Registration 2

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This non-judicial stamp paper forms part and parcel of the Demat Debit and

Pledge Instruction (DDPI) executed by SIDDHARTH PATEL on that time, date and
year mentioned in the DDPI.

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

DEMAT DEBIT AND PLEDGE INSTRUCTION – VOLUNTARY DOCUMENT

This Demat Debit and Pledge Instruction (herein referred after to as DDPI) is made on the date and
place mentioned hereunder by individuals/entities mentioned in Schedule 1 hereunder (hereinafter
referred to as Client (s)) in favour of Aditya Birla Money Limited, company incorporated under the
provisions of the Companies Act, 1956 and having its registered office at Indian Rayon Compound,
Veraval - 362 266, Gujarat and corporate office at Sai Sagar, 2nd & 3rd Floor, Plot No. M7, Thiru-Vi-Ka
(SIDCO), Industrial Estate, Guindy, Chennai 600 032, Tamil Nadu (hereinafter referred to as ABML
which expression shall unless repugnant to the context thereof mean and include is successors and
assigns) acting through its Directors and /or such other persons as may be authorised by ABML in this
regard from time to time.

Whereas ABML is a SEBI registered Stock Broker / Stock Broker & Depository Participant and is
providing stock broking / depository services (both internet and non-internet based) to its clients /
customers through its branch / franchisee / website (currently
www.stocksandsecurities.adityabirlacapital.com) or through any other website/mobile application
etc. The details of Principal account / Clearing Member account / Early payin / Pool / Margin Pledge
accounts /CMBP ID currently maintained by ABML is provided in Schedule 2 and 3.

Whereas, the Client (s), is / are desirous of availing various broking / depository (both internet based
and not internet based) services being offered by ABML through its branch / franchisee network /
website (currently www.stocksandsecurities.adityabirlacapital.com) or through any other website /
mobile application etc. and for the purpose of facilitating the transactions / services in broking /
depository in a seamless manner, the Client (s) authorise ABML to do, execute, and perform severally
the following acts, deeds, things etc by accessing the beneficial owner account (s) of Client (s):

S. No. Purpose Signature of Client *


1. Transfer of securities held in the beneficial owner
accounts of the client towards Stock Exchange related
deliveries / settlement obligations arising out of
trades executed by clients on the Stock Exchange
through the same stock broker

2. Pledging / re-pledging of securities in favour of


trading member (TM) / clearing member (CM) for the
purpose of meeting margin requirements of the
clients in connection with the trades executed by the
clients on the Stock Exchange.

3. Mutual Fund transactions being executed on Stock


Exchange order entry platforms

4. Tendering shares in open offers through Stock


Exchange platforms

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

The details provided in Schedule 1 may be altered/modified by Client (s) and the details provided in
Schedule 2 and 3 may be altered by ABML, by giving notice of 7 working days to the Client(s).

Client(s) do hereby agree that all acts, deeds and things committed by ABML under this DDPI POA
shall be construed as acts, deeds and things committed by him/them and the Client(s) ratify and
confirm that all such acts deeds, things and whatsoever undertaken by ABML for and on behalf of
Client(s) by virtue of these presents.

I/We have executed this DDPI at Chennai on the date, month & year mentioned hereunder

Schedule 1

SIDDHARTH PATEL
Name of Client (s)

Address of Client (s) C/O Susheel Patel,00,Gram Gonjhi Mal,Gonjhi Mal.,


Mandla,Madhya Pradesh,481661

Trading Account No.


3244178

Depository Participant Name Aditya Birla Money Limited

DP ID IN301696/12037600

Demat Account No.


04197747

Date 06-10-2023
Place Chennai

Schedule 2 Schedule 3

S.No. Designated Broker Pool S.No. Designated Broker Margin Pledge


Accounts
1 NSE - IN301696 10000022
1 12037600 01196616
2 BSE – IN301696 10016929 2 12037600 01196523
3 NSE -12037600 01197337
3 IN301696 12438302
4 BSE- 12037600 01197662
4 IN301696 12438319
5 NSE- CMBP ID- IN557962
6 BSE- CMBPID -IN601847 S.No. Clearing Corporation Margin Pledge
Accounts/ Early Payin Account
1 IN001002 10009132
2 11000011 00020926
3 IN001184 10000012
4 IN001176 10000029
5 1100001100021155

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

AB84889075

Client Registration Form


Individual

Stocks and Securities


Aditya Birla Money Limited
Signature Not Verified
Signed by : DS ADITYA BIRLA MONEY PROTECTING Signed by: SIDDHARTH PATEL
Reason : Agreement Signing
LIMITED 1 INVESTING FINANCING ADVISING
Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

To be mandatorily filled by Branches / Authorised Persons


Name of the Branch / AP D R A 9 9 9 - A B C D L T D

Branch / AP Code A B C

Introducer Details:
TWS Terminal ID
Branch Franchisee - AP DSA / CP
Others D R A 9 9 9
Employee Code DSA / CP Code
Account Type : Trading & Demat Only Trading Only Demat
Account Mode (Please Tick) Offline Online
Scheme (Please Tick) Normal Empower Trader
Margin (above Rs. 50,000) Corporate Others
Verified by - Account Opening Department :
Name : Signature :
Introducer Details - Optional

Name of the Introducer


Surname Name Middle Name
Status of the Introducer Remisier Authorized Person Existing Client Employee
Others (Please specify)
NA
Address of the Introducer
NA NA
Phone No. of the Introducer
Signature of Introducer

Annexure - 1 ACCOUNT OPENING KIT


INDEX
S.No. Name of the Document Brief Significance of the Document Page No.

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES


A. KYC form - Document captures basic information on about the Client 1-8
1. Account Opening Form B. Document captures additional information about the Client
Document detailing tariff, brokerage, interest and other charges levied 9-11
2. Tariff sheet to Client for trading and demat services
VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER
3. Voluntary Authorization Document authorizing Stock Broker to maintain running account, to 12
Letter send documents through E-Mail, to send SMS, as well as debit DP
charges to trading A/C
4. Suitability Assessment Document assessing the suitability of client 13-14
Questionnaire
5. Power of Attorney Document authorising the Stock Broker to transfer securities from 15-16
the demat account/beneficiary account to the margin/settlement
accounts of stock broker and to perform other services
6. Electronic Contract Note Electronic Contract Note [ECN]-Declaration by the client for opting 17
[ECN]-Declaration to receive electronic contract note
7. Consent form for receiving Consent form for receiving trade alerts through SMS and/or E-mail - 18
trade alerts through SMS Document of client consent for receiving trade alerts through SMS
and/or E-mail and/or E-mail from the Exchange
8. Mobile / Email Declaration Declaration for updating same mobile number and email address for 19
trading and demat account
9. One Time Declaration Declaration for Transfer of G Securities. 20
for G Securities
10. Categorization of Participant MCX-Self declaration on Categorization of Participants in 21
in Commodities Derivatives Commodities Derivatives Signature Not Verified
11. Categorization of Participant NCDEX- Self declaration on Categorization
Signed by : DS ADITYA BIRLA
Reason : Agreement Signing
ofMONEY
Participants
LIMITED 1 in
Signed by: SIDDHARTH PATEL
22
Reason: Account Opening with Aditya
Birla Money
Birla Money Ltd by Aditya

in Commodities Derivatives Commodities Derivatives Date : 2023-10-06 20:16:24 IST


Location : Chennai eSigned using Aadhaar (digio.in)
Date: 2023-10-06 20:14:58 IST
VERSION XX.0 / XX-20XX
Stamp Reference#25AC224996
Application No : AB84889075
Application Form
KYC form for opening a Demat account (For Individuals)
Aditya Birla Money Limited

Trading ID : 3244178
Demat A/c No : 04197747
Application Type : New Modified Photograph
KYC Mode : Normal EKYC OTP EKYC Biometric

Online KYC Offline KYC Digilocker

Identity Details
Name of the Applicant SIDDHARTH PATEL
Maiden Name

Father’s / Spouse Name SUSHEEL PATEL

Date of Birth 19 / 08 / 2004


Nationality Indian Residential Status Resident Individual
Gender Male Female Transgender
Marital Status Single Married Others
Pan Number HBVPP4236E
Proof of Identity (PoI) Aadhar Passport Driving Licence Voter ID
Proof of Identity No 1057 Proof of Identity Exipry Date

Address Details

Permanent Address 00,GRAM GONJHI MAL,GONJHI MAL.,MANDLA

City Mandla District Mandla State MADHYA PRADESH Pincode 481661


Country INDIA Mobile No 9981302322
Tel (Res) Tel (Off.) Email PATELSIDDHARTH2004@GMAIL.COM
Specify the proof of address
Telephone Bill Electricity Bill Passport DL
submitted for Residence /
Correspondence Aadhar Voter ID Ration Lease Agreement

Others
Correspondence Address 00,GRAM GONJHI MAL,GONJHI MAL.,MANDLA

City
Mandla District Mandla State MADHYA PRADESH Pincode 481661
Country INDIA

Address Type Residential/ Residential Business Registered Unspecified


Business Office
Declaration
I/We hereby declare that the KYC details furnished by me are true and correct to the best of my/our knowledge and belief and I/we under-take to inform you of any changes therein, immediately. In case any of the
above information is found to be false or untrue or misleading or misrepresenting, I am/We are aware that I/We may be held liable for it.

I/We hereby consent to receiving information from Central KYC Registry/CVL KRA/NDML KRA/DOTEX KRA/CAMS KRA/KARVY KRA/BSE KRA through SMS/Email on the above registered number/Email address.

I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be validated against Aadhaar details. I/We hereby consent to sharing my/our masked Aadhaar card with readable QR code or my
Aadhaar XML/Digilocker XML file, along with passcode and as applicable, with KRA and other Intermediaries with whom I have a business relationship for KYC purposes only.

Date 06-10-2023 Place Mandla Signature of Applicant

For Office use Only

KYC Verification Document Verification with IPV

Name & E Code Aadhaar OVD or exempted

Designation Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Date Reason : Agreement Signing
Location : Chennai
Birla Money
eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Signature
Geo Location: 22.6253815,80.3608189
Stamp Reference#25AC224996

9. ATTESTATION / FOR OFFICE USE ONLY


Documents Received Certified Copies (Originals verified)True copies of
documents received (Self-Attested) Self Certified Document copies received
KYC VERIFICATION CARRIED OUT BY HO IPV Done on D D M M Y Y Y Y
Date D D - M M - Y Y Y Y UCC Code allotted to the Client
Emp. Name Aadhaar OVD or exempted Documents verified with Original/Client
Interviewed/IPV By
Emp. Code Name of the Employee/SB/AP
Employee/SB/AP Code
Emp. Designation
Designation of the Employee/SB/AP Signature / Seal
Emp. Branch
For Aditya Birla Money Limited
Institution Code I N 0 1 1 3
(For HO Use)
[Employee Signature]
Authorised Signatory (Round Seal/Date)

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 MCX,NCOEX

Cash/
All Segments F&O Currency Commodity Derivatives
Mutual Fund

I do not wish to enable Exchange

2. Other Details

a. Educational qualification Under Graduate or less Graduate Post Graduate

b. Residing in Own House Rented house Leased property

c. Occupation Government Services Public Sector Private Sector Business


(Please tick any one)
Student Housewife Agriculturist Retired
Professional Finance Doctor Engineer
Others (Please Specify)

d. Source of Income Primary Income : Salary Business Pension


Secondary Income : Rental Dividend Salary of Dependents
Interest on Investments

e. Total Work Experience 1-3 years 3-7 years 7-10 years 10 years and above NA

f. Gross Annual Income Income Range Up to Rs. 1 Lac 1-5 Lacs 5-10 Lacs
Details (please specify) per annum 10-25 Lacs > 25 Lacs
Net-worth as on
D D M M Y Y Y Y
(date) (Net worth should not be older than 1 year)
g. Please tick
Politically exposed person Related to a politically exposed person None
(Whichever is applicable)
Signature Not Verified
Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST
3
Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

3. Bank Details (Through which transactions would be routed. Details & proof of bank account(s) is required)

Account Type Savings Current Others (Please specify )


Bank Account No. 41239051142
PIS A/C No ( In case of NRI)
MICR Number 4 8 1 0 0 2 0 0 2 IFSC Code S B I N 0 0 0 0 4 2 1
Bank Name STATE BANK OF INDIA
Bank Address MANDLA,M.P.481661

MANDLA
City Pincode
State MADHYA PRADESH Country INDIA
Please provide additional bank account details (if any) as annexures with proofs.

6. Depository Account Details

Depository Participant Name : Aditya Birla Money Limited Depository Name : CDSL

DP ID 12037600 Beneficiary ID (BO ID) 04197747

7. Past Actions

Details of any actions/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.

Yes No

8. Dealings through Authorised Person and Other Stock Brokers

If client is dealing through any other Member, provide the following details (in case dealing with multiple
Members, provide details of all in a separate sheet containing all the information as mentioned below) :
Member’s/Authorized Person (AP)’s Name
Exchange

Exchange’s Registration number


Concerned Member’s Name with whom the AP is registered
Registered office address

Phone Fax
E-mail
Website
Client Code
Details of disputes/dues pending from/to such Member/AP Signature Not Verified
Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

4
Stamp Reference#25AC224996

9. In case of NRI / Foreign National

RBI Approval Ref No: ______________________ RBI Approval Date: _______________________

10. GSTIN Number (If Applicable) : ___________________

11. Standing Instruction

1. Account to be operated through Demat Debit and Pledge


Instructions (DDPI)/POA/E-DIS
Yes No

2. I/We instruct the DP to receive each and every credit in my / our (Automatic Credit)
account (If not marked, the default option would be Yes") Yes No

3. SMS Alert Facility Mobile No. +91 9981302322


Refer to Terms & Conditions Mandatory, if you are giving DDPI/Power of
given as Annexure in Rights Attorney (POA) Yes No
& Obligations Booklet.
If DDPI/ POA is not granted & you do not
wish to avail this facility, cancel this option.

4. Account Statement Requirement As per SEBI Regulation


Daily Weekly Fortnightly Monthly

5. Whether you wish to receive physical contract note/Electroic Electronic Transaction-cum-Holding


Contract Note (ECN)*/ Electronic Transaction and Holding Statement Statement (ESOTH)
(If ECN & ESOTH is opted, "Authorization for sending Electronic Contract Note (ECN)*
documents through E-Mail" shall be executed) Physical Contract Note (Charges applicable)
_____________________________________________________
PATELSIDDHARTH2004@GMAIL.COM

6. I/We wish to receive dividend/interest directly in to my/our


bank account as given above through ECS (If not marked, the
default option would be ‘Yes) [ECS is mandatory for locations Yes No
notified by SEBI from time to time]

7. To register for easi, please visit CDSL website www.cdslindia.com


(Easi allows a BO to view ISIN balances, transactions and value Yes No
of the portfolio through Internet.)

8. Whether you wish to avail of the facility of Internet Trading/Wireless


Technology (please specify): Yes No

9. Investment/Trading experience: 03
Y Y

10. I /We would like to instruct the DP to accept all the pledge instructions
in my/our account without any other further instruction from Yes No
my/our end (if not marked, the default option would be 'No')

11. I/We would like to share the email ID with the RTA Yes No

12. I/We would like to receive the Annual Report of companies held by me/us. Physical Electronic
(Tick the appropriate box. If not marked the default option
would be in Physical) Both Physical and Electronic

13. I/We have issued a DDPI/POA/registered for eDIS in favour of Option 1: I/We require you to issue Delivery
/with Aditya Birla Money Limited for executing delivery Instruction Slip Booklet to me/us though we
instructions for settling stock exchange trades effected have issued DDPI.
through clearing member/ for executing delivery instruction Option 2: I/ We do not require the Delivery
through eDIS. Instruction Slip for the time being. However,
the Delivery Instructions Slip Booklet should be
issued to me/us immediately on my/our
request at any later date
Signature Not Verified
Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

5
Stamp Reference#25AC224996

14. I/We wish to receive the following documents for Equity /


Derivatives Segment
a. Rights & Obligations
b. Rights and Obligations of the Beneficial Owner and
Depository Participant
c. Risk Disclosure Document Physical Electronic
d. Guidance Note
e. Policies & Procedures
f. Additional (Voluntary) Rights & Obligations
g. Terms and Conditions-cum-Registration/Modification
Form for receiving SMS Alerts from CDSL Definitions.
h. Rights and Obligations for Margin Trading Facility

15. I/We wish to receive the following documents for


commodities segment
a. Rights and Obligations of members, Authorised Person
and Clients
b. Uniform Risk Disclosure Document (Including Risk Disclosure
Physical Electronic
Document on Options Trading)
c. Do’s and Don’ts for the investors
d. Additional (Voluntary) Rights and Obligations
e. Policies & Procedures

16. I/We wish to avail BSDA facility Yes No


17. I/We wish to avail Margin Trading Facility (MTF)
(Refer Additional booklet for Rights & Obligations for MTF) Yes No

* Please fill Appendix A, if you wish to receive communication in electronic form on your email id for commodity segment.

12. TYPE OF ACCOUNT (Please tick whichever is applicable)

Status Sub Status


Individual Individual Resident Individual-Director
Individual Director’s Relative Individual HUF/AOP
Individual Promoter Others (Please specify)
Individual Margin Trading A/c (Mantra)

NRI NRI Repatriable NRI Non - Repatriable


NRI Repatriable Promoter NRI Non - Repatriable Promoter
NRI - Depository Receipts Others (specify)
Foreign National Foreign National Foreign National - Depository Receipts Others (specify)

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

6
Stamp Reference#25AC224996

eDIS mandate

To
Aditya Birla Money Limited
Sai Sagar, 2nd & 3rd Floor, Plot No. M7, Thiru-Vi-Ka (SIDCO),
Industrial Estate, Guindy, Chennai 600 032

I /We would to execute the following eDIS mandate pertaining to the demat account (s) opened /
being opened with your depository division:

1. e-DIS mandate shall be used for transfer of specific blocked securities for meeting on –
market settlement obligation pertaining to the a single settlement number / settlement
date.
2. Securities shall be credited only to the pool account of ABML.
3. Mandate provided for multiple securities shall not lapse if a transaction is effected for
one of the securities out of the multiple securities.
4. e-DIS mandate may be revoked / cancelled by me / us. However, if any instructions are
received prior to such disablement, ABML shall not be liable for losses, if any, arising out
of execution of such instructions.
5. e-DIS mandate shall not provide the authority to transfer the mandate in favor of any
assignees of the ABML.
6. ABML shall return the securities to the Client that may have received erroneously or
those securities that ABML were not entitled to receive from me / us.
7. eDIS facility doesn’t facilitate Transfer of securities for off-market trades.
8. Availing eDIS facility doesn’t prohibit the issue of DIS booklet.
9. Availing eDIS facility doesn’t prohibit me from operating the account.
10. The above terms and conditions are in addition to and do not undermine in any manner
whatsoever the terms and conditions forming a part of the rights and obligations
executed by me / us.

Client Name : SIDDHARTH PATEL Client Signature:

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

7
Stamp Reference#25AC224996

DECLARATION CUM ACKNOWLEDGMENT


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 have been informed that the standard set of documents has been displayed for information on Stock Broker’s
designated website www.stocksandsecurities.adityabirlacapital.com and any change in the Rights and Obligations and
RDD would be made available on Stock Broker’s designated website www.stocksandsecurities.adityabirlacapital.com.
I/We have been also informed that any change in the ‘Policy and Procedures’, ‘tariff sheet’ and all the non mandatory
documents would be duly intimated to me/ us and also displayed for information on the Stock Broker’s designated
website www.stocksandsecurities.adityabirlacapital.com
I/We further confirm having read and understood the contents of the ‘Rights and Obligations’ document(s), Rights and
Obligations of the Beneficial Owner and Depository Participant, ‘Risk Disclosure Document’ (RDD), ‘Guidance Note’,
‘Policies & Procedures’, Tariff Sheet, Additional (Voluntary) Rights & Obligations and all other non-mandatory
documents. I/We do hereby agree to be bound by such provisions as outlined in these documents.
4. I/We further confirm to receive the following documents by way of a separate booklet for Equity / Derivatives Segment.
a. Rights & Obligations
b. Rights and Obligations of the Beneficial Owner and Depository Participant .
c. Risk Disclosure Document
d. Guidance Note
e. Policies and Procedures
f. Additional (Voluntary) Rights & Obligations
g. Terms and conditions-cum-Registration/Modification Form for receiving SMS Alerts from CDSL Definitions.
h. Rights and Obligations for Margin Trading Facility
5. I/We further confirm to receive the following documents by way of a separate booklet for Commodity Segment:
a. Rights and Obligations of members, Authorised Person and Clients
b. Uniform Risk Disclosure Document (Including Risk Disclosure Document on Options Trading)
c. Do’s and Don’ts for the investors
d. Additional (Voluntary) Rights and Obligations
e. Policies & Procedures
6. I / We have read the Rights and Obligations document (Annexure 2.7) and terms & conditions (Annexure 2.4) and agree
to abide by and be bound by the same and by the Bye Laws as are in force from time to time. I/We declare that the
particulars given by me/us above are true and to the best of my/our knowledge as on the date of making this application.
I/We agree and undertake to intimate the DP any change(s) in the details/Particulars mentioned by me / us in this form. I/
We further agree that any false/misleading information given by me / us or suppression of any material information will
render my account liable for termination and suitable action. In case non-resident account, I / We also declare that I have
complied and will continue to comply with FEMA regulations.
7. I/We hereby declare that the details furnished under FATCA are true and correct to the best of my/our knowledge
and belief. In case of any change in the given status on a future date, I/We undertake to inform ABML the same within
30 days. I/We agree that as may be required by domestic regulators/tax authorities, ABML may also be required to
report, reportable details to CBDT/regulatory authority and comply with its direction.
8. I / We willingly give my consent to ABML to accept copy of my Aadhaar card as Address proof and proceed with
the application.

Name Signature

Sole First Holder / Guardian (in case of Minor)

10
Geo Location: 22.6253815,80.3608189
2ⁿ Holder

3 Holder
Signature Not Verified
Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

8
Stamp Reference#25AC224996

TARIFF DETAILS
SCHEDULE OF TRADING CHARGES

Details of Charges Standard Rate Agreed Rate


Account Opening Charge Rs.750 Nil

Brokerage-Equity-Intra Day 0.05% 0.01%

Brokerage-Equity-Delivery 0.50% 0.10%

Brokerage-Equity Derivatives-Futures 0.05% 0.01%

2.5% of premium or Rs. 20 per lot


Brokerage-Equity Derivatives-Options Rs. 100 per lot
(whichever is higher)
Brokerage-Currency Derivatives-Futures 0.05% 0.01%

2.5% of premium or Rs. 10 per lot


Brokerage-Currency Derivatives-Options Rs. 100 per lot
(whichever is higher)

Minimum Brokerage/Per Share 5 paise per share 0.01 Paise

Commodity - Delivery Brokerage 0.5%

Commodity - Buying and Selling of Derivative 0.05%


Contracts

A minimum brokerage of Rs.10 per executed order will be charged subject to a maximum of 2.5% of the traded value

*If brokerage levied as a percentage on the value of the shares/contract is less than the agreed brokerage payable per share/contract, you will be
charged minimum rate of brokerage per share instead of the percentage.

The delivery charges for Bullion/ Metals and Agricultural commodities varies as per exchange norms and guidelines
* the delivery brokerage will vary according to the commodity intended for delivery

Description DEMAT ACCOUNT TARIFF

DP Scheme Name 499 Scheme

Account Maintenance Charges Rs.588.82 (Rs.499/- + GST once every 5 years)

Transaction Fee - Market trades & off Rs. 20 per ISIN , Off-Market within ABML Rs.50/-, External Broker min Rs.50/- or 0.03% on value of
Market trades securities, maximum of Rs.1000/-
Pledge Creation / Pledge invocation / Rs.100/-
Closure / Confirmation

Demat Charges 25 per certificate + Rs 100 per request

D emat / Remat / Delivery Rs 100 + courier Charges


Instruction Slip Rejection Charges

Remat Charges 25/- per certificate + Rs 100 courier

DIS Book Issue Charges First book free, Rs. 100 for additional book

CAS Dispatch Charges Actual Depository Charges

Destat - Conversion of MF units Rs 10 + Rs.40 courier, Rs 10 + Rs.40 courier


represented by SOA into dematerialized
form
Restat- Conversion of Demat MF units
Rs 10 + Rs.40 courier, Rs 10 + Rs.40 courier
into SOA

Margin Pledge/Creation/Closure/Invocation Rs.15/-per ISIN

MTF Margin Pledge/Creation/Closure/Invocation Rs.30/-per ISIN

NDU Charges Minimum Rs. 50/-per request or 0.015% on transaction value plus Rs. 50/- whichever is higher payable by the
borrower for NDU request accepted by the lender

Signature Not Verified


Signed by: SIDDHARTH PATEL
Goods & Services Tax and other statutory levies (like STT &Transaction charges) Signed by : DS ADITYA
as prescribed by BIRLA
Reason : Agreement Signing
MONEY LIMITED
Government 1
and Regulatory authorities
Reason: Account from
Opening with Adityatime to Ltd by Aditya
Birla Money
Birla Money
time, would be applicable in addition to above charges. I agree to the above Location
tariff :structure
Chennai and terms and conditions printed on Aadhaar
eSigned using the overleaf.
(digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

9
Stamp Reference#25AC224996

Terms and Conditions :

1. In case of Life time free AMC, if account is closed 10. Client shall at all times maintain a minimum
before 12 months, then AMC of Rs. 500/- will be levied. balance of Rs.1000/- in his account to meet
various dues pertaining to trading/demat accounts.
2. Lifetime would mean the life time of beneficiary
holder. 11. Account opening charges would not be refunded if
the account is not opened due to non-submission of
3. In case the Demat account under BSDA facility does not required details/documents by client.
meet the eligibility as per guideline issued by SEBI or any
such authority at any point of time, the BSDA account 12. As Borrower of funds, the Client authorizes the
Company (ABML) to charge interest at the rate of
will be converted to regular Demat account without
24% on the amounts lent by the Company to the
further reference and charges will be levied as applicable
client under Funding Facility. The client hereby agrees
to regular accounts as informed by the ABML.
that the Funding Facility offered is in the nature
4. All other delivery/dispatch charges incurred by DP of an interest bearing loan towards fulfilling client's
from time to time will be recovered. obligations. Interest rate for such lending activity is
5. Document handling charge of Rs.25 shall be applicable subject to change. Changes would be communicated
by the Company to clients through e-mail /website
to delivery of all documents in physical mode. However if
display / sms / ordinary post and such communication
a customer who has opted to receive documents in
shall suffice as notice of change in interest.
electronic mode receives documents in physical mode
(due to bounce of mails or otherwise), document 13. An account opening fee of Rs. 750/- Is applicable
handling charge of Rs. 50 shall be applicable. unless the same is waived based on the scheme
chosen by the client. The fee is also applicable if
6. In case the total brokerage earned per segment per
the Client fails to comply with the terms &
exchange is not exceeding Rs. 50/- then a sum of
conditions of a specific scheme.
Rs. 50/- or such other sum as may be decided by the
Stock Broker will be charged per segment per exchange 14. Standard brokerage as mentioned above would
as minimum processing fee. automatically be applicable in case tariff is not
agreed upon for any segment/ exchange.
7. Brokerage rates and Depository tariff indicated above are
exclusive of all statutory levies/ taxes and charges levied
15. Any deviation in the brokerage/volume commitment
by Exchanges/Depositories. Statutory levy/tax and/or
(basis which a lower brokerage is charged) will
exchange/depository charges (if any) will be levied
result in revision of the lower brokerage rate to
separately .
standard rate of brokerage (rack rates) as specified in
8. Shares transferred on account of inter - settlement / the tariff sheet above or the maximum statutory
inter exchange/dues (custodial) to beneficiary account brokerage specified by SEBI/Exchanges with
retrospective effect.
would be charged at Rs. 20 per ISIN.

9. Brokerage rates/Taxes/Levies/Tariff/Service
16. Bank charges like NEFT / RTGS / Cheque return
standards are subject to change. charges shall be borne by the client only.

Stock Broker/Depository Participant shall have the


sole discretion to change applicable Brokerage rate
17. Additional services (if any) would be charged
on securities transactions /Taxes/Levies /Tariff
separately.
Changes (if any) would be communicated to clients
through e-mail /ordinary post /website upload /SMS
and such communication shall suffice as notice of
change in Brokerage rates /Interest /Taxes /Levies
/Tariff.

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

10
Stamp Reference#25AC224996

VOLUNTARY AUTHORIZATION LETTER


To:
Aditya Birla Money Limited
Sai Sagar, 2nd & 3rd Floor, Plot No. M7, Thiru-Vi-Ka (SIDCO),
Industrial Estate, Guindy, Chennai 600 032.
Sub: V rization Letter
Ref: 1. Trading account no: 3244178
04197747
2. Demat account no:
1. Running Account Authorization
I request you to maintain my trading account on a running account basis & retain the available credit balance
i.e. funds towards my margin/pay-in/other future obligation(s) on all segments(s) of Exchange(s)/Clearing Corporation
unless I instruct you otherwise. I agree that no interest need be paid in respect of funds so retained by you.
I request you to retain securities with you (accruing either by way of transfers effected by me or by way of any credit that is due
to me on account of transactions undertaken by me through my trading account) for my margin/pay-in/other-future
obligation(s) at any segment(s) of any or all the Exchange(s) / Clearing corporation, unless I instruct you to transfer the same
to my demat account.
I request you to settle my funds and securities once in Calendar Month or Calendar Quarter or such other higher
period allowed by SEBI/Exchange (s) from time to time.

I also authorize you to transfer/adjust all the additional funds and securities lying to my credit in my trading account
against my settlement obligations in any of the segments in any of the Exchanges in which I have opted to trade.
I confirm that this running account authorization can be revoked by me at any point of time.
2. Authorization for Sending documents through E-Mail Trading
I hereby authorize you to send any and all documents pertaining to my trading account (including but not limited to
Electronic Contract Notes/Statement of Funds and Securities/Margin Bills etc./Notices/Letters/Trade
Confirmations/Circulars/ Amendments etc.) to the below mentioned e-mail id.

I hereby authorize you to send any and all documents pertaining to my demat account (including but not limited to
Statement of Transaction/Statement of Holding/Rejection Intimation/Bills/Amendments/Debit - Credit Intimations etc.)
to the below mentioned e-mail id.
E- Mail ID: PATELSIDDHARTH2004@GMAIL.COM
I hereby declare that I have read and understood Additional Rights and Obligations pertaining to Deliv of Documents and
agree to the same.
3. Contact Number Declaration
I confirm and declare that the contact number(s) given in the KYC Form or any updation thereto (either in writing or
through internet) belong to me/my relative/my acquaintance and as such authorize you to either call or send any/all
information pertaining to my trading/demat accounts and/or any promotional material related to financial products
manufactured/ distributed by you or your group/associate companies (including but not limited to alerts/confirmations/
passwords/research recommendations/intimation of account balances/commercial communication etc.) on the said contact
numbers.
I further confirm that I will neither hold you or your service provider liable nor will institute complaint under the Telecom
Commercial Communications Customer Preference (TRAI) Regulations 2010 or such other applications legislations
including amendment thereof.
I further agree and confirm to the applicability of all Regulations/Rights and Obligations/Circulars issued by SEBI/
Exchanges/Depositories and Additional Rights and Obligations pertaining to receipt of communication on contact
numbers in addition to this declaration.

4. Authorization to debit various Charges


I confirm and consent for debiting any and all charges (including but not limited to schedule of charges agreed upon by
me/inter-settlement charges/statut charges/taxes etc.) to my trading account irrespective of the balance in my trading account.
I further confirm that once the charges are debited to my trading account and the same shall be treated like any other trading
debit and as such authorize you to recover the same from available balances in my trading account, including sale of
securities available to my credit in margin/dues/demat account (s).

12 (Sole / First Holder) (Second Holder) (Third Holder)


Signature Not Verified
Date: Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Reason : Agreement Signing Birla Money
(Please sign here, incase if you are accepting all the above clauses.)
Location : Chennai
Date : 2023-10-06 20:16:24 IST
eSigned using Aadhaar (digio.in)
Date: 2023-10-06 20:14:58 IST

11
Stamp Reference#25AC224996

Voluntary Document
Suitability Assessment cum Declaration
Please respond to the below questionnaire to review suitability for trading in Securities market (including derivatives segment)

Questionnaire Yes No

Do you understand that dealing/trading in equities & derivatives markets is subject to performance
of securities/volatility/market risk and forces affecting Securities market/Commodity Market and
1
there is no assurance that your investment objectives will be achieved. Likewise do you understand
that research recommendations are also subject to the above mentioned risks.

Do you understand that trading in derivatives segment is based on leveraging and is subject to high
2 risk due to volatility and price fluctuations? Hence, do you understand that trading in derivative
contracts requires high risk appetite.

Do you know that trading in derivatives contracts typically requires additional capital in the form of
3 Margins/or topping up of Mark to Market (M2M) losses, which in turn, would require sound financial
background and knowledge to withstand any volatility in the market?

Ø You are advised to avoid trading in securities market /commodities market if:
o You have answered 'No' to any of the questions above
o Your age is above 60 years and you are a retired person
o You have no prior experience of dealing in intraday trading/trading in derivative contracts
o You are looking for returns of fixed amount or protection of principal or growth in capital
o You are not a person of trader profile and prefers low risk low return investment strategy
o Investment you are considering in intraday trading/trading derivative contracts is more than 10% of your
total investment surplus/savings corpus

INVESTMENT DETAILS
New to Basic Good
Category Expert
Market Knowledge Knowledge
Equity
Futures
Options
Currency
Commodity

Declaration
I have reviewed the suitability assessment questionnaire given above and based on my risk assessment, financial
background and investment objective, I confirm that trading in equity/derivative contracts is appropriate or suitable for me.
Further by signing this document, I confirm that I have been apprised of the risks involved in investing in securities market
and in particular all types of derivative contracts.
I confirm that there is no assurance on profits or any fixed or guaranteed return while executing transactions in the securities
market / commodities market I confirm that the research recommendations disseminated by ABML through its
employees/associates are incidental to its stock broking services and transactions affected basis the same are in good faith
and are I authorize the same.
I also confirm that I will not hold ABML or its group companies, associates or any of its employees, directors, officers or sub
brokers/authorized persons responsible or liable for any direct or indirect, punitive, special or exemplary damages, for any
profit /loss arising or resulting due to transactions effected in my trading /demat account.
I may, in advance, instruct the dealer for placement of orders in my trading account basis market events/market view/
recommendations and I may not be available for re-confirmation Signature
on such order placement. I also understand that all orders
Not Verified
Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
placed in the derivative segment/trade confirmations with account balances
Reason : Agreementare sent to my registered
Signing Reason:mobile number.
Account Opening
Birla Money
I also
with Aditya Birla Money Ltd by Aditya
Location : Chennai eSigned using Aadhaar (digio.in)
understand that contract notes, margin bills, statement of accounts,
Dateprofit and
: 2023-10-06 lossIST
20:16:24 statements, statement of
Date: 2023-10-06 transactions
20:14:58 IST /
12
Stamp Reference#25AC224996

holding (if any) are sent to my registered e-mail id and I shall bring any discrepancy therein to your notice within 24 hours
from the date of receipt of the said details / documents, in writing, failing which it shall be legally construed that the
transactions have been effected by me and I shall not challenge the same in any forum / court of law. I further confirm the levy
of interest on the amounts lent by the Stock Broker towards securities transactions / commodities transactions and / or
margin requirements and payable by me in my trading / demat accounts as agreed by me in the tariff sheet and I undertake
not to challenge the levy of such Interest at a later point of time.
I further agree that I may acknowledge net positions / statement of accounts / statement of transactions / profits and loss
statements by affixing my signature on the said documents and that would amount to confirmation of transactions effected
in my trading account and would not be disputed in any manner at any point of time. I have been informed and I acknowledge
that ABML does not authorize any of its employees to send any details / documents pertaining to my trading / demat accounts
and I shall not depend upon or take into consideration any mail / document shared by any employee of ABML except the mails
/ documents received from the below mentioned email ids:

Documents E Mail ID
Contract Note ereports.stocksandsecurities@adityabirlacapital.org
care.stocksandsecurities@adityabirlacapital.com

Demat transaction statement and holdings dptransaction.stocksandsecurities@adityabirlacapital.org


care.stocksandsecurities@adityabirlacapital.com

Statement of accounts ebills.stocksandsecurities@adityabirlacapital.org


care.stocksandsecurities@adityabirlacapital.com

I understand that surveillance department of ABML on a random basis will seek confirmation as to whether am trading
through my trading account and affirmative confirmations to that effect would be deemed by ABML as confirmation of all
transactions effected in my account and I undertake not to challenge the same in any manner at a later point of time as the
transactions are owned by me upon such confirmation.
I confirm having read and understood all the contents of the suitability assessment cum declaration as given hereinabove
and I agree to the same.

13 (Signature of the client)

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

13
Stamp Reference#25AC224996

DECLARATION FOR UPDATING MOBILE NUMBER AND EMAIL ADDRESS FOR TRADING AND DEMAT ACCOUNT
(Only under exceptional circumstances)

To,
Aditya Birla Money Limited
Sai Sagar, 2nd & 3rd Floor, Plot No. M7,
Thiru-Vi-Ka (SIDCO), Industrial Estate,
Guindy, Chennai 600 032.

I hereby confirm that the mobile number / email id provided by me as per KYC belongs to

Mobile 9981302322 Self / Spouse / Dependent Children / Dependent Parents

Email PATELSIDDHARTH2004@GMAIL.COM Self / Spouse / Dependent Children / Dependent Parents

I hereby confirm that the mobile number/email id provided by me has also been updated to my other family member
accounts as given below. I request you to kindly update the same mobile number and/or E-mail ID to my trading and/or
demat account also.

Client Code Demat ID of Family* Mobile Number Email ID Relationship


of the Family the Family Members Name with the
Member Member Client

“Family” for the purpose would mean self, spouse, dependent children and development parents

I hereby declare that the changes are true and correct to the best my knowledge and belief. I further undertake to keep
you informed about the changes in the mobile number/email id non-receipt of such updation may be construed that the
above iven mobile number/email id is valid and subsisting.

in case any of the above information is found to be false or untrue or misleading of misrepresenting, I am aware that
I may be held liable for it.

Client Name : Client Signature:

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

16
Stamp Reference#25AC224996

Aditya Birla Money Limited

Registered Office Corporate Office

Indian Rayon Compound, Veraval, Gujarat - 362 266. Sai Sagar, 2nd & 3rd Floor, Plot No. M7, Thiru-Vi-Ka
(SIDCO), Industrial Estate,Guindy, Chennai 600 032.

National Stock Exchange of India Limited

Bombay Stock Exchange Limited


SEBI Reg No. INZ000172636
Multi Commodity Exchange of India Limited

National Commodity and Derivatives Exchange Limited

SEBI Reg. No. IN-DP-17-2015


National Secur

CLEARING MEMBER
(Equity , Equity Derivatives & Currency Derivative Segment of NSE & BSE and Commodity
Segment of MCX & NCDEX)

Aditya Birla Money Ltd.


Sai Sagar, 2nd & 3rd Floor, Plot No. M7, Thiru-Vi-Ka (SIDCO), Industrial
Estate, Guindy, Chennai 600 032.

Director Compliance Officer

Mr. TUSHAR SHAH Mr.Murali Krishnan L R


Telephone No.: +91 - 44 - 49490001 Telephone No.: +91 - 44-49490014
E-mail ID: ceo.stocksandsecurities@adityabirlacapital.com E-mail ID: murali.lr@adityabirlacapital.com

Please contact us at the above address or mail us at care.stocksandsecurities@adityabirlacapital.com for trading related
queries / dpcare.stocksandsecurities@adityabirlacapital.com f related queries or call our customer care
department @ Telephone No.(s): +91 - 1800 270 7000. If not satisfied with our response, you may contact the concerned
exchange(s) / Depositories(s) at:

Contact details in case of Grievance / Dispute:

Name Telephone Number E-mail ID

National Stock Exchange of India Limited +91-22-2659 8190 ignse@nse.co.in

Bombay Stock Exchange Limited +91-22-2272 1233 / 4 is@bseindia.com

+91-22-2272 3333 complaints@cdslindia.com

National Secur +91-22-2499 4200 relations@nsdl.co.in

Multi Commodity Exchange of India Limited +91-22-6731 8888 grievance@mcxindia.com

National Commodity and Derivatives


+91-22-6640 6609 askus@ncdex.com

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

PAN VERIFICATION RECORD


Permanent Account Number

HBVPP4236E
Name SIDDHARTH PATEL
Gender MALE
DOB 19/08/2004
Verified On 06/10/2023 20:09:09

Digitally Signed On:


06/10/2023 20:09:09 IST

Note:

1. This PAN data is verified by DigiLocker (https://digilocker.gov.in) as per data provided


by the issuing authority, Income Tax Department, Govt. of India.
2. This digitally signed verification document is valid as per the IT Act 2000 when used
electronically.

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

Powered by TCPDF (www.tcpdf.org)


Stamp Reference#25AC224996

DigiLocker verified e-Aadhaar


This document is generated from verified Aadhaar XML obtained from DigiLocker with due user consent and authentication

Document type e-Aadhaar generated from DigiLocker verified Aadhaar XML

XML verified

Generation date 2023-10-06T20:08:54.516+05:30 Download date 2023-10-06T20:08:54.516+05:30

Masked Aadhaar number


xxxxxxxx1057
Name Siddharth Patel

Date of Birth 19-08-2004

Gender Male

c/o , s/o C/O Susheel Patel

Address C/O Susheel Patel,00,Gram Gonjhi Mal,Gonjhi


Mal.,Mandla,Madhya Pradesh,481661

Landmark Gram Gonjhi Mal Locality 00

City / District Mandla

Pin Code 481661 State Madhya Pradesh

Signature Not Verified


www.digio.in | For Limited Circulation
Signed by |: DS
CONFIDENTIAL
ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Reason : Agreement Signing Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

Aditya Birla Money Limited


Corporate Office: Sai Sagar, 2nd & 3rd Floor, Plot No. M7, Thiru-Vi-Ka (SIDCO), Industrial Estate, Guindy, Chennai 600 032.
Registered office: Indian Rayon Compound, Veraval, Gujarat - 362 266 | E-mail: care.stocksandsecurities@adityabirlacapital.com
CIN L65993GJ1995PLC064810 | Tel: +91-44-49490000 Website: stocksandsecurities.adityabirlacapital.com | Fax: +91-44-28290835.Signature Not Verified
Contact No : 1800-270-7000 Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST
Stamp Reference#25AC224996

Declaration Form for opting out of nomination

To, Date D D M 06102023


M Y Y Y
Aditya Birla Money Limited
Sai Sagar, Plot No: M7
2nd and 3rd Floor, Thiru-Vi-Ka Industrial Estate
Guindy, Chennai – 600 032

UCC 3244178
DP ID 12037600
CLIENT ID 04197747
Sole/First Holder Name SIDDHARTH PATEL
Second Holder Name
Third Holder Name
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.
Name and Signature of Holder(s)*

1 2 3

This nomination shall supersede any prior nomination made by the account holder(s),if any

Signature Not Verified


Signed by : DS ADITYA BIRLA MONEY LIMITED 1 Signed by: SIDDHARTH PATEL
Reason : Agreement Signing Reason: Account Opening with Aditya Birla Money Ltd by Aditya
Birla Money
Location : Chennai eSigned using Aadhaar (digio.in)
Date : 2023-10-06 20:16:24 IST Date: 2023-10-06 20:14:58 IST

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