Annexure J and Demat Account Opening Form-Individuals

Annexure – J
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PART I - KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals)
Please fill this form in ENGLISH and in BLOCK LETTERS

IDENTITY DETAILS !) ) * "!+-#,
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FOR BRANCH USE ONLY
In Person Verification ( To be done by branch officials)
Originals verified and Self-Attested Document copies received
In-Person-Verification (IPV) details:

a) Name of the person doing IPV

b) Designation
c) Name of branch
d) Date
û û ý ý ÿ ÿ ÿ ÿ
Name & Signature of the úbú[úú[ú[úú[úú[úbúbú[úbúbúbúbú[úbúbúbú[úú[úbú[úbúbúbú[úbúbúbúbú[úú[ú[úú[úú[ú[úú[úbúbúbúbú[ú[ú

person doing IPV
Date
û û ý ýcÿ:ÿ ÿ:ÿ Seal/Stamp of the
branch
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Annexure – J

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Name PAN
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Foreign National Promoter
Qualified Foreign Investor
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Income Range per annum (please tick any one)

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RBI Approval Reference Number
RBI Approval date

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Nomination Details
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Sl. Particulars Charges
No.
1. Account Opening Nil
2. Documentation Nil
3. Account Closing Nil

4. Annual Maintenance Charges : for Calendar Year - To be collected upfront at the time of opening
the account and on 1st January of every year
for Individuals (BSDA) Holding up to Rs.50,000/- - NIL
Holding Rs.50000/- to Rs.2 lac - Rs.100/-
Holding above Rs.2 lac - Rs.250/-
for Individuals (other than BSDA) Rs.250/- per annum
for Corporate Rs.750/- per annum
5. Custodial Charges Nil
6. Dematerialisation Rs.3/- per certificate - Minimum Rs.10/- plus Rs.30/- towards
Courier charges*
7. Re-materialisation Rs.25/- per 100 shares or part thereof – Minimum Rs.50/- per
request per ISIN plus Rs.30/- towards Courier Charges
8. CREDIT Transaction Nil
Market / Off Market
9. DEBIT Transaction 0.02% of value – Minimum Rs.24/- per ISIN per transaction
Market / Off Market
10. Pledge / Hypothecation 0.02% of value – Minimum of Rs.100/- per ISIN per transaction
11. Invocation of Pledge / Hypothecation 0.02% of value – Minimum of Rs.100/- per ISIN per transaction
12. Failed transaction on account of non Rs.50/- per ISIN per transaction
availability of security
13. Demat Request Rejection Rs.50/- per rejection plus Rs.30/- towards Courier Charges
14. Issuance of New Delivery Instruction Rs. 50/- per DIS book + postal charges (containing 10 slips)
Book(DIS) First DIS book will be provided free.
An amount of Rs. 25/- per page per account + postal charges
15. Account Statement Charges
for physical request.
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Rights and Obligations of Beneficial Owner and Depository Participant as prescribed by SEBI and
Depositories
General Clause
1. The Beneficial Owner and the Depository participant (DP) shall be bound by the provisions of the Depositories Act, 1996, SEBI (Depositories and
Participants) Regulations, 1996, Rules and Regulations of Securities and Exchange Board of India (SEBI), Circulars/Notifications/Guidelines issued there
under, Bye Laws and Business Rules/Operating Instructions issued by the Depositories and relevant notifications of Government Authorities as may be in
force from time to time.
2. The DP shall open/activate demat account of a beneficial owner in the depository system only after receipt of complete Account opening form, KYC and
supporting documents as specified by SEBI from time to time.
Beneficial Owner information
3. The DP shall maintain all the details of the beneficial owner(s) as mentioned in the account opening form, supporting documents submitted by them
and/or any other information pertaining to the beneficial owner confidentially and shall not disclose the same to any person except as required by any
statutory, legal or regulatory authority in this regard.
4. The Beneficial Owner shall immediately notify the DP in writing, if there is any change in details provided in the account opening form as submitted to
the DP at the time of opening the demat account or furnished to the DP from time to time.
Fees/Charges/Tariff
5. The Beneficial Owner shall pay such charges to the DP for the purpose of holding and transfer of securities in dematerialized form and for availing
depository services as may be agreed to from time to time between the DP and the Beneficial Owner as set out in the Tariff Sheet provided by the DP. It
may be informed to the Beneficial Owner that "no charges are payable for opening of demat accounts”
6. In case of Basic Services Demat Accounts, the DP shall adhere to the charge structure as laid down under the relevant SEBI and/or Depository
circulars/directions/notifications issued from time to time.
7. The DP shall not increase any charges/tariff agreed upon unless it has given a notice in writing of not less than thirty days to the Beneficial Owner
regarding the same.
Dematerialization
8. The Beneficial Owner shall have the right to get the securities, which have been admitted on the Depositories, dematerialized in the form and manner laid
down under the Bye Laws, Business Rules and Operating Instructions of the depositories.
Separate Accounts
9. The DP shall open separate accounts in the name of each of the beneficial owners and securities of each beneficial owner shall be segregated and shall not
be mixed up with the securities of other beneficial owners and/or DP’s own securities held in dematerialized form.
10. The DP shall not facilitate the Beneficial Owner to create or permit any pledge and /or hypothecation or any other interest or encumbrance over all or any
of such securities submitted for dematerialization and/or held in demat account except in the form and manner prescribed in the Depositories Act, 1996,
SEBI (Depositories and Participants) Regulations, 1996 and Bye-Laws/Operating Instructions/Business Rules of the Depositories.
Transfer of Securities
11. The DP shall effect transfer to and from the demat accounts of the Beneficial Owner only on the basis of an order, instruction, direction or mandate duly
authorized by the Beneficial Owner and the DP shall maintain the original documents and the audit trail of such authorizations.
12. The Beneficial Owner reserves the right to give standing instructions with regard to the crediting of securities in his demat account and the DP shall act
according to such instructions.
Statement of account
13. The DP shall provide statements of accounts to the beneficial owner in such form and manner and at such time as agreed with the Beneficial Owner and
as specified by SEBI/depository in this regard.
14. However, if there is no transaction in the demat account, or if the balance has become Nil during the year, the DP shall send one physical statement of
holding annually to such BOs and shall resume sending the transaction statement as and when there is a transaction in the account.
15. The DP may provide the services of issuing the statement of demat accounts in an electronic mode if the Beneficial Owner so desires. The DP will furnish
to the Beneficial Owner the statement of demat accounts under its digital signature, as governed under the Information Technology Act, 2000. However if
the DP does not have the facility of providing the statement of demat account in the electronic mode, then the Participant shall be obliged to forward the
statement of demat accounts in physical form.
16. In case of Basic Services Demat Accounts, the DP shall send the transaction statements as mandated by SEBI and/or Depository from time to time.
Manner of Closure of Demat account
17. The DP shall have the right to close the demat account of the Beneficial Owner, for any reasons whatsoever, provided the DP has given a notice in
writing of not less than thirty days to the Beneficial Owner as well as to the Depository. Similarly, the Beneficial Owner shall have the right to close
his/her demat account held with the DP provided no charges are payable by him/her to the DP. In such an event, the Beneficial Owner shall specify
whether the balances in their demat account should be transferred to another demat account of the Beneficial Owner held with another DP or to
rematerialize the security balances held.
18. Based on the instructions of the Beneficial Owner, the DP shall initiate the procedure for transferring such security balances or rematerialize such security
balances within a period of thirty days as per procedure specified from time to time by the depository. Provided further, closure of demat account shall
not affect the rights, liabilities and obligations of either the Beneficial Owner or the DP and shall continue to bind the parties to their satisfactory
completion.
Default in payment of charges
19. In event of Beneficial Owner committing a default in the payment of any amount provided in Clause 5 & 6 within a period of thirty days from the date of
demand, without prejudice to the right of the DP to close the demat account of the Beneficial Owner, the DP may charge interest at a rate as specified by
the Depository from time to time for the period of such default.
20. In case the Beneficial Owner has failed to make the payment of any of the amounts as provided in Clause 5&6 specified above, the DP after giving two
days notice to the Beneficial Owner shall have the right to stop processing of instructions of the Beneficial Owner till such time he makes the payment
along with interest, if any.
Liability of the Depository
21. As per Section 16 of Depositories Act, 1996,
1. Without prejudice to the provisions of any other law for the time being in force, any loss caused to the beneficial owner due to the negligence
of the depository or the participant, the depository shall indemnify such beneficial owner.
2. Where the loss due to the negligence of the participant under Clause (1) above, is indemnified by the depository, the depository shall have the
right to recover the same from such participant.
Freezing/ Defreezing of accounts
22. The Beneficial Owner may exercise the right to freeze/defreeze his/her demat account maintained with the DP in accordance with the procedure and
subject to the restrictions laid down under the Bye Laws and Business Rules/Operating Instructions.
23. The DP or the Depository shall have the right to freeze/defreeze the accounts of the Beneficial Owners on receipt of instructions received from any
regulator or court or any statutory authority.
Redressal of Investor grievance
24. The DP shall redress all grievances of the Beneficial Owner against the DP within a period of thirty days from the date of receipt of the complaint.
Authorized representative
25. If the Beneficial Owner is a body corporate or a legal entity, it shall, along with the account opening form, furnish to the DP, a list of officials authorized
by it, who shall represent and interact on its behalf with the Participant. Any change in such list including additions, deletions or alterations thereto shall
be forthwith communicated to the Participant.
Law and Jurisdiction
26. In addition to the specific rights set out in this document, the DP and the Beneficial owner shall be entitled to exercise any other rights which the DP or
the Beneficial Owner may have under the Rules, Bye Laws and Regulations of the respective Depository in which the demat account is opened and
circulars/notices issued there under or Rules and Regulations of SEBI.
27. The provisions of this document shall always be subject to Government notification, any rules, regulations, guidelines and circulars/ notices issued by
SEBI and Rules, Regulations and Bye-laws of the relevant Depository, where the Beneficial Owner maintains his/ her account, that may be in force from
time to time.
28. The Beneficial Owner and the DP shall abide by the arbitration and conciliation procedure prescribed under the Bye-laws of the depository and that such
procedure shall be applicable to any disputes between the DP and the Beneficial Owner.
29. Words and expressions which are used in this document but which are not defined herein shall unless the context otherwise requires, have the same
meanings as assigned thereto in the Rules, Bye-laws and Regulations and circulars/notices issued there under by the depository and /or SEBI
30. Any changes in the rights and obligations which are specified by SEBI/Depositories shall also be brought to the notice of the clients at once.
31. If the rights and obligations of the parties hereto are altered by virtue of change in Rules and regulations of SEBI or Bye-laws, Rules and Regulations of
the relevant Depository, where the Beneficial Owner maintains his/her account, such changes shall be deemed to have been incorporated herein in
modification of the rights and obligations of the parties mentioned in this document.
CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual
Important Instructions:
A) Fields marked with ‘*’ are mandatory fields. E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.
B) Please fill the form in English and in BLOCK letters. F) List of two character ISO 3166 country codes is available at the end.
C) Please fill the date in DD-MM-YYYY format. G) KYC number of applicant is mandatory for update application.
D) Please read section wise detailed guidelines / instructions H) For particular section update, please tick ( ) in the box available before the
at the end. section number and strike off the sections not required to be updated.
For office use only Application Type* New Update

(To be filled by financial institution) KYC Number (Mandatory for KYC update request)
Account Type* Normal Simplified (for low risk customers) Small
1. PERSONAL DETAILS (Please refer instruction A at the end)
Prefix First Name Middle Name Last Name
Name* (Same as ID proof)
Maiden Name (If any*)
Father / Spouse Name*
Mother Name*
Date of Birth* D D M M Y Y Y Y
PHOTO
Gender* M- Male F- Female T-Transgender
Marital Status* Married Unmarried Others
Citizenship* IN- Indian Others (ISO 3166 Country Code )
Residential Status* Resident Individual Non Resident Indian

Foreign National Person of Indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector )

O-Others ( Professional Self Employed Retired Housewife Student)
B-Business Signature / Thumb
X- Not Categorised Impression
2. TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instruction B at the end)
ADDITIONAL DETAILS REQUIRED* (Mandatory only if section 2 is ticked)

ISO 3166 Country Code of Jurisdiction of Residence*
Tax Identification Number or equivalent (If issued by jurisdiction)*
Place / City of Birth* ISO 3166 Country Code of Birth*
3. PROOF OF IDENTITY (PoI)* (Please refer instruction C at the end)

(Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted)
A- Passport Number Passport Expiry Date D D M M Y Y Y Y
B- Voter ID Card
C- PAN Card
D- Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notified by the central government) Identification Number
S- Simplified Measures Account - Document Type code Identification Number
4. PROOF OF ADDRESS (PoA)*

4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction D at the end)
(Certified copy of any one of the following Proof of Address [PoA] needs to be submitted)
Address Type* Residential / Business Residential Business Registered Office Unspecified

Proof of Address* Passport Driving Licence UID (Aadhaar)
Voter Identity Card NREGA Job Card Others please specify
Simplified Measures Account - Document Type code
Address
Line 1*
Line 2
Line 3 City / Town / Village*
District* Pin / Post Code* State / U.T Code* ISO 3166 Country Code*
4.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS * (Please see instruction E at the end)
Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill ‘Annexure A1’)
Line 1*
Line 2
District* Pin / Post Code* State / U.T Code* ISO 3166 Country Code*
4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES* (Applicable if section 2 is ticked)
Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details
Line 1*
Line 2
State* ZIP / Post Code* ISO 3166 Country Code*
5. CONTACT DETAILS (All communications will be sent on provided Mobile no. / Email-ID) (Please refer instruction F at the end)
Tel. (Off) Tel. (Res) Mobile

FAX Email ID
6. DETAILS OF RELATED PERSON (In case of additional related persons, please fill ‘Annexure B1’ ) (please refer instruction G at the end)
Addition of Related Person Deletion of Related Person KYC Number of Related Person (if available*)
Related Person Type* Guardian of Minor Assignee Authorized Representative
Prefix First Name Middle Name Last Name
Name*
(If KYC number and name are provided, below details of section 6 are optional)
PROOF OF IDENTITY [PoI] OF RELATED PERSON* (Please see instruction (H) at the end)
A- Passport Number Passport Expiry Date D D M M Y Y Y Y
B- Voter ID Card
C- PAN Card
D- Driving Licence Driving Licence Expiry Date D D M M Y Y Y Y
E- UID (Aadhaar)
F- NREGA Job Card
Z- Others (any document notified by the central government) Identification Number
S- Simplified Measures Account - Document Type code Identification Number
7. REMARKS (If any)
8. APPLICANT DECLARATION
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 held liable
for it. [Signature / Thumb Impression]
I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.
Date : D D M M Y Y Y Y Place : Signature / Thumb Impression of Applicant
9. ATTESTATION / FOR OFFICE USE ONLY
Documents Received Certified Copies
KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS
Date D D M M Y Y Y Y Name
Emp. Name Code
Emp. Code
Emp. Designation
Emp. Branch
[Institution Stamp]
[Employee Signature]
CENTRAL KYC REGISTRY | Instructions / Check list / Guidelines for filling Individual KYC Application Form
General Instructions:
1 Fields marked with ‘*’ are mandatory fields.
2 Tick ‘’ wherever applicable.
3 Self-Certification of documents is mandatory.
4 Please fill the form in English and in BLOCK Letters.
5 Please fill all dates in DD-MM-YYYY format.
6 Wherever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle, 1988 and ISO 3166 country code
respectively list of which is available at the end.
7 KYC number of applicant is mandatory for updation of KYC details.
8 For particular section update, please tick () in the box available before the section number and strike off the sections not required to be updated.
9 In case of ‘Small Account type’ only personal details at section number 1 and 2, photograph, signature and self-certification required.
A Clarification / Guidelines on filling ‘Personal Details’ section

1 Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the
application is liable to be rejected.
2 Either father’s name or spouse’s name is to be mandatorily furnished. In case PAN is not available father’s name is mandatory.
B Clarification / Guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside India
1 Tax identification Number (TIN): TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued a high integrity
number with an equivalent level of identification (a “Functional equivalent”), the same may be reported. Examples of that type of number for individual include, a social
security/insurance number, citizen/personal identification/services code/number, and resident registration number)
C Clarification / Guidelines on filling ‘Proof of Identity [PoI]’ section

1 If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.
2 Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.
3 In case of Simplified Measures Accounts for verifying the identity of the applicant, any one of the following documents can also be submitted and undernoted relevant
code may be mentioned in point 3 (S).
Document Code Description
01 Identity card with applicant’s photograph issued by Central/ State Government Departments, Statutory/ Regulatory Authorities, Public Sector
Undertakings, Scheduled Commercial Banks, and Public Financial Institutions.
02 Letter issued by a gazetted officer, with a duly attested photograph of the person.
D Clarification / Guidelines on filling ‘Proof of Address [PoA] - Current / Permanent / Overseas Address details’ section
1 PoA to be submitted only if the submitted PoI does not have an address or address as per PoI is invalid or not in force.
2 State / U.T Code and Pin / Post Code will not be mandatory for Overseas addresses.
3 In case of Simplified Measures Accounts for verifying the address of the applicant, any one of the following documents can also be submitted and undernoted relevant
code may be mentioned in point 4.1.
Document Code Description
01 Utility bill which is not more than two months old of any service provider (electricity, telephone, post-paid mobile phone, piped gas, water
bill).
02 Property or Municipal Tax receipt.
03 Bank account or Post Office savings bank account statement.
04 Pension or family pension payment orders (PPOs) issued to retired employees by Government Departments or Public Sector Undertakings, if
they contain the address.
05 Letter of allotment of accommodation from employer issued by State or Central Government departments, statutory or regulatory bodies,
public sector undertakings, scheduled commercial banks, financial institutions and listed companies. Similarly, leave and license agreements
with such employers allotting official accommodation.
06 Documents issued by Government departments of foreign jurisdictions and letter issued by Foreign Embassy or Mission in India.
E Clarification / Guidelines on filling ‘Proof of Address [PoA] - Correspondence / Local Address details’ section
1 To be filled only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted.
2 In case of multiple correspondence / local addresses, Please fill ‘Annexure A1’
F Clarification / Guidelines on filling ‘Contact details’ section

1 Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999).
2 Do not add ‘0’ in the beginning of Mobile number.
G Clarification / Guidelines on filling ‘Related Person details’ section

1 Provide KYC number of related person if available.
H Clarification / Guidelines on filling ‘Related Person details – Proof of Identity [PoI] of Related Person’ section
1 Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.
List of two – digit state / U.T codes as per Indian Motor Vehicle Act, 1988
State / U.T Code State / U.T Code State / U.T Code

Andaman & Nicobar AN Himachal Pradesh HP Pondicherry PY
Andhra Pradesh AP Jammu & Kashmir JK Punjab PB
Arunachal Pradesh AR Jharkhand JH Rajasthan RJ
Assam AS Karnataka KA Sikkim SK
Bihar BR Kerala KL Tamil Nadu TN
Chandigarh CH Lakshadweep LD Telangana TS
Chattisgarh CG Madhya Pradesh MP Tripura TR
Dadra and Nagar Haveli DN Maharashtra MH Uttar Pradesh UP
Daman & Diu DD Manipur MN Uttarakhand UA
Delhi DL Meghalaya ML West Bengal WB
Goa GA Mizoram MZ Other XX
Gujarat GJ Nagaland NL
Haryana HR Orissa OR
List of ISO 3166 two- digit Country Code

Country Country Country Country Country Country Country Country
Code Code Code Code
Afghanistan AF Dominican Republic DO Libya LY Saint Pierre and Miquelon PM
Aland Islands AX Ecuador EC Liechtenstein LI Saint Vincent and the Grenadines VC
Albania AL Egypt EG Lithuania LT Samoa WS
Algeria DZ El Salvador SV Luxembourg LU San Marino SM
American Samoa AS Equatorial Guinea GQ Macao MO Sao Tome and Principe ST
Andorra AD Eritrea ER Macedonia, the former Yugoslav Republic MK Saudi Arabia SA
of
Angola AO Estonia EE Madagascar MG Senegal SN
Anguilla AI Ethiopia ET Malawi MW Serbia RS
Antarctica AQ Falkland Islands (Malvinas) FK Malaysia MY Seychelles SC
Antigua and Barbuda AG Faroe Islands FO Maldives MV Sierra Leone SL
Argentina AR Fiji FJ Mali ML Singapore SG
Armenia AM Finland FI Malta MT Sint Maarten (Dutch part) SX
Aruba AW France FR Marshall Islands MH Slovakia SK
Australia AU French Guiana GF Martinique MQ Slovenia SI
Austria AT French Polynesia PF Mauritania MR Solomon Islands SB
Azerbaijan AZ French Southern Territories TF Mauritius MU Somalia SO
Bahamas BS Gabon GA Mayotte YT South Africa ZA
Bahrain BH Gambia GM Mexico MX South Georgia and the South Sandwich GS
Islands
Bangladesh BD Georgia GE Micronesia, Federated States of FM South Sudan SS
Barbados BB Germany DE Moldova, Republic of MD Spain ES
Belarus BY Ghana GH Monaco MC Sri Lanka LK
Belgium BE Gibraltar GI Mongolia MN Sudan SD
Belize BZ Greece GR Montenegro ME Suriname SR
Benin BJ Greenland GL Montserrat MS Svalbard and Jan Mayen SJ
Bermuda BM Grenada GD Morocco MA Swaziland SZ
Bhutan BT Guadeloupe GP Mozambique MZ Sweden SE
Bolivia, Plurinational State of BO Guam GU Myanmar MM Switzerland CH
Bonaire, Sint Eustatius and Saba BQ Guatemala GT Namibia NA Syrian Arab Republic SY
Bosnia and Herzegovina BA Guernsey GG Nauru NR Taiwan, Province of China TW
Botswana BW Guinea GN Nepal NP Tajikistan TJ
Bouvet Island BV Guinea-Bissau GW Netherlands NL Tanzania, United Republic of TZ
Brazil BR Guyana GY New Caledonia NC Thailand TH
British Indian Ocean Territory IO Haiti HT New Zealand NZ Timor-Leste TL
Brunei Darussalam BN Heard Island and McDonald Islands HM Nicaragua NI Togo TG
Bulgaria BG Holy See (Vatican City State) VA Niger NE Tokelau TK
Burkina Faso BF Honduras HN Nigeria NG Tonga TO
Burundi BI Hong Kong HK Niue NU Trinidad and Tobago TT
Cabo Verde CV Hungary HU Norfolk Island NF Tunisia TN
Cambodia KH Iceland IS Northern Mariana Islands MP Turkey TR
Cameroon CM India IN Norway NO Turkmenistan TM
Canada CA Indonesia ID Oman OM Turks and Caicos Islands TC
Cayman Islands KY Iran, Islamic Republic of IR Pakistan PK Tuvalu TV
Central African Republic CF Iraq IQ Palau PW Uganda UG
Chad TD Ireland IE Palestine, State of PS Ukraine UA
Chile CL Isle of Man IM Panama PA United Arab Emirates AE
China CN Israel IL Papua New Guinea PG United Kingdom GB
Christmas Island CX Italy IT Paraguay PY United States US
Cocos (Keeling) Islands CC Jamaica JM Peru PE United States Minor Outlying Islands UM
Colombia CO Japan JP Philippines PH Uruguay UY
Comoros KM Jersey JE Pitcairn PN Uzbekistan UZ
Congo CG Jordan JO Poland PL Vanuatu VU
Congo, the Democratic Republic of CD Kazakhstan KZ Portugal PT Venezuela, Bolivarian Republic of VE
the
Cook Islands CK Kenya KE Puerto Rico PR Viet Nam VN
Costa Rica CR Kiribati KI Qatar QA Virgin Islands, British VG
Cote d'Ivoire !Côte d'Ivoire CI Korea, Democratic People's Republic KP Reunion !Réunion RE Virgin Islands, U.S. VI
of
Croatia HR Korea, Republic of KR Romania RO Wallis and Futuna WF
Cuba CU Kuwait KW Russian Federation RU Western Sahara EH
Curacao !Curaçao CW Kyrgyzstan KG Rwanda RW Yemen YE
Cyprus CY Lao People's Democratic Republic LA Saint Barthelemy !Saint Barthélemy BL Zambia ZM
Czech Republic CZ Latvia LV Saint Helena, Ascension and Tristan da SH Zimbabwe ZW
Cunha
Denmark DK Lebanon LB Saint Kitts and Nevis KN
Djibouti DJ Lesotho LS Saint Lucia LC
Dominica DM Liberia LR Saint Martin (French part) MF

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Annexure J and Demat Account Opening Form-Individuals

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PART I - KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals)

Please fill this form in ENGLISH and in BLOCK LETTERS

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ë ì í-îNïHðJñ<ò óuôNõ<ðJöHótä÷<÷=ø ì ùï-îbð úú[úbúbú[úbúbúbúbúbú[úbúbú[úú[úbúbú[úú[úbúbú[úbúbú[úú[ú[úú[úú[úbúbú[úbú áFïNð ó ûüûþýüý ÿþÿüÿüÿ

In Person Verification ( To be done by branch officials)

 Originals verified and Self-Attested Document copies received

In-Person-Verification (IPV) details:

Name & Signature of the úbú[úú[ú[úú[úú[úbúbú[úbúbúbúbú[úbúbúbú[úú[úbú[úbúbúbú[úbúbúbúbú[úú[ú[úú[úú[ú[úú[úbúbúbúbú[ú[ú

Income Range per annum (please tick any one)

RBI Approval Reference Number

RBI Approval date

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3. Account Closing Nil

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Beneficial Owner information

Default in payment of charges

Liability of the Depository

21. As per Section 16 of Depositories Act, 1996,

Freezing/ Defreezing of accounts

Redressal of Investor grievance

Law and Jurisdiction

For office use only Application Type* New Update

Residential Status* Resident Individual Non Resident Indian

Occupation Type* S-Service ( Private Sector Public Sector Government Sector )

ADDITIONAL DETAILS REQUIRED* (Mandatory only if section 2 is ticked)

3. PROOF OF IDENTITY (PoI)* (Please refer instruction C at the end)

A- Passport Number Passport Expiry Date D D M M Y Y Y Y

4. PROOF OF ADDRESS (PoA)*

Address Type* Residential / Business Residential Business Registered Office Unspecified

Tel. (Off) Tel. (Res) Mobile

A- Passport Number Passport Expiry Date D D M M Y Y Y Y

7. REMARKS (If any)

Date : D D M M Y Y Y Y Place : Signature / Thumb Impression of Applicant

9. ATTESTATION / FOR OFFICE USE ONLY

Documents Received Certified Copies

KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS

A Clarification / Guidelines on filling ‘Personal Details’ section

C Clarification / Guidelines on filling ‘Proof of Identity [PoI]’ section

F Clarification / Guidelines on filling ‘Contact details’ section

G Clarification / Guidelines on filling ‘Related Person details’ section

State / U.T Code State / U.T Code State / U.T Code

List of ISO 3166 two- digit Country Code

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Originals verified and Self-Attested Document copies received

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