KYC Details Name of the Client Address*

Location code/ branch code

Trade Code

* If there is any change in the address registered with us, please submit a valid address proof
Financial Details. (Please fill the below details in order to update our records.) Annual Income!tic" one# Net worth as on !date#
D

$elow %s & la"h

D M M Y Y Y

%s &'( la"h
Y

%s ('&) la"h

%s &)'*(la"hs

+%s *( la"h

,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,!Net worth should not be older than & year#

Derivative (F&O and CDS) clients mandatorily attach any ONE of the belo listed doc!ments alon" ith this form.
1.Copy of ITR Acknowledgment 2. Copy of Annual Accounts 3. Copy of Fo m 1! "n case of sala y "ncome #. $et wo t% ce t"f"cate &.'ala y 'l"p !.(ank account statement fo last ! mont%s ).Copy of demat account *old"ng statement. +.Any ot%e ele,ant documents su-stant"at"ng owne s%"p of assets. ..'elf decla at"on along w"t% ele,ant suppo t"ng.

Occ!#ation Details -mployed .elf -mployed $usiness /rofessional 0ousewife 1thers $f em#loyed% Self em#loyed% &!siness% 'rofessional % Others ( Name of -mployer / -stablishment 2esignation 1ffice Address .tate / 3nion Territory Country /in /hone !with .T2/ I.2 codes# 4obile 5a6 -'4ail I2 Length of service with present employer !,,,,7ears,,,,4onths# 8hether %egistered with any other bro"er/2epository /articipant 9 If 7es, .pecify Name of the stoc" bro"er:2/ 8hether any of your relatives have 2emat :Trading A/c with ;$N// 9 If 7-., .pecify Client I2 : Trade code .ignature of Client9 2ate ) /lace 7-. / N1 N1

7-. /