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D. 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/ Flat Maintenance bill/ Insurance Copy.
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 apostiled or consularised) that gives the registered address should be taken.
8. The proof of address in the name of the spouse may be accepted.
E. 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 upto 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.
F. 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.
INSTRUCTIONS / CHECK LIST
1. 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.
2. 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.
3. Demat master or recent holding statement issued by DP bearing name of the client.
4. 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.
5. 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/firm/others and their specimen signatures.
N D In S L d. 3 M y 016
- a -2
2
ACCOUNT OPENING KIT (Part-A)
For any gr ievance/d ispu te p lease contac t s tock b roker (name) a t the above address . In case no t sa t i s f ied w i th the response, p lease contac t , fo r NSE, Ph: 022-26598190, e -mai l : [email protected] . in , fo r BSE, Ph: 022-22721233/34 e-mai l : [email protected]
A. Compliance officer name :
E-mail Id :
Contact No. :
B. Business Head name :
E-mail Id :
Contact No. :
C. Customer grievance E-Mail id :
Member Name :
SEBI Reg. No ./ date :
Regd office address :
Correspondence address :
Phone number : Fax : Website :
Cholamandalam Securities Limited
NSE INB 231288136 - INF 231288136 dt: 04/10/2007 BSE INB 011288132 dt: 04/02/2008
www.cholawealthdirect.com
DARE HOUSE Extn., 4th floor, 'DARE HOUSE COMPLEX' No. 2 (Old No. 234), NSC Bose Road, Parrys, Chennai - 600 001.
(044) 30007370
(044) 30007373
‘DARE HOUSE' No. 2 (Old No. 234), NSC Bose Road, Parrys, Chennai - 600 001, India.
Mr. H. [email protected]
Ms. Mariam [email protected]
044 - 30007226
044 - [email protected]
INDEX OF DOCUMENTS
VOLUNTARY DOCUMENTS
1 Account Opening Form A. KYC form - Document captures the basic information about Broking & DP the constituent.
B. Document captures the additional information about the constituent relevant to trading account
2 Tariff Sheet Document detailing the rate / amount of brokerage and other charges Broking levied on the client for trading on the stock exchange(s) (to be added
by the stock broker).
S.No. Name of the Document Brief Significance of the Document
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES
Page No
3
6
8
Clients mandate to clear the DP dues through ECS
Voluntary Authorization Letter
4
Declaration Authorizing stock broker to maintain SHARING INFORMATION AND SMS ALERTS, USING THE SAME MOBILE NUMBER AND EMAILID, MUTUAL FUND SERVICE SYSTEM (MFSS) FACILITY, CLIENT DEFAULTER DECLARATION, MOBILE NUMBER AND EMAILID.
FATCA DeclarationDeclaration for confirmation under the foreign account tax compliance atc (FATCA)
5
6 ECS Mandate
11
19
Running Account Authorisation3 7
Authorization to hold Funds/Securities and to settle the same once in calendar quarter or month.
D D M M Y Y Y Y
D D M M Y Y Y Y
I hereby declare that the details fi\urnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately, In case any of the above information is found to be falseor untrue or misleading or misrepresenting, I am aware that I may be held liable for it,
Date: ( 1 ) Signature of the Applicant
DECLARATION
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: __________________________________________________________________________
Date of IPV:Signature of the person who has done the IPV
Date
(Originals Verified) True copies of Documents received
(Self Attested) Self Certified Documents copies receivedSignature of the Authorised Signatory
Seal/Stamp of the Intermediary
KNOW YOUR CLIENT (KYC) Application Form - For Individual
Please fill this form in ENGLISH and in BLOCK LETTERS
C
Cholamandalam Securities Limited NEW CHA GE REQUEST (Please tick the appropriate)N PMANDATORY DOCUMENTS
(Please tick P the box on left margin of appropriate row where CHANGE/CORRECTION is required and provide the details in the corresponding row)
A
D D M M Y Y Y Y
( 2 )
n
s
S i g A c r o
s
Affix your
Passport size
Photo
IDENTITY DETAILS
1. Name of the Applicant
1. Father's/Spouse Name
3a. Gender Male Female 3b. Marital status Single Married 3c, Date of Birth
4a. Nationality Indian Other (Please specify)
4b. Status Resident Individual Non Resident Foreign National
5a. PAN
5b. Unique Identification Number (UID) / Aadhaar, if any:
6. Specify Proof of Identity submitted PAN card Other (Please specify)
B
State
City /Town / Village
Country
Tel. (Off.)
Tel. (Res.)
E-Mail Id.
Fax
Mobile No.
State
City /Town / Village
Country
Pin Code
Pin Code
ADDRESS DETAILS
1. Address for Correspondence
4. Permanent Address (If diffrent from above or overseas address, mandatory for Non-Resident Applicant)
2. Specify the proof of Address submitted for Correspondence Address:
3. Contact Details
5. Specify the proof of Address submitted for Permanent Address:
3
................................ .............................................
KYC - B
City / State Pin Code
IN CASE OF NRIs
Foreign Address
RBI Reference No. RBI Approval Date D D M M Y Y Y Y
4
(Default option is local address)
Address for communication / Corporate Benefits Local / Permanent address
Correspondence address / Foreign address
Bank Name, Branch Add. & Tel. No. A/c TypeNo. IFSC CodeAccount No.
1
2
MICR No.
BANK ACCOUNT(S) DETAILS
DEPOSITORYACCOUNT(S) DETAILS
Sr. No. Depository Participant Name DPAccount No. Depository Name
NSDL / CDSL
NSDL / CDSL
1
2
Shares bought by you will be transferred to your DPA/c stated by you at Sr. No. 1
DP ID No.
GUARDIAN DETAILS (In case the Sole Holder is a minor)
Name (Mr./Ms.)
Relationship (if any)
Address
City / State
Pin Code
Telephone No.
Pan No
Fax E-mail
Date of Birth (of minor) D D M M Y Y Y Y
MANDATORY DOCUMENTS
(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 B.O.
(iii) Photocopy of the Passbook having name and address of the B.O. (or)
(iv) Letter from the bank.
M In case of options (ii), (iii) and (iv) above, MICR code of the branch should be present / mentioned on the document.
4. Any other information:
OTHER DETAILS1. Gross Annual Income Details ( Please Specify) Income range per annum:
Private Sector PublicSector
House wife Student Others (Please specify)
Government Service Business Professional Agriculturist Retired
3. Please tick, if applicable: Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)
as on (date)
OR
Company / Business name :
Industry:Designation:
NOMINATION DETAILS (for Trading Account) I/We wish to nominate I/We do not wish to nominate
Name of the Nominee:
Relationship with the Nominee: PAN of : Date of Birth
Address and phone no. of the Nominee:
Phone :
If Nominee is a minor, details of guardian:
Name of guardian:
Address and phone no. of Guardian:
Phone : Signature of guardian
WITNESSES (Only applicable in case the account holder has made nomination)
Name .................................................................................................. Name ......................................................................................................
Signature Signature
Address ............................................................................................... Address ...................................................................................................
............................................................................................................. .................................................................................................................
d y y y ym md
TRADING PREFERENCES Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.
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
PAST ACTIONS
Exchange & Segment NSE Cash
( 6 )
NSE MFSS
(5 )
NSE Derivatives
(7 )BSE Star MF ( 4 )
5
ADDITIONAL DETAILSWhether you wish to receive physical contract note or Electronic Contract Note (ECN) (please specify):
Specify your Email id, if applicable:
Number of years of Investment/Trading Experience: years
Whether you wish to avail of the facility of internet trading/ wireless technology (please specify): Yes
Any other information
INTRODUCER DETAILS (Optional)Name
Sub Broker / Remisier / Authorized Person / Existing Client / Other please specifyStatus of the Introducer :
Add. / Tel.Signaturex
DEALINGS THROUGH SUB-BROKERS AND OTHER STOCK BROKERSIf client is dealing through the sub-broker, provide the following details:
MCX-SX SEBI Reg. No.
Remisier/AP______
Remisier/AP______
Name
SignatureRemisier/AP______
Website
Tel. No.
Fax No.
Regd. Off.
Address
NSE SEBI Reg. No.
BSE SEBI Reg. No.
Whether dealing with any other stock broker / sub - broker (if case dealing with multiple stock brokers / sub - brokers, provided details of
Name of Stock Broker
Name of Sub-Broker if any
Client Code
Exchange
Details of disputes/dues pending from/to such stock broker/sub- broker:
ECN
No
Physical
MANDATORY DOCUMENTS
BSE Cash ( 3 )
FOR OFFICE USE ONLY
UCC Code allotted to the Client:
Employee Name
Employee Signature
Designation
Employee Code
I/We undertake that we have made the client aware of 'Policy and Procedures', tariff shaeet and all the non-mandatory documents. I/We have also made the client aware of 'Rights and Obligation's' 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'', teet 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 D D M M Y Y Y Y
Date D D M M Y Y Y Y
D D M M Y Y Y Y
Place of Verification Area of Verification
?
$
MANDATORY DOCUMENTS
6
TARIFF SHEET FOR BROKING SERVICES
Client's Signature for Cholamandalam Securities LimitedSignature of Sub-broker / RMAuthorised Person / Introducer
( 9 ) ? $
CASH & FUTURE SEGMENT
Minimum Brokerage (in Rs.)Intra day Brokerage (in %) Delivery Brokerage (in %) Minimum Brokerage (in Rs.)
CASH
FUTURES
OPTIONS (in Rs. only)
The above rates are exclusive of transaction charge, Stamp Duty, Securities Transaction Tax and Service Tax which will be charged extra at the rate prevailing from time to time.
Account opening Charges Rs. 300/*- For Offline A/c, Rs. 750/*- for online A/c.
Terms & Conditions for Special & General Rates
Cheque in favour of CHOLAMANDALAM SECURITIES LIMITED
*Non Refundable
KRA Registration Charges Rs. 35/-
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 true 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
Name
Date D D M M Y Y Y YPlace
broker and the tariff sheet.
3. If/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.
(Sole/First Holder)
( 8 )
(Second Holder)
](Third Holder)
u
Documents verified with Originals / In person Verification done by and Client Interviewed / Approved by
N.A.N.A.
N.A.N.A.per lot N.A.
RUNNING ACCOUNT AUTHORISATION
To Date.................................
M/S Cholamandalam Securities Limited"Dare House” Extn., 4th floor, No.2 N.S.C. Bose RoadChennai – 600001
Dear Sir / Madam,
I/We are dealing through you as a client in Capital Market and/or Future & Option segment and in order to facilitate ease of operations and up front 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/otherfuture obligation(s) at 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) at 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 £ Once in every calendar Quarter or £ Once in a calendar Monthor such other higher period as allowed by
SEBI/Stock Exchange time to time 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 obligations 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 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. After that I/We shall have no right to dispute the transaction, funds and/or securities ever and agree that you shall not be liable for any incidental loss/damage caused due to retention of funds and/or securities.
6. I/We authorize Cholamandalam Securities Limited to maintain a sum of Rs.10,000/- at all point of time towards charges on my Demat account and on other services. I/We agree that CSEC shall not be liable for any claim for the loss, loss of profit, loss of interest or for any consequential, incidental, special or exemplary damages, caused by retention/settlement of such securities/funds under aforesaid arrangement or otherwise.
7. I/We confirm you that I can revoke the above mentioned authority anytime in writing to you.
Thanking you
Yours faithfully,
(Signature of Client)
Client Name:
in case client has not filled the settlement period the funds/securities will be settled on Quarterly basis
( 10 )
VOLUNTARY DOCUMENTS
7
VOLUNTARY DOCUMENTS
VOLUNTARY AUTHORISATION LETTER
To Date.................................
M/S Cholamandalam Securities Limited
"Dare House” Extn., 4th floor, No.2 N.S.C. Bose Road
Chennai – 600001
Dear Sir / Madam,
/We have opened a
trading account with Cholamandalam Securities Ltd (herein after referred to as CSEC) and further give my/our consent to CSEC for availing/non
availing of the below mentioned Voluntary Services provided by CSEC as per the terms and conditions & declaration annexed herewith.
1. I/We wish to opt for Trading through Mobile Apps - Yes / No
2. I/We wish to opt for Internet Trading/wireless technology - Yes / No
3. I/We wish to opt for Electronic Contract Note (ECN) - Yes / No
4. I/We wish opt for Documents Via Electronic Mode (DEM) - Yes / No
5. I/We do not wish to receive Trade confirmation Over Phone` - Yes / No
6. I/We wish to opt for SMS services provided by CSEC - Yes / No
7. I/We give consent for sharing my/our trading a/c information - Yes / No
8. I/We give consent for using the same mobile number and email id by our family members as given in point no. 8 of Annexure to this letter -
Yes / No
9. I/We give consent for trade in Mutual Fund Service System (MFSS) & BSE STAR MF facility Yes / No
10. I/we do hereby declare that I have not been involved in any terrorist activity and. have not been declared as defaulter - Yes / No
11. I/we hereby declare that I/we do not have mobile no. / E-mail id or I/we do not wish to register my/our mobile no. / e-mail Id. -
Yes / No
I/WE CONFIRM HAVING RECEIVED THE FOLLOWING DOCUMENTS BY WAY OF A SEPARATE BOOKLET (Part B of account
opening form)
a. Rights & Obligations
b. Rights & Obligations of the Beneficial Owner and Depository Participant
c. Risk Disclosure Document
d. Guidance Note
e. Policies and Procedures
f. Additional Terms & Conditions of Services
g. Terms and Conditions-Cum-Registration / Modification Form for receiving SMS alerts from CDSL
I / We declare and acknowledge that I/we have received and read the Rights and Obligations document policies and procedures & standard
documents and the terms and conditions for availing above stated voluntary services 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 in the annexure are true to the best of my knowledge as
on the date of making this application. I / We agree and undertake to intimate the CSEC any changes(s) in the details / Particulars mentioned by me /
us in the annexure. 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.
I/We further declare and acknowledge that I have read and understood the policies and procedures & standard documents; I understand that is also
displayed for Information on designated website of CSEC and shall abide by the same.
I/We further declare I/we have read, understood and agree to the terms & conditions which forms part of annexure to this letter.
Yours truly,
Signature of the Client:
Client Code:
-
( 11 )
8
VOLUNTARY DOCUMENTS
ANNEXURE
1 & 2 I/We declare that I/we have read, understood and agree to the terms & conditions given in the Rights and Obligations of Stock Brokers'-
Internet & Wireless Technology Based Trading Facility Provided By Stock Brokers To Client.
3 & 4 Contract note and other documents through e-mail & information through sms:
*I/We confirm that my/our registered Mobile No is: ________________________________________________________and E-Mail Id is
____________________________________________________________________________. I / We acknowledge and agree that non-receipt
of bounced mail notification or SMS by CSEC shall amount to delivery of the ECN, DEM, and SMS services at my / our registered contact details.
I / We affirm that CSEC shall not be responsible for the non-receipt of the ECN, DEM, SMS services due to any change in my / our email address and
mobile number and if the same is not intimated by me/us to CSEC and that CSEC shall not take cognizance of out-of-office / out-of-station auto
replies and I / We shall be deemed to have received such ECN, DEM, SMS & Other voluntary services stated above.
I / We hereby affirm that CSEC do not / does not require and shall not send hard copies of the Contract Notes & Other Statements at my / our
designated address. I/We hereby agree that any change in e mail ID revocation ECN, DEM & SMS request shall be communicated by me/us
through a physical letter or through Registered E-Mail to CSEC.
I / We undertake that it shall be my / our sole responsibility to verify the contents of the ECN, DEM & SMS services. If there is any discrepancy, I / We
shall inform CSEC of the same within 48 hours of the receipt of the ECN, DEM & SMS by replying to the email
I / We confirm and agree that I / We will acknowledge the ECN, DEM within 48 hours of the receipt. In case I / We do not / does not acknowledge the
ECN, DEM by sending a reply mail within the stipulated time provided by CSEC, the same shall be deemed to have been acknowledged. I/We
confirm that I can revoke above stated facility any time in writing to you or request through registered E-Mail.
5. Trade confirmation:
I hereby confirm that I do not wish to receive trade confirmations from your office through phone with regard to all my transactions put through
Cholamandalam Securities Limited with immediate effect. I further confirm that sending physical contract notes/electronic contract notes to my
registered address/e-mail address would suffice.
The above instruction shall be valid until further written advice from the undersigned.
6 & 7. Consent letter for sharing information and sms alerts
a. I/We hereby agree and consent for the disclosure by the Member to any person or entity including but not limited to any independent
third parties or any entities of the Member Group, whether within or outside India, of any information and data relating to me/us or
relating to my/our trading account with Member for the purposes of or in connection with, any present or proposed initiatives,
including but not limited to any marketing or cross sell initiatives, business proposals, activities, facilities or services availed, by me/us
in future.
b. I/We agree and permit the Member to provide intimations and communications, as its own discretion, including but not limited to
outstanding debit recovery intimations, trade confirmations, margin and maintenance calls, (collectively "alerts") through the SMS
alert facility on the mobile phone number which belongs to me/us as provided in the Account Opening Form or communicated
otherwise. The information sent as an alert on the mobile phone number shall be deemed to have been received by me/us and the
Member shall not be under any obligation to confirm the authenticity of the person(s) receiving the alert. The Member will make best
efforts to provide the service and I/We would not hold the Member liable for non - availability o the service in any manner whatsoever.
c. I/we confirm you that I can revoke the above mentioned consent anytime in writing to you.
8. Declaration for using the same mobile number and email id
*I/We___________________________________________________________________hereby declare that our family members have already
given the same Mobile number __________________________ & E-mail id______________________________________________________
for their following trading & DP accounts.
9
I/We agree to use the same mobile number/email id for my/our trading and DP account.
I/We hereby confirm that I/We got the consent from the owner of the mobile number and email id for using his/her contact details in my/our trading
account. in case client has not filled the settlement period the funds/securities will be settled on Quarterly basis
I/We hereby agree to indemnity you against any transactional & financial disputes arising consequent to using the same mobile number and email
id.
Trading Code DP Code Name Relationship
I/we undertake to inform you of any changes therein, immediately in writing to you.
9. Mutual fund service system (MFSS) facility/ BSE Star MF Facility:
I/We ________ am/are registered as your client with Client Code No. _________ and have executed the Trading Member and Client
Agreement for the purpose of trading in the Capital Market segment of National Stock Exchange of India Ltd & Bombay Stock Exchange Ltd.
(Exchange).
I/We am/are interested in availing the MFSS facility of the Exchange for the purpose of dealing in the units of Mutual Funds Schemes permitted
to be dealt with on the MFSS & BSE StAR MF of the Exchange.
For the purpose of availing the MFSS facility, I/we state that Know Your Client details as submitted by me/us for the stock broking may be
considered for the purpose of MFSS & BSE StAR MF and I/we further confirm that the details contained in same remain unchanged as on date.
I/We are willing to abide by the terms and conditions as mentioned in the Circular dated December 2, 2009 and as may be specified by the
Exchange from time to time in this regard.
I/We 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/We shall read and understand the contents of the of the Scheme Information Document and Key Information Memorandum, addenda issued
regarding each Mutual Fund Schemes with respect to which I/we choose to subscribe/redeem. I/We further agree to abide by the terms and
conditions, rules and regulations of the Mutual Fund Schemes.
I/We therefore request you to register me/us as your client for participating in the MFSS & BSE STAR MF.
10. Client Defaulter Declaration
I/we do hereby declare that I have not been involved in any terrorist activity and I have not been declared as
defaulter or my name is not appearing in defaulter database as per SEBI/ Various Exchanges/ Regulatory bodies/CIBIL(Credit Information Bureau
of India Ltd.) etc.
I further declare that the above mentioned declaration/statement is true and correct.
___________________
10
Date:
Place:
( 12 )
(Signature of the Client)
Client Code:
FATCA-CRS Declaration & Supplementary KYC InformationDeclaration Form for Individuals
Please seek appropriate advice from your professional tax professional on your tax residency and relatedFATCA & CRS guidance
PAN*
Name
Address Type(for KYCaddress)
Residential
Business
Residential / Business
Registered Office
Place of BirthCountry ofBirth
Gross AnnualIncome Detailsin INR
Below 1 Lakh5-10 Lacs25 Lacs - 1 Cr
Yes Not Applicable
Tax Payer Identification Number /Functional Equivalent
Identification Type[TIN or other, please specify]
Country of Tax Residency #S No
1
2
3
Related to PEP Any otherinformation[if applicable]
Is your Country of Tax Residency other than India - Yes No
If ‘Yes’, please specify the details of all countries where you hold tax residency and its Tax Identification Number & type
# to include all countries other than India, where investor is Citizen / Resident / Green Card Holder / Tax Resident in those respectivecountries especially of USA
Declaration :
[Please specify]
*If PAN is not available, please specify Folio No(s)
___________________
dd-mmm-yyyy
1-5 Lacs10-25 Lacs> 1 Crore
OccupationDetails[Pleasetick anyone (3)]
BusinessPublic SectorGovernement ServiceAgriculturistStudentForex DealerOthers [Please specify] __________
ProfessionalPrivate Sector
HousewifeRetiredNet Worth in
INR. In Lacs[Optional]
Net WorthDate [Optional]
PoliticallyExposedPerson [PEP]
I acknowledge and confirm that the information provided above is true and correct to the best of my knowledge and belief. In case any of the above specified information is found to be false or untrue or misleading or misrepresenting, I/am aware that I may liable for it. I hereby authorize you [CAMS/Fund/AMC] ro disclose, share, rely, remit in any form, mode or manner, all / any of the information provided by me, including all changes, updates to such information as and when provided by me to / any of the Mutual Fund, its Sponsor, Asset Management Company, trustees, their employees / RTAs (’the Authorised Parties’) or any Indian or foreign governmental or statutory or judicial authorities / agencies including but not limited to the Financial Intelligence Unit-India (FIU-IND), the tax / revenue authorities in India or outside India wherever it is legally required and other investigation agencies without any obligation of advising me of the same. Further, I authorize to share the given information to other SEBI Registered Intermediaries / or any regulated intermediaries registered with SEBI / RBI / IRDA / PFRDA to facilitate single submission / update & for other relevant purposes. I also undertake to keep you informed in writing about any changes / modification to the above information in future and also undertake to provide any other additional information as may be required at your / Fund’ s end or by domestic or overseas regulators / tax authorities. I / We authorize Fund / AMC / RTA to provide relevant information to upstream payors to enable withholding to occur and pay out any sums from my account or close or suspend my account(s) without any obligation of advising me of the same.
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12
I/We request you to open a Depository Account in my / our Name as per the following details (Please fill all the details in Capital Letters only)
Ordinary Resident Yes No
First Holder Name & Address: as provided herein before
CHOLAMANDALAM SECURITIES LIMITED
Parrys, Chennai - 600 001, India.‘DARE HOUSE' Extn. 4th floor, No. 2 (Old No. 234), NSC Bose Road,
Client - ID (To Be Filled By D.P)
Occupation Details : Employed / Pvt. Sector Employment / Public Sector / Govt. Employee / Self Employed / Business Professional / House - Wife / Agriculturist / Retired / Student / Unemployed / Others (please Specify)
Name of The Employer / Establishment :
Office Address:
Email ID:
City:
Pin Code:
State:
Occupation Details : Employed / Pvt. Sector Employment / Public Sector / Govt. Employee / Self Employed / Business Professional / House - Wife / Agriculturist / Retired / Student / Unemployed / Others (please Specify)
City:
Pin Code:
Second Holders Details Third Holders DetailsName:
PAN Number
Sex: Male Female Single Married
Father /Husband's Name :
Address:
City:
Pin Code :
Landmark :
Yes No
C o m p u l s o r y
SMS Facility : Date of Birth :
Marital Status:
City:
Pin Code :
C o m p u l s o r y
Male Female Single Married
Yes No D Y Y Y YM MDD Y Y Y YM MD Date of Birth :
STD Code
Fax :
Country :
State :
Country :
Tel. No. :
Mobile :STD Code
Tel. No. :
Mobile :STD Code
STD Code
E-mail :
Fax :
E-mail :
Nationality : Indian Others Specified Nationality : Indian Others Specified
DP Documents
13
Acknowledgement Receipt
Application No.
Name of the First Holder
Name of the Second Holder
Name of the Third Holder
Depository Participant Seal and Signature
I/We have read the terms & conditions DP-BO agreement and agree to abide by and be bound by the same and by the bye laws as are in force form 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 the 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.
Please attach recent passport size photographs in the space provided below:
Declaration
Residential / ID Proof: Voter ID / Driving Licence / Passport / Ration Card / Telephone Bill / Electricity Bill / Leave License / Purchase Agreement / Bank Passbook / Laest Bank statement
ANNUAL INCOME RANGE (INR):
Below 1 Lac
Between 5 To 10 Lacs
Between 25 To 35 Lacs
Between 45 To 55 Lacs
Between 75 To 100 Lacs
Between 1 To 5 Lacs
Between 10 To 25 Lacs
Between 35 To 45 Lacs
Between 55 To 75 Lacs
Above 100 Lacs
Residential / ID Proof: Voter ID / Driving Licence / Passport / Ration Card / Telephone Bill / Electricity Bill / Leave License / Purchase Agreement / Bank Passbook / Laest Bank statement
ANNUAL INCOME RANGE (INR):
Below 1 Lac
Between 5 To 10 Lacs
Between 25 To 35 Lacs
Between 45 To 55 Lacs
Between 75 To 100 Lacs
Between 1 To 5 Lacs
Between 10 To 25 Lacs
Between 35 To 45 Lacs
Between 55 To 75 Lacs
Above 100 Lacs
Second Holder Third Holder
Affix yourPassport Size
Photohere and sign
acrossPhotograph
Sign
ac ossr
Affix yourPassport Size
Photohere and sign
acrossPhotograph
S gi n
ac ossr
] u
(Please Tear here)
Date D Y Y Y YM MD
To be Filled by DP
We hereby acknowledge the receipt of the Account Opening Form :
DP Documents
Name (s) of holder (s)
Second Holder
Third Holder
Signature (s)
u
]
Guardian
(In case of Minor) x
First Holder
(13)
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DP Documents
Terms & Conditions
uCsec reserves the right to revise the charges from time to time by giving 30 days notice and this Terms & Conditions shall also part and parcel of depository participant agreement / account opening form
uAll charges indicated above are excluding service tax and other applicable charges
The applicable advance refundable security deposit amount in security deposit scheme will have to be deposited at the time of account opening and the security deposit shall not carry any interest. Security Deposit amount will be refunded at the time of closure of account after adjusting debits if any arising in the account.
uQuarterly Statement of Transactions will not be sent for those clients with no transaction/nil holding for the quarter as per NSDL/CDSL notificationuSMS Alert facility is mandatory for depository accounts operated by Power of Attorney (POA)uI/We have read and understood the “Schedule of Charges” prescribed above and agreed to abide by the same
I/We wish to opt for DP Normal Scheme (OR) DP Security Deposit Scheme
u
u
Electronic Clearing Service (ECS) Mandate is compulsory for the Normal scheme
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .First Holder Signature Second Holder Signature Third Holder Signature
( 14 ) ] u
TARIFF FOR DEPOSITORY SERVICES Normal Scheme Security Deposit Scheme
DESCRIPTION AMOUNT AMOUNT
Annual Maintenance Charges (AMC)
Individuals Rs.125/- per quarter NIL
Corporate Rs.1000/- per annum NIL
Security Deposit
Individuals/Corporate NIL Rs.2500/- (Refundable Security Deposit)
Dematerialization Rs.100/- per certificate + Rs.35/- as Rs.100/- per certificate + Rs.35/- as Courier Courier Charges Charges
Re-materialization Rs.20/-for every 100 securities or part thereof Rs.20/-for every 100 securities or part thereof
Transaction - Market / Off Market
Sale Rs.30/- or 0.04% whichever is higher Rs.30/- or 0.04% whichever is higher
Buy NIL NIL
Inter-Depository Transaction Market / Off Market
Sale Rs.30/- or 0.04% whichever is higher Rs.30/- or 0.04% whichever is higher
Buy NIL NIL
Modifications (other than change of mobile number & email address) Rs.25/- Rs.25/-
Failed Instructions Rs.30/- Per Transaction Rs.30/- Per Transaction
Pledge
Creation Rs.50/- or 0.04% whichever is higher Rs.50/- or 0.04% whichever is higher
Creation Confirmation Rs.50/- or 0.04% whichever is higher Rs.50/- or 0.04% whichever is higher
Closure Rs.50/- or 0.04% whichever is higher Rs.50/- or 0.04% whichever is higher
Closure Confirmation Rs.50/- or 0.04% whichever is higher Rs.50/- or 0.04% whichever is higher
Invocation Rs.50/- or 0.04% whichever is higher Rs.50/- or 0.04% whichever is higher
Commercial Paper Rs.500/- per Transaction Rs.500/- per Transaction
Bonds Rs.500/- per Transaction Rs.500/- per Transaction
Government Securities Rs.500/- per Transaction Rs.500/- per Transaction
with effect from: 14-09-2013 DP TARIFF Client ID: _____________________
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(15)
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18
UMRNDate
Spondor Bank Code
I/We hereby authorize
with Bank
CREATE
MODIFY
CANCEL
an amount of Rupees
FREQUENCY
Reference 1 Phone No.
Reference 2
PERIOD
From
1. 2 3.
To
Or Until Cancelled
Signature Primary Account holder
Name as in bank records
Signature Primary Account holder
Name as in bank records
Name of customers bank
M/s. Cholamandalam Securities LImited
D D
D D
D D
M M
M M
M M
Y Y Y Y
Y Y Y Y
Y Y Y Y Signature Primary Account holder
Name as in bank records
I agree for the debit of Mandate processing charges by the Bank whom I am authorizing to debit my account as per latest Schedule of charges of the Bank.
This is to confirm that the declaration has been carefully read, made by me/us. I am authorising the user entity / corporate to debit my account. I have understood that I am authorised to cancel/amend this mandate by appropriately communicating / amendment request to the user entity / corporate or the bank where I have authorized the date.I/We hereby declare that the above information is true and correct and that the mobile number listed above is registered in my/our name(s) and/or is number that/we use in the ordinary course. I/we hereby declare that, irrespective of my/our registration of the above mobile in the provider customer preference register, or in any similar registermaintained under application laws, now or subsequent to the date hereof, I/we consent to the Bank communicating to me /us about the transactions carried out in my/our aforesaid account(s).
Email ID
Mthly Qtly H-Yrly Yrly As & when presented DEBIT TYPE Fixed Amount Maximum Amount
Bank a/c number
to debit (tick3)
Tick (3) HDFC0000060 NACH00000000001222
SB/CA/CC/SB-NRE / SB-NRO / Other
Utility Code
IFSC or MICR
`