313236508

NSDL E-Sign
Part A - VERSION 21.2
 Mandatory
INSTRUCTIONS/CHECK LIST FOR FILLING KYC FORM C. Proof of Address (POA): - List of documents admissible as Proof of
A. IMPORTANT POINTS: Address: (*Documents having an expiry date should be valid on the
1 Self attested copy of PAN card is mandatory for all clients, including date of submission.)
Promoters/Partners/Karta/Trustees and whole time directors and
persons authorized to deal in securities on behalf of Officially Valid Document - *Passport / Voters Identity Card / Aadhaar Card
(Aadhaar Number to be masked by the client)/ Driving License/NREGA Job
company/firm/others. Card/National Population Register Letter.
2. Copies of all the documents submitted by the applicant should be self-
attested and accompanied by originals for verification. If the above officially valid documents furnished by the client does not
3. If any proof of identity or address is in a foreign language, then contain updated address, the following documents shall be deemed PoA.
The client shall submit updated officially valid document with current
translation into English is required. address within a period of three months of submitting the below
4. Name & address of the applicant mentioned on the KYC form, should documents to us:
match with the documentary proof submitted.
5. If correspondence & permanent address are different, then proofs for 1. Utility bill which is not more than two months old of any service provider
both have to be submitted. (electricity, telephone, post-paid mobile phone, piped gas, water bill).
6. Sole proprietor must make the application in his individual name & 2. Property or Municipal Tax receipt.
capacity. 3. Pension or family pension payment orders (PPOs) issued to retired
7. For non-residents and foreign nationals, (allowed to trade subject to employees by Government Departments or Public Sector Undertakings,
RBI and FEMA guidelines), copy of passport/PIO Card/OCI Card and if they contain the address.
overseas address proof is mandatory. 4. Letter of allotment of accommodation from employer issued by State or
8. For foreign entities, CIN is optional; and in the absence of DIN no. for the Central Government departments, statutory or regulatory bodies,
directors, their passport copy should be given. public sector undertakings, scheduled commercial banks, financial
9. In case of Merchant Navy NRI's, Mariner's declaration or certified copy institutions and listed companies. Similarly, leave and license
of CDC (Continuous Discharge Certificate) is to be submitted. agreements with such employers allotting official accommodation.
10.For opening an account with Depository participant or Mutual Fund, for In case the officially valid document presented by a foreign national
a minor, photocopy of the School Leaving Certificate/Mark sheet issued does not contain the details of address, in such case the documents
by Higher Secondary Board/Passport of Minor/Birth Certificate must issued by Government departments of foreign jurisdictions and letter
be provided. issued by Foreign Embassy or Mission in India shall be accepted as
11.Politically Exposed Persons (PEP) are defined as individuals who are or proof of address.
have been entrusted with prominent public functions in a foreign 5. Name & address of the applicant mentioned on the KYC form, should
country, e.g., Heads of States or of Governments, senior politicians, match with the documentary proof submitted.
senior Government/judicial/ military officers, senior executives of state 6. Aadhaar Letter issued by UIDAI shall be admissible as Proof of address
owned corporations, important political party officials, etc. in addition to Proof of Identity.
12. Fields marked with ‘*’ are mandatory fields.
13.Tick ‘ü’ wherever applicable. 7. e-KYC service launched by UIDAI shall also be accepted as a valid
14.Please fill all dates in DD-MM-YYYY format. process for KYC verification. The information containing the relevant
client details and photograph made available from UIDAI as a result of
15.KYC number of applicant is mandatory for updation of KYC details. e-KYC process shall be treated as a valid proof of address.
16.For particular section update, please tick (ü) in the box available
before the section number and strike off the sections not required to be D. Exemptions/clarifications to PAN (*Sufficient documentary evidence in
updated. support of such claims to be collected.)
17. Clarification / Guidelines on filling ‘Personal Details’ section 1. In case of transactions undertaken on behalf of Central Government
1 Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). and/or State Government and by officials appointed by Courts e.g.
The name should match the name as mentioned in the Proof of Official liquidator, Court receiver etc.
Identity submitted failing which the application is liable to be 2. Investors residing in the state of Sikkim.
rejected. 3. UN entities/multilateral agencies exempt from paying taxes/filing tax
2 Either father’s name or spouse’s name is to be mandatorily
furnished. returns in India.
B. Proof of Identity (POI): - List of documents admissible as Proof of 4. SIP of Mutual Funds upto Rs. 50, 000/- p.a.
Identity: 5. In case of institutional clients, namely, FPIs, MFs, VCFs, FVCIs,
1. Aadhaar Card/Passport/ Voter ID card/ Driving license. Scheduled Commercial Banks, Multilateral and Bilateral Development
If driving license number or passport is provided as proof of identity Financial Institutions, State Industrial Development Corporations,
then expiry date is to be mandatorily furnished. Insurance Companies registered with IRDA and Public Financial
2. PAN card with photograph. Institution as defined under section 4A of the Companies Act, 1956,
3. Identity card/ document with applicant's Photo, issued by any of the Custodians shall verify the PAN card details with the original PAN card
following: Central/State Government and its Depar tments,
and provide duly certified copies of such verified PAN details to the
Statutory/Regulatory Authorities, Public Sector Undertakings,
Scheduled Commercial Banks, Public Financial Institutions. intermediary.
4. e-KYC service launched by UIDAI shall also be accepted as a valid E. List of people authorised to attest the documents: Notary Public,
process for KYC verification. The information containing the relevant Gazetted Officer, Manager of a Scheduled Commercial/Co-operative
client details and photograph made available from UIDAI as a result of bank or Multinational Bank (Name, Designation & Seal should be affixed
e-KYC process shall be treated as a valid proof of Identity. on the copy)
1.INSTRUCTIONS
INSTRUCTIONS / CHECK LIST
Additional documents in case of trading in derivatives segment (illustrative list):
1. Copy of ITR Acknowledgement 4. Net worth Certificate - CA Certified 7. Demat Account Holding Statement along with valuation
2. Copy of Annual Accounts 5. Salary Slip 8. *Any other relevant documents substantiating
3. Copy of Form 16 in case of salary income 6. Bank Statement (For last 6 months) ownership of Assets
* Relevant documents as per risk management policy of the stock broker to be provided by the client from time to time
 INDEX
Sr. No. Name of the Document Brief Significance of the Document Page No.

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI, DEPOSITORY & EXCHANGES

1. Account Opening Form-Checklist & Instructions The Document provides Instructions & Checklist relevant to opening of
trading & demat account 1
2. Know Your Client (KYC) Application Form This Document captures the basic information about the client/ 4-5
Joint Holders for Trading & Demat Account respectively 16-19
3. Account Opening Form for Trading & Depository This Document captures the additional information about the client 6-11
relevant for opening Trading & Demat Account
4. Nomination Form This Document captures the details of nominee(s) w.r.t. the trading and/or 12-13
demat account/Mutual Fund and the details of guardian in case of minor
nominee(s)
5. Tariff Sheet This Document provides schedule of fee applicable for Depository Account 20
6. Other Documents This document contain Policy & Procedure document A-1

VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER

7. Mandate for maintaining the account on This Document enables you to maintain your account on a running
running account basis account basis. 14

8. Profile Sheet This Document enables us to know your interest in the stock market so 15
that we can serve you better
9. Demat Debit and Pledge Instruction’ (DDPI) This Document confers specific rights on Sharekhan for accessing your A-2
Demat account for the limited purpose of transferring the shares for
meeting margin pledge/repledge/pay-in obligations for settlement of
trades executed by you, Mutual fund transactions executed on Exchange
platform & for Tendering shares in open offers through Stock Exchanges

SHAREKHAN LIMITED

Registered Office Address : The Ruby, 18th Floor, 29 Senapati Bapat Marg, Dadar (West), Mumbai – 400 028, Maharashtra, INDIA
Tel : 022 - 6750 2000 Fax : 022-24327343 | Website: www.sharekhan.com
Correspondence Office Address : Sharekhan Ltd. 10th Floor, Gigaplex Building No. 9, MIDC Plot No.1 I.T 5, Airoli Knowledge Park Road, TTC Industrial
Area, Airoli, Navi Mumbai – 400708, Maharashtra, INDIA.| Tel: 022 - 6115 0000 | Fax: 022 - 6116 9699 | Website: www.sharekhan.com
Processing Office Address: 3rd Floor, Bay City Centre, 309, Ponnamallee High Road, Above Maruti Kapico Show Room, Near Pachiyappas College,
Chennai- 600010 | Tel: 044-49105050 / 28362900 / 28363160 / 49035050 / 49035051 | Website: www.sharekhan.com

SEBI For any grievance/dispute, please contact Sharekhan Ltd. at the above mentioned
EXCHANGE SEGMENT DATE
REGISTRATION NO. Registered / Correspondence office address or e-mail at myaccount@sharekhan.com/
igc@sharekhan.com or contact at 022 - 61151111/022-33054600
Compliance Officer: Ms. Binkle R. Oza, Tel. No : 022 - 6116 9602
BSE E-mail ID: complianceofficer@sharekhan.com
CEO Name: Mr. Jaideep Arora, Tel No. : 022 - 6115 0000, E-mail ID: ceo@sharekhan.com
In case you are not satisfied with the response, please contact the concerned Exchange(s) as
CASH,
providedbelow:
NSE F&O, INZ000171337 26.03.2018 (1) NSE - ignse@nse.co.inorcontact at 1800 2660058
CURRENCY (2) BSE - dis@bseindia.com or contact at 022-22728517
(3) NSDL - relations@nsdl.co.in or contact at 022 - 2499 4200
(4) CDSL - complaints@cdslindia.com or contact at 1800 225 533
(5) MCX - grievance@mcxindia.com or contact at 022 - 6649 4070
MCX COMMODITY (6) SEBI - www.scores.gov.in or contact at 1800 2667 575

IMPORTANT NOTE
Signature of First Holder/Client/Applicant - (10) Signature of Second Holder - (4) Signature of Third Holder - (4)
Signature of Witness - (3)

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 2

 FOR INTERNAL USE ONLY

BRANCH STAMP & DATE H O STAMP & DATE

List of Abbreviations
Sr. No. Short form Expansion
1 AMC Asset Management Company
2 AMFI Association of Mutual Funds in India
3 AML Anti Money Laundering
4 AP Authorised Person
5 BSE Bombay Stock Exchange Limited
6 CBDT Central Board of Direct Taxes
7 CDSL Central Depository Services Limited
8 CIN Corporate Identification Number or Company Identification Number
9 CRS Common Reporting Standard
10 DHC Delivery Handling Charges
11 DIN Director Identification Number
12 DIS Delivery Instruction Slip
13 F&O Futures and Options
14 FATCA Foreign Account Tax Compliance Act
15 FEMA Foreign Exchange Management Act
16 EMF Exchange Margin Funding
17 IFSC Indian Financial System Code
18 IPV In-person Verification
19 IRDA Insurance Regulatory Development Authority
20 ITR Income Tax Return
21 KRA KYC Registration Agency
22 KYC Know Your Client / Know Your Customer
23 MF Mutual Fund
24 MICR Magnetic Ink Character Recognition
25 MSEI Metropolitan Share Exchange of India Limited
26 NRI Non-Resident Indian
27 NSDL National Securities Depository Limited
28 NSE National Stock Exchange of India Limited
29 PAN Permanent Account Number
30 PEP Politically Exposed Person
31 POA Proof of Address
32 POI Proof of Identity
33 RBI Reserve Bank of India
34 RDD Risk Disclosure Document
35 RTA Registrar and Transfer Agent
36 SEBI Securities and Exchange Board of India
37 SIP Systematic Investment Plan
38 SLB Stock Lending and Borrowing
39 UID Unique Identification Number
40 UIDAI Unique Identification Authority of India
41 UPI Unified Payments Interface
42 VPA Virtual Payment Address
43 DDPI Demat Debit and Pledge Instruction
E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 3
 SHAREKHAN LIMITED
CENTRAL KYC REGISTRY | KNOW YOUR CUSTOMER (KYC) APPLICATION FORM | INDIVIDUAL
Registered office address : The Ruby, 18th Floor, 29 Senapati Bapat Marg, Dadar (West), Mumbai – 400 028, Maharashtra, INDIA,
Tel : 022 - 6750 2000 Fax : 022-2432 7343| Website: www.sharekhan.com
For office use only Application Type* ✔ New Update
(To be filled by financial institution) KYC Number (Mandatory for KYC update request)
Account Type* ✔ Normal Minor Aadhaar OTP based E-KYC (in non-face to face mode)
1. PERSONAL DETAILS (Please fill the form in English and in BLOCK letters) (As per OVD document only)
Name* (Same as OVD proof) MrPrefix First Name
Akash A Katigar Middle Name Last Name

Maiden Name (If any*) NA First Name Middle Name Last Name
Arjun First Name Middle Name Last Name
Father / Spouse Name*
Mother Name First Name Middle Name Last Name
Date of Birth* D D7
2 M1 M
0 Y 9Y 9Y Y8 Marital Status*
1 Married ✔ Unmarried Others _____________________
*#
Gender* ✔ M - Male F- Female T-Transgender Citizenship / Nationality IN-Indian Others____________
✔

Residential Status* ✔ Resident Individual Non Resident Indian #Please specify separately in case Nationality and Citizenship is different.
Foreign National Person of Indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector)
O-Others ( Self Employed Retired Housewife Student Professional)
✔ B-Business
X-Not Categorised (Please Specify _________________________________)
A- PAN Card* G E F P K 8 1 8 5 H

2. CONTACT DETAILS (All communications will be sent on provided Mobile no. / Email-ID)
Mobile 9 1 6 3 6 0 7 1 0 6 1 9 Tel. (Off)
Tel. (Res) Fax
akatigar12@gmail.com
Email ID ______________________________________________________________
3. PROOF OF IDENTITY AND ADDRESS*
I. (Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (anyone of the following OVDs)
A- Passport Number ✔
F - Proof of Possession of Aadhaar x x x x x x x x 1 0 2 3
B- Voter ID Card G - E-KYC Authentication x xxx x xx x
C- Driving Licence H- Offline verification of Aadhaar x x x x x x x x
D- NREGA Job Card
E - National Population Register Letter
Address
S/O Arjun
Line 1*
Gollar Oni Ward N0 7
Line 2
Line 3 City / Town / Village* DHARWARD
580007 KARNATAKA
District* NA Pin / Post Code* State
Country India
4. CURRENT ADDRESS DETAILS
✔ Same as above mentioned address (in such cases address details as beiow need not be provided)

Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (anyone of the following OVDs)
A- Passport Number F - Proof of Possession of Aadhaar x x x x x x x x
B- Voter ID Card G - E-KYC Authentication x xxx x xx x
C- Driving Licence H- Offline verification of Aadhaar x x x x x x x x
D- NREGA Job Card I - Deemed Proof of Address
E - National Population Register Letter
Address
Line 1*
Line 2
Line 3 City / Town / Village*
District* Pin / Post Code* State
Country
E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 4
5. REMARKS (If any)
NA

6. APPLICANT DECLARATION
• I/We hereby declare that the KYC details furnished by me are true and correct to the best of my/our knowledge
and belief and I/we under-take 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. PHOTO
ving information from Central KYC Registry through SMS/Email on the above registered
• I/We hereby consent to receiving information from Central KYC Registry and KRAs through SMS/Email on the
above registered number/email address.

• I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be validated against Aadhaar
details. I/We hereby consent to sharing my/our masked Aadhaar card with readable QR code or my Aadhaar
XML/Digilocker XML file, along with passcode and as applicable, with KRAs, CKYCR and other Intermediaries
with whom I have a business relationship for KYC purposes only.
(1)

18/07/2023 DHARWARD Signature of Applicant

Date :_______________________ Place :______________________

7. ATTESTATION / FOR OFFICE USE ONLY

Documents Received Certified Copies E-KYC data received from UIDAI Data received from Offline verification Digital KYC Process
✔ Equivalent e-document Video Based KYC
This is to certify that I have carried out in-person verification in respect of the client mentioned in the KYC form.

KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS

Date 18/07/2023
Name : SHAREKHAN LIMITED
Emp. Name Harshali Kolte
Code IN0344
Emp. Code
Emp. Designation
Emp. Branch [Institution Stamp]

[Employee Signature]

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 5

ACCOUNT OPENING FORM FOR TRADING & DEPOSITORY
Client-ID (to be filled by DP) II N 3 0 0 5 1 3 Client Code/S2K ID ✔ ONLINE OFFLINE
I/We request you to open a ✔ Trading & Demat Account Trading Account (Please fill all the details in CAPITAL LETTERS only)
A. TYPE OF ACCOUNT INDIVIDUAL (Please tick whichever is applicable)
o Resident o Others (please specify) ______________________
✔

B. DETAILS OF ACCOUNT HOLDERS

First Holder/Client A K A S H A K A T I G A R
Former / Aliases Name (if any) N A
Second Holder
Former / Aliases Name (if any)
Relationship with 1 Holder o Spouse
st
o Children o Parent o Others (please specify) ______________________
Third Holder
Former / Aliases Name (if any)
Relationship with 1 Holder o Spouse
st
o Children o Parent o Others (please specify) ______________________
Preferred user ID: (1) (2) (3)
C. STANDING INSTRUCTIONS
Sr. No. Authorisations Please P Relevant
1. Consent to receive credits automatically into my/our Account. (If not ticked, the default option would be “Yes”) ✔ Yes No
2. Account to be operated through Demat Debit and Pledge Instruction (DDPI) Yes ✔ No
3. Consent to send Electronic Transaction-cum-Holding Statement at Sole/First Holder’s email id stated in the KYC ✔ Yes No
4. Consent to share the email ID with the RTA ✔ Yes No
5. Consent to avail of the facility of internet trading / wireless technology ✔ Yes No
✔ Yes No
6. Consent to avail of Exchange Margin Funding
7 Consent to download records from CKYCR and KRAs and share records and Aadhar data and documents to CKYCR and KRAs’ ✔ Yes No
8. Consent to receive standard account opening documents ✔ Electronic Physical
9. Mode of receiving Annual Reports & Statement of Accounts Physical ✔ Electronic Both Physical & Electronic
(For all online clients or if not ticked, the default option would be Electronic) (Applicable for Demat Account)
10. Mode of receiving Contract Notes & Statement of Accounts Physical ✔ Electronic
(For all online clients or if not ticked, the default option would be Electronic) (Applicable for Trading Account)

11. Account Statement Requirement ✔ As per SEBI Regulation Monthly

12. For Joint accounts, communication to be sent to (See Note 15) First Holder All Joint account holder
13. Mode of Operations for Joint Accounts Jointly Anyone of the holder or survivor(s)
If Mode of Operation for Joint Account is chosen as anyone of the holder or survivor(s), only specified operations such as transfer of securities
including Inter-Depository Transfer, pledge/hypothecation/margin pledge/margin re-pledge (creation, closure and invocation and confirmation
thereof as applicable) of securities and freeze/unfreeze of account and / or securities and / or specific number of securities will be permitted.
D. Nomination Option
I/We wish to make a nomination. ✔ I/We wish to opt out of a nomination.
[Details are provided in Nomination Form [Declaration Form opting out of nomination as prescribed
Prescribed by SEBI] by SEBI]
FIRST HOLDER SECOND HOLDER THIRD HOLDER
Gross Income Range ✔ <1 1-5 5-10 <1 1-5 5-10 <1 1-5 5-10
Per Annum (Rs. in Lakhs) 10-25 25-1cr > 1cr 10-25 25-1cr > 1cr 10-25 25-1cr > 1cr
Networth : (should not be Amount (Rs.) _____________ Amount (Rs.) _____________ Amount (Rs.) _____________
older than 1 year) As on date d d m m y y y y As on date d d m m y y y y As on date d d m m y y y y
Additional Details, Politically Exposed Person(PEP) Politically Exposed Person(PEP) Politically Exposed Person(PEP)
if applicable. Related to a Politically Exposed Related to a Politically Exposed Related to a Politically Exposed
(Please tick one or more as Person (RPEP) Bureaucrat Person (RPEP) Bureaucrat Person (RPEP) Bureaucrat
applicable) Civil Servant Politician Civil Servant Politician Civil Servant Politician
Current/Former MP, MLA or MLC Current/Former MP, MLA or MLC Current/Former MP, MLA or MLC
Current/Former Head of State Current/Former Head of State Current/Former Head of State
✔ Not PEP / Related to PEP Not PEP / Related to PEP Not PEP / Related to PEP

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 6

 FIRST HOLDER SECOND HOLDER THIRD HOLDER
Mobile Number Declaration I hereby declare that the Mobile I hereby declare that the Mobile I hereby declare that the Mobile
(*Family to strictly include spouse, number as per CKYC belongs to number as per CKYC belongs to number as per CKYC belongs to
dependent children and dependent ✔ Self OR Family*(specify relation) Self OR Family*(specify relation) Self OR Family*(specify relation)
parents only. Kindly tick Spouse Spouse Spouse
Dependent Children Dependent Children Dependent Children
relevant option)
Dependent Parents Dependent Parents Dependent Parents
Consent for SMS Alert facility Consent for SMS Alert facility Consent for SMS Alert facility
✔ Yes No Yes No Yes No
Email ID Declaration I hereby declare that the Email ID I hereby declare that the Email ID I hereby declare that the Email ID
(*Family to strictly include spouse, as per CKYC belongs to as per CKYC belongs to as per CKYC belongs to
dependent children and dependent ✔ Self OR Family*(specify relation) Self OR Family*(specify relation) Self OR Family*(specify relation)
parents only. Kindly tick Spouse Spouse Spouse
Dependent Children Dependent Children Dependent Children
relevant option)
Dependent Parents Dependent Parents Dependent Parents

Nature of Business Grocery

________________________ ________________________ ________________________
Sources of Wealth / Income ✔ Salary Business Gift Salary Business Gift Salary Business Gift
Rental Income Royalty Rental Income Royalty Rental Income Royalty
Prize Money Prize Money Prize Money
Ancestral Property Ancestral Property Ancestral Property
Others (Please specify) _____ Others (Please specify) _____ Others (Please specify) _____
Place of Birth DHARWARD
________________________ ________________________ ________________________
Country of Birth ✔
INDIA Other ________________ INDIA Other ________________ INDIA Other ________________

Any other information

FATCA related information:

Are you a US person? Yes ✔ No Yes No Yes No
Is your Tax Residency
Yes ✔ No Yes No Yes No
other than India?
If any of the above is yes, please indicate all countries in which you are resident for tax purpose and the associated Tax ID number below :
Country of Tax Residency#
Tax Identification Number*
Identification Type
Country of Tax Residency#
Tax Identification Number*
Identification Type
#To include all countries other than India, where investor is Citizen/Resident/Green Card Holder/Tax Resident in those respective countries.
*Incase tax identification number is not available, kindly provide its functional equivalent

For First Holder Only:

Details in case of Employment/Business/Profession:
Name of Employer/Establishment __________________________________________________________________________________
India
Address : ______________________________________________________________________________Country_______________
Designation: Chairman Director CEO CFO COO Others________________
UBO of Listed company: Yes ✔ No If yes, name of the listed company _____________________________________________
For Business / Professional Categories (mandatory wherever applicable):
Nature / Type ___________________ Registration No. ________________ Registration Authority________________________
GST. No. (If Any) _____________________________ IEC Code (In case of Exporter / Importer) __________________________

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 7

E. DEALINGS THROUGH AUTHORISED PERSON & OTHER STOCK BROKERS ✔ No Yes (If yes, please mention details below)

Name of Authorised Person :

Registration No: NSE BSE
R.O. Address: Tel.: Fax: Website:
Whether registered with a ny other Stock Broker / Authorised Person (If registered with multiple Stock Broker, provide all details)
Name of Stock Broker:_______________________________ Name of Authorised Person: ____________________________
Name of Exchange: Client Code No.:

Details of disputes / dues pending from / to such Stock Broker / Authorised Person: ............................................................................................
Whether Employee/Agent/ Approved user/Authorised Person/Sub Broker of any other *Trading/Clearing Member: recognized stock exchange
Yes ✔ No Name of Member ___________________________ (PleaseprovideconsentletterfromsuchTrading/ClearingMember)
Whether Broker of any Exchange Yes No Name of Exchange/s_____________ (Please provide consent letter from such Exchange/s)
✔

Whether Declared Defaulter/debarred/suspended By SEBI/RBI/any Other Recognized Stock Exchange/Commodity Exchange: Yes ✔ No
Details of any action/proceedings initiated /pending/taken by SEBI/Stock Exchange/any other authority against the Client during the
last 3 years for violation of securities law/other economic offences (including action taken against relatives/associates) _______________
F. INVESTMENT/TRADING EXPERIENCE & PREFERENCE
No Prior Investment Experience 0 5 Years in Equities Years In Derivatives Years in other Investment Related Field
Proposed Investment / Margin through Sharekhan: ` _________________
Upto 1 lacs

G. DEPOSITORY ACCOUNT DETAILS (Transactions would be generally routed through the below demat account.) (Default for Payout)
Depository : NSDL ✔ CDSL DP Name:
Beneficiary Name: AKASH A KATIGAR DP ID : I N 3 0 0 5 1 3 BO ID:
H. BANK ACCOUNT DETAILS
Default Bank (Through which payout transactions would be generally routed) Additional Bank
Name & Address : CANARA BANK Name & Address :
NEAR APMC MARKET YARD,, MRUTHYUNJAYANAGAR,,DHARWAR- 580008 DHUMMAWAD
Account No. 0 5 6 7 1 0 8 0 2 6 0 8 6 Account No.
Account Type ✔ Saving Current Other: Account Type Saving Current Other:
MICR Code 5 8 0 0 1 5 3 0 3 MICR Code
IFSC Code C N R B 0 0 0 0 5 6 7 IFSC Code
UPI/VPA NA UPI/VPA
I. DP TARIFF SCHEME (“Schedule A") - (Scheme Details on Page 24)
Consent to avail BSDA facility for new Demat account for which I/we have submitted the account opening form Yes No
✔ Scheme A (TC100) Scheme B (TC108) Scheme C (TC119) Scheme D (TC117) Scheme E (TC120) Scheme F(TC101)
J. OPTION FOR ISSUANCE OF DIS BOOKLET (*Please refer to the details in Tariff Sheet) (Option 1 in mandatory in case of BSDA A/cs.)
Option 1 : ✔ I/we do not wish to receive the Delivery Instruction Slip ( DIS) booklet with account opening. However, the DIS booklet should be issued
to me/us immediately on my/our request at any later date.
Option 2 : I/we wish to receive the Delivery Instruction Slip (DIS) booklet with account opening.
K. For Commodity Segment Only :Participant Category*:
Commercial Participant Value Chain Participant Exporter Importer Hedger
Non Commercial Participant Financial Participant Trader Jobber Arbitrager
L. INTRODUCER DETAILS (Optional)
Name & Address of the Introducer:
Status of the Introducer: Remisier/ Authorised Person/ Existing Client/ Director or Employee of Trading Member/ any other Person (Please
Specify) ______________________________ Mobile No. / Tel. No. :
Proof of Identity (POI) : PAN No. Passport No. Driving Licence Voter ID

Signature:

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 8

M. BROKERAGE STRUCTURE (Mandatory)
Cash Segment Derivatives Segment Currency Derivatives Segment
Min. Rupees/ Futures Segment Options Segment H Futures Segment Options Segment H
(Percentage) Paisa Per Share (Percentage) (Percentage) (Percentage) (Percentage)
First Leg 0.02 1 0.02 Rs.20/- Per Lot 0.01 Rs.5/- Per Lot
Second Leg (Same day Sq. off) 0.02 1 0.02 Rs.20/- Per Lot 0.01 Rs.5/- Per Lot
Delivery Brokerage 0.3 1 Same as Cash Segment NA NA
Next day square off NA NA 0.02 Rs.20/- Per Lot 0.01 Rs.5/- Per Lot
Default Brokerage
Commodity Segment
Futures Segment Options Segment H
(Percentage) (Percentage)
First Leg (Normal ) 0.02 Rs.20/- Per Lot
Second Leg (Same day Sq. off) 0.02 Rs.20/- Per Lot
Next day square off 0.02 Rs.20/- Per Lot
Delivery Brokerage Same as Cash Segment
Default Brokerage
# 1. In case of unit price of securities of Rs. 10/- or less, then brokerage of Rs. 0.25 per share will be levied
# 2. Delivery Handling Charges (DHC) would be levied on each delivery based sell transaction (per scrip) where value of brokerage levied is
less than Rs 21/- The value of DHC would be difference of Rs 21/- and the brokerage charged.
# 3. If total brokerage for all transactions in the cash segment is less than Rs. 21, then a brokerage of Rs. 21 or 2.5% of the transaction value,
whichever is less, would be levied.
# 4. On all Square-off transactions initiated by Sharekhan Ltd, brokerage of 0.5% will be levied.
* Minimum amount per lot would be applicable as per the details provided in the policy and procedures.
• Expiry handling charges would be charged as applicable • Statutory cost will be charged as per Exchange / Regulatory Authorities • Trade
Tiger access charges applicable from time to time • KYC Registration Agency (CKYC & KRA) charges will be levied as applicable.• Please refer
the details of default brokerage, standard brokerage on option segments and schedule of charges in the Policy and Procedures.

N. STOCK EXCHANGES ON WHICH YOU WISH TO TRADE

CASH (BSE & NSE) F & O (BSE & NSE) Currency (BSE & NSE) Commodity (BSE, NSE & MCX)
I have knowledge of trading in derivatives I have knowledge of trading in currency derivatives I have knowledge of trading in Commodity derivative
segment and am aware of risks associated therein segment and am aware of risks associated therein segment and am aware of risks associated therein

NA NA NA

(2) (3) (4) (5)

1. Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off / mentioned as NA.
2. In future, if you need to trade in any additional Segment/Exchange, not opted above, separate authorisation letter will be required.
3. In case of trading in Derivatives it is compulsory to submit proof of Financial Details.
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 of any of the above information is found to be false or untrue or misleading or
misrepresenting, I /we am/are aware that I/we may be held liable for it.
2. I/we confirm having read, received, explained and understood the contents of policies and procedures, terms & conditions governing Stock
Broker, terms & conditions applicable for Margin Trading, Risk Disclosure Documents & Do's & Don't's for trading on the Exchanges, Rights and
Obligations applicable for Stock Brokers, Clients, Rights and Obligations applicable for Margin Trading Facility as well as Rights and Obligations
applicable for the Beneficial Owner & Depository Participants & the tariff sheet, as available on the website on the company. I/We am/are further
aware that a copy of Terms & Conditions governing Stock Broker, Risk Disclosure Document, Policies and Procedures, Do's & Don't's for trading
on the Exchanges and Rights and Obligations applicable for Stock Brokers, Authorized Persons & Clients, Rights and Obligations of Stock
Brokers & Clients for Margin Trading Facility as well as Rights and Obligations applicable for the Beneficial Owner & Depository Participants will be
received by me/us in electronic form on the email ID provided by me / us in the KYC Document.
3. I/we have read and agree to be bound by the Rules, Regulations, bye laws, circulars and guidelines issued by SEBI, Exchanges, Stock Broker,
AMFI, Mutual Funds, Depository and Depository Participant pertaining to my/our trading and demat account, as are in force from time to time.
4. I/we understand that the Stock Broker is relying on this information for the purpose of determining the status of the applicants named above in
compliance with CRS/FATCA. The Stock Broker is not able to offer any tax advice on CRS or FATCA or its impact on the applicants and I/We shall
seek advice from professional tax advisor for any tax questions. Further, I/We agree to submit a new form within 30 days if any information or
certification on this form gets changed. I/We agree, as may be required by Regulatory authorities, Stock Broker shall be required to comply to
report, reportable details to CBDT or close or suspend my/our account.

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 9

5. Under Penalty of perjury, I/We certify that:
I. I/We am/are ( i) Taxable as a US person under the laws of the United States of America(”U.S”) or any state of political subdivision thereof or
therein, including the District of Columbia or any other states of U.S., (ii) and state that the income of which is subject to U.S. federal income tax
regardless of the source thereof.(This clause is applicable only if the account holder/(s) is/are identified as a US person)
ii. I/We am/are an applicant taxable as a tax resident under the laws of country outside India. (This clause is applicable only if the account holder
is a tax resident outside of India)
6. I/We hereby confirm that I/we am/are not a US Person or a resident for tax purpose in any country other than India, though my/our Country of
Birth suggests my/our relation with US or one or more parameters suggest my/our relation with the country outside India. I/we am/are providing
/ already provided copy of my PAN card and now providing a certificate of relinquishment of US citizenship (loss of nationality) OR reasons for
not having such a certificate despite relinquishing US citizenship OR for not obtaining US citizenship at birth (only if born in US)
Please specify reason:
7. I/We confirm having read and understood the guidelines pertaining to BSDA and is eligible to open a depository account as a BSDA holder. I/we
will comply with the said guidelines and that in case my/our Demat Account opened under BSDA facility does not meet the eligibility for BSDA
facility as per guidelines 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 (applicable only if consented for BSDA
facility).
8. I/We also declare that I/we have complied and will continue to comply with FEMA & other applicable regulations.
9. Declaration of Tax Conformity–I/We acknowledge that it is my responsibility to understand and comply with any tax obligations and requirements
and the consequences thereof that may apply to me/us under the laws and regulations of my/our country of residence or any other relevant
jurisdiction, and where appropriate to seek the necessary independent professional advice.
Such obligations and requirements include the obligation to ensure that any account that I/we maintain with the Sharekhan, as well as any assets
(including cash, securities and other assets) deposited with the Sharekhan under my/our name, and any income or proceeds in relation thereto,
are disclosed to the relevant tax or other authorities in my/our country of residence and any other relevant jurisdiction.
In this respect, I/we hereby confirm that I/we understand such obligations and requirements and that I/we am/are compliant in respect thereof.
I/We herewith declare that all assets, including cash and securities, deposited in my account(s) with the Sharekhan and the income or proceeds
thereof, are currently and will continue to be fully disclosed to the relevant tax and any other authorities in my/our country of residence and in any
other jurisdiction as required by the applicable laws and regulations.
I/We understand that should any of the aforementioned statement or undertaking be or become incorrect and should I/we not immediately
correct the situation and prove this to the Sharekhan Ltd, the Sharekhan Ltd may decide to immediately terminate its relationship with me/us.
I/We shall bear any damage resulting there from.
10. I/We hereby declare that I/we had provided Aadhaar Card as proof of Identity and/or proof address to Sharekhan Ltd even-though there were
other documents accepted by Sharekhan and I/we authorize Sharekhan to share the copy and/or details of the Aadhaar card (excluding Aadhaar
Number) as per the Regulatory/Exchange/Depository requirement. (Applicable in case Aadhaar card is provided as proof of address and/or
identity)
11. I/We hereby confirm that Sharekhan may update my/our name in all Exchanges as per the name available in Income Tax records.
12. I/We, opening demat account with Sharekhan, hereby declare that I/we will submit only those inter depository transfer instructions in respect of
Government Securities (G-Sec) which are bonafide and arising out of genuine trade or transfer transaction.
13. I/We hereby confirm that I/We am/are not subject to sanctions nor do I/We form a part of the sanctions lists enforced by the European Union
(“EU”), France (“FR”), the United States (“U.S.”), United Nations Security Council (“UNSC”) or form part of the list of banned organizations,
designated entities/individuals listed under the Unlawful Activities (Prevention) Act, 1967.
14. In case of joint account, on death of any of the joint account holders, the surviving account holder(s) has to inform the Stock Broker/Participant
about the death of account holder(s) with required documents within one year of the date of demise.
15. In case if ‘first holder’ is selected, the communication will be sent as per the preference mentioned at Sr. No. 12 of C. Standing Instructions. In
case ‘All joint account holders’ is opted, communication to first holder will be sent as per the preference mentioned at Sr. No. 12 of C. Standing
Instructions and communication to other holders will be in electronic mode. The default option will be communication to ‘first holder’, if no option
selected.
16. I/We hereby confirm that whenever there will be change of address, I/We will intimate you about the same.
17. I/We, provide consent for the disclosure of information and data relating to me/my accounts with Sharekhan Ltd and its group companies, that
incase of any default, if any, committed by me/us, whereby as per Sharekhan Ltd’s records there is any amount outstanding/due to be paid to
Sharekhan or its group companies then in such circumstance, Sharekhan and or its group companies can lawfully with our full free consent
disclose or share mine/our data including any personal information as Sharekhan may deem appropriate and necessary for recovering dues with
its Vendors, Contractors, Associates, Advocates, Accountants, Regulatory Agencies, RBI, CIBIL & Third Party Agents. And we hereby agree that
Sharekhan is within its rights to use this data by itself or through any authorised representative/service provider or agent etc to recover the
dues.

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 10

 18. I/We, confirm that on expiry of the time period for which Annual maintenance Charges (AMC) are levied by Sharekhan, the liability and obligation
to renew the same and ensure that the reduced charges continue to apply to my account rests with me as the client of Sharekhan. Further
I understand that the trading member reserves the right to extend or discontinue or change in partial/full the Annual Maintenance Charge
(AMC) Scheme without any prior notice to me/us. We understand that the revised AMC shall become applicable from such date as may be
decided by the trading member and communicated by the TM either on its website/ or by sms/email or any other electronic form as per the TM’s
discretion.
I/We, agree that in case of discontinuation in AMC Scheme, default brokerage rate as applicable at relevant time displayed on website of
Sharekhan shall be applicable to my/our account.
19. For receiving Statement of Account in electronic form:
I. Client must ensure the confidentiality of the password of the email account.
II. Client must promptly inform the Participant if the email address has changed.
III. Client may opt to terminate this facility by giving 10 days prior notice. Similarly, Stock Broker/Depository Participant may also terminate this
facility by giving 10 days prior notice.

Name(s) of holder(s)/client Specimen Signature of holder(s)/client

AKASH A KATIGAR
(6)

NA
(2)

NA
(2)
18/07/2023 DHARWARD

FOR OFFICE PURPOSES:

UCC Code allotted to the Client: (As mention on page no. 6 on account opening form)
Documents verified with Originals Client Interviewed By In-Person Verification done by
Name of the Staff /
Authorised Person
Staff Code

Designation of the Staff

Date

Signature

I/ We undertake that we have made the client aware of `Policy and Procedures', tariff sheet and all the non-mandatory documents. I/ We have also
made the client aware of ‘Rights and Obligations' document(s), RDD and terms and conditions and handed over a copy of the same. I/ We undertake
that any change in the ‘Policy and Procedures', tariff sheet and all the non-mandatory documents would be duly intimated to the clients. I/ We also
undertake that any change in the ‘Rights and Obligations’, Terms and Conditions and RDD would be made available on my/ our website, if any, for the
information of the clients.
I hereby confirm that, I have not directed, encouraged or assisted client with respect to strategies to their account as US accounts / Other reportable
account. I have not given any tax advice to client.”
Date:_________________________

Seal/ Stamp of Sharekhan Limited (Name & Signature of the Authorised Signatory)

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 11

Particular Name Code
Franchisee / Branch Name Sharekhan digital onboarding branch 98000
Remisier Name
Referring Employee Name
Name of RM / Executive
Name of Manager NA

Lead Source
Account opening charges : ______________________________
In case of waiver of account opening charges:
Approved by (Name) Designation Signature with Stamp

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 12

NOMINATION ( Depository A/c only Trading A/c only MF A/c only All) * PAN of Nominee Mandatory for Nomination in Trading A/c
I/We wish to make a nomination and do hereby nominate the person, details of whom are provided on nomination form who is/are entitled
to receive securities / funds/ Mutual fund units balances lying in my/our account, in the event of my/our death.
Nomination can be made upto st
Details of 1 Nominee Details of 2nd Nominee Details of 3rd Nominee
three nominees in the account.
1 Name of the nominee(s) (Mr./Ms.)
Equally
2 Share of each Nominee [If not equally,
please specify
percentage]
Any odd lot after division shall be transferred to the first nominee mentioned in the form.
3 Relationship With the Applicant ( If Any)
4 Address of Nominee(s)

City / Place:
State & Country:
PIN Code
5 Mobile/Telephone No. of nominee(s)
6 Email ID of nominee(s)
7 Nominee Identification details –
[Please tick any one of following and provide
details of same]
Photograph & Signature PAN Aadhaar
Saving Bank Account No.
Proof of Identity Demat Account ID
Sr. Nos. 8-14 should be filled only if nominee(s) is a minor:
8 Date of Birth {in case of minor nominees(s)}
9 Name of Guardian (Mr./Ms.) {in case of
minor nominee(s)}
10 Address of Guardian(s)

City / Place:
State & Country:
PIN Code
11 Mobile/Telephone No. of Guardian
12 Email ID of Guardian
13 Relationship of Guardian with nominee
14 Guardian Identification details-
[Please tick any one of following and provide
details of same]
Photograph & Signature PAN Aadhaar
Saving Bank Account No.
Proof of Identity Demat Account ID

Name(s) of holder(s) Signature(s) of holder

Sole / First Holder (Mr./Ms.)

(7)

Second Holder (Mr./Ms.)

(3)

Third Holder (Mr./Ms.)

(3)

Nomination Registration No _________________________ D D ______

Date:_____ M M ________
Y Y Y Y

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 13

 Declaration Form for opting out of nomination
[Annexure B to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601
dated July 23, 2021 on Mandatory Nomination for Eligible Trading and Demat Accounts]

To Date 1D 8D 0
M M7 Y2 Y
0 2Y Y3

Sharekhan Limited
The Ruby, 18th Floor, 29 Senapati Bapat Marg,
Dadar (West), Mumbai – 400 028, Maharashtra, INDIA

UCC/DP ID I N 3 0 0 5 1 3

Client ID (only for Demat account)

Sole/First Holder Name AKASH A KATIGAR

Second Holder Name

Third Holder Name

I / We hereby confirm that I / We do not wish to appoint any nominee(s) in my / our trading / demat account and understand the issues
involved in non-appointment of nominee(s) and further are aware that in case of death of all the account holder(s), my / our legal
heirs would need to submit all the requisite documents / information for claiming of assets held in my / our trading / demat account,
which may also include documents issued by Court or other such competent authority, based on the value of assets held in the trading /
demat account.
Name and Signature of Holder(s)

1._____________________________2._____________________________3._____________________________
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature
Notes:
1. The nomination can be made only by individuals holding beneficiary owner accounts on their own behalf singly or jointly. Non- individuals
including society, trust, body corporate, partnership firm, and Hindu Undivided Family, holder of power of attorney cannot nominate. If the
account is held jointly, all joint holders will sign the nomination form.
2. A minor can be nominated. In that event, the name and address of the Guardian of the minor nominee shall be provided by the beneficial owner.
3. Only individual / natural person(s) can be a nominee(s). The Nominee(s) shall not be artificial person created/dressed by the law or by a fiction
such as trust, society, body corporate, partnership firm, Hindu Undivided Family etc. A non-resident Indian can be a Nominee, subject to the
exchange controls in force, from time to time.
4. Nomination in respect of the beneficiary owner account stands rescinded upon closure of the beneficiary owner account. Similarly, the
nomination in respect of the securities shall stand terminated upon transfer of the securities.
5. Transfer of securities in favour of a Nominee(s) shall be valid discharge by the Exchange/Depository and the Trading Member/Depository
Participant against the legal heir.
6. The cancellation of nomination can be made by individuals only holding beneficiary owner accounts on their own behalf singly or jointly by the
same persons who made the original nomination. Non- individuals including society, trust, body corporate, partnership firm and Hindu
Undivided Family, holder of power of attorney cannot cancel the nomination. If the beneficiary owner account is held jointly, all joint holders will
sign the cancellation form.
7. On cancellation of the nomination, the nomination shall stand rescinded and the depository shall not be under any obligation to transfer the
securities in favour of the Nominee(s).
8. Nomination can be made upto three nominees in a trading or demat account. In case of multiple nominees, the Client must specify the
percentage of share for each nominee that shall total upto hundred percent. In the event of the beneficiary owner not indicating any
percentage of allocation/share for each of the nominees, the default option shall be to settle the claims equally amongst all the nominees.
9. On request of Substitution of existing nominees by the beneficial owner, the earlier nomination shall stand rescinded. Hence, details of
nominees as mentioned in the FORM FOR NOMINATION at the time of substitution will be considered. Therefore, please mention the complete
details of all the nominees.
10. Copy of any proof of identity must be accompanied by original for verification or duly attested by any entity authorized for attesting the
documents, as provided in Annexure D.
11. DP ID and client ID shall be provided where demat details is required to be provided.
12. This nomination shall supersede any prior nomination made by the account holder(s), if any.
13 All communication shall be sent at the address of the Sole/First holder only.
14 Thumb impressions must be attested by witness or a Magistrate or a Notary Public or a Special Executive Magistrate
15 Signatures other than English or Hindi or any of the other language not contained in the 8th Schedule of the Constitution of India must be
attested by a Magistrate or a Notary Public or a Special Executive Magistrate.
16 The nomination and Declaration form may be signed using e-Sign facility or wet signature and in these cases, witness will not be required.
E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 14
 Page with Signature
(Voluntary)

MANDATE FOR MAINTAINING THE ACCOUNT ON RUNNING ACCOUNT BASIS

To,

Sharekhan Limited
The Ruby, 18th Floor, 29 Senapati Bapat Marg,
Dadar (West), Mumbai – 400 028, Maharashtra, INDIA

Dear Sir,
Notwithstanding anything contrary contained in any of the document or correspondence, I / We hereby severally give mandate to you for
maintenance of my/our account with you on running account basis. This mandate shall be applicable to all segments across exchanges maintained
with you including Mutual funds availed through NSE MFSS and / or BSE STAR MF or such other platform.
This mandate is voluntarily given by me / us as it is cumbersome for me / us to settle the accounts with you frequently. This will facilitate me/us in my
transactions through you. I/We also request you to consider the balances in my/our funds, securities, mutual fund units and currency account with
you for the purpose of margins/any other obligations due to you.
In view of the above it would be proper for you to release the funds, mutual fund units and securities due to me/us on my specific request, either
written or oral. You may debit the charges of holding units/securities/commodities to my/our account with you.
I/We hereby agree to settle my/our funds/securities/mutual funds/commodities account on *Monthly/Quarterly basis as per SEBI guidelines.
Further, I/We hereby declare that I/We retain the right to revoke this authorization at anytime.
Yours faithfully,
18/07/2023
Date : __________________________
DHARWARD
Place : _________________________

(8)
Signature of Client
* In case not specified account would be settled in Quarterly basis.

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 15

 TARIFF SHEET FOR DEMAT ACCOUNT Sharekhan Limited - NSDL (IN300513)
“Schedule A"
Scheme Choosen
Client ID:
Scheme A Scheme B Scheme C Scheme D Scheme E Scheme F Scheme
AMC 400 AMC 500 AMC 350 One Time 2999 IPO 100 Plain DP
Transaction type Scheme A (TC100) Scheme B (TC108) Scheme C (TC119) Scheme D (TC117)** Scheme E (TC120) Scheme F (TC101) BSDA
Trading Client Code / Trading Application No. { _____________ }
Deposit Rs. 2999 (refund of deposit
Nil Nil Nil Rs. 2000 on closure) Nil Nil Nil

Account Opening Nil (Stamp paper / KRA charges as applicable)

Nil (Value of holding other
Rs. 400 p.a* Rs.500 p.a Rs. 350 p.a* Nil Rs. 100 p.a* than debt securities upto
(DP Account, (without DDPI (DP Account, (DP Account, (DP Account, Rs. 50,000/Value of debt
Annual Rs.500 p.a securities upto Rs.1,00,000)
Maintenance DDPI & Dig. Contract & Dig. Contract DDPI & Dig. DDPI & Dig. DDPI & Dig. OR
Charges Notes Mandatory) Notes) Contract Notes Contract Notes Contract Notes Rs. 100 p.a. (Value of holding
Mandatory) Mandatory) Mandatory) other than debt securities from
Rs. 50,001 to Rs. 200,000/
Value of debt securities from
Rs.1,00,001 to Rs. 2,00,000)
Sales - Through 0.03% of the value 0.03% of the value 0.03% of the value
Sharekhan Nil Nil Rs. 6 Per transaction Rs. 6 Per transaction of transaction.(Min.Rs.29) of transaction.(Min.Rs.30) of transaction.(Min.Rs.49)
Purchases Nil
Delivery Handling Min Rs.21/- Min Rs.21/- Min Rs.21/-
Charges (DHC)# (on sale only)..Delivery (on sale only)..Delivery (on sale only)..Delivery
Handling Charges (DHC) Handling Charges (DHC) Handling Charges (DHC)
would be levied in case would be levied in case N.A N.A N.A N.A would be levied in case
value of the brokerage value of the brokerage value of the brokerage
levied is less than levied is less than levied is less than
Rs. 21/- per scrip. Rs. 21/- per scrip. Rs. 21/- per scrip.
Sales - Not through 0.03% of the 0.03% of the value 0.03% of the value 0.03% of the value 0.03% of the value 0.03% of the value 0.03% of the value
Sharekhan/ Offmarket value of transact of transaction. of transaction. of transaction. of transaction. of transaction. of transaction.
transfer/IDT on. (Min.Rs.30) (Min.Rs.30) (Min.Rs.30) (Min.Rs.30) (Min.Rs.49) (Min.Rs.30) (Min.Rs.49)
Client Master Rs. 30 per request
changes request Nil Nil Nil Nil Nil Nil
Dematerialisation Rs.5 per certificate (Min. Rs.50 per request) (Min. Rs.100 per request)
Other Charges

Rematerialisation Rs. 50 per certificate or Rs. 50 for every hundred securities (Per request whichever higher)
/Repurchase T
Margin Pledge A : Securities Margin Pledge Rs. 20/- Per Transaction
Creation B : Securities Pledge under Margin Funding Rs. 30/- Per Transaction
Pledge Creation 0.03% of the value of the transaction (Min Rs.100) (Per transaction)
Freeze/De-freeze Rs.25 (Per request)
Stock Lending
& Borrowing 0.02% of the value of the transaction (Min Rs.100) (Per request)
Advance Rs.500 (Advance which will be adjusted Against billing (Optional)
*AMC Free for the first year
**This Scheme is valid for 10 years from the date of execution and then would be converted to TC 100.
# Applicable in Trading account. Refer to trading brokerage structure.
Note: 1. Sharekhan reserves the right to revise the tariff by providing 30 days notice & this will be binding on all. 2. Any service not quoted above will be charged separately. 3.Transaction
statement : Will be sent as per NSDL requirements at no extra cost. Every extra Statement shall be charged at Rs.10. If the number of pages exceeds 10 then every additional page will be
charged at the rate of Rs.3 per page. 4. All charges are exclusive of GST and stamp paper / Stamp Duty 5. In case of non payment of DP charge, Sharekhan may levy interest@18% p.a.
*OPTION FORM FOR ISSUE OF DIS BOOKLET
Option 1 : I/We require you to issue Delivery Instruction Slip (DIS) booklet to me/us immediately on opening my/our NSDL account though I/we have issued a Demat Debit and Pledge Instruction
(DDPI)/executed PMS agreement in favour of/with Sharekhan Ltd (name of the attorney/clearing Member/PMS Manager) for executing delivery instructions for setting stock exchange
trades [settlement related transactions] effected through such Clearing Member/by PMS Manager.
Option 2 : I/We do not require Delivery Instruction Slip (DIS) for the time being, since I/We have issued a DDPI/executed PMS agreement in favour of/with Sharekhan Ltd (name of the
attorney/clearing Member/PMS Manager) for executing delivery instructions for setting stock exchange trades [settlement related transactions] effected through such Clearing
Member/by PMS Manager. However the Delivery instruction Slip (DIS) booklet should be issued to me/us immediately on my/our request at any later date.

E-Sign - NSDL Ind. - Ver. 21.3 (Part-A) 16

E-Sign

Date : 18/07/2023 18:02:42

IP Address : 152.58.232.245

City/Latitude/longitude : Yelandur

Country : India

16
E-Sign - NSDL Ind. - Ver. 21.2 (Part-A)
Lat :

Long: Date Time :

 Date
Date : 18/07/2023 18:00:30

Latitude :
IP Address 152.58.232.245
City
City/Latitude/Longitude
Longitude: : Yelandur
Country : India

Lat :

Long: Date Time :

 OFFLINE EKYC
DIGILOCKER DATA
DATA

Fields captured in AADHAAR

1 Customer Name : Akash A Katigar

2 Gender : M
3 Date of Birth : 27-10-1998
4 Address 1 : S/O ARJUN, GOLLAR ONI WARD N0 7
5 Address 2 :
6 Address 3 :
7 Landmark : Dharwad
8 Pincode : 580007
9 State : Karnataka
10 Country : India
11 Data fetched on : 18-07-2023
12 Masked Aadhaar Number : 1023
Above data is extracted from AADHAAR
digilockerbased
. XML file provided by customer with Passphrase.

Declaration :

I hereby authorizes Sharekhan to accept the AADHAAR based data submitted by me to the UIDAI which
digilocker has been
which duly
has been
downloaded from UIDAI website
digilocker . by me via xml file.

I hereby declare that 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.

Further, 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 the same and that any penalty or action taken against me by any Regulator /
Authority shall be my sole responsibility.
 PAN VERIFICATION RECORD
Permanent Account Number

GEFPK8185H
Name AKASH A KATIGAR
Gender MALE
DOB 27/10/1998
Verified On 18/07/2023 17:56:55

Digitally Signed On:

18/07/2023 17:56:55 IST

Note:

1. This PAN data is verified by DigiLocker (https://digilocker.gov.in) as per data provided

by the issuing authority, Income Tax Department, Govt. of India.
2. This digitally signed verification document is valid as per the IT Act 2000 when used
electronically.

Powered by TCPDF (www.tcpdf.org)