MANDATORY- AFFIX

PASSPORT SIZE PHOTO

& SIGN ACROSS X

THE SOUTH INDIAN BANK LTD

Y
 Additional KYC Form for Opening a Demat Account
For Individuals
THE SOUTH INDIAN BANK LTD - 27900

(To be filled by the Depository Participant)

Application No. Date

DP Internal Reference No.

CLIENT
DP ID 1 3 0 2 7 9 0 0 ID 0 0
(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:-

Holders Details
PAN
Sole / First
Holder’s Name UID

Second Holder’s PAN

Name UID

Third Holder’s PAN

Name UID

____________________________________________________________________________________
Name * ____________________________________________________________________________________
*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 TradingA/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)

PA
Guardian’s Name N
Relationship with the applicant
I / We instruct the DP to receive each and every credit in my / our account [Automatic Credit]
(If not marked, the default option would be ‘Yes’) Yes No
I / We would like to instruct the DP to accept all the pledge instructions in my
/our account without any other further instruction from my/our end Yes No
(If not marked, the default option would be ‘No’)
Account Statement
As per SEBI Regulation Daily Weekly Fortnightly Monthly
Requirement
I / We request you to send Electronic Transaction-cum-Holding Statement at the
Yes No
Email ID _________________________________________________
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 wish to receive dividend / interest directly in to my bank account as given below through
ECS (If not marked, the default option would be ‘Yes’) [ECS is mandatory for locations notified by Yes No
SEBI from time to time ]
Bank Details [Dividend Bank Details]
Bank Code (9 digit MICR code)
IFS Code (11 character)
Account number

Account type Saving Current Others (specify) ______________________

Bank Name

Branch Name

Bank Branch Address

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 Income Range per annum:
Details Up toRs.1,00,000Rs1,00,000 toRs
5,00,000 Rs5,00,000 to`10,00,000
Rs10,00,000 toRs25,00,000 More thanRs25,00,000
Net worth as on (Date) Rs
[Net worth should not be older than 1 year]
Occupation Private / Public Sector Govt. Service Business ProfessionalAgriculture
Retired Housewife Student Others (Specify) __________________
Please tick , if applicable: Politically Exposed Person (PEP) Related to Politically Exposed Person (RPEP)
Any other information:

SMS Alert Facility MOBILE NO. +91 __ __ __ __ __ __ __ __ __ __

Refer to Terms &
[(Mandatory , if you are giving Power of Attorney ( POA)]
Conditions
given as Annexure - 2.4 (if POA is not granted & you do not wish to avail of this facility, cancel this
option).
I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I
have read and understood the Terms and Conditions prescribed by CDSL for the same.
Transactions Using Yes
Secured Texting Facility No
(TRUST). Refer to Terms I/We wish to register the following clearing member IDs under my/our below mentioned BO
and Conditions Annexure ID registered for TRUST
– 2.6 Stock Exchange Clearing Member Clearing Member ID (Optional)
Name/ID Name

To register for easi, please visit our website www.cdslindia.com.

Easi Easi allows a BO to view his ISIN balances, transactions and value of the portfolio
online.
 Nomination Details

Nomination Registration No. Dated

I /We the sole holder / Joint holders / Guardian (in case of minor) hereby declare that:
I/We do not wish to nominate any one for this demat account.
I/We nominate the following person who is entitled to receive security balances lying in my/our account, particulars whereof
are given below, in the event of my / our death.

Full Name of the Nominee

Address
City State
Country PIN code
Telephone No. Fax No.
PAN UID
Relationship with BO (If any) E-mail ID
Date of birth (mandatory If nominee is a minor) D D M M Y Y Y Y

As the nominee is a minor as on date, to receive the securities in this account on behalf of the nominee in the event of the death
of the Sole holder / all Joint holders, I/We appoint following person to act as Guardian:

Full name of Guardian of Nominee

Address
City State
Country PIN
Telephone No. Fax No.
Relationship of Guardian with Nominee E-mail ID

This nomination shall supersede any prior nomination made by me / us and also any testamentary document executed by me /
us. Note: Two witnesses shall attest signature(s) / thumb impression(s)

Details of the Witness

First Witness Second Witness
Name of witness
Address of witness
Signature of witness

For, NRIs

Foreign Address

City State

Country P.O BOX

I/We hereby declare that we have given the complete residential address as given above and we shall be informing
the DP in case of any change in our address in future.
FEMA Declaration: I/We have complied with, and will continue to comply with FEMA Regulations and other
applicable laws.
Rates and Charges for Demat Account:

I/We agree to the following Charges to be collected from my/our operative SB/CD A/c.

1. Annual maintenance Rs 200 plus service tax ( Charge is collected upfront )

2. Dematerialisation - Rs 75 plus service tax per company up to two share certificates. For every
additional certificate Rs 10 should be collected.
3. Destatementisation – Rs 50 plus service tax.
4. Inter Depo/ Off market transactions – Rs 25 plus tax per transaction.
5. Unpledge / Pledge request - Rs 100 plus tax per transaction.
6. Redemption / Rematerialisation - Rs 75 plus service tax per transaction.
7. Debit Transactions Rs 25 each.

I/we agree for the periodic revisions also.

First/Sole Holder or Second Holder Third Holder

Guardian (in case of Minor)
Name

Signatures

Declaration:

I / We have received and read the Rights and Obligations document and terms & conditions and
agree to abide by and be bound by the same and by the Bye Laws as are in force from time to time. I /
We declare that the particulars given by me/us above are true and to the best of my/our knowledge as
on the date of making this application. I/We agree and undertake to intimate the DP any change(s) in
the details / Particulars mentioned by me / us in this form. I/We further agree that any false / misleading
information given by me / us or suppression of any material information will render my account liable
for termination and suitable action.

First/Sole Holder or Second Holder Third Holder

Guardian (in case of Minor)

Name

Signatures
X
(Signatures should be preferably in black ink).
to the DP. In such an event, the Beneficial Owner shall specify whether the balances in their demat account should be transferred to another
demat account of the Beneficial Owner held with another DP or to rematerialize the security balances held.
18. Based on the instructions of the Beneficial Owner, the DP shall initiate the procedure for transferring such security balances
or rematerialize such security balances within a period of thirty days as per procedure specified from time to time by the
depository. Provided further, closure of demat account shall not affect the rights, liabilities and obligations of either the Beneficial
Owner or the DP and shall continue to bind the parties to their satisfactory completion.
Default in payment of charges
19. In event of Beneficial Owner committing a default in the payment of any amount provided in Clause 5 & 6 within a period of thirty
days from the date of demand, without prejudice to the right of the DP to close the demat account of the Beneficial Owner, the DP may
charge interest at a rate as specified by the Depository from time to time for the period of such default.
20. In case the Beneficial Owner has failed to make the payment of any of the amounts as provided in Clause 5&6 specified
above, the DP after giving two days notice to the Beneficial Owner shall have the right to stop processing of instructions of the
Beneficial Owner till such time he makes the payment along with interest, if any.
Liability of the Depository
21. As per Section 16 of Depositories Act, 1996, 1. Without prejudice to the provisions of any other law for the time being in
force, any loss caused to the beneficial owner due to the negligence of the depository or the participant, the depository shall
indemnify such beneficial owner.
2. Where the loss due to the negligence of the participant under Clause (1) above, is indemnified by the depository, the depository
shall have the right to recover the same from such participant.
Freezing/ Defreezing of accounts
22. The Beneficial Owner may exercise the right to freeze/defreeze his/her demat account maintained with the DP in accordance with the
procedure and subject to the restrictions laid down under the Bye Laws and Business Rules/Operating Instructions.
23. The DP or the Depository shall have the right to freeze/defreeze the accounts of the Beneficial Owners on receipt of
instructions received from any regulator or court or any statutory authority.
Redressal of Investor grievance
24. The DP shall redress all grievances of the Beneficial Owner against the DP within a period of thirty days from the date of
receipt of the complaint.
Authorized representative
25. If the Beneficial Owner is a body corporate or a legal entity, it shall, along with the account opening form, furnish to the DP, a list of
officials authorized by it, who shall represent and interact on its behalf with the Participant. Any change in such list including additions,
deletions or alterations thereto shall be forthwith communicated to the Participant.
Law and Jurisdiction
26. In addition to the specific rights set out in this document, the DP and the Beneficial owner shall be entitled to exercise any
other rights which the DP or the Beneficial Owner may have under the Rules, Bye Laws and Regulations of the respective Depository in which
the demat account is opened and circulars/notices issued there under or Rules and Regulations of SEBI.
27. The provisions of this document shall always be subject to Government notification, any rules, regulations, guidelines and
circulars/ notices issued by SEBI and Rules, Regulations and Bye-laws of the relevant Depository, where the Beneficial Owner
maintains his/ her account, that may be in force from time to time.
28. The Beneficial Owner and the DP shall abide by the arbitration and conciliation procedure prescribed under the Bye-laws of the depository
and that such procedure shall be applicable to any disputes between the DP and the Beneficial Owner.
29. Words and expressions which are used in this document but which are not defined herein shall unless the context otherwise
requires, have the same meanings as assigned thereto in the Rules, Bye-laws and Regulations and circulars/notices issued there
under by the depository and /or SEBI
30. Any changes in the rights and obligations which are specified by SEBI/Depositories shall also be brought to the notice of the
clients at once.
31. If the rights and obligations of the parties hereto are altered by virtue of change in Rules and regulations of SEBI or Bye-laws, Rules and
Regulations of the relevant Depository, where the Beneficial Owner maintains his/her account, such changes shall be deemed to have been
incorporated herein in modification of the rights and obligations of the parties mentioned in this document.

I/We have received and read the copy of Rights and Obligations document’
☞
X

ST nd rd
Signature of BO 1 Holder Signature of BO 2 Holder Signature of BO 3 Holder
 ANNEXURE TO OPENING FORM FOR FATCA/CRS COMPLIANCE- INDIVIDUAL

(Name with address)

i) Father Name:

First Middle Last

ii) Spouse Name(if married):

6. PAN:

7. Occupation(specify occupation of Individual):

v) Country of residence as per tax laws:

(2 digit code as per ISO3166 List)

vi) Tax Identification Number/s(TIN) i

allotted by tax resident country and ii)

iii)

vii)TIN issuing country

(2 digit code as per ISO3166 List) :

viii) Place of birth:

ix) Country of birth:

(2 digit code as per ISO3166 List)

(v) Telephone No and mobile No. with code:

The above given details are true to best of my knowledge. I also undertake that any change in the above data will be informed to the Bank in
due time.

(Signature with date)

 IFRS Balance Sheet
Company Name:
Balance Sheet As At:
Amount in Words:

Previous Standard according Values according to

Particulars Notes Total Changes
to IFRS Format IFRS

NON CURRENT ASSETS

Property, plant and equipment and Investment
Property
Goodwill
Advances for Capital Assets
Intangible assets
Investments
Investments in associates
Available for sale investments
Receivables and other non-current Assets
Deferred tax assets
TOTAL NON CURRENT ASSETS

CURRENT ASSETS
Inventories
Trade receivables
Other current assets
Income tax assets
Investments and financial receivables
Cash and cash equivalents
TOTAL CURRENT ASSETS

TOTAL ASSETS

SHAREHOLDERS' EQUITY
Share capital
Reserves
Retained earnings
TOTAL SHAREHOLDERS’ EQUITY

NON CURRENT LIABILITIES

Interest-bearing loans and short term borrowings
Employee benefits liabilities
Provisions
Deferred tax liabilities
TOTAL NON CURRENT LIABILITIES

CURRENT LIABILITIES
Banks overdrafts and short-term borrowings
Interest-bearing loans and short term borrowings
Trade payables
Provisions
Income tax liabilities
Other liabilities
TOTAL CURRENT LIABILITIES

TOTAL LIABILITIES

TOTAL SHAREHOLDERS’ EQUITY AND LIABILITIES