DEMAT ACCOUNT OPENING FORM...

12
DP ID : 12048000 Sebi Regd. No. IN-DP-CDSL-380-2006 Client Code : Client Name : Internal reference No. : In Person Verification Done Employee Name : Employee Signature : Date : Pan Verified with Webside Yes No Pan card verified with Original Yes No Member : BSE, NSE, MCX-SX DP ID : 12048000 Sebi Regd. No. IN-DP-CDSL-380-2006 602 Boston House, Next to Cinemax, Suren Road, Andheri (East) Mumbai 400 093. Phone : +91 - 22 - 4000 2600 Fax : +91 - 22 - 4000 2605 website : www.finquestonline.com FINQUEST SECURITIES (P) LTD. DEMAT ACCOUNT OPENING FORM Non-Individual

Transcript of DEMAT ACCOUNT OPENING FORM...

11

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

DP ID : 12048000 Sebi Regd. No. IN-DP-CDSL-380-2006

Client Code :

Client Name :

Internal reference No. :

In Person Verification Done

Employee Name :

Employee Signature : Date :

Pan Verified with Webside Yes No Pan card verified with Original Yes No

Member : BSE, NSE, MCX-SXDP ID : 12048000 Sebi Regd. No. IN-DP-CDSL-380-2006

602 Boston House, Next to Cinemax, Suren Road, Andheri (East) Mumbai 400 093.Phone : +91 - 22 - 4000 2600 Fax : +91 - 22 - 4000 2605 website : www.finquestonline.com

FINQUEST SECURITIES (P) LTD.

DEMAT ACCOUNT OPENING FORMNon-Individual

12

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

CHECKLIST OF DOCUMENTS TO BE SUBMITTED ALONG WITH THE FORM

In case of a minor, the following documents would also be requiredi) Birth Certificate,ii) Guardian photograph and proof as above.

H.U.F.i) Nomination or joint holder not applicable.ii) List of Members with there age, date of birth and relation with Kartaiii) Karta signature with H.U.F rubber stamp

OTHER THAN INDIVIDUALS

Corporate1. Certified true copy of certificate of incorporation and the memorandum and articles of association.

2. Certified true copy of a Board resolution passed by Board of Directors.

3. Proof of address, personal identity and signatures of the persons named in and signing the resolutionrn (refer exhibit above for valid documentsin this regard)

4. List of Directors with their signatures.

5. Proof of company address.

6. Company PAN Card along with PAN card of all authorized signatories as authorized by the Board Resolution.

Note

Each CLIENT has to use one registration form.

Original documents will be verified at the time of filling of application.

The information given above would be kept confidential, unless asked by regulatory agencies.

In case the applicant is a spouse/ child, where proof of address in name of parent! spouse then document such as ration card evidencing theirrelationship should be submitted.

For joint accounts documents are required for all the applicants.

Please note that proofs other than as specified above will not be accepted.

ChequeslDrafts need to be drawn in favour of Finquest Securities (P) Ltd.

The names and signatures of the account holders should be exactly in the same order as mentioned on the certificates to be dematerialized.

All communications shall be sent at the correspondence address of the SolelFirst holder only.

In case of additional signatures, separate annexure should be attached to the application from.

Thumb impressions and signatures other than English or Hindi or any of the other languages not contained in the 8th Schedule ofthe ConstitutionofIndia must be attested by a Magistrate by a Magistrate or a Notary Public or a Special Executive Magistrate.

Strike off whichever is not applicable.

Incase of an employee of another Member Broker, NOC from employer is required.

PAN CARD IS COMPULSORY

For NRI Clients

Indian Address & Foreign Address with Proof

Copy of Passport

Bank Verification letter indicating type of a/cNRI/NRE/NRO

Copy of RBI Approval if available

POA duly notarized

Proof of Residence (please provide copy ofanyone of these for first Isole holder)

Passport

Voter's ill card

Driving licence

Ration card

Rent Agreement

Bank Statement I Passbook

Telephone Bill (Not more than 2 months old)

Electricity Bill (Not more than 2 months old)

Proof of Identity (Please provide copy ofanyone of these for all holders)

Passport

Driving licence

Voter's ID card

MAPIN

Uillcard

PANcard

1

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

Annexure 4

ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT(For Entities OTHER THAN INDIVIDUALS)

(To be filled by the applicant in BLOCK LETTERS in English)I/We request you to open a demat account in my/ our name as per following details

HOLDERS DETAILS

Sole / First Holder's Name PAN

Second Holder's Name PAN

Third Holder's Name PAN

Name ** In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the name of the natural persons,

the name of the Firm, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be made applicable.

Search Name

Tear Here

ACKNOWLEDGEMENT RECEIPTDate D D M M Y Y Y YApplication No.

We hereby acknowledge the receipt of the Account Opening Application Form from:Name of the Sole / First HolderName of Second HolderName of Third HolderDepository Participant Seal and Signature

602 Boston House, Next to Cinemax,Suren Road, Andheri (East),

Mumbai 400 093.

FINQUEST Securities (P) Ltd.

(To be filled by the Depository Participant)Date D D M M Y Y Y YApplication No.

DP Internal Reference No.

Client IDDP ID 1 2 0 4 8 0 0 0

TYPE OF ACCOUNT (Please tick whichever is applicable)

Status Sub-Status Body Corporate Banks Trust Mutual Fund OCB FII CM

Clearing House FI Others (specify)

To be filledby the DP

SEBI Registration Date D D M M Y Y Y YSEBI Registration No. (If Applicable)

RBI Approval Date D D M M Y Y Y YRBI Registration No. (If Applicable)

Nationality Indian Others (specify) I / We instruct the DP to receive each and every credit in my / our account. [Automatic Credit](If not marked, the default option would be `Yes'). YES NOI / We would like to instruct the DP to accept all the pledge instructions in my /our account without YES NOany other further instruction from my/our end. (If not marked, the default option would be 'No')

Account Statement Requirement As per SEBI Regulation Daily Weekly Fortnightly Monthly

I / We request you to send Electronic Transaction-cum-Holding Statement at the email ID : YES NO

I/ We would like to share the email ID with the RTA YES NO

I / We would like to receive the Annual Report Physical Electronic Both Physical and Electronic(Tick the applicable box. If not marked the default option would be in Physical)Do you wish to receive dividend / interest directly in to your bank account given below through ECS? YES NO(If not marked, the default option would be `Yes')

2

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

CLEARING MEMBER DETAILS (To be filled by CMs only)

Name of Stock ExchangeName of CC / CHClearing Member Id Trading member ID

Do you wish to receive dividend / interest directly in to your bank account given below through ECS? YES NO(If not marked, the default option would be `Yes') [ECS is mandatory for locations notified by SEBI from time to time]

Tear Here

SMS Alert Facility MOBILE NO. +91___________________________________Refer to Terms & Conditions [(Mandatory , if you are giving Power of Attorney ( POA)]given as Annexure - 2.4 (if POA is not granted & you do not wish to avail of this facility, cancel this option).Transactions using Secured I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility.Texting Facility (TRUST), I have read and understood the Terms and Conditions prescribed by CDSL for the same. YES NORefer to Terms and I/We wish to register the following clearing member IDs under my/our below mentioned BO ID registered for TRUST.Conditions Annexure - 2.6 Stock Exchange Name/ID Clearing Member Name Clearing Member ID (Optional)

Easi To register for Easi, please visit our website www.cdslindia.com.Easi allows a BO to view his ISIN balances, transactions and value of the portfolio online.

I/We have read the DP-BO agreement (DP-CM agreement for BSE Clearing Member Accounts) including the schedules thereto and the terms &conditions 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 particularsgiven by me/us above are true and to the best of my/our knowledge as on the date of making this application. 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.

Sole / First Authorised Signatory Second Authorised Signatory Third Authorised SignatoryNameDesignationSignatures

(In case of more authorised signatories, please add annexure) (Signatures should be preferably in black ink)

BANK DETAILS [Dividend Bank Details]

Bank Code (9 digit MICR code) IFS Code (11 character)

Account No. Account Type Saving Current Others (Specify)

Bank Name Branch Name

Bank Branch Address

City State Country

PIN Code

(i) Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued, (or).(ii) Photocopy of the Bank Statement having name and address of the BO.(iii) Photocopy of the Passbook having name and address of the BO, (or)(iv) Letter from the Bank.In case of options (ii), (iii) and (iv) above, MICR code of the branch should be present / mentioned on the document.

3

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

Rights and Obligations of Beneficial Owner and Depository Participant as prescribed by SEBI and DepositoriesGeneral Clause1. The Beneficial Owner and the Depository participant (DP) shall be bound by the provisions of the Depositories Act, 1996, SEBI

(Depositories and Participants) Regulations, 1996, Rules and Regulations of Securities and Exchange Board of India (SEBI),Circulars/Notifications/Guidelines issued there under, Bye Laws and Business Rules/Operating Instructions issued by theDepositories and relevant notifications of Government Authorities as may be in force from time to time.

2 The DP shall open/activate demat account of a beneficial owner in the depository system only after receipt of complete Accountopening form, KYC and supporting documents as specified by SEBI from time to time.

Beneficial Owner information3 The DP shall maintain all the details of the beneficial owner(s) as mentioned in the account opening form, supporting documents

submitted by them and/or any other information pertaining to the beneficial owner confidentially and shall not disclose the sameto any person except as required by any statutory, legal or regulatory authority in this regard.

4 The Beneficial Owner shall immediately notify the DP in writing, if there is any change in details provided in the account openingform as submitted to the DP at the time of opening the demat account or furnished to the DP from time to time.

Fees/Charges/Tariff5 The Beneficial Owner shall pay such charges to the DP for the purpose of holding and transfer of securities in dematerialized

form and for availing depository services as may be agreed to from time to time between the DP and the Beneficial Owner as setout in the Tariff Sheet provided by the DP. It may be informed to the Beneficial Owner that "no charges are payable for openingof demat accounts"

6 In case of Basic Services Demat Accounts, the DP shall adhere to the charge structure as laid down under the relevant SEBIand/or Depository circulars/directions/notifications issued from time to time.

7 The DP shall not increase any charges/tariff agreed upon unless it has given a notice in writing of not less than thirty days to theBeneficial Owner regarding the same.

Dematerialization8. The Beneficial Owner shall have the right to get the securities, which have been admitted on the Depositories, dematerialized in

the form and manner laid down under the Bye Laws, Business Rules and Operating Instructions of the depositories.

Separate Accounts9 The DP shall open separate accounts in the name of each of the beneficial owners and securities of each beneficial owner shall

be segregated and shall not be mixed up with the securities of other beneficial owners and/or DP's own securities held indematerialized form.

10 The DP shall not facilitate the Beneficial Owner to create or permit any pledge and /or hypothecation or any other interest orencumbrance over all or any of such securities submitted for dematerialization and/or held in demat account except in the formand manner prescribed in the Depositories Act, 1996, SEBI (Depositories and Participants) Regulations, 1996 and Bye-Laws/Operating Instructions/Business Rules of the Depositories.

Transfer of Securities11 The DP shall effect transfer to and from the demat accounts of the Beneficial Owner only on the basis of an order, instruction,

direction or mandate duly authorized by the Beneficial Owner and the DP shall maintain the original documents and the audit trailof such authorizations.

12 The Beneficial Owner reserves the right to give standing instructions with regard to the crediting of securities in his demataccount and the DP shall act according to such instructions.

Statement of account13 The DP shall provide statements of accounts to the beneficial owner in such form and manner and at such time as agreed with

the Beneficial Owner and as specified by SEBI/depository in this regard.

14 However, if there is no transaction in the demat account, or if the balance has become Nil during the year, the DP shall send onephysical statement of holding annually to such BOs and shall resume sending the transaction statement as and when there is atransaction in the account.

15 The DPmay provide the services of issuing the statement of demat accounts in an electronic mode if the Beneficial Owner sodesires. The DP will furnish to the Beneficial Owner the statement of demat accounts under its digital signature, as governedunder the Information Technology Act, 2000. However if the DP does not have the facility of providing the statement of demataccount in the electronic mode, then the Participant shall be obliged to forward the statement of demat accounts in physical form.

16 In case of Basic Services Demat Accounts, the DP shall send the transaction statements as mandated by SEBI and/or Depositoryfrom time to time.

First Holder Second Holder Third Holder

Thir

d Ho

lder

Sec

ond

Holde

r F

irst H

older

4

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

Manner of Closure of Demat account17. The DP shall have the right to close the demat account of the Beneficial Owner, for any reasons whatsoever, provided the DP

has given a notice in writing of not less than thirty days to the Beneficial Owner as well as to the Depository. Similarly, theBeneficial Owner shall have the right to close his/her demat account held with the DP provided no charges are payable by him/her to the DP. In such an event, the Beneficial Owner shall specify whether the balances in their demat account should betransferred to another demat account of the Beneficial Owner held with another DP or to rematerialize the security balancesheld.

18 Based on the instructions of the Beneficial Owner, the DP shall initiate the procedure for transferring such security balances orrematerialize such security balances within a period of thirty days as per procedure specified from time to time by the depository.Provided further, closure of demat account shall not affect the rights, liabilities and obligations of either the Beneficial Owner orthe DP and shall continue to bind the parties to their satisfactory completion.

Default in payment of charges19 In event of Beneficial Owner committing a default in the payment of any amount provided in Clause 5 & 6 within a period of thirty

days from the date of demand, without prejudice to the right of the DP to close the demat account of the Beneficial Owner, theDP may charge interest at a rate as specified by the Depository from time to time for the period of such default.

20 In case the Beneficial Owner has failed to make the payment of any of the amounts as provided in Clause 5&6 specified above,the DP after giving two days notice to the Beneficial Owner shall have the right to stop processing of instructions of the BeneficialOwner till such time he makes the payment along with interest, if any.

Liability of the Depository21. As per Section 16 of Depositories Act, 1996,

1 Without prejudice to the provisions of any other law for the time being in force, any loss caused to the beneficial owner dueto the negligence of the depository or the participant, the depository shall indemnify such beneficial owner.

2 Where the loss due to the negligence of the participant under Clause (1) above, is indemnified by the depository, thedepository shall have the right to recover the same from such participant.

Freezing/ Defreezing of accounts22 The Beneficial Owner may exercise the right to freeze/defreeze his/her demat account maintained with the DP in accordance

with the procedure and subject to the restrictions laid down under the Bye Laws and Business Rules/Operating Instructions.

23 The DPor the Depository shall have the right to freeze/defreeze the accounts of the Beneficial Owners on receipt of instructionsreceived from any regulator or court or any statutory authority.

Redressal of Investor grievance24. The DP shall redress all grievances of the Beneficial Owner against the DP within a period of thirty days from the date of receipt

of the complaint.

Authorized representative25. If the Beneficial Owneris a body corporate or a legal entity, it shall, along with the account opening form, furnish to the DP, a list

of officials authorized by it, who shall represent and interact on its behalf with the Participant. Any change in such list includingadditions, deletions or alterations thereto shall be forthwith communicated to the Participant.

Law and Jurisdiction26 In addition to the specific rights set out in this document, the DP and the Beneficial owner shall be entitled to exercise any other

rights which the DP or the Beneficial Owner may have under the Rules, Bye Laws and Regulations of the respective Depositoryin which the demat account is opened and circulars/notices issued there under or Rules and Regulations of SEBI.

27 The provisions of this document shall always be subject to Government notification, any rules, regulations, guidelines andcirculars/ notices issued by SEBI and Rules, Regulations and Bye-laws of the relevant Depository, where the Beneficial Ownermaintains his/ her account, that may be in force from time to time.

28 The Beneficial Owner and the DP shall abide by the arbitration and conciliation procedure prescribed under the Bye-laws of thedepository and that such procedure shall be applicable to any disputes between the DP and the Beneficial Owner.

29 Words and expressions which are used in this document but which are not defined herein shall unless the context otherwiserequires, have the same meanings as assigned thereto in the Rules, Bye-laws and Regulations and circulars/notices issuedthere under by the depository and /or SEBI

30 Any changes in the rights and obligations which are specified by SEBI/Depositories shall also be brought to the notice of theclients at once.

31 If the rights and obligations of the parties hereto are altered by virtue of change in Rules and regulations of SEBI or Bye-laws,Rules and Regulations of the relevant Depository, where the Beneficial Owner maintains his/her account, such changes shall bedeemed to have been incorporated herein in modification of the rights and obligations of the parties mentioned in this document.

First Holder Second Holder Third Holder

Thir

d Ho

lder

Sec

ond

Holde

r F

irst H

older

5

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

AGREEMENT BETWEEN THE DEPOSITORY PARTICIPANT AND THEPERSON SEEKING TO OBTAIN FAX INDEMNITY WITH THEDEPOSITORY PARTICIPANT

I/We Mr. / Mrs. M/s ___________________________________________

________________________________________________________________________

residing / having registered office at_____________________________

_________________________________________________________________________

_________________________________________________________________________

execute this UNDERTAKING CUM INDEMNITY in favor of FlnquestSecurities (P) Ltd. having its registered office at 602 Boston House, Nextto Cinemax, Suren Road, Andheri (East) Mumbai 400093 here after CalledFinquest Securities (P) Ltd. (witch expression shall unless it be repugnantto the context or meaning thereof mean and include it's successors) on

_____________________ day of ______________________ as follows

WHEREAS I/We maintain Depository Account(s) nos. 12048000 ClientId ____________________________________________________ withFinquest Securities (P) Ltd). and as per the instructions for operation ofthe said Account(s) the same is allowed to persons authorized, (hereinafterreferred to as Authorized Persons) AND WHEREAS in the day to anybusiness, I/We are required to give urgent instructions to FinquestSecurities (P) Ltd. for operation of any of the said accounts.

WHERE AS Finquest Securities (P) Ltd. has agreed to accept forSubmission & Sind by the authorized Persons to operate the said Accountsunder their signature in a similar way and manner as provided in the saidoperating instructions / account opening form and subject to the indemnityherein offered by me / us to Finquest Securities (P) Ltd. and the termsand conditions Herein mentioned.

AND IN CONSIDERATION OF THE ABOVE, I/We hereby irrevokableagree, confirm and undertake with Finquest Securities (P) Ltd. and therepresents witness to as follows:

1. We shall transit the fax instructions only to the fax number informed/ provided to us by to Finquest Securities (P) Ltd. and use thisnumber for such fax submission only and not any for othertransmission / purpose

2. The fax submission shall be signed by the authorized personssectioned in the list of authorized person's submitted by me / us inthe account opening from on behalf of me / us and this signature'sshall be in the same manner and any as has been informed toFinquest Securities (P) Ltd. by me/us and to Finquest Securities(P) Ltd. is hereby requested and authorized but is not obliged torely upon and act. in accordance with such fax submission whichis signed or, believed by to Finquest Securities (P) Ltd. to havebeen given by the Authorized Person's.

3. Finquest Securities (P) Ltd. is requested by us and be entitled totreat any fax submission, to be obliged or issued and fullyauthorized by and binding upon us and further be entitled (but notbound) to take any steps relying upon the same and to act uponthe same, bellowing the fax submission, in good faith asappropriate, regardless, of the amount of money involved and notwithstanding any error in transmissions or reception of such faxsubmission or an misunderstanding or ambiguity or lack of clarityin the terms of such fax submission.

4. I/We shall upon marking any telefax submission hereunder. deliverto Finquest Securities (P) Ltd. without any delay within Twoworking days, the original hand Copy of the fax submission hardcopy signed by the authorised persons as aforesaid Provided thatto to Finquest Securities (P) Ltd., may. but shall not be obligedto, await receipt of the hard copy prior to taking any action isconnection with fax submissions and shall not be obliged of followup with me/ us for originals. Further the storage of a photocopy ofthe fax transmissions sent by me/us shall be the conclusiveevidence of instructions to to Finquest Securities (P) Ltd. for

having acted on such instructions to Finquest Securities (P) Ltd.for having acted on such instructions and I/We hereby agree andacknowledge the same.

5. Finquest Securities (P) Ltd. shall not be liable for any losses ordamages which we may suffer as a consequence of FinquestSecurities (P) Ltd. acting in accordance with or in reliance upon,any fax submission or otherwise pursuant to the authority conferredherein, open Finquest Securities (P) Ltd.

6. I/We shall indemnify Finquest Securities (P) Ltd. and keepFinquest Securities (P) Ltd. indemnified and save harmless atall times against any and all claims, losses damages, costs,liabilities and expense incurred, sufferers incurred, sufferers or paidby Finquest Securities (P) Ltd. or required to be incurred, sufferersor paid by Finquest Securities (P) Ltd. and also against alldemands, actions suits, proceedings made, filed instituted againstFinquest Securities (P) Ltd. in connection with or arising out ofor in relation to.

a) Finquest Securities (P) Ltd. action pursuant to, inaccordance with or relying upon any fax submissionpursuant to the request and authority conferred herein andor.

b) Finquest Securities (P) Ltd. acting pursuant to. inaccordance with or relying upon and fax submissionreceived by Finquest Securities (P) Ltd. which it believesin good faith to be such fax submission : and/

Or

c) Any Unauthorized or fraudulent fax submission to FinquestSecurities (P) Ltd.

7. Finquest Securities (P) Ltd. shall not be under any obligation atany time to maintain any facility for the receipt of any submissionto ensure the continued operations or availability of any suchfacsimile or equipment.

8. I/We acknowledge and confirm that I/We am/are aware of the natureof telecommunications services that the fax transmissions maynot be received properly and may be read by or the known to anyunauthorized person. I/We agree to assume and best bear all therisks involved in respect of such errors and misunderstanding andFinquest Securities (P) Ltd. shall not be responsible in anymanner for the same or breach of confidentially there to and shallnot be liable for any claims, loss, damages, cost or expenses andliability arising there from.

9. This indemnity is without prejudice to Finquest Securities (P) Ltd.other rights privileges, powers and remedies in law and FinquestSecurities (P) Ltd. may delay enforcing its rights without any timelosing them and any waiver of a right by Finquest Securities (P)Ltd. hereunder or available to it by law, shall not be deemed to bea waiver of any right at another time.

10. Finquest Securities (P) Ltd. may stop terminals this facility givento me/us by giving seven days prior written notice to me/us.However any such termination shall not affect anything done orany rights or liabilities accrued incurred prior to the terminationand all the above indemnities given by me/us to FinquestSecurities (P) Ltd. shall service any such termination.

I/We specially agree and conform that any matter or issue arisinghereunder shall be governed and constructed exclusively in accordancewith the Indian laws and shall be subject to the jurisdiction of the courts ofMumbai in India.

Given by

Name _____________________________________________________

_________________________________________________________

_________________________________________________________

FAX INDEMNITY

First Holder Second Holder Third Holder

6

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

This page is intentionally left blank

7

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

POA for Pay-in of Securities for the Purpose of Settlement

To all to whom these presents shall come I/ 1) _______________________________, 2)_____________________________________

3)_____________________________________________, (name of the beneficial owner/s), residing at/ having its registered office at

___________________________________________________________________________________________,SEND GREETINGS.

[1] Whereas I hold a Beneficiary owner account no.1204800 _____________(BO-ID) with Central Depository Services (India) Limited(CDSL), through Finquest Securities Pvt. Ltd. bearing DP - ID 12048000.

[2] And Whereas I/ we am/are investor engaged in buying and selling of securities through Finquest Securities Pvt. Ltd, a member ofBombay Stock Exchange Ltd. Bearing SEBI Registration no. INB011236537. and a Member of National Stock Exchange of IndiaLtd. bearing SEBI registration no.INB231236531.

[3] And Whereas due to exigency and paucity of time, I / We am / are desirous of appointing an agent / attorney to operate the aforesaidbeneficiary account on my / our behalf for a limited purpose in the manner hereinafter appearing:

[4] NOW KNOW WE ALL AND THESE PRESENTS WITNESSTH THAT I / We THE ABOVENAMED DO HEREBY NOMINATE,CONSTITUTE AND APPOINT Finquest Securities Pvt. Ltd. (Clearing Member) as my / our true and lawful attorney (hereinafter referred toas the attorney) for me / us and on my / our behalf and in my / our name to do instruct the aforesaid Depository Participant to debit securitiesand/or to transfer securities from the aforesaid account for the purpose of delivering the same to the Clearing House of the recognizedStock Exchange toward any segment in respect of securities sold by me / us through them.

[5] This authority is restricted to the pay-in obligations arising out of the transactions of sale effected by me / us through FinquestSecurities Pvt. Ltd. (Clearing Member) and I / We ratify the instructions given by the aforesaid Clearing Member to the DepositoryParticipant named hereinabove in the manner specified herein.

[6] It is understood that FINQUEST SECURITIEST PVT. LTD. will move securities by debiting and/or transfer securities from theaforesaid account (for the purpose of delivering the same to the Clearing House of the recognized Stock Exchange) to any of theirrespective Pool Accounts as mentioned below:-

S/No Exchange NSDL Pool A/c No. CDSL Prinicipal / Pool Account No.1 Bombay Stock Exchange Limited IN630615/10680725 1204800000027618/1204800000027603

(BSE CM A/C -3061 )2 National Stock Exchange of India Limited IN513115/10707529 1204800000027531

(NSE A/C -12365 )

[7] It is further understood that FINQUEST SECURITIEST PVT. LTD. will return to me / us the securities that may have beenerroneously received by FSPL or those securities that FSPL was not entitled to receive from me / us.

[8] I / We further agree and authorize FINQUEST SECURITIEST PVT. LTD. to send me / us consolidated summary of my / ourscripwise buy and sell positions taken with average rates by way of SMS / email on a daily basis, notwithstanding any otherdocument to be disseminated as specified by SEBI from time to time.

[9] The powers and authority conferred by this POA shall be revocable at any time, without notice. However I / We hereby agree andconfirm that the revocation will become effective from the date on which I / we inform the same in writing to FINQUESTSECURITIEST PVT. LTD.

IN WITNESS WHEREOF I/We have hereunto set my/our hand and signed aforesaid this ____________day of ______________20at MumbaiSIGNED AND DELIVEREDBy the within named Beneficial Owner/s In the Presence of

1st Holder __________________________________________ 1. Signature________________________________________

2nd Holder __________________________________________ Name___________________________________________

3rd Holder __________________________________________

I Accept

For Finquest Securities Pvt. Ltd.

Director / Authorized SignatoryFinquest Securities Pvt. Ltd.602, Boston House, next to cinemax, 6th floor,Suren Road, Andheri -E, Mumbai-400093

8

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

This page is intentionally left blank

9

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65

10

D:\FQ\HardikSir\KYC\March-21-2012\KYC-March212012.p65