Application Form for Opening a Demat Account Individual NRI Foreign National. Depository Participant Name / Address

Transcription

1 To, SPS SHARE BROKERS PVT.. LTD. SEBI Regn. No. BSE - INB BSE - CM 557 MEMBER : THE BOMBAY STOCK EXCHANGE LTD. NSE - INB (Capital Market) NSE Cash THE NATIONAL STOCK EXCHANGE INDIA LTD. Depository Participant of Central Depository Services (I) Ltd. INF (F & O) NSE F & O - TM09799 CMM51274 Regd. Office : 121/4, Agra Building, M. G. Road, Mumbai CDSL Reg. No. DP SEBI Regn. No. IN-DP-CDSL , Tamarind Lane, 4/5, Haji Kasam Bldg., 1st Floor, Fort, Mumbai Tel. : / Fax : spshares@vsnl.com DP - ID (To be filled by the Depository Participant) Fist Last Father / Husband Correspondence Address Application Form for Opening a Demat Account Individual NRI Foreign National Depository Participant / Address Application No. Date DP Internal Reference No. Client ID (To be filled by the applicant in BLOCK LETTERS in English) I/We request you to open a Demat Account in my / our name as per the following details :- Sole / First Holders Details MA Code Joint Holders - Second Holder s Details Fist Last Father / Husband MA Code Joint Holders - Third Holder s Details Fist Last Father / Husband MA Code D D M M Y Y Y D D M M Y Y Y Y Y

2 Type of Account (Please tick whichever is applicable) Status Individual NRI Foreign National Details For Fist Holder Nationality Sex Occupation Individual Resident Individual Director s Relative Individual Promoter Individual Margin Trading A/C (MANTRA) NRI Repatriable NRI - Depository Receipts Foreign National Sub - Status Individual-Director Individual HUF / AOP NRI Non - Repatriable Foreign National - Depository Receipts Indian Others (Specify) Male Female Service Professional Business Student Retired Housewife Others (Specify) I / We authorize you to receive credits in my / our account Without any instruction from me / us. Yes No Account ment Requirement Daily Weekly Fortnightly Monthly Do you wish to receive dividend / interest directly in to your bank account given below through ECS? Yes No Bank Details Bank Code (9 digit MICR code) Bank Branch Bank Address Account number Accout type Saving Current Cash Credit I/We have read the DP-BO agreement including the schedules thereto and the 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 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. First/Sole Holder Second Joint Holder Third Joint Holder Signatures Passport size Photograph (Signatures should be preferably in blank ink)

3 Details of introduction by an existing demat account holder Introducer s Signature of the Introducer Client ID Verified Signature of the DP Official Detials of introduction by an Bank Official / Designation Bank / Branch Signature Additional Details : Permanent Address (If Different from Correspondence Address) Detials of Guardian (If First Holder or Second Holder or Third Holder is a minor) Fist Last / Search Relationship with the applicant Correspondence Address For NRIs Foreign Address RBI Ref no. RBI Approval date (To be filled by the Depository Participant) (Perforated Card) First / Sole Holder Second Holder Third Holder Specimen Signatures Application No. : (Please Tear Here) Acknowledgement Receipt Date : We hereby acknowledge the receipt of the Account Opening Application Form : of the Sole / First Holder of Second joint Holder of Third joint Holder Depository Participant Seal and Signature

4 To, SPS SHARE BROKERS PVT.. LTD. Application Form for Opening a Demat Account (For entities other than Individuals) Depository Participant / Address / (To be filled by the Depository Participant) Application No. DP Internal Reference No. Date Client ID (To be filled by the applicant in BLOCK LETTERS in English) We request you to open a Demat Account in our name as per the following details :- Search Correspondence Address SEBI Regn. No. BSE - INB BSE - CM 557 MEMBER : THE BOMBAY STOCK EXCHANGE LTD. NSE - INB (Capital Market) NSE Cash THE NATIONAL STOCK EXCHANGE INDIA LTD. Depository Participant of Central Depository Services (I) Ltd. INF (F & O) NSE F & O - TM09799 CMM51274 Regd. Office : 121/4, Agra Building, M. G. Road, Mumbai CDSL Reg. No. DP SEBI Regn. No. IN-DP-CDSL , Tamarind Lane, 4/5, Haji Kasam Bldg., 1st Floor, Fort, Mumbai Tel. : / Fax : spshares@vsnl.com DP - ID MA Code Sate Other Holders - Second Holder Details First Last Father / Husband MA Code Y Other Holders - Third Holder Details First Last Father / Husband MA Code Y Type of Account (Please tick whichever is applicable) Status 0 Body Corporate 0 Banks 0 Trust 0 Mutual Fund 0 OCB 0 FII 0 CM 0 FI 0 Clearing House 0 Other (Specify) Date of Incorporation SEBI Registration No. (if SEBI Registration Applicable) date ROC Registration No. ROC Registration date (If Applicable) RBI Registration No. RBI Approval date (If Applicable) Sub - Status To be filled by the DP

5 Nationality Indian Others (Specify) I / We authorize you to receive credits in my / our account Without any instruction from me / us. Account ment Requirement Yes 0 Daily 0 Weekly 0 Fortnightly 0 Monthly No Do you wish to receive dividend / interest directly in to your bank account given below through ECS? Yes No Bank Details Bank Code (9 digit MICR code) Bank Branch Bank Address Account number Account type 0 Saving 0 Current 0 Cash Credit For OCBs Foreign Address Indian Address Currency RBI Reference No. RBI Approval Date Clearing Members Details (To be filled by CMs only) of the Stock Exchange of the CC / CH Trading Id Clearing Member ID

6 I/We have read the DP-BO agreement including the schedules thereto and the 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 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. First / Sole Authorised Signatory Second Authorised Signatory Third Authorised Signatory Signature Passport Size Photograph Designation (To be filled by the Depository Participant) (Perforated Card) First / Sole Holder Second Holder Third Holder Specimen Signatures (Please Tear Here) Acknowledgement Receipt Application No. : Date : We hereby acknowledge the receipt of the Account Opening Application Form : of the Sole / First Holder of Second joint Holder of Third joint Holder Depository Participant Seal and Signature

7 DEPOSITORY ACCOUNT OPENING FORM FOR INDIVIDUALS SPS Account No. SHARE BROKERS PVT. LTD. GENERAL TERMS AND CONDITIONS ACCOUNT OPENING FORM DP AGREEMENT POWER OF ATTORNEY - DP A/C. Trading cum Clearing Member SEBI Regn. No. BSE - INB BSE - CM 557 NSE - INB (Capital Market) NSE Cash INF (F & O) NSE F & O - TM09799 CMM51274 CDSL Reg. No. DP SEBI Regn. No. IN-DP-CDSL DP - ID Regd. Office : 121/4, Agra Building, 1st Floor, Fort, Mumbai , Tamarind Lane, 4/5, Haji Kasam Building, 1st Floor, Fort, Mumbai

8 DEPOSITORY ACCOUNT OPENING FORM ARTNERSHIP FIRMS TE / PAR FOR NON - INDIVIDUALS / CORPORATE / P SPS Account No. SHARE BROKERS PVT. LTD. GENERAL TERMS AND CONDITIONS ACCOUNT OPENING FORM DP AGREEMENT POWER OF ATTORNEY - DP A/C. Trading cum Clearing Member SEBI Regn. No. BSE - INB BSE - CM 557 NSE - INB (Capital Market) NSE Cash INF (F & O) NSE F & O - TM09799 CMM51274 CDSL Reg. No. DP SEBI Regn. No. IN-DP-CDSL DP - ID Regd. Office : 121/4, Agra Building, 1st Floor, Fort, Mumbai , Tamarind Lane, 4/5, Haji Kasam Building, 1st Floor, Fort, Mumbai