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Page 3: ACCOUNT OPENING KITcognizcapital.com/wp-content/uploads/2018/02/Application-Form-AB… · the demat account / beneficiary account to the margin / settlement accounts of stock broker

Y Y

Are you an employee of ABG Related to Employee of ABG Ex-Employee of ABG

Business relationship with ABG

Name of Company : Designation:

No. of years of Association:

Introducer Details - Optional

Sub-Broker Remisier Authorized Person Existing Client Employee

Name of the Introducer

Status of the Introducer

Address of the Introducer

Phone No. of the Introducer

Surname Name Middle Name

Others (Please specify)

Signature of Introducer

Affiliation / Employment with Aditya Birla Group

Annexure - 1 ACCOUNT OPENING KIT

1.

2.

3.

5.

4.

INDEX

Page No.

1-7

8-9

10

11-12

13-14

S.No. Name of the Document Brief Significance of the Document

Account Opening FormA. K YC form - Document captures basic information about the

Client

B. Document captures additional information about the Client

Document detailing tariff, brokerage, interest and other charges levied to Client for trading and demat services.

Document authorizing Stock Broker to maintain running account, to send documents through E-Mail, to send SMS, as well as debit DP charges to trading a/c.

Document assessing the suitability of client

Document authorising the Stock Broker to transfer securities from the demat account / beneficiary account to the margin / settlement accounts of stock broker and to perform other services

Tariff sheet

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

Voluntary AuthorizationLetter

Power of Attorney

VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER

Suitability AssessmentQuestionnaire

To be mandatorily filled by Branches / Sub Brokers / Authorised Persons

Name of the Branch / SB / AP

Branch / SB / AP Code

Introducer Details:

TWS Terminal ID

Branch Franchisee - SB/AP DSA / CP

ABMML OthersEmployee Code

Trading & Demat Only Trading Only DematAccount Type :

Offline Online

Normal Empower TraderMargin (above Rs. 50,000) Corporate Others

Verified by - Account Opening Department :Name : Signature :

DSA / CP Code

Scheme (Please Tick)

Introducer (Please Tick)

Account Mode (Please Tick)

VERSION 15.0 / 03-2017

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CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual

Aditya Birla Money LimitedRegistered Office Address : Indian Rayon Compound, Veraval, Gujarat - 362 266. Application No. :

For office use only

(To be filled by financial institution) KYC Number

Account Type* Normal Simplified (for low risk customers)

(Mandatory for KYC update request)

Small

Application Type* New Update

Name* (Same of ID proof)Maiden Name (If any*)Father / Spouse Name*Mother Name*

Date of Birth*

Marital Status*

Gender*

Citizenship*

Residential Status*

Occupation Type*

1. PERSONAL DETAILS (Please refer instruction A at the end)

2. TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instruction B at the end)

ADDITIONAL DETAILS REQUIRED* (Mandatory only if section 2 is ticked)ISO 3166 Country Code of Jurisdiction of Residence*Tax Identification Number or equivalent (If issued by jurisdiction)*Place / City of Birth* ISO 3166 Country Code of Birth*

Married

M-Male F-Female T-Transgender

IN-Indian Others (ISO 3166 Country Code )

Resident IndividualForeign National

S-Service ( Private Sector

Person of Indian Origin

Public Sector

B-Business X - Not CategorisedSelf Employed Retired Housewife Student)O-Others ( Professional

Government Sector )

Non Resident Individual

Unmarried Others

Signature / �umbImpression

PHOTO

Prefix First Name Middle Name Last Name

D D M M Y Y Y Y- -

4. PROOF OF ADDRESS (PoA)*

4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction D at the end)

Address Type*(Certified copy of any one of the following Proof of Address [PoA] needs to be submitted)

Proof of Address*

Address

Line 1*Line 2Line 3 City / Town / Village*District* ISO 3166 Country Code*Pin / Post Code* State / U.T Code*

Residential / BusinessPassportOthers Simplified Measures Account - Document Type code

Driving Licence Voter Identity CardResidential

UID (Aadhaar)Business Registered Office

NREGA Job CardUnspecified

3. PROOF OF IDENTITY (Pol)* (Please refer instruction C at the end)

A - Passport Number

(Certified copy of any one of the following Proof of Identity [Pol] needs to be submitted)

B - Voter ID card

D - Driving LicenceE - UID (Aadhaar)

S - Simplified Measures Account - Document Type codeZ - Others (any document notified by the central government)

Passport Expiry Date

Driving Licence Expiry Date

Identification NumberIdentification Number

F - NREGA Job CardD D M M Y Y Y Y- -

D D M M Y Y Y Y- -C - PAN Card

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(Self-Attested) Self Certified Document copies received(Originals verified) True copies of documents received

UCC Code allotted to the Client

IPV Done on D D M M Y Y Y Y

Documents verified with Original / ClientInterviewed / IPV ByName of the Employee / SB / APEmployee / SB / AP CodeDesignation of the Employee / SB / AP Signature / Seal

D D M M Y Y Y Y- -

D D M M Y Y Y Y- -

8. APPLICANT DECLARATIONI hereby declare that the details furnished above are true and correct to the best of my knowledge and beliefand I undertake to inform you of any changes therein, immediately. In case any of the above informationis found to be false or untrue or misleading or misrepresenting. I am aware that I may be held liable for it.I hereby consent to receiving information from Central KYC Registry through SMS/Email on the aboveregistered number/email address.

l

l

Date : Place :

9. ATTESTATION / FOR OFFICE USE ONLYDocuments Received

DateEmp. NameEmp. CodeEmp. DesignationEmp. BranchInstitution Code

KYC VERIFICATION CARRIED OUT BY HO

[Employee Signature]

Certified Copies

Signature / Thumb Impression of Applicant

ISO 3166 Country Code*

Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details

Line 1*Line 2Line 3State *

City / Town / Village*ISO 3166 Country Code*ZIP / Post Code*

4.3. ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES* (Applicable if section 2 is ticked)

4.2. CORRESPONDENCE / LOCAL ADDRESS DETAILS *Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill 'Annexure A1, available in our website "www.adityabirlamoney.com")

(Please see instruction E at the end)

Line 1*Line 2Line 3District*

City / Town / Village*Pin / Post Code* State / U.T Code*

Fax

5. CONTACT DETAILS (All communications will be sent on provided Mobile no./ Email Id) (Please refer instruction F at the end)

Tel. (Off)Tel. (Off)Mobile

Email ID

Tel. (Res)

(If KYC number and name are provided, below details of section 6 are optional)

Related Person Type*

Name*

Addition of Related Person Deletion of Related PersonGuardian of Minor Assignee Authorized Representative

KYC Number of Related Person (if available*)

6. DETAILS OF RELATED PERSON* (In case of additional related persons, please fill 'Annexure B1, available in our website "www.adityabirlamoney.com") (Please refer instruction G at the end)

Prefix First Name Middle Name Last Name

7. REMARKS (If any)

PROOF OF IDENTITY [PoI] OF RELATED PERSON* (Please see instruction (H) at the end)

A - Passport NumberB - Voter ID card

D - Driving LicenceE - UID (Aadhaar)

S - Simplified Measures Account - Document Type codeZ - Others (any document notified by the central government)

Passport Expiry Date

Driving Licence Expiry Date

Identification NumberIdentification Number

F - NREGA Job CardD D M M Y Y Y Y- -

D D M M Y Y Y Y- -C - PAN Card

I N 0 1 1 3For Aditya Birla Money Limited

Authorised Signatory (Round Seal/Date)

(For HO Use)

1

2

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3. Bank Details (Through which transactions would be routed. Details & proof of bank account(s) is required)

Account Type Savings Current Others (Please specify )

Bank Account No.

Bank Name

Bank Address

MICR Number IFSC Code

State

Please provide additional bank account details (if any) as annexures with proofs.

PincodeCityCountry India

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

1. Trading Preferences (Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client)

2. Other Details

NoneRelated to a Politically Exposed PersonPolitically Exposed Person

> 25 Lacs10 - 25 Lacs5 - 10 Lacs1 - 5 LacsBelow Rs. 1 Lac

NA10 years and above7-10 years3-7 years1-3 years

d. Source of Income Primary Income :

Secondary Income :

Salary

Rental

Interest on Investments

Business

Dividend

PensionSalary of Dependents

Others ( Please Specify)

EngineerDoctorFinanceProfessional

RetiredAgriculturistHousewifeStudent

BusinessGovernment Services Private SectorPublic Sectorc. Occupation(Please tick any one)

Leased propertyRented house

a. Educational qualification Under Graduate or less

D D M M Y Y Y Y

b. Residing in

e. Total Work Experience

f. Gross Annual IncomeDetails (please specify)

g. Please tick(Whichever is applicable)

(Net worth should not be older than 1 year)

Own House

Graduate Post Graduate

Income Rangeper annum

Net-worth as on(date)

Name of Exchange

Cash&

Mutual Funds

Currency

Name of Segment Signature

NSE

BSE

F&O

NSE

BSE

NSE

BSE

2

3

5

4

6

7Income Proof to be submitted as per

guidelines in Rights & Obligations

Income Proof to be submitted as per

guidelines in Rights & Obligations

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RISK CATEGORY :

HIGH MEDIUM LOW

FOR OFFICEUSE ONLY

4. INFORMATION PROVIDED BY THE CLIENT IN RELATION TO THE PREVENTION OF MONEY LAUNDERING ACT, 2002

Income / net worth / occupation / PEP details provided herein above may be considered under SEBI PMLA requirements.

I undertake to update my financial position as required by SEBI.

I confirm that I will immediately inform ABML in case am convicted or any action is taken against me by any government / judicial authority.

I intend to invest in the stock market with: Own Funds Borrowed Funds

In case of borrowed funds, please specify the sources of funds:

I hereby declare that I am beneficial owner of the Trading/Demat Account opened with ABML

6. Depository Account Details

Depository Participant Name : ADITYA BIRLA MONEY LIMITED Depository Name : CDSL

Beneficiary ID (BO ID)DP ID 1 2 0 3 7 6 0 0

7. Past Actions

Details of any actions/proceedings initiated/pending/taken by SEBI / Stock exchange/any other authority against the applicant/constituent or its partners/promoters/whole time directors/authorized persons in charge of dealing in securities during the last 3 years.

Yes No If yes, provide details:

5. Foreign Account Tax Compliance Act (FATCA) - Self Declaration

In order to comply with FATCA and Common Reporting Standards (CRS) norms, we request you to kindly provide the following details:

a. Are you person with US Indicia: Yes No

b. Please specify your country of Birth

c. Place of Birth: (Place of Birth is not required if country of birth is India)

d. Are you a US Person: Yes No

e. Are you taxable in any other country: Yes No

8. Dealings through Sub-Brokers and Other Stock Brokers

If client is dealing through the Sub-Broker, provide the following details:

Whether dealing with any other stock brokers/sub-brokers (in case dealing with multiple Stock Brokers/Sub-Brokers,provide details of all)

Sub-Broker’s Name :

Name of Stock Broker Name of Sub-Broker, if any

SEBI Registration number :

Registered Office Address :

Client Code Exchange

Phone :

Details of disputes/dues pending from/to such Stock Broker/Sub-Broker :

Fax : Website :

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10. TYPE OF ACCOUNT (Please tick whichever is applicable)

Individual Individual Resident Individual - DirectorIndividual Director’s Relative Individual HUF / AOPIndividual Promoter Others (Please specify)Individual Margin Trading A/c (Mantra)

Status Sub Status

8. Whether you wish to avail of the facility of Internet Trading/Wireless Technology (please specify) :

9. Investment/Trading experience :

1. Account to be operated through Power of Attorney (PoA)

2. I / We instruct the DP to receive each and every credit in my / our account (If not marked, the default option would be Yes’)

3. SMS Alert Facility Refer to Terms & Conditions

given as Annexure in Rights & Obligations Booklet.

4. Account Statement Requirement

5. Whether you wish to receive physical contract note / Electronic Contract Note (ECN) / Electronic Transaction and Holding Statement

(If ECN & ESOTH is opted, "Authorization for sending documents through E-Mail" shall be executed)

9. Standing Instruction

6. I/We wish to receive dividend / interest directly in to my/our bank account as given above through ECS (If not marked, the default option would be ‘Yes) [ECS is mandatory for locations notified by SEBI from time to time]

7. To register for easi, please visit CDSL website www.cdslindia.com (Easi allows a BO to view ISIN balances, transactions and value

of the portfolio through Internet.)

Mobile No. +91Mandatory, if you are giving power of Attorney (POA)If POA is not granted & you do not wish to avail of this facility, cancel this option.

Yes No(Automatic Credit)

Yes No

Yes No

Yes No

Yes No

As per SEBI Regulation

MonthlyFortnightlyWeeklyDaily

Electronic Contract Note (ECN)

Physical Contract Note (Charges applicable)

Electronic Transaction-cum-HoldingStatement (ESOTH)

11. I / We would like to share the email ID with the RTA12. I / We would like to receive the Annual Report of companies held by me/us. (Tick the appropriate box. If not marked the default option

would be in Physical)

Yes No

Both Physical and ElectronicPhysical Electronic

Physical Electronic

10. I / We would like to instruct the DP to accept all the pledge instructions in my / our account without any other further instruction from my / our end (if not marked, the default option would be 'No')

Yes No

Y Y

13. I / We have issued a Power of Attorney (POA) in favour of Aditya Birla Money Limited for Executing delivery instructions for settling stock exchange trades effected through clearing member, margin obligations etc.

Option 1: I / We require you to issue Delivery Instruction Slip Booklet to me / us though we have issued POA. Option 2 : I / We do not require the Delivery Instruction Slip for the time being.

Yes No

14. I / We wish to receive the following documents a. Rights & Obligations b. Rights and Obligations of the Beneficial Owner and

Depository Participant c. Risk Disclosure Document d. Guidance Note e. Policies & Procedures f. Additional (Voluntary) Rights & Obligations g. Terms and Conditions-cum-Registration / Modification Form

for receiving SMS Alerts from CDSL Definitions.

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11. Nomination Option

Name of Nominee Mr./Ms.

Date of Birth (mandatory If nominee is a minor)

Relationship withApplicant (if any)

PAN/UID of the Nominee

Tel. (Off.) Tel. (Res.)

E-Mail Id.Mobile Fax

City / Town / VillageCountry

Pin CodeState

Address of Nominee

Contact Details of Nominee

Address of Guardian

Contact Details of GuardianTel. (Off.) Tel. (Res.)

E-Mail Id.Mobile Fax

City / Town / VillageCountry

Pin CodeState

To be filled-up only if nominee is a minorAs the nominee is a minor as on date, to receive the securities in this account on behalf of the nominee in the event of the death of the Sole holder / all Joint holders, I/We appoint following person to act as Guardian:

Name of Guardian(in case of minor nominee)

I/We do not wish to make a nomination.

I/We nominate the following person who is entitled to receive amounts / security balance lying in my/our trading & demat accounts, whose particulars where of are given below, in the event of my / our death.

D D M M Y Y Y Y

This nomination shall supersede any prior nomination made by me / us and also any testamentary document executed by me / us.

Relationship of Guardian with Nominee

NSignature of Nominee

Two witness shall attest signature(s) / thumb impression(s)

1) Name

Address

Signature W1

Date D D M M Y Y Y Y

GSignature of Guardian

2) Name

Address

Signature W2

Nomination Registration No:

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DECLARATION CUM ACKNOWLEDGEMENT

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

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

3. I/We have been informed that the standard set of documents has been displayed for information on Stock Broker’s designated website www.adityabirlamoney.com and any change in the Rights and Obligations and RDD would be made available on Stock Broker’s designated website www.adityabirlamoney.com. I/We have been also informed that any change in the ‘Policy and Procedures’, ‘tariff sheet’ and all the non mandatory documents would be duly intimated to me/ us and also displayed for information on the Stock Broker’s designated website www.adityabirlamoney.com

I/We further confirm having read and understood the contents of the ‘Rights and Obligations’ document(s), Rights and Obligations of the Beneficial Owner and Depository Participant, ‘Risk Disclosure Document’ (RDD), ‘Guidance Note’, ‘Policies & Procedures’, Tariff Sheet, Additional (Voluntary) Rights & Obligations and all other non-mandatory documents. I/We do hereby agree to be bound by such provisions as outlined in these documents.

4. I/We further confirm to receive the following documents at my/our registered provided in the KYC:e-mail id

a. Rights & Obligationsb. Rights and Obligations of the Beneficial Owner and Depository Participant .c. Risk Disclosure Documentd. Guidance Notee. Policies and Proceduresf. Additional (Voluntary) Rights & Obligationsg. Terms And Conditions-cum-Registration / Modification Form for receiving SMS Alerts from CDSL Definitions.

5. I / We have read the Rights and Obligations document (Annexure 2.7) and terms & conditions (Annexure 2.4) and agree to abide by and be bound by the same and by the Bye Laws as are in force from time to time. I / We declare that the particulars given by me/us above are true and to the best of my/our knowledge as on the date of making this application. I/We agree and undertake to intimate the DP any change(s) in the details / Particulars mentioned by me / us in this form. I/We further agree that any false / misleading information given by me / us or suppression of any material information will render my account liable for termination and suitable action.

6. I/We hereby declare that the details furnished under FATCA are true and correct to the best of my/our knowledge and belief. In case of any change in the given status on a future date, I/We undertake to inform ABML the same within 30 days. I/We agree that as may be required by domestic regulators/tax authorities, ABML may also be required to report, reportable details to CBDT/regulatory authority and comply with its direction.

SignatureName

Sole First Holder / Guardian (in case of Minor)

2nd Holder

3rd Holder

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Please refer T&C

TARIFF DETAILS

Committed Brokerage Revenue per month / segment (Mandatory to be filled in case if there is any concession of brokerage is extended)Committed Brokerage / Volume (in Rs.) Segments

Equity / Equity Derivatives / Currency Derivatives

DEMAT ACCOUNT TARIFF

(Third Holder)(Second Holder)9 (Sole / First Holder)

Service Tax and other statutory levies (like STT &Transaction charges) as prescribed by Government and Regulatory authorities from time to time, would be applicable in addition to above charges. I agree to the above Tariff structure and Terms and Conditions printed on the overleaf.

BSDA DP Tariff (Only for Individuals)Non BSDADescription Lifetime AMC Tariff Normal Scheme Tariff

LIFE TIME AMC Rs.1500/- (Only forIndividuals)

Nil NIL

Annual MaintenanceCharges Nil

Rs.450/- for Individualsand Rs.1000/- forcorporates

Nil* - Holding Valuation less thanRs. 50000/- in Demat a/c Rs.100/- pa*- Holding ValuationRs 50001 to 2 lacs in Demat a/c.

Transaction Fee - Markettrades & off Market trades

Within ABML POA Rs.20/-,External Broker minRs.30/- or 0.03% on valueof securities max Rs.1000/-

Within ABML POA Rs.30/-, External Broker min Rs.30/- or 0.03%% on value of securities max Rs.1000/-

Within ABML Rs.75/-, External Brokermin Rs.75/- or 0.05% whichever ishigher.

Pledge CreationPledge invocation /Closure / Confirmation

Rs.50/- Rs.50/- Rs.100/-

Demat Charges Rs.5 .00/- per certificateplus Rs.50 /- per request

Rs.5 .00/- per certificateplus Rs.50 /- per request

Rs.25 .00/- per certificate plusRs.50 /- per request

Demat / Remat / DeliveryInstruction Slip RejectionCharges

Rs.40/- Courier cost Rs.50/- Courier cost Rs.50/- Courier cost

A flat fee of Rs.15/- percertificate or Rs.15/- forevery hundred securitiesor part thereof, whicheveris higher plus Rs. 40 /-courier charges

A flat fee of Rs.15/- percertificate or Rs.15/- forevery hundred securitiesor part thereof, whicheveris higher plus Rs. 50 /-courier charges

A flat fee of Rs.25/- per certificate orRs.25/- for every hundred securitiesor part thereof, whichever is higherplus Rs. 50 /- courier charges

Remat Charges

First Book Free, Rs. 40/-for additional Book

First Book Free, Rs. 50/-for additional Book

First Book Free, Rs. 50/- foradditional BookDIS Book Issue Charges

Actual Depository Charges Actual Depository Charges Actual Depository ChargesCAS Dispatch ChargesDestat - Conversion of MFunits represented by SOAinto dematerialized formRestat -Conversion ofDemat MF units into SOA

Flat fee of 10/-pertransaction plusCourier Charges Rs.40/-

Flat fee of 10/-pertransaction plusCourier Charges Rs.50/-

Flat fee of 25/-per transaction plusCourier Charges Rs.50/-

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SCHEDULE OF TRADING CHARGES

Account Opening ChargeBrokerage – Equity – Intra DayBrokerage – Equity – DeliveryBrokerage – Equity Derivatives – Futures

Brokerage – Equity Derivatives – Options

Brokerage – Currency Derivatives – Futures

Brokerage – Currency Derivatives – Options

Minimum Brokerage / Per Share where the (market value is less than Rs.10 per share)

As decided by Broker2.5%2.5%2.5%

2.5%

Upto 25 paise per share

2.5% of premium or Rs. 100 per lot (whichever is higher)

2.5% of premium or Rs. 100 per lot(whichever is higher)

Rs. 7500.05%0.50%0.05%

0.05%

5 paise per share

2.5% of premiumor Rs. 100 per lot(whichever is higher)

2.5% of premiumor Rs. 100 per lot(whichever is higher)

Details of Charges Statutory Rate Standard Rate Agreed Rate

A minimum brokerage of Rs.20 per executed order will be charged subject to a maximum of 2.5% of the traded value

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7. Brokerage rates and Depository tariff indicated above are exclusive of all statutory levies / taxes and charges levied by Exchanges / Depositories. Statutory levy / tax and / or exchange / depository charges (if any) will be levied separately .

8. Shares transferred on account of inter - settlement / inter exchange / dues (custodial) to beneficiary account would be charged at Rs. 20 per ISIN.

6. In case the total brokerage earned per segment per exchange is not exceeding Rs. 50/- then a sum of Rs. 50/- or such other sum as may be decided by the Stock Broker will be charged per segment per exchange as minimum processing fee.

5. Document handling charge of Rs.25 shall be applicable to delivery of all documents in physical mode. However if a customer who has opted to receive documents in electronic mode receives documents in physical mode (due to bounce of mails or otherwise), document handling charge of Rs. 50 shall be applicable.

4. All other delivery/dispatch charges incurred by DP from time to time will be recovered.

15. Standard brokerage as mentioned above would automatically be applicable in case tariff is not agreed upon for any segment / exchange.

16. Any deviation in the brokerage / volume commitment (basis which a lower brokerage is charged) will result in revision of the lower brokerage rate to standard rate of brokerage (rack rates) as specified in the tariff sheet above or the maximum statutory brokerage specified by SEBI / Exchanges with retrospective effect.

14. An account opening fee of Rs. 750/- is applicable unless the same is waived based on the scheme chosen by the client. �e fee is also applicable if the Client fails to comply with the terms & conditions of a specific scheme.

13.

12. Account opening charges would not be refunded if the account is not opened due to non – submission of required details / documents by client.

11. Client shall at all times maintain a minimum balance of Rs.1000/- in his account to meet various duespertaining to trading / demat accounts.

10. Additional services (if any) would be charged separately.

9. Brokerage rate / Interest on the amounts lent by theStock Broker to the client towards securities transactionsand / or margin requirements/ Taxes / Levies / Tariff / Servicestandards are subject to change.

Stock Broker / Depository Participant shall have the solediscretion to change applicable Brokerage rates / Interest onthe amounts lent by it to the client towards securitiestransactions and / or margin requirements / Taxes / Levies /Tariff and changes (if any) would be communicated to clientsthrough e-mail / ordinary post / website upload / SMS andsuch communication shall suffice as notice of change inBrokerage rates / Interest / Taxes / Levies / Tariff.

�e client also authorises the Stock Broker to charge interestat the rate of 24% on the amounts lent by it to the clienttowards securities transactions and / or margin requirements

3. In case the Demat account under BSDA facility does not meet the eligibility as per guideline issued by SEBI or any such authority at any point of time, the BSDA account will be converted to regular Demat account without further reference and charges will be levied as applicable to regular accounts as informed by the ABML.

2. Lifetime would mean the life time of beneficiary holder or 7 years whichever is earlier.

1. In case of Life time free AMC, if account is closedbefore 12 months, then AMC of Rs. 500/- will be levied.

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Terms and Conditions :

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Voluntary Authorization LetterTo:Aditya Birla Money LimitedAli Centre, 53, Greams Road, Chennai – 600 006. Sub: Voluntary Authorization Letter Ref: 1. Trading account no: 2. Demat account no:1. Running Account AuthorizationI request you to maintain my trading account on a running account basis & retain the available credit balance i.e. funds towards my margin / pay-in / other future obligation(s) on all segments(s) of Exchange(s) / Clearing Corporationunless I instruct you otherwise. I agree that no interest need be paid in respect of funds so retained by you.I request you to retain securities with you (accruing either by way of transfers effected by me or by way of any credit that is due to me on account of transactions undertaken by me through my trading account) for my margin / pay-in/other-future obligation(s) at any segment(s) of any or all the Exchange(s) / Clearing corporation, unless I instruct you to transfer the same to my demat account.I request you to settle my funds and securities once in Calendar Month or Calendar Quarter or such other higher period allowed by SEBI / Exchange (s) from time to time.I authorize you to maintain a minimum credit balance of Rs. 10000/- at any point in my trading account from the amounts due and payable to me.I also authorize you to transfer / adjust all the additional funds and securities lying to my credit in my trading account against my settlement obligations in any of the segments in any of the Exchanges in which I have opted to trade.I confirm that this running account authorization can be revoked by me at any point of time.2. Authorization for Sending documents through E-MailTradingI hereby authorize you to send any and all documents pertaining to my trading account (including but not limited to Electronic Contract Notes / Statement of Funds and Securities / Margin Bills etc. / Notices / Letters / Trade Confirmations / Circulars / Amendments etc.) to the below mentioned e-mail id. DepositoryI hereby authorize you to send any and all documents pertaining to my demat account (including but not limited to Statement of Transaction / Statement of Holding / Rejection Intimation / Bills / Amendments / Debit – Credit Intimations etc.) to the below mentioned e-mail id.E- Mail ID: I hereby declare that I have read and understood Additional Rights and Obligations pertaining to Delivery of Documents and agree to the same.3. Contact Number DeclarationI confirm and declare that the contact number(s) given in the KYC Form or any updation thereto (either in writing or through internet) belong to me / my relative / my acquaintance and as such authorize you to either call or send any / all information pertaining to my trading / demat accounts and / or any promotional material related to financial products manufactured / distributed by you or your group / associate companies (including but not limited to alerts / confirmations / passwords / research recommendations / intimation of account balances / commercial communication etc.) on the said contact numbers.I further confirm that I will neither hold you or your service provider liable nor will institute complaint under the Telecom Commercial Communications Customer Preference (TRAI) Regulations 2010 or such other applications legislations including amendment thereof.I further agree and confirm to the applicability of all Regulations / Rights and Obligations / Circulars issued by SEBI / Exchanges / Depositories and Additional Rights and Obligations pertaining to receipt of communication on contact numbers in addition to this declaration.4. Authorization to debit various Depository ChargesI confirm and consent for debiting any and all depository charges (including but not limited to schedule of charges agreed upon by me / inter-settlement charges / statutory charges / taxes etc.) to my trading account irrespective of the balance in my trading account.I further confirm that once the charges are debited to my trading account and the same shall be treated like any other trading debit and as such authorize you to recover the same from available balances in my trading account, including sale of securities available to my credit in margin / dues / demat account (s).

10 (Sole / First Holder) (Third Holder)(Second Holder)(Please sign here, incase if you are accepting all the above clauses.)

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Voluntary DocumentSuitability Assessment cum Declaration

Please respond to the below questionnaire to review suitability for trading in Securities market (including derivatives segment)

Questionnaire Yes No

Do you understand that dealing / trading in equities & derivatives markets is subject to performance of securities / volatility / market risk and forces affecting securities market and there is no assurance that your investment objectives will be achieved. Likewise do you understand that research recommendations are also subject to the above mentioned risks.

Do you understand that trading in derivatives segment is based on leveraging and is subject to high risk due to volatility and price fluctuations? Hence, trading in do you understand that derivative contracts requires high risk appetite.

Do you know that trading in derivatives contracts typically requires additional capital in the form of Margins / or topping up of Mark to Market (M2M) losses, which in turn, would require sound financial background and knowledge to withstand any volatility in the market?

1

2

3

Ø You are advised to avoid trading in securities market if:

r You have answered 'No' to any of the questions above

r Your age is above 60 years and you are a retired person

r You have no prior experience of dealing in intraday trading / trading in derivative contracts

r You are looking for returns of fixed amount or protection of principal or growth in capital

r You are not a person of trader profile and prefers low risk low return investment strategy

r Investment you are considering in intraday trading / trading derivative contracts is more than 10% of your total investment surplus / savings corpus.

Declaration

I have reviewed the suitability assessment questionnaire given above and based on my risk assessment, financial background and investment objective, I confirm that trading in equity / derivative contracts is appropriate or suitable for me. Further by signing this document, I confirm that I have been apprised of the risks involved in investing in securities market and in particular all types of derivative contracts.

I confirm that there is no assurance on profits or any fixed or guaranteed return while executing transactions in the securities market. I confirm that the research recommendations disseminated by ABML through its employees / associates are incidental to its stock broking services and transactions affected basis the same are in good faith and are I authorize the same.

I also confirm that I will not hold ABML or its group companies, associates or any of its employees, directors, officers or sub brokers / authorized persons responsible or liable for any direct or indirect, punitive, special or exemplary damages, for any profit /loss arising or resulting due to transactions effected in my trading / demat account.

I may, in advance, instruct the dealer for placement of orders in my trading account basis market events / market view / recommendations and I may not be available for re-confirmation on such order placement. I also understand that all orders placed in the derivative segment / trade confirmations with account balances are sent to my registered mobile

Category Expert

Equity

Futures

Options

Currency

Commodity

GoodKnowledge

BasicKnowledge

New toMarket

CurrentInvestment in 0-5 lacs 5-10 lacs >25 lacs10-25 lacs

FD

Securities

Bond

Mutual Funds

House Property / Land

INVESTMENT DETAILS

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Documents E Mail ID

Contract Note [email protected]@adityabirla.com

Demat transaction statement and holdings [email protected]@adityabirla.com

Statement of accounts [email protected]@adityabirla.com

I understand that surveillance department of ABML on a random basis will seek confirmation as to whether am trading through my trading account and affirmative confirmations to that effect would be deemed by ABML as confirmation of all transactions effected in my account and I undertake not to challenge the same in any manner at a later point of time as the transactions are owned by me upon such confirmation.

I confirm having read and understood all the contents of the suitability assessment cum declaration as given hereinabove and I agree to the same.

number. I also understand that contract notes, margin bills, statement of accounts, profit and loss statements, statement of transactions / holding (if any) are sent to my registered e-mail id and I shall bring any discrepancy therein to your notice within 24 hours from the date of receipt of the said details / documents, in writing, failing which it shall be legally construed that the transactions have been effected by me and I shall not challenge the same in any forum / court of law. I further confirm the levy of interest on the amount lent by the Stock Broker towards securities transactions and / or margin

and payable by me in my trading / demat accounts as agreed by me in the tariff sheet and I undertake not to challenge the levy of such Interest at a later point of time.

I further agree that I may acknowledge net positions / statement of accounts / statement of transactions / profits and loss statements by affixing my signature on the said documents and that would amount to confirmation of transactions effected in my trading account and would not be disputed in any manner at any point of time. I have been informed and I acknowledge that ABML does not authorize any of its employees to send any details / documents pertaining to my trading / demat accounts and I shall not depend upon or take into consideration any mail / document shared by any employee of ABML except the mails / documents received from the below mentioned email ids:

11 (Signature of the client)

12

requirements

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POWER OF ATTORNEY - VOLUNTARY DOCUMENT

This Power of Attorney is made on the date and place mentioned hereunder by individuals / entities mentioned in Schedule 1 hereunder (hereinafter referred to as Holder/s or Principal/s) in favour of Aditya Birla Money Limited, company incorporated under the provisions of the Companies Act, 1956 and having its registered office at Indian Rayon Compound, Veraval – 362 266, Gujarat and corporate office at Ali Centre, 53, Greams Road,Chennai – 600 006, Tamil Nadu (hereinafter referred to as ABML which expression shall unless repugnant to the context thereof mean and include is successors and assigns) acting through its Directors and / or such other persons as may be authorised by ABML in this regard from time to time.Whereas ABML is a SEBI registered Stock Broker / Depository Participant and is providing broking / depository / investment / financial services (both internet and non – internet based) to its clients / customers through its branch / franchisee / website (currently www.adityabirlamoney.com) or through any other website / mobile application etc. The details of the pool / margin accounts currently maintained by ABML is provided in Schedule 2 and 3.Whereas, the Holder/s or Principal/s, are desirous of availing various broking / depository / investment / financial (both internet based and not internet based) services being offered by ABML through its branch / franchisee network / website (currently www.adityabirlamoney.com) or through any other website / mobile application etc. and for the purpose of facilitating the transactions / services in broking / depository / investment / financial markets in a seamless manner, the Holder/s or Principal/s appoint ABML as his / her / their lawful attorney to do, execute, and perform severally the following acts, deeds, things etc.

1. To transfer securities (as defined in Section 2h of the Securities and Contracts Regulation Act, 1956 and amendments thereto) held in beneficial owner account(s) reflected in Schedule 1 herein towards my / our margin / exposure / delivery / settlement obligations including settlement obligations arising out of transactions executed for and on my / our behalf to the pool / margin accounts mentioned in Schedule 2 and Schedule 3 or to such other pool / margin accounts maintained by Aditya Birla Money Limited.

2. To block / hold / release all or any securities or to mark lien on securities available in beneficial owner account (s) reflected in Schedule 1 herein to meet my / our margin / exposure / delivery / settlement obligations arising out of transactions executed for and on my / our behalf to the pool / margin accounts mentioned in Schedule 2 and

Schedule 3 or to such other pool / margin accounts maintained by Aditya Birla Money Limited.

3. To pledge securities in favour of stock broker for the limited purpose of meeting my / our margin / settlement obligation requirements arising out of transactions executed for and on my / our behalf.

4. To apply, sign and execute the necessary documents, forms, agreements, undertakings, confirmations, declarations etc. or any other documents and provide information relating to various investment products including but not limited to Mutual Funds, Public Issues (shares as well as debentures), rights offer of shares, tendering shares in open offers, redemptions etc. and to debit my/our accounts all related charges.

5. To send consolidated summary of my / our scripwise buy and sell positions taken with average rates, trading account and demat account related information through SMS or by E-mail to the registered mobile / e-mail id.

6. To return securities that may have been received by ABML erroneously or those securities that it was not entitled to receive from me / us upon written communication and production of adequate proof on the erroneous transfer of securities.

7. To do all such acts, deeds and things as may be necessary to fulfill all the afore mentioned purposes on behalf of the Holder/s or Principal/s.

This Power of Attorney executed shall be revocable at any time basis the communication in writing received from me / us. However such revocation shall not be applicable for any outstanding margin / exposure / delivery / settlement obligation arising out of trades carried out prior to receiving request for revocation of power of attorney.This power of attorney is subject to the rules, regulations and bye-laws of Exchanges and is subject to the exclusive jurisdiction of courts at Chennai.The details provided in Schedule 1 may be altered / modified by Principal/s and the details provided in Schedule 2 and 3 may be altered by ABML, by giving notice of 7 working days to the Principal/s. Holder/s or Principal/s do hereby agree that all acts, deeds and things committed by Attorney under this Power of Attorney shall be construed as acts, deeds and things committed by him / them and the Holder/s or Principal/s ratify and confirm that all such acts deeds, things and whatsoever the attorney shall lawfully do or cause to be done on behalf of him / them by virtue of the powers given above.

I/We have Executed this power of attorney on the date, month & year mentioned in Schedule 1.

12 1st Holder 3rd Holder2nd Holder

POA No. :

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Schedule 1 (Details of Holders/Principals)

Name of Holder(s) / Principal(s)

Address of Holder(s) / Principal(s)

Trading Account No.

Depository Participant Name Aditya Birla Money Limited

12037600DP ID

Demat Account No.

Schedule 2 Schedule 3S.No. Designated Broker Pool Accounts

12

NSE - IN557962BSE - IN601847

34

NSE - 12037600 00000056BSE - 12037600 00000037

Date D D M M Y Y Y Y

Place

S.No. Designated Broker Margin Accounts12

301696 - 10000117301696 - 10000205

34

301696 - 10000150301696 - 12430404

14

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Registered Office

Indian Rayon Compound, Veraval, Gujarat - 362 266.

Corporate Office

Ali Centre, No. 53, Greams Road, Chennai - 600 006.

National Stock Exchange of India Limited

Bombay Stock Exchange Limited

SEBI Reg. No. INB 231347031, INF 231347031, INE 231347031

SEBI Reg. No. INB 011347037, INF 011347037

Central Depository Services (India) Limited

National Securities Depository LimitedSEBI Reg. No. IN-DP-17-2015

CLEARING MEMBER(In Equity Segment & BSE Equity Derivatives Segment)

CLEARING MEMBER(In NSE Equity Derivatives &

NSE / BSE Currency Derivatives Segment)

Aditya Birla Money Ltd.Ali Centre, 5 3, Greams Road, Chennai - 600 006.

Axis Bank Ltd.CM No. : INF 231133937Jeevan Prakash Building,Sri P M Road, Fort, Mumbai - 400 001.

Director

Mr. TUSHAR SHAHTelephone No.: +91 - 44 - 3919 0002 / 03E-mail ID: [email protected]

Compliance Officer

Mr. VISHWANATH RAMANTelephone No.: +91 - 44 - 3919 0002 / 03E-mail ID: [email protected]

Please contact us at the above address or mail us at [email protected] for trading related queries / [email protected] for depository related queries or call our customer care department @ Telephone No.(s): +91 - 1800 300 29999. If not satisfied with our response, you may contact the concerned exchange(s) / Depositories(s) at:

Name Telephone Number E-mail ID

National Stock Exchange of India Limited

Bombay Stock Exchange Limited

+91-22-2659 8190

+91-22-2272 1233 / 4

[email protected]

[email protected]

Central Depository Services (India) Limited

National Securities Depository Limited

+91-22-2272 3333

+91-22-2499 4200

[email protected]

[email protected]

Contact details in case of Grievance / Dispute :

Aditya Birla Money Limited

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