SARAL

     ACCOUNT OPENING FORM FOR RESIDENT INDIVIDUALS TRADING IN CASH SEGMENT                               PHOTOGRAPH

I KYC - Please fill this form in BLOCK LETTERS.                                                          Please affix your
                                                                                                         recent passport size
A. IDENTITY DETAILS
                                                                                                         photograph and
1. Name of the Applicant: ____________________________________________________                           sign across it
2. Father’s/ Spouse Name:_________________________________________________
3. a. Gender: Male/ Female b. Marital status: Single/ Married c. Date of birth:____(dd/mm/yyyy)
4. Nationality:________________
5. a. PAN: ____________________ b. Aadhaar Number, if any: __________________________________
6. Specify the proof of Identity submitted: ______________________________________________
B. ADDRESS DETAILS
1.    Residence/ Correspondence Address: ________________________________________ City/town/village:
      ___________ Pin Code: __________ State: ______________ Country: __________________
2.    Contact Details: Tel. (Off.) _______ Tel. (Res.) ________ Mobile No.: ________Fax: ___ Email id: _______________
3.    Permanent Address (if different from above address): __________________________________________________
      City/town/village:__________ Pin Code: _______ State: _________ Country: _____________
4.    Specify the proof of address submitted for residence/correspondence /permanent address:________________
DECLARATION
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake
to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or
misleading or misrepresenting, I am aware that I may be held liable for it.


__________________              Signature of the Applicant           Date: __________(dd/mm/yyyy)

     Originals verified and Self-Attested Document copies received (………………………………………..)
                                                                     Name & Signature of the Authorised Signatory
Date ………………….                                                            Seal/Stamp of the intermediary
I I OTHER DETAILS:
1. Bank account details:
 Bank Name       Branch address     Bank account no.     Account Type: Saving/Current/          MICR              IFSC code
                                                                                                Number

2. Demat account details:(In case the client does not have DP account, this column may be crossed)
DP name               NSDL/CDSL              Beneficiary name              DP ID                       BO ID

3. Whether DP account is also to be opened with the same intermediary (Yes/No)
4. Trading Preferences: Please sign the relevant boxes where you wish to trade.
    Exchange                          Sign Exchange    Sign         Exchange          Sign
    NSE                                    BSE                      MCX-SX
5. Mode of receiving Contract Note/ Statement of Account: Physical / Electronic (Please indicate your
   preference)............................
6. Standing instructions to receive credits automatically into my BO account (Yes/No)
7. Nomination details (Name, PAN, Address and Phone no. of nominee); relationship with the nominee (If nominee
   is a minor, details of Guardian like name, address, phone no. and signature of Guardian may be obtained)
I have understood the contents of policy and procedures document, tariff sheet, 'Rights and Obligations' document and 'Risk
Disclosure Document'. I do hereby agree to be bound by such provisions as outlined in these documents. I have also been
informed that the standard set of documents has been displayed for information on stock broker's designated website.

__________________              Signature of the Aplicant           Date: __________(dd/mm/yyyy)
                                                       FOR OFFICE USE ONLY

UCC Code allotted to the Client: -------------------

DP name                  NSDL/CDSL               Beneficiary name            DP ID                      BO ID



                                 Documents verified with            Client   Interviewed   In-Person Verification done by
                                 Originals                          By
    Name of the Employee
    Employee Code
    Designation of the
    employee
    Date
    Signature
I / We undertake that I/we have made the client aware of ‘Policy and Procedures’, tariff sheet. I/We have also made the
client aware of ‘Rights and Obligations’ document (s), RDD and Guidance Note. I/We have given/sent him a copy of all the
KYC documents. I/We undertake that any change in the ‘Policy and Procedures’, tariff sheet would be duly intimated to the
clients. I/We also undertake that any change in the ‘Rights and Obligations’ and RDD would be made available on my/our
website, if any, for the information of the clients.

If the client chooses to avail the demat facility from the same stock broker who is also a depository participant, the stock
broker may use the same form and provide the details of the demat account opened for the said client to the client while
providing a copy of the KYC documents.

………………………………………..

Signature of the Authorised Signatory

Date ………………….                                                                   Seal/Stamp of the stock broker

NOTE: This form is applicable for individual investors trading in the cash segment. If such investors wish to trade in
      segments other than cash segment and / or wish to avail facilities such as internet trading, running account, margin
      trading, Power of Attorney etc., they may furnish additional details required as per prescribed regulations to the
      concerned intermediary.