mode*: Please Tick ( )

Normal EKYC OTP EKYC Biometric Online KYC Digilocker

1. Iden ty Details (please refer guidelines overleaf)

Name* (same as ID proof)

Residen al Status* Resident Individual Non Resident Indian

A — Aadhaar Card XXXX XXXX __ __ __ __

Iden ﬁca on Number

A — Aadhaar Card XXXX XXXX __ __ __ __

Iden ﬁca on Number

3. Contact Details (in CAPITAL)

Tel (Oﬀ) _____ ____________________________ Tel (Res) _____ ____________________________

DATE: _________________________ (DD­MM­YYYY)

5. For Oﬃce Use Only

IPV Date Self cer ﬁed document copies received (OVD)

Emp. Name True Copies of documents received (A ested)

A — Aadhaar Card XXXX XXXX

Tel (Oﬀ) _ ______________________ Tel (Res) _ __________________________

A — Aadhaar Card XXXX XXXX

A — Aadhaar Card XXXX XXXX

Tel (Oﬀ) _ ______________________ Tel (Res) _ __________________________

DATE: _________________________ (DDMMYYYY)

Nominee Details Nominee 1 Nominee 2 *Nominee 3

Name: _______________________ Authorised Signature: _

Address: _____________________ Date: _