3104379472

Application Form (Please tick relevant boxes): 3 in 1 form 2 in 1 form 1 in 1form CDS
Scheme Type AOCZERO

LG Code HSLV2170 LC Code HSLV2170 Company Code Branch Code 683

Branch Name

Branch Inward Stamp & Authorised CPU Inward Stamp & Authorised
Signatory with Stamp Signatory with Stamp

INDEX

Name of the document Brief Significance of the document Section Page No.

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

A. KYC form - Document captures the basic information about the
PART A 3
constituent and an instruction/check list.
B. Document captures the additional information about the constituent relevant to PART A 9
Account Opening Form trading account and an instruction/check list. (PART II)
C. Extended KYC Annexure - Individuals (including sole-proprietors) PART A 11
D. Central KYC Registry - KYC Additional Details Form (Individual) PART A 13
Document stating the Rights & Obligations of stock broker/trading member,
Rights and Obligations sub-broker and client for trading on exchanges (including additional r ights & PART B 1
obligations in case of internet / wireless technology based trading).
Risk Disclosure
Document detailing risks associated with dealing in the securities market. PART B 7
Document (RDD)

Guidance note Document detailing do's and don'ts for trading on exchange, for the education PART B 11
of the investors.
Policies and Procedures Document describing significant policies and procedures of the stockbroker PART B 14
Document detailing the rate/amount of brokerage and other charges\levied
Tariff sheet PART B 19
on the client for trading on the stock exchange(s).
VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER

Power of Attorney Document required for linkage of Bank and demat account for experience of PART A 15
seamless trading in securities / order placement
Client registration form - Investment in Mutual Fund through Stock Exchanges PART A 17
Mutual Fund
CT HDFC SEC 4 IN 1 FORM/VERSION 22.00 A4/NOV.'04-11-2019RP

Additional Non Confirmation of Additional Rights and Obligations for seamless trading
mandatory experience PART A 2
Rights & Obligations
Running Account Authorisation from client on maintenance of the funds / securities balances PART A 2
Authorisation on running basis
Other Consent Consent to receive commercial call and / or sms PART A 2

Registered Office Address:I Think Techno Campus, Building - B, “Alpha”, Office Floor 8, Kanjurmarg (East), Mumbai - 400042.

Ph.: (022) 3075 3400 Fax : (022) 3075 3435 Website: www.hdfcsec.com (CIN - U67120MH2000PLC152193)

Correspondence Office Address:Trade Globe, 2nd Floor, Kondivita, Andheri-Kurla Road, Andheri East. Mumbai-400059.

Ph.: (022) 3901 9400 Fax : (022) 2834 6690.

Compliance Officer Name, Phone No. & Email ID:Ms. Binkle R. Oza, (022) 3045 3600, complianceofficer@hdfcsec.com

CEO/M.D. Name, Phone No. & Email ID:Mr. Dhiraj Relli, (022) 6741 9951, md@hdfcsec.com

1
 SEBI Registration No. INZ000186937 (NSE, BSE, MSEI, MCX)
NSE Trading Member Code 11094
BSE Clearing No. 393
MSEI Trading Member Code 30000 For any grievance/dispute please contact HDFC Securities Ltd.
at the above address or email idcustomercare@hdfcsec.com
MCX Member Code 56015 and Phone no.: (0+local area code + 3901 9400) and for e s c a
l a t i o n y o u m a y w r i t e t o u s a t services@hdfcsec.com. In
AMFI Reg No. ARN -13549 case not satisfied with the response, please c o n t a c t c o n c
PFRDA Reg. No. POP 11092018 e r n e d e x c h a n g e s B S E a t is@bseindia.com and Phone
no. 022 2272 8097 and NSE at ignse@nse.co.in and Phone
IRDA Corporate Agent Licence No. CA0062 No. 022 2659 8190
Research Analyst Reg. No. INH000002475
Investment Adviser INA000011538
CIN U67120MH2000PLC152193

HDFC Securities is registered as a trading cum clearing member in all exchanges

RUNNING ACCOUNT AUTHORISATION

I confirm that my account may be maintained on a running account basis, whereby instead of paying any amounts or securities (lying in Client Collateral Account /
Collateral Account) representing mark to market profits, you shall retain, withhold, set-off and / or appropriate the same for such purposes and in such manner as
you deem fit and release the funds and / or securities (lying in Client Collateral Account / Collateral Account) due to me, on my specific request, either written or
oral. I am aware that I have the right to amend or revoke this authorisation, at any time, by way of an amendment / revocation letter.
I confirm that you may settle the account once every calendar

S1
Signed by: LINGANNAIAH GOUTHAM
Quarterly or Monthly X Signature of Client
eSigned using Aadhaar (digio.in)
Date: 2021-06-02 13:53:26 IST

OTHER CONSENT

As a subscriber to the services offered by HDFC securities Ltd. I hereby instruct HDFC securities Ltd. to provide the following communications through the
medium of short messages services and / or telephone calls on my registered phone number(s):(a) Research and investment ideas whether developed in-
house and / or by outsourced agencies; (b) Market related alerts; (c) Offers or subscription to new products / services from time to time; (d) Account and
trading related information and other notifications pursuant to the services provided under the captioned agreement; (e) Information relating to investment
products and services; (f) Any other service to aide in wealth creation process.

S2
Signed by: LINGANNAIAH GOUTHAM
(Do not sign if you not wish to receive commercial calls and / or messages) X Signature of Client
eSigned using Aadhaar (digio.in)
Date: 2021-06-02 13:53:26 IST

CONSENT FOR ADDITIONAL RIGHTS & OBLIGATIONS / TARIFF SHEET

I acknowledge and declare that I have received in Physical / Electronic, read and understood, acknowledged and agreed to the
contents of -
1. the rights and obligations document [PART B-page no. 1], 4. the additional rights and obligations document
2. the risk disclosure document [PART B-page no. 7], [PART C-page no. 1].
3. the policies and procedures [PART B-page no. 14], 5. Payment instruction for charges
A/C opening charges 0 Currency Derivatives segment charges Total 0

Do not Sign This Form if its Blank. Please Ensure all relevant sections and documents are completely filled to your satisfaction and then only sign the form

Payment Mode Direct Debit from my linked HDFC Bank A/C None

S3
Signed by: LINGANNAIAH GOUTHAM
eSigned using Aadhaar (digio.in)

X Signature of Client
Date: 2021-06-02 13:53:26 IST

Name: LINGANNAIAH GOUTHAM

Date: 0 2 / 0 6 / 2 0 2 1 Place: MYSORE

CONSENT FOR MARGIN TRADING FACILITY (MTF)

I/we wish to avail the Margin Trading Facility (MTF). I/We confirm that I/we have received, read and understood,
acknowledged and agreed to the Margin Trading Facility (MTF) Rights and Obligations as provided by HDFC Securities S4
Signed by: LINGANNAIAH GOUTHAM
in PART C of the account opening document. XeSigned
Signature
Date: ofISTClient
using Aadhaar (digio.in)
2021-06-02 13:53:26

2
 KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals)
HDFC Bank Ltd., Depository Services, Tex Center Pre. Co-op Soc Ltd., P Wing, 3rd Floor, Unit No. 301 to 303, Chandivali Farm Road, Off Saki 3104379472
Vihar Road, Chandivali, Andheri (E), Mumbai 400 072 | Registered Office: HDFC Bank House, Senapati Bapat Marg, Lower Parel, Mumbai-13

Part - (A) IDENTITY DETAILS Please fill this form in ENGLISH and in BLOCK LETTERS and Strike off whichever is not applicable.
Prefix Mr. Ms. Others Existing Customer Yes No
Applicant
LINGANNAIAH middle Name GOUTHAM
name
Father /
LINGANNAIAH middle Name LINGAIAH
Spouse'sname
Gender Male Female Marital status Single Married
Date of birth 3 1 / 1 2 / 1 9 8 9
PAN No. Signed by: LINGANNAIAH GOUTHAM
eSigned using Aadhaar (digio.in)
(Mandatory for BANPG4532P Evidence / Documents provided in case of PAN exemption Date: 2021-06-02 13:53:26 IST
Demat/ISA)
Aadhaar No.
Status Resident Individual Non Resident Foreign National
Nationality Indian Other, please specify
Specify the
PAN
proof of
identity
Any other (Please specify) Aadhaar card Valid till d d - m m - y y y y
submitted

Part - (B) ADDRESS AND CONTACT DETAILS

Below mentioned address is my Present Residence Address Office Address Mandatory : Please attach Self Attested Proof of below address

BELAKU NO 390 8TH CROSS MAHADESHWARA BADAVANE NEAR VIDYARDHAKA ENGIEERING COLLEGE MYSORE 570016
Residence /
Correspondence
Address

State KARNATAKA Yrs at current city Residence

Country India Other
Specify the proof
Aadhaar Valid till d d - m m - y y y y
of address
submitted for Residence / Correspondence address
Contact
Country code STD / Area code Number Extn.
details
Tel. (Off.) - - -
Tel. (Res.) - - Country code Number
Fax - - Mobile - 9738367091
E-mail ID
GOUTI.77@GMAIL.COM
(Mandatory)
Please tick if permanent address is the same as above address

BELAKU NO 390 8TH CROSS MAHADESHWARA BADAVANE NEAR VIDYARDHAKA ENGIEERING COLLEGE MYSORE 570016
Permanent
Address

State KARNATAKA
Country India Other
Tel. (Res.) - Mobile no. 9738367091

Part - (C) 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 of the applicant
(Originals verified) and Self –Attested Document copies
received
In-Person-Verification (IPV) details: Signed by: LINGANNAIAH GOUTHAM
eSigned using Aadhaar (digio.in)
FOR BANK USE ONLY

Name of the Person doing IPV CVLKRA VERIFIED Date: 2021-06-02 13:53:26 IST
Signature of the Person doing IPV CVLKRA VERIFIED
Designation & Emp.code 1566788 0 2 / 0 6 / 2 0 2 1 Place MYSORE
Branch code WEB d d - m m - y y y y
Name of the organisation: HDFC Securities Ltd
Name and Signature of Authorised Signatory WEB

Geo Location:LAT:12.3385203,LONG:76.6216536 RefNo: 1566788 OTP Use In IPV:

Note:
. If customer provides the KRA registered letter the documents for KYC shall not be taken from the customer.
. The KYC form shall be filled for all the holder’s of the accounts
. For HSL Trading Account - Name of the customer will be considered as name available in Income Tax database

3
 TRADING ACCOUNT RELATED DETAILS - PART II
Name of the Applicant:
3104379472
LINGANNAIAH GOUTHAM
BANK AND DEPOSITORY ACCOUNTS DETAILS:

Bank Name: HDFC Bank A/C Other Bank Name

Bank A/C No. 50100080851257 Account Type: Savings Current

IFSC Code HDFC0000683 MICR Number:

Branch Address PADMANABHAM, CLUB HOUSE RD~TECHNOPARK~KARIAVATTOM

Branch Code
PO~TRIVANDRUM~KERALA~INDIA~695581
683

DP Name HDFC BANK LIMITED

Client ID (BO ID) 80934412 DP ID: IN301436

Client ID (BO ID) Depository Name (tick one) NSDL CDSL

TRADING PREFERENCES:
*Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.

Exchange Cash Market Future & Options Currency Derivative

National Stock S6Signed by: LINGANNAIAH GOUTHAM S8 S9

Exchange (NSE) X Signature
eSigned usingof Client(digio.in)
Aadhaar X Signature of Client X Signature of Client
Date: 2021-06-02 13:53:26 IST

Bombay Stock S7Signed by: LINGANNAIAH GOUTHAM

N.A N.A
Exchange (BSE) X Signature
eSigned usingof Client(digio.in)
Aadhaar
Date: 2021-06-02 13:53:26 IST

# If in future, the client wants to trade on any new segment / new exchange, seperate authorization / letter should be taken from the client by the stock broker, Please
specify the proof submitted to avail the privileges to trade in derivatives segment: (Please refer last page of this application form)

PAST ACTION: Details of any action / proceedings initiated / pending / taken by SEBI / Stock exchange/any other authority against the applicant/constituent or its
Partners/promoters/whole time directors/authorized persons in charge of dealing in securities during the last 3 years: No If yes, please specify:

DEALINGS THROUGH SUB-BROKERS AND OTHER STOCK BROKERS: Not dealing, If yes , please mention details below:

Sub-Broker's Name: SEBI Registration number:

R. O. Address: Phone: Fax: Website:

Whether dealing with any other stock broker/sub-broker (if case dealing with multiple stock brokers/sub-brokers, provide details of all)

Name of Stock Broker: Name of Sub-Broker, if any:

Client Code: Exchange:

Details of disputes/dues pending from/to such stock broker/sub-broker:

ADDITIONAL DETAILS: I/we wish to receive Electronic Contract Note (ECN) OR Physical contract note (PCN)

E-mail ID for ECN GOUTI.77@GMAIL.COM

I wish to avail of the facility of internet trading/ wireless technology: Yes If No, Please Specify:

Number of years of Investment/Trading Experience: No prior Experience Stock Derivatives

Other investment related field Any other information:

If employed please provide employer name TCS

OTHER DETAILS (PLEASE SPECIFY)

*Gross annual income() (Income range per annum) < 1 lac 1 to 5 lac 5 to 10 lac 10 to 25 lac 25 lac

OR Net worth (₹) as on date d d - m m - y y y y Net worth should not be older than one year

Occupation details (please tick any one below and give brief details)

Public Sector Private Sector Government Service Business Professional Agriculturist

Retired Housewife Student Others (please specify)

Please tick, if applicable Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)

Any other information

4
 INTRODUCER DETAILS (Optional)

Name:

Status: Sub Broker Remisier Authorized Person Existing Clients Others, Please specify

Address:

Phone:

S1
X Signature of Introducer

NOMINATION DETAILS (for individuals only)

I/We wish to nominate Yes No Name:

Relationship: PAN DOB: D D / M M / Y Y Y Y

Address: Phone:

If Nominee is a minor, name of guardian:

Address: G1
X Signature of Guardian
Phone:

WITNESSES (Only applicable in case the account holder has made nomination)

Name: Name:

Address: Address:

Date: D D / M M / Y Y Y Y Signature X Date: D D - M M - Y Y Y Y Signature X

DECLARATION
1. 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. 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/we may
be held liable for it.

2. I/We confirm having read/been explained and understood the contents of the document on policy and procedures of the stock broker and the tariff sheet.

3. I/We further confirm having read and understood the contents of the 'Rights and Obligations' document(s) and 'Risk Disclosure Document'. I/We do hereby agree to
be bound by such provisions as outlined in these documents. I/We have also been informed that the standard set of documents has been displayed for Information on
stock broker's designated website, i.e www.hdfcsec.com
S10
Signed by: LINGANNAIAH GOUTHAM
X Signature
eSigned of(digio.in)
using Aadhaar Client
Date: 2021-06-02 13:53:26 IST

Place : MYSORE 0 2 / 0 6 / 2 0 2 1

FOR OFFICE USE ONLY (LC to fill details and Sign)

UCC Code allotted to the Client:

Documents verified with Originals and In-Person Verification done by Client Interviewed By

Employee Name CVLKRA VERIFIED CLIENT CVLKRA VERIFIED CLIENT

Emp. Code 1566788 Designation Designation

Date D D - M M - Y Y Y Y D D -M M- Y Y Y Y

Signature of Authorised Signature of Authorised

Signatory Signatory

I / We undertake that we have made the client aware of 'Policy and Procedures', tariff sheet and all the non-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 acopy of all the KYC documents.
I/We undertake that any change in the 'Policy and Procedures', tariff sheet and all the nonmandatorydocuments 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.
Date: d d - m m- y y y y X Signature of Authorised
Signatory

5
 Extended KYC Annexure - Individuals (including sole-proprietors)
(Applicable for Resident and Non-Resident Customers)

(Please consult your professional tax advisor for further guidance on your tax residency, if required)

Date: 02/06/2021 Place: MYSORE AOF Number : 3104379472

Please fill the information below as requested First Account Holder Second Account Holder
Name of the Account Holder LINGANNAIAH GOUTHAM
Customer ID 59649709
City of Birth MYSORE
Country of Birth INDIA
same as mailing address same as mailing address
Address for Tax purpose
same as permanent address same as permanent address
Residential or Business Residential Residential or Business Residential
Address Type for the above
Business Registered Office Business Registered Office
Nationality (if national of more than one country, please
INDIAN
mention all the countries separated by a comma)
Father’s Name LINGANNAIAH LINGAIAH
Spouse’s Name
Passport PAN
Election / Voter’s ID card Passport PAN
Driving License Aadhaar card / letter < br Election / Voter’s ID card
Identification Type - Documents submitted as proof of /> < input type = "checkbox" /> NREGA Card & Driving License Aadhaar card / letter
identity of the individual nbsp; Govt ID Card < br /> < input type = NREGA Card Govt ID Car d
"checkbox" /> Others(pls specify) & nbsp; Others( pls specify )

Identification Number - for the identification type

BANPG4532P
mentioned above
Are you a tax resident of any country other than India?
· First account holder : Yes No

· Second account holder : Yes No

If yes , please indicate all countries in which you are resident for tax purposes and the associated Tax Reference Numbers below:

Identification Type (TIN

Account holder Country/(ies) of Tax Tax Identification
Name of Customer or Other%,
details residency # Number (TIN)%
please specify)

First

Second

# To also include USA, where the individual is a citizen/ green card holder of USA
% In case Tax Idenificaion Number is not available, kindly provide funcional equivalent
Certification: I/We have understood the information requirements of this Form as per the CBDT noticed Rules 114F to 114H and hereby confirm that the information
provided by me/us on this Form is true, correct, and complete. I/We also confirm that I/We have read and understood the Terms and Conditions below and hereby
accept the same. I/We understand that my personal details as provided/available in the bank/securities records will be used for CBDT reporting. Further, I/We hereby
authorize HDFC Bank Limited to furnish the above information to HDFC Securities Limited forthe purpose of compliance and reporting under CBDT Rules as
applicable

Signed by: LINGANNAIAH GOUTHAM

eSigned using Aadhaar (digio.in)
Date: 2021-06-02 13:53:26 IST

Signature of first holder Signature of second holder*

* Second holder not applicable in case of trading A/C

6
 Extended KYC Annexure - Individuals (including sole-proprietors)
(Applicable for Resident and Non-Resident Customers)

CBDT Terms and Conditions

The Central Board of Direct Taxes (CBDT) has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions
such as the Bank to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our account holders. In
relevant cases, information will have to be reported to tax authorities/ appointed agencies. Towards compliance, we may also be required to provide information to
any institutions such as withholding agents for the purpose of ensuring appropriate withholding from the account or any proceeds in relation thereto. Should there be
any change in any information provided by you, please ensure you advise us promptly, i.e., within 30 days. Please note that you may receive more than one request for
information if you have multiple relationships with HDFC Bank or its group entities. Therefore, it is important that you respond to our request, even if you believe you
have already supplied any previously requested information.

CBDT Instructions
If you have any questions about your tax residency, please contact your tax advisor. If you are a US citizen or resident or green card holder, please include United
States in the foreign country information field along with your US Tax Identification Number.
$ It is mandatory to supply a TIN or functional equivalent if the country in which you are tax resident issues such identifiers. If no TIN is yet available or has not yet been
issued, please provide an explanation and attach this to the form. In case customer has the following Indicia pertaining to a foreign country and yet declares self to be
non-tax resident in the respective country, customer to provide relevant Curing Documents as mentioned below:

FATCA/ CRS Indicia observed (ticked)
1 U.S. place of birth
2 Residence/mailing address in a country other than India
Telephone number in a country other than India
3 United States of America nor a resident for tax purposes; and
(and no telephone number in India provided)
Standing instructions to transfer funds to an account
4 maintained in
a country other than India
Documentation required for Cure of FATCA/ CRS indicia
If customer does not agree to be Specified U.S. person/ reportable person status
1. Self-certification (in attached format) that the account holder is neither a citizen of
United States of America nor a resident for tax purposes;
2. Non-US passport or any non-US government issued document evidencing nationality or
citizenship (refer list below); AND
3. Any one of the following documents:
a. Certified Copy of “Certificate of Loss of Nationality or
b. Reasonable explanation of why the customer does not have such a certificate despite
renouncing US citizenship; or Reason the customer did not obtain U.S. citizenship at birth
1. Self-certification (in attached format) that the account holder is neither a citizen of
United States of America nor a resident for tax purposes; and
2. Documentary evidence (refer list below)
1. Self-certification (in attached format) that the account holder is neither a citizen of
2. Documentary evidence (refer list below)
1. Self-certification (in attached format) that the account holder is neither a citizen of
United States of America nor a resident for tax purposes; and
2. Documentary evidence (refer list below)

List of acceptable documentary evidence needed to establish the residence(s) for tax purposes:
1. Certificate of residence issued by an authorized government body*
2. Valid identification issued by an authorized government body* (e.g. Passport, National Identity card, etc.)
* Government or agency thereof or a municipality

For HDFC Bank/Securities use only :

Sourcing Branch Name : WEB Branch Code : WEB

Signature verified and form approved by : BDA / BM employee Code : WEB Signature & Date : WEB

7
 Central KYC Registry - KYC Additional Details Form
(Individual)

Date: 0 2 / 0 6 / 2 0 2 1 Place: MYSORE AOF no.: 3104379472

LG Code HSLV2170 LC Code HSLV2170

Please fill the

information below as First Account Holder Second Account Holder
requested
Application Type New Update New Update
Normal Simplidied Small Normal Simplidied Small
*Account Type
(For low risk customer) (For low risk customer)
KYC Number
(Mandatory for KYC
update request)
*Name (Same as ID
LINGANNAIAH GOUTHAM
proof)
(write in block letter) first name middle name Last name first name middle name Last name

Maiden Name ( if any*)

first name middle name Last name first name middle name Last name
LALITHA
Mother Name*
first name middle name Last name first name middle name Last name
Gender* M-Male F-Female T-Transgender M-Male F-Female T-Transgender
Marital Status* Married Unmarried Others Married Unmarried Others
Citizenship* IN_Indian Others IN_Indian Others
Resident Individual Non-Resident Indian Resident Individual Non-Resident Indian
Residential status *
Foreign National Person of Indian Origin Foreign National Person of Indian Origin
* Mandatory Fields
Applicant Declaration - Additional Information for CERSAI :
# 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 information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
# I hereby consent to receiving information from Central KYC Registry through SMS/Email.
Applicant Preference for receiving Documents as part of Account Opening Kit
# I / We wish to receive the following documents in Physical Form Electronic Form

1. Rights & Obligations of stock broker, sub-broker and client for trading on exchanges (including additional rights & obligations in case of internet/wireless
technology based trading); (applicable for HDFC Securities Limited - Trading Account)
2. Rights and Obligations of beneficial owner and depository participant as prescribed by SEBI and depositories; (applicable for Demat account)
3. Uniform Risk Disclosure Documents (for all segments/ exchanges); and (applicable for HDFC Securities Limited - Trading Account)
4. Guidance Note detailing Do’s and Don't for trading on stock exchanges. (applicable for HDFC Securities Limited - Trading Account)

Signed by: LINGANNAIAH GOUTHAM

eSigned using Aadhaar (digio.in)
Date: 2021-06-02 13:53:26 IST

Signature/Thumb Impre ssion of First Applicant Signature/Thumb Impression of Second Applicant

Institution Details
For HDFC Bank/Securities use only :
DP ID : IN301436 Client ID : 80934412

Sourcing Branch Name : WEB Branch Code : 683

Signature verified and form approved by : BDA / BM employee Code : Signature & Date :

8
 CLIENT REGISTRATION FORM - MUTUAL FUND 3104379472
Mutual Fund Service System Facility (MFSS) / BSE StAR MF Client Registration Form

I/We am/are registered as your client LINGANNAIAH GOUTHAM with above

mentioned UDN No./ Client Code No 3104379472 or the purpose of trading in the Capital Market segment of National Stock Exchange of India Ltd.
(Exchange) / BSE Ltd.
. I/We am/are interested in availing the MFSS / BSE StAR MF facility of the Exchange for the purpose of dealing in the units of Mutual Funds Schemes permitted to
be dealt with on the MFSS / BSE StAR MF of the Exchange.
For the purpose of availing the MFSS / BSE StAR MF facility, I/we state that Know Your Client details as submitted by me/us for the stock broking may be considered
.
for the purpose of MFSS / BSE StAR MF and I/we further confirm that the details contained in same remain unchanged as on date. I/We are willing to abide by the
terms and conditions as mentioned in the Circular dated November 24, 2009 (NSE) / December 02, 2009 (BSE) and as may be specified by the Exchange from time
.
to time in this regard. I/We shall ensure also compliance with the requirements as may be specified from time to time by Securities and Exchange Board of India
.
(SEBI) and Association of Mutual Funds of India (AMFI). I/We shall read and understand the contents of the of the Scheme Information Document and Key
Information Memorandum, addenda issued regarding each Mutual Fund Schemes with respect to which I/we choose to subscribe/redeem. I/We further agree to abide
.
by the terms and conditions, rules and regulations of the Mutual Fund Schemes. I/We therefore request you to register me/us as your client for participating in the
.
MFSS / BSE StAR MF. I/We hereby confirm having read and understood the terms & conditions and disclosures provided overleaf.

Thanking you, For MFSS (NSE) For BSE StAR MF

S13
Signed by: LINGANNAIAH GOUTHAM
S14
Signed by: LINGANNAIAH GOUTHAM
X Signature of Client
eSigned using Aadhaar (digio.in) X Signature of Client
eSigned using Aadhaar (digio.in)
Yours faithfully, Date: 2021-06-02 13:53:26 IST Date: 2021-06-02 13:53:26 IST

Details of terms & conditions for the Investor / Client for using New MFSS facility/ BSE StAR MF platform
1. Pre-requisites for becoming Investor / Client for the New MFSS facility/ BSE STAR MF platform
1.1. The client who is desirous of investing in units of mutual fund schemes through the New MFSS/ the BSE STAR MF.
1.2. The Client intends to execute his instruction for the subscription/redemption of units of Mutual Fund Schemes through the Participant/ the broker who is a Mutual
fund Intermediary (MFI) of the New MFSS/ BSE STAR MF platform.
1.3. The client has satisfied itself of the capacity of the Participant/MFI to deal in Mutual Fund units and wishes to execute its instruction through the Participant/MFI
and the client shall from time to time continue to satisfy itself of such capability of the Participant/MFI before executing transacting through the Participant/MFI.
1.4. The Client has approached to the Participant/MFI with the application for availing the New MFSS facility/ BSE STAR MF platform.
1.5. The client has submitted relevant KYC (Know Your Client) details to the Participants/MFIs.

P.. T. O.

To,
HDFC Bank Ltd
HDFC Securities Ltd
I Think Techno Campus, Building - B, "Alpha",
Kanjurmarg (E), Mumbai 400 042
Subject: Application for updation of contact details
Dear Sir / Madam,

I Mr. / Ms. / M/s. LINGANNAIAH GOUTHAM ; hereby confirm

that the Mobile Number provided in my Trading/Demat Account opening form with HDFC Securities Ltd. / HDFC Bank Ltd. belongs to my:
Self Spouse Dependent Parent Dependent Child

And Email id provided in my Trading/Demat Account opening form with HDFC Securities Ltd. / HDFC Bank Ltd. belongs to my:
Self Spouse Dependent Parent Dependent Child
(Please tick whichever is applicable – one option is mandatory)

With Regards

Customer Name :LINGANNAIAH GOUTHAM

Signed by: LINGANNAIAH GOUTHAM
eSigned using Aadhaar (digio.in)
Date: 2021-06-02 13:53:26 IST
Customer Signature :

Date : 02/06/2021

This form is to be used only during account opening.

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2. Terms and Conditions

2.1 The client shall be bound by circulars/notices issued by NSEIL/BSE from time to time including theCirculars issued by NSEIL since 2009 onwardsand
circulars issued thereafter and circulars issued there under by SEBI and relevant notifications of Government authorities as may be in force from time to time.
2.2 The client shall notify the Participant/MFI in writing if there is any change in the information in the client registration form’ provided by the clientto the
Participant/MFI at the time registering as a client for participating in the New MFSS/ STAR MF platform or at any time thereafter.
2.3 The client shall submit to the Participant/MFI a completed application form in the mannerprescribed format for the purpose of placing a order with the
Participant/MFI.
2.4 The client has read and understood the risks involved in investing in Mutual Fund Schemes.
2.5 The client shall be wholly responsible for all his investment decisions and instruction.
2.6 The client shall ensure continuous compliance with the requirements of NSEIL/BSE, SEBI and AMFI.
2.7 The Client shall pay to the Participant/MFI fees and statutory levies as are prevailing from time to time and as they apply tothe Client’s account, transactions
and to the services that Participant/MFI renders to the Client.
2.8 The client will furnish information to the Participant/MFI in writing, if any winding up petition or insolvency petition has beenfiled or any winding up or insolvency
order or decree or award is passed against him or if any litigation which may have material bearing on his capacity has been filed against him.
2.9 In the event of non-performance of the obligation by the Participant/MFI, the client is not entitled toclaim any compensation either from the Investor Protection
Fund or from any fund of NSEIL/BSE or NSCCL/ Indian Clearing Corporation Ltd. (ICCL).
2.10 In case of any dispute between the Participants/MFIs and the investors arising out of the MFSSfacility/ BSE STAR MFplatform, NSEIL/BSE and / or
NSCCL/ICCL agrees to extend the necessary support for the speedy redressal of the disputes.

Disclosure
As per SEBI circular: SEBI/IMD/CIR No. 4/168230/09, following are the details of the comparative commission earned by HDFC securities Limited (AMFI Reg. No.
13549) from various fund-houses, whose products are being distributed:

Fund Schemes Upfront Brokerage/Upfront Commission Trail year 1 Trail year 2 onwards
Equity and Balanced 0% to 1.5% 0% to 1% 0% to 1%
Index 0% to 1% 0% to 0.75% 0% to 0.75%
ELSS 0% to 2% 0% to 0.75% 0% to 0.75%
Asset Allocation 0% to 1.5% 0% to 1% 0% to 0.1%
Arbitrage Funds 0% to 1% 0% to 1% 0% to 0.50%
Monthly Income Plans 0% to 1.5% 0% to 1% 0% to 0.50%
Gilt 0% to 1% 0% to 1% 0% to 0.50%
Income 0% to 1.5% 0% to 1% 0% to 1%
Short Term 0% to 0.05% 0% to 0.50% 0% to 0.50%
Liquid & Floating Rate 0% to 0.05% 0% to 0.50% 0% to 0.50%
HDFC securities could also get reimbursements towards promotion and marketing related activities conducted by HDFC securities on behalf of AMCs. These
reimbursements are event based and the same may or may not be received from AMCs in a particular period. Further, since such activities may be carried out at
AMC level, reimbursement amount received cannot be attributed to any specific scheme being offered by such AMC.
This is on a best effort basis and rates are updated as and when actual rates are received from AMCs.
The above Schedule of Commissions is as of 1st August 2009. It is subject to change, without any prior consent and at a sole discretion and agreement between
HDFC securities and the respective Mutual Fund houses.
Declaration I​am​fully​aware​that
I would need to keep clear balances in my linked Bank/DP accounts for the transaction to be processed.
I have understood the terms and conditions attached herewith and agreed to the same.
I have understood HDFC securities will place my order on a best effort basis.
Mutual Fund investments are subject to market risk, please read the Statement of Additional Information (SAI)/Offer document (OD)/Scheme
Information Document (SID) carefully before investing.

*HDFC securities limited offers execution based services only

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 Client Consent Form UDN NO: 3104379472

HSL
Scheme Consent
Charges Signup Benefits
Code (Y / N)
(Rs.)

AOCZERO 0 STANDARD BROKERAGE STANDARD BROKERAGE NA Y

Note : Service Tax, STT and other statutory fees will be charged separately and to be paid by client, as per
regulatory requirements.
# Any Free Transaction Turnover is in addition to the other offerings mentioned here. Irrespective of the customer trading or not
trading during the validity period, the account opening fees would remain the same.

Terms & Conditions:

I hereby request you to enroll me for the SMS Alerts facility as applicable under A/c opening scheme offer.
I am fully aware that the SMS alerts facility is only an add-on service provided by HDFC securities Limited and does not
constitute an offer/invitation and/or a solicitation by HDFC securities Limited to purchase/sell or otherwise deal in securities in
any manner.
Any communication by HDFC Securities Ltd. is only by way of information. Any decision, action or omission thereon shall be
entirely at the client's risk and should be based solely on the client's own verification of all relevant facts, financial and other
circumstances, a proper evaluation thereof and the client's investment objectives and I/we shall not hold HDFC securities
Limited and/or any of its representatives liable for the same.
This scheme will be co-terminus with the client-member agreement, Power of Attorney. Rights and obligations
executed/confirmed by me with/to HDFC securities Limited in respect of my captioned trading account.
HDFC Securities Ltd should not be held responsible for any delay of information sent by sms.
The clients who are participants of the scheme will not hold HDFC Securities Ltd. responsible for, or liable for, any actions,
claims, demands, losses, damages, costs, charges and expenses which they may suffer, sustain or incur by way of above
offer.
This offering should not be construed as any prepaid brokerage offer.
For detailed disclaimer and product terms and conditions refer our website www.hdfcsec.com

Client Consent:
I have read and understood the above terms and conditions and agree to the same.

I hereby authorise HDFC Securities Ltd., to debit the charges as consented above and as applicable for the scheme subscribed
by me/us. I/We undertake that sufficient balances shall be maintained in the said account to facilitate the debiting of the charges
else the scheme would not be activated.
Name of the Applicant Signature

LINGANNAIAH GOUTHAM Signed by: LINGANNAIAH GOUTHAM

eSigned using Aadhaar (digio.in)
Date: 2021-06-02 13:53:26 IST

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 Customer Physical Sign

The signature will be used for KRA/CKYC and future other purposes including Trading Account Verifications

Name of the client: LINGANNAIAH GOUTHAM

PAN of the Client: BANPG4532P

Signed by: LINGANNAIAH GOUTHAM

eSigned using Aadhaar (digio.in)
Date: 2021-06-02 13:53:26 IST

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