MOBILE NO. & EMAIL ID

MANDATORY

SIGNATURE AND HUF STAMP / TRUST STAMP / PARTNERSHIP STAMP /

COMPANY STAMP

In respect of clients trading in derivative segment, the member shall collect documentary evidence for financial information. Illustrative list of documents Copy of ITR Acknowledgement Copy of Annual Accounts Copy of Form 16 in case of salary income Net worth certificate Salary Slip Bank account statement for last 6 months Copy of demat account Holding statement. Any other relevant documents substantiating ownership of assets. Self declaration along with relevant supporting.

STRIKE OFF BLANK SPACE, IF ANY

Provide client remarks , if any

DETAILS OF KARTA / TRUSTEES / PARTNERS / DIRECTORS

SUB-BROKER DETAILS TO BE COMPULSORILY FILLED

Introducer Photo ID and Address proof required

Date to be filled by KYC staff

Date to be filled by KYC staff

Date to be filled by KYC staff

Mobile number & Email-ID should be same as on KYC

page

Mobile number should be same as on KYC page

Date to be filled by KYC staff

Mobile number & Email-ID should be same as on KYC

page

Mobile number & Email-ID should be same as on KYC

page

Email-ID should be same as on KYC page

FORMAT FOR PARTNERSHIP FIRM

FORMAT FOR HUF

FORMAT FOR COMPANY / TRUST