zerodha application

9. If Employed

Name of Employer: ______________________________________________________________________________

Office Address: _________________________________________________________________________________

________________________________________________________________________________________________

City: ___________________________________________________Pin Code: _________________________________

State: __________________________________________________Country: __________________________________

Telephone Number: (Res.) ________________________________ Fax No: ___________________________________

10. If Self Employed / Business / Professional/Others

Name of the establishment: ______________________________________________________________________

Office Address: _________________________________________________________________________________

________________________________________________________________________________________________

City: ___________________________________________________Pin Code: _________________________________

State: __________________________________________________Country: __________________________________

Telephone Number: (Res.) ________________________________ Fax No: ___________________________________

11. Bank and Depository Account Details (through which transactions will generally be routed)

Bank Name: ____________________________________________________________________________________

Branch: _________________________________________________________________________________________

Address: ________________________________________________________________________________________

Account No: ____________________________________________________________________________________

Account Type: Savings Current NRI Others(Copy of a canceled Cheque leaf/pass book/bank statement containing name of the constituent should be submitted.) Depository Participant Name: ____________________________________________________________________

Address: ________________________________________________________________________________________

BO Account Number: ____________________________________________________________________________

12. Financial details of the constituent:

Income Range (Per Annum): (Tick where applicable)

Below Rs. 1,00,000/- | Rs. 1,00,000/- To Rs. 5,00,000/- | Rs. 5,00,000/- To Rs. 10,00,000/-

Rs. 10,00,000/- To Rs. 25,00,000/- | Above Rs.25,00,000/-

F3 Signature

2

IL&

FS

Se

cu

riti

es

Se

rvic

es

Lim

ite

d C

lien

t Ackn

ow

ledg

me

nt

Co

py

DPID Stamp:

Reg

d.

Off

.:

IL&

FS

Hou

se,

Plo

tN

o.

14,

Rahe

jaV

ihar,

Chan

div

ili,

And

heri

(E),

Mu

mb

ai

-4

00

072

.

For Branch Use Only

1-Maintenance:

2-Stamp Charges:

3-Others

Total:

Upfront Payment Details:

Break-up of payment:

Dep

ository

pa

rtic

ipan

t

sea

l

an

d

sig

na

ture

Form No.Form No.

_____________ ____________ Branch Stamp HO Stamp

Acceptance date

Accepted by:

Accepted by (Sign):

DSA code:

DSA Auth. Signatory:

Branch Manager/ Authorized official:

For HO use only:

Group/sub group code:___________________________

DPID Stamp:

Amount(Rs.):

Cheque No.

Cheque Dt.

Bank details.

Inward date:

Client Id.:

Kit dispatch date:

Scanning:

IL&FS

House,

Plot

No.

14,

Raheja

Vihar, Chandivili, Andheri (E), Mumbai - 400 072.

Tel . :

2857 0965

Fax

2857

0948 Email

[email protected]

Website

:

www.ilfsdp.com

Te

l:

28

57

09

65

Fax

285

70

94

8E

ma

ililfs

-dp@

issl.co.in

We

bsite

:w

ww

.ilfsdp.c

om

Nam

e

of th

e

sole

/first

hold

er

_

_______

_______________

_______________

________________

________

de

r

_

__

__

__

__

__

__

__

__

__

__

__

Na

me

of s

eco

nd

join

t

ho

l__

__

___

__

__

__

__

__

__

__

___

__

__

__

__

__

__

__

_

Nam

e

of th

ird

join

t hold

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Alo

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ith

che

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No.

__

__

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date

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for

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ou

nt

of

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the

rec

f

the

accou

nin

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app

lic

form

:

We

how

leeip

t

ont

ope

ation

NSDL

Account Opening Form

Ple

as

e p

ay

by

ch

eq

ue

on

ly.

Do

no

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ay

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or

by

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1

2

Form No.

HELP CHECKLIST FOR FILLING THE DP ACCOUNT OPENING FORM

Account opening form Tick here Page 3 Type / Sub type of account ticked Name in the Account Opening Form to be the same as name in the PAN card (all holders) Address for communication to be ticked In case the type of account is “NRI”, overseas address to be mandatory filled Page 4 In case the sole holder is a Minor, guardian details to be mandatory filled Bank details duly filled Page 5 Signature on form to match with Signature on PAN card (all holders) Standing Instruction ticked Account to be operated through POA – option ticked Nature of Business / Financial details duly filled (all holders) Page 6 Photograph PASTED on the form (all holders) General Address to be in full and to match with the proof provided (all holders) Occupation details duly filled (all holders) Date of Birth to match with Date of Birth in PAN card Pan details to be filled (all holders) All blanks struck off Cancellations, if any are authenticated by all the holders Documents to be submitted for opening a Demat Account : Account Opening Form – completed in all respects as mentioned in the checklist * Valid Proof of address (all holders) and permanent address are filled in the Account Opening Form, proof has to be provided for both

– any one document as given in the list. In case both the correspondence

* Valid Proof of Identity (all holders) – any one document as given in the list PAN card copy (all holders) MICR Proof (photocopy of cheque) –should match with the Bank account details provided in the form Rate sheet duly signed DP Client agreement duly executed Agreement for receiving Bill and Transaction Statements by email (optional) POA duly signed and completed

Document type Acceptable asProof of address

Acceptable asProof of Identity

Ration card – should have the holders name in the list of members Voter ID card Passport – should be valid on the date of submission Driving License – should be valid on the date of submission Bank passbook Bank statement carries logo & name of the bank alongwith cancelled copy of cheque. OROriginal bank statement on a computer generated stationery duly attested by the bank officials alongwith name and designation and signed by the client alongwithcancelled original chequeThe bank statement should be of the latest quarter

– Original/Copy of bank statement on the stationery of the bank,

Electricity Bills date of submission

– the bill date should not be more than two months old on the

Telephone Bills submission. This has to be a landline bill only and FWT / Mobile bills not accepted

– the bill date should not be more than two months old on the date of

Registered leave and license agreement –should be valid on the date of submission Registered Agreement for sale Identity card / document with address issued by Professional Bodies such as ICAI, ICWAI, Bar Council to their Members along with proof of membership

Photo credit card / debit card issued by Banks Identity card/document with applicants photo, issued by

a) Central/State Government and its departments. b) Statutory/regulatory authorities. c) Public Sector undertakings. d) Scheduled Commercial banks. e) Public Financial Institutions. f) Colleges affli

till the time the applicant is a student)liated to Universities (this can be treated as valid only

Application

for

Opening a Demat Account for

I/We request you to open a depository account in my/our name as per the following details.

PERSONAL

DETAILS

DATE Client ID

INSTRUCTIONS :

1. Please fill all the details in CAPITAL LETTERS only. 2. Strike off whichever is not applicable. 3. Provide document evidence as per options on page 2

INDIVIDUALS

-

ANNEXURE

J

IN CASE OF NON-RESIDENTS INDIANS :

SOLE/FIRST HOLDER DETAILS

Ordinary Resident HUF

NRI Repatriable

NRI Non-Repatriable Margin

Promoter

Others _____________

TYPE OF ACCOUNTS (Please specify type correctly, change in type not allowed)

(The name mentioned here will be treated as valid & correct. No claims will be entertained later for any disputes arising out names specified wrongly)

Sole / First Holder Second Holder Third Holder Sole / First Holder Second Holder Third Holder

3

F1 S1 T1

FULL NAME (Mr./Ms.)

LOCAL/PERMANENT

ADDRESS

CORRESPONDENCE

ADDRESS

PIN

TELEPHONE NO. (with

STD

code) Fax

Number

SMS

Facility

Yes

NoMOBILE NO.

EMAIL

OCCUPATION

City

: State

:

DATE OF BIRTH

ADDRESS FORLocal/Permanent

Address

Correspondence

Address

MOTHER’S NAME

NAME OF FATHER/HUSBAND

City

: State

:

Foreign

Address

PAN

No.

(Mandatory)

PIN

as per pan card

Provide proof of this address

(options listed on page 2)

Provide proof of this address

(options listed on page 2)

COMMUNICATION

Student

Public

/

Private

Sector

State

Govt.

Central Govt.

Service

NGO{

Statutory

Body

}

Professional

Business

Retired

Others

(Specify)_____________

Housewife

FOREIGN ADDRESS

(Attestation Mandatory in proof)

RBI / AUTH DEALER

REF.

NO. RBI

Approval

Date

Signature(s)

FOREIGN CONTACT

DETAILS

Mobile:Tel(Res): Fax:

Tel . : 2857 0965 Fax 2857 0948

Email [email protected] Website : www.ilfsdp.com

Regd. Off. : IL&FS House, Plot No. 14, Raheja Vihar, Chandivili, Andheri (E), Mumbai - 400 072.

Form No.

4


SECOND HOLDER DETAILS

GUARDIAN DETAILS (In case the Sole Holder is a Minor)

Signature(s)

SOLE/FIRST HOLDERS BANK ACCOUNT DETAILS (attach a cancelled / blank cheque leaf)

(Joint holding not allowed in case any holder is (a) Minor or (b) if it is a HUF account )

THIRD

HOLDER DETAILS (Joint holding not allowed in case any holder is (a) Minor or (b) if it is a HUF account )

F2 S2 T2

ACCOUNT

TYPE

ACCOUNT

NUMBER

(As

per

cheque

leaf)

NAME

OF

BANK

BRANCH

ADDRESS

(Bank’s

Branch)

9-DIGIT

CODE

MICR

NUMBER

OF

THE

BANKAS

APPEARING

ON

M

ICR

CHEQUE

LEAF.

NON - MICR LOCATION

Yes

No

Savings

Current

Cash Credit

Cheque Leaf

Attached

Yes

No

PIN

Others

PIN

PAN

No.

(Mandatory)

Fax Number

No

Yes SMS

Facility

City

:

(with

STD

code)


MOTHER’S

NAME

FULL

NAME

(Mr./Ms.)

TELEPHONE

NO

MOBILE

NO.

OCCUPATION

ADDRESS

EMAIL

State

:

as

per

pan

card

Provide proof of this address(options listed on page 2)

Student

Public

/

Private

Sector

State

Govt.

Central Govt.

Service

NGO{

Statutory

Body

}

Professional

Business

Retired

Others

(Specify)_____________

Housewife

Student

Public

/

Private

Sector

State

Govt.

Central Govt.

Service NGO{

Statutory

Body

} Professional Business Retired Others (Specify)_____________ Housewife

NAME(Mr./Ms.)

RELATIONSHIP

ADDRESS

OF

GUARDIAN

PAN

No.

(Mandatory)

Date

of

Birth

(of

minor)

PIN

Proof Mandatory

as

per

pan

card

Mob:Tel:

PIN

PAN

No.

(Mandatory)

Fax Number

No

Yes SMS

Facility

City

:

(with

STD

code)


MOTHER’S

NAME

FULL

NAME

(Mr./Ms.)

TELEPHONE

NO.

MOBILE

NO.

OCCUPATION

ADDRESS

EMAIL

State

:

as

per

pan

card

Provide proof of this address(options listed on page 2)

Form No.

DECLARAThe rules and regulations of the Depository and Depository Participants pertaining to an account which are in force now have been read by me/us and I/we have understood the same and I/we agree to abide by and to be bound by the rules as are in force from time to time for such accounts. I/We also declare that the particulars given by me/us are true to the best of my/our knowledge as on the date of making such application. I/We further agree that any false/misleading information given by me or suppression of any material fact will render my account liable for termination and further action.

DECLARATIONS RE : PREVENTION OF MONEY LAUNDERING

TIONS

Prevention of Money Laundering Act, 2002 (hereinafter referred to as “Act”) came into effect from July 1,2005 vide Notification No. GSR 436(E) dated July 1,2005 issued by Department of Revenue, Ministry of Finance, Government of India. Further, SEBI vide its circular reference number ISD/CIR/RR/AML/1/06 datedJanuary 18, 2006 mandated that all intermediaries should formulate and implement a proper policy framework as per the guidelines on anti money laundering measures and also to adopt a Know Your Customer (KYC) policy. The intermediaries may, according to their requirements specify additional disclosures to be made by clients for the purposes of identifying, monitoring and reporting incidents of money laundering and suspicious transactions undertaken by clients. SEBI also issued another circular reference no. ISD/CIR/RR/AML/2/06 dated March 20, 2006 advising all intermediaries to take necessary steps to ensure compliance with the requirement of section 12 of the Act, inter-alia, maintenance and preservation of records and reporting of information relating to cash and suspicious transactions to Financial Intelligence Unit-India (FIU-IND), New Delhi.

The investor(s) should ensure that the amount invested in the securities and represented as credit in their demat account is through legitimate sources only and does not involve and is not designated for the purpose of any contravention or evasion of the provisions of the Income Tax Act, Prevention of Money Launder ing Act, Prevention of Corruption Act and/or any other applicable law in force and also any laws enacted by the Government of India from time to time or any rules, regulations, notifications or directions issued thereunder.

To ensure appropriate identification of the customer(s) under its KYC policy and with a view to monitor transactions , ISSL DP reserves the right to seek information, record customer’s telephonic calls and/or obtain and retain documentation for establishing the identity of the customer, proof of residence, source of funds, etc. It may re- verify

Signature(s)


5

STANDING INSTRUCTION

No

No

(default) Yes

Yes

I/We authorize you to receive credits automatically into my/our Demat account.

In case of a NRI account (RBI

Approval)/Authorised Dealer

Approval furnished

Account

to

be

operated

through

Power

of

Attorney

Yes

No

(default)

F4 S4

(Mr./Ms.)

SOLE/FIRST HOLDER (Mr./Ms.)

SIGNATURE(S)(Use Black Ink only)

SECOND HOLDER (Mr./Ms.)

THIRD HOLDER (Mr./Ms.)

GUARDIAN(in case of minor)

NAME (S) OF HOLDER(S)NAME AS IN PAN CARD / PAGE 3.

F3

S3

T3

T4

ADDITIONAL

FINANCIAL

DETAILS (Mandatory)

NATURE

OF

BUSINESS

THIRD

HOLDER

Financial

Status

(Annual

Income)

SECOND

HOLDERFinancial

Status(Annual

Income)

FIRST

HOLDER Financial

Status(Annual

Income)

Up

to

Rs.1

Lakh

Rs.1

-

2

Lakh

Rs.

2

-

3

Lakh

Rs.

3

to

5

Lakh

Rs.5

–

10

Lakh

Rs.10

–

15

Lakh

>Rs.15

Lakh

Income

Range

per

annum:

Up

to

Rs.1

Lakh

Rs.1

-

2

Lakh

Rs.

2

-

3

Lakh

Rs.

3

to

5

Lakh

Rs.5

–

10

Lakh

Rs.10

–

15

Lakh

>Rs.15

Lakh

Income

Range

per

annum:

Up

to

Rs.1

Lakh

Rs.1

-

2

Lakh

Rs.

2

-

3

Lakh

Rs.

3

to

5

Lakh

Rs.5

–

10

Lakh

Rs.10

–

15

Lakh

>Rs.15

Lakh

Income

Range

per

annum:

NATURE

OF

BUSINESS

NATURE

OF

BUSINESS

Form No.

6

Signature(s)

Sole / First Holder Second Holder Third Holder

F7 S7 T7

Illustration

PHOTOGRAPHS OF ALL

HOLDERS

Please

paste

recent

passport

size

&

Sign

across

as illustrated

Do

not

Staple

photograph

SIGN

ACROSS

O

THE PHTO

Please

paste

recent

passport

size

photograph

&

Sign

across

as illustrated

Do

not

Staple

SIGN

ACROSS

THE

PHOTO

Please

paste

recent

&

Sign

across

Do

not

Staple

passport

size

photograph

as

illustrated

S GN

ACROS

I

S

THE

PHOTO

T5F5 S5

(Sign as per illustration provided)

IN-PERSON

VERIFICATION

SIGNATURE OF THE APPLICANT(S) SIGNED IN THE PRESENCE OF THE DP STAFF

INSTRUCTION: Verify the photo with person; verify the originals of PAN card, other ID proofs and Address proof. Stamp the photocopies with Rubber stamps provided; sign & date


SIGNATURE(S)

SECOND HOLDER(Mr./Ms.)


GUARDIAN (in case of minor)(Mr./Ms.)

NAME(S) OF HOLDER(S)

T6

S6

F6

NAME/DETAILS OF BRANCH/SERVICE CENTRE

NAME OF THE DP STAFF

SIGNATURE OF THE DP STAFF

DATE WHEN ‘INPERSON’

VERIFICATION WAS CARRIED OUT

& EMPLOYEE CODE

PLACE WHERE ‘INPERSON’

VERIFICATION WAS CARRIED OUT

Sole/First Holder Second Holder Third Holder

Form No.

7

I/We

wish

to

make

a

nomination

and

do

hereby

nominate

the

following

person in whom all rights of transfer and/or amount payable in respect ofsecurities

held

in

the

Depository

by

me/us

in

the

said

beneficiary

owner

account bearing application no.as mentioned above shall vest in the event of

my/our death.

Where a nomination is made please ensure that the following are present

O Photograph of the nominee, signed as illustrated on page 6

O Signature of the Nominee, Nominee PAN

O Signatures of two witnesses.

Guardian’s Photo

SIGN

SACRO

S

PTHE

HOTO

Please paste recent

passport size

photograph &

Sign across the

photo as illustrated

in page 6

Nominees Photo

I

S

S GN ACROS

ETH

PHOTO

(To be Signed by the applicant

only in case of nomination)

(Don't Staple) (Only if Nominee is a minor)

passport size

photograph &

Sign across the

photo as illustrated

in page 6

Please paste recent

DETAILS OF NOMINEE

NAME OF NOMINEE (Mr./Ms.)(Cannot be

one

of the

holders)

ADDRESS

PIN PAN No.

RELATIONSHIP

WITH

THE

APPLICANT

(if

any)

GUARDIAN ‘S NAME (Mr./Ms.)(in case Nominee is a minor)

ADDRESS

OF

GUARDIAN

SIGNATURE

OF

GUARDIAN

PAN No.

Date

of

Birth

PIN

RELATIONSHIP

WITH

THE

APPLICANT

(if

any)


SIGNATURE(S)(Use Black Ink only)

SECOND HOLDER (Mr./Ms.)


NAME (S) OF HOLDER(S)NAME AS IN PAN CARD / PAGE 3.

F8

S8

T8

DETAILS OF CLIENTS

WITNESSES TO NOMINATION (MANDATORY)

SR.

NO. SIGNATURE DATE

1.

2.

NAME & COMPLETE

ADDRESS

(address is mandatory)

FORM FOR NOMINATION ANNEXURE JA

IF NOMINEE IS MINOR

Form No.

AGREEMENT WITH THE DEPOSITORY PARTICIPANT

bet ween

Sole

/F

irst

Ho

lde

rS

eco

nd

Hold

er

Thir

dH

old

er

F9

S9

T9

9

IL&FS

house,

Plot

No.

14,

Raheja

Vihar,

Chandivili, Andheri

(E),

Mumbai

-

400 072.(hereinafter

called

“client“)

and

IL&FS

Securit ies

Servic es

Limited

situated

at

(“hereinafter

called

“the

Depository

Participant“)WITNESSETH

whether the balances in its account be transferred to the account of the Client held withanother Participant or be rematerialised, in the manner specified in the Bye Laws and

9. The Client further agrees that in the event of the Client committing a default in thepayment of any of the amounts provided in clause (1) within a period of thirty days fromthe date of demand, without prejudice to the right of the Depository Participant to closethe account of the Client, the Depository Participant may charge interest @ not morethan 24% p.a. or such other rate as may be specified by the Executive Committee fromtime to time for the period of such default. In case the Client has failed to make thepayment of any of the amounts as provided in clause ( 1 ) of this agreement, theDepository Participant shall have the right to discontinue the Depository services tillsuch time he makes the payment along with interest, if any, after giving two days notice

10. The Depository Participant shall have a right to provide such information related to theClient’s account as may be requested by the National Securities Depository Ltd. from

11. The Client shall have the right to create a pledge of the securities held in thedematerialised form

with the Depository Participant only in accordance

with theprocedure and subject to the restriction laid down under the Bye Laws and Business

12. The Depository shall not be liable to the Client in any manner towards losses, liabilitiesand expenses arising from the claims of third parties and from taxes and other

13. The Client may exercise the right to freeze his account maintained with the DepositoryParticipant so as to lock the securities held with the Depository Participant in

14. The Client may exercise the right to defreeze his account maintained with theDepository Participant in accordance with the procedure and subject to the restrictions

15. The Client shall notify the Depository Participant, within seven days, of any change inthe details set out in the application form submitted to the Depository Participant at thetime of opening the account or furnished to the Depository Participant from time to time

16. The Depository Participant undertakes to resolve all legitimate grievances of the Client

WHEREAS the Client has furnished to the Depository Participant the duly filled inapplication form requesting therein to open an account with the Depository Participant

NOW THEREFORE in consideration of the Depository Participant having agreed to openaccount for the Client, both the parties to the agreement hereby convenant and agreeas follows:-

1. The Client shall pay such charges to the Depository Participant for the purpose ofopening and maintaining his account, for carrying out the instructions of the Client andfor rendering such other services as may be agreed to from time to time between theDepository Participant and the Client as set out in Schedule A. The DepositoryParticipant shall reserve the right to revise the charges by giving not less than thirtydays notice in writing to the client.

2. The Client shall have the right to get securities which have been admitted on theDepository dematerialized in the form and manner laid down under the Bye Laws andBusiness Rules. The Depository Participant further undertakes that it shall not create orpermit to subsist any mortgage, charges or other encumbrances over all or any of suchsecurities submitted for dematerialisation except on the instructions of the Client

3. The Depository Participant hereby undertakes that it shall maintain a separate accountof its own securities held in dematerialized form with the Depository and shall not co-mmingle the same with the securities held in dematerialized form on behalf of the Client

4. The Depository Participant undertakes that a transfer to and from the accounts of theClient shall be made only on the basis of an order, instruction, direction or mandate dulyauthorised by the Client and that the Depository Participant shall maintain adequateaudit trail of such authorization.

5. The Depository Participant agrees that the Client may give standing instructions withregard to the crediting of securities in his account and the Depository Participant shallact according to such instructions.

6. The Depository Participant undertakes to provide a transaction statement includingstatement of accounts , if any, to the Client at monthly intervals unless the DepositoryParticipant and the Client have agreed for provision of such statements at shorterintervals. However, if there is no transaction in the account, then the DepositoryParticipant shall provide such statement to the Client atleast once a quarter.

7. The Depository Participant shall have the right to terminate this agreement, for anyreasons whatsoever, provided the Depository Participant has given a notice in writingof not less than thirty days to the Client as well as to the Depository. Similarly, the Clientshall have the right to terminate this agreement and close his account held with theDepository Participant, provided no charges are payable by him to the DepositoryParticipant. In such an event, the Client shall specify whether the balances in itsaccount should be transferred to another account of the Client held with anotherDepository Participant or to rematerialise the security balances held. Based on theinstructions of the Client, the Depository Participant shall initiate the procedure fortransferring such security balances or rematerialise such security balances within aperiod of thirty days, as per the procedure laid down in the Bye Laws and BusinessRules. Provided further, termination of this agreement shall not affect the rights,liabilities and obligations of either party and shall continue to bind the parties to theirsatisfactory completion.

8. On the failure of the Client to pay the charges as laid out in clause (1) of this agreementwithin a period of thirty days from the date of demand Depository Participant shallterminate this agreement and close the account of the Client by requiring it to specify

Business Rules.

to the Client.

time to time

Rules.

governmental charges in respect of securities credited to the Client’s account.

accordance with the procedures prescribed in the Bye Laws and Business Rules.

laid down under the Bye Laws and Business Rules.

17. The Depository Participant and the Client shall abide by the arbitration and conciliationprocedure prescribed under the Bye Laws of National Securities Depository Ltd. andthat such procedure shall be applicable to any disputes between the Depository

18. The Depository Participant and the Client further agree that all claims, differences anddisputes, arising out of or in relation to dealings on the Depository including anytransaction made subject to the Bye Laws or Business Rules of the Depository or withreference to anything incidental thereto or in pursuance thereof or relating to theirvalidity, construction, interpretation, fulfillment or the rights, obligations and liabilities ofthe parties thereto including any question of whether such dealings, transactions havebeen entered into or not, shall be subject to the exclusive jurisdiction of the courts at

Participant and the Client

Mumbai only

AGREEMENT BETWEEN THE DEPOSITORY PARTICIPANT AND THE PERSON SEEKING TO OPEN AN ACCOUNT WITH THE DEPOSITORY PARTICIPANT

(APPLICANT)

Thi s Agreem ent made and ent ered into this _______ _______ _______ ____day of_______ _______ _______ _(mont h)_______ _______ (year )

residing

at

IL&FS Securities Services Limited

Signature:

Name:

(Authorised

Signatory)

On

Behalf

of

Applicant Witness

Signature(1st

Holder):

Name:

Signature(2nd

Holder):

Name:

Signature(3rd Holder):

Name:

Signed and delivered for & on behalf of client

IN WITNESS WHEREOF the Client and the Depository Participant has caused these presents to be executed as of the day and year first above written.

Signature:

Name:

Address:

Witness

Signature:

Name:

Address:

F10

S10

T10

Form No.

against the Depository Participant within a period of thirty days.

Date :

The ManagerIL&FS Securities Services LimitedIL&FS House, Plot No.14Raheja Vihar, ChandivaliAndheri (East)Mumbai 400 072

Re : Demat Account no. / Form No.___________________________DPID : IN300095 / IN302871

I/We refer to the DP-Client Agreement (“the Agreement”) entered into between me/us and IL&FS Securities Services Limited (ISSL) for opening the abovementioned Demat Account.

I/We are aware that the DP, in terms of the NSDL Circular, agreed to provide monthly/quarterly Bills and Transaction Statements and other notices by email or on website on the terms and conditions annexed hereto(overleaf).

I/We intend to avail the facility of receiving monthly / quarterly Bills and Transaction statements and other intimations / notices by email or on website for the captioned demat account on the terms and conditions annexed hereto. I / We request you to register the following email ID(s) for the same :

_________________________________________________________________

All other terms and conditions of the Agreement remain the same. This letter shall form part and parcel of the Agreement

________________ ________________ _________________ First Holder Second Holder Third HolderF13 S13 T13

12

Form No.

13

Terms & Conditions for receiving Bills, Transaction Statements and other intimations / notices by email or on website

1. The client agrees not to receive Bills and Transaction statements and any other intimations / notices in paper form from the DP. Provided however that, in case when the DP is not able to provide such Bills and Transaction statements and intimations / notices to its clients through website / email due to any unforeseen problems, the DP should ensure that the same reaches me/us in physical form to the address as registered in the captioned demat account

2. The client shall take all the necessary steps to ensure confidentiality and secrecy of the login name and password of the internet/email account

3. The client is aware that the Bills and Transaction statement and any other intimation / notices may be accessed by other entities in case the confidentiality / secrecy of the login name and password is compromised

4. The client shall immediately inform the DP about change in email address, if any,

5. The client shall confirm the validity of the email address atleast once in a year

6. The client and the DP shall have the right to terminate this agreement after giving a notice of at least 10 days in advance to the other party

F14

S14

T14

Signed and delivered by

First Holder

Second Holder

Third Holder

Client Id:

Client email id/web-based id:

Signed and delivered by _____________________________________(For and on behalf of Participant) Authorised Signatory

Name: IL&FS Securities Services Limited

Address: IL&FS House, Plot No.14, Raheja Vihar, ChandivaliAndheri East, Mumbai 400 072

Form No.