SIGNED KYC AOF 6538d705700e2e1f9e44c3a7
SIGNED KYC AOF 6538d705700e2e1f9e44c3a7
SIGNED KYC AOF 6538d705700e2e1f9e44c3a7
Date of Birth* 0 8 1 0 2 0 0 5
Proof of Identity (POI) submitted for PAN exempted cases (Please tick)
A - Aadhaar Card XXXX XXXX 9 9 1 5
C - Voter ID Card
F - NPR
Identification Number
Line 3
Applicant e-SIGN
Kotak Investment Advisors Ltd. | Type of Registration: Non - individual | Registration number: U65990MH1994PLC077472 | Validity of registration: Perpetual
Address of Investment Adviser: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400051, Phone No.: +91 22 43360701
SEBI Regional/Local Office Address: https://www.sebi.gov.in/contact-us.html
B. Permanent residence address of applicant, if different from above A / Overseas Address* (Mandatory for NRI Applicant)
Line 1*
Line 2
Line 3
State* Country*
C - Voter ID Card
F - NPR
Identification Number
3. Contact Details
Email ID [email protected]
Mobile No. + 9 1 - 8 6 8 8 4 5 8 6 0 7
4. Applicant Declaration
I hereby declare that the details furnished above are true and correct to the best of my/our Applicant e-SIGN Applicant Wet Signature
knowledge and belief and I under-take to inform you of any changes therein, immediately. In
case any of the above information is found to be false or untrue or misleading or aa
misrepresenting, I am/We are aware that I/We may be held liable for it.
I/We hereby consent to receiving information from CVL KRA through SMS/Email on the
above registered number/Email address.
I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be
Annaboina Deva Rakesh
validated against Aadhaar details.I/We hereby consent to sharing my/our masked Aadhaar
card with readable QR code or my Aadhaar XML/Digilocker XML file, along with passcode 25 Oct 2023 at 14:21:54 IST (UTC+05:30) Aadhaar
eSign
and as appicable, with KRA and other Intermediaries with whom I have a business
relationship for KYC purposes only.
DATE: 2 5 1 0 2 0 2 3 (DD-MM-YYYY)
PLACE: UGGRAWAI
Kotak Investment Advisors Ltd. | Type of Registration: Non - individual | Registration number: U65990MH1994PLC077472 | Validity of registration: Perpetual
Address of Investment Adviser: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400051, Phone No.: +91 22 43360701
SEBI Regional/Local Office Address: https://www.sebi.gov.in/contact-us.html
PAN Card Copy
25 Oct 2023 at 14:21:54 IST (UTC+05:30) Aadhaar Kotak Investment Advisors Ltd. | Type of Registration: Non - individual | Registration number: U65990MH1994PLC077472 | Validity of registration: Perpetual
eSign
Address of Investment Adviser: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400051, Phone No.: +91 22 43360701
SEBI Regional/Local Office Address: https://www.sebi.gov.in/contact-us.html
OFFLINE XML BASED KYC DATA FORM
This is the document generated by Kotak Investment Advisors Limited with resident's
consent and on the basis of offline XML based KYC data shared by the resident with
Kotak Investment Advisors Limited for the purpose of opening Investment Account.
This document will be used as ID and/or Address proof for record purposes.
Reference Id: UKC:4b241c76cfe6674c3bfc02c9aafb6c292023102514
1659
Photo
25 Oct 2023 at 14:21:54 IST (UTC+05:30) Aadhaar Kotak Investment Advisors Ltd. | Type of Registration: Non - individual | Registration number: U65990MH1994PLC077472 | Validity of registration: Perpetual
eSign
Address of Investment Adviser: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400051, Phone No.: +91 22 43360701
SEBI Regional/Local Office Address: https://www.sebi.gov.in/contact-us.html
Customer Signature - for CVL KRA registration
Signature image is obtained online from customer and is being shared basis customer consent
Signature panel
25 Oct 2023 at 14:21:54 IST (UTC+05:30) Aadhaar Kotak Investment Advisors Ltd. | Type of Registration: Non - individual | Registration number: U65990MH1994PLC077472 | Validity of registration: Perpetual
eSign
Address of Investment Adviser: 27 BKC, C 27, G Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400051, Phone No.: +91 22 43360701
SEBI Regional/Local Office Address: https://www.sebi.gov.in/contact-us.html