Form No. : Religare Securities Limited Client Code...account. 16. 17. 11-17 Mandatory if demat account to be opened C. Document captures the additional information about the constituent

Account Opening Form (Individual & Non-Individual)

Broking & Depository Services (NSDL)

to

Religare Securities LimitedForm No. : .....................................

Client Code : .....................................

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S.No. Page No.

ACCOUNT OPENING KIT

INDEX

1.

1-6

Name of the Document Brief Significance of the Document

VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER & DEPOSITORY PARTICIPANT

Account Opening Form

A. KYC form - Document captures the basic information about the constituent and an instruction/check list.

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

7-10

8. Authorization For SharingPersonal Information

7.

20-21

Request for Trade Alerts throughSMS and/or E-mail

11. Running Account Authorisation

10.Verbal Order AcceptanceAuthorisation

9. Authority Letter to Pledgethe shares/securities

B. Document captures the additional information about the constituent relevant to trading account and an instruction/ check list.

4.

5.

6.

2.

L 10-13

L 14-15

L 16-22

18

3. L 1-6Rights and Obligations

Risk Disclosure Document (RDD)

Guidance Note

Policies and Procedure

L 7-9

A. 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).

B. Rights and Obligations of Beneficial Owner and Depository Participant.

Document detailing risks associated with dealing in the securities market.

Document detailing do's and don'ts for trading on exchange, for the education of the investors.

Document describing significant policies and procedures of the stock broker.

B. Document detailing the rate/amount of brokerage and other charges levied on the client for trading on the stock exchange(s).

Tariff Sheet

Document requesting trade alerts through SMS &/or Email from Exchanges.

Document authorizing stock broker to share personal information to receive offers and information on various products/services etc.

Document authorizing stock broker to pledge clients shares/securities lying towards margin / collateral.

Document authorizing Stock Broker/Trading Member to accept verbal orders in the manner mentioned therein.

Document authorizing Stock Broker/Trading Member to maintain the running account of funds and securities in the manner mentioned therein.

12. 22Letter of Authority

15.L23

L24

L26

Voluntary Additional Terms& Conditions for availing Depository Services

13. 23-24Limited Purpose Power of Attorney

14. 25ECS Form (to be submittedwith banker)

Document authorizing stock broker to operate client demat account towards trading obligations.

Document authorizing to debit depository/other charges electronically from bank.

Additional Terms & Conditions for availing depository services.

Authorisation for accepting instructions from third person.

Format for Written Orders

Declaration for Common E-mailId and/or Mobile Number

Format for order placement in writing.

Document for updating common E-mail Id and/or Mobile Number in family account.

16.

17.

11-17

*Mandatory if demat account to be opened

*C. Document captures the additional information about the constituent relevant to demat account and an instruction/ check list.

A. Schedule of Charges for Depository Services

19

Branch Code

Client Code Allotted

Depository Normal Bandhan Bandhan Green BIMA

Equity Depository

FOR OFFICE USE ONLY

Initial Cheque Details

Cheque No.

Drawn on

Introducer

Name

RM

Dealer 1

Dealer 2

D D M M Y Y Y YDate Amount

SignatureEmployee Code


S.No. Page No.

ACCOUNT OPENING KIT

INDEX

1.

1-6

Name of the Document Brief Significance of the Document

VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER & DEPOSITORY PARTICIPANT

Account Opening Form

A. KYC form - Document captures the basic information about the constituent and an instruction/check list.

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

7-10

8. Authorization For SharingPersonal Information

7.

20-21

Request for Trade Alerts throughSMS and/or E-mail

11. Running Account Authorisation

10.Verbal Order AcceptanceAuthorisation

9. Authority Letter to Pledgethe shares/securities

B. Document captures the additional information about the constituent relevant to trading account and an instruction/ check list.

4.

5.

6.

2.

L 10-13

L 14-15

L 16-22

18

3. L 1-6Rights and Obligations

Risk Disclosure Document (RDD)

Guidance Note

Policies and Procedure

L 7-9

A. 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).

B. Rights and Obligations of Beneficial Owner and Depository Participant.

Document detailing risks associated with dealing in the securities market.

Document detailing do's and don'ts for trading on exchange, for the education of the investors.

Document describing significant policies and procedures of the stock broker.

B. Document detailing the rate/amount of brokerage and other charges levied on the client for trading on the stock exchange(s).

Tariff Sheet

Document requesting trade alerts through SMS &/or Email from Exchanges.

Document authorizing stock broker to share personal information to receive offers and information on various products/services etc.

Document authorizing stock broker to pledge clients shares/securities lying towards margin / collateral.

Document authorizing Stock Broker/Trading Member to accept verbal orders in the manner mentioned therein.

Document authorizing Stock Broker/Trading Member to maintain the running account of funds and securities in the manner mentioned therein.

12. 22Letter of Authority

15.L23

L24

L26

Voluntary Additional Terms& Conditions for availing Depository Services

13. 23-24Limited Purpose Power of Attorney

14. 25ECS Form (to be submittedwith banker)

Document authorizing stock broker to operate client demat account towards trading obligations.

Document authorizing to debit depository/other charges electronically from bank.

Additional Terms & Conditions for availing depository services.

Authorisation for accepting instructions from third person.

Format for Written Orders

Declaration for Common E-mailId and/or Mobile Number

Format for order placement in writing.

Document for updating common E-mail Id and/or Mobile Number in family account.

16.

17.

11-17

*Mandatory if demat account to be opened

*C. Document captures the additional information about the constituent relevant to demat account and an instruction/ check list.

A. Schedule of Charges for Depository Services

19

Branch Code

Client Code Allotted

Depository Normal Bandhan Bandhan Green BIMA

Equity Depository

FOR OFFICE USE ONLY

Initial Cheque Details

Cheque No.

Drawn on

Introducer

Name

RM

Dealer 1

Dealer 2

D D M M Y Y Y YDate Amount

SignatureEmployee Code

Name of stock broker/trading member/clearing member: Religare Securities Limited

Name of Stock Exchange and Depository

For any grievance/dispute please contact Religare Securities Limited at the above address or email id: [email protected] and Phone No. T: 1860 25 88888. In case not satisfied with the response, please contact the concerned exchange(s) at :

NSE [email protected] 022-26598100

BSE [email protected] 022-22721233/34

MSEI [email protected] 022-61129000 Ext. 9028

Senior Manager, Investor Services Centre,Metropolitan Stock Exchange of India Limited, Exchange Square, Suren Road, Chakala, Andheri(East), Mumbai-400 093

Exchange Name Email Id Phone No.

Registered Office Address

Correspondence Office Address

D3, P3B, District Centre, Saket, New Delhi – 110017Ph: +91-11-3912-5000 | Fax: +91-11-3912-6050 | Website: www.religareonline.com

A-3/4/5, GYS Global, Sector-125, Noida-201301 (U.P.)Ph: 0120-339-1000 | Fax: 0120-339-4555 | Website: www.religareonline.com

Compliance Officer DetailsName : Mr. Vikas SethiPhone No. : 0120-339-1000Email Id : [email protected]

CEO DetailsName : Mr. Nitin JainPhone No. : +91-11-3912-5000Email Id : [email protected]

National Stock Exchange of India Limited

BSE Limited

Metropolitan Stock Exchange of India Limited

National Securities Depository Limited

Central Depository Services (India) Limited

SEBI Registration Number and Date

Cash-INB230653732 | November 1, 1994F&O-INF230653732 | November 15, 2000Currency Derivatives-INE230653732 | August 25, 2008Debt - November 29, 2013

Cash- INB010653732 | October 15, 2004F&O- INF010653732 | February 19, 2007Currency Derivatives | December 13, 2013Debt - August 12, 2013

Cash-INB260653739 | February 05, 2013F&O-INF260653739 | February 05, 2013Currency Derivatives-INE260653732 | November 20, 2008Debt - December 30, 2013

DP ID: IN301774 |IN-DP-NSDL-150-2000 | July 19, 2000

DP ID: 30200 |IN-DP-CDSL-202- 2003 | February 27, 2003

I/We acknowledge receipt of the documents at serial 3, 4, 5, 6, 15, 16 & 17 mentioned overleaf under INDEX. I/We have read the contents of these and agree to abide by them. I/We further understand that the copies of rest of the documents mentioned in Index shall be provided to me/us after Verification/ Acceptance / Execution by the broker and Depository Participant.

ACKNOWLEDGEMENT

Sole/First Holder Signature Second Holder Signature Third Holder Signature

INSTRUCTIONS/CHECK LIST FOR FILLING KYC FORM

A. IMPORTANT POINTS:

B Proof of Identity (POI): List of documents admissible as Proof of Identity:

C. Proof of Address (POA): - List of documents admissible as Proof of Address: (*Documents having an expiry date should be valid on the date of submission.)

1. Self attested copy of PAN card is mandatory for all clients, including Promoters/Partners/Karta/Trustees and whole time directors and persons authorized to deal in securities on behalf of company/firm/others.

2. Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals for verification. In case the original of any document is not produced for verification, then the copies should be properly attested by entities authorized for attesting the documents, as per the below mentioned list.

3. If any proof of identity or address is in a foreign language, then translation into English is required.

4. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.

5. If correspondence & permanent address are different, then proofs for both have to be submitted.

6. Sole proprietor must make the application in his individual name & capacity.

7. For non-residents and foreign nationals, (allowed to trade subject to RBI and FEMA guidelines), copy of passport/PIO Card/OCI Card and overseas address proof is mandatory.

8. For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their passport copy should be given.

9. In case of Merchant Navy NRI's, Mariner's declaration or certified copy of CDC (Continuous Discharge Certificate) is to be submitted.

10. For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School Leaving Certificate/Mark sheet issued by Higher Secondary Board/Passport of Minor/Birth Certificate must be provided.

11. Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of Governments, senior politicians, senior Government/ judicial/ military officers, senior executives of state owned corporations, important political party officials, etc.

1. Unique Identification Number (UID) (Aadhaar)/ Passport/ Voter ID card/ Driving license.

2. PAN card with photograph. 3. Identity card/ document with applicant's Photo, issued by

any of the following: Central/State Government and its Departments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities, Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members; and Credit cards/Debit cards issued by Banks.

1. Unique Identification Number (UID) (Aadhaar) / 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 Authorit ies, 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.

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.

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.

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

E. List of people authorized to attest the documents:

1

Name of stock broker/trading member/clearing member: Religare Securities Limited

Name of Stock Exchange and Depository

For any grievance/dispute please contact Religare Securities Limited at the above address or email id: [email protected] and Phone No. T: 1860 25 88888. In case not satisfied with the response, please contact the concerned exchange(s) at :

NSE [email protected] 022-26598100

BSE [email protected] 022-22721233/34

MSEI [email protected] 022-61129000 Ext. 9028

Senior Manager, Investor Services Centre,Metropolitan Stock Exchange of India Limited, Exchange Square, Suren Road, Chakala, Andheri(East), Mumbai-400 093

Exchange Name Email Id Phone No.

Registered Office Address

Correspondence Office Address

D3, P3B, District Centre, Saket, New Delhi – 110017Ph: +91-11-3912-5000 | Fax: +91-11-3912-6050 | Website: www.religareonline.com

A-3/4/5, GYS Global, Sector-125, Noida-201301 (U.P.)Ph: 0120-339-1000 | Fax: 0120-339-4555 | Website: www.religareonline.com

Compliance Officer DetailsName : Mr. Vikas SethiPhone No. : 0120-339-1000Email Id : [email protected]

CEO DetailsName : Mr. Nitin JainPhone No. : +91-11-3912-5000Email Id : [email protected]

National Stock Exchange of India Limited

BSE Limited

Metropolitan Stock Exchange of India Limited

National Securities Depository Limited

Central Depository Services (India) Limited

SEBI Registration Number and Date

Cash-INB230653732 | November 1, 1994F&O-INF230653732 | November 15, 2000Currency Derivatives-INE230653732 | August 25, 2008Debt - November 29, 2013

Cash- INB010653732 | October 15, 2004F&O- INF010653732 | February 19, 2007Currency Derivatives | December 13, 2013Debt - August 12, 2013

Cash-INB260653739 | February 05, 2013F&O-INF260653739 | February 05, 2013Currency Derivatives-INE260653732 | November 20, 2008Debt - December 30, 2013

DP ID: IN301774 |IN-DP-NSDL-150-2000 | July 19, 2000

DP ID: 30200 |IN-DP-CDSL-202- 2003 | February 27, 2003

I/We acknowledge receipt of the documents at serial 3, 4, 5, 6, 15, 16 & 17 mentioned overleaf under INDEX. I/We have read the contents of these and agree to abide by them. I/We further understand that the copies of rest of the documents mentioned in Index shall be provided to me/us after Verification/ Acceptance / Execution by the broker and Depository Participant.

ACKNOWLEDGEMENT


INSTRUCTIONS/CHECK LIST FOR FILLING KYC FORM


















1. Unique Identification Number (UID) (Aadhaar) / 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.












1

F. In case of Non-Individuals, additional documents to be obtained from non-individuals, over & above the POI & POA, as mentioned below:

Types of entity Documentary requirements

Corporate

Trust• Copy of the balance sheets for the last 2 financial years (to be submitted every year).• Certificate of registration (for registered trust only). • Copy of Trust deed. • List of trustees certified by managing trustees/CA. • Photograph, POI, POA, PAN of Trustees.

HUF• PAN of HUF. • Deed of declaration of HUF/ List of coparceners. • Bank pass-book/bank statement in the name of HUF. • Photograph, POI, POA, PAN of Karta.

Unincorporatedassociation ora body of individuals

• Proof of Existence/Constitution document. • Resolution of the managing body & Power of Attorney granted to transact business on its behalf. • Authorized signatories list with specimen signatures.

Banks/ InstitutionalInvestors

• Copy of the constitution/registration or annual report/balance sheet for the last 2 financial years. • Authorized signatories list with specimen signatures.

Foreign InstitutionalInvestors (FII)

• Copy of SEBI registration certificate. • Authorized signatories list with specimen signatures.

Army/GovernmentBodies

• Self-certification on letterhead. • Authorized signatories list with specimen signatures.

RegisteredSociety

• Copy of Registration Certificate under Societies Registration Act.• List of Managing Committee members. • Committee resolution for persons authorised to act as authorised signatories with specimen signatures.• True copy of Society Rules and Bye Laws certified by the Chairman/Secretary.

• Copy of the balance sheets for the last 2 financial years (to be submitted every year). • Copy of latest share holding pattern including list of all those holding control, either directly or indirectly, in

the company in terms of SEBI takeover Regulations, duly certified by the company secretary/Whole time director/MD (to be submitted every year).

• Photograph, POI, POA, PAN and DIN numbers of whole time directors/two directors in charge of day to day operations.

• Photograph, POI, POA, PAN of individual promoters holding control - either directly or indirectly. • Copies of the Memorandum and Articles of Association and certificate of incorporation. • Copy of the Board Resolution for investment in securities market. • Authorised signatories list with specimen signatures.

PartnershipFirm

• Copy of the balance sheets for the last 2 financial years (to be submitted every year).• Certificate of registration (for registered partnership firms only). • Copy of partnership deed. • Authorised signatories list with specimen signatures. • Photograph, POI, POA, PAN of Partners.

INSTRUCTIONS/ CHECK LIST (for filling additional information related to trading account)

1. Additional documents in case of trading in derivatives segments - illustrative list:Copy of ITR Acknowledgement Copy of Annual AccountsIn case of salary income - Salary Slip, Copy of Form 16 Net worth certificateCopy of demat account holding statement. Bank account statement for last 6 monthsAny 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. 2 3

KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals)

Religare Securities LimitedA-3/4/5, GYS Global, Sector-125, Noida-201301 (U.P.)

Please fill this form in ENGLISH and in BLOCK LETTERS

A. IDENTITY DETAILS

Name of the Applicant

Father’s / Spouse Name

a) Gender

a) Nationality4.

a) PAN

Specify the proof of Identity submitted

b) Aadhaar Number, if any

Male Female

Indian Others Pls. specify________

b) Marital Status Single Married

b) Status Resident Individual Non Resident Foreign National

PAN Card Any other (please specify)....................................................

B. ADDRESS DETAILS

Residence /Correspondence Address

City/Town/Village

State

Specify the proof of address submitted for Residence/Correspondence Address

ContactDetails

PIN Code

Country

Tel. (Off.)

Fax No.

with STD Code

with STD Code

with STD CodeTel. (Res.)

Mobile No.

Permanent Address (if different from above. Mandatory for Non-Resident Applicant to specify overseas address)

City/Town/Village

State

PIN Code

Country

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.

c) Date of Birth D D M M Y Y Y Y

Email ID

Please affix yourrecent passportsize photograph

PHOTOGRAPH

Signature AcrossPhotograph

1.

2.

3.

C. DECLARATION

Signature of the Applicant

5.

6.

1.

2.

3.

4.

Date D D M M Y Y Y Y

Original Verified and Self Attested Document copies received

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: Religare Securities Ltd.

Date of IPV:Signature of the person who has done the IPV

Seal/Stamp of the Intermediary

Date : Signature of the Authorised Signatory

Name of Sub-Broker/Authorised Person

F. In case of Non-Individuals, additional documents to be obtained from non-individuals, over & above the POI & POA, as mentioned below:

Types of entity Documentary requirements

Corporate

Trust• Copy of the balance sheets for the last 2 financial years (to be submitted every year).• Certificate of registration (for registered trust only). • Copy of Trust deed. • List of trustees certified by managing trustees/CA. • Photograph, POI, POA, PAN of Trustees.

HUF• PAN of HUF. • Deed of declaration of HUF/ List of coparceners. • Bank pass-book/bank statement in the name of HUF. • Photograph, POI, POA, PAN of Karta.

Unincorporatedassociation ora body of individuals

• Proof of Existence/Constitution document. • Resolution of the managing body & Power of Attorney granted to transact business on its behalf. • Authorized signatories list with specimen signatures.

Banks/ InstitutionalInvestors

• Copy of the constitution/registration or annual report/balance sheet for the last 2 financial years. • Authorized signatories list with specimen signatures.

Foreign InstitutionalInvestors (FII)

• Copy of SEBI registration certificate. • Authorized signatories list with specimen signatures.

Army/GovernmentBodies

• Self-certification on letterhead. • Authorized signatories list with specimen signatures.

RegisteredSociety

• Copy of Registration Certificate under Societies Registration Act.• List of Managing Committee members. • Committee resolution for persons authorised to act as authorised signatories with specimen signatures.• True copy of Society Rules and Bye Laws certified by the Chairman/Secretary.

• Copy of the balance sheets for the last 2 financial years (to be submitted every year). • Copy of latest share holding pattern including list of all those holding control, either directly or indirectly, in

the company in terms of SEBI takeover Regulations, duly certified by the company secretary/Whole time director/MD (to be submitted every year).

• Photograph, POI, POA, PAN and DIN numbers of whole time directors/two directors in charge of day to day operations.

• Photograph, POI, POA, PAN of individual promoters holding control - either directly or indirectly. • Copies of the Memorandum and Articles of Association and certificate of incorporation. • Copy of the Board Resolution for investment in securities market. • Authorised signatories list with specimen signatures.

PartnershipFirm

• Copy of the balance sheets for the last 2 financial years (to be submitted every year).• Certificate of registration (for registered partnership firms only). • Copy of partnership deed. • Authorised signatories list with specimen signatures. • Photograph, POI, POA, PAN of Partners.

INSTRUCTIONS/ CHECK LIST (for filling additional information related to trading account)

1. Additional documents in case of trading in derivatives segments - illustrative list:Copy of ITR Acknowledgement Copy of Annual AccountsIn case of salary income - Salary Slip, Copy of Form 16 Net worth certificateCopy of demat account holding statement. Bank account statement for last 6 monthsAny 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. 2 3

KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals)



A. IDENTITY DETAILS


Father’s / Spouse Name

a) Gender

a) Nationality4.

a) PAN

Specify the proof of Identity submitted

b) Aadhaar Number, if any

Male Female

Indian Others Pls. specify________

b) Marital Status Single Married

b) Status Resident Individual Non Resident Foreign National

PAN Card Any other (please specify)....................................................

B. ADDRESS DETAILS

Residence /Correspondence Address

City/Town/Village

State

Specify the proof of address submitted for Residence/Correspondence Address

ContactDetails

PIN Code

Country

Tel. (Off.)

Fax No.

with STD Code

with STD Code


Mobile No.

Permanent Address (if different from above. Mandatory for Non-Resident Applicant to specify overseas address)

City/Town/Village

State

PIN Code

Country

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.

c) Date of Birth D D M M Y Y Y Y

Email ID


PHOTOGRAPH


1.

2.

3.

C. DECLARATION

Signature of the Applicant

5.

6.

1.

2.

3.

4.


Original Verified and Self Attested Document copies received

FOR OFFICE USE ONLY








KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Non-Individuals)




A. IDENTITY DETAILS


Date of incorporation

Date of commencement of business

Status (please tick any one) Private Limited Co.

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.

D D M M Y Y Y Y

D D M M Y Y Y Y

1.

2.

3.

D. DECLARATION

Name & Signature of the Authorised Signatory(ies)

a) PAN b) Registration No. (e.g. CIN)45.

Place of incorporation

Public Ltd. Co. Body Corporate Trust Charities NGO’s

Bank Government Body Non Government Organization Defense Establishment Society LLP

Partnership FI FII HUF AOP BOI Others (please specify)____________________

B. ADDRESS DETAILS

CorrespondenceAddress

City/Town/Village

State

Specify the proof of address submitted for correspondence address

ContactDetails

PIN CodeCountry

Tel. (Off.)

Fax No.with STD Code

with STD Code


Mobile No.

Registered Address (if different from above)

City/Town/Village

StatePIN Code

Country

Email ID

1.

2.

3.

4.

C. OTHER DETAILS

Name, PAN, residential address and photographs of Promoters/Partners/Karta/Trustees and whole time directors:

DIN of whole time directors

Aadhaar number of Promoters/Partners/Karta

1.

2.

3.

If space is insufficient, enclosethese details separately

[Illustrative format enclosed on page no. 5 & 6]


PHOTOGRAPH


DETAILS OF AUTHORISED SIGNATORY(IES)/ PROMOTERS/ PARTNERS/ KARTA / TRUSTEES AND WHOLE TIMEDIRECTORS FORMING A PART OF KNOW YOUR CLIENT (KYC) APPLICATION FORM FOR NON-INDIVIDUALS

Name of Applicant

PAN of the Applicant

*DIN for Directors / Aadhaar No. for others

1. Name

Relationship with Applicant (i.e. promoters, whole time directors etc.)

PAN DIN/Aadhaar No.*

Residential/RegisteredAddress

City/Town/Village PIN

State

Phone No.

E-mail ID

Mobile No.

Country

Whether Politically Exposed RPEP: Related to Politically Exposed Person PEP: Politically Exposed Person NO

Contact Details

Please affix yourrecent passport size photograph

and sign across it

PHOTOGRAPH

2. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

3. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

5

Name & Signature of the Authorsied Signatory(ies)

D D M M Y Y Y YDate4Original Verified and Self Attested Document copies received

FOR OFFICE USE ONLY








In person Verification (IPV) Details:

Name of the person who has done the IPV:



Date of IPV:

Signature of the person who has done the IPV


KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Non-Individuals)




A. IDENTITY DETAILS


Date of incorporation

Date of commencement of business

Status (please tick any one) Private Limited Co.

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.

D D M M Y Y Y Y

D D M M Y Y Y Y

1.

2.

3.

D. DECLARATION

Name & Signature of the Authorised Signatory(ies)

a) PAN b) Registration No. (e.g. CIN)45.

Place of incorporation

Public Ltd. Co. Body Corporate Trust Charities NGO’s

Bank Government Body Non Government Organization Defense Establishment Society LLP

Partnership FI FII HUF AOP BOI Others (please specify)____________________

B. ADDRESS DETAILS

CorrespondenceAddress

City/Town/Village

State

Specify the proof of address submitted for correspondence address

ContactDetails

PIN CodeCountry

Tel. (Off.)

Fax No.with STD Code

with STD Code


Mobile No.

Registered Address (if different from above)

City/Town/Village

StatePIN Code

Country

Email ID

1.

2.

3.

4.

C. OTHER DETAILS

Name, PAN, residential address and photographs of Promoters/Partners/Karta/Trustees and whole time directors:

DIN of whole time directors

Aadhaar number of Promoters/Partners/Karta

1.

2.

3.

If space is insufficient, enclosethese details separately

[Illustrative format enclosed on page no. 5 & 6]


PHOTOGRAPH



Name of Applicant



1. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

2. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

3. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

5


D D M M Y Y Y YDate4Original Verified and Self Attested Document copies received

FOR OFFICE USE ONLY












Date of IPV:




Name of Applicant



4. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

5. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

6. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

6


D D M M Y Y Y YDate

ADDITIONAL INFORMATION RELATED TO TRADING ACCOUNT (For Individuals & Non-Individuals)

BANK ACCOUNT(S) DETAILS (1)


Bank Name

Bank Name

City/Town/Village PIN Code


State Country

State Country

Branch Address

Branch Address

A.

MICR Code IFSC

MICR Code IFSC

Bank Account Type Savings Current Others_________ In case of NRI : NRE NRO


Bank Account No.

Bank Account No.

DEPOSITORY ACCOUNT(S) DETAILS (1)


Depository Participant Name


DP ID

DP ID

Depository Name (NSDL/CDSL)


Beneficiary Name

Beneficiary Name

B.

NSDL

NSDL

CDSL

CDSL

Beneficiary ID (BO ID)


OTHER DETAILS

Gross Annual Income Details (please specify)

C.

Income Range per annum

Below `1 Lac `1-5 Lac

`25 Lac -1 Crore

Occupation (please tickany one and give brief details):

Public Sector Government Service Business Professional

Please tick, if applicable

Private Sector

Agriculturist Retired Housewife Student Others________________

`5-10 Lac

More than 1Crore`

`10-25 Lac

(Net worth should not be older than 1 year)

Net- worth Amount (`)

As on (date) D D M M Y Y Y Y

Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)

Any other information7





Date of IPV:




Name of Applicant



4. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

5. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

6. Name





State

Phone No.

E-mail ID

Mobile No.

Country


Contact Details


and sign across it

PHOTOGRAPH

6


D D M M Y Y Y YDate

ADDITIONAL INFORMATION RELATED TO TRADING ACCOUNT (For Individuals & Non-Individuals)



Bank Name

Bank Name



State Country

State Country

Branch Address

Branch Address

A.

MICR Code IFSC

MICR Code IFSC



Bank Account No.

Bank Account No.





DP ID

DP ID



Beneficiary Name

Beneficiary Name

B.

NSDL

NSDL

CDSL

CDSL



OTHER DETAILS

Gross Annual Income Details (please specify)

C.

Income Range per annum

Below `1 Lac `1-5 Lac

`25 Lac -1 Crore

Occupation (please tickany one and give brief details):

Public Sector Government Service Business Professional

Please tick, if applicable

Private Sector

Agriculturist Retired Housewife Student Others________________

`5-10 Lac

More than 1Crore`

`10-25 Lac

(Net worth should not be older than 1 year)

Net- worth Amount (`)

As on (date) D D M M Y Y Y Y

Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)

Any other information7





Date of IPV:



* Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.

EXCHANGE

# If, in future, the client wants to trade on any new segment/new exchange, separate authorization/letter should be taken from the client by the stock broker. ** Currency derivative segment include interest rate future.

Cash F&OCurrency Derivatives &Interest Rate Futures

MFSS

TRADING PREFERENCESD.

SEGMENTS

NSE Sign if applicable Sign if applicable Sign if applicable Sign if applicable


BSE StAR MF

BSE Sign if applicable Sign if applicable Sign if applicable Sign if applicable


Name of otherSegments, if any

MSEI Sign if applicable Sign if applicable Sign if applicable Sign if applicable

Name of stock broker

Name of Sub-Broker (if any)

Client Code

Details of disputes/dues pending from/to such stock broker/sub-broker:

Whether dealing with any other stock broker/sub-broker(if case dealing with multiple stock brokers/sub-brokers, provide details of all)

DEALINGS THROUGH SUB-BROKERS AND OTHER STOCK BROKERS

Sub-broking’s Name

SEBI Registration Number

If client is dealing through the sub-broker, provide the following details:

F.

Exchange

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, give details (attach annexure if required)

Phone

Website

Fax


Registered Office

Address

State Country

PAST ACTIONSE.

8

ADDITIONAL DETAILS

Whether you wish to receive Physical Contract Noteor Electronic Contract Note (ECN) (please specify)

Specify your Email Id, if applicable

Number of years of Investment/Trading Experience

Any other information

Whether you wish to avail of the facility of internettrading/ wireless technology (please specify):

G

In case of non-individual, name designation, PAN, UID, signature, residential address and photograph of persons authorizedto deal in securities on behalf of company/firm/others (attach annexure if required) :

Browser Based EXE Based Wireless Trading

INTRODUCER DETAILS (Optional)

Name of the Introducer

Status of the Introducer

H

Sub-Broker

Others (please specify)

Remisier Authorized Person Existing Client

Phone No. of Introducer Signature of the Introducer


Address of the

Introducer

State Country

NOMINATION DETAILS (For Individuals Only)

Name of the Nominee

Relationship with the Nominee

PAN of Nominee

I I/We wish to nominate

Date of Birth of Nominee


Address of the Nominee

State Country

I/We do not wish to nominate


PHOTOGRAPH OF NOMINEE

Signature of Nomineeacross Photograph

D D M M Y Y Y Y Phone No. of Nominee

Name of Guardian

IF NOMINEE IS A MINOR, DETAILS OF GUARDIAN

Phone No. of Guardian

Signature of the Guardian


Address of the Guardian

State Country


PHOTOGRAPH OFGUARDIAN

(in case of minor)

Signature of Guardianacross Photograph

9

* Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.

EXCHANGE

# If, in future, the client wants to trade on any new segment/new exchange, separate authorization/letter should be taken from the client by the stock broker. ** Currency derivative segment include interest rate future.


MFSS

TRADING PREFERENCESD.

SEGMENTS

NSE Sign if applicable Sign if applicable Sign if applicable Sign if applicable


BSE StAR MF

BSE Sign if applicable Sign if applicable Sign if applicable Sign if applicable


Name of otherSegments, if any

MSEI Sign if applicable Sign if applicable Sign if applicable Sign if applicable

Name of stock broker

Name of Sub-Broker (if any)

Client Code

Details of disputes/dues pending from/to such stock broker/sub-broker:

Whether dealing with any other stock broker/sub-broker(if case dealing with multiple stock brokers/sub-brokers, provide details of all)

DEALINGS THROUGH SUB-BROKERS AND OTHER STOCK BROKERS

Sub-broking’s Name

SEBI Registration Number

If client is dealing through the sub-broker, provide the following details:

F.

Exchange

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, give details (attach annexure if required)

Phone

Website

Fax


Registered Office

Address

State Country

PAST ACTIONSE.

8

ADDITIONAL DETAILS

Whether you wish to receive Physical Contract Noteor Electronic Contract Note (ECN) (please specify)

Specify your Email Id, if applicable

Number of years of Investment/Trading Experience

Any other information

Whether you wish to avail of the facility of internettrading/ wireless technology (please specify):

G

In case of non-individual, name designation, PAN, UID, signature, residential address and photograph of persons authorizedto deal in securities on behalf of company/firm/others (attach annexure if required) :

Browser Based EXE Based Wireless Trading

INTRODUCER DETAILS (Optional)

Name of the Introducer

Status of the Introducer

H

Sub-Broker

Others (please specify)

Remisier Authorized Person Existing Client

Phone No. of Introducer Signature of the Introducer


Address of the

Introducer

State Country

NOMINATION DETAILS (For Individuals Only)

Name of the Nominee

Relationship with the Nominee

PAN of Nominee

I I/We wish to nominate

Date of Birth of Nominee


Address of the Nominee

State Country

I/We do not wish to nominate


PHOTOGRAPH OF NOMINEE

Signature of Nomineeacross Photograph

D D M M Y Y Y Y Phone No. of Nominee

Name of Guardian

IF NOMINEE IS A MINOR, DETAILS OF GUARDIAN

Phone No. of Guardian

Signature of the Guardian


Address of the Guardian

State Country


PHOTOGRAPH OFGUARDIAN

(in case of minor)

Signature of Guardianacross Photograph

9

WITNESSES (Only applicable in case the account holder has made nomination)

Name (2)

Address

Signature

PIN Code

Name (1)

Address

Signature

PIN Code

Signature of Client/(all) Authorized Signatory(ies)

DECLARATION

1. I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/we undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am/we are aware that I/we may be held liable for it.

2. I/We confirm having read/been explained and understood the contents of the document on policy and procedures of the stock broker and the tariff sheet.

3. I/We further confirm having read and understood the contents of the ‘Right 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: www.religareonline.com.


FOR OFFICE USE ONLY

UCC Code allotted to the Client

Name of the Employee/AP/SB

Employee Code

Designation of the Employee/AP/SB

Date

Signature

Documents verified with Originals Client Interviewed By In-Person Verification done by

D D M M Y Y Y Y D D M M Y Y Y Y D D M M Y Y Y Y

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 ‘Right and Obligations’ document(s), RDD and Guidance Note. I/We have given/sent him a copy of all the KYC documents. I/We undertake that any change in the ‘Policy and Procedures’, tariff sheet and all the non-mandatory documents would be duly intimated to the clients. I/We also undertake that any change in the ‘Right and Obligations’ and RDD would be made available on my/our website: www.religareonline.com, for the information of the clients.

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

*AP: Authorized Person SB: Sub-broker Date D D M M Y Y Y Y 10

Religare Securities Limited

A-3/4/5, GYS Global, Sector-125, Noida-201301 (U.P.)Telephone No. : 0120-3391000 Fax: 0120-3394144E-mail : [email protected] Website : www.religareonline.com

NSDL DP-ID-IN301774

(To be filled by Participant)

Client ID Date D D M M Y Y Y Y

I/We request you to open a depository account in my/our name as per the following details :(Please fill all the details in only)CAPITAL LETTERS

a) Name

For HUF, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the name of the natural persons, the name & PAN of the HUF, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be mentioned below:

b) PAN

B.

TYPE OF ACCOUNTC.

Ordinary Resident NRI-Repatriable NRI-Non Repatriable PromoterQualified Foreign Investor Margin Others (Please Specify) _______________________________

Foreign National

GROSS ANNUAL INCOME DETAILSD.

Income Range per annum (please tick any one)

Below 1 lac ` ` 1- 5 lac ` 5- 10 lac ` 10- 25 lac More than 25 lac`

E. IN CASE OF NRIs / FOREIGN NATIONALS

RBI Approval Reference No. RBI Approval Date D D M M Y Y Y Y

DETAILS OF ACCOUNT HOLDER(S)A.

Sole/First Holder Name

Occupation(please tick any oneand give brief details) Agriculturist

Public Sector

Retired

Government Service

Housewife

Business

Student

Professional

Others (Pls. Specify)______

PAN

Private Sector

Brief Details

Second Holder Name


Public Sector

Retired

Government Service

Housewife

Business

Student

Professional


PAN

Private Sector

Brief Details

Third Holder Name


Public Sector

Retired

Government Service

Housewife

Business

Student

Professional


PAN

Private Sector

Brief Details

DEMAT ACCOUNT OPENING FORM (For Individuals)

11

ACCOUNT OPERATIONS

Account OpeningAnnual Maintenance Charges (Choose any one scheme)

NIL AMC SCHEMES

NIL

PARTICULARS

Choose any one scheme

“BANDHAN”- Refundable Interest free security deposit of 3000/- (Physical statement only)

`

TRANSACTION CHARGES

• Credit

Dematerialization Demat Processing Charges

• Debit - Delivery Given to Religare Pool/Margin Account- Delivery Given to any other Account

NIL

` ` ` 30/- per debit or 0.02% of the value of transaction whichever is higher.

12/- for Client with POA / 25/- for Client without POA

` 2/- per certificate

CHARGE STRUCTURE

“BIMA” account with non- refundable one time subscription fee of 1111/- (` 1250/- inclusive of service tax)

`

“BANDHAN GREEN” - Refundable Interest free security deposit of 2500/- (Digital statement only, Email Id mandatory)

`

AMC SCHEMES

Digital Statements Physical Statements

Second year onwards 300/- per annum (Email id mandatory)

` Second year onwards` 400/- per annum

In case of corporate account, AMC (as per scheme selected above) plus applicable statutory charges (currently `500/- AMC as charged by NSDL) would be additionally levied.

SCHEDULE – A: SCHEDULE OF CHARGES FOR DEPOSITORY SERVICES (w.e.f. 1st October, 2015)

Terms & Conditions :• Client will be required to pay 500/- security amount towards depository charges that the company would charge pursuant to the

transactions executed by the client. Client needs to replenish the balance immediately when it falls below ̀ 500/-• For all payments cheque should be in favor of “Religare Securities Limited”• Depository charges of Broking Client will be debited to their trading account.• Any other service, which is not mentioned above, will be charged separately as per the rates applicable from time to time. Out of

pocket expenses including courier charges for consignment will be charged extra.• The value of transactions will be in accordance with rates provided by NSDL.• All charges are payable on monthly basis and delayed payment will be liable for interest @ 2% per month.• An amount of ̀ 100/- shall be charged if DIS reissuance request is received on plain paper and DIS booklet is reported lost.• Changes in Client Master Details ̀ 50/- per modification shall be charged.• Religare may suspend/freeze the depository services of the account holder on non-payment of outstanding bills.• Any additional charges/taxes/statutory levies, charged by statutory authority as and when applicable will be levied.• In case, client wish to opt for BSDA services, the above schedule of charges will get amended as per regulatory guidelines.

`

Any other specific charges structure : Religare ________________________________________________________________

Second Holder Signature Third Holder Signature


Sole/First Holder Signature

18

Rematerialisation/Repurchase/Redemption of Mutual Fund/Reconversion of Mutual Fund units into SOA ChargesPledge/ Hypothecation (per transaction) Creation/ closure/ Confirmation/ Invocation

Freeze/Unfreeze InstructionDelivery Instruction Booklet

` 20/- per request + NSDL Charges

` 50/- per request or 0.02% of the value of securities whichever is higher

` 50/- per request` 3/- per leaf

Conversion of Mutual Fund units represented by SOA into Demat ` 20/- per request

Courier Charges for Demat/Remat/Repurchase/ RedemptionConversion of Mutual Fund units represented by SOA/ Reconversion of Mutual Fund units into SOA/Re-issuance of DIS/Pledge Booklet

` 30/- per request OR as per actual whichever is higher

TARIFF SHEET

PRODUCT PLAN* / BROKERAGE

Religare (*Scheme details as per executed addendum)

CASH SEGMENT

Brokerage

Delivery Based

Daily Square up

in% (subject to max.of 2.5%)

Minimum Paise (subject to max. 25 paise) One Side/Both Side

Minimum brokerage charge for trading in illiquid/high risk scrips in cash segment will be .50% on delivery and .05% on intraday turnover with minimum 5 paisa (Scrip list available under client login).

DERIVATIVE SEGMENT

Brokerage

Future

Option

`100/- Per Lot)in% (subject to max. 2.5% /

Minimum Paise/ Per Lot One Side / Both Side

CURRENCY DERIVATIVES & INTEREST RATE FUTURES SEGMENT

Future

Brokerage

Option

Brokerage per lot (in )` One Side / Both Side

OTHER CHARGES

a) Annual Subscription Fee for EXE Based Diet Users

b) Inter Settlement Charges

c) Administrative Charges - Offline for offline order on per executed order

` 999/- per annum.

` 15/- (plus service tax) per transaction

` ` 10/- (Maximum 50/- per day /per segment)

Nature of Charge

d) Delayed Payment Charges – On overdue balance towards trading or margin (Standard rate per annum)

21%

Applicable Charge

In addition to brokerage additional charges including statutory levies i.e. stamp duty, exchange transaction charges, SEBI fees, service tax, STT, other taxes and levies, investor protection fund fees etc. charged by the statutory authorities/ Exchange(s), delayed payment charges, cheque bounce charges, auction settlement charges as may be applicable will be levied. For details please login on our website www.religareonline.com

I/We understand that economic conditions change over time and therefore agree that RSL is authorized to change the tariff in future.

Client SignatureD D M M Y Y Y YDate

19

Demat Rejection Charges ` 30/- per rejection

e) Account Processing Charges ` 500/-


D3, P3B, District Centre, Saket, New Delhi - 110017

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 / authorisations given below.

: In agreement and pursuance to directions and

conditions specified by SEBI vide circular no. CIR/MIRSD/15/2011 dated August 2, 2011 and NSE & BSE vide circular no.

NSE/INVG/19135 dated October 14, 2011 and 20111118-19 dated 18th November 2011 respectively and circulars/

clarifications issued by SEBI/ exchanges from time to time in this regard.

1.1 I/We hereby confirm that I / we wish to receive the trade alerts through (tick whichever is applicable):

a) SMS alerts b) E-Mail alerts

1.2 The alerts should be sent:

I. On my registered Mobile Number / Email Id as per your records, or

II. You are requested to update the Mobile Number/Email Id mentioned below in your records and for the purpose of trade

alerts:

a) Mobile No.

b) E-mail address

I / We am/are aware that the recipient of SMS/Email alerts on the above Mobile Number and/or Email address can be stopped only

on my / our written request.

I / we understand that RSL has outsourced/may outsource

certain activities including but not limited to activities relating to KYC, Information Technology functions, technical support

functions or any other functions as may be decided by RSL to one or more third parties including group / related entities. I / we

would further like to mention that I / we want to make investments in mutual funds, initial public offerings/follow on public

offerings, rights issue, fixed deposit(s), money market instruments and other products / services etc. and generally to invest in

various avenues / products and to redeem/liquidate any investments and want RSL to give effect to my / our desires/

requirements. In view of the above I / we authorize RSL to share my / our personal and other information with one or more

third parties including group / related entities for any one or more of the above said purpose. I / we agree that any offers /

information received shall not be contested on grounds of address / phone included in national do not call registry or any other

such restrictive regulations/ laws.

I / We wish to use my / our shares / securities as margin / collateral

for our trading and therefore shall be ensuring that shares / securities provided by me / us in this regard shall be my / our

absolute property and shall not have any prior encumbrance of any type. I / We hereby further authorize RSL to pledge my /

our shares/ securities lying with it as margin/ collateral with third parties such as Banks to meet the settlement/ margin

obligation on my / our behalf as required from time to time. I / We would further like to mention that RSL shall be entitled to

invoke pledge at its absolute discretion at any point of time without giving any prior intimation to me / us to meet settlement

obligation for my / our trading activities undertaken through RSL.

I / We agree and acknowledge that in order to avoid any

disputes it is recommended by you that I / we should give instructions for order placement / modification and

cancellation in writing in the format given along with Policies and Procedure Document, and take signatures of two authorised

officers of the branch where orders are tendered along with company stamp on the carbon / photocopy of the instructions in

1. REQUEST FOR TRADE ALERTS THROUGH SMS AND/OR E-MAIL

2. AUTHORIZATION FOR SHARING PERSONAL INFORMATION:

3. AUTHORITY TO PLEDGE THE SHARES / SECURITIES:

4. VERBAL ORDER ACCEPTANCE AUTHORISATION:

VOLUNTARY DOCUMENT(S)

20

acknowledgment of receipt of my / our instructions. However it is my / our view that the fluctuations in market are so rapid that

it is not practical to give written instructions for order placement / modification and cancellation. I / We therefore authorize you

to accept my (our) / my (our) authorised representative’s verbal instructions for order placement/modification and cancellation

in person or over phone (fixed line or mobile phone) and execute the same. I / We understand the risk associated with verbal

orders and accept the same, and agree that I / We shall not be entitled to disown orders and consequent trades (if any) by

shifting the burden of proof by asking you to prove the placement of orders through telephone recording etc.

In order to avoid time consuming repeated pay-in by me/us and pay – out by you of

funds and securities I /we hereby direct and authorise you to maintain running account(s) and debit /credit securities and funds

from/to the running accounts and make pay-in / receive securities and funds to / from exchanges/ clearing corporations / other

receiving parties (if applicable). 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 along

with funds and / or securities expected to be required to meet margin obligations for next 5 trading days. In case, I / we have

traded during my / our chosen settlement period, you may retain amount upto Rs.10,000/- (net amount across segment and

across stock exchanges). Authorisation is subject to changes as prescribed by the exchange(s)/ SEBI from time to time. 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. In the statement(s) being sent, please provide details

regarding retention of funds / securities and pledge, if any. I / We shall bring any discrepancy in the statement(s) preferably

within 7 working days from the date of receipt to your notice so as to allow you 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). I / We am/are entitled to revoke this Authorisation at any time. My / Our

preference for actual settlement of funds and securities is at least :

Once in a Calendar Quarter Once in a Calendar Month

5. RUNNING ACCOUNT AUTHORISATION:

Client Name

Client Code

Date D D M M Y Y Y YClient Signature

21Continued on Next Page......



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 / authorisations given below.

: In agreement and pursuance to directions and

conditions specified by SEBI vide circular no. CIR/MIRSD/15/2011 dated August 2, 2011 and NSE & BSE vide circular no.

NSE/INVG/19135 dated October 14, 2011 and 20111118-19 dated 18th November 2011 respectively and circulars/

clarifications issued by SEBI/ exchanges from time to time in this regard.

1.1 I/We hereby confirm that I / we wish to receive the trade alerts through (tick whichever is applicable):

a) SMS alerts b) E-Mail alerts

1.2 The alerts should be sent:

I. On my registered Mobile Number / Email Id as per your records, or

II. You are requested to update the Mobile Number/Email Id mentioned below in your records and for the purpose of trade

alerts:

a) Mobile No.

b) E-mail address

I / We am/are aware that the recipient of SMS/Email alerts on the above Mobile Number and/or Email address can be stopped only

on my / our written request.

I / we understand that RSL has outsourced/may outsource

certain activities including but not limited to activities relating to KYC, Information Technology functions, technical support

functions or any other functions as may be decided by RSL to one or more third parties including group / related entities. I / we

would further like to mention that I / we want to make investments in mutual funds, initial public offerings/follow on public

offerings, rights issue, fixed deposit(s), money market instruments and other products / services etc. and generally to invest in

various avenues / products and to redeem/liquidate any investments and want RSL to give effect to my / our desires/

requirements. In view of the above I / we authorize RSL to share my / our personal and other information with one or more

third parties including group / related entities for any one or more of the above said purpose. I / we agree that any offers /

information received shall not be contested on grounds of address / phone included in national do not call registry or any other

such restrictive regulations/ laws.

I / We wish to use my / our shares / securities as margin / collateral

for our trading and therefore shall be ensuring that shares / securities provided by me / us in this regard shall be my / our

absolute property and shall not have any prior encumbrance of any type. I / We hereby further authorize RSL to pledge my /

our shares/ securities lying with it as margin/ collateral with third parties such as Banks to meet the settlement/ margin

obligation on my / our behalf as required from time to time. I / We would further like to mention that RSL shall be entitled to

invoke pledge at its absolute discretion at any point of time without giving any prior intimation to me / us to meet settlement

obligation for my / our trading activities undertaken through RSL.

I / We agree and acknowledge that in order to avoid any

disputes it is recommended by you that I / we should give instructions for order placement / modification and

cancellation in writing in the format given along with Policies and Procedure Document, and take signatures of two authorised

officers of the branch where orders are tendered along with company stamp on the carbon / photocopy of the instructions in

1. REQUEST FOR TRADE ALERTS THROUGH SMS AND/OR E-MAIL

2. AUTHORIZATION FOR SHARING PERSONAL INFORMATION:

3. AUTHORITY TO PLEDGE THE SHARES / SECURITIES:

4. VERBAL ORDER ACCEPTANCE AUTHORISATION:

VOLUNTARY DOCUMENT(S)

20

acknowledgment of receipt of my / our instructions. However it is my / our view that the fluctuations in market are so rapid that

it is not practical to give written instructions for order placement / modification and cancellation. I / We therefore authorize you

to accept my (our) / my (our) authorised representative’s verbal instructions for order placement/modification and cancellation

in person or over phone (fixed line or mobile phone) and execute the same. I / We understand the risk associated with verbal

orders and accept the same, and agree that I / We shall not be entitled to disown orders and consequent trades (if any) by

shifting the burden of proof by asking you to prove the placement of orders through telephone recording etc.

In order to avoid time consuming repeated pay-in by me/us and pay – out by you of

funds and securities I /we hereby direct and authorise you to maintain running account(s) and debit /credit securities and funds

from/to the running accounts and make pay-in / receive securities and funds to / from exchanges/ clearing corporations / other

receiving parties (if applicable). 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 along

with funds and / or securities expected to be required to meet margin obligations for next 5 trading days. In case, I / we have

traded during my / our chosen settlement period, you may retain amount upto Rs.10,000/- (net amount across segment and

across stock exchanges). Authorisation is subject to changes as prescribed by the exchange(s)/ SEBI from time to time. 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. In the statement(s) being sent, please provide details

regarding retention of funds / securities and pledge, if any. I / We shall bring any discrepancy in the statement(s) preferably

within 7 working days from the date of receipt to your notice so as to allow you 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). I / We am/are entitled to revoke this Authorisation at any time. My / Our

preference for actual settlement of funds and securities is at least :

Once in a Calendar Quarter Once in a Calendar Month

5. RUNNING ACCOUNT AUTHORISATION:

Client Name

Client Code

Date D D M M Y Y Y YClient Signature

21Continued on Next Page......

LETTER OF AUTHORITY



Sir,

I/We have been / shall be dealing through you as my / our broker i.e. agent.

I/We hereby appoint Mr. /Ms. /Mrs

with residence and other particulars as given below as my/ our authorized representative to deal / transact on my behalf and to

place orders, give instructions, receive / collect and / or sign contract notes, bills, account statements, settlements, order and / or

trade confirmations (whether written or oral / over phone) and any other documents or communication and generally to do any and

all act (s) on my / our behalf which I / we can do. And I/ we undersigned do hereby agree and declare and confirm that all the acts

and things done by him/her shall be my/our acts, deeds and things validly done by me /us to all intents and purposes.

Please treat this authorization as written ratification of my verbal directions / authorizations if any given and carried out by you

earlier. I agree to indemnify you and keep you indemnified against all losses, damages and actions which you may suffer or face

as a consequence of adhering to and carrying out my directions given above.

Please take the above information on record & oblige.

Thanking you

City/Town/Village

State Country

Address

Name

Details of Authorised Representative

w i t h S T D C o d eTelephone No.

Relationship of Authorised Representative with the client

Signature of Authorised Representative

PIN Code

Mobile No.

• Enclosed self-attested copy of identity proof of the Authorised Representative.

• An employee or sub-broker/authorised person of Religare Securities Limited cannot be appointed as an authorised representative.

Client Signature

Client Name

Client Code


22

l/we an individual/a sole proprietary concern/a partnership firm/a HUF/a body corporate or any other legal entity registered/ incorporated under the provisions of a relevant act, whose particulars are given hereunder at the execution page hereinafter referred to as "'Donor" which expression shall, unless it be repugnant to the meaning or context thereof, be deemed to mean and include my/our heirs, executors, administrators, permitted assigns, the partners of the firm and the survivors of them and the heirs, executors and administrators of the partners, successors in title, trustees of a Trust and their successors, member of the governing body and any new members elected appointed or co-opted as the case may be of a society, having residence/office at the place mentioned at the execution page (residence address for individuals, office address for proprietorship and partnership and HUF and registered office for companies, trusts and societies), do send greetings: Whereas:A. The Donor is registered / is registering / desires to register with Religare Securities Limited, a Company incorporated under the

Companies Act, 1956 and having its registered office at D3 P3B District Centre, Saket, New Delhi -110017 Phone : 011-39125000 (hereinafter referred to as "the Donee" which means the stock broking division of Religare Securities Limited) as a client /constituent, and

B. The Donor wants that Donee should consider the securities/funds in the demat account/bank account (details of which are given on execution page) of donor as margin / collateral / security for dealings of Donor done/ to be done /expected to be done through /with Donee; and

C. The Donor wants Donee to transfer securities/funds to Donee's demat BO account/ Donee's Bank Account (details of which are given on the execution page) for creating/maintaining collateral/ security/ margin; and

D. The Donor wants Donee to make pay in and pay out of securities and/or funds (including pay in / pay out due to exercise of rights by Donee over securities/funds considered as margin/collateral/security) to stock exchange/clearing corporations / clearing house etc. as may be required from time to time; and

E. The Donor wants to make investments in Mutual Funds, Public Issues (shares as well as debentures), rights, offer of shares, tendering shares in open offers etc. and wants Donee to give effect to desires/ requirements of Donor to sign any documents and / or do any and all act(s) as may be required for these purposes from time to time; and

NOW KNOW YE ALL MEN AND THESE PRESENTS WITNESSETH that l/we the donor do hereby nominate constitute and appoint the said Religare Securities Limited as my/our true and lawful Attorney for me / us and in my / our name and on my / our behalf and at my / our cost and expense to do and / or cause to be done the acts, deeds or things for the limited purposes as under:1. SecuritiesI. Transfer of securities held in the beneficial owner account(s) (details of which are given on the execution page) of the Donor

towards stock exchange related margin / delivery obligations arising out of trades executed by the Donor on the stock exchange through the Donee,

ii. Pledge the securities in favour of Donee for the limited purpose of meeting the margin requirements of the Donor in connection with the trades executed by the Donor on the stock exchange through the Donee,

iii. To apply for various products like Mutual Funds, Public Issues (shares as well as debentures), rights, offer of shares, tendering shares in open offers etc. pursuant to the instructions of the Donor.

2. Funds:Transfer of funds from the bank account(s) of the Donor (details of which are given on the execution page) to the bank account(s) of Donee (details of which are given on the execution page) for the following:i. For meeting the settlement obligations of the Donor / margin requirements of the Donor in connection with the trades executed by

the Donor on the stock exchange through the Donee.ii. For recovering any outstanding amount due from the Donor arising out of Donor's trading activities on the stock exchanges through

the Donee.iii. For meeting obligations arising out of the Donor subscribing to such other products/facilities/services through the Donee like

Mutual Funds, Public Issues (shares as well as debentures), rights, offer of shares etc.iv. Towards monies/fees/charges, etc. due to the Donee/Depository Participant/ Principal payable by virtue of the Donor

using/subscribing to any of the facilities/services availed by the Donor at his/her instance.3. Donee may send consolidated summary of Donor's scrip-wise buy and sell positions taken with average rates to the Donor by way

of SMS / email on a daily basis, notwithstanding any other document to be disseminated as specified by SEBI from time to time.4. Donee would return to the Donor, the securities that may have been received by it erroneously or those securities that it was not

entitled to receive from the Donor.

LIMITED PURPOSE POWER OF ATTORNEY


Third Holder SignatureSole/First Holder Signature Second Holder Signature

23

LETTER OF AUTHORITY



Sir,

I/We have been / shall be dealing through you as my / our broker i.e. agent.

I/We hereby appoint Mr. /Ms. /Mrs

with residence and other particulars as given below as my/ our authorized representative to deal / transact on my behalf and to

place orders, give instructions, receive / collect and / or sign contract notes, bills, account statements, settlements, order and / or

trade confirmations (whether written or oral / over phone) and any other documents or communication and generally to do any and

all act (s) on my / our behalf which I / we can do. And I/ we undersigned do hereby agree and declare and confirm that all the acts

and things done by him/her shall be my/our acts, deeds and things validly done by me /us to all intents and purposes.

Please treat this authorization as written ratification of my verbal directions / authorizations if any given and carried out by you

earlier. I agree to indemnify you and keep you indemnified against all losses, damages and actions which you may suffer or face

as a consequence of adhering to and carrying out my directions given above.

Please take the above information on record & oblige.

Thanking you

City/Town/Village

State Country

Address

Name

Details of Authorised Representative

w i t h S T D C o d eTelephone No.

Relationship of Authorised Representative with the client

Signature of Authorised Representative

PIN Code

Mobile No.

• Enclosed self-attested copy of identity proof of the Authorised Representative.

• An employee or sub-broker/authorised person of Religare Securities Limited cannot be appointed as an authorised representative.

Client Signature

Client Name

Client Code


22

l/we an individual/a sole proprietary concern/a partnership firm/a HUF/a body corporate or any other legal entity registered/ incorporated under the provisions of a relevant act, whose particulars are given hereunder at the execution page hereinafter referred to as "'Donor" which expression shall, unless it be repugnant to the meaning or context thereof, be deemed to mean and include my/our heirs, executors, administrators, permitted assigns, the partners of the firm and the survivors of them and the heirs, executors and administrators of the partners, successors in title, trustees of a Trust and their successors, member of the governing body and any new members elected appointed or co-opted as the case may be of a society, having residence/office at the place mentioned at the execution page (residence address for individuals, office address for proprietorship and partnership and HUF and registered office for companies, trusts and societies), do send greetings: Whereas:A. The Donor is registered / is registering / desires to register with Religare Securities Limited, a Company incorporated under the

Companies Act, 1956 and having its registered office at D3 P3B District Centre, Saket, New Delhi -110017 Phone : 011-39125000 (hereinafter referred to as "the Donee" which means the stock broking division of Religare Securities Limited) as a client /constituent, and

B. The Donor wants that Donee should consider the securities/funds in the demat account/bank account (details of which are given on execution page) of donor as margin / collateral / security for dealings of Donor done/ to be done /expected to be done through /with Donee; and

C. The Donor wants Donee to transfer securities/funds to Donee's demat BO account/ Donee's Bank Account (details of which are given on the execution page) for creating/maintaining collateral/ security/ margin; and

D. The Donor wants Donee to make pay in and pay out of securities and/or funds (including pay in / pay out due to exercise of rights by Donee over securities/funds considered as margin/collateral/security) to stock exchange/clearing corporations / clearing house etc. as may be required from time to time; and

E. The Donor wants to make investments in Mutual Funds, Public Issues (shares as well as debentures), rights, offer of shares, tendering shares in open offers etc. and wants Donee to give effect to desires/ requirements of Donor to sign any documents and / or do any and all act(s) as may be required for these purposes from time to time; and

NOW KNOW YE ALL MEN AND THESE PRESENTS WITNESSETH that l/we the donor do hereby nominate constitute and appoint the said Religare Securities Limited as my/our true and lawful Attorney for me / us and in my / our name and on my / our behalf and at my / our cost and expense to do and / or cause to be done the acts, deeds or things for the limited purposes as under:1. SecuritiesI. Transfer of securities held in the beneficial owner account(s) (details of which are given on the execution page) of the Donor

towards stock exchange related margin / delivery obligations arising out of trades executed by the Donor on the stock exchange through the Donee,

ii. Pledge the securities in favour of Donee for the limited purpose of meeting the margin requirements of the Donor in connection with the trades executed by the Donor on the stock exchange through the Donee,

iii. To apply for various products like Mutual Funds, Public Issues (shares as well as debentures), rights, offer of shares, tendering shares in open offers etc. pursuant to the instructions of the Donor.

2. Funds:Transfer of funds from the bank account(s) of the Donor (details of which are given on the execution page) to the bank account(s) of Donee (details of which are given on the execution page) for the following:i. For meeting the settlement obligations of the Donor / margin requirements of the Donor in connection with the trades executed by

the Donor on the stock exchange through the Donee.ii. For recovering any outstanding amount due from the Donor arising out of Donor's trading activities on the stock exchanges through

the Donee.iii. For meeting obligations arising out of the Donor subscribing to such other products/facilities/services through the Donee like

Mutual Funds, Public Issues (shares as well as debentures), rights, offer of shares etc.iv. Towards monies/fees/charges, etc. due to the Donee/Depository Participant/ Principal payable by virtue of the Donor

using/subscribing to any of the facilities/services availed by the Donor at his/her instance.3. Donee may send consolidated summary of Donor's scrip-wise buy and sell positions taken with average rates to the Donor by way

of SMS / email on a daily basis, notwithstanding any other document to be disseminated as specified by SEBI from time to time.4. Donee would return to the Donor, the securities that may have been received by it erroneously or those securities that it was not

entitled to receive from the Donor.

LIMITED PURPOSE POWER OF ATTORNEY


Third Holder SignatureSole/First Holder Signature Second Holder Signature

23

I/We request you to consider the shares/funds in my/ our demat account/bank account as margin / security against my/our obligations, I/We agree that therefore an interest will get created in your favour against the shares/funds in my/our account, I /We agree that our actions with respect to power granted to you shall not be detrimental to your ability to satisfy my/our margin/ pay-in obligations.

I / we do hereby undertake to ratify whatever the said Attorney may lawfully do in and by virtue of these presents.

Witness whereof I/we have executed this power of attorney on this day of

at

Demat A/c Purpose CM Name

NSE Pool A/c

BSE Pool A/c

MSEI Pool A/cNSE MFSS A/cBSE STAR MF A/c

ReligareSecurities

Limited

NSDL

IN558537

IN630043

IN471915IN565576IN640016

CDSL

12030200 00000039 (Normal), 12030200 00031889 (SLBS)12030200 00000062 (Normal Pay-In), 12030200 00000081 (Normal Pay-Out)12030200 00031802 (SLBS Pay-In), 12030200 00031762 (SLBS Pay-Out)12030200 0009344111000011 0001783711000029 00000011

NSCCLBOISL/ICCL

5.1 Details of beneficial owner account and Bank Account details of Donor that Donee is entitled to operate for the limited purpose of transferring securities to below mentioned Pool/Margin beneficial owner accounts/Bank accounts of Donee. i. Donor Beneficial Owner Account :

DP Name DP ID BO Account No.

Religare Securities Limited I N 3 0 1 7 7 4

Name of Bank

Name of Bank

5.2 Details of Donee's Pool/Margin accounts and Bank accounts where fund and securities can be moved:

i. Donee’s Pool/Margin beneficial owner Account :

Demat A/c Purpose

Margin A/c

DP Name


DP ID Depository Beneficiary IDIN30177412030200

NSDLCDSL

10000167 / 1009914400000024

ii. Donee’s Bank Account :

ii. Donor Bank Account :

Witness-I

Name

Address

Signature

Witness-II

Name

Address

Signature

Notary Public

Name

Address

Signature

Attestation by Notary Public or witness that this Power of Attorney was executed by the donor(s) above named before me/us.


Name

Address

Name

Address

Name

Address

24

Bank Account No.

Name(s) of Holder(s) Signature(s) of Holder(s)

Sole/First Holder

Second Holder

Third Holder


ECS Form : Form No. FR-01D

ACCOUNT NUMBER DETAILS

ELECTRONIC CLEARING SERVICE (Debit Clearing Mandate Form)

Sr.No.

1.

2.

1. Name(s)

Bank Name

(A)

(D)

(B)

(C)

2.

3.

S.B. A/c (Code 10)

*Appearing on the MICR Cheque issued by the Bank (Please attach the Photocopy of a Cheque or a Blank cancelled cheque issued by your bank for verifying the accuracy of the Code Number)I, hereby, declare that the particulars given above the correct and coplete, if the transaction is delayed or not effected at all for reasons of incomplete or incorrect information. I would not hold the user institution responsible. I hereby agree to discharge the responsibility expected of my as a participant under the scheme.

Account Holder Name(s) Depository Account No.(s)

Branch Name

Perodicity

Ledger No. / Folio No.

Account No.

9-Digit MICR Code *

Account Type Current A/c (Code 11) Cash Credit (Code 13)

Date of Effect D D M M Y Y Y Y

Date D D M M Y Y Y Y Signature of the Applicant

BANK CERTIFICATION (Not required if photocopy of the Cheque is enclosed): _________________________________________ _________________________________________________________________________________________________________________________________________________ Certified that the particulars furnished above are correct as per our records.

Bank’s Stamp

Date D D M M Y Y Y YSignature of authorised bank official

AUTHORISATION TO BANK FOR DEBITING THE ACCOUNT

The Branch Manager________________________________________

Dear Sir,I/We ________________________________________residing at__________________________________________________ _______________________________________________________________________________________maintain a _______________________Account No._________________________________with your branch.I/We hereby authorise the Bank to debit all types of commission/fees ("Service Charges") payable by me/us and charges by Religare Securities Limited through the ECS (Debit Clearing) facility to my bank account with you. I/We undertake the balances shall be maintained by me/us so that the right of the Bank to debit the Service Charges is not impaired. I/We hereby undertake not to revoke this authority without the written approval from the bank.

25

Bank Account No.

INSTRUCTIONS/CHECK LIST FOR FILLING KYC FORM (ANNEXURE JB)


















1. Unique Identification Number (UID) (Aadhaar) / 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.












www.religareonline.com

Registered office:D3, P3B, District Centre, Saket, New Delhi-110017.

If undeliverd, please return to: GYS Global, 7th Floor,A-3,4,5, Plot No. 11, Sector 125, Noida-201301.

Experience Smart, Simple & Personalisedway of trading with

Date : 01/12/2015 Version - 2.1

Welcome to

*Trading account can not be opened in joint names.

Received the application from Mr./Ms................................................................................. as the Sole, First holder alongwith ................................................................... and .................................................................... as the Second and Third holders respectively for opening Trading and Demat account. Your account will be opened after due verification by us. You can check the status of the application submitted by you on our website (www.religareonline.com)Your Client Id will be intimated to you once your account gets opened sucessfully. Please quote the DP ID & Client ID allotted to you (CM-BP-ID in case of Clearing Members) in all your future correspondence.

For Religare Securities Limited

Stamp and Sign

ACKNOWLEDGMENT

Form No. ...........................................................

You may contact us at ourCustomer Care No. or e-mail to us at Please take this acknowledgement receipt from the RM/Branch who has contacted you.

1860 25 88888 [email protected].:

Name of Relationship Manager

Mobile No. of Relationship Manager + 9 1

www.religareonline.com

Registered office:D3, P3B, District Centre, Saket, New Delhi-110017.

If undeliverd, please return to: GYS Global, 7th Floor,A-3,4,5, Plot No. 11, Sector 125, Noida-201301.

Experience Smart, Simple & Personalisedway of trading with

Date : 01/12/2015 Version - 2.1

Welcome to

*Trading account can not be opened in joint names.

Received the application from Mr./Ms................................................................................. as the Sole, First holder alongwith ................................................................... and .................................................................... as the Second and Third holders respectively for opening Trading and Demat account. Your account will be opened after due verification by us. You can check the status of the application submitted by you on our website (www.religareonline.com)Your Client Id will be intimated to you once your account gets opened sucessfully. Please quote the DP ID & Client ID allotted to you (CM-BP-ID in case of Clearing Members) in all your future correspondence.

For Religare Securities Limited

Stamp and Sign

ACKNOWLEDGMENT

Form No. ...........................................................

You may contact us at ourCustomer Care No. or e-mail to us at Please take this acknowledgement receipt from the RM/Branch who has contacted you.

1860 25 88888 [email protected].:

Name of Relationship Manager

Mobile No. of Relationship Manager + 9 1

Documents

Form No. : Religare Securities Limited Client Code...account. 16. 17. 11-17 *Mandatory if demat account to be opened *C. Document captures the additional information about the constituent

Form No. : Religare Securities Limited Client Code...account. 16. 17. 11-17 Mandatory if demat account to be opened C. Document captures the additional information about the constituent