MOBILE NO. & EMAIL ID

MANDATORY

Provide client remarks , if any

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.

Provide client remarks , if any

Provide client remarks , if any

Introducer Photo ID and Address proof required

Strike Off Unused Column

Date to be filled by KYC staff

Date to be filled by KYC staff

Date to be filled by KYC staff

As per SEBI directive DP has to record mandatorily nomination for all new

accounts. Account holder has to sign the nomination page with declaration Yes or

No for nomination.

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