KYC Details Change form (For individuals Oni) es i i pate meson fr in EGU ad in BLOCK LETTERS tee ite fetes hte net wn, ABBVeation No D> [A Name of Applicant (Mandatory as perongnal YE rece) | Title Cv. Cos. Dhother, ‘Aadhaar Numbee, if any. PAN Name Dateoftinh| Le |/Le lo |/Ls Ly bel Please Provide the new KYC details which should be updated in your KYC records , B: Mandatory fields for KYCs done before 1" January 20120 seetersspounniome| | | | 1 | TTP TT ET TT TT ETE PT Pt 2 Cument Matalstatus Cinle Caries 3. Curent Nationality CJinian Closer Note FOR OFFICE USE ONLY": TneIPV Corn shouldbe mandated fr ll x¥Csrgiteed before st ancy 2012, Grignak Sen and Ves should bie mandatory files fr changes to deny and Aes deta {.New Name is appeningin supporigisentcton document, ane nin Reser Passport Cony Nant or NR & ec a latest copy of your PAN Card es Hes Tek 7) veg cence CJOthers | Cau (sm) [Les 050) | (STO) (sm) Fax] (80) | 570) provided by Applica. Please submit ANY ONE ofthe flowing val documents & tek) a aPasport Cation Cad Regsteed Lense Agierent of Rsdence CID Lense Clete ery Card Latest Bank Ale Statement Pasoook (states eeghore Bony Land Lind) CoLaet lecty 81 Crates as il Cotes he seh ‘rar van 3 Morse aldtylapiny date of poe ofadiressubmated [so fm | fy |) || 4. New Permanent Address of Resident Applicant different from above C1 OR Overseas Address (Mandatory) for Non-Resident Applicant (apr be Pinca San Coy 5. Poof af address to be provided by Applicant. Please submit ANY ONE ofthe following valid documents & tick (/) against the document attached, Passport Cokation Cand Citeitre LeasSale Agreement of Residence C1Drving Leense voter lentiy Card Cs.ates Bank Ae StrementPasok [sates ekphone2ilonly Lan tine) atest Feri Bil C*iates: Gas Bil others pie saedh ‘Not maw tan 3 Mohs es, Vaya date of prot of adres submitted | fmf fy | Lv Ly — DECLARATION, Inereny eclre that the deta furnishes above ate Yue an correct to the best of myfour knowledge and belie and I undertake to inform you of any changes therein, immesiatly. In ase any of the above ld signature as per original KYC | information is found to be fabe or unvue or misleacing of Wherever Applicable ‘musrepresenting, Lame ae aware that Ye may be helable ort, thee Jat:|44rmnryyyy] (FOR IOFFICE (USE ONLY NM Pv Done on 2 feta Lile aMCineedany name OR code Sealstamp of he interme shoud contain Sia Name 1 (otigrak vet a erie Decument copies esied Desgnation 1 tse) Tur copes of documents eeved Nee le Onn Nain inemedin bateINSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM, ‘A. IMPORTANTPOINTS: 1. Self attested copy of PAN card is mandatory oral clentsin cardiRagiered Lease or Sale Agreement of Residence/Diving Licensefat Maintenance bilinsurance Copy alltype of change request. Copies ofall the documents submited by the applicant should be safatesed and accompanied by ariginals for verification. In case ‘the orginal of ary document isnot produced for verfation, then the copies shoulé be propel atested by entes authorized for attesting the documents, asperthebelow mentioned. If any prof of identity or address is in a foreign language, then translation nto English is required, Name &addressof the applicant mentioned on the KYC form should match withthe documertary proof submited, Hfcorespondence& permanent address are citferen, then proofs for bothhaveto be submited Sole proprietor must make the application in his individual name & capacity, For nonresidents ad foreign nationals alowed to ade subject to Bl and FEMA guidlines), copy of passporvPlOCardiOCICard and overseas adstessprootismandatory. For foreign ents, IN is optional ann the absence of DIN no. fo ‘the directors, ther passpor copy should be given In case of Merchant Navy NR's, Maine’ declaration or ceried ‘copy of CDC (Continuous Discharge Ceticae is tobe submited 10.Foroperingan account with Depository partipant or Mutual Fund, for amincx photocopy ofthe School Leaving CrifcateMark sheet issued by Higher Seconda BoardPasspot. of MinoxBith Confcate mustbe provided Polticaly Exposed Persons (PEP) are defined as ncviuals who are “orhavebeen entrusted with prominent publicfunctionsinaforign county, eg, Heads of States or of Governments, senior poitians, senior Governmensjuccaimitary ofcrs, senior ‘executives of state owned corpratons, important politcal party officials ete Proof of Identity POH): List of documents admissible as Proof of Identity: 1. PAN card with photograph. Tis is a mandatory requtement forall applicants excep those who are spectically exempt rom obtaining PAN (lstedin Secon), ‘Aadhaar Number Passport Voter ID card rivig lense Identity card document with applicant’ Photo, sued by any of the following: CentalState Government and its Departments, StatuteyRegulatoy Authors, Public Sector Undertakings, Scheduled Commercial Banks, Pubic Francia Institutions, Colleges affliated to Univestes, Profesional Boies suchas ICAL, ICWAL, ICSI Ba Cound et, to thei Members and ret cardsDebit cards issuedbyBanks . Proof of Address (POA): List of documents admissible as Proof of Address: (*Documents having an expiry date should be valid on the date of submission.) 1. Aadhasr Number J Passport J Votess Identity Card/Ration| 2. Ul bis ike Telephone il (onl land ln}, Elec ler Gas ill Notmorethan3 months old Bank Account StatemertiPassbook -Not more than 3 months id Sef declaration b High Cour and Supreme Court judges, giving the new addressinrespecto ther own accounts. Proof of address issued by any ofthe following: Bank Managers of Scheduled Commercial Barks!Scheduled Co-Operative BanklMutinatonal Foreign BanksGazeted —OfceNoray publicFlected representatives tothe Legislative -AssembyPariamentDocuments issued by any Govt, or Statutory Autos Identity cardocament wth adress sued by any ofthe folowing CenvalState Government ands Departments, StatutoyReguatoy Autores, Public Sector Underakns, Scheduled Commer Banks, Publ Financial stuns, Coleges aflated to Unvestes and Professional Bodies such as IC, ICWA, CS, Bar Count othe Members For Flisub account, Power of Attoray given by ls account to the Custodians (which xe duly notarzed andlor aposted or consuaise) hat ives th registered adress shouldbe aon 1. The proof of adres inthe name ofthe spouse maybe accepted, >. Exerptions/clarifications to PAN (*Sufficient documentary evidence in support of such claims tobecollected,) 1. Incase of vansacions undertaken on behalf f Central Govemment nr State Goverment and by ofc apoinied by Cours eg ffl euidatr Cour rcivec ee. Investors resiingin the state of Sikkim. UNenttiesmultlateal agencies exemptirom paying taxesffling tax retumsinindia ‘i of Mutual Funds upto Rs $0,0001-pa In case of institutional clients, namely, Fis, Mis, VCE, FCs Scheduled Commercial Banks, Multlateral and Bltera Development Financial Insitutions, State Indus Development Corporation, Insurance Companies registered wth RDA and Public Financial Insttucion as defined under section 4A ofthe Companies ‘At, 1956, Custodians shall vey the PAN card detals with the ctginal PAN card end provide duly certified copes of such verified PAN decals tothe intermedia, . Listof people authorized to attest the documer 1. Notary Publ, Gazetted Office, Manager of = Scheduled ‘CommercallCo-operatve Bark or Multinational Foreign Banks (Wame, Designation & Seal shouldbe afixedonthe copy) 2. In case of NRIs, authorized officals of overseas branches of Scheduled Commercial Barks registered in Incia, Notary Pubic, Court Magistrate, Judge, Irian EmbassyiConslate General nthe county where the cient resides are permitted to allet the documents. ese Submit the KYC Documents on At Sze Paper On,