Application No.

: ST4125680

Type of Account:

Online Branch

Client Name: SYAMILA K

SSL Branch Code: ERD Name: SSL Erode Branch

SBI Bank Branch Code: Branch Name:

Employee Code: FTC1746

Employee Name:

Scheme Code: Rs 499 Plan

Corporate Name:

Country Name:

SEBI / IRDA Registration NO.:

Stock Broker NSE/BSE/NCDEX/MCX INZ000200032 Dt. 12/09/2018

CDSL & NSDL Depository Participant IN-DP-314-2017 Dt. 13/02/2017
CIRL Approved Person IRDA/RW/IR2/2015/081 Dt. 12/02/2015
NDML Approved Person IRDA/IR1/2014/069 Dt. 07/01/2015

Registered Office Address:

SBICAP Securities Limited
Corporate Identity Number (CIN): U65999MH2005PLC155485
Marathon Futurex, Unit No.1201, 12th Floor, B Wing, Mafatlal Mill Compound, N.M. Joshi Marg, Lower Parel East, Mumbai -400013
Phone: 022-42273300/3301 | Fax: 022-42273301
E-mail: [email protected] | Website: www.sbisecurities.in

Version 2023-24_KYCIND_V2.00
Dear Customer,
Welcome to SBICap Securities Limited (SSL)
We look forward to your business and to the pleasure of serving you. To start with, we request you to complete the account
opening forms, and submit the required documents. We have designed the forms for ease of completion with simple instructions
at relevant places to guide you along. Should you face any difficulty in understanding the requirements, please do not hesitate to
contact our staff who will be willing to assist you.
SBICAP Securities Limited (SSL) in association with State Bank of India offers Demat Trading and Bank accounts, integrated fully to
offer you a Delightful trading experience which allows you to seamlessly invest online in Equity, Derivatives, Mutual Funds and
Equity and MF Systematic Investment Plan (SIP). You can also invest in these products through our pan India branch net work.
Some of the facilities on offer are,
- Instant Funds/ Share transfer facility
- Review of Margin Status, Holding Report, Order and Trade Book on a real time basis
- Placing of After Market Orders at your convenience
- Online real time advice/ recommendations
- Incisive research reports & well-timed advisory services
- Convenient online facility for investment in Mutual Funds, SIPs
- Telephonic Assistance through centralised Helpdesk
It shall be our endeavour, as always, to provide you a truly satisfying service.
Regards
SBICAP Securities Limited

Version 2023-24_KYCIND_V2.00
Form No.: Q

Account Opening Information and Choice of Accounts Voluntary

A. Types of Account
Broking: For investing in equities, derivatives & commodities / IPOs / Bonds market.
Demat: Demat account is an account wherein you can hold shares / Bonds / MF units in the dematerialised{electronic}form.
Mutual Fund SIP: Systematic Investment Plan in Mutual Fund.
You may open and operate these accounts in the following manner:
3 in 1: (Tick All) 2 in 1: (Tick any two)
Broking Demat Broking & Mutual Fund SIP Demat & Mutual Fund SIP
Mutual Fund SIP Others
B. Access to your account:
You can access your account with ease and convenience through:
Internet at www.sbisecurities.in or Call & Trade through (022) 6854 5555.
Branches of SBICAP Securities Limited.

Client Profile Sheet

1. Where do you invest your excess savings / income? (Please specify)
Savings A/c Equity Market Fixed Deposits Mutual Funds Gold Property Insurance Others
2. Do you Trade in
Cash Market A/c Derivatives Commoditiy All
3. Please specify your profile
Specatcular Long Term Investor Short Term Investor Other (please specify)
4. Please specify amount you plan/prefer to set aside for investment every year (INR)
Less than 1,00,000 1,00,001 - 5,00,000 5,00,001 - 10,00,000 10,00,001 and above
5. Approximate average monthly turnover in Capital Markets
Less than 5 Lac 5 to 10 Lac 10 to 20 Lac More than 20 Lac
6. Please classify yourself as an Investor specifying your risk appetite
Very conservative Fairly conservative Willing to take moderate risks Willing to take high risks
I/We understand that in the capacity of Stockbroker you have taken above specification for my/our client profiling. I/We hereby declare that the details furnished above are true and correct
to the best of my/our knowledge and belief and I/we undertake to inform you of any changes therein, immediately. I/We have read and understood Risk Disclosure Document for Capital
Market and Derivatives Segment. In light of the risk involved, I/we will undertake transactions only if I/we understand the nature of transaction and the extent of exposure to the risk for an
investment.
Even though I/we have given my/our profiling above, the same may vary from time to time depending on the financial and other conditions at that point of time. I/We also may choose to
make an investment that may expose me to higher risk than the risk profile given above. The transactions should be executed in such circumstances and my profi ling given above should
not come in a way for any such execution.
Modes of Operation: Jointly Anyone of the holders or survivor (s)

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
FH01
SH01 TH01
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023

Note: Please Sign within the box in BLACK INK.

ACKNOWLEDGEMENT
Application No.: PAN/UID No.:
We acknowledge the receipt of Broking, Demat (Nomination Form*) Account Opening Form
SOLE / FIRST Holder’s Name:
Address:
SECOND HOLDER Name:
THIRD HOLDER Name: For SBICAP Securities Limited

Date: 11/12/2023 Authorised Signatory

Contact No.: (022) 6854 5555 • Website: www.sbisecurities.in • E-mail: [email protected]

* Details of the nomination will be furnished on registration with the depository.
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Version 2023-24_KYCIND_V2.00
 INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM

A. IMPORTANT POINTS:
2. Utility bills like Telephone Bill (Only land line), Electricity bill or Gas bill - Not more than
1. Self attested copy of PAN card is mandatory for clients. 3 months old.

2. Copies of all the documents submitted by the applicant should be self-attested and 3. Self-declaration by High Court and Supreme Court judges, giving the new address in
accompanied by originals for verification. In case the original of any document is not respect of their own accounts
produced for verification, then the copies should be properly attested by entities 4. Proof of address issued by any of the following: Bank Manager of Scheduled
authorized for attesting the documents, as per the below mentioned list. Commercial Bank/Scheduled Co-Operative Bank/Multinational Foreign Bank/ Gazetted
3. If any proof of identity or address is in a foreign language, then translation into English Officer/Notary public/Elected representative to the Legislative
is required. Assembly/Parliament/Documents issued by any Govt. or Statutory Authority.

4. Name & address of the applicant mentioned on the KYC form, should match with the 5. Identity card/document with address, issued by any of the following: Central/ State
documentary proof submitted. Government and its Departments, Statutory/Regulatory Authorities, Public Sector
Undertakings, Scheduled Commercial Banks Public Financial Institutions, Colleges
5. If correspondence & permanent address are different, then proofs for both have to be affiliated to Universities and Professional Bodies such as ICAI, ICWAI, ICSI, Bar
submitted. Council etc., to their Members.
6. Sole proprietor must make the application in his individual name & capacity. 6. For FII/sub account, Power of Attorney given by FII/sub-account to the Custodians
(which are duly notarized and/or apostiled or consularised) that gives the registered
7. For non-residents and foreign nationals, (allowed to trade subject to RBI and FEMA
address should be taken.
guidelines), copy of passport/PIO Card/OCI Card and overseas address proof is
mandatory 7. The proof of address in the name of the spouse may be accepted.
8. For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, D Exemptions/clarifications to PAN: N (*Sufficient documentary evidence in support of
their passport copy should be given such claims to be collected.)
9. In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC 1. In case of transactions undertaken on behalf of Central Government and/or State
(Continuous Discharge Certificate) is to be submitted. Government and by official appointed by Courts e.g. Official Liquidator, Court receiver
10. For opening an account with Depository participant or Mutual Fund, for amin or, etc.
photocopy of the School Leaving Certificate/Mark sheet issued by Higher Secondary 2. Investors residing in the state of Sikkim.
Board/Passport of Minor/Birth Certificate must be provided.
3. UN entities/multilateral agencies exempt from paying taxes/filing tax returns in India.
11. Politically Exposed Persons (PEP) are defined as individuals who are or have been
entrusted with prominent public functions in a foreign country, e.g., Heads of States or 4. SIP of Mutual Funds upto Rs. 50,000/- p.a.
of Governments, senior politicians, senior Government/judicial/ military officers, senior
executives of state owned corporations important political party officials, etc. 5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial
Banks, Multilateral and Bilateral Development Financial Institutions, State Industrial
B Proof of Identity (POI): List of documents admissible as Proof of Identity: Development Corporations Insurance Companies registered with IRDA and Public
Financial Institution as defined under section 4A of the Companies Act, 1956,
1. Unique Identification Number (UID)(Aadhaar)/Passport/Voter ID card/Driving license. Custodians shall verify the PAN card details with the original PAN card and provide duly
certified copies of such verified PAN details to the intermediary
2. Identity card/ document with applicant’s Photo, issued by any of the following:
Central/State Government and its Departments, Statutory/Regulatory Authorities, E List of people authorized to attest the documents:
Public Sector Undertakings, Scheduled Commercial Banks, Public Financial
Institutions, Colleges affiliated to Universities, Professional Bodies such as ICAI, 1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/Cooperative
ICWAI, ICSI, Bar Council etc., to their Members; and Credit cards/Debit cards issued Bank or Multinational Foreign Banks (Name, Designation & Seal should be affixed on
by Banks. the copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial
C Proof of Address (POA): List of documents admissible as Proof of Address:
Banks registered in India, Notary Public, Court Magistrate, Judge, Indian
(*Documents having an expiry date should be valid on the date of submission).
Embassy/Consulate General in the country where the client resides are permitted to
1. Passport/Voter Identity Card/Ration Card/Registered Lease or Sale Agreement of attest the documents.
Residence/Driving/Flat Maintenance bill/Insurance Copy

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Application No.: ST4125680
Know Your Client (KYC)
Application Form (For Individuals Only)
Please fill in ENGLISH and in BLOCK LETTERS with black ink
For office use only Application Type Normal Minor Aadhaar OTP based E-KYC (in non-face to face Application Type New Update
mode)
(To be filled by financial institution) KYC Number : (Mandatory for KYC update request)
1. PERSONAL DETAILS
Prefix Client Name
Name (Same as ID proof): MRS SYAMILA K
Father/Mother/Spouse Name: MR KATTIAPPAN .
Date of Birth: 01/01/1984
Place of Birth Country of Birth India
Gender: M - Male F - Female T - Transgender Martial status Married Unmarried Others
PAN OGAPK1388H Form 60 Furnished Nationality: IN-Indian Others
Residential Status: Resident Individual Non Resident Indian Foreign National Person of Indian Origin
Occupation Type: S-Service ( Private Sector Public Sector Government Sector ) Agriculture Business
O-Others (Professional Self Employed Retired Housewife Student) X-Not Categorised
Please tick, if applicable: Politically Exposed Person Related to a Politically Exposed Person (For definition of PEP, please refer
guideline)
Financial Status (Income Up to Rs.1 Lac Rs.1 Lac to Rs.5 Lac Rs.5 Lac to Rs.10 Lac Rs.10 Lac to Rs.25 Lac Rs.25 Digitally Signed by:
Range per Annum): Lac to Above (Specify) Name: SYAMILA K
Location:ERODE
2. PROOF OF IDENTITY(PoI) Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023
Passport Number Voter ID Card Driving Licence FH02
Proof of Possession Aadhaar E-KYC Authentication Offline Verification of Aadhaar
3. PROOF OF ADDRESS (PoA)
3.1 CORRESPONDENCE / LOCAL ADDRESS DETAILS (In case of multiple Correspondence / Local addresses, please fill Annexure A)
Correspondence Residence
Proof of Address: Passport Driving License Voter Identity Card Proof of Possession Aadhaar E-KYC Authentication Offline Verification of Aadhaar
Address:
Line 1: W/O KATTIAPPAN A 202 M S K NAGAR ERODE
Line 2:
City / Town / Village: ERODE District: Erode
State: TAMIL NADU Pin / Post Code: 638009 Country: INDIA
3.2 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS Same as Correspondence / Local Address Details
Proof of Address: Passport Driving License Voter Identity Card Proof of Possession Aadhaar E-KYC Authentication Offline Verification of Aadhaar
Address:
Line 1: W/O KATTIAPPAN A 202 M S K NAGAR ERODE
Line 2:
City / Town / Village: ERODE District: ERODE
State: TAMIL NADU Pin / Post Code: 638009 Country: INDIA
*Not more than 2 months old. Validity / Expiry date of proof of address submitted
4. CONTACT DETAILS
Tel.(Off): Tel.(Res): Mobile: 7305208430
Fax: Email ID: [email protected]

5. DETAILS OF RELATED PERSON (In case of related person please fill Annexure B)
Digitally Signed by:
6. APPLICANT DECLARATION Name: SYAMILA K
* I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be validated against Aadhaar details. I/We hereby consent to sharing my/our masked Location:ERODE
Aadhaar card with readable QR code or my Aadhaar XML/Digilocker XML file, along with passcode and as applicable, with KRA and other Intermediaries with whom I have a Reason:Demat and Trading Account
business relationship for KYC purposes only. Date:Mon, Dec,11, 05:43:05,IST,2023
* I hereby consent to receiving information from Central KYC Registry/KRA through SMS/Email on the above registered number/email address
* I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, FH03
immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
Date: 11/12/2023 Place: Erode Signature / Thumb Impression of Applicant

FOR OFFICE USE ONLY

DOCUMENT VERIFIED WITH ORIGINALS AND IN-PERSON VERIFICATION DONE BY
Document Received: Certified Copies E-KYC data received from UIDAI Data received from offline verification Digital KYC Process Equivalent e-document
For SBICAP Securities Ltd.
Name & Code of the Employee: Pragathi .
Designation: RelationShip Manager
IPV Done on Date: 11/12/2023
Signature of Verifier

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Version 2023-24_KYCIND_V2.00
 FOR DEMAT ACCOUNT
I/We request you to open a Demat Account in my name as per the details furnished in the KYC Application Form and following additional
details: CDSL NSDL
Type of Account (Please tick whichever is applicable)
Individual / Ordinary Resident Individual Director Individual Director’s Relative Individual HUF/AOP Minor
Individual Promoter Individual Margin Trading A/C (MANTRA) / Margin Account Others (Specify)
SYAMILA K PAN NO O G A P K 1 3 8 8 H

Name of the Second Holder PAN NO

Name of the Third Holder PAN NO

Guardian Details* (Where sole holder is a minor)

[For account of a minor, two KYC Application Forms must be filled i.e. one for the guardian and another for the minor (to be signed by guardian)]
Name of the Guardian:
PAN No. Relationship of guardian with minor
*Incase of minor please fill seperate KYC page for Guardian

Automatic Credit I/We authorise you to receive credit in my / our account without any instruction from me/ us. YES NO

I / We would like to instruct the DP to accept all the pledge instructions in my / our account without any YES NO
Pledge
other further instruction from my / our end (If not marked, the default option would be ‘No’)
DIS I/We require Delivery Instruction Slip (DIS) YES NO

DDPI Operations Account to be operated through DDPI YES NO

Mandatory if you are giving DDPI. Ensure that the mobile number is provided in the KYC Application Form.
First Holder YES NO
SMS Alert Facility
Second Holder YES NO
Third Holder YES NO

Do you wish to receive dividend / interest directly in to your Designated Bank Account through ECS? (If YES NO
ECS Mandate not marked, the default option would be ‘Yes’) [ECS is mandatory for locations notified by SEBI from
time to time]
BSDA Facility I / We wish to avail the BSDA facility^ YES NO

Account Statement As per SEBI Regulation Daily Weekly Fortnightly Monthly

RTA I / We would like to share the email ID with the RTA YES NO

Standard Electronic Physical Both Physical and Electronic

Documents /
Annual Report (If not markted the default option would be in Physical)
If yes, please complete registration through depository website.
easi / Ideas
[BO can view his/her ISIN balances, transactions and value of the portfolio online through Depository website])

I / We request you to send Electronic Transaction-cum-Holding Statement at Sole / First Holders Email ID stated in the AoF YES NO
SD - Annual Report Form RTA Statement of Account from Depository Participant & Depository.
^ I/We also agree that in case our demat account opened under BSDA facility does not meet the eligibility for BSDA facility as per guidelines
issued by SEBI or any such authority at any point of time, my / our BSDA account will be converted to regular demat account without further
reference to me/us and will be levied charges as applicable to regular accounts as informed by the DP.

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Version 2023-24_KYCIND_V2.00
 Application No: ST4125680
NOMINATION FORM FOR INDIVIDUALS ONLY (Demat & Trading Account)
BO Account Details: Trading Code: Date: 11/12/2023
I/W e the Sole holder/Joint holders/Guardian (in case of minor) hereby declare that:
I/We nominate the following person who is entitled to receive security and fund balances lying in my/our account, particulars whereof are given below, in the event of the death of the Sole holder or the death of all
the Joint Holders.
NOMINEE-1 DETAILS NOMINEE-2 DETAILS NOMINEE-3 DETAILS
Name: Name: Name:
Address: Address: Address:

City: State: City: State: City: State:

Pin: Country: Pin: Country: Pin: Country:
Fax: Tel: Fax: Tel: Fax: Tel:
Mobile: Mobile: Mobile:
E-mail ID: E-mail ID: E-mail ID:
Relationship with Nominee (if any): Relationship with Nominee (if any): Relationship with Nominee (if any):
DOB of Nominee: DOB of Nominee: DOB of Nominee:
GUARDIAN DETAILS (If nominee is a minor)
As the, Nominee is a minor as on date, I/We appoint following person to act guardian and to receive the securities in this account on behalf of the Nominee in the event of death of the
Soleholder/all Joint holders.
GUARDIAN-1 DETAILS GUARDIAN-2 DETAILS GUARDIAN-3 DETAILS
Name: Name: Name:
Address: Address: Address:

City: State: City: State: City: State:

Pin: Country: Pin: Country: Pin: Country:
Fax: Tel: Fax: Tel: Fax: Tel:
Mobile: Mobile: Mobile:
E-mail ID: E-mail ID: E-mail ID:
Relationship with Nominee (if any): Relationship with Nominee (if any): Relationship with Nominee (if any):
DOB of Nominee: DOB of Nominee: DOB of Nominee:
IDENTIFICATION DETAILS OF NOMINEE / GUARDIAN (only if nominee is a minor)
Identification details(Not Mandatory) Nominee 1 Nominee 2 Nominee 3
[Please tick any one of following and provide details of same]
Photograph & Signature Pan Aadhar
Proof of Identity Demat Account ID
Signature of Guardian Signature of Guardian Signature of Guardian
Nominee-1 Nominee-2 Nominee-3
Percentage of allocation of securities :
% % %
*Residual Securities (Please tick if any) :
I/We do not wish to nominate any one for this Demat & Trading Account.
I / We hereby confirm that I / We do not wish to appoint any nominee(s) in my / our trading / demat account and understand the issues involved in non-appointment of nominee(s) and further are aware that in case of
death of all the account holder(s), my / our legal heirs would need to submit all the requisite documents / information for claiming of assets held in my / our trading / demat account, which may also include documents
issued by Court or other such competent authority, based on the value of assets held in the trading / demat account
This nomination shall suspersede any prior nomination made by me/us and also any testamentary document executed by me / us.

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason: Demat and Trading Account
FH11 SH04 TH04
Date:Mon, Dec,11, 05:43:05,IST,2023

Name: SYAMILA K Name: Name:

(To be filled by DP)
Nomination accepted and registered vide Registration No. For SBICAP Securities Limited
Dated 11/12/2023 Authorised Signatory
*Residual Securities: Incase of multiple nominees, please choose any one nominee who will be credited with residual securities remaining after distribution of securities as per percentage of allocation. If you fall to choose
one such nominee, then the first nominee will be marked as nominee entitled for residual shares, if any.

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Version 2023-24_KYCIND_V2.00
 TRADING ACCOUNT RELATED DETAILS
I/We request you to open a Trading Account in my name as per the details furnished in the KYC Application Form and following additional details:
DESIGNATED DEMAT ACCOUNT DETAILS

DP Name CDSL DP ID: 1 2 0 4 7 2 0 0

Beneficiary Name SYAMILA K BO ID:
C.TRADING PREFERENCES
Please sign in the relevant boxes where you wish to trade. Please strike off the segment not chosen by you.
Exchanges NSE, BSE & MSEI MCX, NCDEX
All Segments Cash/Mutual Fund F&O Currency Debt Commodity Derivatives
Digitally Signed by:
Name: SYAMILA K
Location:ERODE
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023
If you do not wish to trade in any of segments / Mutual Fund please mention here.

Participant Category* (Commodity Segment only):

Commercial Participant: Value Chain Participant Exporter Importer Hedger
Non Commercial Participant: Financial Participant Trader Jobber Arbitrager
PAST ACTIONS PLEASE (✔) AS APPLICABLE
I hereby declare and confirm that I have not been prohibited / debarred from dealing in securities and no penalty has been imposed on me for violation of security laws/other economic offences by SEBI or any other
regulatory authorities.
I also declare that no financial / criminal penalties or proceedings are pending against me. I hereby undertake to notify you forthwith of changes in this regard and shall not do anything in violation of such orders, if
any at a later date.
I give hereunder details of action taken by SEBI / Stock Exchanges / any other authority for violation of Securities laws / other economic offences during last three years.
DEALING THROUGH SUB-BROKERS / AUTHORISED PERSONS AND OTHER STOCK BROKERS Yes No
If client is dealing through the SB / AP with any Other Stock Broker provide the following details (If registered with multiple members, provide details of all)
Sub-Broker/AP/Stock Broker SEBI / AP Registration No.
Registred office address:
Phone: Fax: Website:
Name of Exchange (if yes) Client Code: (as given by the other broker)
Details of disputes/dues pending from/to such stock broker/sub-broker/AP:
BANK DETAILS (FOR TRADING & DEPOSITORY)
DESIGNATED BANK ACCOUNT DETAILS
Bank Name: STATE BANK OF INDIA Branch Code: 011057
Branch Name:
Branch Address: G H ROAD DOOR NO 278 FIRST FLR ERODE TAMILNADU 638009
Account Type: Saving Current Others (Specify in case of NRI / NRE / NRO)
Account No. 20201208026
MICR Code: 638002013 IFSC Code: SBIN0011057
Please fill multiple bank accounts registration form for additional bank accounts
Income Details - Gross Annual Income Details (Please tick):
First Holder : Below 1 Lac Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs (Specify)
Second Holder : Below 1 Lac Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs (Specify)
Third Holder : Below 1 Lac Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs (Specify)
GST Registration Details : (If applicable)
GST Registration No.: State:

Validity: IEC Code:

ADDITIONAL DETAILS
(a) eContract Whether you wish to receive Physical Contract Note (PCN) OR Electronic Contract Note (ECN) PCN ECN
Specify E-mail Id: Incase of ECN [email protected]
(b) eBroking Whether you wish to avail internet/wireless trading facility YES NO
(c) Investment/Trading Experience No prior investment experience Years of Experience
((d) Do you wish to receive trade confirmation SMS/email directly from the exchanges? Yes No

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Version 2023-24_KYCIND_V2.00
 ACCOUNT OPENING, TRADING & DEPOSITORY CHARGES
Trading Account Charges: Account Opening Charges ₹850/-
SCHEDULE OF BROKERAGE/CHARGES AND TAXES
Intra-Day
Segment Delivery Minimum
First leg Second leg
Cash Market 0.50% 0.075% 0.075% ₹0.05
Future 0.05% 0.03% 0.03% ₹0.01
Derivatives
Option* ₹100/- ₹50/- ₹50/-
Future 0.03% 0.015% 0.015% ₹0.01
Currency Derivatives
Option* ₹30/- ₹20/- ₹20/-
Future 0.05% 0.03% 0.03% ₹0.01
Commodity Derivatives
Option* ₹100/- ₹50/- ₹50/-
*Per lot *The above charges are exclusive of applicable GST and other taxes / statutory charges levied by Government bodies / statutory authorities from time to time, which will be charged as
applicable. Any concession in card rates is subject to approval from the competent authority.
DEPOSITORY SERVICE CHARGES
Description
Account Maintenance Charge Individual ₹ 750/- (₹ 500/- for e-statement) (or as applicable in Scheme opted)
Account Maintenance Charge Non Individual ₹ 1000/- (or as applicable in Scheme opted)
Closure of Account Nil
For each debit transaction - On-Market (Sell Market) OR off Market instruction (% of value for per ISIN)
with POA/DDPI (applicable for On Market Instructions only) 0.01% (Min. ₹ 21-Max. ₹ 300/-)
For instruction submitted through internet 0.01% (Min. ₹ 21 - Max. ₹ 300/-)
For instruction submitted through Branches 0.04% (Min. ₹ 30-Max. ₹ 50,000/-) Extra Charges ₹ 10/- per ISIN for Late submission
Buy-market and off-market (Credit) Nil
Rejection / Failed instruction ₹10/- per failed instruction
Dematerialisation / Rematerialisation
For each request form - Dematerialisation ₹35/-
For each certificate - Dematerialisation ₹5/-
Rematerialisation (For each request form) ₹35/- plus ₹10/- for every hundred securities or part thereof, or a flat fee of ₹ 10/-per
certificate whichever is higher
Pledge Creation/Closure/Confirmation/Invocation (% of value for each ISIN in each request)
For each ISIN Request 0.02% of Value or Min ₹25/- whichever is higher (Plus CDSL/NSDL Charges)
Margin / MTF Pledge for creation Flat Rate Rs 15/- per ISIN per transaction
Margin / MTF Pledge for closure Flat Rate Rs 15/- per ISIN per transaction
Non Disposal Undertaking (NDU) 0.02% of Value or Min Rs 50/- whichever is higher
Additional Accounts Statements
By Courier ₹30/-
By Email Nil
*The above charges are exclusive of applicable GST and other taxes / statutory charges levied by Government bodies / statutory authorities from time to time, which will be charged as applicable. •
Any concession in card rates is subject to approval from the competent authority
INTRODUCERS DETAILS (OPTIONAL)
Name
Status of the Introducer Sub-broker Authorised Remisier Authorised Person Existing Client Employee of A&S Other (Specify).

Address

Contact Details mobile: Signature of Introducer

OFFICE USE ONLY
UCC Code allotted to the Client: Client Interviewed By
Name of the Employee Employee Code Designation
Date 11/12/2023 Signature of the interviewer

I/We undertake that we have made the client aware of "Policy and Procedures', tariff sheet and all the non- For SBICAP Securities Limited
mandatory documents. I/We have also made the client aware of 'Rights and Obligations' document (s), RDD and
Guidance Note. I/We have given/sent him a copy of all the KYC documents. I/We undertake that any change in the
'Policy and Procedures', tariff sheet and all the non-mandatory documents would be duly intimated to the clients.
I/We also undertake that any change in the "Rights and Obligations' and RDD would be made available on my/our
website, if any, for the information of the clients.
Authorised Signatory

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Version 2023-24_KYCIND_V2.00
 FATCA DECLARATION

FIRST HOLDER SECOND HOLDER THIRD HOLDER

Yes No (If Yes, please specify) Yes No (If Yes, please specify) Yes No (If Yes, please specify)
Is your Tax
Residency/ Country of Country of Country of
Country of Birth/ Birth: Birth: Birth:
Citizenship/Nationality
Citizenship: INDIAN Citizenship: Citizenship:
other than India?
Nationality: INDIAN Nationality: Nationality:
If yes, please indication all countries in which you are resident for tax purpose and the associated Tax ID number below:
Country of Tax
Residency# Tax
Identification
Number*
Identification Type

Country of Tax
Residency# Tax
Identification
Number*
Identification Type
#To include all countries other than India, where investor is Citizen/Resident/Green Card Holder/Tax Resident in those respective countries especially of USA, India & Canada.
*Incase tax identification number is not available, kindly provide its functional equivalent.
DECLARATION
1. I hereby declare that the details furnished in the account opening form are true and correct to the best of my knowledge and belief and I undertake 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 misrepresenting. I am/we are aware that i may be held liable for it
2. I confirm having read/being explained and understood the contents of the document on policy and procedure of the stock broker and the tariff sheet.
3. I further confirm having read and understood the contents of the Schedule of Charges, Rights and Obligations document, Risk Disclosure Documents, Policies and Procedures and
Guidance Note. I do hereby agree to be bound by such provisions as outlined in this documents. I have also been informed that the standard set of documents has been displayed
on www.sbisecurities.in.
4. The rules and regulations of the Depository Participants pertaining to an account which are in force now have been read by me/us and I have understood the same and I agree to
abide by and to be bound by the rules are in force from time to time for such accounts. I/We acknowledge the receipt of copy of the document, “Rights and Obligation of the
Beneficial Owner and Depository Participant”

TERMS AND CONDITIONS

a) The client will be charged brokerage, commission, fees, depository charges, delay payment charges, charges for short messaging alerts, mailing and courier charge for handling
share in connection with Dematerialisation / Rematerialisation, mailing physical statements and applicable statutory levies/taxes including GST, securities transaction tax, other
taxes, and transaction expenses as they exist from time to time. The charges are exclusive of applicable statutory levies/ taxes including GST and will be recovered in actual
basis. There will be a charge of Rs.100/- for dishonour of any cheque or unsuccessful attempt to recover payment through direct debit or ECS
b) SBICAP securities Ltd. (SSL) shall from time to time subject to Exchange/Depository provisions and restrictions imposed in this behalf by SEBI, determine and modify the amount
of brokerage, charges, commission, fees, and other charges plus applicable taxes payable per transaction by the client. Such changes will be intimated to the Client by ordinary
post and published on the SSL website in writing and as mutual agreed upon.
c) The depository/Broking services are liable to discontinuation if SSL is unable to recover charge from the customer for any reason whatsoever. In such cases there will be a charge
Rs. 250/- for resumption of services and the services will be resumed after a minimum of three working days from the date of receipt of request at Centralised Processing Cell of
SSL at Mumbai.
d) Any service that is not indicated above will be charged separately as per the rates applicable from time to time. The client shall abide by the above terms and conditions and pay
applicable charges as levied by SSL to subscribe for any product/scheme(s). SSL reserves the right to revise the tariff structure from time to time, any change in tariff will be
communicated to the BO with 30 days prior notice by email/ ordinary post/ courier. The said revised tariff will also be displayed on SSL website www.sbismart.com for BO’s
information/communication. BO is requested to take note of applicable tariff displayed on the SSL’s website from time to time.

Digitally Signed by:

Name: SYAMILA K FH
Location:ERODE SH SH
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023

Name: SYAMILA K Name: Name:

Date: 11/12/2023 Date: Date:

8
Version 2023-24_KYCIND_V2.00
 A. AUTHORITY FOR MAINTENANCE OF RUNNING ACCOUNT VOLUNTARY

I hereby authorize SBICAP Securities Limited (SSL) to maintain a running account instead of an account on ‘settlement to settlement basis’ for
payout of funds due to me unless specifically requested by me otherwise. All the funds kept to my credit by SSL may be treated as upfront
margins deposit, at SSL’s discretion, for allowing exposure to me. Under this arrangement I shall not claim any interest on the funds kept in
the running account with SSL.
I also declare that I have been duly informed, that I reserve the right to revoke the authorization by giving notice in writing to you, and also
understand that the revocation made by me shall not be applicable against the outstanding obligations across exchanges and that yo u shall
retain such funds expected to be required for meeting the obligations / margin obligations for next 5 trading days, as calculated in the manner
specified by the member/exchanges.
I further agree and confirm that such periodic settlement of running account may not be necessary, either on a monthly or quarterly basis, if
i. I have provided funds received towards margins in the form of Bank Guarantee (BG)/ Fixed Deposit Receipts (FDR).Please note that I would
like the mandatory settlement of the funds (if applicable) as indicated below. (tick against your preference)
Monthly Basis Quarterly Basis
Note: : This authorization shall be valid if signed by the client only and not by any authorized person on his behalf or any holder of Power of
Attorney.

B. AUTHORITY FOR DIGITAL DOCUMENTS VOLUNTARY

I/ We hereby authorize SBICAP Securities Limited (SSL) and consent to send the documents / communications at my / our designated email
address, as mentioned in Account Opening Form instead of physical copies and the delivery of documents so made shall be effective and
deemed delivery to meet the requirement of providing the said information.
I agree to adhere with the terms and conditions laid down in Rights and Obligation Document (s) and same will be binding on me until
revocation of this authorisation. I also declare that I have been duly informed, that I reserve the right to revoke the authorization by giving
notice in writing to SSL.
I/ We undertake to inform you of any change in my email id in writing immediately.

C. CONSENT FORM FOR SHARING KYC DETAILS VOLUNTARY

I hereby authorize do not authorize (tick whichever applicable) SBICAP Securities Limited (SSL) for sharing of any of my information for
the purpose of operation of the trading & demat account or for marketing and offering of various products and services of SSL and / or any of
the product(s) of its group companies, subsidiaries and affiliates.
I hereby authorise SSL or its relevant group companies, subsidiaries and affiliates as the case may be to contact me through any mode
including making calls/sending SMS alerts on my registered mobile phone number or sending e-mails to my registered e-mail id for marketing
related information.
I hereby confirm that this declaration/consent shall supersede, substitute and replace any other consent/confirmation issued by me in this
regard previously and shall apply whether or not my registered mobile number has been registered on “Do not Call” registry.
Note: I hereby authorize SSL for above part A, B, C.
Digitally Signed by:
Name: SYAMILA K
Location:ERODE
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023

Date: 11/12/2023 FH09

9
Version 2023-24_KYCIND_V2.00
 DEBIT AUTHORISATION

Client Name : SYAMILA K

Address : W/O KATTIAPPAN A 202 M S K NAGAR ERODE

ERODE, ERODE, TAMIL NADU, 638009

To,

STATE BANK OF INDIA

(Banker Name)

Reference: Saving /Current A/c : 20201208026

Dear Sir,

Subject: Debit Authorisation

I/We entered into an understanding to open a beneficial owner’s account / Trading Account with SBICAP Securities Limited (SSL) for availing Depository, Trading facilities and other
services offered by SSL.
And for the purpose of providing seamless Depository and Trading facility by SSL, I / We hereby authorize SSL to operate my/our Bank Account by way of putting a hold, marking of
lien, blocking of funds and debiting my/our Bank Account towards the below mentioned charges / heads or as will be intimated to me / us by SSL from time to time and payable by me/
us:

Head Frequency
Account Opening Charges Once
Annual Maintenance Charges As Applicable
DP Charges ( as per tariff sheet) Monthly
Other Products / Services As Applicable
Delay Payment Charges As Applicable
Trading loss/ Mark to market loss/ margin obligation(s) As Applicable
Delivery Obligation As Applicable
Delay Payment Charges As Applicable
Any other outstanding dues As Applicable
Subscription/Investment amount in Public Offerings & Third Party Financial Products As Applicable
Other charges As Applicable

I/We, the undersigned, hereby authorize THE BANK to honour the instructions given by SSL to hold /mark a lien / transfer all or any funds from my / our above mentioned account to SSL as may be
requested for by SSL for the above mentioned charges/dues/ subscription/investment amount. I/We confirm that any such requests and / or instructions given by SSL shall be completely binding on
me / us.
I/ We undertake that I /we shall always maintain sufficient balances to enable SSL to recover / debit the aforesaid mentioned charges/ dues/subscription/investment amount from the account and
I/we shall not act in any manner to impair the rights of SSL to recover the same.
I/We undertake that BANK/SSL shall not be liable for any loss that may result from failure / inability of electronic connectivity or otherwise. And I/We hereby agree to ratify all the acts, and things
done by THE BANK/SSL through any of its officers / employees pursuant to the powers herein above contained, which shall be binding on me/us.

Details of Account Holder(s) in Bank

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason: Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023

FH12

First Holder Name: SYAMILA K

SH05 TH05

Second Holder Name: Third Holder Name:

10
Version 2023-24_KYCIND_V2.00
Application No : ST4125680

DP ID :
Trading Code :
Client Name : SYAMILA K

Demat Debit and Pledge Instruction

S.NO Purpose Signature of Client

Transfer of securities held in the beneficial owner accounts of the client Digitally Signed by: FH
Name: SYAMILA K
towards Stock Exchange related deliveries / settlement obligations Location:ERODE
1 Reason: Demat and Trading Account SH
arising out of trades executed by clients on the Stock Exchange Date:Mon, Dec,11, 05:43:05,IST,2023
through the same stock broker
TH

Pledging / re-pledging of securities in favour of trading member (TM) / Digitally Signed by: FH
Name: SYAMILA K
clearing member (CM) for the purpose of meeting margin requirements Location:ERODE
2 Reason: Demat and Trading Account SH
of the clients in connection with the trades executed by the clients on Date:Mon, Dec,11, 05:43:05,IST,2023
the Stock Exchange. TH

Digitally Signed by: FH

Name: SYAMILA K
Mutual Fund transactions being executed on Stock Exchange order Location:ERODE
3 Reason: Demat and Trading Account SH
entry platforms Date:Mon, Dec,11, 05:43:05,IST,2023

TH

Digitally Signed by: FH

Name: SYAMILA K
Location:ERODE
4 Tendering shares in open offers through Stock Exchange platforms Reason: Demat and Trading Account SH
Date:Mon, Dec,11, 05:43:05,IST,2023

TH

* the same may be signed physically against each purpose of DDPI. The same may also be eSigned. In case of eSign, client shall be given an option for choosing
the specific purpose(s) of DDPI.

List of Demat Accounts where securities can be moved or pledged

DP Name DP ID BO ID Remarks DP Name DP ID BO ID Remarks
SBICAP Securities Ltd 12047200 000100383 BSE PAYIN POOL A/c SBICAP Securities Ltd 12047200 000100419 NSE POOL A/c
SBICAP Securities Ltd IN306114 10000045 BSE POOL A/c SBICAP Securities Ltd IN306114 10000037 NSE POOL A/c
SBICAP Securities Ltd IN306114 11924631 NSDL Margin Pledge A/c NSE Clearing House 11000011 00014437 NSE EPI Pool A/c
SBICAP Securities Ltd 12047200 19284653 CDSL Margin Pledge A/c BSE Clearing House 11000010 00017938 BSE EPI Pool A/c
SBICAP Securities Ltd IN306114 11924631 Client Securities Margin Pledge A/c SBICAP Securities Ltd. 12047200 19284653 Client Securities Margin Pledge A/c
SBICAP Securities Ltd IN306114 12749510 Client Securities Margin Funding A/c SBICAP Securities Ltd. 12047200 21437301 Client Securities Margin Funding A/c
SBICAP Securities Ltd IN306114 13330995 Client Unpaid Securities Pledgee A/c SBICAP Securities Ltd. 12047200 32702691 Client Unpaid Securities Pledgee A/c

11
Version 2023-24_KYCIND_V2.00
Plan Type: Rs 499 Plan

Delivery E-margin* Intraday Futures Options ETF^ Currency

- - - - - - -

I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake 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 misrepresenting, I am aware
that I may be liable for it. I hereby declare and confirm that I have not been prohibited/debarred from dealing in securities and no penalty has
been imposed on me for violation of securities laws/other economic offences by SEBI or any other regulatory authorities. I also declare that no
financial/criminal penalties or proceedings are pending against me. I hereby undertake to notify you forth with of changes in this regard and shall
not do anything in violation of such orders, if any at a later date. I give hereunder details of action taken by SEBI/Stock Exchanges/any other
authorities for violation of Securities laws/other Economic offences during last three years.
All customers who register on our site agree, acknowledge and accept as per the terms and conditions and that even if they are registered under
NDNC, DND (Do Not Disturb), by accepting the terms, you authorize SBICAP Securities Ltd, to call and assist you and/or SMS/E-Mail the
customers by virtue of them having voluntarily registered in www.sbisecurities.in. (Electronic and SMS communications) SBICAP Securities Ltd,
will not be responsible for any NDNC (National Do Not Call) Registry regulation that will come into play.
Special Plan Terms and Conditions:

Plan 499:
Zero Brokerage on First 3 Trades (excluding trades of E-Margin{MTF} Products).
DP AMC for 1st year is free and from 2nd year onwards customer needs to pay standard DP AMC charges.

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023
12
Version 2023-24_KYCIND_V2.00
General:
These above plans are applicable to Resident Indians only.
Plan start date will be from Date of Account opening or date of realization of subscription amount, whichever is later.
*No interest will be charged on E-margin.
1st year DP AMC charges will be waived off. This offer is applicable only to new clients who has availed the scheme at the time of account
opening and same will not be applicable on plan renewal or to existing account holders.
No DP AMC and AOC will be reversed for existing customers, however, next year 1st year DP AMC will be free.
The subscription amount may be paid via Direct Debit, Internet Banking, Fund transfer, Cheque or UPI. All payment should be made from
the designated bank account of the customer.
In case payment mode selected is Direct Debit or Cheque, customer need to sign the scheme document to avail the plan.
In case of plan upgradation, new plan charges will be debited from customers trading / bank account, however, existing plan charges will
not be reversed.
^Minimum brokerage for the above plans in Cash / Delivery Market / ETF / E-margin / Intraday / Derivatives (Delivery / Intraday) will be Rs.
0.01.
All statutory / regulatory levies and other shall be charged separately over and above the brokerage at actuals. Also, Demat transaction
charges incurred by the client for delivery trades will be chargeable at standard rates.
The above plans are subject to regulatory norms in force from time to time and may be discontinued under any regulatory directions or for
any other reason, without giving prior intimation to the client.
For any disputes pertaining to the Offer, the decision of SSL will be final and binding.
In case of cancellation of plan, only plan amount excluding GST will be reversed. Customer who have executed trades won't be eligible for
any reversal.
In case of any queries/further clarifications, please send email on:[email protected]

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason: Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023

13
Version 2023-24_KYCIND_V2.00
 ACKNOWLEDGEMENT

I/We the undersigned wish to avail below mention scheme offered by SBICAP Securities Limited and agree to all the terms & conditions of the
scheme

Plan Type: Rs 499 Plan

a. Payment mode: Direct debit Debit Card Internet Banking / Fund Transfer UPI

Cheque Transaction ID / Ref. No.

b. Direct debit authorization collected (if applicable): YES/ NO

Client Name.: SYAMILA K PAN No.: OGAPK1388H

Client Signature.:

Form No. / Trading AC No.: Date: 11/12/2023 Place: ERODE

Employee Name: Pragathi . Employee ID: FTC1746

Employee Signature:

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason: Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023

14
Version 2023-24_KYCIND_V2.00
 Registered & Corporate Office:-
Marathon Futurex, Unit No. 1201, 12th Floor, B Wing, Mafatlal Mill Compound, N.M. Joshi Marg, Lower Parel East, Mumbai-400013.
Tel: 91-22-4227 3300 • Fax: 91-22-4227 3331 • E-mail: [email protected] • www.sbisecurities.in
Compliance Officer: Mr. Rajiv Kejriwal • Phone: 022-42273301 • E-mail: [email protected]
Managing Director:Mr. Deepak Kumar Lalla • Phone: 022-42273301 • E-mail: [email protected]
For any grievance/dispute please contact at the above addresses or
SSL at [email protected] or Call us: (022) 6854 5555
Customers can send in their DP related grievances to : [email protected]
In case not satisfied with the response please contact: NSE at [email protected] or on (022) 2659 81 90 / 1800 22 0058
BSE at [email protected] or on (022) 2272 80 97; MCX: [email protected] or on (022) 67318888
NCDEX: [email protected] or on (022) 66406789 | CDSL: [email protected] or Toll Free: 1800-22-5533
NSDL: [email protected] or on (022) 24994200 | SEBI: https://scores.gov.in/ or Toll Free:1800-266-7575
Version 2023-24_KYCIND_V2.00
 FOR OFFICE USE ONLY

BRANCH CODE BRANCH NAME

ACCOUNT TYPE ONLINE OFFLINE

Only Trading Only Demat Trading & Demat

F&O ACTIVATION(PMLA) YES NO

STAFF YES NO
STAFF Member YES NO
REMARKS YES NO
IF ANY YES NO

IT SITE VERIFIED WATCHOUT INVESTORS VERIFIED

Name : Name :

Date : Date :

1st VERIFICATION 2nd VERIFICATION

ACCEPT REJECT ACCEPT REJECT
Name : Name :
Date : Date :

3rd VERIFICATION 4th VERIFICATION

ACCEPT REJECT ACCEPT REJECT
Name : Name :
Date : Date :

5th VERIFICATION 6th VERIFICATION

ACCEPT REJECT ACCEPT REJECT
Name : Name :
Date : Date :

TRADING DATA ENTRY DETAILS DP DATA ENTRY DETAILS

Name : Name :

Date : Date :

DP AUTHORIZATION DETAILS SPECIAL APPROVEL

Name : Name :

Date : Date :

If Rejcted return to

Version 2023-24_KYCIND_V2.00
Pan Card

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023
Correspondence Address Front view

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023
Client Signature

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023
Client photo

Digitally Signed by:

Name: SYAMILA K
Location:ERODE
Reason:Demat and Trading Account
Date:Mon, Dec,11, 05:43:05,IST,2023