Prefix First Name Middle Name Last Name

Married

IN- Indian

F- Female T-Transgender

Unmarried Others

Others (ISO 3166 Country Code )

Name* (Same as PAN Site)

Maiden Name (If any*)

Father / Spouse Name*

Mother Name*

Mother Maiden Name*

Date of Birth*

Gender*

Marital Status*Citizenship*

Resident Individual

Foreign NationalNon Resident IndianPerson of Indian Origin

Residential Status*

S-Service ( Private Sector Public Sector Government Sector)O-Others ( Professional Self Employed Retired Housewife Student)B-BusinessX- Not Categorised

Occupation Type*

D D M M Y Y Y Y

1. PERSONAL DETAILS

M-Male

PAN* Form 60 furnished

PHOTO

A- Passport Number

B- Voter ID Card

C- Driving Licence

D- NREGA Job Card

Passport Expiry Date

Driving Licence Expiry Date

2. PROOF OF IDENTITY AND ADDRESS* (CORRESPONDENCE / LOCAL ADDRESS)

D Y M M D Y Y Y

D Y M M D Y Y Y

(Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (any one of the following OVDs)

E- National Population Register Letter

F- Proof of Possession of Aadhaar

E- KYC Authentication Offline Verification of Aadhaar

Address

Line 1*

Line 2

Line 3

Pin / Post Code*

District*

ISO 3166 Country Code*U.T Code*

City/Town/Village*

State

Z- Others (any document notified by the central government Identification Number

Nationality* IN- Indian Others (ISO 3166 Country Code )

CHANGE REQUESTNEW

Update KRA/KYC/CKYC Update PAN Update Email/Mobile No.

Update Bank A/C Details Update Demat A/C Details Others:________________________Please specify

PAN

CKYC No.:

I authorize Standard Chartered Securities (India) Ltd to update details in my existing TRADING mentioned belowTrading A/c no._______________

Please fill this form in ENGLISH and in BLOCK LETTERS

3. CURRENT / PERMANENT ADDRESS*

A- Passport Number

B- Voter ID Card

C- Driving Licence

D- NREGA Job Card

Passport Expiry Date

Driving Licence Expiry Date

D Y M M D Y Y Y

D Y M M D Y Y Y

E- National Population Register Letter

F- Proof of Possession of Aadhaar

E- KYC Authentication

Offline Verification of Aadhaar

Same as above mentioned address (in such cases address details as below need not be provided)

Deemed Proof of Address - Document Type code

(Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (any one of the following OVDs)

Z- Others (any document notified by the central government Identification Number

Address Type* Residential / Business Residential Business Registered Office Unspecified

Note: Separate static data change form is required for other joint holders to update their KRA/CKYC updation. This needs to be signed by all holders.

We acknowledge your request dated ___________ for recording change in contact details / change of Address for Trading account number _____________held with us. This will be processed subject to verification.

___________________________________________

Name of the receiving official:______________________________Signature of receiving official:___________________Stamp and ___________________

Date:_____________

Place of Birth*_____________________

Know Your Customer (KYC) details modification/updation application Form l Individual

Acknowledgment Receipt

I/We hereby declare that Mobile no. mentioned above belongs to Mr./Ms. _____________________________________________ having PAN No. ____________________ and

SCSI Trading no. ____________________ (If any). The owner of the mentioned mobile no. is my family* member and relationship with the applicant is ____________________.

I/We hereby declare that Email ID mentioned above belongs to Mr./Ms. _____________________________________________ having PAN No. ____________________ and

SCSI Trading no. ____________________ (If any). The owner of the mentioned email id is my family* member and relationship with the applicant is ____________________.

Mobile 1

4. CONTACT DETAILS (All communications will be sent on provided Mobile no. / Email-ID)

Tel. (Res) Tel. (Off.)

*Mobile No. belongs to Self Family* ____________________________(Specify relation)

Email

*Email ID belongs to Self Family* ____________________________(Specify relation)

Alternate Email

Mobile 2

Address

Line 1*

Line 2

Line 3Pin / Post Code*

District*

ISO 3166 Country Code*U.T Code*

City/Town/Village*

State

5. Gross Annual Income6. Net Worth

Below 1 Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs More than 25 Lacs___________________________________________

S-Service ( Private Sector Public Sector Government Service Business Professional)

O-Others B-BusinessX-Not Categorised

( Professional Self Employed Retired Housewife Student)7. Occupation

8. Nature of Business ___________________________________________

Bank Account Details Old

Bank Account Details New

Bank Name & Address with Pin Code:

Bank Account Number

Account Type: Savings Current

_______________________________________________________________________

MICR Number: IFSC Code:

_______________________________________________________________________

Bank Name & Address with Pin Code:

Bank Account Number

Account Type: Savings Current

_______________________________________________________________________

REL ID

MICR Number: IFSC Code:

_______________________________________________________________________

9.

Old DPID New DPID

Old Client Code New Client Code

12. Demat Account Details: CDSL NSDL

* ‘Family’ for this purpose has been defined as self, spouse, dependent children and dependent parents.

We the undersigned, holding trading account no ______________have/had opted for receipt of contract notes electronically. We furtheropt to receive margin calls, margin statements, collateral statements in electronic form as well as all other communications including but not limited to account statement, trade, order confirmations and any other notices as also prescribed by regulatory authorities from time to time. Please take the following email address/mobile number on your record for sending the contract notes & other communications to us. we agree that you shall be entitled to consider the non-receipt of any delivery failure notifications as delivery of contract note at my above mentioned e-mail address. We undertake to check the contract notes and all other communications and bring the discrepancies to your notice within 24 hours. We agree that you will not be responsible for non receipt of contract notes/other communications sent via electronic delivery due to change in email address/mobile number or for any other reason which inter alia include malfunction of our computer system/server/internet connection etc. We also agree that you shall not take cognizance of out-of-office/out-of-station auto replies. We shall be deemed to have received such electronic contract notes/communications. These details will supersede the earlier e-mail address/mobile numbers provided for the said trading. We hereby declare that the details furnished above are true and correct to the best of our knowledge and belief and 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, we are aware that we may be held liable for it.

1st Authorised Signatory

M M / Y Y Y YD /D Place: _____________________Date:

We advise all our clients to keep their latest static information

updated in all their accounts held with us. In case request is

placed for static information change in Trading Account with

SCSI, it is advisable to get the same information updated

in your Standard Chartered Bank and Demat Account as well.

Note: