Instructions / Checklist For Filling KYC Form: Version 1.1 (July 2022)

Instructions / checklist for filling KYC form
A. Important points
1. Self attested copy of PAN card is mandatory for all clients, including Promoters /Partners /Karta /Trustees and whole time directors and persons authorized to deal in securities
on behalf of company/firm/others.
2. Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals for verification. In case the original of any document is not
produced for verification, then the copies should be properly attested by entities authorized for attesting the documents, as per the below mentioned list.
3. If any proof of identity or address is in a foreign language, then translation into English is required.
4. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
5. If correspondence & permanent address are different, then proofs for both have to be submitted.
6. Sole proprietor must make the application in his individual name & capacity.
7. For non-residents and foreign nationals, (allowed to trade subject to RBI and FEMA guidelines), copy of passport/PIO Card/OCI Card and overseas address proof is mandatory.
8. For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their passport copy should be given.
9. In case of Merchant Navy NRI's, Mariner's declaration or certified copy of CDC (Continuous Discharge Certificate) is to be submitted.
10. For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School Leaving Certificate/Mark sheet issued by Higher Secondary
Board/Passport of Minor/Birth Certificate must be provided.
11. Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of
Governments, senior politicians, senior Government/judicial/ military officers, senior executives of state owned corporations, important political party officials, etc.
B. Proof of Identity (POI)

List of documents admissible as Proof of Identity:
1. Unique Identification Number (UID) (Aadhaar)/ Passport/ Voter ID card/ Driving license.
2. PAN card with photograph.
3. Identity card / document with applicant's Photo, issued by any of the following: Central/State Government and its Departments, Statutory/ Regulatory Authorities, Public Sector
Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities, Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to
their Members; and Credit cards/Debit cards issued by Banks.
C. Proof of Address (POA)

List of documents admissible as Proof of Address: (*Documents having an expiry date should be valid on the date of submission.)
1. Passport/ Voters Identity Card/ Ration Card/ Registered Lease or Sale Agreement of Residence/ Driving License.
2. Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill - Not more than 3 months old.
3. Bank Account Statement/Passbook - Not more than 3 months old.
4. Self-declaration by High Court and Supreme Court judges, giving the new address in respect of their own accounts.
5. Proof of address issued by any of the following: Bank Managers of Scheduled Commercial Banks / Scheduled Co-Operative Bank / Multinational Foreign Banks / Gazetted
Officer / Notary Public / Elected representatives to the Legislative Assembly/ Parliament / Documents issued by any Govt. or Statutory Authority.
6. Identity card/document with address, issued by any of the following: Central/State Government and its departments, Statutory / Regulatory Authorities, Public Sector
Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities and Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc.,
to their Members.
7. For FII / sub account, Power of Attorney given by FII / sub-account to the Custodians (which are duly notarized and / or apostilled or consularised) that gives the registered
address should be taken.
8. The proof of address in the name of the spouse may be accepted.
D. Exemptions/clarifications to PAN (*Sufficient documentary evidence in support of such claims to be collected.)

1. In case of transactions undertaken on behalf of Central Government and /or State Government and by officials appointed by Courts e.g. Official liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities / multilateral agencies exempt from paying taxes / filing tax returns in India.
4. SIP of Mutual Funds up to Rs 50,000/- p.a.
5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks, Multilateral and Bilateral Development Financial Institutions, State Industrial
Development Corporations, Insurance Companies registered with IRDA and Public Financial Institution as defined under section 4A of the Companies Act, 1956, Custodians shall
verify the PAN card details with the original PAN card and provide duly certified copies of such verified PAN details to the intermediary.
E. List of people authorized to attest the documents

1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial / Co-operative Bank or Multinational Foreign Banks (Name, Designation & Seal should be affixed on the
copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in India, Notary Public, Court Magistrate, Judge, Indian Embassy
/Consulate General in the country where the client resides are permitted to attest the documents.
F. Additional documents in case of trading in derivatives segments - illustrative list:
Copy of ITR Acknowledgement Copy of Annual Accounts

In case of salary income - Salary Slip, Copy of Form 16 Net worth certificate
Copy of demat account holding statement. Bank account statement for last 6 months
Any other relevant documents substantiating ownership of Assets. Self declaration with relevant supporting documents.
In respect of other clients, documents as per risk management policy of the stock broker need to be provided by the client from time to time.
G. Copy of cancelled cheque leaf/ pass book/bank statement specifying name of the constituent, MICR Code or/ and IFSC Code of the bank should be submitted.
H. Demat master or recent holding statement issued by DP bearing name of the client.
For Individuals:
a. Stock broker has an option of doing 'in-person' verification through web camera at the branch office of the stock broker/sub-broker's office.
b. In case of non-resident clients, employees at the stock broker's local office, overseas can do in-person verification. Further, considering the infeasibility of carrying out
'In-person' verification of the non-resident clients by the stock broker's staff, attestation of KYC documents by Notary Public, Court, Magistrate, Judge, Local Banker,
Indian Embassy / Consulate General in the country where the client resides may be permitted.
For non-individuals:
a. Form need to be initialized by all the authorized signatories.
b. Copy of Board Resolution or declaration (on the letterhead) naming the persons authorized to deal in securities on behalf of company/others & their specimen signatures.
Version 1.1 (July 2022)
1
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 3
the constituent and an instruction/checklist.
1 Account Opening Form
B. Document captures the additional information about the 4–6
Constituent relevant to trading account and an instruction /check list.
2 Tariff Sheet Document detailing the rate/amount of brokerage and other charges 7
levied on the client for trading on the stock exchange(s).
Document stating the Rights & Obligations of stock broker /trading
3 Rights and Obligations member and client for trading on exchanges (including additional rights Annexure
& obligations in case of internet/wireless technology based trading). A
Risk Disclosure Document Document detailing risks associated with dealing in the securities Annexure
4 (RDD) market. B
Document detailing do’s and dont’s for trading on exchange for Annexure
5 Guidance note
education of investors C
6 Policies and Procedures Document describing significant policies and procedures of Annexure
Stock Broker. D
VOLUNTARY AND OPTIONAL DOCUMENTS AS PROVIDED BY THE STOCK BROKER
Undertaking Contains voluntary undertakings by the client with respect to Zerodha's

7 8–9
internal operations during the course of the relationship with Zerodha.
Running Account Authorization Letter of Authorization for maintaining a Running Account with Zerodha
8 10
and Mobile Declaration and Client consent letter for receiving SMS from Zerodha
Client Defaulter Declaration Client declaration stating that he is not a defaulter and Client
9 11
and Client Acknowledgment acknowledgment that he has read all the rules & regulations.
Annexure
10 Nomination Details Collects details of any nomination made for the account 1A
Name of the Trading Member Zerodha Broking Limited (hereinafter referred to as "Zerodha")
Name of the Clearing Member Zerodha Broking Limited
Cash Segment NSE, BSE : Zerodha Broking Limited
NSE: F&O: Zerodha Broking Limited SEBI Registration No. INZ000031633
CDS: Zerodha Broking Limited SEBI Registration No. INZ000031633
Derivatives
COM: Zerodha Broking Limited SEBI Registration No. INZ000031633
BSE: F&O: Zerodha Broking Limited SEBI Registration No. INZ000031633
CDS: Zerodha Broking Limited SEBI Registration No. INZ000031633
COM: Zerodha Broking Limited SEBI Registration No. INZ000031633
SEBI Registration Number:
Zerodha Broking Limited: Member of NSE & BSE – INZ000031633
CDSL: Depository services through Zerodha Broking Ltd. – IN-DP-431-2019
Zerodha’s Registered Office:
153/154, 4th Cross, Dollars Colony, Opp. Clarence Public School, J.P. Nagar, 4th Phase Bangalore
- 560078. Ph : 080-47181888
Correspondence Address : Same as above
Compliance Officer: Pankathi H Jain, Phone No. & Email ID: 080-47181888, [email protected]
CEO: Nithin Kamath, Phone No. & Email ID: 080-47181888, [email protected]
For any grievance please contact Zerodha at the above address or email [email protected] &
Phone no. 91-8047181888.
In case not satisfied with the response, please contact the concerned exchange at:
1.NSE: [email protected] or contact at 1800-266-0050 | 2. BSE: [email protected] or contact at 022-22728097
2 Sign wherever you see
Know Your Client (KYC) Application Form - for Individuals
Please fill this form in English and BLOCK Letters
(Please tick the box on the left margin of the appropriate row where CHANGE/CORRECTION is required and provide the details in the corresponding window)
For office use only (To be filled by the financial institution)

Application Type* New Update KYC Number
Account Type* Normal Simplified (for low risk customers) Small
A. Identity details
Photograph
KANDULA KAMAKSHAMMA
1. Name (Same as ID Proof) Please affix your
recent passport size
1a. Maiden Name (If any) ---- photograph and
2. Father's/Spouse's Name PRASAD . sign across it
2a. Mother's Name CHENCHAMMA . Signed by: Kandula Kamakshamma
eSigned using Aadhaar (digio.in) F1
Date: 2024-09-18 07:25:59 IST
3a. Gender Male * Female Transgender 3b. Marital Status Single * Married Other 3c. DOB 1994-03-19
4a. Citizenship * Indian Other ___________________(ISO 3166 Country Code )
4b. Residential Status * Resident Individual Non Resident Indian Person of Indian Origin Foreign National
Tick if applicable Residence for tax purposes in jurisdiction(s) outside India

ISO 3166 Country Code of Jurisdiction of residence Place of birth_____________________________________
Tax Identification Number or Equivalent ISO3166 Country Code of Birth
5a. PAN JKSPK4831A

5b. Unique Identification Number (UID) / AADHAR, if any 639
6. Proof of Identity Submitted * Pan Card Other (Please Specify) ____________________________________
B. Address details
1. Contact Details
Telephone (Office) Mobile No 9642537045
Telephone (Residence) Email ID [email protected]
2. Residence/Correspondence Address Address Type: * Residential Business Unspecified
Address D/O PRASAD 22-2-37 NANCHARAMMA COLONY
KANDUKUR
City/Town KANDUKUR District PRAKASAM Pin Code 523105
State/U.T Code ANDHRA PRADESH Country/ISO Code INDIA
Specify the Proof of Address Submitted for Residence / Correspondence Address
C. DECLARATION
I/We declare that the details furnished above are true and correct to the best of my knowledge and undertake all liabilities w.r.t
any incorrect information, I also confirm to inform Zerodha w.r.t any changes in the future. I/We are also aware that for Aadhaar Signed by: Kandula
OVD based KYC, my KYC shall be validated against my Aadhaar. I/We hereby consent to sharing my/our masked Aadhaar with Kamakshamma
readable QR code or my Aadhaar XML/Digilocker XML file, along with passcode and as applicable, with KRA and other
Date: F2
eSigned using Aadhaar (digio.in)
Client Signature
Intermediaries with whom I/We or Zerodha have a business relationship for KYC purposes only. I/We hereby consent to 2024-09-18 07:25:59 IST
receiving information from CVL KRA & C-KYC Registry through SMS/Email on the above registered number/Email ID.
Date :
FOR OFFICE USE ONLY

In Person Verification (IPV) Details:
Name of the Person who has done the IPV: ___________________________________________________
Designation: ____________________________________ Employee ID: __________________________
Name of the Organization: ZERODHA BROKING LIMITED
Seal/Stamp of the Intermediary
Date of the IPV: Signature of the Person who has done the IPV
Originals Verified and Self-Attested Document Copies Received
Date Signature of the Authorized Signatory

3. Permanent Address
Address D/O PRASAD 22-2-37 NANCHARAMMA COLONY
KANDUKUR
City/Town KANDUKUR District PRAKASAM Pin Code 523105
State/U.T Code ANDHRA PRADESH Country/ISO Code INDIA
4. Address in the jurisdiction details where applicant is resident outside India for tax purpose (if applicable)
Address
City/Town District Pin Code

State/U.T Code Country/ISO Code
D. Details of related person (In case of additional related persons, please fill below details)
Addition of Related Person Deletion of Related Person
KYC Number of Related Person (if available)
Related Person Type Guardian of Minor Assignee Authorized Representative
Name
(If KYC number & name are provided, below details are optional)
Proof Of Identity Of Related Person
Identity Proof Submitted Number
Expiry Date : D D M M Y Y Y Y
Others (any document notified by the Central Govt.) Identification No

Simplified Measures Account-Document Type Code Identification No
Trading account related details

A. Bank account details
Account Type: Savings * Current Others | In case of NRI Account: NRE NRO
Bank Name ANDHRA PRAGATHI GRAMEENA BANK
Branch Address ALLAGADDA- H NO 8-1-62
KURNOOL ANDHRA PRADESH
Account Number 91114989032
MICR Number 518703643 IFSC Code APGB0003158
B. Other details
Gross Annual Income Details (please specify): Income Range per annum
Below Rs 1 Lakh * 1-5 Lakh 5-10 Lakh 10-25 Lakh 25 Lacs to 1 Cr >1Cr
Or Net-worth as on ________________date___________________ (Net worth should not be older than 1year)
Occupation
Private Sector Public Sector Government Service Business Professional Agriculturist Retired
Housewife * Student Self Employed Others (please specify) ____________________________________
Mode in which you wish to receive the RDD, Rights & Obligations, and Guidance Note: Physical Electronic *
Please tick, if applicable: Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)
In what capacity do you trade commodities?

Farmer/Farmer Producer Organisation Value Chain Participant Others

C. Past actions
Details of any action/proceedings initiated/pending/ taken by SEBI/ Stock exchange/any other authority against the applicant/
constituent or its partners, promoters/whole time directors/authorized persons in charge of dealing in securities during the last
3 years___________________________________________________________________________________________
D. Depository account(s) details

Depository Name: NSDL CDSL *
Depository Participant Name Zerodha Broking Limited
Beneficiary Name KANDULA KAMAKSHAMMA
Depository ID 12081600 Beneficiary ID 71179795
E. Dealings through other stock brokers

Whether dealing with any other stock broker/sub-broker (in case dealing with multiple stock brokers/sub-brokers, provide
details of all)
Name of Stock Broker Sub Broker, if any
Client Code Exchange(s)
Website
Details of disputes/dues pending from/to such stock broker
F. Introducer details (optional)

Name of the Introducer
Status of the Introducer - Sub-broker/Remisier/Authorized Person/Existing Client
Address of the Introducer
Phone Number Signature (optional)
G. Trading preferences / experience

No Prior Experience
Years in Equities 0 Years in Derivatives Years in other Investment Related Field
Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.
*If, in future, the client wants to trade on any new segment, a separate authorization/letter should be taken from the client
by the broker.
Exchanges BSE & NSE
Segments Cash/Mutual funds F&O Currency Debt Commodity derivatives
Signed by: Kandula Kamakshamma Signed by: Kandula Kamakshamma Signed by: Kandula Kamakshamma
eSigned using Aadhaar (digio.in) eSigned using Aadhaar (digio.in) eSigned using Aadhaar (digio.in)
F3 (a)
Date: 2024-09-18 07:25:59 IST F3 (b)
Date: 2024-09-18 07:25:59 IST F3 (c) F3 (d) F3 (e)
Date: 2024-09-18 07:25:59 IST
If you do not wish to trade in any segment/mutual fund, please mention here _____________________________________
H. Additional details
(I) Whether you wish to receive (a) Physical contract note (b) Electronic Contract Note (ECN) *
If ECN Specify your Email ID __________________________________________________________________________
[email protected]
(II) Whether you wish to avail the facility of internet trading/wireless technology/mobile trading Yes * No
I. Nomination details (Please tick the appropriate options)

* I / We do wish to nominate (Fill Annexure 1A)
I / We do not wish to nominate (Fill Annexure 1B)
5
Internet & wireless technology based trading facility provided by stock broker to the client
(All the clauses mentioned in the “Rights and Obligations”document(s) shall be applicable.
Additionally, the clauses mentioned herein shall also be applicable.)
1. Stock broker is eligible for providing Internet Based trading (IBT) and securities trading through the use of wireless technology
that shall include the use of devices such as mobile phone, laptop with datacard, etc. which use Internet Protocol (IP). The stock
broker shall comply with all requirements applicable to internet based trading/securities trading using wireless technology as
may be specified by SEBI & the Exchanges from time to time.
2. The client is desirous of investing/trading in securities and for this purpose, the client is desirous of using either the internet
based trading facility or the facility for securities trading through use of wireless technology. The Stock broker shall provide the
Stock broker’s IBT Service to the Client, and the Client shall avail of the Stock broker’s IBT Service, on and subject to
SEBI/Exchanges Provisions and the terms and conditions specified on the Stock broker’s IBT website provided that they are in
line with the norms prescribed by Exchanges/SEBI.
3. The stock broker shall bring to the notice of client the features, risks, responsibilities, obligations and liabilities associated with
securities trading through wireless technology/internet/smart order routing or any other technology should be brought to the
notice of the client by the stock broker.
4. The stock broker shall make the client aware that the Stock Broker’s IBT system itself generates the initial password and its
password policy is as stipulated in line with norms prescribed by Exchanges/SEBI.
5. The Client shall be responsible for keeping the Username and Password confidential and secure and shall be solely responsible
for all orders entered and transactions done by any person whosoever through the Stock broker’s IBT System using the Client’s
Username and/or Password whether or not such a person was authorized to do so. Also the client is aware that authentication
technologies and strict security measures are required for the internet trading/securities trading through wireless technology
through order routed system and undertakes to ensure that the password of the client and/or his authorized representative are not
revealed to any third party including employees and dealers of the stock broker.
6. The Client shall immediately notify the Stock broker in writing if he forgets his password, discovers security flaw in Stock
Broker’s IBT System, discovers/suspects discrepancies/unauthorized access through his username/password/account with full
details of such unauthorized use, the date, the manner and the transactions effected pursuant to such unauthorized use,etc.
7. The Client is fully aware of and understands the risks associated with availing of a service for routing orders over the
internet/securities trading through wireless technology and Client shall be fully liable and responsible for any and all acts done in
the Client’s Username/password in any manner whatsoever.
8. The stock broker shall send the order/trade confirmation through email to the client at his request. The client is aware that the
order/trade confirmation is also provided on the web portal. In case client is trading using wireless technology, the stock broker
shall send the order/trade confirmation on the device of the client.
9. The client is aware that trading over the internet involves many uncertain factors and complex hardware, software, systems,
communication lines, peripherals, etc. are susceptible to interruptions and dislocations. The Stock broker and the Exchange do
not make any representation or warranty that the Stock broker’s IBT Service will be available to the Client at all times without any
interruption.
10. The Client shall not have any claim against the Exchange or the Stockbroker on account of any suspension, interruption, non-
availability or malfunctioning of the Stock broker’s IBT System or Service or the Exchange’s service or systems or nonexecution
of his orders due to any link / system failure at the Client/Stock brokers/Exchange end for any reason beyond the control of the
stockbroker/Exchanges.
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 and understood the contents of the document on policy and procedures of the stock
broker and the tariff sheet.
3. I/We further confirm having read and understood the contents of the 'Rights and Obligations' document(s) and 'Risk Disclosure
Document'. 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, if any.
Client Name ___________________________________________

KANDULA KAMAKSHAMMA
Place ___________________________
KANDUKUR Signed by: Kandula
Kamakshamma
Date: F4
Date : 2024-09-18 2024-09-18 Client Signature
07:25:59 IST

Tariff sheet
To
Zerodha Broking Limited
153/154, 4th Cross, 4th Phase, JP Nagar, Dollars Colony, Opp. Clarence School, Bangalore - 560078
Charges for Zerodha Trading Services
I/ We agree to pay the charges as per following charges structure for our Trading account with Zerodha effective ____________
2024-09-18
Client ID: _______________________
YJS067
Charge Head Brokerage / Charges

Equity Intraday Rs. 20 per executed order or 0.03% of Turnover whichever is lower
Equity Delivery Zero Brokerage
Futures Rs. 20 per executed order or 0.03% of Turnover whichever is lower
Options Rs. 20 per executed order
Currency Futures Rs. 20 per executed order or 0.03% of Turnover whichever is lower
Currency Options Rs. 20 per executed order
Call & Trade Services Rs. 50 per order placed through a Dealer at Zerodha
NRI - Equity Delivery Rs. 200 per executed order or 0.5% of Turnover whichever is lower
NRI - Futures & Options Rs. 100 per executed order placed using a CP code
NRI - NRO non-PIS account Rs. 100 per executed order or 0.5% of Turnover whichever is lower
Disclaimer: For Delivery based trades, a minimum of Rs. 0.01 will be charged per contract note. Clients who opt to receive
physical contract notes will be charged Rs. 20 per contract note plus courier charges. A brokerage of 0.5% of the contract value
will be charged for contracts where physical delivery happens. In addition to the brokerage charge the following charges will also
be levied. If the account is in debit balance, any order placed will be charged Rs. 40 per executed order instead of Rs. 20 per
executed order.
Schedule of Charges:
1. Exchange transaction charges | 2. Clearing charges | 3. Securities Transaction Tax | 4. Goods & Services Tax | 5. SEBI
Turnover fees | 6. Stamp Duty : State-wise stamp duty as applicable will be levied
Note : Brokerage will not exceed the rates specified by SEBI and the Exchanges
All Statutory and Regulatory charges will be levied as per exchange, SEBI, and
depository circulars published from time to time.
Brokerage is also charged on expired, exercised, and assigned Options contracts
Charges for other value added services will be applicable at the time of availing such Signed by: Kandula
Kamakshamma
service, upon your consent. Detailed explanation of all charges is available online at : eSigned using Aadhaar (digio.in)
Date: 2024-09-18 07:25:59 IST
https://zerodha.com/charge-list F5 Client Signature
For office use only

UCC Code allotted to the Client _________________________________________________________________________
YJS067
Documents verified In-Person
Client interviewed by
with originals Verification done by
Name of the Employee
Employee Code
Designation of employee
----
Date
Signature
I / We undertake that we have made the client aware of 'Policy and Procedures', tariff sheet and all the non-mandatory documents.
I/We have also made the client aware of 'Rights and Obligations' document (s), RDD and Guidance Note. I/We have given/sent him a
copy of all the KYC documents. I/We undertake that any change in the 'Policy and Procedures', tariff sheet and all the non-mandatory
documents would be duly intimated to the clients. I/We also undertake that any change in the 'Rights and Obligations' and RDD
would be made available on my/our website, if any, for the information of the clients.
Signature of the Authorised Signatory Seal/Stamp of the stock broker

Date : 2024-09-18

Zerodha Voluntary
153/154, 4th Cross, Dollars Colony, 4th Phase, JP Nagar, Opp. Clarence Public School, Bangalore - 560078.
Sub: Voluntary Undertaking/Authorisation
With respect to member-constituent relationship and mandatory and voluntary (optional) documents executed
between us, I/we do hereby authorize Zerodha to do the following:
1.ORDER PLACEMENT INSTRUCTIONS
I understand that you require written instructions from me for placing/modifying/cancelling orders. However, since it is not
practical for me to give written instructions for placing/modifying/cancelling order. Even If I have facility to trade online through
Internet and wireless technology, I may have to place orders by physically visiting/calling/emailing the call centre/branch
specified for the said purpose by Zerodha in case of breakdown of internet connectivity or other similar reasons. I hereby
request you to kindly accept my verbal orders/instructions, in person or over phone and execute the same. I understand the
risk associated with placement of verbal orders and accept the same. I shall not disown orders under the plea that the same
were not placed by me provided I am sent ECN/Physical contract notes or trade confirmations through SMS andother
approved modes. I/we also agree that non-receipt of bounced mail notification by you shall amount to delivery of contract
note at my/our email ID. I indemnify Zerodha and its employees against all trade related losses, damages, actions which you
may suffer or face, as a consequence carrying out my instructions for orders placed verbally
2.ERRORS AND OMISSIONS
I understand and agree that inadvertent errors may occur, while executing orders placed by me. In such circumstances Zerodha
shall make all reasonable efforts to rectify the same and ensure that I am not put to any monetary loss. I understand and agree that
I shall not hold Zerodha responsible beyond this and claim additional damages/loss.I understand and agree that my request to
modify or cancel the order shall not be deemed to have been executed unless and until the same is confirmed by Zerodha.
3.NO MARKET MANIPULATION
I undertake not to execute transactions, either singly or in concert with other clients, which may be viewed as manipulative trades
viz. artificially raising, depressing or maintaining the price, creation of artificial volume, synchronized trades, cross trades, self
trades, etc or which could be termed as manipulative or fraudulent trades by SEBI/Exchanges. In case I am found to be indulging in
such activities, Zerodha has every right to inform the Exchange/SEBI/other regulatory authority of the same and suspend/close
my trading account.
4.NOT TO ACT AS UNREGISTERED SUB BROKER
I undertake not to act as unregistered Sub-broker and deal only for myself and not on behalf of other clients In case I wish to deal
for other clients also, I undertake to apply to SEBI through Zerodha to obtain a sub broker registration. In case Zerodha perceives
that I am acting as an unregistered sub broker, Zerodha has the right to immediately suspend my trading account and close all
open positions and adjust the credits (across all segments) against the dues owed by me to Zerodha without the requirement of
any notice from Zerodha. Further, Zerodha has the right to inform the concerned regulatory authorities about the same. In
aforesaid eventuality, I agree and undertake to indemnify Zerodha from any loss/ damage/claim arising out of such activity.
5.NOT DEBARRED BY ANY REGULATOR
I confirm and declare that there is no bar on me imposed by any Exchange or any regulatory and/or statutory authority to deal in
securities directly or indirectly. I agree to inform Zerodha, in writing, of any regulatory action taken by any Exchange or regulatory/
statutory authority on me in future. In case I fail to inform the same and Zerodha on its own comes to know of such action, Zerodha
has the right to suspend/close my trading account and refuse to deal with me. Also, Zerodha can at its sole discretion, close all the
open positions and liquidate collaterals to the extent of trade related debit balances, without any notice to me.
6. PMLA DECLARATION
I declare that I have read and understood the contents and the provisions of the PMLA Act, 2002, which were also explained to me
by Zerodha officials. I further declare that I shall adhere to all the provisions of PMLA Act, 2002.
I further undertake and confirm that;
a. I do not have any links with any known unlawful persons/institutions
b. I am a genuine person and not involved or indulge knowingly or assisted, directly or indirectly, in any process or activity
connected with the proceeds of crime nor I am a party to it. The investment money is derived from proper means and does not
involve any black or Hawala money in any manner.
7.INDEMNIFICATION I hereby indemnify and hold Zerodha, its Directors and employees harmless from and against all trade
related claims, demands, actions, proceedings, losses, damages, liabilities, charges and/or expenses that are occasioned or may
be occasioned to the Zerodha directly or indirectly, relating to bad delivery of shares/ securities and/ or third party delivery,
whether authorized or unauthorized and fake/forged/stolen shares/ securities/transfer documents introduced or that may be
introduced by or through me during the course of my dealings/ operations on the Exchange(s) and/ or proof of address, identity
and other supporting/ documents provided by me at the time of registration and/ or subsequently.
INDEMNITY OF JOINT HOLDINGS
I hereby agree to indemnify and hold Zerodha harmless from any trade related claims, demands, actions, proceedings, losses,
damages, liabilities, charges and/or expenses arising from transactions in securities held jointly by me with any other person or
persons, if any.
8. BSE StAR MUTUAL FUND FACILITY
I am interested in availing the StAR Mutual Fund facility of the Exchange for the purpose of dealing in the units of Mutual Funds
Schemes permitted to be dealt with on the StAR platform of the Exchange. For the purpose of availing the StAR Mutual Fund
facility, I state that “Know Your Client” details as submitted by me for the opening of Trading Account may be considered for the
purpose of StAR and I/we further confirm that the details contained in same remain unchanged as on date. I am willing to abide by
the terms and conditions as has been specified and as may be specified by the Exchange from time to time in this regard. I shall
ensure also compliance with the requirements as may be specified from time to time by Securities and Exchange Board of India
and Association of Mutual Funds of India (AMFI). I shall read and understand the contents of the Scheme Information Document
and Key Information Memorandum, addenda issued regarding each Mutual Fund Schemes with respect to which I choose to
subscribe/redeem. I further agree to abide by the terms and conditions, rules and regulations of the respective Mutual Fund
Schemes subscribed by me.
9.DELAYED PAYMENT CHARGES
I understand that in case my account is in debit balance due to utilisation of funds over and above the available funds, and my
account goes into negative balance, I will be charged interest at 0.05% per day or 18% per annum on such debit balance.
For derivative positions, it is a requirement by the Exchanges that 50% of the margins be fulfilled in the form of cash or cash
equivalent. The other 50% may be satisfied by providing non-cash collateral as margin. I acknowledge that failure to maintain
sufficient cash margin and resorting to the use of non cash collateral to fulfil derivative margin requirement will result in a
delayed payment charge of 0.035% per day.
10. NRI DECLARATION
I understand that if the sole/first applicant has or attains NRI Status, investments in scheme of mutual funds can be made only
upon providing Foreign Inward Remittance Certificate (FIRC) to Zerodha every time the investment is made.
11. THIRD-PARTY PAYMENTS
Zerodha shall have the prerogative to refuse payments received from any bank account where the client is not the first holder
or which is not mentioned in the KYC or which the client has not got updated subsequently by submitting a written request along
with adequate proof thereof as per proforma prescribed by Zerodha. Zerodha shall not be responsible for any loss or damage
arising out of such refusal of acceptance of payments in the situations mentioned above.
However, due to oversight, if any such third-party payment has been accepted by Zerodha and the credit for the same has
been given in the client's ledger, Zerodha shall have the right to immediately reverse such credit entries on noticing or
becoming aware of the same. In such a case, Zerodha reserves the right to liquidate any of the open positions and/or any of the
collaterals received/ held on behalf of the client. Zerodha, its Directors and employees shall not be responsible for any
consequential damages or losses.
12. NO DEALINGS IN CASH
Zerodha as a policy neither accepts any funds for pay-in/margin in cash nor makes any payment or allows withdrawal of funds in
cash. No claim will be entertained where the client states to have made any cash payment or deposited cash with any Branch/Sub-
Broker/ Remisier/Employee/Authorised Person of Zerodha.
13. DISCLOSURE OF PROPRIETARY TRADING BY ZERODHA
Pursuant to SEBI Circular Number SEBI/MRD/SEC/Cir-42/2003 dated November 19, 2003, Zerodha discloses to its clients about
its policies on proprietarytrades. Zerodha does proprietary trades in the cash and derivatives segment at NSE & BSE.
14. DELIVERIES
The client shall ensure that the shares are properly transferred to the designated demat account of Zerodha, for effecting
delivery to the Exchange against the sale position of the client. Such transfers shall be entered by the client within the time
specified by SEBI/Exchanges/Zerodha. In case the client fails to transfer the shares on time to Zerodha, Zerodha shall not be
responsible for any loss/damages arising out of such delayed transfers.
15. SQUARING OFF OF POSITIONS & SALE /LIQUIDATION OF COLLATERAL MARGINS (to the extent of Settlement Margin
obligation)
The client shall settle the transactions, within the Exchange specified settlement time, by making the requisite payment of
funds and/or delivery of the shares. In case the client fails to settle the transactions within the settlement date, then Zerodha has the
right to square off the open and/or unpaid positions, at an appropriate time, as it deems fit, without any notice to the client. The
client shall not have any right or say to decide on the timing of closure of the open positions that needs to be closed. Zerodha,
its Directors and Employees shall not be responsible for any trade related loss or damages arising out of such square offs. All
such square off transactions shall have implied consent and authorization of the client in favour of Zerodha.
After such square off of open positions by Zerodha, as mentioned in above clauses, if there is a debit balance, the client shall
pay the same immediately. However, if the client does not clear off the debit balance, Zerodha shall have the right to liquidate the
shares and other securities of the client (kept as collateral/margin) to the extent of the debit balance, without any intimation to
the client. The client shall not have the right to decide on the timing of liquidation of shares and securities held in collateral/
margin and the shares and securities that needs to be sold or liquidated. Zerodha, its Directors and employees shall not be
responsible for any trade related loss or damages arising out of such selling.
Signed by: Kandula

Kamakshamma
Date: F6
Client Signature
2024-09-18 07:25:59 IST

Running account authorization Voluntary
I/We are dealing through you as a client in Capital Market and/or Future & Option segment and/or Currency segment and/or
Interest Rate future Segment & in order to facilitate ease of operations and upfront requirement of margin for trade.
I/We authorize you as under:
1. I/We request you to maintain running balance in my account & retain the credit balance in any of my/our account and to
use the unused funds towards my/our margin/pay-in/other future obligation(s) of any segment(s) of any or all the
Exchange(s)/Clearing corporation unless I/We instruct you otherwise.
2. I/We request you to retain securities with you for my/our margin/pay-in/other future obligation(s) of any segment(s) of any
or all the Exchange(s)/Clearing Corporation, unless I/We instruct you to transfer the same to my/our account.
3. I/We request you to settle my fund and securities account (choose one option)
Once in a calendar Month
* Once in every calendar Quarter except the funds given towards collaterals/margin in form of Bank Guarantee and/or
Fixed Deposit Receipt
4. In case I/We have an outstanding obligation on the settlement date, you may retain the requisite securities/funds
towards such obligations and may also retain the funds expected to be required to meet margin obligation for next 5 trading
days, calculated in the manner specified by the exchanges.
5. I/We confirm you that I will bring to your notice any dispute arising from the statement of account or settlement so made
in writing preferably within 7 working days from the date of receipt of funds/securities or statement of account or statement
related to it, as the case may be at your registered office.
6. I/We confirm you that I can revoke the above mentioned authority at any time.
7. This running account authorization would continue until it is revoked by me.
Yours faithfully,
Signed by: Kandula

Kamakshamma
Date: F7
Client Signature
Date : 2024-09-18 2024-09-18 07:25:59 IST
Mobile declaration Voluntary

KANDULA KAMAKSHAMMA
I____________________________________having JKSPK4831A
PAN______________________________ do hereby declare that my
mobile no. is _______________________________________

9642537045 Further, I authorize ZERODHA that the same may be used for
giving me any information/ alert/SMS.
I further declare the above mentioned statement is true and correct. Signed by: Kandula
Kamakshamma
Date: F8
Client Signature
2024-09-18 07:25:59 IST

Client defaulter declaration Voluntary
KANDULA KAMAKSHAMMA
I _________________________________ JKSPK4831A
having PAN________________________do hereby declare that I have not been
involved in any unlawful activities and I have not been declared a defaulter or my name is not appearing in defaulter database as
per SEBI/ Various Exchange/ Regulatory bodies, etc. I further declare that the above mentioned declaration/ statement is true
and correct.
Signed by: Kandula

Kamakshamma
Date: F9
Client Signature
2024-09-18 07:25:59 IST
To
Zerodha
Sub: Acknowledgement
This is to acknowledge the receipt of following documents. I further state and confirm that I have read and understood
all the clauses of aforesaid documents.
Sl. No Brief significance of the Document
1 Duly Executed Copy of KYC
2 Rights and Obligations
3 Risk Disclosure document (RDD) for Capital, Derivatives, and Currencies Segments
4 Guidance Note - Do's and Dont's for trading on the Exchange(s) for investors
5 Zerodha Tariff Sheet
6 Policies and Procedures Document pursuant to the SEBI circular dated December 03, 2009
7 General Terms & Conditions governing securities trading and broking services of Zerodha
8 Running account authorisation, Mobile declaration & Client defaulter declaration
I also confirm that I have received the relevant clarifications, if any, wherever required from the officials of Zerodha
Yours faithfully,
Signed by: Kandula
Kamakshamma
Client Name : ______________________________________
KANDULA KAMAKSHAMMA F10using Aadhaar
eSigned (digio.in)
Client Signature
Date: 2024-09-18 07:25:59 IST

Zerodha Broking Ltd.
153/154, 4th Cross, 4th Phase, JP Nagar, Dollars Colony,
Opp. Clarence School, Bangalore - 560078
Additional KYC Form for Opening a Demat Account
For Individuals
(To be filled by the Depository Participant)
Application No Date 2024-09-18 DP Internal Reference No
DP ID 12081600 Exchange NSE/BSE UCC YJS067 Client ID 71179795
(To be filled by the applicant in BLOCK LETTERS in English)
I/We request you to open a demat account in my/ our name as per following details:-
Holder Details
Sole / First Holder’s Name KANDULA KAMAKSHAMMA
PAN JKSPK4831A UID
Second Holder’s Name
PAN UID
Third Holder’s Name
PAN UID
*In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the
name of the natural persons, the name of the Firm, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc.,
should be mentioned above.
Type of Account (Please tick whichever is applicable)
Status Sub – Status
* Individual * Individual Resident Individual-Director
Individual Director’s Relative Individual HUF / AOP
Individual Promoter Minor
Individual Margin Trading A/c (MANTRA) Others(specify)
NRI NRI Repatriable NRI Non-Repatriable

NRI Repatriable Promoter NRI Non-Repatriable Promoter
NRI – Depository Receipts Others (specify)
Foreign National Foreign National Foreign National - Depository Receipts Others (specify)
Details of Guardian (in case the account holder is minor)

Guardian’s Name PAN
Relationship with the applicant
I / We instruct the DP to receive each and every credit in my / our account [Automatic Credit] * Yes No
(If not marked, the default option would be ‘Yes’)
I / We would like to instruct the DP to accept all the pledge instructions in my /our account without Yes * No
any other further instruction from my/our end (If not marked, the default option would be ‘No’)
Account Statement Requirement * As per SEBI Regulation Daily Weekly Monthly Fortnightly
I / We request you to send electronic transaction-cum-holding statement at the following * Yes No
Email ID [email protected]
I / We would like to share the email ID with the RTA * Yes No
I / We would like to receive the Annual Report Physical * Electronic Both Physical and Electronic
(Tick the applicable box. If not marked the default option would be in Physical)

I/We would wish to avail the following facility:
Basic Service Demat Account facility (BSDA)
* Yes No
Nomination details (Please tick the appropriate options)

* I / We do wish to nominate (Fill Annexure 1A)
I / We do not wish to nominate
I/We wish to receive dividend/interest directly in to my bank account as given below through ECS. * Yes No
(If not marked, the default option would be ‘Yes’) [ECS is mandatory for locations notified by SEBI from time to time ]
Bank Details [Dividend Bank Details]
Account type Saving * Current Others (specify)
Bank Code (9 digit MICR code) 518703643 IFS Code (11 character) APGB0003158
Account number 91114989032
Bank Name ANDHRA PRAGATHI GRAMEENA BANK
Branch Name ALLAGADDA- H NO 8-1-62
Bank Branch Address KURNOOL ANDHRA PRADESH
City ---- State ----
Country ---- PIN code ----
(I) Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued, (or)
(ii) Photocopy of the bank statement having name and address of the BO
(iii) Photocopy of the passbook having name and address of the BO, (or) (iv) Letter from the Bank.
*In case of options (ii), (iii) and (iv) above, MICR code of the branch should be present/mentioned on the document.
Other Details
Gross Annual Income Details (please specify): Income Range per annum
Below Rs 1 Lakh * 1-5 Lakh 5-10 Lakh 10-25 Lakh 25 Lacs to 1 Cr >1Cr
Or Net-worth as on ________________date___________________ (Net worth should not be older than 1year)
Occupation :_______________________________________________________________________________________
Housewife
Please tick, if applicable: Politically Exposed Person (PEP) Related to Politically Exposed Person (RPEP)
Any other information:________________________________________________________________________________
SMS Alert Facility

MOBILE NO. +91 _____________________________
9642537045
Refer to Terms &
Conditions given in [Mandatory, if you are giving Power of Attorney (POA)]
Annexure - 2.4 (if POA is not granted & you do not wish to avail of this facility, cancel this option).
Transactions Using I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I have
Secured Texting Facility read and understood the Terms and Conditions prescribed by CDSL for the same.
(TRUST). Refer to Terms I/We wish to register the following clearing member IDs under my/our below mentioned BO ID
and Conditions registered for TRUST
Annexure – 2.6
Yes * No
Stock Exchange Name/ID Clearing Member Name Clearing Member ID (Optional)
To register for easi, please visit our website www.cdslindia.com. Easi allows a BO to view his
ISIN balances, transactions and value of the portfolio online.

Schedule-A Tariff Structure
For individuals/HUF/corporates
Details POA/DDPI Clients
Stamp charges payable upfront Rs.50/-
Annual Maintenance Charges (charged quarterly)
a. Individuals/Non Individual (except Corporate & NRIs) Rs.300/- + GST
b. Non Individual - Corporate Rs.1000/- + GST
b. NRIs Rs.500/- + GST
Transaction Charges : (Market Trades)
Buy(Receive) / Sell (Debit) Nil / Rs.13/-
Transaction Charges : (Off-Market Trades)
Buy(Receive) / Sell (Debit) Nil / 0.03% or Rs.25/- whichever is higher
Demat (Per certificate) Rs. 150/- per certificate
Rs. 150/- per certificate
Remat (Per certificate)
+ CDSL Charges
Courier charges per Demat/Remat/Demat Rejn./CMR Rs. 100/-
Pledge Request Rs. 20/- + Rs. 12 per request (CDSL Charges)
Unpledge Request Rs. 20/- + Rs. 12 per request (CDSL Charges)
Pledge invocation Rs. 20/-
Margin Pledge Rs. 9 + Rs. 5 per request (CDSL Charges)
Margin Unpledge Rs. 9 + Rs. 5 per request (CDSL Charges)
Margin Repledge Rs. 2/- (CDSL charges)
Periodic Statement
By Email / Physical Free / Rs. 50/- (+Courier charges at actual)
Adhoc / Non Periodic Statement Requests
a. By Email Rs.10/- per request
Rs. 50 per request upto 10 pages. Every additional page
b. Physical
at Rs. 5 (+Courier charges at actual)
Delivery instruction
a. First Delivery Instruction Book Free (10 Leaves)
b. Every Addl Booklet (10 Leaves) Rs.100/-
Cheque Bounce Charges Rs. 350/-
Failed Transactions Rs. 50 per ISIN
Modification in CML Rs. 25/- per request
KRA Upload / Download Rs. 50/-
NOTE :
• Debit transactions to facilitate market trades done by female demat account holders (as first holder) will enjoy a
discount of Rs. 0.25 per transaction.
• An additional discount of Rs. 0.25 will be applied to debit transactions of mutual funds and bonds.
• For all purposes the bill date shall be construed as the date demand and the bills will be considered as the bill cum
notice for payment and Zerodha Broking Ltd. reserves the right to freeze depository account for debit transaction in case
of non payment of charges after two days from the bill date.
• Zerodha may, upon obtaining consent, charge for any ancillary services not listed above as and when applicable.
• The above tariff is subject to change. Changes if any will be intimated 30 days in advance Annual Maintenance Charge
(AMC) is non refundable. GST is applicable on all above charges except stamp charges.
• I/We understand that any instruction provided by me to Zerodha to transfer securities from my account shall be rejected
by Zerodha, if there is any debit balance or any unpaid amounts due as per this tariff sheet to Zerodha.
Signed by: Kandula
Kamakshamma
First/Sole(digio.in)
eSigned using Aadhaar Holder
or Guardian
Date: 2024-09-18 07:25:59 IST
F11 (in case of Minor) S1 Second Holder T1 Third Holder

Date : 2024-09-18
To,
Dear Sir,
Sub : Requesting for bill/transaction/holding statement through email.
I/We request you to send me/us bill, transaction and holding statement of my CDSL Demat account no. __________________
12081600 71179795
________at following email address: [email protected]

____________________________________________________________________
I/We fully agree and are aware of following Terms and Conditions mentioned below.
(a) that I/We will not receive the bill, transaction and holding statements in paper form.
(b) that I/We will take all the necessary steps to ensure confidentiality and secrecy of the login name and password of the
internet/email account.
(c) that I/We am/are aware that the bill, transaction and holding statements may be accessed by other entities in case the
confidentiality /secrecy of the login name and password is compromised.
(d) that I/We in case bill, transaction and holding statements are sent by email, I/We will immediately inform the Zerodha
Broking. about change in email address, if any.
In case, the Zerodha Broking is not able to provide bill/transaction statement to its Clients by email or on website due to any
reason (including bounced emails), Zerodha Broking Ltd. will ensure that the transaction statement is provided to me/us in
paper form as per the time schedule stipulated in the Bye Laws & Business Rules of CDSL.
I/We hereby request you to send the statements:

Daily Fortnightly Weekly Monthly *
Yours faithfully,
First/Sole Holder
Signed by: Kandula
Kamakshamma or Guardian
F12(a) (in07:25:59
Date: 2024-09-18 case of Minor)
IST S2(a) Second Holder T2(a) Third Holder
Declaration
I/We have received and read the Rights and Obligations documents and terms & conditions and agree to abide by and be bound
by the same and the Bye Laws as are in force from time to time. I/We declare that the particulars given by me/us above are true
to the best of my/our knowledge as on the date of making this application.
I/We agree and undertake to intimate the DP of 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.
Signed by: Kandula

First/Sole Holder
Kamakshamma
or Guardian
Date: F12(b) (in 07:25:59
2024-09-18 case of Minor)
IST S2(b) Second Holder T2(b) Third Holder

Annexure E
Option form for issue of DIS booklet Voluntary

Date : D D M M
2024-09-18 Y Y Y Y
DP ID 12081600 Client ID 71179795
First Holder Name KANDULA KAMAKSHAMMA
Second Holder Name
Third Holder Name
To,
Dear Sir,
I/We hereby state that: [select one of the option given below]
Option 1:
I/We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening my / our CDSL account
though I/ We have issued a Power of Attorney (POA) in favour of Zerodha Broking Ltd. for executing delivery instructions for
settling stock exchange trades (Settlement related transactions) effected through such Clearing Member.
Option 2: OR
I/We do not require the Delivery Instruction Slip (DIS) booklet for the time being, since I/We have issued a POA/
DDPI/registered for eDIS in favour of Zerodha Broking Limited for executing the delivery instructions for settling
stock exchange trades [settlement related transactions] effected through such Clearing Member/or for executing
delivery instructions through eDIS. However, the Delivery Instruction Slip (DIS) booklet should be issued to me/us
immediately on my / our request at any later date.
I/We hereby select Option 1 Option 2 *
First/Sole Holder
Signed by: Kandula
F15 (in07:25:59
Date: 2024-09-18 case of Minor)
IST S5 Second Holder T5 Third Holder
Client E-mail ID Optional

[email protected]
Client Mobile Number

9642537045
Declaration
I hereby declare that the mobile no./email ID mentioned in the Account opening form/ request for change in mobile no./email
ID is my own
Request letter for registration of mobile no./email ID of person belonging to the client's family
Please note that the mobile no./email id/both mentioned in the Account opening form/ request for change in mobile no./email ID
belongs to Mr/Mrs./Ms. ______________________________________________________________________ who is my
______________________________ [relationship with the client]
First/Sole Holder
Signed by: Kandula
Date: F16 (in 07:25:59
IST
[Only the mobile no./email id of your spouse, dependent children and dependent parents can be registered in your demat account]

Nomination Details - Annexure 1A
Zerodha Broking Limited Date
Zerodha Commodities Private Limited
I/We wish to make a nomination and do hereby nominate the following person(s) who
shall receive all the assets held in my / our account in the event of my / our death.
Name KANDULA KAMAKSHAMMA UCC YJS067 Demat ID 12081600 71179795
Nomination Details
Up to 3 nominations can be made Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
Name of the nominee(s) (Mr./Ms.) MIRIYALA
SAIKIRAN
Share of each nominee Distribute equally 100

[If not equally shared,
please specify %age] Any odd lot after division shall be transferred to the rst nominee mentioned in the form.
Relationship With the Applicant (if any) Spouse
Address of nominee(s) 39-8-19-1
GOPAL NAGAR FIRST LANE
Mobile/Telephone no. of nominee(s) 8008005818
Email ID of nominee(s) [email protected]
Proof of identity submitted for nominee(s)
Fill below details only if the nominee is a minor

Date of birth 1989-08-19
Name of the guardian
Address of guardian(s)
Mobile/Telephone no. of guardian(s)

Email ID of guardian(s)
Relationship of guardian with nominee
Proof of identity submitted
Signed by: Kandula

First/Sole Holder
Date: F17 (in 07:25:59
IST S6 Second Holder T6 Third Holder
Note:
• This nomination shall supersede any prior nomination made by the account holder(s), if any.
• The Trading Member / Depository Participant shall provide acknowledgment of the nomination form to the account
holder(s).
Date :
Declaration form for opting out of nomination (Annexure 1B)
To,
153/154, 4th Cross, Dollars Colony,
4th Phase, JP Nagar, Opp. Clarence Public School, Bangalore -
560078.
DP ID Client ID
First Holder Name

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.
First/Sole Holder
Signed by: Kandula
Date: F17 S6 T6
(in07:25:59
IST Second Holder Third Holder
Note: You can add a nominee to your account online on console.zerodha.com after the account is opened.
Sign wherever you see

Signed by: Kandula Kamakshamma
Date: 2024-09-18 07:25:59 IST
Date: 2024-09-18 07:25:59 IST
Date: 2024-09-18 07:25:59 IST
Date: 2024-09-18 07:25:59 IST
Page 1 of 13
Mrs. KAMAKSHAMMA KANDULA ANDHRA PRAGATHI GRAMEENA BANK
W/O MIRIYALA SAIKIRAN Your Branch Allagadda
:
H/NO - 39-8-19/1, GOPAL NAGAR, IST LINE H.NO.8-1-62, T.B. ROAD,
ONGOLE (TOWN),, PRAKASHAM (DIST), 523002 ALLAGADDA MANDAL
CIF No. : 41035681904 KURNOOL DISTRICT, AP, 518543,
Email : -- Branch Code : 03158
Account No. : 0000091114989032 Date : 18/09/2024
Second Holder Name : -- Time : 07:15:31
Product: PMJDY BSBD-OD-FI Limit : 0.00
Cleared Balance : 168.02Cr Int. Rate : 3.00% p.a.
Uncleared Amount : 0.00 Drawing Power : 0.00
IFSC code : APGB0003158 MICR Code : 518703643
Statement of Account From : : 01/03/2024 To : 18/09/2024
Post Date Value Date Narration Cheque Debit Credit Balance

Details
18-09-2024 18-09-2024 By Transfer: - 1.00 168.02Cr
IMPS/426207445701/ZERODHA
BROKING/XXXX9032/IMPS tr:TRF FR
0093811000010
17-09-2024 17-09-2024 WDL TFR:UPI 426140530457 - 199.00 167.02Cr

amazonpaygrocery@apl:TRF TO
0094522000010
13-09-2024 13-09-2024 WDL TFR:MOB Own account To Deposit: - 10000.00 366.02Cr

TRF TO 0091189332160
13-09-2024 13-09-2024 WDL TFR:MOB Own account To Deposit - 15000.00 10366.02Cr

TRF TO 0091189332104

TRF TO 0091189332080
12-09-2024 12-09-2024 By Transfer:UPI 425671706945 - 50000.00 50366.02Cr

9985896553@ybl:TRF FR
0095027000016
12-09-2024 12-09-2024 WDL TFR:UPI 425653683087 - 118.00 366.02Cr

2306664709083-01@jiopay:TRF TO
0094522000010
12-09-2024 12-09-2024 WDL TFR:UPI 425676382945 - 201.00 484.02Cr

JIOINAPPDIRECT@ybl:TRF TO
0094522000010
12-09-2024 12-09-2024 WDL TFR:UPI 425605292551 - 1088.00 685.02Cr

APSRTCONLINE@ybl:TRF TO
0094522000010
11-09-2024 11-09-2024 CSH WDL:6072395051361214 - 4000.00 1773.02Cr

015475900000 0000000883057

TRF TO 0091189124875
10-09-2024 10-09-2024 WDL TFR:UPI 425454039052 - 409.00 11773.02Cr

0094522000010

8008005818@ybl:TRF FR
0095027000016
06-09-2024 06-09-2024 WDL TFR:UPI 425000363231 - 149.00 eSigned using Aadhaar (digio.in)
182.02Cr
HOTSTARONLINE@ybl:TRF TO Date: 2024-09-18 07:25:59 IST
0094522000010
06-09-2024 06-09-2024 WDL TFR:TRF TO 0094522000010 - 1500.00 331.02Cr
05-09-2024 05-09-2024 WDL TFR:UPI 424929242060 - 10000.00 1831.02Cr

9989035327-3@ybl:TRF TO
0094522000010
This is a computer-generated document. No signature is required. Page 1 of 13

Page 2 of 13
Mrs. KAMAKSHAMMA KANDULA Account No. : 0000091114989032

Details
05-09-2024 05-09-2024 WDL TFR:UPI 424935273089 - 20000.00 11831.02Cr
9989035327-3@ybl:TRF TO
0094522000010
05-09-2024 05-09-2024 WDL TFR:UPI 424928362426 - 20000.00 31831.02Cr

9989035327-3@ybl:TRF TO
0094522000010

saikiran0735@ybl:TRF FR
0095027000016
05-09-2024 05-09-2024 By Transfer:Accout closing:TRF FR - 20000.00 41831.02Cr

0091188503525

0091188503514
04-09-2024 04-09-2024 WDL TFR:UPI 424811180649 - 20.00 1831.02Cr

6303684046@ybl:TRF TO
0094522000010
04-09-2024 04-09-2024 WDL TFR:UPI 424881455399 - 757.00 1851.02Cr

Q849239941@ybl:TRF TO
0094522000010
03-09-2024 03-09-2024 WDL TFR:UPI 424757537711 amazon@ - 499.00 2608.02Cr

rapl:TRF TO 0094522000010
01-09-2024 01-09-2024 WDL TFR:UPI 424591173960 - 149.00 3107.02Cr

MEESHO@ybl:TRF TO 0094522000010
01-09-2024 01-09-2024 DIRECT DR:TRF TO 0091161595881 - 1000.00 3256.02Cr
31-08-2024 31-08-2024 WDL TFR:UPI 424477499339 - 626.00 4256.02Cr

amazonupi@apl:TRF TO
0094522000010
31-08-2024 31-08-2024 WDL TFR:UPI 424416855850 paytm- - 1035.10 4882.02Cr

73252640@ptys:TRF TO
0094522000010
31-08-2024 31-08-2024 WDL TFR:APY Policy500647696349 - 97.00 5917.12Cr

91114989032 08:TRF TO
0091057869353
30-08-2024 30-08-2024 CSH WDL:6072395051361214 - 10000.00 6014.12Cr

017122900000 0000000883057

8008005818@ybl:TRF FR
0095027000016

TRF TO 0091188503558

TRF TO 0091188503536

TRF TO 0091188503525

TRF TO 0091188503514
30-08-2024 30-08-2024 By Transfer:UPI 424392640390 - Signed 80000.00

by: Kandula Kamakshamma
81014.12Cr
saikiran0735@ybl:TRF FR eSigned using Aadhaar (digio.in)
0095027000016 Date: 2024-09-18 07:25:59 IST
29-08-2024 29-08-2024 WDL TFR:UPI 424212312825 - 26000.00 1014.12Cr

7989509070@axl:TRF TO
0094522000010

8008005818@ybl:TRF FR
0095027000016

Page 3 of 13

Details
29-08-2024 29-08-2024 WDL TFR:UPI 424205807351 - 1300.00 24014.12Cr
9010508679@ybl:TRF TO
0094522000010
29-08-2024 29-08-2024 To Cash - 200000.00 25314.12Cr
28-08-2024 28-08-2024 WDL TFR:UPI 424107371243 - 75.00 230314.12Cr

0094522000010
28-08-2024 28-08-2024 WDL TFR:UPI 424132380279 - 216.00 230389.12Cr

0094522000010
28-08-2024 28-08-2024 WDL TFR:UPI 424129902011 - 1000.00 230605.12Cr

6301850800@ybl:TRF TO
0094522000010
28-08-2024 28-08-2024 WDL TFR:UPI 424147058221 - 113.00 231605.12Cr

28-08-2024 28-08-2024 WDL TFR:UPI 424194611728 - 125.00 231718.12Cr

27-08-2024 27-08-2024 WDL TFR:UPI 424007174017 - 70.00 231843.12Cr

JIOINAPPDIRECT1@ybl:TRF TO
0094522000010
27-08-2024 27-08-2024 WDL TFR:UPI 424033867562 - 199.00 231913.12Cr

amazonpaygrocery@rapl:TRF TO
0094522000010

rapl:TRF TO 0094522000010
26-08-2024 26-08-2024 WDL TFR:UPI 423930807836 - 2.00 232311.12Cr

paytmqr58chtz@paytm:TRF TO
0094522000010
26-08-2024 26-08-2024 WDL TFR:UPI 423998797345 - 70.00 232313.12Cr

APOLLOPHARMACYOFFLINE@ybl:TRF
TO 0094522000010
26-08-2024 26-08-2024 WDL TFR:UPI 423944629492 - 120.00 232383.12Cr

shakershaker11067@axl:TRF TO
0094522000010
25-08-2024 25-08-2024 WDL TFR:UPI 423883168847 - 40.00 232503.12Cr

BHARATPE.90065183079@fbpe:TRF
TO 0094522000010
22-08-2024 22-08-2024 WDL TFR:UPI 423580573439 - 608.10 232543.12Cr

2305852795337-01@jiopay:TRF TO
0094522000010
20-08-2024 20-08-2024 WDL TFR:UPI 423390199653 - 189.00 233151.22Cr

0094522000010
20-08-2024 20-08-2024 WDL TFR:UPI 423304101311 - 137.00 233340.22Cr

0094522000010
20-08-2024 20-08-2024 By Transfer:UPI 423341034062 - 3000.00

Signed by: 233477.22Cr
Kandula Kamakshamma
6301850800@axl:TRF FR
0095027000016 eSigned using Aadhaar (digio.in)
Date: 2024-09-18 07:25:59 IST
8008144551@axl:TRF FR
0095027000016

8106121916@ybl:TRF FR
0095027000016

Page 4 of 13

Details
19-08-2024 19-08-2024 WDL TFR:UPI 423267668208 - 550.00 228977.22Cr
0094522000010

0094522000010
19-08-2024 19-08-2024 WDL TFR:UPI 423245565781 - 40.00 230384.18Cr

0094522000010
18-08-2024 18-08-2024 WDL TFR:UPI 423189008068 - 100.00 230424.18Cr

8106121916@ybl:TRF TO
0094522000010
18-08-2024 18-08-2024 WDL TFR:UPI 423194164055 - 92.00 230524.18Cr

17-08-2024 17-08-2024 WDL TFR:UPI 423082969924 gpay- - 50.00 230616.18Cr

11240027695@okbizaxis:TRF TO
0094522000010
17-08-2024 17-08-2024 WDL TFR:UPI 423042052367 - 3000.00 230666.18Cr

6301850800@ybl:TRF TO
0094522000010
16-08-2024 16-08-2024 By Transfer:UPI 422945556961 miriyala. - 200.00 233666.18Cr

priyankabhargav@ybl:TRF FR
0095027000016
14-08-2024 14-08-2024 WDL TFR:UPI 422706471722 - 120.00 233466.18Cr

6309338675@ybl:TRF TO
0094522000010
14-08-2024 14-08-2024 WDL TFR:UPI 422766597498 - 1000.00 233586.18Cr

9703514975@ybl:TRF TO
0094522000010
12-08-2024 12-08-2024 WDL TFR:UPI 422596559748 - 219.00 234586.18Cr

0094522000010

delhivery123@paytm:TRF TO
0094522000010
11-08-2024 11-08-2024 WDL TFR:UPI 422400428339 - 1025.00 234955.18Cr

billdeskpg.apspdcl@icici:TRF TO
0094522000010
11-08-2024 11-08-2024 WDL TFR:UPI 422429828241 - 1000.00 235980.18Cr

9700656261-5@ybl:TRF TO
0094522000010
11-08-2024 11-08-2024 WDL TFR:UPI 422404425128 - 2347.00 236980.18Cr

0094522000010
10-08-2024 10-08-2024 WDL TFR:UPI 422310251276 - 50000.00 239327.18Cr

9985896553@ybl:TRF TO
0094522000010

miriyala131@ibl:TRF FR 0095027000016
09-08-2024 09-08-2024 WDL TFR:UPI 422250174216 - 2299.00 239327.18Cr

7569236280hussain@ybl:TRF TO eSigned using Aadhaar (digio.in)
0094522000010
Date: 2024-09-18 07:25:59 IST
08-08-2024 08-08-2024 WDL TFR:UPI 422121875630 - 207.00 241626.18Cr
08-08-2024 08-08-2024 WDL TFR:UPI 422127624787 - 1620.00 241833.18Cr

9912908851@ybl:TRF TO
0094522000010
06-08-2024 06-08-2024 WDL TFR:UPI 421943728087 - 219.00 243453.18Cr


Page 5 of 13

Details
06-08-2024 06-08-2024 WDL TFR:UPI 421988570738 meesho. - 132.00 243672.18Cr
rzp@icici:TRF TO 0094522000010
06-08-2024 06-08-2024 WDL TFR:UPI 421939880591 - 255.00 243804.18Cr

05-08-2024 05-08-2024 CSH WDL:6072395051361214 - 3500.00 244059.18Cr

000624900000 0000000883057

8008005818@ybl:TRF FR
0095027000016
04-08-2024 04-08-2024 WDL TFR:UPI 421794692715 - 126.00 245259.18Cr

03-08-2024 03-08-2024 WDL TFR:UPI 421659290919 - 530.00 245385.18Cr

0094522000010
03-08-2024 03-08-2024 WDL TFR:UPI 421631524485 bunty. - 47500.00 245915.18Cr

miriyala@ybl:TRF TO 0094522000010
02-08-2024 02-08-2024 WDL TFR:UPI 421597437884 - 160.00 293415.18Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421583476504 - 890.05 293575.18Cr

2305852795337-01@jiopay
02-08-2024 02-08-2024 CSH WDL:6072395051361214 - 10000.00 294465.23Cr

030919900000 0000000883057
02-08-2024 02-08-2024 WDL TFR:UPI 421510360485 - 245.00 304465.23Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421574622734 - 353.00 304710.23Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421538532922 - 206.00 305063.23Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421447830419 - 111.00 305269.23Cr


9346791997@axl:TRF FR
0095027000016

91114989032 07:TRF TO
0091057869353

91114989032 06:TRF TO
0091057869353

8008005818@ybl:TRF FR
0095027000016
28-07-2024 28-07-2024 WDL TFR:UPI 421042329358 - 100.00 Signed by: Kandula Kamakshamma
275575.23Cr
Q14137451@ybl:TRF TO eSigned using Aadhaar (digio.in)
0094522000010 Date: 2024-09-18 07:25:59 IST
27-07-2024 27-07-2024 WDL TFR:UPI 420930414702 - 2500.00 275675.23Cr

mvramamohan-2@okhdfcbank
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 600.00 278175.23Cr

014528900789 0000037578601
27-07-2024 27-07-2024 WDL TFR:UPI 420980096310 - 139.00 278775.23Cr

7893544260@ybl:TRF TO
0094522000010

Page 6 of 13

Details
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 1056.00 278914.23Cr
014160900789 0000037578603
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 500.00 279970.23Cr

014157900789 0000037578603
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 11700.00 280470.23Cr

013760900789 0000037578601
26-07-2024 26-07-2024 CSH WDL:6072395051361214 - 9000.00 292170.23Cr

014928900000 0000000883057
26-07-2024 26-07-2024 WDL TFR:UPI 420887893509 - 1934.00 301170.23Cr

0094522000010
25-07-2024 25-07-2024 WDL TFR:UPI 420768416769 - 938.60 303104.23Cr

2306664709083-01@jiopay:TRF TO
0094522000010
25-07-2024 25-07-2024 WDL TFR:UPI 420701768052 - 10000.00 304042.83Cr

srichaitanyatec561911.rzp@icici:TRF TO
0094522000010
25-07-2024 25-07-2024 WDL TFR:UPI 420736156750 - 10000.00 314042.83Cr

0094522000010

9346791997@axl:TRF FR
0095027000016
24-07-2024 24-07-2024 By Cash:Deposit by JKSPK4831A - 300000.00 300042.83Cr

JKSPK4831A

9700567722@axisb:TRF FR
0095027000016
13-07-2024 13-07-2024 WDL TFR:UPI 419554194478 - 153.00 41.83Cr

13-07-2024 13-07-2024 WDL TFR:UPI 419574682858 - 129.00 194.83Cr

13-07-2024 13-07-2024 WDL TFR:UPI 419544085282 - 1000.00 323.83Cr

9676845654@ybl:TRF TO
0094522000010

8008005818@ybl:TRF FR
0095027000016
12-07-2024 12-07-2024 WDL TFR:UPI 419416024401 - 393.00 23.83Cr

12-07-2024 12-07-2024 WDL TFR:UPI 419455611768 - 292.00 416.83Cr

12-07-2024 12-07-2024 WDL TFR:UPI 419478030985 - 25000.00 708.83Cr

9346791997@axl:TRF TO
0094522000010 Signed by: Kandula Kamakshamma
Date: 2024-09-18 07:25:59 IST
12-07-2024 12-07-2024 WDL TFR:UPI 419429172546 - 25000.00 25708.83Cr
9346791997@axl:TRF TO
0094522000010
08-07-2024 08-07-2024 By Transfer: - 460.00 708.83Cr

IMPS/419012832560/MEESHO-
FASHNEAR/XXXX9032/No Rema:TRF
FR 0093811000010

Page 7 of 13

Details
07-07-2024 07-07-2024 WDL TFR:UPI 418998343076 - 7000.00 248.83Cr
9849951764@ybl:TRF TO
0094522000010

8008005818@ybl
05-07-2024 05-07-2024 CSH WDL:6072395051361214 - 3500.00 248.83Cr

016309900000 0000000883057

6301850800@axl:TRF FR
0095027000016

6301850800@axl:TRF FR
0095027000016
04-07-2024 04-07-2024 WDL TFR:UPI 418646143172 - 343.00 748.83Cr


8008005818@ybl:TRF FR
0095027000016
29-06-2024 29-06-2024 To Cash:Paid to 659533 - 20000.00 91.83Cr

8008005818@ybl:TRF FR
0095027000016

8008005818@ybl:TRF FR
0095027000016
29-06-2024 29-06-2024 WDL TFR:UPI 418108093844 - 4000.00 2091.83Cr

6301850800@ybl:TRF TO
0094522000010

8008005818@ybl:TRF FR
0095027000016

8008005818@ybl:TRF FR
0095027000016
26-06-2024 26-06-2024 WDL TFR:UPI 417883259112 - 200.00 91.83Cr

ajiteshajitesh6091@ybl:TRF TO
0094522000010

9346315804@axl:TRF FR
0095027000016
26-06-2024 26-06-2024 WDL TFR:UPI 417814664888 - 200.00 91.83Cr

9346315804@axl:TRF TO
0094522000010

ajiteshajitesh609@ybl:TRF FR
0095027000016
23-06-2024 23-06-2024 GST - 2.70 91.83Cr
23-06-2024 23-06-2024 SMS CHARGES - 15.00 94.53Cr

22-06-2024 22-06-2024 CR INT CR - Date: 2024-09-18
9.00 07:25:59 IST
109.53Cr
06-06-2024 06-06-2024 WDL TFR:UPI 415875770926 - 149.00 100.53Cr

HOTSTARONLINE@ybl:TRF TO
0094522000010
06-06-2024 06-06-2024 WDL TFR:UPI 415822554777 payphi. - 123.00 249.53Cr

ecomexpresspvtltd@icici:TRF TO
0094522000010

Page 8 of 13

Details
05-06-2024 05-06-2024 WDL TFR:UPI 415739580558 - 413.00 372.53Cr
amazonsellerservices.98397377@hd:
TRF TO 0094522000010
03-06-2024 03-06-2024 WDL TFR:UPI 415538504772 - 217.00 785.53Cr

MEESHO@axl:TRF TO 0094522000010

8008144551@axl:TRF FR
0095027000016

91114989032 05:TRF TO
0091057869353
25-05-2024 25-05-2024 WDL TFR:UPI 414615661977 - 181.00 99.53Cr

JIOINAPPDIRECT@axl:TRF TO
0094522000010
25-05-2024 25-05-2024 WDL TFR:UPI 414694677272 - 2500.00 280.53Cr

saikiran0735@ybl:TRF TO
0094522000010
23-05-2024 23-05-2024 XS RT CHG 2.000 - 2.000 -
23-05-2024 23-05-2024 XS RT CHG 2.000 - 2.000 -
22-05-2024 22-05-2024 WDL TFR:UPI 414369679710 - 91.00 2780.53Cr

21-05-2024 21-05-2024 WDL TFR:TR TO GL CLOSURE:TRF TO - 150233.00 2871.53Cr

0091167559518
21-05-2024 21-05-2024 WDL TFR:SB TOJL:TRF TO - 84586.00 153104.53Cr

0091159382399
21-05-2024 21-05-2024 WDL TFR:SB TO JL:TRF TO - 101990.00 237690.53Cr

0091167422186
21-05-2024 21-05-2024 By Transfer:TRF FR 0091183815451 - 98000.00 339680.53Cr
21-05-2024 21-05-2024 WDL TFR:TRF TO 0091183815451 - 641.92 241680.53Cr
21-05-2024 21-05-2024 WDL TFR:TRF TO 0091183814355 - 802.40 157322.45Cr
21-05-2024 21-05-2024 WDL TFR:TRF TO 0091183813395 - 944.00 1124.85Cr
20-05-2024 20-05-2024 WDL TFR:UPI 414121656441 - 233.00 2068.85Cr

18-05-2024 18-05-2024 WDL TFR:UPI 413941985282 - 147.00 2301.85Cr

ganjayeesrikanth2@axl:TRF TO
0094522000010
18-05-2024 18-05-2024 WDL TFR:UPI 413944134726 - 82.00 2448.85Cr

17-05-2024 17-05-2024 WDL TFR:UPI 413811999161 - 170.00 2530.85Cr

rm6352482@ybl
16-05-2024 16-05-2024 WDL TFR:UPI 413749724209 - 88.00 2700.85Cr
Date: 2024-09-18 07:25:59 IST
16-05-2024 16-05-2024 WDL TFR:UPI 413700969745 - 100.00 2788.85Cr

9700601028axis@ybl:TRF TO
0094522000010
15-05-2024 15-05-2024 WDL TFR:UPI 413685027432 - 420.00 2888.85Cr

paytmqr1o4zl2wutl@paytm:TRF TO
0094522000010

Page 9 of 13

Details
15-05-2024 15-05-2024 WDL TFR:UPI 413652313237 - 900.00 3308.85Cr
9849266929@axl:TRF TO
0094522000010
15-05-2024 15-05-2024 WDL TFR:UPI 413630097516 - 256.00 4208.85Cr

15-05-2024 15-05-2024 WDL TFR:UPI 413660824088 - 392.00 4464.85Cr

15-05-2024 15-05-2024 WDL TFR:UPI 413664224446 - 257.00 4856.85Cr


6301850800@axl:TRF FR
0095027000016
15-05-2024 15-05-2024 WDL TFR:UPI 413628447416 - 246.00 4867.85Cr


9121726479@ybl:TRF FR
0095027000016
11-05-2024 11-05-2024 WDL TFR:PMSBY POLICYUNI05051180 - 20.00 5108.85Cr

8237112RENEWAL:TRF TO
0071004000010
11-05-2024 11-05-2024 DIRECT DR - 5000.00 5128.85Cr
10-05-2024 10-05-2024 WDL TFR:UPI 413101407633 - 2100.00 10128.85Cr

vallapunenivenkatasaikrishna@ybl:TRF
TO 0094522000010
10-05-2024 10-05-2024 By Transfer:UPI 413189463879 0:TRF - 2100.00 12228.85Cr

FR 0094522000010
10-05-2024 10-05-2024 WDL TFR:UPI 413189463879 - 2100.00 10128.85Cr

vallapuneni.hari@axl:TRF TO
0094522000010

0095027000016

phonepemerchant@yesbank:TRF FR
0095027000016
07-05-2024 07-05-2024 By Transfer:UPI 412876773269 ajio. - 1007.00 1128.85Cr

payu@icici:TRF FR 0095027000016

yapl:TRF TO 0094522000010
05-05-2024 05-05-2024 WDL TFR:UPI 412680471298 - 151.00 405.90Cr

0094522000010

0095027000016
56.90Cr
arhamediaandbroadcastingprivatel:TRF eSigned using Aadhaar (digio.in)
TO 0094522000010 Date: 2024-09-18 07:25:59 IST
03-05-2024 03-05-2024 WDL TFR:UPI 412457863711 - 289.00 255.90Cr

0094522000010
02-05-2024 02-05-2024 WDL TFR:UPI 412385122531 - 165.00 544.90Cr

02-05-2024 02-05-2024 CR INT DB:NEW BRANCH : = 03158 - 3.65 709.90Cr

Page 10 of 13

Details
02-05-2024 02-05-2024 CR INT CR - 3.65 713.55Cr
30-04-2024 30-04-2024 By Transfer: - 1.01 709.90Cr

IMPS/412118656310/CASHFREE
PAYMEN/XXXX9032/Cashfre:TRF FR
0093811000010

91114989032 04:TRF TO
0091057869353
30-04-2024 30-04-2024 WDL TFR:UPI 412197833221 ajio. - 1007.00 805.89Cr

payu@icici:TRF TO 0094522000010
29-04-2024 29-04-2024 WDL TFR:UPI 412054031538 - 300.00 1812.89Cr

0094522000010
29-04-2024 29-04-2024 WDL TFR:UPI 412041644429 - 6000.00 2112.89Cr

6301850800@ybl:TRF TO
0094522000010

0095027000016
29-04-2024 29-04-2024 WDL TFR:UPI 412008177856 - 29.00 112.89Cr

JIOINAPPDIRECT1@axl:TRF TO
0094522000010
27-04-2024 27-04-2024 WDL TFR:UPI 411852493093 - 9000.00 141.89Cr

0094522000010

phonepe-payouts@yesbank:TRF FR
0095027000016
19-04-2024 19-04-2024 WDL TFR:UPI 411021222427 - 2000.00 141.89Cr

6301850800@ybl

0095027000016
19-04-2024 19-04-2024 WDL TFR:UPI 411046855809 - 2000.00 141.89Cr

0094522000010

0095027000016
12-04-2024 12-04-2024 WDL TFR:UPI 410312012957 - 151.00 141.89Cr

0095026000028

yapl:TRF TO 0095026000028
12-04-2024 12-04-2024 WDL TFR:UPI 410386686561 - 158.00 491.89Cr

amazonpaygrocery@yapl:TRF TO
0095026000028
12-04-2024 12-04-2024 WDL TFR:UPI 410385561242 amazon@ - 415.00

649.89Cr
yapl:TRF TO 0095026000028 eSigned using Aadhaar (digio.in)
Date: 2024-09-18 07:25:59 IST
yapl:TRF TO 0095026000028

0095027000016
05-04-2024 05-04-2024 WDL TFR:UPI 409645705542 - 119.00 63.89Cr

0095026000017

Page 11 of 13

Details
04-04-2024 04-04-2024 WDL TFR:UPI 409562602047 - 3500.00 182.89Cr
6301850800@axl:TRF TO
0095026000017

saikiran0735@ybl
03-04-2024 03-04-2024 WDL TFR:UPI 409444319906 - 1000.00 182.89Cr

8910651225-3@ibl:TRF TO
0095026000017

0095027000016

91114989032 03:TRF TO
0091057869353

priyanka.nalisetty1@axl:TRF FR
0095027000016
28-03-2024 28-03-2024 WDL TFR:UPI 408810869688 - 1000.00 2879.89Cr

nikhithamiriyala@axl:TRF TO
0095026000017
28-03-2024 28-03-2024 WDL TFR:UPI 408891044792 priyanka. - 2400.00 3879.89Cr

nalisetty1@axl:TRF TO 0095026000017
27-03-2024 27-03-2024 WDL TFR:UPI 408795409253 - 300.00 6279.89Cr

7995904643@ybl:TRF TO
0095026000017
26-03-2024 26-03-2024 WDL TFR:UPI 408606423338 - 30000.00 6579.89Cr

9849951764@axl:TRF TO
0095026000017

8008005818@ybl:TRF FR
0095027000016
26-03-2024 26-03-2024 WDL TFR:UPI 408681442111 - 2000.00 6579.89Cr

6301850800@axl:TRF TO
0095026000017

25-03-2024 25-03-2024 WDL TFR:UPI 408568608639 - 250.00 2579.89Cr

0095026000017

0095026000017

0095026000017
25-03-2024 25-03-2024 WDL TFR:UPI 408412337323 miriyala. - 400.00 3209.89Cr

priyankabhargav@ybl:TRF TO
Date: 2024-09-18 07:25:59 IST
24-03-2024 24-03-2024 GST - 2.70 3609.89Cr
24-03-2024 24-03-2024 SMS CHARGES - 15.00 3612.59Cr
23-03-2024 23-03-2024 CR INT CR - 332.00 3627.59Cr

0095382000010

Page 12 of 13

Details
22-03-2024 22-03-2024 WDL TFR:UPI 408260348320 - 700.00 295.59Cr
lakshmi88877hh1@ybl:TRF TO
0095026000017
21-03-2024 21-03-2024 WDL TFR:TR TO PKCC:TRF TO - 5800.00 995.59Cr

0091165745642

8008005818@ybl:TRF FR
0095027000016

8008005818@ybl:TRF FR
0095027000016
19-03-2024 19-03-2024 WDL TFR:UPI 407905697150 - 181.00 2795.59Cr

0095026000017
17-03-2024 17-03-2024 WDL TFR:UPI 407760404356 - 100.00 2976.59Cr

TO 0095026000017

0095027000016
17-03-2024 17-03-2024 WDL TFR:UPI 407764132847 - 1574.00 1576.59Cr

2305852795337-01@jiopay:TRF TO
0095026000017
16-03-2024 16-03-2024 WDL TFR:UPI 407603379188 - 168.00 3150.59Cr

0095026000017
16-03-2024 16-03-2024 WDL TFR:UPI 407688774095 - 256.00 3318.59Cr

0095026000017

razorpay@axisbank:TRF TO
0095026000017
15-03-2024 15-03-2024 WDL TFR:UPI 407584691861 - 227.00 4559.59Cr

15-03-2024 15-03-2024 WDL TFR:UPI 407514746130 - 225.00 4786.59Cr


priyanka.gurram@ybl:TRF FR
0095027000016
06-03-2024 06-03-2024 WDL TFR:UPI 406690145473 - 700.00 100.59Cr

0095026000017
06-03-2024 06-03-2024 WDL TFR:UPI 406670308571 - 149.00 800.59Cr

0095026000017

6301850800@axl:TRF FR
0095027000016
449.59Cr
paytmqrs253muyhme@paytm:TRF TO Date: 2024-09-18 07:25:59 IST
0095026000017
04-03-2024 04-03-2024 WDL TFR:UPI 406473468427 - 100.00 569.59Cr

0095026000017
02-03-2024 02-03-2024 WDL TFR:UPI 406245515661 - 10.00 669.59Cr

paytmqr15fimupjhc@paytm:TRF TO
0095026000017

Page 13 of 13

Details
01-03-2024 01-03-2024 WDL TFR:UPI 406173568467 srinu. - 4700.00 679.59Cr
makke@axl:TRF TO 0095026000017

8008005818@ybl:TRF FR
0095027000016

0095027000016
01-03-2024 01-03-2024 WDL TFR:UPI 406146330869 - 530.00 879.59Cr

0095026000017
01-03-2024 01-03-2024 WDL TFR:UPI 406172334831 - 85.00 1409.59Cr

7842292069@ybl:TRF TO
0095026000017

9948129453@axl:TRF FR
0095027000016

9948129453@axl:TRF FR
0095027000016

Date: 2024-09-18 07:25:59 IST
Open Bal Dr count Cr count Debits Credits Clo Bal

201 69 1169603.23 1168577.66 193.59Cr

Page 1 of 13
Mrs. KAMAKSHAMMA KANDULA ANDHRA PRAGATHI GRAMEENA BANK
W/O MIRIYALA SAIKIRAN Your Branch Allagadda
:
H/NO - 39-8-19/1, GOPAL NAGAR, IST LINE H.NO.8-1-62, T.B. ROAD,
ONGOLE (TOWN),, PRAKASHAM (DIST), 523002 ALLAGADDA MANDAL
CIF No. : 41035681904 KURNOOL DISTRICT, AP, 518543,
Email : -- Branch Code : 03158
Account No. : 0000091114989032 Date : 18/09/2024
Second Holder Name : -- Time : 07:15:31
Product: PMJDY BSBD-OD-FI Limit : 0.00
Cleared Balance : 168.02Cr Int. Rate : 3.00% p.a.
Uncleared Amount : 0.00 Drawing Power : 0.00
IFSC code : APGB0003158 MICR Code : 518703643

Details
18-09-2024 18-09-2024 By Transfer: - 1.00 168.02Cr
IMPS/426207445701/ZERODHA
BROKING/XXXX9032/IMPS tr:TRF FR
0093811000010
17-09-2024 17-09-2024 WDL TFR:UPI 426140530457 - 199.00 167.02Cr

amazonpaygrocery@apl:TRF TO
0094522000010

TRF TO 0091189332160
13-09-2024 13-09-2024 WDL TFR:MOB Own account To Deposit - 15000.00 10366.02Cr

TRF TO 0091189332104

TRF TO 0091189332080

9985896553@ybl:TRF FR
0095027000016
12-09-2024 12-09-2024 WDL TFR:UPI 425653683087 - 118.00 366.02Cr

2306664709083-01@jiopay:TRF TO
0094522000010
12-09-2024 12-09-2024 WDL TFR:UPI 425676382945 - 201.00 484.02Cr

JIOINAPPDIRECT@ybl:TRF TO
0094522000010
12-09-2024 12-09-2024 WDL TFR:UPI 425605292551 - 1088.00 685.02Cr

0094522000010
11-09-2024 11-09-2024 CSH WDL:6072395051361214 - 4000.00 1773.02Cr

015475900000 0000000883057

TRF TO 0091189124875
10-09-2024 10-09-2024 WDL TFR:UPI 425454039052 - 409.00 11773.02Cr

0094522000010

8008005818@ybl:TRF FR
0095027000016
182.02Cr
HOTSTARONLINE@ybl:TRF TO Date: 2024-09-18 07:25:59 IST
0094522000010
06-09-2024 06-09-2024 WDL TFR:TRF TO 0094522000010 - 1500.00 331.02Cr
05-09-2024 05-09-2024 WDL TFR:UPI 424929242060 - 10000.00 1831.02Cr

9989035327-3@ybl:TRF TO
0094522000010

Page 2 of 13

Details
05-09-2024 05-09-2024 WDL TFR:UPI 424935273089 - 20000.00 11831.02Cr
9989035327-3@ybl:TRF TO
0094522000010
05-09-2024 05-09-2024 WDL TFR:UPI 424928362426 - 20000.00 31831.02Cr

9989035327-3@ybl:TRF TO
0094522000010

0095027000016

0091188503525

0091188503514
04-09-2024 04-09-2024 WDL TFR:UPI 424811180649 - 20.00 1831.02Cr

6303684046@ybl:TRF TO
0094522000010
04-09-2024 04-09-2024 WDL TFR:UPI 424881455399 - 757.00 1851.02Cr

0094522000010

rapl:TRF TO 0094522000010
01-09-2024 01-09-2024 WDL TFR:UPI 424591173960 - 149.00 3107.02Cr

31-08-2024 31-08-2024 WDL TFR:UPI 424477499339 - 626.00 4256.02Cr

0094522000010

0094522000010

91114989032 08:TRF TO
0091057869353
30-08-2024 30-08-2024 CSH WDL:6072395051361214 - 10000.00 6014.12Cr

017122900000 0000000883057

8008005818@ybl:TRF FR
0095027000016

TRF TO 0091188503558

TRF TO 0091188503536

TRF TO 0091188503525

TRF TO 0091188503514
30-08-2024 30-08-2024 By Transfer:UPI 424392640390 - Signed 80000.00

by: Kandula Kamakshamma
81014.12Cr
saikiran0735@ybl:TRF FR eSigned using Aadhaar (digio.in)
0095027000016 Date: 2024-09-18 07:25:59 IST
29-08-2024 29-08-2024 WDL TFR:UPI 424212312825 - 26000.00 1014.12Cr

7989509070@axl:TRF TO
0094522000010

8008005818@ybl:TRF FR
0095027000016

Page 3 of 13

Details
29-08-2024 29-08-2024 WDL TFR:UPI 424205807351 - 1300.00 24014.12Cr
9010508679@ybl:TRF TO
0094522000010
29-08-2024 29-08-2024 To Cash - 200000.00 25314.12Cr
28-08-2024 28-08-2024 WDL TFR:UPI 424107371243 - 75.00 230314.12Cr

0094522000010
28-08-2024 28-08-2024 WDL TFR:UPI 424132380279 - 216.00 230389.12Cr

0094522000010
28-08-2024 28-08-2024 WDL TFR:UPI 424129902011 - 1000.00 230605.12Cr

6301850800@ybl:TRF TO
0094522000010
28-08-2024 28-08-2024 WDL TFR:UPI 424147058221 - 113.00 231605.12Cr

28-08-2024 28-08-2024 WDL TFR:UPI 424194611728 - 125.00 231718.12Cr

27-08-2024 27-08-2024 WDL TFR:UPI 424007174017 - 70.00 231843.12Cr

JIOINAPPDIRECT1@ybl:TRF TO
0094522000010
27-08-2024 27-08-2024 WDL TFR:UPI 424033867562 - 199.00 231913.12Cr

0094522000010

rapl:TRF TO 0094522000010
26-08-2024 26-08-2024 WDL TFR:UPI 423930807836 - 2.00 232311.12Cr

paytmqr58chtz@paytm:TRF TO
0094522000010
26-08-2024 26-08-2024 WDL TFR:UPI 423998797345 - 70.00 232313.12Cr

APOLLOPHARMACYOFFLINE@ybl:TRF
TO 0094522000010
26-08-2024 26-08-2024 WDL TFR:UPI 423944629492 - 120.00 232383.12Cr

shakershaker11067@axl:TRF TO
0094522000010
25-08-2024 25-08-2024 WDL TFR:UPI 423883168847 - 40.00 232503.12Cr

TO 0094522000010
22-08-2024 22-08-2024 WDL TFR:UPI 423580573439 - 608.10 232543.12Cr

2305852795337-01@jiopay:TRF TO
0094522000010
20-08-2024 20-08-2024 WDL TFR:UPI 423390199653 - 189.00 233151.22Cr

0094522000010
20-08-2024 20-08-2024 WDL TFR:UPI 423304101311 - 137.00 233340.22Cr

0094522000010
20-08-2024 20-08-2024 By Transfer:UPI 423341034062 - 3000.00

Signed by: 233477.22Cr
Kandula Kamakshamma
6301850800@axl:TRF FR
Date: 2024-09-18 07:25:59 IST
8008144551@axl:TRF FR
0095027000016

8106121916@ybl:TRF FR
0095027000016

Page 4 of 13

Details
19-08-2024 19-08-2024 WDL TFR:UPI 423267668208 - 550.00 228977.22Cr
0094522000010

0094522000010
19-08-2024 19-08-2024 WDL TFR:UPI 423245565781 - 40.00 230384.18Cr

0094522000010
18-08-2024 18-08-2024 WDL TFR:UPI 423189008068 - 100.00 230424.18Cr

8106121916@ybl:TRF TO
0094522000010
18-08-2024 18-08-2024 WDL TFR:UPI 423194164055 - 92.00 230524.18Cr


0094522000010
17-08-2024 17-08-2024 WDL TFR:UPI 423042052367 - 3000.00 230666.18Cr

6301850800@ybl:TRF TO
0094522000010
16-08-2024 16-08-2024 By Transfer:UPI 422945556961 miriyala. - 200.00 233666.18Cr

priyankabhargav@ybl:TRF FR
0095027000016
14-08-2024 14-08-2024 WDL TFR:UPI 422706471722 - 120.00 233466.18Cr

6309338675@ybl:TRF TO
0094522000010
14-08-2024 14-08-2024 WDL TFR:UPI 422766597498 - 1000.00 233586.18Cr

9703514975@ybl:TRF TO
0094522000010
12-08-2024 12-08-2024 WDL TFR:UPI 422596559748 - 219.00 234586.18Cr

0094522000010

delhivery123@paytm:TRF TO
0094522000010
11-08-2024 11-08-2024 WDL TFR:UPI 422400428339 - 1025.00 234955.18Cr

0094522000010
11-08-2024 11-08-2024 WDL TFR:UPI 422429828241 - 1000.00 235980.18Cr

9700656261-5@ybl:TRF TO
0094522000010
11-08-2024 11-08-2024 WDL TFR:UPI 422404425128 - 2347.00 236980.18Cr

0094522000010
10-08-2024 10-08-2024 WDL TFR:UPI 422310251276 - 50000.00 239327.18Cr

9985896553@ybl:TRF TO
0094522000010

09-08-2024 09-08-2024 WDL TFR:UPI 422250174216 - 2299.00 239327.18Cr

7569236280hussain@ybl:TRF TO eSigned using Aadhaar (digio.in)
0094522000010
Date: 2024-09-18 07:25:59 IST
08-08-2024 08-08-2024 WDL TFR:UPI 422121875630 - 207.00 241626.18Cr
08-08-2024 08-08-2024 WDL TFR:UPI 422127624787 - 1620.00 241833.18Cr

9912908851@ybl:TRF TO
0094522000010
06-08-2024 06-08-2024 WDL TFR:UPI 421943728087 - 219.00 243453.18Cr


Page 5 of 13

Details
06-08-2024 06-08-2024 WDL TFR:UPI 421988570738 meesho. - 132.00 243672.18Cr
rzp@icici:TRF TO 0094522000010
06-08-2024 06-08-2024 WDL TFR:UPI 421939880591 - 255.00 243804.18Cr

05-08-2024 05-08-2024 CSH WDL:6072395051361214 - 3500.00 244059.18Cr

000624900000 0000000883057

8008005818@ybl:TRF FR
0095027000016
04-08-2024 04-08-2024 WDL TFR:UPI 421794692715 - 126.00 245259.18Cr

03-08-2024 03-08-2024 WDL TFR:UPI 421659290919 - 530.00 245385.18Cr

0094522000010
03-08-2024 03-08-2024 WDL TFR:UPI 421631524485 bunty. - 47500.00 245915.18Cr

miriyala@ybl:TRF TO 0094522000010
02-08-2024 02-08-2024 WDL TFR:UPI 421597437884 - 160.00 293415.18Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421583476504 - 890.05 293575.18Cr

2305852795337-01@jiopay
02-08-2024 02-08-2024 CSH WDL:6072395051361214 - 10000.00 294465.23Cr

030919900000 0000000883057
02-08-2024 02-08-2024 WDL TFR:UPI 421510360485 - 245.00 304465.23Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421574622734 - 353.00 304710.23Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421538532922 - 206.00 305063.23Cr

02-08-2024 02-08-2024 WDL TFR:UPI 421447830419 - 111.00 305269.23Cr


9346791997@axl:TRF FR
0095027000016

91114989032 07:TRF TO
0091057869353

91114989032 06:TRF TO
0091057869353

8008005818@ybl:TRF FR
0095027000016
275575.23Cr
Q14137451@ybl:TRF TO eSigned using Aadhaar (digio.in)
0094522000010 Date: 2024-09-18 07:25:59 IST
27-07-2024 27-07-2024 WDL TFR:UPI 420930414702 - 2500.00 275675.23Cr

mvramamohan-2@okhdfcbank
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 600.00 278175.23Cr

014528900789 0000037578601
27-07-2024 27-07-2024 WDL TFR:UPI 420980096310 - 139.00 278775.23Cr

7893544260@ybl:TRF TO
0094522000010

Page 6 of 13

Details
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 1056.00 278914.23Cr
014160900789 0000037578603
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 500.00 279970.23Cr

014157900789 0000037578603
27-07-2024 27-07-2024 POS ATM PURCH:6072395051361214 - 11700.00 280470.23Cr

013760900789 0000037578601
26-07-2024 26-07-2024 CSH WDL:6072395051361214 - 9000.00 292170.23Cr

014928900000 0000000883057
26-07-2024 26-07-2024 WDL TFR:UPI 420887893509 - 1934.00 301170.23Cr

0094522000010
25-07-2024 25-07-2024 WDL TFR:UPI 420768416769 - 938.60 303104.23Cr

2306664709083-01@jiopay:TRF TO
0094522000010
25-07-2024 25-07-2024 WDL TFR:UPI 420701768052 - 10000.00 304042.83Cr

0094522000010
25-07-2024 25-07-2024 WDL TFR:UPI 420736156750 - 10000.00 314042.83Cr

0094522000010

9346791997@axl:TRF FR
0095027000016

JKSPK4831A

9700567722@axisb:TRF FR
0095027000016
13-07-2024 13-07-2024 WDL TFR:UPI 419554194478 - 153.00 41.83Cr

13-07-2024 13-07-2024 WDL TFR:UPI 419574682858 - 129.00 194.83Cr

13-07-2024 13-07-2024 WDL TFR:UPI 419544085282 - 1000.00 323.83Cr

9676845654@ybl:TRF TO
0094522000010

8008005818@ybl:TRF FR
0095027000016
12-07-2024 12-07-2024 WDL TFR:UPI 419416024401 - 393.00 23.83Cr

12-07-2024 12-07-2024 WDL TFR:UPI 419455611768 - 292.00 416.83Cr

12-07-2024 12-07-2024 WDL TFR:UPI 419478030985 - 25000.00 708.83Cr

9346791997@axl:TRF TO
0094522000010 Signed by: Kandula Kamakshamma
Date: 2024-09-18 07:25:59 IST
12-07-2024 12-07-2024 WDL TFR:UPI 419429172546 - 25000.00 25708.83Cr
9346791997@axl:TRF TO
0094522000010
08-07-2024 08-07-2024 By Transfer: - 460.00 708.83Cr

IMPS/419012832560/MEESHO-
FASHNEAR/XXXX9032/No Rema:TRF
FR 0093811000010

Page 7 of 13

Details
07-07-2024 07-07-2024 WDL TFR:UPI 418998343076 - 7000.00 248.83Cr
9849951764@ybl:TRF TO
0094522000010

8008005818@ybl
05-07-2024 05-07-2024 CSH WDL:6072395051361214 - 3500.00 248.83Cr

016309900000 0000000883057

6301850800@axl:TRF FR
0095027000016

6301850800@axl:TRF FR
0095027000016
04-07-2024 04-07-2024 WDL TFR:UPI 418646143172 - 343.00 748.83Cr


8008005818@ybl:TRF FR
0095027000016
29-06-2024 29-06-2024 To Cash:Paid to 659533 - 20000.00 91.83Cr

8008005818@ybl:TRF FR
0095027000016

8008005818@ybl:TRF FR
0095027000016
29-06-2024 29-06-2024 WDL TFR:UPI 418108093844 - 4000.00 2091.83Cr

6301850800@ybl:TRF TO
0094522000010

8008005818@ybl:TRF FR
0095027000016

8008005818@ybl:TRF FR
0095027000016
26-06-2024 26-06-2024 WDL TFR:UPI 417883259112 - 200.00 91.83Cr

ajiteshajitesh6091@ybl:TRF TO
0094522000010

9346315804@axl:TRF FR
0095027000016
26-06-2024 26-06-2024 WDL TFR:UPI 417814664888 - 200.00 91.83Cr

9346315804@axl:TRF TO
0094522000010

ajiteshajitesh609@ybl:TRF FR
0095027000016
23-06-2024 23-06-2024 GST - 2.70 91.83Cr
23-06-2024 23-06-2024 SMS CHARGES - 15.00 94.53Cr

22-06-2024 22-06-2024 CR INT CR - Date: 2024-09-18
9.00 07:25:59 IST
109.53Cr
06-06-2024 06-06-2024 WDL TFR:UPI 415875770926 - 149.00 100.53Cr

0094522000010
06-06-2024 06-06-2024 WDL TFR:UPI 415822554777 payphi. - 123.00 249.53Cr

ecomexpresspvtltd@icici:TRF TO
0094522000010

Page 8 of 13

Details
05-06-2024 05-06-2024 WDL TFR:UPI 415739580558 - 413.00 372.53Cr
amazonsellerservices.98397377@hd:
TRF TO 0094522000010
03-06-2024 03-06-2024 WDL TFR:UPI 415538504772 - 217.00 785.53Cr


8008144551@axl:TRF FR
0095027000016

91114989032 05:TRF TO
0091057869353
25-05-2024 25-05-2024 WDL TFR:UPI 414615661977 - 181.00 99.53Cr

0094522000010
25-05-2024 25-05-2024 WDL TFR:UPI 414694677272 - 2500.00 280.53Cr

0094522000010
23-05-2024 23-05-2024 XS RT CHG 2.000 - 2.000 -
23-05-2024 23-05-2024 XS RT CHG 2.000 - 2.000 -
22-05-2024 22-05-2024 WDL TFR:UPI 414369679710 - 91.00 2780.53Cr

21-05-2024 21-05-2024 WDL TFR:TR TO GL CLOSURE:TRF TO - 150233.00 2871.53Cr

0091167559518
21-05-2024 21-05-2024 WDL TFR:SB TOJL:TRF TO - 84586.00 153104.53Cr

0091159382399
21-05-2024 21-05-2024 WDL TFR:SB TO JL:TRF TO - 101990.00 237690.53Cr

0091167422186
21-05-2024 21-05-2024 WDL TFR:TRF TO 0091183815451 - 641.92 241680.53Cr
21-05-2024 21-05-2024 WDL TFR:TRF TO 0091183814355 - 802.40 157322.45Cr
21-05-2024 21-05-2024 WDL TFR:TRF TO 0091183813395 - 944.00 1124.85Cr
20-05-2024 20-05-2024 WDL TFR:UPI 414121656441 - 233.00 2068.85Cr

18-05-2024 18-05-2024 WDL TFR:UPI 413941985282 - 147.00 2301.85Cr

ganjayeesrikanth2@axl:TRF TO
0094522000010
18-05-2024 18-05-2024 WDL TFR:UPI 413944134726 - 82.00 2448.85Cr

17-05-2024 17-05-2024 WDL TFR:UPI 413811999161 - 170.00 2530.85Cr

rm6352482@ybl
16-05-2024 16-05-2024 WDL TFR:UPI 413749724209 - 88.00 2700.85Cr
Date: 2024-09-18 07:25:59 IST
16-05-2024 16-05-2024 WDL TFR:UPI 413700969745 - 100.00 2788.85Cr

9700601028axis@ybl:TRF TO
0094522000010
15-05-2024 15-05-2024 WDL TFR:UPI 413685027432 - 420.00 2888.85Cr

paytmqr1o4zl2wutl@paytm:TRF TO
0094522000010

Page 9 of 13

Details
15-05-2024 15-05-2024 WDL TFR:UPI 413652313237 - 900.00 3308.85Cr
9849266929@axl:TRF TO
0094522000010
15-05-2024 15-05-2024 WDL TFR:UPI 413630097516 - 256.00 4208.85Cr

15-05-2024 15-05-2024 WDL TFR:UPI 413660824088 - 392.00 4464.85Cr

15-05-2024 15-05-2024 WDL TFR:UPI 413664224446 - 257.00 4856.85Cr


6301850800@axl:TRF FR
0095027000016
15-05-2024 15-05-2024 WDL TFR:UPI 413628447416 - 246.00 4867.85Cr


9121726479@ybl:TRF FR
0095027000016
11-05-2024 11-05-2024 WDL TFR:PMSBY POLICYUNI05051180 - 20.00 5108.85Cr

8237112RENEWAL:TRF TO
0071004000010
11-05-2024 11-05-2024 DIRECT DR - 5000.00 5128.85Cr
10-05-2024 10-05-2024 WDL TFR:UPI 413101407633 - 2100.00 10128.85Cr

vallapunenivenkatasaikrishna@ybl:TRF
TO 0094522000010
10-05-2024 10-05-2024 By Transfer:UPI 413189463879 0:TRF - 2100.00 12228.85Cr

FR 0094522000010
10-05-2024 10-05-2024 WDL TFR:UPI 413189463879 - 2100.00 10128.85Cr

vallapuneni.hari@axl:TRF TO
0094522000010

0095027000016

phonepemerchant@yesbank:TRF FR
0095027000016
07-05-2024 07-05-2024 By Transfer:UPI 412876773269 ajio. - 1007.00 1128.85Cr

payu@icici:TRF FR 0095027000016

yapl:TRF TO 0094522000010
05-05-2024 05-05-2024 WDL TFR:UPI 412680471298 - 151.00 405.90Cr

0094522000010

0095027000016
56.90Cr
arhamediaandbroadcastingprivatel:TRF eSigned using Aadhaar (digio.in)
TO 0094522000010 Date: 2024-09-18 07:25:59 IST
03-05-2024 03-05-2024 WDL TFR:UPI 412457863711 - 289.00 255.90Cr

0094522000010
02-05-2024 02-05-2024 WDL TFR:UPI 412385122531 - 165.00 544.90Cr

02-05-2024 02-05-2024 CR INT DB:NEW BRANCH : = 03158 - 3.65 709.90Cr

Page 10 of 13

Details
02-05-2024 02-05-2024 CR INT CR - 3.65 713.55Cr
30-04-2024 30-04-2024 By Transfer: - 1.01 709.90Cr

IMPS/412118656310/CASHFREE
PAYMEN/XXXX9032/Cashfre:TRF FR
0093811000010

91114989032 04:TRF TO
0091057869353

payu@icici:TRF TO 0094522000010
29-04-2024 29-04-2024 WDL TFR:UPI 412054031538 - 300.00 1812.89Cr

0094522000010
29-04-2024 29-04-2024 WDL TFR:UPI 412041644429 - 6000.00 2112.89Cr

6301850800@ybl:TRF TO
0094522000010

0095027000016
29-04-2024 29-04-2024 WDL TFR:UPI 412008177856 - 29.00 112.89Cr

0094522000010
27-04-2024 27-04-2024 WDL TFR:UPI 411852493093 - 9000.00 141.89Cr

0094522000010

phonepe-payouts@yesbank:TRF FR
0095027000016
19-04-2024 19-04-2024 WDL TFR:UPI 411021222427 - 2000.00 141.89Cr

6301850800@ybl

0095027000016
19-04-2024 19-04-2024 WDL TFR:UPI 411046855809 - 2000.00 141.89Cr

0094522000010

0095027000016
12-04-2024 12-04-2024 WDL TFR:UPI 410312012957 - 151.00 141.89Cr

0095026000028

yapl:TRF TO 0095026000028
12-04-2024 12-04-2024 WDL TFR:UPI 410386686561 - 158.00 491.89Cr

0095026000028
12-04-2024 12-04-2024 WDL TFR:UPI 410385561242 amazon@ - 415.00

649.89Cr
yapl:TRF TO 0095026000028 eSigned using Aadhaar (digio.in)
Date: 2024-09-18 07:25:59 IST
yapl:TRF TO 0095026000028

0095027000016
05-04-2024 05-04-2024 WDL TFR:UPI 409645705542 - 119.00 63.89Cr

0095026000017

Page 11 of 13

Details
04-04-2024 04-04-2024 WDL TFR:UPI 409562602047 - 3500.00 182.89Cr
6301850800@axl:TRF TO
0095026000017

saikiran0735@ybl
03-04-2024 03-04-2024 WDL TFR:UPI 409444319906 - 1000.00 182.89Cr

8910651225-3@ibl:TRF TO
0095026000017

0095027000016

91114989032 03:TRF TO
0091057869353

priyanka.nalisetty1@axl:TRF FR
0095027000016
28-03-2024 28-03-2024 WDL TFR:UPI 408810869688 - 1000.00 2879.89Cr

0095026000017
28-03-2024 28-03-2024 WDL TFR:UPI 408891044792 priyanka. - 2400.00 3879.89Cr

nalisetty1@axl:TRF TO 0095026000017
27-03-2024 27-03-2024 WDL TFR:UPI 408795409253 - 300.00 6279.89Cr

7995904643@ybl:TRF TO
0095026000017
26-03-2024 26-03-2024 WDL TFR:UPI 408606423338 - 30000.00 6579.89Cr

9849951764@axl:TRF TO
0095026000017

8008005818@ybl:TRF FR
0095027000016
26-03-2024 26-03-2024 WDL TFR:UPI 408681442111 - 2000.00 6579.89Cr

6301850800@axl:TRF TO
0095026000017

25-03-2024 25-03-2024 WDL TFR:UPI 408568608639 - 250.00 2579.89Cr

0095026000017

0095026000017

0095026000017
25-03-2024 25-03-2024 WDL TFR:UPI 408412337323 miriyala. - 400.00 3209.89Cr

priyankabhargav@ybl:TRF TO
Date: 2024-09-18 07:25:59 IST
24-03-2024 24-03-2024 GST - 2.70 3609.89Cr
24-03-2024 24-03-2024 SMS CHARGES - 15.00 3612.59Cr
23-03-2024 23-03-2024 CR INT CR - 332.00 3627.59Cr

0095382000010

Page 12 of 13

Details
22-03-2024 22-03-2024 WDL TFR:UPI 408260348320 - 700.00 295.59Cr
lakshmi88877hh1@ybl:TRF TO
0095026000017
21-03-2024 21-03-2024 WDL TFR:TR TO PKCC:TRF TO - 5800.00 995.59Cr

0091165745642

8008005818@ybl:TRF FR
0095027000016

8008005818@ybl:TRF FR
0095027000016
19-03-2024 19-03-2024 WDL TFR:UPI 407905697150 - 181.00 2795.59Cr

0095026000017
17-03-2024 17-03-2024 WDL TFR:UPI 407760404356 - 100.00 2976.59Cr

TO 0095026000017

0095027000016
17-03-2024 17-03-2024 WDL TFR:UPI 407764132847 - 1574.00 1576.59Cr

2305852795337-01@jiopay:TRF TO
0095026000017
16-03-2024 16-03-2024 WDL TFR:UPI 407603379188 - 168.00 3150.59Cr

0095026000017
16-03-2024 16-03-2024 WDL TFR:UPI 407688774095 - 256.00 3318.59Cr

0095026000017

razorpay@axisbank:TRF TO
0095026000017
15-03-2024 15-03-2024 WDL TFR:UPI 407584691861 - 227.00 4559.59Cr

15-03-2024 15-03-2024 WDL TFR:UPI 407514746130 - 225.00 4786.59Cr


priyanka.gurram@ybl:TRF FR
0095027000016
06-03-2024 06-03-2024 WDL TFR:UPI 406690145473 - 700.00 100.59Cr

0095026000017
06-03-2024 06-03-2024 WDL TFR:UPI 406670308571 - 149.00 800.59Cr

0095026000017

6301850800@axl:TRF FR
0095027000016
449.59Cr
paytmqrs253muyhme@paytm:TRF TO Date: 2024-09-18 07:25:59 IST
0095026000017
04-03-2024 04-03-2024 WDL TFR:UPI 406473468427 - 100.00 569.59Cr

0095026000017
02-03-2024 02-03-2024 WDL TFR:UPI 406245515661 - 10.00 669.59Cr

paytmqr15fimupjhc@paytm:TRF TO
0095026000017

Page 13 of 13

Details
01-03-2024 01-03-2024 WDL TFR:UPI 406173568467 srinu. - 4700.00 679.59Cr
makke@axl:TRF TO 0095026000017

8008005818@ybl:TRF FR
0095027000016

0095027000016
01-03-2024 01-03-2024 WDL TFR:UPI 406146330869 - 530.00 879.59Cr

0095026000017
01-03-2024 01-03-2024 WDL TFR:UPI 406172334831 - 85.00 1409.59Cr

7842292069@ybl:TRF TO
0095026000017

9948129453@axl:TRF FR
0095027000016

9948129453@axl:TRF FR
0095027000016

Date: 2024-09-18 07:25:59 IST
Open Bal Dr count Cr count Debits Credits Clo Bal

201 69 1169603.23 1168577.66 193.59Cr

Most Important Terms and Conditions
1. Your trading account has a “Unique Client Code” (UCC), different from your demat account number. Do not allow anyone
(including your own stock broker, their representatives and dealers) to trade in your trading account on their own without
taking specific instruction from you for your trades. Do not share your internet/mobile trading login credentials with anyone
else.
2. You are required to place collaterals as margins with the stock broker before you trade. The collateral can either be in the
form of funds transfer into specified stock broker bank accounts or margin pledge of securities from your demat account.
The bank accounts are listed on the stock broker website. Please do not transfer funds into any other account. The stock
broker is not permitted to accept any cash from you.
3. The stock broker’s Risk Management Policy provides details about how the trading limits will be given to you, and the tariff
sheet provides the charges that the stock broker will levy on you.
4. All securities purchased by you will be transferred to your demat account within one working day of the payout. In case of
securities purchased but not fully paid by you, the transfer of the same may be subject to limited period pledge i.e. seven
trading days after the pay-out (CUSPA pledge) created in favor of the stock broker. You can view your demat account
balances directly at the website of the Depositories after creating a login.
5. The stock broker is obligated to deposit all funds received from you with any of the Clearing Corporations duly allocated in
your name. The stock broker is further mandated to return excess funds as per applicable norms to you at the time of
quarterly/ monthly settlement. You can view the amounts allocated to you directly at the website of the Clearing
Corporation(s).
6. You will get a contract note from the stock broker within 24 hours of the trade.
7. You may give a one-time Demat Debit and Pledge Instruction (DDPI) authority to your stock broker for limited access to your
demat account, including transferring securities, which are sold in your account for pay-in.
8. The stock broker is expected to know your financial status and monitor your accounts accordingly. Do share all financial
information (e.g. income, networth, etc.) with the stock broker as and when requested for. Kindly also keep your email ID
and mobile phone details with the stock broker always updated.
9. In case of disputes with the stock broker, you can raise a grievance on the dedicated investor grievance ID of the stock
broker. You can also approach the stock exchanges and/or SEBI directly.
10.Any assured/guaranteed/fixed returns schemes or any other schemes of similar nature are prohibited by law. You will not
have any protection/recourse from SEBI/stock exchanges for participation in such schemes.

Date: 2024-09-18 07:25:59 IST

Instructions / Checklist For Filling KYC Form: Version 1.1 (July 2022)

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Instructions / checklist for filling KYC form

B. Proof of Identity (POI)

C. Proof of Address (POA)

D. Exemptions/clarifications to PAN (*Sufficient documentary evidence in support of such claims to be collected.)

E. List of people authorized to attest the documents

F. Additional documents in case of trading in derivatives segments - illustrative list:

Copy of ITR Acknowledgement Copy of Annual Accounts

Undertaking Contains voluntary undertakings by the client with respect to Zerodha's

For office use only (To be filled by the financial institution)

Tick if applicable Residence for tax purposes in jurisdiction(s) outside India

5a. PAN JKSPK4831A

FOR OFFICE USE ONLY

Date Signature of the Authorized Signatory

3 Sign wherever you see

City/Town District Pin Code

Others (any document notified by the Central Govt.) Identification No

Trading account related details

In what capacity do you trade commodities?

4 Sign wherever you see

D. Depository account(s) details

E. Dealings through other stock brokers

F. Introducer details (optional)

G. Trading preferences / experience

I. Nomination details (Please tick the appropriate options)

Client Name ___________________________________________

6 Sign wherever you see

Charge Head Brokerage / Charges

For office use only

Signature of the Authorised Signatory Seal/Stamp of the stock broker

7 Sign wherever you see

Signed by: Kandula

9 Sign wherever you see

Once in a calendar Month

7. This running account authorization would continue until it is revoked by me.

Signed by: Kandula

Mobile declaration Voluntary

mobile no. is _______________________________________

giving me any information/ alert/SMS.

10 Sign wherever you see

Signed by: Kandula

all the clauses of aforesaid documents.

Sl. No Brief significance of the Document

1 Duly Executed Copy of KYC

2 Rights and Obligations

5 Zerodha Tariff Sheet

8 Running account authorisation, Mobile declaration & Client defaulter declaration

11 Sign wherever you see

NRI NRI Repatriable NRI Non-Repatriable

Details of Guardian (in case the account holder is minor)

12 Sign wherever you see

Nomination details (Please tick the appropriate options)

I / We do not wish to nominate

SMS Alert Facility

13 Sign wherever you see

14 Sign wherever you see

________at following email address: [email protected]

I/We hereby request you to send the statements:

Signed by: Kandula

15 Sign wherever you see