MONEYLICIOUS SECURITIES PRIVATE LIMITED

MEMBER: BSE | NSE | DEPOSITORY PARTICIPANT (CDSL)

MONEYLICIOUS SECURITIES PRIVATE LIMITED

Client Name:

Client Code:

Branch Code:

B.O. Holder’s Name:

B.O. ID.:

moneylicious.in moneyliciousmoneyliciousin

$ MONEYLICIOUSTHE TASTE OF MONEY

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DEMAT FORM - INDIVIDUAL

1

A. IMPORTANT POINTS:1. Self attested copy of PAN card is mandatory for all

clients.2. Copies of all the documents submitted by the

applicant should be self-attested and accompaniedby originals for verification. In case the original ofany document is not produced for verification,then the copies should be properly attested byentities authorized for attesting the documents, asper the below mentioned list.

3. If any proof of identity or address is in a foreignlanguage, then translation into English is required.

4. Name & address of the applicant mentioned on theKYC form, should match with the documentaryproof submitted.

5. If correspondence & permanent address aredifferent, then proofs for both have to be submitted.

6. Sole proprietor must make the application in hisindividual name & capacity.

7. For non-residents and foreign nationals,(allowedto trade subject to RBI and FEMA guidelines), copyof passport/PIOCard/OCICard and overseas addressproof is mandatory.

8. For foreign entities, CIN is optional; and in theabsence of DIN no. for the directors, their passportcopy should be given.

9. In case of Merchant Navy NRI’s, Mariner’sdeclaration or certified copy of CDC (ContinuousDischarge Certificate) is to be submitted.

10. For opening an account with Depository participantor Mutual Fund, for a minor, photocopy of theSchool Leaving Certificate/Mark sheet issued byHigher Secondary Board/Passport of Minor/BirthCertificate must be provided.

11. Politically Exposed Persons (PEP) are defined asindividuals who are or have been entrusted withprominent public functions in a foreign country,e.g., Heads of States or of Governments, seniorpoliticians, senior Government/judicial/militaryofficers, senior executives of state ownedcorporations, important political party officials, etc.

B. Proof of Identity( POI): List of documents admissibleas Proof of Identity:1. PAN card with photograph. This is a mandatory

requirement for all applicants except those whoare specifically exempt from obtaining PAN (listedin Section D).

2. Unique Identification Number (UID) (Aadhaar) /Passport / Voter ID card / Driving license.

3. Identity card/ document with applicant’s Photo,issued by any of the following: Central/StateGovernment and its Departments, Statutory/Regulatory Authorities, Public Sector Undertakings,Scheduled Commercial Banks, Public FinancialInstitutions, Colleges affiliated to Universities,Professional Bodies such as ICAI, ICWAI, ICSI, BarCouncil etc., to their Members; and Credit cards/Debit cards issued by Banks.

C. Proof of Address (POA): List of documents admissibleas Proof of Address: (*Documents having an expirydate should be valid on the date of submission.)1. UID/Passport/Voters Identity Card/Ration Card/

Registered Lease or Sale Agreement of Residence/Driving License/Flat Maintenance bill/Insurance

INSTRUCTIONS/CHECK LIST FOR FILLING KYC FORM (Please submit the KYC documents on A4 size paper only)

Copy/Unique Identification Number (UID)(Aadhaar).

2. Utility bills like Telephone Bill (only land line),Electricity bill or Gas bill Not more than 3 monthsold.

3. Bank Account Statement/Passbook - Not more than3 months old.

4. Self-declaration by High Court and Supreme Courtjudges, giving the new address in respect of theirown accounts.

5. Proof of address issued by any of the following:Bank Managers of Scheduled Commercial Banks/Scheduled Co-Operative Bank/Multinationa ForeignBanks/Gazetted Officer/Notary public/Electedrepresentatives to the Legislative Assembly/Parliament/Documents issued by any Govt. orStatutory Authority.

6. Identity card/document with address, issued byany of the following: Central/State Governmentand its Departments, Statutory/RegulatoryAuthorities, Public Sector Undertakings, ScheduledCommercial Banks, Public Financial Institutions,Colleges affiliated to Universities and ProfessionalBodies such as ICAI, ICWAI, ICSI, Bar Council etc.,totheir Members.

7. For FII/sub account, Power of Attorney given byFII/sub-account to the Custodians (which are dulynotarized and/or apostiled or consularised) thatgives the registered address should be taken.

8. The proof of address in the name of the spousemay be accepted.

D. Exemptions/clarifications to PAN(*Sufficient documentary evidence in support of suchclaims to be collected.)1. In case of transactions undertaken on behalf of

Central Government and/or State Government andby officials appointed by Courts e.g. Officialliquidator, Court receiver etc.

2. Investors residing in the state of Sikkim.3. UN entities/multilateral agencies exempt from

paying taxes/filing tax returns in India.4. SIP of Mutual Funds upto Rs 50, 000/- p.a.5. In case of institutional clients, namely, FIIs, MFs,

VCFs, FVCIs, Scheduled Commercial Banks,Multilateral and Bilateral Development FinancialInstitutions, State Industrial DevelopmentCorporations, Insurance Companies registered withIRDA and Public Financial Institution as definedunder section 4A of the Companies Act, 1956,Custodians shall verify the PAN card details withthe original PAN card and provide duly certifiedcopies of such verified PAN details to theintermediary.

E. List of people authorized to attest the documents:1. Notary Public, Gazetted Officer, Manager of a

Scheduled Commercial/ Co-operative Bank orMultinational Foreign Banks (Name, Designation &Seal should be affixed on the copy).

2. In case of NRIs, authorized officials of overseasbranches of Scheduled Commercial Banksregistered in India, Notary Public, Court Magistrate,Judge, Indian Embassy /Consulate General in thecountry where the client resides are permitted toattest the documents.

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INDEX OF DOCUMENTS

1. Account Opening Form A. CKYC form - Document captures the basic information about

the constituent and an instruction/check list.

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

A. MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

3-4

Additional information about the constituent relevant to DPaccount opening form

1. DP FORM 5-7

7. SMS Alert 15-16This contains term & conditions regarding SMS alert

3. Power of Attorney 10-11Authorization for Pay outs directly from DP account.

5. FATCA As per format 13

2. Nomination Form 8-9Nomination form for all three holders

8. Trust 17This contains term & conditions regarding Trust

4. Option Form & BSDA declaration Option Form for issue of DIS. BSDA declaration 12

IMPORTANT INSTRUCTIONS

1. All details to be filled in Capital Block letters in Black/Blue Ink only.

2. Email ID & Mobile number is mandatory for account related passwords and transaction details.

3. Corrections in the KYC form should be counter signed.

4. Strike off whichever option, in the account opening form, is not applicable.

5. All Originals to be produced for physical verification.

6 if any proof of identity or address is in a regional language, then translation into English is required.

7. Sole proprietor must make the application in his individual name & capacity

8. Name & address of the applicant mentioned on the KYC form, should match with the documentaryproof submitted.

6. Tariff sheet Details of DP charges as levied on the client 14

B. DP SECTION:

Registered office address:

Compliance Officer Name Nilesh Chauhan

Phone no. (91-22) 43116631 • Email id: [email protected]

Director Name Jay Prakash Gupta

Phone No. (91-22) 43116666 • Email id: [email protected]

Name of Trading Member MONEYLICIOUS SECURITIES PRIVATE LIMITED (MSPL)

SEBI Registration No. DP IN-DP-289-2016 Dated: 19.09.2016

NPS Business Center,7 A, Kiran Shankar Roy Road, Kolkata - 700001.

Website: www.moneylicious.in

Correspondence Office address: Office No.24 A & B Adhyaru Industrial Estate, Sun Mill Compound,

Lower Parel West, Mumbai - 400013.

Ph. No.: (91-22) 43116666, Fax: (91-22) 43116601

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MANDATORYCENTRAL KYC REGISTRY - KNOW YOUR CLIENT (KYC) APPLICATION FORM - INDIVIDUAL

For office use only Application Type* � New � Update

(To be filled by financial institution) KYC No. (Mandatory for KYC update required)

Account Type* � Normal � Simplified (for low risk customers) � Small

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

� Name* (Same as ID proof)

Maiden Name (If any*)

Father / Spouse Name*

Mother Name*

Date of Birth*

Gender* � M- Male � F- Female � T-TransgenderMarital Status* � Married � Unmarried � OthersCitizenship* � IN-Indian � Others (ISO 3166 Country Code )Residential Status* � Resident Individual � NRI � Foreign National � Person of Indian OriginOccupation Type* � S-Service (� Private Sector � Public Sector � Government Sector)

� O-Others (� Professional � Self Employed � Retired � Housewife � Student)� B-Business � X-Not Categorised

Prefix First Name Middle Name Last Name

� 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*

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

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

� A- Passport Number Passport Expiry Date

� B- Voter ID Card

� C- PAN Card

� D- Driving Licence Driving Licence Expiry Date

� E- UID (Aadhaar)

� F- NREGA Job Card

� Z- Others (any document notified by the central government) Identification No.

� S- Simplified Measures Account - Document Type code Identification No.

� 4. PROOF OF ADDRESS (POA)*

PHOTO

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

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

Address Type* � Residential / Business � Residential � Business � Registered Office � Unspecified

Proof of Address* � Passport � Driving Licence � UID (Aadhaar)� Voter Identity Card � NREGA Job Card

� Simplified Measures A/c.-Document Type code � Others

Important Instructions:A) Fields marked with ‘*’ are mandatory fields.B) Please fill the form in English and in BLOCK letters.C) Please fill the date in DD-MM-YYYY format.D) Please read section wise detailed guidelines /

instructions at the end.E) List of State / U.T code as per Indian Motor

Vehicle Act, 1988 is available at the end.

F) List of two character ISO 3166 country codes isavailable at the end.

G) KYC number of applicant is mandatory for updateapplication.

H) For particular section update, please tick (�) inthe box available before the section number andstrike off the sections not required to be updated.

Address

Line 1*

Line 2

Line 3

District* PIN/Post Code* State /U. T. Code* ISO 3166 Country Code*

Signature/Thumb impression�

Moneylicious Securities Private Limited

(F/1)

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� 4.2 Correspondence/Local ADDRESS DETAILS* (Please see instruction E at the end)

� Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill ‘Annexure A1’)

Line 1*

Line 2

Line 3

District* PIN/Post Code* State /U. T. Code* ISO 3166 Country Code*

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

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

Line 1*

Line 2

Line 3

State* PIN/Post Code* State /U. T. Code* ISO 3166 Country Code*

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

Tel. (Off) Tel. (Res) Mobile

Fax Email ID

� 6. DETAILS OF RELATED PERSON (In case of additional related persons, please fill ‘Annexure B1) (please refer instruction G at the end)

� Addition of Related Person � Deletion of Related Person KYC Number of Related Person (if available*)Related Person Type* � Guardian of Minor � Assignee � Authorised Representative

Name*First Name Middle Name Last NamePrefix

(If KYC number and name are provided, below details of section 6 are optional)PROOF OF IDENTITY [PoI] OF RELATED PERSON* (Please see instruction (H) at the end)

� A-Passport Number

� B-Voter ID Card

� C- PAN Card

� D- Driving Licence

� E- UID (Aadhaar)

� F- NREGA Job Card

� Z- Others (any document notified by the central government)

� S- Simplified Measures Account - Document Type code

Passport Expiry Date

Driving Licence Expiry Date

ID No.

ID No.

� 7. REMARKS (If any) Mobile No./Email Id (Please refer the Institution F at the end)

� 8. APPLICANT DECLARATION

• I hereby declare that the details furnished above are true and correct to the best of myknowledge and belief and I 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 ormisrepresenting, I am aware that I may be held liable for it.

• I hereby consent to receiving information from Central KYC Registry through SMS/Emailon the above registered number/email address.

Signature / Thumb Impression of ApplicantDate: Place:

� 9. ATTESTATION / FOR OFFICE USE ONLY

Documents Received � Certified Copies

KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS

Date:

Emp. Name:

Emp. Code: Emp. Branch:

Emp. Designation:

Name

Code

[Employee Signature]

D D D D Y Y Y Y

D D D D Y Y Y Y

D D D D Y Y Y Y

Moneylicious Securities Private Limited

�

9 1

[Institution Stamp]

(F/2)

5

ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT

I/We request you to open a Demat Account in my/our name as per the following details:

Application No. Date

DP Internal Reference No.

DP ID Client ID

(To be filled by the Depository Participant)

(To be filled by the applicant in BLOCK LETTERS in English)

TYPE OF ACCOUNT (Please tick whichever is applicable)

Status Sub Type

� Individual � Individual Resident � Individual Director’s Relative � Individual Promoter

�Individual-Director � Individual Margin Trading A/C (MANTRA) � Minor

�Individual HUF/AOP � Others (specify)

� NRI � NRI Repatriable � NRI Non-Repatriable � NRI – Depository Receipts

� NRI-Repatriable Promoter � NRI Non-Repatriable Promoter� Others(specify)

� Foreign National � Foreign - National � Foreign National - Depository Receipts

� Others (specify)

STANDING INSTRUCTIONS

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 ‘Yes’)

I / We instruct the DP to receive each and every credit in my / our account

(If not marked, the default option would be `Yes’) Yes No

(in case the account holder is minor)Details of Guardian

Name *

* In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is openedin the name of the natural persons, the name of the Firm, Association of Persons (AOP), Partnership Firm, Unregistered Trust,etc., should be mentioned above.

HOLDER DETAILS

Sole / First Holder’s Name

1 2 0 8 3 4 0 0

Second Holder’s Name

Third Holder’s Name

PAN

PAN

PAN

UID

UID

UID

Guardian’s Name PAN

Relationship with the applicant

Account Statement Requirement As per SEBI Regulation Daily Weekly Fortnightly Monthly


Yes No

[Automatic Credit]

DP DETAILS

6

I/We request you to send Electronic Transaction-cum-Holding Statement at the emailID: ________________________________________________________________

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)

I/We wish to receive dividend / interest directly in to my bank account as given belowthrough ECS (If not marked, the default option would be `Yes’) [ECS is mandatoryfor locations notified by SEBI from time to time]

(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 and it shall be self-certified by the BO.

Bank Code (9 digit MICR code)

IFS Code (11 character)

Account number

Account type Saving Current Cash Credit Others (specify)

Bank Name

Branch Name

Bank Branch Address

City State Country PIN

Bank Details (Dividend Bank Details) MICR code starting with 000 will not be eligible for ECS.

OTHER DETAILS1. Gross Annual Income details (please specify): Income Range per annum

� Upto Rs. 1,00,000/- � Rs. 1,00,001/- to Rs. 5,00,000/- � Rs. 5,00,001/- to Rs. 10,00,000/-� Rs. 10,00,001/- to Rs. 25,00,000/- � Above Rs. 25,00,001/-

Net worth as on Date:______________ Rs. ___________________ (Net worth should not be older than 1 year)

2. Occupation (please tick � Private Sector � Public Sector � Government Service any one and give brief � Business � Student � Professional � Agriculturist� Retired details) � Housewife � Others (Specify)

__________________________________________________________________

3. Please tick, if applicable � Politically Exposed Person (PEP) � Related to a Politically Exposed Person (RPEP)

4. Education Details Under Graduate Graduate Post Graduate Professional Other

Yes No

Yes No

7

Yes Refer to Terms & Conditions given as Annexure-1.1 No

SMS Alert Facility

I/We provide the following information for the purpose of availing SMS Alert facility

Mobile Number on which Messages are to be sent+91

(Please write only the mobile number without prefixing country code or zero)

[(Mandatory , 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).

Electronic Access To Securities Information “easi”

Subscription to CDSL’s Internet-Based Service “easi”

Yes 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.

No

I / We have received and read the Rights and Obligations document and 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 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.

(Signatures should be preferably in black ink).

First/Sole Holder

Name

Signature

Second Holder Third Holder

(In case of more authorised signatories, please add annexure)

Transactions Using Secured Texting Facility

(TRUST).

Refer to Terms and Conditions

Annexure – 1.2

I/We wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I/

We have read and understood the Terms and Conditions prescribed by CDSL for the same.

Yes

No

I/We wish to register the following clearing member IDs under my/our below

mentioned BO ID registered for TRUST

Stock Exchange Clearing Member Clearing Member ID

Name/ID Name (Optional)

� � �

(F/3) (S/1) (T/1)

8

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CDSL

Your Depository

NOMINATION FORM

I/We the sole holder / Joint holders / Guardian (in case of minor) hereby declare that:� I/We do not wish to nominate any one for this demat account.

� I/We nominate the following persons who is/are entitled to receive security balances lying in my/our account, particulars where of are given below, in the event of my / our death.Nominee details

Nomination Registration No. Dated

*Address

*City

*State

*Pin

*Country

Telephone No.

Fax No.

PAN

UID

E-mail ID

*Relationship with BO (if any)

Date of Birth (Mandatory if nominee is a minor)

*First Name

Middle Name

*Last Name

Name of Guardian of Nomine(if Nominee is a minor)

*First Name

Middle Name

*Last Name

Nominee Name: Nominee 1 Nominee 2 Nominee 3

*Address of the guardian of nominee

ACKNOWLEDGEMENT RECEIPTReceived nomination from:

( Please Tear here )

DP ID Client ID

Name

Address

1 2 0 8 3 4 0 0

Nomination in favour of

First Nominee

Second Nominee

Third Nominee

No Nomination � Does not wish to nominate

Registration No. Registered on

For Moneylicious Securities Private Limited

(Authorised Signatory)

*City

*State

*Country

*Pin


Office No.24 A & B Adhyaru Industrial Estate,

Sun Mill Compound, Lower Parel West, Mumbai - 400013.

Ph. No.: (91-22) 43116666, Fax: (91-22) 43116601

10

Details of the Witness (Other than account holder, nominee and guardian)

Names of Witness

Address of Witness

Signature of Witness

W

I / We have received and read the Rights and Obligations document and terms & conditions and agree to abide by and be bound by the same and by theBye 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 thedate 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 fortermination and suitable action.

First/Sole Holder or Guardian(in case of Minor)

Name

Signature


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

Place: _________________________ Date: _________________________

Note: Residual securities: incase of multiple nominees, please choose any one nominee who will be credited with residual securities remaining afterdistribution of securities as per percentage of allocation. If you fail to choose one such nominee, then the first nominee will be marked as nominee entitledfor residual shares, if any.* Marked is Mandatory field

Note: One witness shall attest signature(s) / Thumb impression(s).

(To be filled by DP)

Nomination Form accepted and registered wide Registration No. ___________________________ dated ______________.

(Signatures should be preferably in blue ink).

Age

Telephone No.

Fax No.

E-mail ID

*Relationship of the Guardianwith the Nominee

*Percentage of allocation ofsecurities*Residual Securities (Please tick any one nominee,if tick not marked the default will be first nominee)

� �

(F/4) (S/2)�

(T/2)

11

___________________

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___________________

Seco

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Jo

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Ho

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___________________

Th

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Jo

int

Ho

lderPOWER OF ATTORNEY DP (for Demat Account)

To all to whom these presents shall come, I/We, ……………………………………………………………............

(beneficial owner/owners) residing at /having its registered office at ……………………………………………....

…………………………………………………………………………………………………………... send Greetings.

Whereas I/We hold beneficial owner account number …………………………………with Central Depository

Services (India) Ltd.(CDSL), through Moneylicious Securities Pvt. Ltd. Bearing DP-ID 12083400

Registered with Securities and Exchange Board of India (SEBI).

And Whereas I/We am/ are desirous to buy and sell securities through Moneylicious Securities Pvt. Ltd. a

Member of Bombay Stock Exchange Ltd. & National Stock Exchange of India Ltd. SEBI Registration No.

INZ000006031.

And Whereas I/We am/ are desirous of appointing Moneylicious Securities Pvt. Ltd. as my/our constituted

attorney to operate my /our beneficial owner account on my /our behalf for a limited purpose under Client Code

………………………. for BSE & NSE in the manner hereinafter appearing and subject to conditions as provided

herein.

Now know you all and these presents, witness that I /We do hereby nominate, constitute /and appoint

Moneylicious Securities Pvt. Ltd. (hereinafter referred to as "the stock broker") as my/our true and lawful

attorney and authorized in to perform the following function on my/our behalf.

(i) To transfer securities held in my/our aforementioned beneficial owner account(s) or any other account

informed by, me in writing to the stock broker from time to time to the Demat account nos. (BSE PRINCIPAL)

1208340000015645 (BSE EPI A/c.)_____________,(NSE Pool)__________________,(NSE EPI A/c)

__________________ NSE/BSE Margin Account No._______________________& F&O Collateral Account

of trades and margin obligations out of trades executed by me/us on any recognized stock exchange

through Moneylicious Securities Pvt. Ltd. However, the said power will be restricted to only to the transfer

of securities to the Clearing Member ID allotted to Moneylicious Securities Pvt. Ltd. by any existing or

future exchange that the Moneylicious Securities Pvt. Ltd. has joined /will join as a member or to any

Demat accounts linked to the said Clearing Member ID provided that I am /we are registered with the stock

broker for such exchanges as a client.

(ii) To return to me/us, the securities that may have been received by Moneylicious Securities Pvt. Ltd.

erroneously or those securities that the Moneylicious Securities Pvt. Ltd. was not entitled to receive from

me/us

(iii) For meeting my/our settlement obligations/margin requirements in connection with the trades executed by

me/ us the clients on the stock exchanges through the Moneylicious Securities Pvt. Ltd

(iv) To pledge the securities in favour of Moneylicious Securities Pvt. Ltd. for the limited purpose of meeting

my/our margin requirements in connection with the trades executed by me/us on any recognized stock

exchanges through the stock broker

I /We further agree and confirm that the powers and authorities conferred by this Power of Attorney shall

continue until it is revoked (without notice ) in writing by me and the said revocation shall be effective from the

date on which the revocation notice is received by the stock broker in his office at NPS Business Center, 7A,

Kiran Shankar Roy Road, Kolkata - 700001.

��

�

(F/5

)(S

/3)

(T/3

)

12

Signed and delivered by the within named Beneficial Owner/s

Dated at Mumbai __________day of _________________, 20____

We AcceptFor Moneylicious Securities Private Limited

Director / Authorised Signatory

First Holder Second Joint Holder Third Joint Holder

Name

SpecimenSignature

Witness 1 Witness 2

Name & Address

Signature

In the presence of

� � �

(F/6) (S/4) (T/4)

W

13

OPTION FORM FOR ISSUE OF DIS BOOKLET

Date: _______________________

DP ID Client ID1 2 0 8 3 4 0 0

Dear Sir / Madam,

I / We hereby state that: [Select one of the options given below]

OPTION 1:

I / We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening my / our CDSL

account though I / we have issued a Power of Attorney (POA) / executed PMS agreement in favour of / with Moneylicious

Securities Private Limited (name of the attorney / Clearing Member / PMS manager) for executing delivery instructions

for setting stock exchange trades [settlement related transactions] effected through such Clearing Member / by PMS

manager.

Sole/First Holder

Second Holder

Third Holder

To,




OPTION 2:

I / We do not require the Delivery Instruction Slip (DIS) for the time being, since I / We have issued a POA / executed

PMS agreement in favour of / with Moneylicious Securities Private Limited (name of the attorney / Clearing Member

/ PMS manager) for executing delivery instructions for setting stock exchange trades [settlement related transactions]

effected through such Clearing Member / by PMS manager. However, the Delivery Instruction Slip (DIS) booklet should

be issued to me / us immediately on my / our request at any later date.

Yours faithfully

First/Sole Holder

Name

Signature

Second Joint Holder Third Joint Holder

0 0

�

Dear Sir / Madam,

Sub : Declaration towards Basic Services Demat Account (BSDA)

This has reference to my / our application for opening of a demat account with you

I do not wish to avail the BSDA facility for the said demat account

Thanking you

Yours faithfully

BASDA Declaration

Date: _______________________

OR

To,




� �

First/Sole Holder

Name

Signature

Second Joint Holder Third Joint Holder

� � �

(F/7) (S/5) (T/5)

(F/8) (S/6) (T/6)

14

FATCA/CRS DETAILS

Date: _______________

Sr. No. Details 1st Holder 2nd Holder 3rd Holder

1 Are You a Tax Resident of Country other than India?

2 Is your Country of Birth/Citizenship other than India?

3 If your Residence address/Mailing address/Telephone

No. other than in India?

4 Is the POA holder/person to whom signatory authority

is given, covered under any of the categories 1, 2 or 3

above?

If you have answered YES to any of above, please provide the below details

Sr. No. Details 1st Holder 2nd Holder 3rd Holder

1 Country of Residence

2 Nationality

3 Tax Identification No. or Reason for not providing TIN

4 Identification Type (TIN or Other, please specify)

5 Residence address for tax purposes (include City,

State, Country & Pin code)

6 Address Type

7 City of birth

8 Country of birth

Certification: I/We have understood the information requirements of this Form (read along with the FATCA/CRS

Instructions), and hereby certify that the information provided by me/us on this Form is true, correct, and complete.

I/We also confirm that I/We have read and understood the FATCA/CRS Terms and Conditions and hereby accept

the same.

I/We agree to indemnify Moneylicious Securities Private Limited in respect of any false, misleading, inaccurate and

incomplete information regarding my/our "U.S. person" status for U.S. federal income tax purposes. or in respect

of any other information as may be required under applicable tax laws.

Client Code

The below information is required for all applicant(s) / guardian / PoA holder.

Yes No Yes No Yes No




� Residential� Business� Regd. Office



First / Guardian Applicant

Signature


Name

PAN

FATCA-CRS Instruction

Details under FATCA/CRS/Foreign Tax Laws: The Central Board of Direct Taxes has notified Rules 114F to 114H, as

part of the Income Tax Rules 1962, which Rules require Indian financial institutions to seek additional personal, tax

and beneficial owner information and certain certifications and documentation from all our account holders. In

certain circumstances (including if we do not receive a valid self -certification from you) we may be obliged to

share information on your account with relevant tax authorities/appointed agencies. If you have any questions

about your tax residency, please contact your tax advisor. Should there be any change in any information provided

by you, please ensure you advise us promptly, i.e., within 30 days. Towards compliance, we may also be required

to provide information to any institutions such as withholding agents for the purpose of ensuring appropriate

withholding from the account or any proceeds in relation thereto. As may be required by domestic or overseas

regulators/ tax authorities, we may also be constrained to withhold and pay out any sums from your account or

close or suspend your account(s).

� � �

(F/9) (S/7) (T/7)

15

First/Sole Holder Second Holder Third Holder

�

Sr. No.

SCHEDULE OF CHARGES FOR DEMAT (BENEFICIARY OWNER) ACCOUNTS - CDSL

Particulars of Charges Individual Accounts

1. Account Opening Charges NIL

2. Annual Maintenance Charges � Rs. 400/- Annual Maintenance Charges + GST

� Rs. 1200/- Life Time AMC + GST

3. On Market Transaction (Debit) Rs. 15/- per transaction within same Dp

Rs. 50/- per transaction outside Dp

4. Off Market Transaction (Debit) 0.01% Subject to Minimum Rs. 50/- Maximum Rs. 100/-

5. Dematerilasation Demat Charges Rs. 20/- per certificate + Rs. 60/- Courier Charges

or at actual whichever is higher

Demat Rejection Rs. 30/- per DRF

6. Rematerilasation Rs. 20/- for every 100 securities or part thereof, OR flat Rs. 20/-

per certificate, whichever is higher

7. Pledge (Creation/Closure/Invocation) 0.02% Subject to minimum Rs. 50/- Maximum Rs. 150/-

8. Account Freezing Charges NIL

9. Account De-Freezing Charges Rs. 50/-

10. POA (one time charges) Actual

11. Fax indemnity (one time charges) Actual

General Clauses:

• The Annual Maintenance charges are levied, in advance for period of one year at the beginning of the period.

• The value of the Transaction will be in accordance with the rates provided by the Depository.

• The transaction charges will be payable monthly. The charges quoted above are for the services listed. Any

services not quoted above will be charged separately.

• The pledge services will include individual pledge creation request, closure requisition, pledge invocation receipt

and pledge invocation delivery.

• Demat/Remat, DIS, Pledge instruction, Modification instruction or any other request will require upfront charges.

• The processing of Delivery instruction (submitted on pay/in execution date is to be accepted at client’s risk) will

be charged @ 25/- per transaction and will be executed on best effort basis.

• Issuance of additional statement holdings/transactions (other than regular) will be charged @ Rs. 5/- page (min

Rs. 10/-) + actual courier charges if any.

• The client availing auto payin facility has to provide POA. The stamp charges will be borne by the client.

• Fax indemnity on non-judicial stamp paper of Rs. ___________ is required from the client to avail FAX instruction

facility. The original instruction should reach the HO of Depository Participant (Dp) within 48 hours of fax date.

• The above rates/charges are subject to revision at the sole discretion of Depository Participant (DP) with 30 days

prior notice to BO via ordinary post/Email.

• The DP reserves the right to 'freeze Demat account for debit transactions' in case if client fails to pay service

charges by due date mentioned in the bills.

• DP to charge interest at 18% p.a on outstanding or unpaid amount. Any cheque returned due to insufficient

funds to be charged at Rs.300 per cheque bounced.

I/We agree to abide by and to be bound by all the Terms and Conditions pertaining to Debt authorisation, other

charges for having Demat account with you.

TARIF SHEET (DP)

For Moneylicious Securities Private Limited

(Authorised Signatory)

� �Signature(F/10) (S/8) (T/8)

16

Terms And Conditions-cum-Registration / Modification Form for receiving SMS Alerts from CDSLDefinitions:In these Terms and Conditions the terms shall have following meaning unless indicated otherwise:

1. “Depository” means Central Depository Services (India) Limited a company incorporated in India under the Companies Act1956 and having its registered office at 17th Floor, P.J. Towers, Dalal Street, Fort, Mumbai 400001 and all its branch officesand includes its successors and assigns.

2. ‘DP’ means Depository Participant of CDSL. The term covers all types of DPs who are allowed to open demat accounts forinvestors.

3. ‘BO’ means an entity that has opened a demat account with the depository. The term covers all types of demat accounts,which can be opened with a depository as specified by the depository from time to time.

4. SMS means “Short Messaging Service”5. “Alerts” means a customized SMS sent to the BO over the said mobile phone number.6. “Service Provider” means a cellular service provider(s) with whom the depository has entered / will be entering into an

arrangement for providing the SMS alerts to the BO.7. “Service” means the service of providing SMS alerts to the BO on best effort basis as per these terms and conditions.

Availability:1. The service will be provided to the BO at his / her request and at the discretion of the depository. The service will be

available to those accountholders who have provided their mobile numbers to the depository through their DP. The ser-vices may be discontinued for a specific period / indefinite period, with or without issuing any prior notice for the purposeof security reasons or system maintenance or for such other reasons as may be warranted. The depository may also discon-tinue the service at any time without giving prior notice for any reason whatsoever.

2. The service is currently available to the BOs who are residing in India.3. The alerts will be provided to the BOs only if they remain within the range of the service provider’s service area or within

the range forming part of the roaming network of the service provider.4. In case of joint accounts and non-individual accounts the service will be available, only to one mobile number i.e. to the

mobile number as submitted at the time of registration / modification.5. The BO is responsible for promptly intimating to the depository in the prescribed manner any change in mobile number, or

loss of handset, on which the BO wants to receive the alerts from the depository. In case of change in mobile number notintimated to the depository, the SMS alerts will continue to be sent to the last registered mobile phone number. The BOagrees to indemnify the depository for any loss or damage suffered by it on account of SMS alerts sent on such mobilenumber.

Receiving Alerts:1. The depository shall send the alerts to the mobile phone number provided by the BO while registering for the service or to

any such number replaced and informed by the BO from time to time. Upon such registration / change, the depository shallmake every effort to update the change in mobile number within a reasonable period of time. The depository shall not beresponsible for any event of delay or loss of message in this regard.

2. The BO acknowledges that the alerts will be received only if the mobile phone is in ‘ON’ and in a mode to receive the SMS.If the mobile phone is in ‘Off’’ mode i.e. unable to receive the alerts then the BO may not get / get after delay any alertssent during such period.

3. The BO also acknowledges that the readability, accuracy and timeliness of providing the service depend on many factorsincluding the infrastructure, connectivity of the service provider. The depository shall not be responsible for any non-delivery, delayed delivery or distortion of the alert in any way whatsoever.

4. The BO further acknowledges that the service provided to him is an additional facility provided for his convenience and issusceptible to error, omission and/ or inaccuracy. In case the BO observes any error in the information provided in the alert,the BO shall inform the depository and/ or the DP immediately in writing and the depository will make best possible effortsto rectify the error as early as possible. The BO shall not hold the depository liable for any loss, damages, etc. that may beincurred/ suffered by the BO on account of opting to avail SMS alerts facility.

5. The BO authorizes the depository to send any message such as promotional, greeting or any other message that the de-pository may consider appropriate, to the BO. The BO agrees to an ongoing confirmation for use of name, email addressand mobile number for marketing offers between CDSL and any other entity.

6. The BO agrees to inform the depository and DP in writing of any unauthorized debit to his BO account/ unauthorizedtransfer of securities from his BO account, immediately, which may come to his knowledge on receiving SMS alerts. TheBO may send an email to CDSL at [email protected]. The BO is advised not to inform the service provider aboutany such unauthorized debit to/ transfer of securities from his BO account by sending a SMS back to the service provideras there is no reverse communication between the service provider and the depository.

7. The information sent as an alert on the mobile phone number shall be deemed to have been received by the BO and thedepository shall not be under any obligation to confirm the authenticity of the person(s) receiving the alert.

8. The depository will make best efforts to provide the service. The BO cannot hold the depository liable for non-availability ofthe service in any manner whatsoever.

9. If the BO finds that the information such as mobile number etc., has been changed with out proper authorization, the BOshould immediately inform the DP in writing.

CDSL

Your Depository

________________________ ________________________ ________________________

Sole / First Holder Second holder Third Holder

� � �

Annexure – 1.1

(F/11) (S/9) (T/9)

17

Fees: Depository reserves the right to charge such fees from time to time as it deems fit for providing this service to the BO.Disclaimer:The depository shall make reasonable efforts to ensure that the BO’s personal information is kept confidential. The depository does not warrantythe confidentiality or security of the SMS alerts transmitted through a service provider. Further, the depository makes no warranty or represen-tation of any kind in relation to the system and the network or their function or their performance or for any loss or damage whenever andhowsoever suffered or incurred by the BO or by any person resulting from or in connection with availing of SMS alerts facility. The Depositorygives no warranty with respect to the quality of the service provided by the service provider. The Depository will not be liable for any unautho-rized use or access to the information and/ or SMS alert sent on the mobile phone number of the BO or for fraudulent, duplicate or erroneoususe/ misuse of such information by any third person.Liability and Indemnity:The Depository shall not be liable for any breach of confidentiality by the service provider or by any third person due to unauthorized access tothe information meant for the BO. In consideration of the depository providing the service, the BO agrees to indemnify and keep safe, harmlessand indemnified the depository and its officials from any damages, claims, demands, proceedings, loss, cost, charges and expenses whatsoeverwhich a depository may at any time incur, sustain, suffer or be put to as a consequence of or arising out of interference with or misuse, improperor fraudulent use of the service by the BO.Amendments:The depository may amend the terms and conditions at any time with or without giving any prior notice to the BOs. Any such amendments shallbe binding on the BOs who are already registered as user of this service.Governing Law and Jurisdiction:Providing the Service as outlined above shall be governed by the laws of India and will be subject to the exclusive jurisdiction of the courts inMumbai.I/We wish to avail the SMS Alerts facility provided by the depository on my/our mobile number provided in the registration form subject to theterms and conditions mentioned below. I/ We consent to CDSL providing to the service provider such information pertaining to account/transactions in my/our account as is necessary for the purposes of generating SMS Alerts by service provider, to be sent to the said mobilenumber.I/We have read and understood the terms and conditions mentioned above and agree to abide by them and any amendments thereto made bythe depository from time to time. I/ we further undertake to pay fee/ charges as may be levied by the depository from time to time.I / We further understand that the SMS alerts would be sent for a maximum four ISINs at a time. If more than four debits take place, the BOswould be required to take up the matter with their DP.I/We am/ are aware that mere acceptance of the registration form does not imply in any way that the request has been accepted by thedepository for providing the service.I/We provide the following information for the purpose of REGISTRATION / MODIFICATION (Please cancel out what is not applicable).

BOID

(Please write your 8 digit DPID) (Please write your 8 digit Client ID)

Sole / First Holder’s Name :__________________________________________________________________________

Second Holder’s Name :__________________________________________________________________________

Third Holder’s Name :__________________________________________________________________________

Mobile Number on whichmessages are to be sent

(Please write only the mobile number without prefixing country code or zero)

The mobile number is registered in the name of: __________________________________________________

Email ID: _________________________________________________________________________________________________

(Please write only ONE valid email ID on which communication; if any, is to be sent)

+91

� � �

___________________ ____________________ _____________________

Signatures Sole / First Holder Second holder Third Holder

Place: _______________ Date: _______________

1 2 0 8 3 4 0 0 0 0

(F/12) (S/10) (T/10)

18

Annexure – 1.2Terms and Conditions for availing Transaction Using Secured Texting (TRUST) Service offered by CDSL

1. Definitions:In these Terms and Conditions the terms shall have following meaning unless indicated otherwise:i. “Depository" means Central Depository Services (India) Limited (CDSL)ii. TRUST means “Transactions Using Secured Texting” service offered by the Depository.iii. “Service Provider” means a cellular service provider(s) with whom the Depository has entered / shall enter into an arrangement

for providing the TRUST service to the BO.iv. “Service” means the service of providing facility to receive/give instructions through SMS on best effort basis as per the following

terms and conditions. The types of transaction that would normally qualify for this type of service would be informed by CDSLfrom time to time.

v. “Third Party" means the operators with whom the Service Provider is having / will have an arrangement for providing SMS to theBO.

2. The service will be provided to the BO at his / her request and at the discretion of the depository provided the BO has registered forthis facility with their mobile numbers through their DP or by any other mode as informed by CDSL from time to time . . Acceptanceof application shall be subject to the verification of the information provided by the BO to the Depository

3. The messages will be sent on best efforts basis by way of an SMS on the mobile no which has been provided by the BOs. HoweverDepository shall not be responsible if messages are not received or sent for any reason whatsoever, including but not limited to thefailure of the service provider or network.

4. The BO is responsible for promptly informing its DP in the prescribed manner any change in mobile number, or loss of handset onwhich the BO wants to send/receive messages generated under TRUST. In case the new number is not registered for TRUST in thedepository system, the messages generated under TRUST will continue to be sent to the last registered mobile number. The BOagrees to indemnify the depository for any loss or damage suffered by it on account of messages sent on such mobile number.

5. The BO agrees that SMS received by the Depository from the registered mobile number of the BO on the basis of which instructionsare executed in the depository system shall be conclusive evidence of such instructions having been issued by the BO. The DP / CDSLwill not be held liable for acting on SMS so received.

6. The BO shall be responsible for submitting response to the ‘Responsive SMS’ within the specified time period. Transactions for whichno positive or negative confirmation is received from the BO, will not be executed except for transaction for deregistration. Further,CDSL shall not be responsible for BOs not submitting the response to the said SMS within the time limit prescribed by CDSL.

7. The BO agrees that the signing of the TRUST registration form by all joint holders shall mean that the instructions executed on thebasis of SMS received from the registered mobile for TRUST shall be deemed to have been executed by all joint holders.

8. The BO agrees to ensure that the mobile number for TRUST facility and SMS alert (SMART) facility is the same. The BO agrees that ifhe is not registered for SMART, the DP shall register him for SMART and TRUST. If the mobile number provided for TRUST is differentfrom the mobile number recorded for SMART, the new mobile number would be updated for SMART as well as TRUST.

9. BOs are advised to check the status of their obligation from time to time and also advise the respective CMs to do so. In case of anyissues, the BO/CM should approach their DPs to ensure that the obligation is fulfilled through any other mode of delivery of transac-tions as may be informed / made available by CDSL from time to time including submission of Delivery Instruction Slips to the DP .

10. The BO acknowledges that CDSL will send the message for confirmation of a transaction to the BO only if the Clearing Member(registered by the BO for TRUST) enters the said transaction in CDSL system for execution through TRUST within prescribed timelimit.

11. The BO further acknowledges that the BO/CM shall not have any right to any claim against either the DP or Depository for losses, ifany, incurred due to non receipt of response on the responsive SMS or receipt of such response after the prescribed time period. Inthe event of any dispute relating to the date and time of receipt of such response, CDSL’s records shall be conclusive evidence andthe Parties agree that CDSL’s decision on the same shall be final and binding on both Parties.

12. The BO may request for deregistration from TRUST at any time by giving a notice in writing to its DP or by any other mode as specifiedby Depository in its operating instructions. The same shall be effected after entry of such request by the DP in CDSL system if therequest is received through the DP.

13. Depository reserves the right to charge such fees from time to time as it deems fit for providing this service to the BO.14. The BO expressly authorises Depository to disclose to the Service Provider or any other third party, such BO information as may be

required by them to provide the services to the BO. Depository however, shall not be responsible and be held liable for any divul-gence or leakage of confidential BO information by such Service Providers or any other third party.

15. The BO takes the responsibility for the correctness of the information supplied by him to Depository through the use of the saidFacility or through any other means such as electronic mail or written communication.

16. The BO is solely responsible for ensuring that the mobile number is not misused and is kept safely and securely. The Depository willprocess requests originated from the registered Mobile as if submitted by the BO and Depository is not responsible for any claimmade by the BO informing that the same was not originated by him.

17. Indemnity:In consideration of providing the service, the BO agrees that the depository shall not be liable to indemnify the BO towards anydamages, claims, demands, proceedings, loss, cost, charges and expenses whatsoever as a consequence of or arising out of interfer-ence with or misuse, improper or fraudulent use of the service by the BO.

18. Disclaimer:Depository shall be absolved of any liability in case:-a. There is loss of any information during processing or transmission or any unauthorized access by any other person or breach of

confidentiality.b. There is any lapse or failure on the part of the service providers or any third party affecting the said Facility and that Depository

makes no warranty as to the quality of the service provided by any such service provider.c. There is breach of confidentiality or security of the messages whether personal or otherwise transmitted through the Facility.

19

DECLARATION

To,




I have received , read and understood the following:

a) Dp Rights and Obligations of Beneficial Owner and Depository Participant as prescribed by SEBI and Depositories.

b) Terms and Conditions for availing Transaction Using Secured Texting (TRUST) service offered by CDSL

First / Guardian Applicant

Signature


Name

� � �

(F/13) (S/11) (T/11)

20

THIS

PAGE IS

INTE

NTIONALL

Y

KEPT BLA

NK

Bombay Stock Exchange Limited

T h e e f f i c i e n c yi s e d g e

MEMBER: BSE | NSE | DEPOSITORY PARTICIPANT (CDSL)


Regd. Office: NPS Business Center,7 A, Kiran Shankar Roy Road, Kolkata - 700001.Corp. Office: Office No.24 A & B Adhyaru Industrial Estate,Sun Mill Compound, Lower Parel West, Mumbai - 400013.

Ph. No.: (91-22) 43116666 Fax: (91-22) 43116601Website: www.moneylicious.in

•

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