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Happy Savings Happy Investing
ACCOUNT OPENING FORM
ANMOL SHARE BROKING PRIVATE LIMITED* | ANMOL COMO BROKING PRIVATE LIMITED
4thFloor, Bhagavathy Towers, #52, 33rd Cross, Jayanagar 4th Block, Bangalore-560 011
Member: NSE, BSE, CDSL, MCX *Formerly known as Anmol Share Broking Limited
T: +91 80 4046 3100 M/WhatsApp: +91-99804-11100 E: [email protected] W: www.MyAnmol.com
Important Instructions
1 All details to be filled in CAPITAL BLOCK letters using Blue/ Black Ink only.
2 Holder’s Names in all the required fields should be filled as per the supporting documents submitted.
3
Email ID& Mobile number is very important, account related passwords and transaction details will be communicated on that. Please provide your own Email ID and Mobile Number. If it belongs to your family, please give a separate declaration for the same. “Family” for this purpose would mean self, spouse, dependent children and dependent parents.
4 Provide correct Bank IFSC & MICR code for hassle free Transactions in future.
5 Ensure signatures on all MANDATORY forms &the VOLUNTARY documents, which are opted by you
6 Self-Attestation of all KYC documents
7 In case of any correction in the form- Please sign next to the correction& ensure it is identical to the original signature.
Name of stock
broker/trading
member/clearing
member:
ANMOL SHARE BROKING PRIVATE LIMITED (Formerly known as Anmol Share Broking Limited)
SEBI Registration
Number and Date
NSE (CM) INB231273534 BSE (CM) INZ000082537
NSE (DER) INF231273534 BSE (DER) INZ000082537
NSE (CUR) INE231273534 BSE (CUR) INZ000082537
CDSL -IN-DP-CDSL-552-2010 (April 15, 2010)
Registered and
Correspondence Office
Address
4th Floor, Bhagavathy Towers, #52, 33rd Cross, Jayanagar 4th Block,
Bangalore-560 011
T: +91-80-40463100 M/Whats app: +91-99804-11100 Web: www.MyAnmol.com
Name of the
Compliance Officer
Mr. Mahesh Bajaj
Ph. +91-80-40463111 Email id: [email protected]
Name of the CEO Mr. Mahesh Bajaj
Ph. +91-80-40463111 Email id: [email protected]
Service Tax
Registration Number
AAFCA2999A ST001
PAN No. AAFCA2999A
CIN No. U67120KA2005PTC036705
For any grievance/dispute: Please contact stock broker (Anmol Share Broking Pvt Ltd) at the above
address or email id – [email protected]/[email protected] and phone no. 91-80-40463100. In case not satisfied with the response, please contact BSE at [email protected] and phone no. +91-22-
22728097 and NSE at [email protected] and phone no. +91-22-26598190
INDEX
Sl. No.
Name of the Document Brief Significance of the Document Page No.
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI &THE EXCHANGES
1 Account Opening Form A. CKYC form – Document captures the basic information about the constituents and an Instruction/checklist. (To be filled by customer)
1-4
B. Document captures the additional information about the constituent relevant to trading account.
5-6
2 Information required as per PMLA 2002
Details of client with respect to PMLA 8-10
3 Tariff sheet Document detailing the Demat fee schedule & rate/amount of brokerage and other charges levied on the client for trading on the stock exchange(s).
11-12
VOLUNTARY FORM AS PROVIDED BY THE STOCK BROKER
4 Power of Attorney (POA)
POA in favor of Anmol Share Broking Pvt Ltd., facilitates hassle free settlement of securities transaction, NFO / IPO Application, mutual fund purchase and redemption for and on behalf of the client
13-14
5 Authorization for Running Account
Authorization letter to Anmol Share Broking Pvt Ltd, facilitates maintaining of fund with the member for every pay-in of funds obligation / margin obligation
15
6 Other authorizations Other authorizations are required for operational convenience of broking as well as Demat account
16
7 Family Declaration Email/ Mobile number Updation in Family codes 17
8 BSDA & FATCA BSDA Opt out and FATCA Declaration form 18
8 Office Use Acknowledgement and office use copy 19-20
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES (Booklet 2)
1 Rights and Obligations (Trading)
Document stating the Rights & Obligations of stock broker/trading member, sub-broker and client for trading on exchanges (including additional rights & obligations in case of internet wireless technology based trading).
1
2 Rights and Obligations (DP)
Documents detailing Rights & Obligations of beneficial owner and depository participant
5
3 Risk Disclosure Document (RDD)
Document detailing risks associated with dealing in the securities market.
7
4 Guidance note Document detailing do’s and don’ts for trading on exchange, for the education of the investors.
10
5 Policies and Procedures Document describing significant policies and procedures of the stock broker
11
Booklet 1: To be filled by client and returned to ASBPL. Booklet 2: Client Acknowledgement copy- to be read and understood by the client for future reference
Important Note: Signature Types
First holder/ Client** First Witness
Second Holder Second Witness
Third Holder Guardian
**Signature of First Holder will be followed by numbers only Introducer
G
SW
FW xx/19
SH 1/8
TH 1/8
CHECK LIST FOR FILLING CKYC FORM (List of documents to be Submitted) – For Individual
Acceptable Documents(Self attested copies required) Please Tick
Photograph One Colored Front Face Photograph on photographic Paper(Passport Size)
Proof of Identity
PAN Card
Proof of Address
(Any One)
1. Valid Passport (Name ,Address & Photo page)
2. Voter ID (front and back)
3. Valid Driving License (Name, Address & Photo page)
4.Unique Identification Number (UID) (Aadhaar)
5. Bank Statement/ Passbook (not more than 3 month sold, seal & signature of the bank official)
6. Banker’s Certificate on letter head of the Bank (ORIGINAL)
7. Electricity Bill (not more than 3 months old)
8. Resident Landline Tel. Bill (not more than3 months old)
9. Registered Flat Sale Agreement of Residence
10.RegisteredLease/Leave & License Agreement
11.Other*(Pls. Specify)
Bank Proof Provide for all the Bank
Account Mentioned
(AnyOne)
1.Bank Statement/ Bank Passbook with Cheque leaf(not more than 3 months old, seal & signature of Bank Official) specifying name of the
constituent, MICR Code or/and IFSC Code of the bank
2. Banker’s Certificate on letter head of the Bank(ORIGINAL)
3. Cancelled Personalized Cheque leaf
Proof of Income
(Any One)
1. Copy of ITR Acknowledgement
2. Copy of Annual Accounts
3. In case of salary income –Salary Slip, Copy of Form 16
4. Net-worth certificate
5. Copy of Demat Account Holding Statement
6. Bank Account Statement for last 6 months reflecting income
IMPORTANT INSTRUCTIONS – GENERAL
Trading Account will be in the name of First/Sole holder of Demat and/or Bank A/c only
Thumb impression &signatures other than English, Hindi or any other language not contained in the 8thScheduleof the Constitution of India must be attested by Magistrate or Notary Public or special Executive Magistrate
Witness should be a person other than co-holder / joint holder
The applicant should authenticate any corrections/ alteration in the account opening form
All the fields in the Form must be filled up otherwise the Form may be rejected
The Applicant has to sign wherever sign mark is mentioned {F-First Holder, S-Second Holder, T-Third Holder}
In case of Second or Third Holder applying for Demat account, download the Know Your Client (KYC) form fromour website and submit along with AOF, with proofs.
Cheque/DD towards Registration fees & other charges should be drawn in favor of “Anmol Share Broking Pvt Ltd”
It is mandatory to provide complete Bank Account details. In absence of complete details, form may be rejected.
IMPORTANT INSTRUCTIONS – DEMAT
For Demat Account, Joint Holder and Nominee cannot be the same person
Photographs to be signed across and pasted (Not Stapled) for all the holders in Demat as well as the nomineeand his/her guardian
In case of joint applicants for Demat Account, copy of PAN, Proof of Address and Proof of Identity for allApplicants is mandatory
Demat Account cannot be linked with Trading Account where minor is the joint holder in Demat account
( Professional Self Employed Retired Housewife Student)
A- Passport Number
B- Voter ID Card
C- PAN Card
D- Driving Licence
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notified by the central government)
New Update
Name* (Same as ID proof)
Maiden Name (If any*)
Father / Spouse Name*
Mother Name*
Date of Birth*
Gender*
Marital Status*
Citizenship*
CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual
1. PERSONAL DETAILS
2. TICK IF APPLICABLE
3. PROOF OF IDENTITY (PoI)*
4. PROOF OF ADDRESS (PoA)*
ADDITIONAL DETAILS REQUIRED* ISO 3166 Country Code of Jurisdiction of Residence*
Tax Identification Number or equivalent (If issued by jurisdiction)*
Place / City of Birth*
RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA
(To be filled by financial institution)
(Please refer instruction B at the end)
(Please refer instruction A at the end)
(Please refer instruction C at the end)
(Mandatory for KYC update request)
(Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted)
(Please see instruction D at the end)
(Mandatory only if section 2 is ticked)
4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS
Important Instructions:
For office use only
A) Fields marked with ‘*’ are mandatory fields. B) Please fill the form in English and in BLOCK letters.C) Please fill the date in DD-MM-YYYY format.D) Please read section wise detailed guidelines / instructions
at the end.
E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.F) List of two character ISO 3166 country codes is available at the end.G) KYC number of applicant is mandatory for update application.H) For particular section update, please tick ( ) in the box available before the
section number and strike off the sections not required to be updated.
Married
Resident IndividualForeign National
Non Resident Indian
Unmarried
Account Type*
M- Male
Application Type*
KYC Number
F- Female T-Transgender
Signature / ThumbImpression
PHOTO
Prefix First Name Middle Name Last Name
S-ServiceO-OthersB-Business
ISO 3166 Country Code of Birth*
Identification Number
Passport Expiry Date
Driving Licence Expiry Date
( Private Sector Public Sector Government Sector )
IN- Indian Others (ISO 3166 Country Code )
Others
Person of Indian Origin
(Certified copy of any one of the following Proof of Address [PoA] needs to be submitted)
D D M M Y Y Y Y
D D M M Y Y Y Y
D D M M Y Y Y Y
Occupation Type*
Residential Status*
S- Simplified Measures Account - Document Type code Identification Number
X- Not Categorised
Address Type*Proof of Address*
Line 2
State / U.T Code*
Residential / Business
Passport Driving Licence UID (Aadhaar)
Pin / Post Code*City / Town / Village*
ISO 3166 Country Code*
Voter Identity Card
Residential Registered Office
Address
please specify
Business
NREGA Job Card Others
Unspecified
District*
Line 1*
Line 3
Simplified Measures Account - Document Type code
Normal Simplified (for low risk customers) Small
1/19
Addition of Related Person Deletion of Related Person
5. CONTACT DETAILS
7. REMARKS (If any)
(All communications will be sent on provided Mobile no. / Email-ID) (Please refer instruction F at the end)
6. DETAILS OF RELATED PERSON (In case of additional related persons, please fill ‘Annexure B1’ ) (please refer instruction G at the end)
(If KYC number and name are provided, below details of section 6 are optional)
Tel. (Off)
FAX
Tel. (Res)
Email ID
Mobile
KYC Number of Related Person (if available*)
Guardian of Minor Assignee Authorized RepresentativeRelated Person Type*
Name*
PROOF OF IDENTITY [PoI] OF RELATED PERSON* (Please see instruction (H) at the end)
4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES* (Applicable if section 2 is ticked)
State* ZIP / Post Code* ISO 3166 Country Code*
Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details
A- Passport Number
B- Voter ID Card
C- PAN Card
D- Driving Licence
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notified by the central government) Identification Number
Passport Expiry Date
Driving Licence Expiry Date
D D M M Y Y Y Y
D D M M Y Y Y Y
Prefix First Name Middle Name Last Name
8. APPLICANT DECLARATION
9. ATTESTATION / FOR OFFICE USE ONLY
KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Date : Place :
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changestherein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.
[Signature / Thumb Impression]
Signature / Thumb Impression of Applicant
Documents Received Certified Copies
Date
Emp. Name
Emp. Code
Emp. Designation
Emp. Branch
Name
Code
[Employee Signature][Institution Stamp]
D D M M Y Y Y Y
D D M M Y Y Y Y
4.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS * (Please see instruction E at the end)
Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill ‘Annexure A1’)
State / U.T Code* Pin / Post Code* ISO 3166 Country Code*District*
Line 2 City / Town / Village*
Line 1*
Line 3
Line 2 City / Town / Village*
Line 1*
Line 3
S- Simplified Measures Account - Document Type code Identification Number
Anmol Share Broking Private Limited
2/19
CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual | Correspondence / Local Address
Annexure A1
1. CORRESPONDENCE / LOCAL ADDRESS DETAILS
2. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email-ID) (Please refer instruction F at the end)
Tel. (Off)
FAX
Tel. (Res)
Email ID
Mobile
(Please see instruction E at the end)
Same as Current / Permanent / Overseas Address details
3. APPLICANT DECLARATION
Date : Place :
I hereby declare that the details furnished 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 false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
[Signature / Thumb Impression]
Signature / Thumb Impression of ApplicantD D M M Y Y Y Y
Line 1* Line 2 Line 3
State / U.T Code* Pin / Post Code*City / Town / Village*
ISO 3166 Country Code*District*
Important Instructions: A) Fields marked with ‘*’ are mandatory fields. B) Please fill the form in English and in BLOCK letters.C) Please fill the date in DD-MM-YYYY format.D) Please read section wise detailed guidelines / instructions
at the end.
E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.F) List of two character ISO 3166 country codes is available at the end.G) KYC number of applicant is mandatory for update application.H) For particular section update, please tick ( ) in the box available before the
section number and strike off the sections not required to be updated.
New Update (To be filled by financial institution) (Mandatory for KYC update request)For office use only Application Type*
KYC Number 9. APPLICANT DECLARATION
10. ATTESTATION / FOR OFFICE USE ONLY
5. CONTACT DETAILS (All communications will be sent on provided Mobile no. \ Email-ID) (Please refer instruction F at the end))
Tel. (Off)
FAX
Tel. (Res)
Email ID
Mobile
IN PERSON VERIFICATON DETAILS IN PERSON VERIFICATON DETAILS
Date :
Place :
I hereby declare that the details furnished above are true and correct to the best of my/our 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 false or untrue or misleading or misrepresenting, I am/we are aware that I/we may be held liable for it.I would like to share my personal / KYC details with Central KYC RegistryI hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address
[Signature / Thumb Impression]
Signature / thumb Impression of Applicant
Documents Received
Risk Category
Self-Certified
High
Done
True Copies Notary
Medium Low
Identity Verification
Date
Emp. Name
Emp. Code
Emp. Designation
Emp. Branch
Name
Code
[Employee Signature]
[Institution Stamp]
4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES* (Applicable if Section 2 is ticked )
Line 1* Line 2 Line 3 State / U.T Code* Pin / Post Code*
City / Town / Village*ISO 3166 Country Code*
Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill ‘Annexure A1’)
D D M M Y Y Y Y
CENTRAL KYC REGISTRY | Instructions / Check list / Guidelines for filling Know Your Customer (KYC) Application Form
General Instructions: 1 Fields marked with ‘*’are mandatory fields.2 Tick ( ) wherever applicable.3 Self-Certification form is mandatory.4 Please fill the form in English and in BLOCK Letters.5 Please fill all dates in DD-MM-YYYY format.6 Wherever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle, 1988 and ISO 3166 country code respectively.7 List of State/U.T code as per Indian Motor Vehicle Act 1988 is available at the end8 List of two character ISO-3166 country codes is available at the end.9 KYC number of applicant is mandatory for update application at the end.10 For particular section update, please tick (�) in the box available before the section number and strike off the sections not required to be updated.11 In case of ‘Small Account type’ only personal details at section number 1 and 2, photograph, signature and self-certification required. A. Clarification/guidelines on filling ‘Personal Details’ section1 Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the application is liable to be rejected.2 Either father’s name or spouse’s name is to be mandatorily furnished. In case PAN is not available father’s name is mandatory. B. Clarification/guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside India1 Jurisdiction (s) of Residence: It may be mentioned that since US taxes the global income of its citizen, every US citizen if whatever nationality, is also a resident for tax purpose in USA.2 Tax identification Number (TIN): In the footnote it may be mentioned that TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued by high integrity number with an equivalent level of identification (a “Functional equivalent”), the same may be reported. Examples of that type of number for individual include, a social security/insurance number, citizen/personal identification/services code/number, and resident registration number) C.Clarification/guidelines on filling ‘Proof of Identity’ section1 If driving license number or passport is provided as proof of identity then Expiry date is to be mandatorily furnished.2 Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked. D. Clarification/guidelines on filling ‘Proof of Address [PoA] - Current / Permanent / Overseas Address details’ section1. PoA to be submitted in only if the submitted PoI does not have an address or address as per PoI is invalid or not in force. E. Clarification/guidelines on filling ‘Proof of Address [PoA] - Correspondence / Local Address details’ section1 To be filled in only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted. 2 In case of multiple correspondence / local addresses, Please fill ‘Annexure A1’ F. Clarification/guidelines on filling ‘Contact details’ section1 Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999). 2 Do not add ‘0’ in the beginning of Mobile number. G. Clarification/guidelines on filling ‘Related Person details section1 Provide KYC number of related person if available. H. Clarification/guidelines on filling ‘Related Person details – Proof of Identity [PoI] section1 In case of nominees, proof of identity is not required.2 Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.
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CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual | Related Person
Annexure B1
Addition of Related Person Deletion of Related Person
1. DETAILS OF RELATED PERSON (Please refer instruction G at the end)
KYC Number of Related Person (if available*)
Related Person Type*
Name*
PROOF OF IDENTITY (PoI) OF RELATED PERSON* (Please see instruction (H) at the end)
A- Passport Number
B- Voter ID Card
C- PAN Card
D- Driving Licence
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notified by the central government) Identification Number
Passport Expiry Date
Driving Licence Expiry Date
D D M M Y Y Y Y
D D M M Y Y Y Y
Prefix First Name Middle Name Last Name
2. APPLICANT DECLARATION
3. ATTESTATION / FOR OFFICE USE ONLY
Date : Place :
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changestherein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it. [Signature / Thumb Impression]
Signature / Thumb Impression of ApplicantD D M M Y Y Y Y
(If KYC number and name are provided, below details of section 1 are optional)
Guardian of Minor Assignee Authorized Representative
Important Instructions: A) Fields marked with ‘*’ are mandatory fields. B) Please fill the form in English and in BLOCK letters.C) Please fill the date in DD-MM-YYYY format.D) Please read section wise detailed guidelines / instructions
at the end.
E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.F) List of two character ISO 3166 country codes is available at the end.G) KYC number of applicant is mandatory for update application.H) For particular section update, please tick ( ) in the box available before the
section number and strike o the sections not required to be updated.f.
New Update (To be filled by financial institution) (Mandatory for KYC update request)For office use only Application Type*
KYC Number
S- Simplified Measures Account - Document Type code Identification Number
KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Documents Received Certified Copies
Date
Emp. Name
Emp. Code
Emp. Designation
Emp. Branch
Name
Code
[Employee Signature][Institution Stamp]
D D M M Y Y Y Y
9. APPLICANT DECLARATION
10. ATTESTATION / FOR OFFICE USE ONLY
5. CONTACT DETAILS (All communications will be sent on provided Mobile no. \ Email-ID) (Please refer instruction F at the end))
Tel. (Off)
FAX
Tel. (Res)
Email ID
Mobile
IN PERSON VERIFICATON DETAILS IN PERSON VERIFICATON DETAILS
Date :
Place :
I hereby declare that the details furnished above are true and correct to the best of my/our 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 false or untrue or misleading or misrepresenting, I am/we are aware that I/we may be held liable for it.I would like to share my personal / KYC details with Central KYC RegistryI hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address
[Signature / Thumb Impression]
Signature / thumb Impression of Applicant
Documents Received
Risk Category
Self-Certified
High
Done
True Copies Notary
Medium Low
Identity Verification
Date
Emp. Name
Emp. Code
Emp. Designation
Emp. Branch
Name
Code
[Employee Signature]
[Institution Stamp]
4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES* (Applicable if Section 2 is ticked )
Line 1* Line 2 Line 3 State / U.T Code* Pin / Post Code*
City / Town / Village*ISO 3166 Country Code*
Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill ‘Annexure A1’)
D D M M Y Y Y Y
CENTRAL KYC REGISTRY | Instructions / Check list / Guidelines for filling Know Your Customer (KYC) Application Form
General Instructions: 1 Fields marked with ‘*’are mandatory fields.2 Tick ( ) wherever applicable.3 Self-Certification form is mandatory.4 Please fill the form in English and in BLOCK Letters.5 Please fill all dates in DD-MM-YYYY format.6 Wherever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle, 1988 and ISO 3166 country code respectively.7 List of State/U.T code as per Indian Motor Vehicle Act 1988 is available at the end8 List of two character ISO-3166 country codes is available at the end.9 KYC number of applicant is mandatory for update application at the end.10 For particular section update, please tick (�) in the box available before the section number and strike off the sections not required to be updated.11 In case of ‘Small Account type’ only personal details at section number 1 and 2, photograph, signature and self-certification required. A. Clarification/guidelines on filling ‘Personal Details’ section1 Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the application is liable to be rejected.2 Either father’s name or spouse’s name is to be mandatorily furnished. In case PAN is not available father’s name is mandatory. B. Clarification/guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside India1 Jurisdiction (s) of Residence: It may be mentioned that since US taxes the global income of its citizen, every US citizen if whatever nationality, is also a resident for tax purpose in USA.2 Tax identification Number (TIN): In the footnote it may be mentioned that TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued by high integrity number with an equivalent level of identification (a “Functional equivalent”), the same may be reported. Examples of that type of number for individual include, a social security/insurance number, citizen/personal identification/services code/number, and resident registration number) C.Clarification/guidelines on filling ‘Proof of Identity’ section1 If driving license number or passport is provided as proof of identity then Expiry date is to be mandatorily furnished.2 Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked. D. Clarification/guidelines on filling ‘Proof of Address [PoA] - Current / Permanent / Overseas Address details’ section1. PoA to be submitted in only if the submitted PoI does not have an address or address as per PoI is invalid or not in force. E. Clarification/guidelines on filling ‘Proof of Address [PoA] - Correspondence / Local Address details’ section1 To be filled in only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted. 2 In case of multiple correspondence / local addresses, Please fill ‘Annexure A1’ F. Clarification/guidelines on filling ‘Contact details’ section1 Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999). 2 Do not add ‘0’ in the beginning of Mobile number. G. Clarification/guidelines on filling ‘Related Person details section1 Provide KYC number of related person if available. H. Clarification/guidelines on filling ‘Related Person details – Proof of Identity [PoI] section1 In case of nominees, proof of identity is not required.2 Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.
Anmol Share Broking Private Limited
4/19
TRADING ACCOUNT RELATED DETAILS
BANK ACCOUNT DETAILS (Account No 1 would be considered for Pay-Out of Funds)
Bank 1: Bank name & Address:
Account No: Savings Current
MICR Code: IFSC Code:
Bank 2: Bank name & Address:
Account No: Savings Current
MICR Code: IFSC Code:
DEPOSITORY ACCOUNT DETAILS
Depository Participant Name:
Client Name:
Depository Name: CDSLNSDL
DP ID: Client ID:
TRADING PREFERENCES*Please Sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off
Exchanges Cash & Mutual Funds F&O* Currency Derivatives*
NSE + BSE
*For F&O & Currency, income proof needed & initial margin chq of Rs 25,000 is required
If, in future, the client wants to trade on any New Segment / New Exchange, separate authorization / letter will be taken from the client.
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.
DEALINGS THROUGH AUTHORISED PERSONS/ OTHER BROKERS/ INTRODUCER DETAILS
Status of Introducer: Remisier AP Existing Client Employee Others ____________
i) AP Name/ Introducer Name:
Remisier/ AP Tag/ Emp. Code/ Client Code: SEBI Registration / Exchange No.:
Registered office address:
Mobile/ Phone: Fax: Website:
ii) Whether dealing with any Other Broker / AP(If registered with multiple members, provide details) Yes No
Name of Stock Broker (if yes) Name of AP:
Name of Exchange (if yes) Client Code (as given by other broker)
Details of disputes/dues pending from/to such stock broker/ authorized person:
I/ we hereby confirm that I/we have verified the identity & bonafides of client. I/ We shall also ensure that all the dealings with the clients shall be as per the prevailing Rules/ Regulations/ Bye-Laws/ Circulars of the Exchange and SEBI. Further, I/We undertake to abide by the operational policies and procedures of Anmol and also as per the agreement entered with Anmol Share Broking Private Limited
Signature of the AP/ Introducer (Rubber Stamp required if non-individual introduces client)
5/19 6/19 7/19
ADDITIONAL DETAILS
Contract Note Receive Contract Note:Physical Electronic (Email mentioned in KRA will be used)
E-Broking Do you wish to avail Internet Trading/Wireless Trading Facility Yes No
SMS/Email
Do you wish to receive trade confirmation on SMS/Email directly from Exchange/CDSL
SMS Email Both
Mobile Registration
SelfOther (please specify Name ____________________________)
(Relationship with the client ___________________________)
Gross Annual Income Details: < 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs
25 Lacs -1 Cr Above Rs. 1Cr.
OR Net Worth in Rs ______________________________________ as on date DD/ MM/ YYYY
I hereby agree to submit a copy of any one of the financial documents mentioned ahead to ASBPL every year: (Copy of Income tax return / Annual Accounts / Form 16 (Salary Slip) / Net Worth Certificate / Bank Statement for last 6 months)
Occupation
Private Sector Public Sector Business Retired Govt. Service
Professional Agriculturist Housewife Student Forex Dealer Other____
TYPE OF ACCOUNT
I/We request you to open a Demat Account in my/our name as per the following details
Individual ResidentIndividual Director Individual Director’s Relative
Individual promoter Others Specify ____________________
I/We request you to open a JOINT DEMAT ACCOUNT in my/ our name as per following details:-
Name of the First Holder PAN
Name of the Second Holder PAN
Name of the Third Holder PAN
Option for Issue of DIS Booklet
I / We hereby state that: [Select one of the options given below]
Option 1I / We do not require the Delivery Instruction Slip (DIS) for the time being, since I / We have issued a POA in favor of / with Anmol Share Broking Pvt Ltd for executing delivery instructions for setting stock exchange trades [settlement related transactions] effected through such Clearing Member. However, the Delivery Instruction Slip (DIS) booklet should be issued to me / us immediately on my / our request at any later date.
Option 2 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 favor of / with Anmol Share Broking Pvt Ltd for executing delivery instructions for setting stock exchange trades [settlement related transactions] effected through such Clearing Member.
Yours faithfully
First Holder name Second Holder Name Third Holder Name
Signature
8/19 SH 7/8 TH 6/8
DP FACILITIES
Account Statement
Send electronic Transaction cum Holding Statement on my Email id
Yes
No
Automatic Credit I/We instruct the DP to receive each and every credit in my/our Account
Yes
No
ECS Mandate Do you wish to receive dividend/Interest credit directly to your Bank Account
Yes
No
EASI Regn
View ISIN balances, Transactions & value of portfolio on CDSL website (Process will be initiated by DP but will have to be completed by Investor only. To register for Easi please visit website www.cdslindia.com)
Yes
No
SMS Alert Facility
Mobile No. same as mentioned on KRA Page
(Mandatory, if you are giving Power Of Attorney (POA). If POA is not granted & you do
not wish to avail of this facility, cancel this option ) (Refer Terms and conditions Annexure 2.4)
Yes
No
TRUST Facility
I wish to avail the Transactions Using Secured Texting Facility (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. (Refer to Terms and Conditions Annexure – 2.6)
Yes
No
Pledge Facility
I/ We would like to instruct DP to accept all the pledge instructions in my/our account without any other further instruction from my/ our end. (If not marked, the default option would be “No”)
Yes
No
Annual Report
I/ We would like to receive the Annual Report in the opted manner (Tick the applicable box (can tick both boxes if both needed), if not marked, the default option would be in Electronic)
Physical
Electronic
CAS Facility
I wish to receive the Consolidated Account Statement (CAS) in Physical / Electronic form (Tick the applicable box, if not marked the default option would be in physical)
Physical
Electronic
RTA Facility I /we would like to share the email id with the RTA
Yes
No
KYC Documents
I /we would like to receive KYC documents i.e. RDD, Rights & Obligations and Do's & don’ts as prescribed by SEBI
Physical
Electronic
For availing TRUST and SMS Alert Facility, Forms & Terms & Conditions are available on www.anmolshare.com
DECLARATION
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 or suppression of any material information, I am/we are aware
that I/we may be held liable for it.
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.
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.
I/We have read the terms & conditions of rights & obligations document 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 correct 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 bill render
my account liable for termination and suitable action.
(First Holder Signature) (Second Holder Signature) (Third Holder Signature)
9/19 SH 3/8
TH 3/8
RISK PROFILE QUESTIONNAIRE
Anmol Share Broking Pvt Ltd is required to make enquiries as to the level of service you are seeking, your
investment objectives including your risk profile, financial situation, and particular needs. A key consideration is
understanding your investment objective and tolerance level. The following questionnaire has been prepared to
help you consider the various investment risks and to understand how they impact on your personal circumstances.
Investment Risk can be described as the potential for actual investment returns to vary from expectations. The
higher the level of investment returns you are seeking, the more risk you generally need to be prepared to accept.
An Investment Risk Profile is basically a general description regarding an Investor's approach to risk.
IDENTIFYING YOUR INVESTMENT RISK (From Investment Trading Perspective)
1) How familiar are you with investment matters? Please Select Any 1
Not familiar at all with investments and feel uncomfortable.
Somewhat familiar. I don't fully understand investments, including the share market. Fairly familiar. I
understand the various factors which influence investment performance.
Very familiar. I use research and other investment information to make investment decisions. I understand the various
factors which influence investment performance.
2) Which age range do you fall into?
Between 21 and 40 Between 40 and 50
Between 50 and 60 Between 60 and 70
3) How long would you invest the majority of your money before you think you would need access to it?
(Assuming you already have plans in place to meet short term cash flow and/or emergencies.) Please Select Any 1
In a 2 year or less Within 3 - 5 years
Within 6 - 10 years Not for 10+ years
4) Approximately what percentage of your assets (excluding own use property) is currently held in
investment products where the value can fluctuate? Please Select Any 1
Over 50% Between > 25% and 50% 0%
Between > 10% and 25% Between > 0% and 10%
5) How long have you been investing in stock market? Please Select Any 1
Very Experienced – Have been trading / investing in equity & derivative market for more than 5 years.
Very Experienced – Have been trading / investing in equity & derivative market for last 3 - 5 years.
Have been trading in equity market and have already started my derivatives trading
Have been trading in equity market
I am starting my stock market investment with you
6) Any legal action against you in the Court;
Yes ____________________ (Amount Involved) No
7) Investing involves a trade-off between risk and return. In order to achieve your expected returns, which
statement best describes the degree of losses you are willing to take?
I am willing to accept minimal amount of
capital loss I am willing to accept high capital loss
I am willing to accept moderate capital
loss
8) Have you ever borrowed money to make an investment in securities market? If yes, then mention the
name of the lender and the amount borrowed.
Yes - Name of the lender:_________________ and amount borrowed Rs._______________
No
9) Your immediate family member / Group companies are promoter of any listed company; if yes then
mention the details of such company.
Yes - Name of the Listed company___________
No
10) Your immediate family member / Group companies are registered with SEBI; if yes then under what
capacity.
Yes - Mention details _______________
No
NOMINATION DETAILS
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 Trading & Demat account.
I / We wish to nominate the following person (who is entitled to receive security balances lying in my/our
account. Particulars whereof given below, in the event of the death of the Sole holder or the death of all the joint holders)
Details:
Name
Relationship
Date of Birth
Address
Mobile number
Email ID
If Minor, details of the Guardian
As the nominee is a minor on this date, I / We appoint the following person to act as a guardian to receive the securities / funds in this account on behalf of the nominee in the event of the death of the sole holder or the death of all the joint holders.
Name
Address
Mobile Number
Email id
Relationship
Signature of Guardian This nomination shall supersede any prior nomination made by me/ us and also any testemantary document executed by me/ us.
(First Holder Signature) (Second Holder Signature) (Third Holder Signature)
WITNESS DETAILS
Name and Address of Witness 1
Signature
Name and Address of Witness 2
Signature
Nomination Registered vide regn no: dated
SW
FW
G
10/19 SH 4/8 TH 4/8
Information for Prevention of Money Laundering Act, 2002 CLIENT DETAILS
Experience No. of years of Investment/ Trading Experience Any other information _______
Education Non Metric SSC/HSC Graduate Lawyer other specify __________
Residential Details Owned Rented
Source of Income (Fund Details)
Do you Invest in stock market with: Own Funds or Borrowed Funds
i) Primary source:Salary Business Others Specify ____________
ii) Secondary Source: RoyaltiesRental Dividend Others specify __________
DETAILS OF RELATIVES, HAVING ACCOUNT WITH ANMOL SHARE BROKING PVT LTD
Name
Relationship
UCC
OCCUPATION DETAILS/ DETAILS OF CORPORATE/ PARTNERSHIP FIRMS/ TRUST/ETC. WHERE CLIENT IS AFFILIATED
Please Tick Occupation Corporate/ Partnership firm/ Trust/ Etc
Name of the Firm
Address
Designation (If Occupation) / Relationship with firm (if corporate):
Nature of Business
Manufacturing Services Consultancy Trading Others: _________
IS THE CLIENT POLITICALLY EXPOSED PERSON (PEP*) OR RELATED TO A PEP
Yes No If yes, please provide below mentioned details
Name
Relationship PAN
*Politically Exposed Persons(PEP) are individuals who are or have been entrusted with prominent public functions in a foreign
country, e.g. Heads of States of Governments, senior government/judicial/military officers, senior executives of state corporations, important political party officials, etc. In addition, a ‘Politically Exposed Person includes the immediate family members of a ‘Politically Exposed Person such as spouse, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a ‘Politically Exposed Person who conducts transactions on beha lf of a ‘Politically Exposed Person.
IN CASE OF JOINT ACCOUNT, PLEASE FILL UP ANOTHER KYC FORM FOR THE JOINT HOLDERS (KYC FORM CAN BE DOWNLOADED FROM OUR WEBSITE OR CAN BE COPIED FROM THIS FORM) AND PROVIDE THE BELOW DETAILS
Sl No.
Particulars Bank Name
Branch Name
Branch Address
Bank A/c No A/c Type (Savings/ Current)
MICR No.
1. Second Holder Details
2. Third Holder Details
Note: Client has to provide bank proofs of all the joint holders
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.
Client Signature 11/19
BROKERAGE TARIFF SHEET
Delivery Intraday Others
Max Min Max Min
Cash Market
Future and Options
Currency Derivatives
Brokerage levied to your trading account shall be the higher of brokerage value as per the existing rates or Rs.
25/- per settlement / segment, subject to the maximum rates prescribed by the regulator(s) from time to time.
DEMAT TARIFF SHEET
Scheme Opted (Select Anyone)
Charges
Basic
Economy
Freedom -
Lite
Chota Life Time
Anmol Lifetime Freedom
1 DP A/c Opening NIL
2 Dematerialization Rs.50+Rs.20/Cert/ISIN
3 Demat Rejection Rs.50/-
4 Rematerialization Rs.50+CDSL Charges
5 Pledge(Creation/
Invocation/Closure) 0.01% or Rs50/- whichever is higher
6 Transaction Charges:
a Buy NIL
b Sell(within Anmol)
0.04% or Rs. 35/- whichever is higher
Rs.6 + CDSL Charges
Free (Only CDSL Charges)
Free (Only CDSL Charges)
Free (No Charges)
c Off Market (within Anmol)
0.04% or Rs. 35/- whichever is higher
0.01% or Rs. 15/- whichever is higher
0.01% or Rs. 15/- whichever is higher
0.01% or Rs. 15/- whichever is higher
Free (No
Charges)
d
Sell(Outside Anmol/Off-Mkt Trf/Inter-Depository)
0.04% or Rs. 35/- whichever is higher
0.03% or Rs 30/- whichever is higher
0.03% or Rs 30/- whichever is higher
0.03% or Rs 30/- whichever is higher
0.03% or Rs
30/- whichever
is higher
7 AMC* Rs.99/- Rs.299/- Rs.499/-
Rs.3,000/- (Refundable Deposit and not AMC)
Rs.5,000/- (Refundable Deposit and not AMC)
**As per SEBI circular No. CIR/MRD/DP/20/2015 dated 11th December 2015, all eligible demat account will be converted to BSDA at the end of the billing cycle subject to terms and conditions mentioned by SEBI. To opt out for BSDA scheme please sign a separate scheme sheet attach with this form.
Demat Tariff Selected _________________
TERMS AND CONDITION WRT CHARGES
1. Account Maintenance Charges (AMC) will be charged upfront every year. 2. For New Account, AMC will be charged from respective month.3. Inter-Settlement charge towards debit transactions of client shares from ASBPL beneficiary & ASBPL collateral
account, Rs. 12/- per ISIN would be applicable.
4. Change in tariff scheme will be accepted anytime during the year. The new scheme will be applicable
from month in which scheme is changed. No adjustment of previous will be done.
5. In Scheme – IV & V (Life Time AMC), client can take full amount if closed after 3 years. In case account
is closed or scheme changed within 3 years, Rs 1000/- will be charged and remaining shall be refunded.
6. In case of additional DIS Requisition slip/ book, Rs 100 /- will be charged. 7. Cheque bounce will be charged Rs 100/- per instance.8. Request for duplicate Contract note will be charged at Rs.25/- per contract note.9. Trading A/c opening charges of Rs. 150/- will be collected upfront at the time of account opening.10. Modification Request- Rs. 50/- for address modification, Rs.35/- for other Modifications (except email and
mobile number).
11. In case of closure of Demat account, AMC for the remaining quarter/s will be refunded. 12. All the charges pertaining to DP will be debited from the Clients Trading Ledger (In case of trading account
with Anmol).
13. CDSL charges are charged at actual, Service tax will be charged extra as per regulation. Rates are subjectto revision from CDSL. DP reserves the right to amend the tariff at any given point of time.
14. For availing ‘Easiest’ facility of CDSL, charges will be levied by CDSL would be collected from clients atactual.
15. Other Charges:a. Securities Transaction Tax, SEBI turnover fees, Transaction charges shall be levied as per prevailing
rates.b. Statutory levies including but not limited to service tax, stamp duty, Education Cess shall be levied as
per the prevailing rates.c. The schedules of charges are subject to revision at .the discretion of Anmol Share broking Private Ltd.
Any revision in the schedule of charges will be notified by EMAIL within 30 days’ notice.
Instruction list Relevant to Trading Account
For individuals:
a) Stock broker has an option of doing ‘in-person’ verification through web camera at thebranch office of the stock broker/sub-broker’s office.
b) In case of non-resident clients, employees at the stock broker’s local office or overseas office 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.
Client Signature: 12/19
POWER OF ATTORNEY IN FAVOUR OF ANMOL SHARE BROKING PRIVATE LIMITED (To be franked)
TO ALL TO WHOM THESE PRESENTS SHALL COME, I/WE ________________________________ residing at/having place of business/registered office at __________________________________________________________________________________________________________________________________________________ send greetings.
WHEREAS I/We wish to avail, I/We am/are a client availing of the Stock Broking and Depository services(hereinafter
referred to as said Services) offered by Anmol Share Broking Private Limited (Formerly known as Anmol Share Broking
Limited), a company registered under the provisions of the Companies Act,1956 having its Registered office at 4thFloor,
Bhagavathy Towers, #52, 33rd Cross, Jayanagar 4th Block, Bangalore-560 011 and (hereinafter referred to as 'ASBPL')
with/ without On-Line trading/ E-broking & web based facilities and/ or services through its website or any other website
used for offering said Services. AND WHEREAS as consideration for availing said services as well as a prerequisite for
fulfilling the various preconditions and requirements so as to avail of the services of 'ASBPL', I/we am/are desirous of
appointing an attorney and confer upon it powers hereinafter stated. NOW THESE PRESENTS WITNESS that I / we, do
hereby, jointly and severally nominate, constitute and appoint 'ASBPL' acting through any of its directors, officers and / or
agents, as my / our true and lawful Constituted Attorney (hereinafter referred to as the said Attorney) for me / us, in my /
our name and on my / our behalf and at my / our risk and costs to do, exercise and perform all or any of the following
acts, deeds and things:
In this Power of Attorney the term “Securities” shall include shares, scrips, stocks, bonds, warrants, options, futures,
derivatives, convertible debentures, non-convertible debentures, securitized debt instruments, fixed return investment,
equity linked instruments or other marketable Securities of a like nature in or of any incorporated company or other body
corporate, negotiable instruments including issuance Bills of Exchange, deposits or other money market instruments,
commercial paper, certificate of deposit, units issued by Unit Trust of India and units issued by Mutual Funds, mortgage
backed or other asset backed Securities issued by any institution or body corporate, cumulative convertible preference
shares issued by any incorporated company and Securities issued by any incorporated company and Securities issued
by the Central Government or a State Government for the purpose of raising public loan and having one of the forms
specified in Clause (2) of Section 2 of the Public Debt Act, 1944, or any other new form of capital or money market
instruments that may be issued in the future by any incorporated company/firm/institution or Government.
1. To give delivery/receive instructions, borrowing and lending instructions, pledge instructions, pledge closure
instructions in the course of business relating to operation of Demat account No.1 2 0 6 4 7 0 0
maintained with Depository Participant of ASBPL with CDSL towards
the obligation for transactions done through ASBPL on Bombay Stock Exchange Limited, National Stock Exchange
of India Limited or any other Exchange under my/our instructions.
2. Pursuant to my/our instruction or instruction of my/our Authorized Representative, to make applications for or to
renounce and sign renunciation forms in respect of bonds/debentures, right shares and additional shares of any
Company/ Body/ Authority.
3. To debit my/our ledger account maintained with ASBPL for fees/charges etc. and to discharge all financial
obligations relating to transactions undertaken by me on any of the Stock Exchanges through ASBPL.
4. Pursuant to my/our instruction or instruction of my/our Authorized Representative to do all such acts and things as
may be necessary to effect the subscription / purchase / redemption or any other transaction for mutual funds/ online
Mutual Fund or otherwise of initial public offer / follow on public offer / right issue /or any other like issues and / or
Investment Product for which services are availed from ASBPL.
5. To pledge the securities for the limited purpose of meeting the margin requirements in connection with the trades
executed on the stock exchanges.
6. To instruct the Depository Participant to debit securities to the said account and/or transfer securities from the said
account to pool/collateral /margin/any other beneficiary account of ASBPL to the extent of shares sold through
ASBPL for pay in obligation as well as for margins towards any Stock Exchange in all segments.
7. To issue instructions to my DP to execute the share transfer requests given by me/us in electronic form, in any format
and at any time through the website of Anmol Share Broking Private Limited or through the internet or any other
electronic mode, towards upfront margin or any other margin obligation towards any stock exchange.
8. To authorize ASBPL to send trades and accounts related information and also consolidated summary of scrip-
wise buy and sell positions taken with average rates by way of SMS / email on a regular basis.
9. For the purpose of the aforesaid to sign contracts, agreements, transfers, acceptances, receipts, or other
instruments, documents and forms, to accept and carry out correspondence with such person(s) or
authority/authorities or department(s) and to do all such lawful acts requisite for effecting the same. To do or commit
to do all such acts and things as may be necessary or desirable in order to exercise its powers hereinabove or
to comply with any laws, orders, rules, regulations or directions of any government or regulatory or other authorities.
10. My/Our Attorney ASBPL shall not be liable for any loss that may result from failure/inability of electronic
connectivity of rejection of my/our application for any reason whatsoever.
11. In case of mutual fund units wrongly / erroneously subscribed and delivered in my/our account, ASBPL is
authorized to automatically transfer the units in their pool/beneficiary/other account without my consent.
12. In case the securities or fund that may have been delivered/credited/transferred to my DP account erroneously
or those securities or fund that I was not entitled to receive, then ASBPL is authorized to instruct the DP to
reverse such transactions without obtaining any authorization from me.
13. I understand that on production of adequate proof by me you will return to me the security/(ies) or funds that may
have been erroneously credited/transferred to your account which you are not entitled to receive from me or us.
14. The Demat account details of ASBPL where shares can be transferred for above purpose is mentioned below:
1206470000000452 1206470000004818 1100001100018218 IN300095-11591201
1206470000000321 1206470000004782 1100001000022781 IN300095-11540589
1206470000020631
AND I/We hereby agree that ASBPL shall exercise such powers and Authorities conferred under the above Power of Attorney pursuant only to the instructions in that behalf given by me/us or my/our Authorized Representative, which may be given orally, over the telephone, through the internet, electronically or in any other manner acceptable to ASBPL and such instructions shall be deemed to have been given by me/us and shall not be questioned by me/us and shall be conclusive and binding on me/us.
AND I /We hereby agree that all such acts done by my/our above mentioned attorney shall be deemed to be acts done by me/us and if necessary shall be ratified by me/us on the instructions of the said attorney.
AND I/WE DO HEREBY CONFIRM AND DECLARE THAT this Power of Attorney shall be valid, effective, operative and shall remain in force till the same is revoked by me/us.
I/We hereby agree that any dispute arising out of all trades, transactions and contracts will be settled under the Bye- Laws, Rules and Regulations of the concerned Stock Exchanges where the trades have been executed and depository related issues under bye Laws of the concerned Depository, where concerned beneficial owner Demat account is held.
This document shall be subject to the jurisdiction of the Courts in Bangalore and all trades, transactions and contracts shall take effect as wholly made, entered into and to be performed in the city of Bangalore.
And generally my said attorney shall have the power to do all such acts, deeds and things on my behalf and I could have lawfully done, if personally present. AND I do hereby for myself, my heirs, executors, administrators of acts done and legal representatives ratify and confirm
and agree to ratify and by attorney confirm all and whatsoever my said attorney or his substitute or substitutes shall
lawfully do or cause to be done by v i r t u e of these presents.
Made in Bangalore on this ________ day of ____________ 201__
In Witness thereof the parties to the agreement have caused these presents to be executed as of the day and year herein
below written
Signature for and on behalf of First holder Second Holder
Third Holder The Participant
Signature
Witness 1 Name & Address
Signature
Witness 2 Name & Address
Signature
POA Registered vide regn no: dated
13/19 SH 5/8
TH 5/8
SW
FW
AUTHORISATION OF RUNNING ACCOUNT – VOLUNTARY DOCUMENT
Date:
Anmol Share Broking Private Ltd. (Formerly Known as Anmol Share Broking Limited)
4th Floor, Bhagavathy Towers, #52, 33rd Cross, Jayanagar 4th Block, Bangalore-560 011
Dear Sir/ Madam,
I/We have been / shall be dealing through you as my/our broker on the Capital Market and/ or Futures & Options Segments/Currency Derivative Segments. As my/our broker i.e. agent I / we direct and authorize you to carry out trading / dealings on my/our behalf as per instructions given below.
I am/ we are aware that you and I/we have the option to deliver securities/ make payments of funds to each other for settlement of dealings as per the schedule in force at the relevant time pursuant to directives / regulations/ circulars, issued by exchange Regulatory authorities. However, I/we find it difficult to carry out repeated pay-in of funds and securities. Further, I/we also desire to use my/our securities and monies as margin / collateral without which we cannot deal / trade. Therefore I /we hereby direct and authorize you to maintain running account(s) for me/us and from time to time debit these securities and funds from running accounts and make pay-in of securities and funds to exchanges/ clearing corporations/other receiving party(ies) to settle my/our trades/ dealings.
Similarly, where I/we have to receive securities/ funds in settlement of trades/ dealings please keep the securities and monies with you and make credit entries for the same in running accounts of securities and funds maintained by you. Further, subject to your discretion and valuation please treat my/our securities and funds lying to my/our credit in running accounts as margin/ collateral for my/our dealings/ trading. In the event I/we have outstanding obligations 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.
I/we hereby further direct and authorize you to retain net amount up to Rs.10, 000/- (net amount across segment and across stock exchanges) as prescribed by the exchange while settling the account on monthly/quarterly (as the case may be) basis in additions to funds being withheld as permitted by SEBI circular MIRSD/SE/Cir-19/2009 in case I/we have traded even once during the last one month/quarter as the case may be.
While settling the account please send a 'statement of accounts' containing an extract from ledger for funds and an extract from the register of securities displaying all receipts/deliveries of funds/securities. Please explain in the statement(s) being sent the retention of funds/securities and the details of the pledge, if any.
I/ We agree that I/We shall bring any discrepancy arising from the statement of a/c on settlement preferably within 7 working days from the date of receipt of funds/securities or statement as the case may be to the notice of Trading Member so as to allow the Trading Member to take remedial steps, if any are warranted. Please do not carry out above stated settlement of running account in the event I/we avail margin trading facility. Further, do not carry out settlement of running account referred to above for funds given by me/us towards collaterals/margin in the form of bank guarantee (BG)/Fixed Deposit receipts (FDR).
Please further note that I am entitled to revoke the Running Account Authorization at any time.
My/our preference for actual settlement of funds and securities is at least:
Quarterly Monthly
Yours Faithfully, Thanking you.
Client Signature:
Name: _________________
Client Code:_________________
14/19
OTHER AUTHORISATIONS - VOLUNTARY DOCUMENT
To Anmol Share Broking Private Ltd. (Formerly Known as Anmol Share Broking Limited)
4th Floor, Bhagavathy Towers, #52, 33rd Cross, Jayanagar 4th Block, Bangalore-560 011
I / We understand that the following terms and conditions are voluntary and are required in order to ensure smooth functioning of the operations in the course of trading/investing in securities by the client through ASBPL. I am/ we are informed and satisfied that ASBPL also does proprietary trading occasionally.
Excess Contracts: I / We agree that I / We shall not, acting alone or in concert with others, directly or indirectly, hold and control excess number of permitted futures contracts and shares as fixed from time to time by the said Exchanges.
I/We further agree to receive from ASBPL the ledgers, transaction statements, bills or other Statement(s), related notices circulars, amendments and records for Trading as well as Demat account which may be sent by ASBPL from time to time electronically in lieu of the physical mode.
I hereby agree to pay the entire amount due to the broker on its due date. The amount due to the broker shall include all types of margin and pay - in obligation. In case if I do not make payment by due date I understand and agree to pay penal charge on the amount remaining outstanding as levied by the stock broker and/or sell the securities lying with the stock broker.
As I/We agree to open an account with you, I/We agree to intimate/inform the details of my relatives, from time to time ('Relative shall mean and include relatives as defined under Section 6 of The Companies Act, 1956) that may open trading account with you on the "Stock Exchange, In case/fail to intimate/ inform you, I authorize you to identify the same if possible at your end. In case of any default in the account of any of such 'relatives’, I/we hereby authorize you to set off and adjust the outstanding amounts of money and / or securities in any of the said accounts against credits of money and / or securities available or arising in my/our account irrespective of the fact that such credits in the accounts may pertain to transactions in any segment of any exchange and/or against the value of margins and/or collateral securities provided to you by me / us. I/We also authorize you to pass appropriate journal entries in order to give effect to the same any time after three months from the date of the transaction or as may be deemed fit by you
I/we hereby acknowledge that all the documents as above sent by ASBPL through e-mail will be considered as having delivered to me/us once the email leaves your e-mail server unless the same is rejected by me/our e-mail server and bounced mail notification is not received by you. I/We further agree that in the absence of my communication from me/us regarding non receipt of documents through e-mail, or notification of any discrepancy within two days from the date of issuance of Digital Contract Note through e-mail, you may construe that there is a deemed acknowledgment of the document(s) sent by you electronically. I/We further agree that ASBPL shall not take cognizance of out of office/out-of-station auto replies and the client shall be deemed to have received such electronic mails.
I/We understand that I am required to intimate any change in the e-mail Id mentioned herein through a physical letter to you, however if I/We am/are an internet client then in that event the request for change in e-mail id can be made by me/us through a secured access provided by ASBPL using client specific user id and password. I/We shall be liable for aIl losses, damages and actions which may arise as a consequence of your adhering to and carrying out my/our directions given above.
I / We hereby authorizes ASBPL to send Trade confirmations, research calls, investment ideas etc. including all commercial communication even though I am registered with National Do Not Call registry established under the telecom unsolicited commercial communications Regulations, 2007 or under the new regulation Access provider is required to set up a customer preference registration facility under the Telecom Commercial Communications Customer preference Regulations, 2010.
Place: _____________ Date:
Client Signature:
15/19
Family Declaration – Email/ Mobile Updation in Family Codes
To Anmol Share Broking Private Ltd. (Formerly Known as Anmol Share Broking Limited)
4th Floor, Bhagavathy Towers, #52, 33rd Cross, Jayanagar 4th Block, Bangalore-560 011
Dear Sir/ Madam,
I) I and my family members hereby request that mobile number and email id same as mentioned on KRAPage, belonging to undersigned shall be considered in your records for the purpose of receiving communication from you or Stock Exchanges with regard to details of trading transactions executed through you
Thus, any communication relating to our trading and demat account should be sent to the above mentioned mobile number and e-mail id. This facility shall be executed to us as an exception, for our convenience of receiving transaction details at a single mobile number and e-mail id. I understand that for the purpose of availing the above facility “family” means self, spouse, dependent children and dependent parents.
ii) Further, I hereby disclose that the following are my family members having an account with Anmol ShareBroking Pvt Ltd. Details of their name together with their client code is provided hereunder:
Sr. No. Client Name Client Code Relationship with Undersigned Signature
i.
ii.
iii.
iv.
(If family members are more than four, kindly provide details in separate sheet.) The above details shall be deemed valid till any change is requested under the modification process.
Client E-mail ID
Client Mobile Number
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 or belongs to my family member.
Client Signature:
Name: _________________
Client Code: _________________
16/19
7) Investing involves a trade-off between risk and return. In order to achieve your expected returns, which statement best describes the degree of losses you are willing to take?
8) Have you ever borrowed money to make an investment in securities market? If yes, then mention the name of the lender and the amount borrowed.
Additional Informations:
1) Your immediate family member / Group companies are promoter of any listed company; if yes then mention the details of such company.
2) Your immediate family member / Group companies are registered with SEBI; if yes then under what capacity.
I / We DO NOT wish to avail the BSDA facility for the new account for which has been submitted by me/us.
I/We have read and understood the regulatory (SEBI) guidelines for opening a Basic Services Demat Account and undertake to comply with the aforesaid guidelines from time to time. I/we also undertake to comply with the guidelines issued by any such authority for BSDA facility from time to time. I/We also agree that in case our demat account opened under BSDA facility does not meet the eligibility for BSDA facility as per guideline issued by SEBI or any such authority at any point of time, my / our BSDA account will be converted to regular demat account without further reference to me/us and will be levied charges as applicable to regular accounts as informed by the DP.
I, the first / Sole holder also hereby declare that I do not have / propose to have any other demat account across depositories as a first / sole holder.
First Holder name Second Holder Name Third Holder Name
Name
Signature 17/19 SH 6/8 TH 6/8
FATCA / CRS DECLARATION / SELF CERTIFICATION FOR INDIVIDUAL
First/Sole Holder Second Holder (if any) Third Holder (if any)
Client Code: NA NA
Demat Account No.
1. Indicate ( ) your Tax
Residency / Citizenship /
Nationality
India U.S.A Others India U.S.A Others India U.S.A Others
If ticked on “Others” and/or “U.S.A”, please provide all details under point no. 2,3,4,5 below:
2. Specify City and Country of Birth
3.
Specify Country(ies) of Tax
Residency/ Citizenship / Nationality
/
Green card holder, other than India
4. Tax Identification Number (for U.S.A.) or its functional equivalent (other than U.S.A.)
5. Source of Wealth (Tick the source)
Salary Business Salary Business Salary Business
Gift Rental Gift Rental Gift Rental
Royalty Income Royalty Income Royalty Income
Prize Ancestral Prize Ancestral Prize Ancestral
DECLARATION
a) The details furnished above are true to the best of my knowledge and belief and shall undertake to inform AnmolShare Broking (P.)Limited within 30 days, in case of any change in the above given status on a future date;
b) If I /we am/are U.S. person or tax resident of a reportable foreign jurisdiction (other than U.S.), my account details,would be reported by Anmol Share Broking Pvt Ltd. to the relevant tax authority, or information may be sharedwith concerned Asset Management Companies (AMCs) or such other product providers, to whom FATCA/ CRSnorms are applicable or to any of the Government Agencies / Tax authorities / Regulators / Exchanges /Depositories of India or of any country other than India;
c) If my / our Country of Birth is US, however, I / We declare that I/ We are not US Person, I / We shall provide acertificate of relinquishment of citizenship (Loss of nationality) OR a self-certification stating reasons for nothaving such a certificate despite relinquishing US citizenship OR not obtaining US citizenship at birth.
First Holder name Second Holder Name Third Holder Name
Name
Signature 18/19 SH 6/8 TH 6/8
Acknowledgement
To, Anmol Share Broking Pvt Ltd,
I/We hereby acknowledge that the following documents were received by me:
1. Rights and Obligations of Stock Brokers, Sub-brokers and Clients (Trading) 2. Rights and Obligations of Beneficial owner and Depository Participant (DP) 3. Risk Disclosure Document for Capital Market and Derivatives Segments 4. Guidance Note - Do’s and Don’ts for Trading on the Exchange(s) for Investors 5. Policies & Procedures of Anmol Share, pursuant to SEBI circular dtd December 03, 2009 6. Copy of Account Opening Form I/We understand that the Voluntary documents executed by me/us are out my/our free will. I/We hereby confirm that I/We have clearly understood and agree to abide by the Policies and procedures as well as Terms and Conditions (containing Para 1 to 105) described by Anmol Share Broking Pvt Ltd (ASBPL). I/We also understand and agree that these Policies and Procedures as well as Terms and Conditions can be changed by ASBPL from time to time with prior notice of 15 days and subject to posting of the amendments and modifications therein on its website and their applicability with prospective effect. I/We aware that the login Id and password of my trading account will be sent on my email ID & alerts on Mobile no. furnished in KYC form and any changes thereof. I am also interested and agree to receive updates/ information regarding the following products/ services:
Commodity Trading Mutual Funds Insurance – Life
Insurance – Medical Insurance – General (Assets/ Property/ Travel/ Fire/ Business etc)
Interest-bearing instruments like bonds/ debentures etc
Financial Planning Portfolio Management Investment Advisory
Real Estate
I also wish to refer the following people, whom you can contact for similar services to be provided:
Name
Contact Number
Email ID
First Holder name Second Holder Name Third Holder Name
Name
Signature
=========================================== (Please Tear Here) ==========================================
ACKNOWLEDGEMENT Form No:
Anmol Share Broking Private Limited. 4th Floor, Bhagavathy Towers, #52, 33rd Cross, Jayanagar
4th Block, Bangalore-560 011 Tel.: (91) (80) 4046 3100 M/WhatsApp: +91-99804-11100 E-mail:
[email protected]/ [email protected]
We hereby acknowledge the receipt of the documents (including the Account Opening Form) from:
First Holder name Cheque Details Amount Chq No. Date
Second Holder Name Margin Cheque detail
Third Holder Name Initial Cheque detail
Employee Name and Signature
TH 7/8
19/19 SH 8/8
UCC Code allotted to client: _________ FOR OFFICE USE ONLY Sr. No.________
Branch
Sales (Sourcing) RM (Service)
Client Risk Profile High Medium Low
Amount Cheque No.
Bank Name Date
Branch & City
Cheque deposit Date
Margin Cheque
Initial Cheque
Self-Certified documents copies received
Declaration: “I hereby declare that I have met the client in person and verified the person with the photo provided in the Account opening form (in person verification) and have verified all the proofs with original (OSV). I am aware of Civil and Criminal liability that any devolve upon me (irrespective of whether I remain in employment or not) as per Law and Company policies, in the event of false declaration to this effect ” 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 non-mandatory documents would be duly intimated to the clients. I/We also undertake that any change in sheet and all non-mandatory documents would be duly intimated to the clients. I/We 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.
Documents verified by Originals Client interviewed By
In Person Verification By
Employee name & code
Designation
Date & Signature
FINAL CHECKLIST
Pre Confirmation Call (Before filling the from)
Form Filling and Stamping
NSE - CM Upload BSE - CM Upload
NSE – FO Upload BSE - FO upload
NSE - CDS upload BSE - CDS upload
CDSL Upload POA Linking
KYC- KRA Upload DIS Issued
Checker check Mailer & Message
Client confirmation and Welcome call
RM introduction
Client Mapping Welcome Kit
Signature of Authorizer: _______________________________
OFFERING YOU
A RANGE OF
SERVICES
Happy Savings :) Happy Investing :)
Stock Broking
Derivatives
Commodities
Depository
Services (Demat)
Bonds, NCDs, IPOs
Mutual Funds
Real Estate
Medical Insurance
General Insurance
Loans
Compliance
Solutions
ANMOL SHARE
BROKING PVT LTD
4th Floor, Bhagavathy Towers, #52, 33rd Cross,
Jayanagar 4th Block, Bangalore-560 011
www.MyAnmol.com
B: +91 80 40463100