65f1d5fd0701275b0dd55d30 All Sign

Know Your Client (KYC) PLEASE AFFIX A
RECENT PASSPORT
Application Form (For Individuals Only) PHOTOGRAPH AND
Please fill type the form in English and BLOCK letters. Sign all areas marked with SIGN ACROSS IT
‘x’. Once completed, please mail the completed form along with the necessary
proofs to our corporate office in Mumbai. CLIENTʼS SIGNATURE [1]
A. Identity Details (please see guidelines)
FULL NAME (As appearing in supporting identification document): DEVAN LUXAN

FATHER / SPOUSE’S NAME: M Devan MAIDEN NAME: (If any)
MOTHER NAME:
GENDER ✔ MALE FEMALE T - TRANSGENDER MARITAL STATUS MARRIED ✔ UNMARRIED
CITIZENSHIP ✔ IN - INDIAN OTHER DATE OF BIRTH (dd/mm/yyyy) 02/03/2001
RESIDENTIAL STATUS ✔ RESIDENT INDIVIDUAL NON RESIDENT INDIAN FOREIGN NATIONAL PERSON OF INDIAN ORIGIN
PAN (Please enclose a duly attested copy) BEEPL5112B Applicant E-Sign

PROOF OF IDENTITY SUBMITTED FOR PAN EXEMPT CASES (Please Tick )
A- Aadhar Card XXXX XXXX
B- Passport Number
eSigned document:
C- Voter ID DEVAN LUXAN
D - Driving License 13.03.2024 22:39:04
E - NREGA Job Card
Reason: Upstox Trading and Demat A/C Opening
F - NPR
✔ z - Others PAN (any document by Central Government)
Identification Number
B. Address Details (Please see guidelines)

Address Type Residential / Business ✔ Residential Business Registered Office Unspecified
ADDRESS FOR RESIDENCE/CORRESPONDENCE:
398 K S Nagar Main Street Puzhal, Kavangarai Puzhal Mathavaram
CITY/TOWN/VILLAGE: TIRUVALLUR STATE: TAMIL NADU PIN CODE 600066
DISTRICT: TIRUVALLUR COUNTRY: India
PERMANENT ADDRESS OF RESIDENT APPLICANT IF DIFFERENT FROM ABOVE B1 OR OVERSEAS ADDRESS(MANDATORY) FOR NON RESIDENT APPLICANT:

PROOF OF ADDRESS* (attested copy of any 1 POA for correspondence and permanent address each to be submitted)
✔ A- Aadhar Card XXXX XXXX 0178
B- Passport Number Expiry Date
C- Voter ID
D - Driving License Expiry Date
E - NREGA Job Card

F - NPR
z - Others (any document by Central Government)
PAGE 1
V 3.1.0
C. Contact Details (in CAPITAL)
EMAIL ID* luxansiva232001@gmail.com
MOBILE NO.* 9444221165

TEL (Off) TEL (Res)
D. Applicant Declaration
I/We hereby declare that the KYC details furnished by me are true and correct to the Applicant e-SIGN Applicant Wet Signature
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 CVL KRA through SMS/Email on
the above registered number/Email address.
I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be
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 eSigned document:
with passcode and the entire account opening form along with supporting DEVAN LUXAN
documents as applicable, with KRA and other Intermediaries with whom I have a 13.03.2024 22:39:04
business relationship for KYC purposes only. Reason: Upstox Trading and Demat A/C Opening
Place TIRUVALLUR
Date
13/03/2024
FOR OFFICE USE ONLY IPV Done on (dd/mm/yyyy)
AMC/Intermediary name OR code
Application Typ
e e✔ N w Update
(Originals verified) True copies of Seal/Stamp of the intermediary should contain
documents received KYC Number Staff Name
(Mandatory for KYC update request) Designation
Name of the Organization
Signature
(Attested) True copies of documents
Account Type Normal Small Date
received Main Intermediary Place
Simplified
KYC Mode* Normal EKYC OTP EKYC Biometric Online KYC Offline KYC ✔ Digilocker
DECLARATION FOR NAME MISMATCH

(To be filled if the name on documents is different)
This is to bring to your notice that my name is spelt differently in my Identity proof, Address proof and Bank proof. Please find below the
names as spelt in respective proofs:
Name as per Income Tax DEVAN LUXAN
Name as per Bank Proof LUXAN D
Name as per Address Proof Luxan D
Name as per Income Proof
I hereby confirm that all the said names belong to me. I hereby state and confirm that what is stated above is true and correct information.
I agree to indemnify and keep Upstox Securities Pvt. Ltd. / RKSV Commodities India Pvt. Ltd. indemnified at all times from and against all costs,
charges, damages, penalties (including reasonable attorney fees) suffered and/or incurred by Upstox Securities Pvt. Ltd. / RKSV Commodities
India Pvt. Ltd. for any act done or omitted to be done on the above declaration.
CLIENTʼS SIGNATURE [12 ] X
PAGE 2
V 3.1.1
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
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 2024-03-13T22:19:11.918+05:30 Download date 2024-03-13T22:19:11.918+05:30
Masked Aadhaar
Number xxxxxxxx0178
Name Luxan D
Date of birth 02-03-2001
Gender MALE
c/o, s/o, C/O: M Devan

398 K S Nagar Main Street Puzhal Kavangarai Puzhal
Mathavaram Tiruvallur, 600066, Tamil Nadu
Address
Kavangarai
Landmark Locality
City/District Tiruvallur
PIN Code 600066 State Tamil Nadu
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
Digitally signed e-Aadhaar XML
<?xml version="1.0" encoding="UTF-8" standalone="yes"?>
<Certificate><CertificateData><KycRes code="2ec69e1edb8c477386ceeb88d51bdb75" ret="Y" ts="2024-03-13T22:19:11.918+05:30" ttl="2025-03-13T22:19:11"
txn="UKC:e58016c836f41c0734ea9867f167135420240313221847"><UidData tkn="01002274cDZmDIg14kV2pUR4ow8uOAqIe+4hWmAEmRrl/zqmOs+18RzxurABMgORxt8WdzbZ" uid="xxxxxxxx0178"><Poi
dob="02-03-2001" gender="M" name="Luxan D"/><Poa co="C/O: M Devan" country="India" dist="Tiruvallur" house="398" loc="Kavangarai" pc="600066" po="Puzhal" state="Tamil Nadu" street="K S Nagar
Main Street" subdist="Mathavaram"
vtc="Puzhal"/>undefined<Pht>/9j/4AAQSkZJRgABAgAAAQABAAD/2wBDAAgGBgcGBQgHBwcJCQgKDBQNDAsLDBkSEw8UHRofHh0aHBwgJC4nICIsIxwcKDcpLDAxNDQ0Hyc5PTgyPC4zNDL/2wBDAQkJ
CQwLDBgNDRgyIRwhMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjIyMjL/wAARCADIAKADASIAAhEBAxEB/8QAHwAAAQUBAQEBAQEAAAAAAAAAAAECAwQFBgcICQoL/8QAtRAAAgE
DAwIEAwUFBAQAAAF9AQIDAAQRBRIhMUEGE1FhByJxFDKBkaEII0KxwRVS0fAkM2JyggkKFhcYGRolJicoKSo0NTY3ODk6Q0RFRkdISUpTVFVWV1hZWmNkZWZnaGlqc3R1dnd4eXqDhIWGh4iJipKTlJW
Wl5iZmqKjpKWmp6ipqrKztLW2t7i5usLDxMXGx8jJytLT1NXW19jZ2uHi4+Tl5ufo6erx8vP09fb3+Pn6/8QAHwEAAwEBAQEBAQEBAQAAAAAAAAECAwQFBgcICQoL/8QAtREAAgECBAQDBAcFBAQAAQJ3AA
ECAxEEBSExBhJBUQdhcRMiMoEIFEKRobHBCSMzUvAVYnLRChYkNOEl8RcYGRomJygpKjU2Nzg5OkNERUZHSElKU1RVVldYWVpjZGVmZ2hpanN0dXZ3eHl6goOEhYaHiImKkpOUlZaXmJmaoqOkpaan
qKmqsrO0tba3uLm6wsPExcbHyMnK0tPU1dbX2Nna4uPk5ebn6Onq8vP09fb3+Pn6/9oADAMBAAIRAxEAPwD32iiigYUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFABRRRQAUUUUAFFFFA
BRRTJJo4sb2AJOAKBN2H0jMFGWIA9TWPqGrxwziNHboTkHHP4isabxACrO0hwRgjNOxm6i6HT3l/DaJlmyT0AqqmsK8bMmGZRnYF6/jmuCvtaabC5zjoKhTVJba3aQSYkY9Par5SHUbO8XxHE0gBTA785rUt
72G5TcjY+teRjU38zg5xWpb61LGqgSkc9jQ4ISnJHp+5c4DDPpmlrgLfX2FyAXJHFdTp+swzgJI4DdvepcbGkaqe5rUUgIIyKWpNQooooAKKKKACiiigQUUUUANdxGhdugGa4TWdXaN3R857Nmu5maMIRIQFP
HPSvL/GUbW15sx8ucq3qKuBjVM+51yaZlDkNtYncf1rNkv2kyM8E0WenzXxG1SFzy2K1U8MyM3fAolOMXYI03IxROQ2S34CnbzMfmOMdM10SeHZPuiIcd6t2/hWSSRQRjPtWXt0a+wdjk0XdJy+wVO22Nsh8j61
1N94FuIo98bI3+7XLXuj3dpnzIjgd6tVEyHSfQd9rCcpkt1Naml3zwzJKzEYPFc8nnLwTn8KtRTScAZGK0TMnFnrejah9ryGbJbmtevMtC1eWzlXkc9jyK9Fsp2ubVJWABb0qJKxpTl0LFFFFSahRRRQMKKKKBBRR
RQBDdRedayR9ypxxmvJL8u94Y3y5+6MjpXsBGQR615rd2yJ4gkUHKLIQM9+apOyZlNXaNvw5ZRw2OJIwrfStGVIkfGR+FUopymAOBTyrPJuJrklK50JFpAoPOK0LZogozjd61Rjg8zA71ZFrKg6flWabWpbSNAu
vrWRqsFvMpBQEY61cWGRu+PrUN3aOIy2QeKpybRKSTOLuNEjkYmMYyaozeGrjIMYz7EV1IXbJx2rTtiMBjjNVTqSQpxTPObVHt70xyDa6n0r1DRSx09Q3QdK4/WrcPrKsgA3jtXc2Vv9ls4oe6jn611814o5oxtMs
UUUVJsFFFFABRRRQAUUUUAFcFfQZ8SyIo/jNd7XJXcajxgCP7pJ/wC+aOjIluhxgCgljgDrmnxapYqNryAbayvEE7PGIw4RQSWrjbhoEYl7th24BrlsmzdNo9OTXLBWysgq9HrEEo+UivHopdjHZIzAHHzZFbem3k
5l2LnJ4xWclKOxpFKW56Q2qRR8kgCoZ9YtZIynmLyPWuH1ee7tl2TBl3Ade9c7LO7kneyd+D0ohzSVmwlFLVHpImt2kyJV/OtIxARB0IKHvXlNtMN4K32X64rtPD2oXG7yJJPMhYcHOQDVqHKZybY7UVK6rEmec
g/hXbVyl9bmbxHaKOhUE/ma6uupfCjCO7CiiimWFFFFABRRRQAUUUUAFctFbP8A2v5sjZdAwwetdTWPcx7NV3gcFDn64/8ArVM72AxdQ0j7YGL8g9s1z8ulvBavaiL92W3gheQfUHFdeLvbNgkY96sF4pF6c+9c
PO4s35brU4KDQriSF4csInbc+QBuP1xWjpNglpdKzHc2ePatq9bAwnygnBJqla3NtFMySNlh2FRKpKRpCKRY8T2qXaxeu0c+hrmotKlhErxgMJVKvkZ49u4rpr3UrCaUZfapwNtJZ7YLgISssTDII7fWmpNMGlaxylpo
5VpN0QkdxtDMB8o9h610WjaNLbOG3tjOSDzW8UtcZCKD9KlikRGwMVTquTszPkSWhS1KFhew3IPzJH/U/wCNdDAWMEZf7xUE/Ws24gE9zb56YIP44rW6V2QbMLIKKKK0AKKKKACiiigAooooAKo3igyqQjE9
zjgcGr1NkG6Nh7UmroDirlilwe3NPgudzAZPXFQ6sfLmasK9vnt4h5bEE+nWuGcLyN4ytE6PVZ4BZMhkHPJAPNefyQz205nUyeWx4Zhz+NWbea9nY+XAzY5zI4A/WtiKx1q6RN0tqq/3WmGPyrSMeXQXM2c5NF
c3Lh1VyingkcV2fh9kTTtkj5c85PUVny2ut2yZRrZlHQLKMflWXcXl3FMrTRNFL/eXlT+IpuPMrC5mjtXuTnZkU+2kZpAM5ya5+zvmuIVLH5x1wK39Ny7AnseOKxUPfLlL3ToogDcRg/eCgir1NjGI1HtTq7oqyOcKKKK
oAooooAKKKKACiiigAooqve3sFhbNPcPtRfzNAHI+JUME7AjGeV9xXJyHzWHpV7XNem1xpnXCJB/qlHcHrk9+1cqmrtHKVYdDz61lOnroOMraM6FYHdf3YORVC6TVEH7tXxntnmrun63ACrHkVvrrURVdpBGOg
FYXcXqja11ocnAdRYfvlbj1zVo7iNsgJyO9btxrUeza+3nsRzXPXuqwgkqADRdt6IHZLUnsyYn2g8ZrtNCQzOgH1NebxapucYBznpXceGfEun2sjWd2GiuePnPK4IyB7VrCDb1MpSWx3dFNSRJUDxsrKehU5Bp1bk
hRRRQAUUUUAFFFFABRUUtzFAuZHArMuNegQlYhuI6k9qaTYGlc3KWyZYjPoTXnviHU5NRuGUviNOg6Cta81BriGWVm5zzn+lcpPdBbZyGwxNP4dtzSnTUrOT0MeznBubtF4AwOv1qnfWKzEsg59arWk5TUp
1J+8c1sKwY471zVZOMhximjmnjuIGOD0py6ldx8AnFdDNapKDuXJ/WsyaxC/dJ/GpVVPcHTa2M9r+5kPLNQizzNnnPqTVuO2weeauRx7ei1TqJbC9m3uTabaLGylzlqq6rO8WsSShSAcbT2PAq9Cx3YFaH2JL9X
hf7pjJP1AJzRCpZ3YpQ0LfhrxPdW8qrGWdD95TyK9Us7uO9tlmj6HqPQ14ro0Mmn37xMcrwQfXP/AOqvTfD14PM8k8Bh610cyewlSai5HSUUUUiQooooAzpNXgXO3nHrWZeeIFRD79qwPtJbPJrNvZXeXDZAq3
yqVi4UpuHOX59Ynu5dqsQB1welM+1EL3/IHPvWE008AISMSKeoqSK/Bb5xLGR/fXIFdFopGC9o5WRr3czfYD/tGsO8ULEBtf1yauNfW8skcP2uIng4Vsn1qvdyhZFjLZz0HtXK5JNWPRhRlKLbOTuY3ivfNTJ59K1
LabOM+lF/CBt6ZJzxVeFhCwD8qevqKmvT5kpI56futo1N+BUbbGPP41LHCHQFGyp70ps2bjj65rzXudSRVPlJnjOajL7jgDir66azHG6rdvpAXBAyfU004kO/QpWVqZGBPArorCzX97u5Ahc8fSoksDGMu2B1qC81A
pE0NuT8y7WcHGQa0pRlOViJ6RuZjzLJellzhRgY710WnXmJoWUkNXPhUjBJfqOy+9aNs4VUxnhgfSvQdoWSFTp80ZOTOytdamVgrMW9mrah1GKVcsQpriWmwocDhhnJ5pItVYHyzJmQ9Pf8KqS5ldGEYKLs2
ehBgwyCCPalrkbXWnhKgvn1retNVhuMKTtapcGtSOaN7HnUVyXALN71VlnIYtj2qOKQ/MT2GOKhfleQck1ajFyOqU5qmidbg+3X+7TWctuJJI9OlRhDszil6oeOK3nGCic1OpVciHZFBfwznarYPzE9OKkkvYZFZfP
XJ/HNRXcPnxBWB/Cueu9MkEx8slhXPTim7nViJzWn9bHQRGGZC0ksbHoPeo5LENzgdOPSubOmXC/wGp4odRtY2MEki/7Ocg/hSqxktbhh5RejiayvPaPxyh/hxV6K5aTGMY9a5ga5fwttnSN/XK4/lWxper2c8ihg
YpCeVPT8DXNWoNrmsP2keayZ0dtG5AZhWjG4j5IwB1qgriMFuAmOuapXmpCQbEJKjsOM1z0sPKo7IJ1Ix3NPUpBIoRJAx6kKf61iynYCfk4qBtQRGDSOi9iC2Ky7nU4A7AP5n+4OP1rvp0XB2ZU60HT901RMJ
YnUsMMuM1S1a93WEMEbnfu3HB9P/wBdZf2m5kP7tG2nPHWrVnBOrb5cg/7Rya6XFSehxRk4L3mSWc+qOojS4nCe7HFdFp9v9kQySMXlYcsTk1nRvtI5yfWr0c2BknvjioqppWN8M6bbbL4mO4YJq/Z3biVRu71
k/aQv938RU1vdgSjpz7Va5uXYwqQpOejKAVhHgHH41G4AxucfnUU0wChevHSq7SAvgrx0rnowk3c9DE1acVYullI4lGB6GnKAQPnFUO/ABNXIB03AYAya1rKSjuYYarBz2JnCsOWwfTFVXiTdw/JpZZirHbiqolbI6
H8KmjSkluXicTTctibyRnG9T+NPaEdjnPbNQo+ZANoqyGIiY4HJqa8ZbGmErU73sUJdOjmXEiA+/es6fRxArMGxtGck8VqTSKijcKqSzb1UjLRjnHXB9cVcYyUbswqzpSloiJ9bljtI7dT5pTjeeBVB7m8uf42CnsvArSW
0EpEhiCk4yGGD9cVdSJY1UCNBSi2nZB7GLXNJ6mHDpbvgyNtz+JrTttMhQZPPvir6lf8AnmPwNWECFfulSTV1JtLYKNGEpJX/ADIGjVFCoAMDFVnLsxwBj2rQbYW+YHjuKiEUOfvkfUVNCbtdmmLoxcrKxWiQh
xwav4IhHrSpEnVXFTfw4yOO/rSq1VzK4sPhXySKjMd2P1p6ybZFxSyBsEgDFVw+ZgCOh6it4zXKcVWhKMyuTukyT071GWUE5NFFTR2Hin7zBLld4VQTVpHdoyT3ooqaz1saYVaN+pG2FXk9TUGeTRRW1PY5
qvxD4iTk+lWJJDHGFzxiiisams0ddFWpMzbictu/KnWi/Kh45IoorSWkDnp/xS5KQJMe9Ry5wCDkc0UVFLobYjeQ1ZeMVaikI2896KK0q/CYYZtVFYV5DvIBxUAlbHWiipoJWNMXOXNuOSdy+MjGPSp2nIiBP+eaK
KitFcyNMNUlyPUp3NztyRxSW1ycFyQ2B+NFFNpcpnGcnUZ//9k=</Pht></UidData></KycRes></CertificateData><Signature xmlns="http://www.w3.org/2000/09/xmldsig#">
<SignedInfo><CanonicalizationMethod Algorithm="http://www.w3.org/2001/10/xml-exc-c14n#"/>
<SignatureMethod Algorithm="http://www.w3.org/2000/09/xmldsig#rsa-sha1"/>
<Reference URI=""><Transforms><Transform Algorithm="http://www.w3.org/2000/09/xmldsig#enveloped-signature"/></Transforms><DigestMethod
Algorithm="http://www.w3.org/2001/04/xmlenc#sha256"/><DigestValue>wyhXotvLK0oqWduY0CT+1czf3mlzvcXgExnZyrUPVos=</DigestValue></Reference></SignedInfo><SignatureValue>Txko3zo0ApKwN
KQN+08Zu1sv/78Gef2R6YvKf+p9RzfZqW7btTjKjNzaDwMAmMAl2ojbKdCMO6e7L+RR6M6U9kcWMvgD7RhRJXczPk6Yh1WE2GfWWK0q+a2mwh7UbopGXFI81fZNcJ32K1XOoqnGemTIG2SYgdmnu7fNkzk
mNgTKI3J59A/x6Uxm2mqGabbWA0KD5SwEAW/9ngA19slnnyo1tcnpCuamM+HGAsMJ+j8EEC0AE9uX1jYd+Cg/rkNQKxr8pjQndLgSOxILRUDU2aObXxphCfTYAGt/izFL+h/R8PkyHY+BtVfdJHIBjQQmORdb4
KMz3pJpCKOtWExAiQ==</SignatureValue>
<KeyInfo><X509Data><X509SubjectName>CN=DS NATIONAL E-GOVERNANCE DIVISION 1,ST=DELHI,postalCode=110003,OU=NATIONAL E-GOVERNANCE DIVISION,O=NATIONAL E-GOVERNANCE
DIVISION,C=IN</X509SubjectName><X509Certificate>MIIFUjCCBDqgAwIBAgIHAJnuuyguVTANBgkqhkiG9w0BAQsFADB3MQswCQYDVQQGEwJJTjEiMCAGA1UEChMZU2lmeSBUZWNobm9sb2dpZXMg
TGltaXRlZDEPMA0GA1UECxMGU3ViLUNBMTMwMQYDVQQDEypTYWZlU2NyeXB0IHN1Yi1DQSBmb3IgRG9jdW1lbnQgU2lnbmVyIDIwMjIwHhcNMjMwODIyMDgyMTQ2WhcNMjYwMjExMDc1NzI4WjCBrj
ELMAkGA1UEBhMCSU4xJzAlBgNVBAoTHk5BVElPTkFMIEUtR09WRVJOQU5DRSBESVZJU0lPTjEnMCUGA1UECxMeTkFUSU9OQUwgRS1HT1ZFUk5BTkNFIERJVklTSU9OMQ8wDQYDVQQREwYxMTA
wMDMxDjAMBgNVBAgTBURFTEhJMSwwKgYDVQQDEyNEUyBOQVRJT05BTCBFLUdPVkVSTkFOQ0UgRElWSVNJT04gMTCCASIwDQYJKoZIhvcNAQEBBQADggEPADCCAQoCggEBANOK+NVHpaQfO
WhrtKHkN07+tVnWQ7cILkVSBTElDgalJsMBqvGv4NnsuCMCrMNtJs+kqvcIfbY210y9bj/WtMIv8EaQWzDInMeYKuP8QWdFa8oAkB1WLrJMy5naxE+99U4tHWk44497q783r168wT4av/XF0YSnkMBIeoZY5Oew
sQpOQCVSg9ouf1Uc3TwsBqomhJRPNxPK9QJ1gkfZQBwyTirXM6AHWVyzQY1GQWBXpAbMqSEqmvxrDHfC/g0I2SpDtJlUf59hTLUe5E+IrR2Xxls4QU3DqBS9GQAqc/O5wuRqw2j3OI3k7deZTmkaQDlbftYu
BA3vUnndaRUgEjUCAwEAAaOCAakwggGlMBMGA1UdIwQMMAqACEzEC7kvPc60MBEGA1UdDgQKBAhHY4kJC0TLGDCBlwYIKwYBBQUHAQEEgYowgYcwRQYIKwYBBQUHMAKGOWh0dHBzOi8vd3d3
LnNhZmVzY3J5cHRuZXcuY29tL1NhZmVTY3J5cHREb2NTaWduZXIyMDIyLmNlcjA+BggrBgEFBQcwAYYyaHR0cDovL29jc3Auc2FmZXNjcnlwdC5jb20vU2FmZVNjcnlwdERvY1NpZ25lcjIwMjIwRwYDVR0fBE
AwPjA8oDqgOIY2aHR0cDovL2NybDIuc2FmZXNjcnlwdC5jb20vU2FmZVNjcnlwdERvY1NpZ25lcjIwMjIuY3JsMCcGA1UdIAQgMB4wCAYGYIJkZAIDMAgGBmCCZGQCAjAIBgZggmRkCgEwDAYDVR0TAQH/
BAIwADAqBgNVHSUEIzAhBggrBgEFBQcDBAYJKoZIhvcvAQEFBgorBgEEAYI3CgMMMCUGA1UdEQQeMByBGmRuYXlha0BkaWdpdGFsaW5kaWEuZ292LmluMA4GA1UdDwEB/wQEAwIGwDANBgkqhkiG
9w0BAQsFAAOCAQEAfmebPU8awacmsPZGr7M63sAuHdmbfIQDI3ZmUFBc0IRA1LSFcYCTDixhBXEYmpbB1gqSIC6kM2FsT42ZGwKaGZVBc/zryDJgJ8cr5EJyNA6cmRCk9fCSjXMvXJo4pZ1lSh+eAKWNbL
kCdtFm4XZWpYU2UYI+wU6v5ZGWaNsNLOh05P9Eigoutfy0lhvZgE0gRXv8OgI6sSSJQW2uoVmUEDorX44cCqPLuCUIuq48G9xPpuHh2sH/RyVkAysGtN7TkmbZrqeVOSn+KVYbdyBWEF3zYUvPBndpXQUi
KMG4kdYjvK08FZAfrF7fCYqyym+jKRBezoaS3AS67QiO4uTSyg==</X509Certificate><X509SubjectName>CN=CCA India 2022,O=India
PKI,C=IN</X509SubjectName><X509Certificate>MIIFNDCCAxygAwIBAgIQdiQz69smdlqFYM0KqC/hFzANBgkqhkiG9w0BAQsFADA6MQswCQYDVQQGEwJJTjESMBAGA1UEChMJSW5kaWEgUEtJMRcwF
QYDVQQDEw5DQ0EgSW5kaWEgMjAyMjAeFw0yMjAyMDIxMjA0MzdaFw00MjAyMDIxMjA0MzdaMDoxCzAJBgNVBAYTAklOMRIwEAYDVQQKEwlJbmRpYSBQS0kxFzAVBgNVBAMTDkNDQSBJbmRpYSA
yMDIyMIICIjANBgkqhkiG9w0BAQEFAAOCAg8AMIICCgKCAgEAv3EBudWC8HY0oSwtJZCqpjQTGpEewl3EdDqUORV0qoFp78mdR/vuATXI83G7nF9RLvmNjgQgKr/bMx6gPO4Y57bMjAsgwEzleFclZka/sqc6
8iN5rS3huhrCX6MEINLyDOQ71MRA7GJCaNL6E3j1438eTu011mlikeZYBdkhvfpAVjCw90w8wcWDmqx66Y561T/RiXyz2uEhBBZAD43gV58eXStOeOTwAzEZYMrmp232GfmQKabYRfdIRus1avyuGea2nICEs
RHE8M2tdzwpGP7oIy2qHBFJJ+3AwmwQA4DjmDkJtCD+58awohQavRNhqjsGD+ZifG3VR4i6WrKv8OWqZzcZj3g3Elr5+fRMlz1GSqkWPBw1Ev8KWTHazSUKF7OMxm3XzyXxQnw7fZF9GOVtx3adpfRPqYG
gtbOP34EVkz4wsHvNMrvUrYcKymdOrnkTjlX26fIHUJpKGYkLk9q0jhMNKs4Rn8lj4pJ7YF33/ND4bjpV0ex1EAQz0iZvT37OnxNiuAZ/+4Djf075UuNX2ecWnadOrN1r8NAParZIwUoSUnWhU8TqAWWRqzFURHU
ZuOMQcA0geg4c9zqtBoUPgtQksbIAEsEXmDuRpwSIFjEkK11f5Eemfmfdg37KyIjQ67TRTmBA+kT9Q5JIm/e7m1ILg/HKckgLUOCnAMsCAwEAAaM2MDQwDwYDVR0TAQH/BAUwAwEB/zARBgNVHQ4ECgQ
ITjtINlziX30wDgYDVR0PAQH/BAQDAgEGMA0GCSqGSIb3DQEBCwUAA4ICAQCdbE8d1c1DysKtrtYlApYIXTlY3N2XHNQ6gKoaVWsKa1TJ/ovrT+FV3bmQLet3aSoEG6pTe/vLZSg8WiF7cn7WuF4XlQS3yA2
Uu8/cg/S4owqhQJp6K/Xg6UoSBad9Kog1H8deOfV8Nmb8a89zB4Yf8/AepId+Lr/3I6O7iub+PUT2QBXnksa+cf0yf+49GhyMCILZvctNSQd4Vxr9EgRvBARTrAgNQ9sEOJ6myOz4iTFR7T2pIFP8Cp15e8jEVI1q4I
uHu3XlwJNk9f5k3gbwrzoy9P5rP8voQU3u9wh62JZa9U63b+u/Ur1tsKb5Lx0YUedtHvpIiIRurEPxumW0twjrx8TrAcXRrViSL7dsXAoYC0dXo154EE8jBAzgIIur7tJizxgXDEn4i2pu8Yd615YML9ii5BooEJ2j6fQ0nzyP
Rmx1Egw2Fjlgzzceai4TUOcaCKab86yyu5MZIp+BiPR840nw5MggbRgYH2nFRBA70toVm4VFlbZs3reGmaICm4ST6R395OxYS1iYBm5kXm9tLb4pkIhUxrkgyuiwE+DsWceBjHAYaXnCgUGKtiG9tfBMUw3fCho
Pb9L1yKdNof3zXDdTloMqEpO4BFrmjco8kt1v0LUQPhNZmQP4nqd4Hqx2384nPmWDXbQ+eePyxRteYGY0hJeDLVpyeYG8VQ==</X509Certificate><X509SubjectName>CN=SafeScrypt CA
2022,houseIdentifier=II Floor, Tidel Park,street=No.4, Rajiv Gandhi Salai,ST=Tamil Nadu,postalCode=600113,OU=Certifying Authority,O=Sify Technologies
Limited,C=IN</X509SubjectName><X509Certificate>MIIFyzCCA7OgAwIBAgIQRwYH7tCkAM8CDtcmynPsqTANBgkqhkiG9w0BAQsFADA6MQswCQYDVQQGEwJJTjESMBAGA1UEChMJSW5kaWEgUEtJM
RcwFQYDVQQDEw5DQ0EgSW5kaWEgMjAyMjAeFw0yMjAyMTYxMDUzNDhaFw0zMjAyMTYxMDUzNDhaMIHVMQswCQYDVQQGEwJJTjEiMCAGA1UEChMZU2lmeSBUZWNobm9sb2dpZXMgTGltaXRlZD
EdMBsGA1UECxMUQ2VydGlmeWluZyBBdXRob3JpdHkxDzANBgNVBBETBjYwMDExMzETMBEGA1UECBMKVGFtaWwgTmFkdTEhMB8GA1UECRMYTm8uNCwgUmFqaXYgR2FuZGhpIFNhbGFpMR0wG
wYDVQQzExRJSSBGbG9vciwgVGlkZWwgUGFyazEbMBkGA1UEAxMSU2FmZVNjcnlwdCBDQSAyMDIyMIIBIjANBgkqhkiG9w0BAQEFAAOCAQ8AMIIBCgKCAQEAqhUJbYvOXXCf/TT2UMLOI7HmLemOS
WsQayMzc95KUL6KHGhAECDTWz07d1pSA6DhKUp49+uWOUMq/enOZKRQAtdBocQRDDev51FHSesSGVrPASLmxozR/ES4/AF11PyeHsefVMnkzKvK6cdAraK417DC4F6uCVM+wj/3kGl7COHqpEj1g5/XKk
Rlq/3PIL/4m7NLq2/TIcicgxUjHOSqtHrNW8vDdPD64c2yzMkozzjIZLu6Cv/Of+DGoN2oSiukWIaQx1VSijasJwykPx435I9sqzjaGja4yI5ox+NbjJnWGmwzncKLBVfkoP5c4whIJ9E+EF0DoZs/kXb+wWiMQwIDAQAB
o4IBLzCCASswEgYDVR0TAQH/BAgwBgEB/wIBATARBgNVHQ4ECgQIScvUu13lnDMwEgYDVR0gBAswCTAHBgVggmRkAjATBgNVHSMEDDAKgAhOO0g2XOJffTCBgAYIKwYBBQUHAQEEdDByMB4GCC
sGAQUFBzABhhJodHRwOi8vb2N2cy5nb3YuaW4wUAYIKwYBBQUHMAKGRGh0dHA6Ly93d3cuY2NhLmdvdi5pbi9jY2Evc2l0ZXMvZGVmYXVsdC9maWxlcy9maWxlcy9DQ0FJbmRpYTIwMjIuY2VyMA4GA1
UdDwEB/wQEAwIBBjBGBgNVHR8EPzA9MDugOaA3hjVodHRwOi8vY2NhLmdvdi5pbi9ydy9yZXNvdXJjZXMvQ0NBSW5kaWEyMDIyTGF0ZXN0LmNybDANBgkqhkiG9w0BAQsFAAOCAgEAnDRRXSvn13ow
eNwVHik4deI8Dq4blgsAn12qq8iOQwdweqQROakPy+Y8rUDG/UX+1D27XUorlc0rStD4/+c1nEXBXKvth1ij/hMzVn/8Lev0uWloGO3lUhfYLMOZgSf8EFSZoG7hotc4E9hj2AehKgfFPvJMBWNn7VsgimwBE4bDV
Ltn0dFVJWf22LN2CJmwx1MATtnIs0Bot0qLXbfDpq1oefh6vL+RR+XDfYaAsIOmuZD5Pm4cgJ4EKThcCm9s+IucjbzaZgSkyoe6NmKT1o3+l3W9u1jNR2ABS8yzjqLb6MqGCdewlasb1cltwl1LANENnDge7xEGkE
4MHC5Oa0ihxEvkWrM+ko8QT9S4dwuQNa4rJx7Ak9sBgag8WHGHgyJTYvv1ViSnv7UA5GdCZyJwJro4HbenfNyU2iJ9b5ZMIX5OXbIDJtS6iCCt/DyaWAQW2riws3xea9+PfvO4M5en3GT6zCK3evIbcIo/uIp8WY
NBPK2LKJulYpDWU2q8P0P3q6ykzRwhNTm47PoE3m7KubMHpCcFhNL7p7jTZCoLENt4zaAOCNeq/OVcVr9yTRM231ciiDyt6c1OCfF693zuUkl1Y7nORkQgTQDT0wKY7lgMKmZJ7w9fzgx+R4HHQr1dhE7pf5
uLMKVFd//gsNZ4bgFdHu47YlGX3rQXXlo=</X509Certificate><X509SubjectName>CN=SafeScrypt sub-CA for Document Signer 2022,OU=Sub-CA,O=Sify Technologies
Limited,C=IN</X509SubjectName><X509Certificate>MIIE/zCCA+egAwIBAgIGaS+ORfU0MA0GCSqGSIb3DQEBCwUAMIHVMQswCQYDVQQGEwJJTjEiMCAGA1UEChMZU2lmeSBUZWNobm9sb2dpZXMg
TGltaXRlZDEdMBsGA1UECxMUQ2VydGlmeWluZyBBdXRob3JpdHkxDzANBgNVBBETBjYwMDExMzETMBEGA1UECBMKVGFtaWwgTmFkdTEhMB8GA1UECRMYTm8uNCwgUmFqaXYgR2FuZGhpIFNhb
GFpMR0wGwYDVQQzExRJSSBGbG9vciwgVGlkZWwgUGFyazEbMBkGA1UEAxMSU2FmZVNjcnlwdCBDQSAyMDIyMB4XDTIyMDIxODAzNTUyOVoXDTMyMDIxNjA5NTM0OFowdzELMAkGA1UEBhMCSU
4xIjAgBgNVBAoTGVNpZnkgVGVjaG5vbG9naWVzIExpbWl0ZWQxDzANBgNVBAsTBlN1Yi1DQTEzMDEGA1UEAxMqU2FmZVNjcnlwdCBzdWItQ0EgZm9yIERvY3VtZW50IFNpZ25lciAyMDIyMIIBIjANBgkqhki
G9w0BAQEFAAOCAQ8AMIIBCgKCAQEAvEFENGRPNl5cZxGZfsOCVL3JIXp2yQpUkwHK1Lgp1GTihg2nfB0wnjrC1rLN12DQ1IdN/b1twM62WROKwJqKAXWMLAzhx5dcOZpBoY/sFILLlZnd4yYC8p1GPz7QJ
30vuBeLSCSx6vVqZFIjuJce9Rrn2IHg4asTbzQ033obSdI+d9ghsULSHHbx2ZOA/S8NGGc4242EOemN/hCHfWr4QqvrLI6e4qPDpDPUs2QxvFEflTmxiMGnaMFCC20qE5Sf50kzNFsP9L7siFUNxOdQsE+j9BpV
xBYMs3p3XPwjaEqaqa/aa+mmEOCDiRs10wPT8p3nDEi5GAl0ui2ypTYTlwIDAQABo4IBMDCCASwwEwYDVR0jBAwwCoAIScvUu13lnDMwEQYDVR0OBAoECEzEC7kvPc60MIGHBggrBgEFBQcBAQR7MHk
wPgYIKwYBBQUHMAKGMmh0dHBzOi8vd3d3LnNhZmVzY3J5cHRuZXcuY29tL1NhZmVTY3J5cHRDQTIwMjIuY2VyMDcGCCsGAQUFBzABhitodHRwOi8vb2NzcC5zYWZlc2NyeXB0LmNvbS9TYWZlU2NyeX
B0Q0EyMDIyMEAGA1UdHwQ5MDcwNaAzoDGGL2h0dHA6Ly9jcmwyLnNhZmVzY3J5cHQuY29tL1NhZmVTY3J5cHRDQTIwMjIuY3JsMBIGA1UdIAQLMAkwBwYFYIJkZAIwEgYDVR0TAQH/BAgwBgEB/wIB
ADAOBgNVHQ8BAf8EBAMCAQYwDQYJKoZIhvcNAQELBQADggEBAKm3ERUBAd0brn8VmeXUcBZExQWZfHmgRQGbgRctQ6n1Yf+DJoGO9maQPuUEcaen7Deoc2SE+iaX182CF4XVjV5I6iGRjuowDaWn
0K4qgd5a92/7vSKt7DL8uqAXYxFzXCTA1DuKYlV6k4+A18nX+/wVMTVgLqiUIuccvoS+sVXXf7440O/Qtr+YehIN6raPaXAdsfvCWczpQOMSM3Bv2jmU2j7aM0cFKRxPa5CtQ7Y2/yEIPqk1+ZwsqOCdc9vT6q2Jk
jgpgPF7zvEliTvFdWKAExlada3GEcJQ/bpXLPs1Pqm9qGDd33WHXh92NS3OAJ8volK7CiOIK2dmgDmHOts=</X509Certificate></X509Data></KeyInfo></Signature></Certificate>
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
I wish to register the mentioned signature as authorized signature for all activities and correspondence with RKSV/Upstox
eSigned document:
DEVAN LUXAN
Signature as per our records 13.03.2024 22:39:04
COMMODITIES ACCOUNT OPENING FORM
MANDATORY DOCUMENTS
DOCUMENT SIGNIFICANCE PAGE(s)

Account Opening Form a) KYC form - Document captures the basic information about the 3
constituent and an instruction/check list.
b) Document captures the additional information about the
constituent relevant to trading account and an instruction/check list.
Rights and Obligations Provided to client

Risk Disclosure Document
(RDD) Provided to client
Guidance Note Provided to client

Policies and Procedures Provided to client
Tariff Sheet Details the rate/amount of brokerage and other charges levied 9
on the client for trading on the stock exchange(s)
FATCA CRS Declaration Client’s self declaration on holding of overseas asset if any 12
VOLUNTARY CLAUSE
DOCUMENT SIGNIFICANCE PAGE(s)
Authorization for Letter of Authorization for Electronic Contract Notes. 10

Electronic Contract Notes
Authorization of running Letter or authority/request to RKSV Commodities India Pvt. Ltd. 10

account/request letter
REGISTERED OFFICE ADDRESS KYC PROCESSING OFFICE ADDRESS

RKSV Commodities India Private Limited RKSV Commodities India Private Limited
809, New Delhi House, Barakhamba Road
Connaught Place, New Delhi, 110 001 Salasar Business Park,
Telephone: +91-22-6130-9999 Off 150 Feet Flyover Road,
Fax: +91-22-6710-7492 Bhayander West,
Email: contact@upstox.com, www.upstox.com
Thane,
CEO (BSE/NSE) Maharashtra 401101
Mr. Ravi Kumar Telephone: +91-22-6130-9999
Telephone: +91-22-6130-9999
Email: compliance@upstox.com, www.upstox.com Fax: +91-22-6710-7492
Email: contact@upstox.com, www.upstox.com
COMPLIANCE OFFICER (BSE/NSE)
Mr. Amit Lalan
Telephone: +91-22-6130-9999 SEBI REGISTRATION NUMBERS
Email: compliance@upstox.com, www.upstox.com
SEBI Regn. No. INZ000015837
COMPLIANCE OFFICER (DP) |MCX: MCX/TM/CORP/2034
Mr. Amit Lalan Registration Date: Jan 22, 2016
Telephone: +91-22-6130-9999 Clearing Member: RKSV Commodities India
Private Limited
For any grievance/ dispute please contact RKSV Commodities India Pvt. Ltd. at the above address and/ or email id: complaints@rksv.in
eSigned document: and complaints.mcx@rksv.in and/ or Phone
No. +91-22-6130-9999. In case you are not satisfied with the response, please contact the concerned exchange(s)
DEVAN atLUXAN MCX at [grievance@mcxindia.com and Phone No.
+91-22-6731-8888]. Procedure to file a complaint on SEBI SCORES: Register on SCORES portal. Mandatory details for filing complaints on SCORES: Name, PAN, Address, Mobile
13.03.2024 22:39:04
Number, E-mail ID.
P AGE 1
V 3.1.1
INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM
(A) IMPORTANT POINTS

1. Self attested copy of PAN card is mandatory for all clients.
2. Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals for verification. In case the original
of any document is not produced for verification, then the copies should be properly attested by entities authorized for attesting the documents,
as per the below mentioned list.
3. If any proof of identity or address is in a foreign language, then translation into English is required.
4. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
5. If correspondence & permanent address are different, then proofs for both have to be submitted.
6. Sole proprietor must make the application in his individual name & capacity.
7. For non-residents and foreign nationals,(allowed to trade subject to RBI and FEMA guidelines), copy of passport/PIOCard/OCICard and overseas
address proof is mandatory.
8. For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their passport copy should be given.
9. In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC (Continuous Discharge Certificate) is to be submitted.
10. For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School Leaving Certificate/Mark sheet issued
by Higher Secondary Board/Passport of Minor/Birth Certificate must be provided.
11. Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominent public functions in a foreign country,
e.g., Heads of States or of Governments, senior politicians, senior Government/judicial/military officers, senior executives of state owned
corporations, important political party officials, etc.
(B) PROOF OF IDENTITY( P01): List of documents admissible as Proof of Identity:

1. PAN card with photograph. This is a mandatory requirement for all applicants except those who are specifically exempt from obtaining PAN (listed
in Section D).
2. Unique Identification Number (UID) (Aadhaar) / Passport / Voter ID card / Driving license.
3. Identity card/ document with applicant’s Photo, issued by any of the following: Central/State Government and its Departments, Statutory/
Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities,
Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members; and Credit cards/Debit cards issued by Bank.
(C) PROOF OF ADDRESS (POA): List of documents admissible as Proof of Address: (*Documents having an expiry date should be Valid on the date of
submission.)
1. Passport/Voters Identity Card/Ration Card/Registered Lease or Sale Agreement of Residence/Driving License/Flat Maintenance bill/Insurance
Copy.
2. Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill Not more than 3 months old.
3. BankAccount Statement/Passbook - Not more than 3 months old.
4. Self-declaration by High Court and Supreme Court judges, giving the new address in respect of their own accounts.
5. Proof of address issued by any of the following: Bank Managers of Scheduled Commercial Banks/Scheduled Co-Operative Bank/Multinational
Foreign Banks/Gazetted Officer/Notary public/Elected representatives to the Legislative Assembly/Parliament/Documents issued by any Govt.
or Statutory Authority.
6. Identity card/document with address, issued by any of the following: Central/State Government and its Departments, Statutory/Regulatory
Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities and
Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc.,to their Members.
7. For FII/sub account, Power of Attorney given by FM/sub-account to the Custodians (which are duly notarized and/or apostiled or consularised)
that gives the registered address should be taken.
8. The proof of address in the name of the spouse may be accepted.
(D) EXEMPTIONS/CLARIFICATIONS TO PAN (*Sufficient documentary evidence in support of such claims to be collected.)
1. In case of transactions undertaken on behalf of Central Government and/or State Government and by officials appointed by
Courts e.g. Official liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities / multilateral agencies exempt from paying taxes/filing tax returns in India.
4. SIP of Mutual Funds upto Rs 50, 000/- p.a.
5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks, Multilateral and Bilateral Development Financial
Institutions, State Industrial Development Corporations, Insurance Companies registered with IRDA and Public Financial Institution as defined
under section 4A of the Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and provide duly certified
copies of such verified PAN details to the intermediary.
(E) LIST OF PEOPLE AUTHORIZED TO ATTEST THE DOCUMENTS:

1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/Co-operative Bank or Multinational Foreign Banks (Name, Designation &
Seal should be affixed on the copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in India, Notary Public, Court Magistrate,
Judge, Indian Embassy/Consulate General in the country where the client resides are permitted to attest the documents.
ADDITIONAL DOCUMENTS IN CASE OF TRADING IN DERIVATIVES SEGMENTS - ILLUSTRATIVE LIST

In respect of other clients, documents as per risk management policy of the Trading Member need to be provided by the client from time to time.
1. Copy of ITR Acknowledgement
2. Copy of Annual Accounts
3. In case of Salary Income – Salary Slip, Copy of Form 16
4. Net Worth Certificate
5. Copy of demat account holding statement.
6. Bank account statement for last 6 months
7. Self declaration with relevant supporting documents.
8. Any other relevant documents substantiating ownership of Assets.
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 2
V 3.1.1
RECENT PASSPORT

MOTHER NAME:

B- Passport Number
eSigned document:
E - NREGA Job Card
F - NPR


C- Voter ID
E - NREGA Job Card

F - NPR
PAGE 3
V 3.1.0
MOBILE NO.* 9444221165
TEL (Off) TEL (Res)
Place TIRUVALLUR
Date
13/03/2024
Application Typ
e e✔ N w Update
Signature
Simplified

I agree to indemnify and keep Upstox Securities Pvt. Ltd. / RKSV Commodities India Pvt. Ltd. indemnified at all times from and against all
costs, charges, damages, penalties (including reasonable attorney fees) suffered and/or incurred by Upstox Securities Pvt. Ltd. / RKSV
Commodities India Pvt. Ltd. for any act done or omitted to be done on the above declaration.
PAGE 4
V 3.1.1
SECTION A DEALINGS THROUGH OTHER MEMBERS
IF CLIENT IS DEALING THROUGH ANY OTHER MEMBER, PLEASE 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/AUTHORIZED PERSON NAME: EXCHANGE: EXCHANGE REGISTRATION NUMBER:
CONCERNED MEMBER’S NAME WITH WHOM AP IS REGISTERED: CLIENT CODE:
REGISTERED OFFICE ADDRESS: CITY:

STATE: COUNTRY: TELEPHONE: FAX:
EMAIL ID (As mentioned on Page 3): luxansiva232001@gmail.com DETAILS OF DISPUTES/DUES PENDING FROM/TO SUCH MEMBER/AP:
WEBSITE:
SECTION B VAT DETAILS (AS APPLICABLE, STATE WISE)
LOCAL SALES TAX REGISTRATION NUMBER:
VALIDITY DATE (DD/MM/YYYY) NAME OF THE STATE:
OTHER SALES TAX REGISTRATION NUMBER:
SECTION C SALES TAX REGISTRATION DETAILS

LOCAL SALES TAX REGISTRATION NUMBER:
CENTRAL SALES TAX REGISTRATION NUMBER:
VALIDITY DATE (DD/MM/YYYY)
OTHER SALES TAX REGISTRATION NUMBER:
SECTION D INVESTMENT/TRADING EXPERIENCE AND ADDITIONAL DETAILS

NO PRIOR EXPERIENCE IN TRADING / INVESTMENT
NUMBER OF YEARS OF COMMODITIES EXPERIENCE: YEARS OF EXPERIENCE IN OTHER INVESTMENT FIELDS:
<1 Year
CONTRACT NOTE PREFERENCES EMAIL ADDRESS:

ELECTRONIC CONTRACT NOTE (ECN) PHYSICAL CONTRACT NOTE luxansiva232001@gmail.com
SECTION E INTRODUCER DETAILS (OPTIONAL)
INTRODUCER’S NAME: INTRODUCER’S RELATIONSHIP:
INTRODUCER’S STATUS: EXISTING CLIENT AUTHORIZED PERSON SUB-BROKER REMISIER

OTHERS, PLEASE SPECIFY
INTRODUCER’S ADDRESS:
INTRODUCER’S PHONE NUMBER: INTRODUCER’S CLIENT ID: INTRODUCER’S SIGNATURE
544406
PLEASE SIGN BELOW ATTESTING TO ALL THE INFORMATION ON THIS PAGE
CLIENT’S NAME: DEVAN LUXAN

eSigned document:
DEVAN LUXAN
CLIENTʼS SIGNATURE [3] X DATE (DD/MM/YYYY)
13.03.2024 22:39:04 1 3 0 3 2 0 2 4
PAGE 5
V 3.1.1
TRADING ACCOUNT RELATED DETAILS
SECTION F PRIMARY BANKING ACCOUNT
BANK NAME AXIS BANK BRANCH ADDRESS CHENNAI

CITY/TOWN/VILLAGE STATE TAMIL NADU
PIN CODE 9 9 9 9 9 9
CHENNAI COUNTRY INDIA
ACCOUNT NO. 921010018305640 MICR NUMBER IFSC CODE U T I B 0 0 0 2 1 0 3
ACCOUNT TYPE CURRENT SAVINGS NRI / NRE / NRO OTHERS (Please Specify)
SECTION G OTHER DETAILS

GROSS ANNUAL INCOME RANGE NET WORTH ON DATE (NOT OLDER THAN 1 YEAR)
BELOW 1 LAC 1 - 5 LAC 5 - 10 LAC OR VALUE 0
10 - 25 LAC OVER 25 LAC DATE (DD/MM/YYYY)
FOR NON INDIVIDUALS: 25 LAC - 1 CRORE OVER 1 CRORE
AFFILIATIONS: POLITICALLY EXPOSED PERSON (PEP) RELATED TO A POLITICALLY EXPOSED PERSON (RPEP)
OCCUPATION:
PRIVATE SECTOR SERVICE PUBLIC SECTOR PROFESSIONAL HOUSEWIFE STUDENT
GOVERNMENT SERVICE AGRICULTURIST BUSINESS RETIRED OTHER
ANY OTHER INFORMATION
SECTION H TRADING PREFERENCES

Please sign in the relevant boxes where you wish to trade. Please Strike off the segment not chosen by you.
MCX Place Signature here
If you do not wish to trade in any of SeIf you do not wish to trade in any of Segment, please mention here:
SECTION I PAST ACTIONS

Details of any action/ proceedings initiated/ pending/ taken by SEBI/ Stock exchange/ FMC/ any other authority against
the applicant/ constituent or its Partners/ promoters/ whole time directors/ authorized persons in charge of dealing
in Commodities during the last 3 years.
SECTION J DETAILS OF RELATED PERSON (RP) (In case of additional related persons, please fill Annexure B1’ ) (Please refer instruction G at the end)
Addition of RP Deletion of RP KYC Number of RP (if available*)
RP Type* Guardian of Minor Assignee Authorized Representative

Prefix First Name Middle Name Last Name
Name*
(If KYC number and name are provided, Proof of identity of RP required
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 6
V 3.1.1
Nomination Form
[Annexure A to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601 dated July
23, 2021 on Mandatory Nomination for Eligible Trading and Demat Accounts]
TM / DP FORM FOR NOMINATION

Upstox Securities Pvt. Ltd.,
30th Floor, Sunshine Tower, Senapati Bapat (To be filled in by individual applying singly or jointly)
Marg, Dadar (W), Mumbai - 400 013
Date D1 D3 M0 M
3 Y2 Y0 Y2 Y
4 UCC/ DP ID 1 2 0 8 1 8 0 1 Client ID
I/We the sole holder/Joint holders/Guardian (in case of minor) hereby declare that:
I/We do not wish to nominate any one for this demat account.
I/We nominate the following person who is entitled to receive security balances lying in my/our account, Particulars
whereof are given below, in the event of my/our death.
I/We wish to make a nomination. [As per details given below]
Nomination Details
I/We wish to make a nomination and do hereby nominate the following person(s) who shall receive all the assets held in my / our account in the event
of my / our death.
Nomination can be made upto three Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
nominees in the account.
1 Name of the nominee(s) (Mr./Ms.)
2 Share of Equally % % %
each
[If not equally,
Nominee please specify
percentage] Any odd lot after division shall be transferred to the first nominee mentioned in the form.
3 Relationship With the Applicant

( If Any)
4 Address of Nominee(s)
City / Place:
State & Country:
PIN Code
5 Mobile / Telephone No. of

nominee(s)
6 Email ID of nominee(s)
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 7
V 3.1.1
7 Nominee Identification details –
[Please tick any one of following
and provide details of same]
󠄀 Photograph & Signature 󠄀󠄀 PAN

󠄀 Aadhaar 󠄀󠄀 Saving Bank
account no. 󠄀 󠄀󠄀 Proof of Identity 󠄀󠄀
Demat Account ID
Sr. Nos. 8-14 should be filled only if nominee(s) is a minor:
8 Date of Birth {in case of minor

nominee(s)}
9 Name of Guardian (Mr./Ms.) {in

case of minor nominee(s) }
10 Address of Guardian(s)
City / Place:
State & Country:
PIN Code
11 Mobile / Telephone no. of

Guardian
12 Email ID of Guardian
13 Relationship of Guardian with

nominee
14 Guardian Identification details –

󠄀 Photograph & Signature

󠄀 PAN 󠄀 󠄀󠄀 Aadhaar Saving Bank
account no. 󠄀󠄀 Proof of Identity󠄀 󠄀
󠄀 󠄀Demat Account ID
Name(s) of holder(s) Signature(s) of holder*
Sole / First Holder (Mr./Ms.)
Second Holder (Mr./Ms.)
Third Holder (Mr./Ms.)
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature
Note:
This nomination shall supersede any prior nomination made by the account holder(s), if any.
The Trading Member / Depository Participant shall provide acknowledgement of the nomination form to the account holder(s)
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 8
V 3.1.1
Declaration Form for opting out of nomination
[Annexure B to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601 dated July
Date D1 D3 M0 M3 Y2 Y0 Y2 Y4
To
Trading Member/Participant’s Name Upstox Securities Pvt. Ltd.,
30th Floor, Sunshine Tower, Senapati Bapat

Trading Member/Participant’s Address Marg, Dadar (W), Mumbai - 400 013
UCC/DP ID
1 2 0 8 1 8 0 1
Client ID (only for Demat account)
Sole/First Holder Name

DEVAN LUXAN
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)*

DEVAN LUXAN
1.___________________________________2.__________________________________________3___________________________________
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of
signature
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 9
V 3.1.1
TARIFF SHEET
TO: RKSV Commodities India Private Limited
Dear Sir or Madam,
I would like to subscribe to the RKSV Commodities India Pvt. Ltd for trading and demat account and request RKSV
Commodities India Pvt. Ltd. to apply brokerage charges as mentioned and as per the terms and conditions of RKSV
Commodities India Pvt. Ltd.
BROKERAGE CHARGE
Account opening fee Free Rs. 149/- [Trading] +GST Rs. Rs. 199/- [Trading] +GST
499/- [Trading] +GST Rs. 999/- [Trading] + GST
Brokerage - Basic 0.05% or RS 20/- per order traded Whichever is lower ; For option Rs. 20 per order traded
STATUTORY CHARGES
In addition to the above monthly subscription charges, the following statutory charges will also be levied at actuals:
Commodities Transaction Tax, Transaction Charges, Stamp Duty, SEBI Turnover Fees, Clearing Member Charges and GST.
Electronic Contract Notes are free. In case of any request for Physical Contract note, the Contract Note copies will be
charged at Rs. 50 per contract note (for ECN clients) + Courier charges as applicable. Depository Participant charges as
levied by RKSV. Terms and Conditions can be subject to change provided the same is done as for applicable guidelines of
SEBI/exchange.
The terms and conditions of the RKSV Commodities India Pvt. Ltd. plans have been read and understood by me. I wish to
avail the plans below provided by RKSV Commodities India Pvt. Ltd. for my trading account subject to the terms and
conditions mentioned above.
I declare that I have read and understood the terms and conditions governing the RKSV Commodities India Pvt. Ltd.
Note: Brokerage is also charged on expired, exercised and assigned Futures and Options contracts.
Yours faithfully,
CLIENT’S NAME DEVAN LUXAN
CLIENTʼS
DATE (DD/MM/YYYY) 1 3 0 3 2 0 2 4
SIGNATURE [7] X
FOR OFFICE USE ONLY
CLIENT’S TRADING ACCOUNT NUMBER
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 10
V 3.1.1
LETTER FOR AUTHORIZATION FOR ELECTRONIC CONTRACT NOTES & AUTHORIZATION FOR RUNNING ACCOUNT
TO: RKSV Commodities India Private Limited,

SUB: Authorization for Electronic Contract Notes & AUTHORIZATION FOR RUNNING ACCOUNT
I have been/shall be dealing through you as my broker on the Capital Market and/or Futures & Options and/or Currency Derivatives and/or Interest
Rate Futures Segments. As my broker i.e. agent I direct and authorize you to carry out trading/dealings on my behalf as per instructions given
below.
I understand that, I have the option to receive the contract notes in physical form or electronic form. In pursuance of the same, I hereby opt to
receive contract notes in electronic form. I understand that for the above purpose, you are required to take from the client “an appropriate email
account” for you to send the electronic contract notes. Accordingly, please take the following email account /email id on your record for sending
the contract notes to me:
EMAIL ADDRESS (Same as mentioned on Page 3): luxansiva232001@gmail.com
1. I also agree that non-receipt of bounced mail notification by you shall amount to delivery at my email account /email id.
2. I agree not to hold you responsible for late/non-receipt of contract notes sent in electronic form and any other communication for any reason
including but not limited to failure of email services, loss of connectivity, email in transit etc.
3. I agree that the log reports of your dispatching software shall be a proof of dispatch of contract notes to me and such dispatch shall be deemed
to mean receipt by me and shall not be disputed by me on account of any non-receipt/delayed receipt for any reason whatsoever.
4. I understand that I am required to intimate any change in the email id/email account mentioned herein above needs to be communicated by me
through a physical letter to you, provided however that if I am an internet client then in that event the request for change in email id/email account
can be made by me through a secured access using client specific user id and password. Please treat this authorization as written ratification of my
verbal directions/authorizations given and carried out by you earlier. I shall be liable for all losses, damages and actions which may arise as a
consequence of your adhering to and carrying out my directions given above.
5. I understand that, you shall send physical copy of the contract note within 24 hours if you received a bounced email.
6. I am a registered client with you, and am dealing in Commodity Market segment(s), and have a RKSVCommodities India Pvt. Ltd.
client code as mentioned below.
7. I am aware that payout / dividend received / credited from the exchange(s) against settlement of transaction as per settlement
cycle is available within 1 working day of the payout from the Exchange. It is difficult or me to make available the required funds
on every pay-in of funds obligation / margin obligation, hence I request you to maintain my account on a running basis and retain
the payout received / credit balance in my account for my future obligation / margin obligation or other liabilities unless I instruct
otherwise.
8. I hereby further authorize you to debit / credit / transfer the amounts between the various segments either on the same Exchange
and / or Exchanges to meet my/our obligation or various dues payable to you / Exchange(s).
9. If payment of funds is required, I shall request you in writing or through the web option for funds withdrawal on the web login.
Further it may be noted that if required I may revoke this authorization at any time after giving request in writing.
10. This running account authorization would continue until it is revoked by me. The actual settlement of funds shall be done at
least once in the preference period selected below: QUARTERLY MONTHLY
11. While settling the account having outstanding obligations on the settlement date, you may retain the requisite funds towards
such obligations and may also retain the funds expected to be required to meet margin obligations, calculated in the manner
specified by the exchanges .
12. I shall bring any dispute arising from the statement of account or settlement so made to your notice within 30 working days
from the date of receipt of funds or statement, as the case may be else it will be final
Yours faithfully,
CLIENT'S
SIGNATURE [8] X DATE (DD/MM/YYYY) 1 3 0 3 2 0 2 4
FOR OFFICE USE ONLY

Verification of the Client Signature done by:
DESIGNATED OFFICER SIGNATURE DATE (DD/MM/YYYY)

eSigned document:
DESIGNATED OFFICER NAME: CLIENT’S
DEVANUNIQUE
LUXANCLIENT CODE:
13.03.2024 22:39:04
PAGE 11
V 3.1.1
ACKNOWLEDGEMENT LETTER
TO: RKSV Commodities India Private Limited

30th Floor, Sunshine Tower,
Senapati Bapat Marg,
Dadar (W),
Mumbai - 400 013
Dear Sir / Madam,
I/We hereby acknowledge receipt of the following documents
1. Rights and Obligations of Members, Authorised Persons and Clients

2. Risk Disclosure Document
3. Guidance Note - Do’s and Don’ts for Trading on the Exchange(s) for Investors
4. General Terms and Conditions and the policy and procedures governing the commodity trading and broking services of
RKSV Commodities India Pvt. Ltd.
I/We understand that the Voluntary documents executed by me/us are out of my/our own free will.
I/We hereby confirm that I/We have clearly understood and agree to abide by the Terms and Conditions described by RKSV
Commodities India Pvt. Ltd (RKSV). I/We also understand that these general Terms and Conditions can be changed by RKSV from time to
time with prior notice of 7 days and subject to posting of the amendments and modifications therein on it’s website and their
applicability with prospective effect.
I/We state that I have read and understood all above documents including the Terms and Conditions governing commodities trading
and broking services of RKSV Commodities India Pvt. Ltd. and agree to abide by the same.
This is to inform you as per Rules, Regulations and Bye-laws of Multi Commodity Exchange of India Ltd. (MCX) that we do Client based
trading and Proprietary trading and we are not indulged in portfolio management services.
I/We acknowledge receipt of information given above by RKSV Commodities India Pvt. Limited that they do Client based trading and
Proprietrary trading and they are not indulged in portfolio management services.
Yours faithfully,
CLIENTʼS
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 12
V 3.1.1
FATCA / CRS DECLARATION / SELF CERTIFICATION FOR INDIVIDUAL
Please fill the information below as requested
Name of the Account Holder DEVAN LUXAN
Indicate ( ) your Tax Residency / ✔

India U.S.A Others
Citizenship / Nationality
If ticked on “Others” and/or “U.S.A”, please provide all details under point no. 2,3,4,5 below:
Specify City and Country of Birth
Specify Country(ies) of Tax Residency/

Citizenship / Nationality /
Green card holder, other than India
Tax Identification Number (for U.S.A.)

or its functional equivalent (other
than U.S.A.)
Source of Wealth Salary Business

Gift Rental Income
Royalty Ancestral Property
Prize Money Others
DECLARATION
I / We hereby declare, agree and confirm the following:
a) The details furnished above are true to the best of my knowledge and belief and shall undertake to inform RKSV Commodities India Private
Limited within 30 days, in case of any change in the above given status on a future date;
b) If I /we am/are U.S. person or tax resident of a reportable foreign jurisdiction (other than U.S.), my account details, would be reported by RKSV
Commodities India Private Limited to the relevant tax authority. or information may be shared with concerned Asset Management Companies
(AMCs) or to any of the Government Agencies / Tax authorities / Regulators / Exchanges / Depositories of India or of any country other than
India;
CLIENT'S SIGNATURE [10]
X
What is FATCA / CRS?
The U.S. government introduced the Foreign Account Tax Compliance Act, 2010 (FATCA) for obtaining information on accounts held by U.S.
taxpayers in other countries. Further, Organization for Economic Co-operation & Development (OECD) and G20 countries agreed for automatic
exchange on information through Common Reporting Standards (CRS). The Government of India has signed an Inter-Government Agreement (IGA)
with US and has also joined the Multilateral Competent Authority agreement (MCAA) for automatic sharing of information with member countries of
OECD and G20. By virtue of India signing an IGA with US and joining MCAA, Indian financial institutions will have to provide the required financial
information to Indian tax authorities which in turn would forward reportable information to US IRS and member countries of OECD and G20
countries.
US Person means: In case of individuals, U.S. person means a citizen or resident of the United States. Persons who would qualify as U.S. persons
could be born in United States, born outside the United States of a US parent, Naturalized citizens, Green Card Holders, tax residents.
Who is Reportable Person (Non US) under Common Reportable Standards (CRS)?
Under Common Reportable Standards (CRS), reportable person means Tax residents of a reportable foreign jurisdiction other than U.S.
(Please note the above information is provided only for quick reference to customers. You are requested to consult a legal/ tax advisor if in doubt.)
Documents to be collected if Customer’s Country of birth is U.S. but declare that he/ she are not a U.S. person
1. Certificateof relinquishmentof citizenship(Loss of nationalitycertificate); OR
2. Self certificationfor stating reasons for not having such a certificatedespite relinquishmentU.S. citizenship; OR
3. Self certificationfor stating reasons for not obtaining U.S. citizenshipat birth.
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 13
V 3.1.1
PART A : INTERNET & WIRELESS TECHNOLOGY BASED TRADING FACILITY PROVIDED BY STOCK BROKERS
TO CLIENT (ALL THE CLAUSES MENTIONED IN THE ‘RIGHTS AND OBLIGATIONS’ DOCUMENT(S) SHALL BE
APPLICABLE. ADDITIONALLY, THE CLAUSES MENTIONED HEREIN SHALL ALSO BE APPLICABLE)
1. Trading Member is eligible for providing Internet based trading (IBT) and securities trading through the use of wireless
technology that shall include the use of de vice s such as mobile phone , laptop with data card, e tc. which use Internet
Protocol (IP). The Trading Member shall comply with all re quire me nts applicable to inte rne t base d trading/ securities
using trading wireless technology as may be specified by SEBI & the Exchanges from time to time
2. The clie nt is de sirous of inve sting/ trading in se curitie s and for this purpose , the clie nt is de sirous of using e ithe r the internet
base d trading facility or the facility for se curitie s trading through use of wire le ss te chnology. The Trading Member shall
provide the Stock broke r’s IBT Service to the Client, and the Client shall avail of the Stock broke r’s IBT Service, on and subject
to SEBI/Exchange s Provisions and the te rms and conditions spe cifie d on the Stock broke r’s IBT We b Site provide d that they
are in line with the norms prescribed by Exchanges/ SEBI.
3. The Trading Member shall bring to the notice of clie nt the fe ature s, risks, re sponsibilitie s, obligations and liabilities
associated with securities trading through wireless technology/ internet/ smart order routing or any other technology should be
brought to the notice of the client by the Trading Member.
4. The Trading Member shall make the clie nt aware that the Stock Broke r’s IBT syste m itse lf ge ne rate s the initial password and
its password policy as stipulated in line with norms prescribed by Exchanges/ SEBI.
5. The Client shall be responsible for keeping the Username and Password confidential and secure and shall be solely responsible for
all orde rs e nte re d and transactions done by any pe rson whosoe ve r through the Stock broke r’s Syste m IBT using the
Clie nt’s Use rname and/ or Password whe the r or not such pe rson was authorize d to do so. Also the
clie nt is aware that authe ntication te chnologie s and strict se curity me asure s are re quire d for the inte rne t trading/securities
trading through wire le ss te chnology through orde r route d syste m and unde rtake s to e nsure that the password of the client
and/ or his authorized representative are not revealed to any third party including employees and dealers of the Trading Member.
6. The Clie nt shall imme diate ly notify the Trading Member in writing if he forge ts his password, discove rs se curity flaw in
Stock Broke r’s IBT Syste m, discove rs/ suspe cts discre pancie s/ unauthorize d acce ss through his use rname / password/
account with full de tails of such unauthorize d use , the date , the manne r and the transactions e ffe cte d pursuant to such
unauthorized use, etc.
7. The Client is fully aware of and understands the risks associate d with availing of a service for routing orders over the internet/
se curitie s trading through wire le ss te chnology and Clie nt shall be fully liable and re sponsible for any and all acts done in the
Client’s Username/ password in any manner whatsoever.
8. The Trading Member shall se nd the orde r/ trade confirmation through e mail to the clie nt at his re que st. The clie nt is aware
that the orde r/ trade confirmation is also provide d on the we b portal. In case clie nt is trading using wire le ss te chnology the
Trading Membershall send the order/ trade confirmation on the device of the client
9. The clie nt is aware that trading ove r the inte rne t involve s many unce rtain factors and comple x hardware , software , systems,
communication lines, pe riphe rals, etc. are susceptible to interruptions and dislocations. The Trading Member and the Exchange
do not make any re pre se ntation or warranty that the Stock broke r’s IBT Se rvice will be available to the Clie nt at all
times without any interruption.
10. The Client shall not have any claim against the Exchange or the Trading Member on account of any suspension, interruption,
non-availability or malfunctioning of the Stock broke r’s IBT Syste m or Se rvice or the Exchange ’s se rvice or syste ms or
non-e xe cution of his orde rs due to any link/ syste m failure at the Clie nt/ Stock broke rs/ Exchange e nd for any reason beyond
the control of the Trading Member/ Exchanges
CLIENTʼS SIGNATURE
[11] X DATE (DD/MM/YYYY) 1 3 0 3 2 0 2 4
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 14
V 3.1.1
INDIVIDUAL ACCOUNT OPENING FORM
(DEMAT + TRADING)
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGE
S. NO. DOCUMENT SIGNIFICANCE PAGE(s)

1 Account Opening Form KYC form - Document captures the basic information about the 4
constituent and an instruction/check list for filling KYC form.
2 Rights and Obligations Provide d to the clie nt (conse nt de claration on Page 7)
3 Risk Disclosure Document (RDD) Provide d to the clie nt (conse nt de claration on Page 7)
4 Guidance Note Provide d to the clie nt (conse nt de claration on Page 7)
5 Policies and Procedures Provided to the client (consent declaration on Page 7)
6 Tariff Sheet Document detailing the rate/amount of brokerage and other 17
charges levied on the client for trading on the stock exchange(s)
and charges related to demat account
MANDATORY DOCUMENTS FOR OPENING OF DEMAT ACCOUNT
S. NO. DOCUMENT SIGNIFICANCE PG NO’s

7 Application for Demat Account Details are required for adhering to “Know Your Client” for opening a 5
Demat Account
8 Authorisation for debit charges Authorisation to debit trading account for the demat account charges - 8
Part B
9 FATCA CRS Declaration 11
Client’s self declaration on holding of overseas asset if any
VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER
S. NO. DOCUMENT SIGNIFICANCE PG NO’s

10 DIS Issue Option form for issue of Delivery Instruction Slip 10
11 Letter of Authorization for Client consent letter for receiving the contract notes by Email. 9
Electronic Contract
12 Running Account Authorization Letter of Authorization for maintaining a Running Account with 9
Upstox.
13 Declaration Declaration related to Mobile/Email ID registration. 15
REGISTERED OFFICE ADDRESS KYC PROCESSING OFFICE ADDRESS

Upstox Securities Private Limited Upstox Securities Private Limited
809, New Delhi House Barakhamba Road, Salasar Business Park,
Connaught Place, New Delhi- 110001. Off 150 Feet Flyover Road,
Telephone: +91-22-6130-9999 Bhayander West,
Fax: +91-22-6710-7492 Thane,
Email: contact@upstox.com, www.upstox.com Maharashtra 401101
Telephone: +91-22-6130-9999
CEO (BSE/NSE)
Fax: +91-22-6710-7492
Mr. Ravi Kumar
Telephone: +91-22-6130-9999 Email: contact@upstox.com, www.upstox.com
SEBI REGISTRATION NUMBERS
COMPLIANCE OFFICER (BSE/NSE) SEBI Regn. No. NSE/ BSE : INZ000315837
Mr. Kapil Jaikalyani Registration Date: December 01, 2023
Telephone: +91-22-6130-9999 SEBI Regn. No. DP: IN-DP-761-2024
Email: compliance@upstox.com, www.upstox.com Registration Date: February 02, 2024
COMPLIANCE OFFICER (DP) CLEARING MEMBER INFORMATION

Mr. Kapil Jaikalyani Upstox Securities Private Limited
Telephone: +91-22-6130-9999 CIN: U65100DL2021PTC376860
eSigned document:
DEVAN LUXAN
For any grievance/ dispute please contact Upstox Securities India Pvt. Ltd. at the above address and/ or email id: complaints@upstox.com and complaints.mcx@rksv.in and/ or Phone No.
+91-22-6130-9999. In case you are not satisfied with the response, please contact the concerned exchange(s) at MCX 13.03.2024 22:39:04
at [grievance@mcxindia.com and Phone No. +91-22-6731-8888].
Procedure to file a complaint on SEBI SCORES: Register on SCORES portal. Mandatory details for filing complaints on SCORES: Name, PAN, Address, Mobile Number, E-mail ID.
PAGE 1
V 3.1.1
INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM
(A) IMPORTANT POINTS

1. Self attested copy of PAN card is mandatory for all clients.
2. Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals for verification. In case the original of any
document is not produced for verification, then the copies should be properly attested by entities authorized for attesting the documents, as per the
below mentioned list.
3. If any proof of identity or address is in a foreign language, then translation into English is required.
4. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
5. If correspondence & permanent address are different, then proofs for both have to be submitted.
6. Sole proprietor must make the application in his individual name & capacity.
7. In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC (Continuous Discharge Certificate) is to be submitted.
8. For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School Leaving Certificate/Mark sheet issued by
Higher Secondary Board/Passport of Minor/Birth Certificate must be provided.
9. Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominent public functions in a foreign country,
e.g., He ads of State s or of Gove rnme nts, se nior politicians, se nior Gove rnme nt/judicial/military office rs, se nior e xe cutive s of state owned
corporations, important political party officials, etc.
(B) PROOF OF IDENTITY (POI): List of documents admissible as Proof of Identity:
1. PAN card with photograph. This is a mandatory requirement for all applicants except those who are specifically exempt from obtaining PAN (listed in
Section D).
2. Unique Identification Number (UID) (Aadhaar) / Passport / Voter ID card / Driving license.
3. Identity card/ document with applicant’s Photo, issued by any of the following: Central/State Government and its Departments, Statutory/
Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities,
Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members; and Credit cards/Debit cards issued by Bank.
(C) PROOF OF ADDRESS (POA): List of documents admissible as Proof of Address: (*Documents having an expiry date should be Valid on the date of
submission.)
1. Passport/Voters Identity Card/Ration Card/Registered Lease or Sale Agreement of Residence/Driving License/Flat Maintenance bill/Insurance
Copy.
2. Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill Not more than 3 months old.
3. BankAccount Statement/Passbook - Not more than 3 months old.
4. Self-declaration by High Court and Supreme Court judges, giving the new address in respect of their own accounts.
5. Proof of address issued by any of the following: Bank Managers of Scheduled Commercial Banks/Scheduled Co-Operative Bank/Multinational Foreign
Banks/Gazetted Officer/Notary public/Elected representatives to the Legislative Assembly/Parliament/Documents issued by any Govt. or Statutory
Authority.
6. Identity card/document with address, issued by any of the following: Central/State Government and its Departments, Statutory/Regulatory
Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities and
Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc.,to their Members.
7. For FII/sub account, Power of Attorney given by FM/sub-account to the Custodians (which are duly notarized and/or apostiled or consularised) that
gives the registered address should be taken.
8. The proof of address in the name of the spouse may be accepted.
(D) EXEMPTIONS/CLARIFICATIONS TO PAN (*Sufficient documentary evidence in support of such claims to be collected.)
1. In case of transactions undertaken on behalf of Central Government and/or State Government and by officials appointed by Courts e.g. Official
liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities/multilateral agencies exempt from paying taxes/filing tax returns in India.
4. SIP of Mutual Funds upto Rs 50,000/- p.a.
5. In case of institutional clie nts, name ly, Flls, Mfs, VCFs, FVCIs, Sche dule d Comme rcial Banks, Multilate ral and Bilate ral De ve lopme nt Financial
Institutions, State Industrial Development Corporations, Insurance Companies registered with IRDA and Public Financial Institution as defined
under section 4A of the Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and provide duly certified
copies of such verified PAN details to the intermediary.
(E) LIST OF PEOPLE AUTHORIZED TO ATTEST THE DOCUMENTS:

1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/Co-operative Bank or Multinational Foreign Banks (Name, Designation & Seal
should be affixed on the copy).
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 2
V 3.1.1
ADDITIONAL DOCUMENTS IN CASE OF TRADING IN DERIVATIVES SEGMENTS - ILLUSTRATIVE LIST
In respect of other clients, documents as per risk management policy of the stock broker need to be provided by the client from time to time.
1. Copy of ITR Acknowledgement
2. Copy of Annual Accounts
3. In case of Salary Income – Salary Slip, Copy of Form 16
4. Net Worth Certificate
5. Copy of demat account holding statement.
6. Bank account statement for last 6 months
7. Photocopy of the canceled cheque having the name of the account holder where the cheque book is issued, (or)
8. Photocopy of the Bank Statement having name and address of the BO
9. Photocopy of the Passbook having name and address of the BO, (or)
10. Letter from the Bank.
11. Self declaration with relevant supporting documents.
12. Any other relevant documents substantiating ownership of Assets.
In case of options 7, 8, 9 and 10 above, MICR and IFSC code of the branch should be present / mentioned on the document.
DEMAT MASTER OR RECENT HOLDING STATEMENT ISSUED BY DP BEARING NAME OF THE CLIENT
For individuals:
1. Stock broker has an option of doing ‘in-person’ verification through web camera at the branch office of the stock broker/ sub-broker’s office.
2. In case of non-resident clients, employees at the stock broker’s local office, overseas can do in-person verification. Further, considering the
infeasibility of carrying out ‘In-person’ verification of the non-resident clients by the stock broker’s staff, attestation of KYC documents by Notary Public,
Court, Magistrate, Judge, Local Banker, Indian Embassy / Consulate General in the country where the client resides may be permitted.
For non-individuals:
1. Form needs to be initialized by all the authorized signatory.
2. Copy of Board Resolution as declaration (on the letterhead) naming the persons authorized to deal in securities on behalf of company/firm/others and
their specimen signatures.
ANNEXURE 2.3
INSTRUCTIONS TO THE APPLICANTS (BOs) FOR ACCOUNT OPENING
1. Signatures can be in English or Hindi or any of the other languages contained in the 8th Schedule of the Constitution of India. Thumb
impressions and signatures other than the above mentioned languages must be attested by a Magistrate or a Notary Public or a Special
Executive Magistrate/ Special Executive Officer under his/her officials
2. Signatures should be preferably in black ink.
3. De tails of the Name s, Addre ss, Te le phone Numbe r(s), e tc., of the Magistrate / Notary Public / Spe cial Executive Magistrate / Special
Executive Officer are to be provided in case of attestation done by them.
4. In case of additional signatures (for accounts other than individuals), se parate annexures should be attache d to the account
opening form.
5. In case of applications containing a Powe r of Attorne y, the re le vant Powe r of Attorne y or the se lf-ce rtifie d copy thereof, must be
lodged along with the application.
6. All correspondence / queries shall be addressed to the first/ sole applicant.
7. Strike off whichever option, in the account opening form, is not applicable.
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 3
V 3.1.1
RECENT PASSPORT

MOTHER NAME:

B- Passport Number
eSigned document:
E - NREGA Job Card
F - NPR


C- Voter ID
E - NREGA Job Card

F - NPR
PAGE 4
V 3.1.0
MOBILE NO.* 9444221165
TEL (Off) TEL (Res)
Place TIRUVALLUR
Date
13/03/2024
Application Typ
e e✔ N w Update
Signature
Simplified

I agree to indemnify and keep Upstox Securities Pvt. Ltd. / RKSV Commodities India Pvt. Ltd. indemnified at all times from and against all
costs, charges, damages, penalties (including reasonable attorney fees) suffered and/or incurred by Upstox Securities Pvt. Ltd. / RKSV
Commodities India Pvt. Ltd. for any act done or omitted to be done on the above declaration.
PAGE 5
V 3.1.1
ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT
TO BE FILLED BY THE DEPOSITORY PARTICIPANT
APPLICATION NUMBER: DATE (DD/MM/YYYY)
DP INTERNAL REFERENCE NUMBER: DP ID 1 2 0 8 1 8 0 1 BO ID

TYPE OF ACCOUNT (PLEASE TICK WHICHEVER IS APPLICABLE)
● INDIVIDUAL ● INDIVIDUAL RESIDENT INDIVIDUAL DIRECTOR

INDIVIDUAL DIRECTOR’S RELATIVE INDIVIDUAL INDIVIDUAL HUF / AOP
PROMOTER MINOR
INDIVIDUAL MARGIN TRADING A/C (MANTRA) OTHERS (SPECIFY)
NRI REPATRIABLE NRI NON - REPATRIABLE
NRI
NRI REPATRIABLE PROMOTER NRI NON - REPATRIABLE PROMOTER
NRI DEPOSITORY RECEIPTS OTHERS (SPECIFY)
FOREIGN FOREIGN NATIONAL OTHERS (SPECIFY)

NATIONAL FOREIGN NATIONAL DEPOSITORY RECEIPTS
HOLDER DETAILS (TO BE FILLED BY THE APPLICANT IN BLOCK LETTERS)
I/We Request You To Open A Demat Account In my/ our Name as per following details:
SOLE/FIRST HOLDER’S NAME DEVAN LUXAN
PAN NO. (Compulsory) B E E P L 5 1 1 2 B UID NO.
UCC ID EXCHANGE ID NSE: 13942 BSE: 6155

SECOND HOLDER’S NAME:
PAN NO. (Compulsory) UID NO.
THIRD HOLDER’S NAME:
PAN NO. (Compulsory) UID NO.
NAME*:
*In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc. although the account is opened in the name of the natural persons, the
name of the Firm, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be mentioned above.
DETAILS OF GUARDIAN (IN CASE THE ACCOUNT HOLDER IS MINOR)
GUARDIAN’S NAME:
RELATIONSHIP WITH THE APPLICANT: PAN NO. (Compulsory)
I / We instruct the DP to receive each and every credit in I / We would like to instruct the DP to accept all the pledge instructions in
my/our account. (If not marked, the default option my/our account without any other further instruction from my/our end (If
would be ‘Yes’) YES NO not marked, the default option would be ‘No’) YES NO
Account Statement Requirement I / We request you to send Electronic Transaction-cum- Holding
Statement at the email ID
AS PER SEBI REGULATION DAILY YES NO
WEEKLY FORTNIGHTLY MONTHLY luxansiva232001@gmail.com
I / We would like to share the email ID with the RTA I / We would like to receive the Annual Report (Tick the applicable box. If not
marked, the default option would be in Physical)
YES NO
PHYSICAL ELECTRONIC BOTH PHYSICAL AND ELECTRONIC
I / We wish to receive dividend / interest directly in to my bank account as given below through ECS (If not marked, the default option
would be ‘Yes’) [ECS is mandatory for locations notified by SEBI from time to time) YES NO
Re: Confirmation to receive the account opening document and welcome letter through email and digitally signed
With reference to my/our application for opening of a Demat account with you. I / We wish to receive all documents related to account opening
documents, welcome letter and CMR copy (digitally signed) on the registered email id provided. None of these would be physically sent unless
requested for the same.
Thanking You, Yours faithfully
FIRST/SOLE HOLDER SIGNATURE [3] SECOND HOLDER SIGNATURE THIRD HOLDER SIGNATURE
eSigned document:
DEVAN LUXAN
X 13.03.2024 22:39:04
PAGE 6
V 3.1.1
TRADING AND DEMAT ACCOUNT RELATED DETAILS
SECTION A PRIMARY BANKING ACCOUNT (DIVIDEND BANK DETAILS)
BANK NAME AXIS BANK BRANCH NAME CHENNAI TAMIL NADU
BRANCH ADDRESS CHENNAI
CITY/TOWN/VILLAGE 999999 STATE TAMIL NADU

PIN CODE
CHENNAI COUNTRY INDIA
ACCOUNT NUMBER 921010018305640
MICR NUMBER IFSC CODE UTIB0002103
ACCOUNT TYPE CURRENT SAVINGS NRI / NRE / NRO OTHERS (Please Specify)
SECTION B PRIMARY DEPOSITORY ACCOUNT (OPTIONAL)
DEPOSITORY PARTICIPANT NAME DP TYPE (NSDL/CDSL) DEPOSITORY PARTICIPANT ID
BENEFICIARY NAME BENEFICIARY ID (BO ID)
SECTION C TRADING PREFERENCES

Please sign in the relevant boxes where you wish to trade. Please Strike off the segment not chosen by you.
NSE & BSE NSE and BSE
All Segments Cash/Mutual Fund F&O Currency Commmodity Derivatives
Place Signature here Place Signature here Place Signature here Place Signature here Place Signature here
If you do not wish to trade in any of Segments / Mutual Fund, please mention here:
SECTION D PAST ACTIONS

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.
SECTION E DEALINGS THROUGH OTHER MEMBERS

IF CLIENT IS DEALING THROUGH ANY OTHER MEMBER, PLEASE 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/AUTHORIZED PERSON NAME: EXCHANGE: EXCHANGE REGISTRATION NUMBER:
CONCERNED MEMBER’S NAME WITH WHOM AP IS REGISTERED: CLIENT CODE:
REGISTERED OFFICE ADDRESS: CITY:

STATE: COUNTRY: TELEPHONE: FAX:
EMAIL ADDRESS: luxansiva232001@gmail.com DETAILS OF DISPUTES/DUES PENDING FROM/TO SUCH MEMBER/ AP:
WEBSITE:
6. DETAILS OF RELATED PERSON (RP) (In case of additional related persons, please fill Annexure B1’ ) (Please refer instruction G at the end)
Addition of RP Deletion of RP KYC Number of RP (if available*)
RP Type* Guardian of Minor Assignee Authorized Representative

Prefix First Name MiddleeSigned
Name document: Last Name
Name* DEVAN LUXAN
13.03.2024 22:39:04
(If KYC number and name are provided, Proof of identity of RP required
PAGE 7
V 3.1.1
SECTION F ADDITONAL DETAILS
CONTRACT NOTE PREFERENCES: ELECTRONIC CONTRACT NOTE (ECN) PHYSICAL CONTRACT NOTE
I WISH TO AVAIL THE FACILITY OF INTERNET NUMBER OF YEARS OF INVESTMENT / TRADING EXPERIENCE
TRADING / WIRELESS TECHNOLOGY <1 Year
IN CASE OF NON-INDIVIDUALS, NAME, DESIGNATION, PAN, UID, SIGNATURE, ANY OTHER INFORMATION
RESIDENTIAL ADDRESS AND PHOTOGRAPHS OF PERSONS AUTHORIZED TO DEAL IN
SECURITIES ON BEHALF OF COMPANY/FIRM/OTHERS
SECTION G INTRODUCER DETAILS (OPTIONAL)

NAME OF THE INTRODUCER RELATIONSHIP WITH THE INTRODUCER
INTRODUCER’S STATUS EXISTING CLIENT AUTHORIZED PERSON SUB-BROKER REMISIER

INTRODUCER’S ADDRESS INTRODUCER’S PHONE NUMBER INTRODUCER’S SIGNATURE
INTRODUCER’S CLIENT ID 544406

CLIENTʼS
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, if any.
CLIENT’S NAME DEVAN LUXAN PLACE TIRUVALLUR
CLIENT’S
FOR OFFICE USE ONLY
CLIENT’S UCC CODE EMPLOYEE CODE: EMPLOYEE DESIGNATION:
VERIFICATION OF DOCUMENTS
DOCUMENTS VERIFIED BY: EMPLOYEE DESIGNATION: ON DATE (DD/MM/YYYY)

EMPLOYEE SIGNATURE: EMPLOYEE CODE:
CLEINTS INTERVIEW
CLIENT INTERVIEWED BY EMPLOYEE DESIGNATION: ON DATE (DD/MM/YYYY)
IN PERSON VERIFICATION (IPV)

IPV PERFORMED BY EMPLOYEE DESIGNATION: ON DATE (DD/MM/YYYY)
I / We undertake that we have made the client aware of ‘Policy and Procedures’, tariff she e t and all the non-mandatory docume nts. I/ We have also made
the client aware of ‘Rights and Obligations’ document (s), RDD and Guidance Note. I/ We have given/ sent him a copy of all the KYC documents. I/ We
undertake that any change in the ‘Policy and Procedures’, tariff she e t and all the non-mandatory docume nts would be duly intimate d to the
clie nts. 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.
SIGNATURE OF THE AUTHORISED SIGNATORY DATE (DD/MM/YYYY) SEAL/STAMP

eSigned OF THE INTERMEDIARY
document:
DEVAN LUXAN
13.03.2024 22:39:04
Reason: Upstox Trading and Demat A/C Opening PAGE 8
V 3.1.1
PART A : INTERNET & WIRELESS TECHNOLOGY BASED TRADING FACILITY PROVIDED BY STOCK BROKERS
TO CLIENT (ALL THE CLAUSES MENTIONED IN THE ‘RIGHTS AND OBLIGATIONS’ DOCUMENT(S) SHALL BE
APPLICABLE. ADDITIONALLY, THE CLAUSES MENTIONED HEREIN SHALL ALSO BE APPLICABLE)
1. Stock broker is eligible for providing Internet based trading (IBT) and securities trading through the use of wireless technology
that shall include the use of de vice s such as mobile phone , laptop with data card, e tc. which use Inte rne t Protocol (IP). The
stock broke r shall comply with all re quire me nts applicable to inte rne t base d trading/ se curitie s using trading wireless
technology as may be specified by SEBI & the Exchanges from time to time
2. The clie nt is de sirous of inve sting/ trading in se curitie s and for this purpose , the clie nt is de sirous of using either the internet
base d trading facility or the facility for se curitie s trading through use of wire le ss te chnology. The Stock broke r shall provide
the Stock broker’s IBT Service to the Client, and the Client shall avail of the Stock broker’s IBT Service, on and subject to SEBI/
Exchanges Provisions and the terms and conditions specified on the Stock broker’s IBT Web Site provided that they are in line
with the norms prescribed by Exchanges/ SEBI.
3. The stock broke r shall bring to the notice of clie nt the fe ature s, risks, re sponsibilitie s, obligations and liabilitie s associated
with securities trading through wireless technology/ internet/ smart order routing or any other technology should be brought to
the notice of the client by the stock broker.
4. The stock broke r shall make the clie nt aware that the Stock Broke r’s IBT syste m itse lf ge ne rate s the initial password and its
password policy as stipulated in line with norms prescribed by Exchanges/ SEBI.
5. The Client shall be responsible for keeping the Username and Password confidential and secure and shall be solely responsible for
all orde rs e nte re d and transactions done by any pe rson whosoe ve r through the Stock broke r’s Syste m IBT using the
Clie nt’s Use rname and/ or Password whe the r or not such pe rson was authorize d to do so. Also the
clie nt is aware that authe ntication te chnologie s and strict se curity me asure s are re quire d for the inte rne t trading/securities
trading through wire le ss te chnology through orde r route d syste m and unde rtake s to e nsure that the password of the client
and/ or his authorized representative are not revealed to any third party including employees and dealers of the stock broker.
6. The Clie nt shall imme diate ly notify the Stock broke r in writing if he forge ts his password, discove rs se curity flaw in Stock
Broke r’s IBT Syste m, discove rs/ suspe cts discre pancie s/ unauthorize d acce ss through his use rname / password/account with
full de tails of such unauthorize d use , the date , the manne r and the transactions e ffe cte d pursuant to such unauthorized
use, etc.
7. The Client is fully aware of and understands the risks associated with availing of a service for routing orders over the internet/
se curitie s trading through wire le ss te chnology and Clie nt shall be fully liable and re sponsible for any and all acts done in the
Client’s Username/ password in any manner whatsoever.
8. The stock broke r shall se nd the orde r/ trade confirmation through e mail to the clie nt at his re que st. The clie nt is aware that
the orde r/ trade confirmation is also provide d on the we b portal. In case clie nt is trading using wire le ss te chnology the stock
broker shall send the order/ trade confirmation on the device of the client
9. The clie nt is aware that trading ove r the inte rne t involve s many unce rtain factors and comple x hardware , software , systems,
communication lines, peripherals, etc. are susceptible to interruptions and dislocations. The Stock broker and the Exchange do
not make any re pre se ntation or warranty that the Stock broke r’s IBT Se rvice will be available to the Clie nt at all times
without any interruption.
10. The Client shall not have any claim against the Exchange or the Stock broker on account of any suspension, interruption, non-
availability or malfunctioning of the Stock broke r’s IBT Syste m or Se rvice or the Exchange ’s se rvice or syste ms or non-
e xe cution of his orde rs due to any link/ syste m failure at the Clie nt/ Stock broke rs/ Exchange e nd for any re ason be yond the
control of the stock broker/ Exchanges
PART B
Dear Sir,
Sub: Authorisation to debit trading account for the demat account charges
Ref: DP ID: 1 2 0 8 1 8 0 1 BO ID
I/We have opened/have a beneficiary account with your CDSL depository along with a trading account for investment and trading
purposes. It would be difficult or me/us to keep issuing separate cheques against your depository bills. I/We, therefore authorize
you to debit the charges payable towards operation of the above account. I/We are aware of the charges for operating the said
account. Any such sum debited to my trading account shall be binding on me/us.
Thanking you,
Yours truly,
CLIENT’S
SIGNATURE [7] X DATE eSigned
(DD/MM/YYYY)
document: 1 3 0 3 2 0 2 4
DEVAN LUXAN
13.03.2024 22:39:04
V 3.1.1
LETTER FOR AUTHORIZATION FOR ELECTRONIC CONTRACT NOTES & AUTHORIZATION FOR RUNNING ACCOUNT
TO: Upstox Securities Private Limited, 30th Floor,

Sunshine Tower, Senapati Bapat Marg, Dadar (W),
Mumbai - 400 013
SUB: Authorization for Electronic Contract Notes & AUTHORIZATION FOR RUNNING ACCOUNT
I have been/shall be dealing through you as my broker on the Capital Market and/or Futures & Options and/or Currency Derivatives and/or Interest
Rate Futures Segments. As my broker i.e. agent I direct and authorize you to carry out trading/dealings on my behalf as per instructions given
below.
I understand that, I have the option to receive the contract notes in physical form or electronic form. In pursuance of the same, I hereby opt to
receive contract notes in electronic form. I understand that for the above purpose, you are required to take from the client “an appropriate email
account” for you to send the electronic contract notes. Accordingly, please take the following email account /email id on your record for sending
the contract notes to me:
1. I also agree that non-receipt of bounced mail notification by you shall amount to delivery at my email account /email id.
2. I agree not to hold you responsible for late/non-receipt of contract notes sent in electronic form and any other communication for any reason
including but not limited to failure of email services, loss of connectivity, email in transit etc.
3. I agree that the log reports of your dispatching software shall be a proof of dispatch of contract notes to me and such dispatch shall be deemed to
mean receipt by me and shall not be disputed by me on account of any non-receipt/delayed receipt for any reason whatsoever.
4. I understand that I am required to intimate any change in the email id/email account mentioned herein above needs to be communicated by me
through a physical letter to you, provided however that if I am an internet client then in that event the request for change in email id/email account
can be made by me through a secured access using client specific user id and password. Please treat this authorization as written ratification of my
verbal directions/authorizations given and carried out by you earlier. I shall be liable for all losses, damages and actions which may arise as a
consequence of your adhering to and carrying out my directions given above.
5. I understand that, you shall send physical copy of the contract note within 24 hours if you received a bounced email.
6. I am a registered client with you, and am dealing in Capital Market/ Derivative Market/ Currency Market segment(s), and have a
Upstox Securities Pvt. Ltd. client code as mentioned below.
7. I am aware that payout / dividend received / credited from the exchange(s) against settlement of transaction as per settlement
cycle is available within 1 working day of the payout from the Exchange. It is difficult or me to make available the required funds on
every pay-in of funds obligation / margin obligation, hence I request you to maintain my account on a running basis and retain the
payout received / credit balance in my account for my future obligation / margin obligation or other liabilities unless I instruct
otherwise.
8. I hereby further authorize you to debit / credit / transfer the amounts between the various segments either on the same Exchange
and / or Exchanges to meet my/our obligation or various dues payable to you / Exchange(s).
9. If payment of funds is required, I shall request you in writing or through the web option for funds withdrawal on the web login.
Further it may be noted that if required I may revoke this authorization at any time after giving request in writing.
10. This running account authorization would continue until it is revoked by me. The actual settlement of funds shall be done at
least once in the preference period selected below: QUARTERLY MONTHLY
11. While settling the account having outstanding obligations on the settlement date, you may retain the requisite funds towards
such obligations and may also retain the funds expected to be required to meet margin obligations, calculated in the manner
specified by the exchanges.
12. I shall bring any dispute arising from the statement of account or settlement so made to your notice within 30 working days
from the date of receipt of funds or statement, as the case may be else it will be final
Yours faithfully,
CLIENTʼS
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 10
V 3.1.1
SMS ALERT FACILITY. Refer to Terms & Conditions given as Annexure - 2.4 MOBILE NO.+91 9 4 4 4 2 2 1 1 6 5
[Mandatory, if you are giving Power of Attorney (POA)]
(If POA is not granted & you do not wish to avail of this facility, cancel this option).
TRANSACTIONS USING SECURED TEXTING FACILITY (TRUST). Refer to terms and Conditions Annexure - 2.6
I/We wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I have read and understood the
Terms and Conditions prescribed by CDSL for the same.
YES NO
I/We wish to register the following clearing member Ids under my / our below mentioned BO ID registered for TRUST
Stock Exchange Name / ID Clearing Member Name Clearing Member ID (Optional)
EASI
To register for Easi please visit our website www.cdslindia.com
Easi allows a BO to view his ISIN balances, transactions and value of the portfolio online.
I / We wish to avail the following facility:

Basic Services Demat A/C facility: YES NO
OTHER DETAILS
GROSS ANNUAL INCOME DETAILS (Income Range per annum) NET WORTH AS ON DATE (NOT OLDER THAN 1 YEAR)
UP TO RS. 1 LAC RS. 1 LAC - RS. 5 LAC RS. 5 LAC - RS. 10 LAC VALUE IN Rs. 0
RS. 10 LAC - RS. 25 LAC MORE THAN RS. 25 LAC DATE (DD/MM/YYYY)
FOR NON INDIVIDUALS: 25 LAC - 1 CRORE OVER 1 CRORE
Occupation Type* ✔ S-Service ( ✔ Private Sector Public Sector Government Sector )

O-Others Professional Self Employed Retired Housewife Student )
B-Business X- Not Categorised Agriculturist
AFFILIATIONS: POLITICALLY EXPOSED PERSON (PEP) RELATED TO A POLITICALLY EXPOSED PERSON (RPEP)
ANY OTHER INFORMATION:
OPTION FORM FOR ISSUE OF DIS BOOKLET (OPTIONAL)
DP ID 1 2 0 8 1 8 0 1 BO ID
TO: Upstox Securities Private Limited, 30th Floor, Sunshine DATE (DD/MM/YYYY) 1 3 0 3 2 0 2 4
Tower, Senapati Bapat Marg, Dadar (W), Mumbai - 400 013
Dear Sir,
I/We hereby state that: (select one of the option given below)
OPTION 1
I/We require you to issue Delivery Instruction Slip (DIS) booklet to me/us immediately on opening my/our CDSL account though I/We have
issued a Power of Attorney (POA) in favor of Upstox Securities Pvt. Ltd. for executing delivery instructions for settling stock exchange trades
(Settlement related transactions) effected through such Clearing Member.
OPTION 2
I/We do not require Delivery Instruction Slip (DIS) for time being. Since I/We have issued a POA/e-DIS in favor of Upstox Securities Pvt. Ltd. for
executing delivery instructions for settling stock exchange trades (Settlement related transactions) effected through such Clearing Member.
However, the Delivery Instruction Slip (DIS) booklet should be issued to me/us immediately on my/our request at any later date.
eSigned document:
DEVAN LUXAN
X 13.03.2024 22:39:04
PAGE 11
V 3.1.1
FATCA / CRS DECLARATION / SELF CERTIFICATION FOR INDIVIDUAL
Please fill the information below as requested FIRST ACCOUNT HOLDER SECOND ACCOUNT HOLDER THIRD ACCOUNT HOLDER
Name of the Account Holder DEVAN LUXAN
Indicate ( ) your Tax Residency / ✔

India U.S.A Others India U.S.A Others India U.S.A Others
Citizenship / Nationality
If ticked on “Others” and/or “U.S.A”, please provide all details under point no. 2,3,4,5 below:
Specify City and Country of Birth
Specify Country(ies) of Tax Residency/

Citizenship / Nationality /
Green card holder, other than India
Tax Identification Number (for U.S.A.)

or its functional equivalent (other
than U.S.A.)
Source of Wealth Salary Business Salary Business Salary Business

Gift Rental Income Gift Rental Income Gift Rental Income
Royalty Ancestral Property Royalty Royalty
Prize Money Others Prize Money Others Prize Money Others
DECLARATION
I / We hereby declare, agree and confirm the following:
a) The details furnished above are true to the best of my knowledge and belief and shall undertake to inform Upstox Securities Private Limited
within 30 days, in case of any change in the above given status on a future date;
b) If I /we am/are U.S. person or tax resident of a reportable foreign jurisdiction (other than U.S.), my account details, would be reported by
Upstox Securities Private Limited to the relevant tax authority. or information may be shared with concerned Asset Management Companies
(AMCs) or to any of the Government Agencies / Tax authorities / Regulators / Exchanges / Depositories of India or of any country other than
India;
X
What is FATCA / CRS?
The U.S. government introduced the Foreign Account Tax Compliance Act, 2010 (FATCA) for obtaining information on accounts held by U.S.
taxpayers in other countries. Further, Organization for Economic Co-operation & Development (OECD) and G20 countries agreed for automatic
exchange on information through Common Reporting Standards (CRS). The Government of India has signed an Inter-Government Agreement (IGA)
with US and has also joined the Multilateral Competent Authority agreement (MCAA) for automatic sharing of information with member countries of
OECD and G20. By virtue of India signing an IGA with US and joining MCAA, Indian financial institutions will have to provide the required financial
information to Indian tax authorities which in turn would forward reportable information to US IRS and member countries of OECD and G20
countries.
US Person means: In case of individuals, U.S. person means a citizen or resident of the United States. Persons who would qualify as U.S. persons
could be born in United States, born outside the United States of a US parent, Naturalized citizens, Green Card Holders, tax residents.
Who is Reportable Person (Non US) under Common Reportable Standards (CRS)?
Under Common Reportable Standards (CRS), reportable person means Tax residents of a reportable foreign jurisdiction other than U.S.
(Please note the above information is provided only for quick reference to customers. You are requested to consult a legal/ tax advisor if in doubt.)
Documents to be collected if Customer’s Country of birth is U.S. but declare that he/ she are not a U.S. person
1. Certificateof relinquishmentof citizenship(Loss of nationalitycertificate); OR
2. Self certificationfor stating reasons for not having such a certificatedespite relinquishmentU.S. citizenship; OR
3. Self certificationfor stating reasons for not obtaining U.S. citizenshipat birth.
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 12
V 3.1.1
CONSENT LETTER FOR AVAILING BSE StAR MF FACILITY
I/We _____________________________ am/are registered as your client with Client Code No. ___________ and have executed
the Account Opening documents (KYC Form) for the purpose of trading in the Capital Market segment of BSE Limited (BSE).
I/We am/are interested in availing the BSE StAR facility of BSE for the purpose of dealing in the units of Mutual Funds Schemes
permitted to be dealt with on the BSE StAR MF of the Exchange.
For the purpose of availing the 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 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 BSE Circular dated December 02, 2009 and as may
be specified by the Exchange from time to time in this regard.
I/We shall ensure 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 BSE Star Mf.
I/We hereby confirm having read and understood the terms & conditions and disclosures provided overleaf.
Your faithfully,
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
V 3.1.1
Nomination Form
[Annexure A to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601 dated July
TM / DP FORM FOR NOMINATION

Upstox Securities Private Limited
30th Floor, Sunshine Tower, Senapati Bapat (To be filled in by individual applying singly or jointly)
Date D1 D3 M0 M
3 Y2 Y0 Y2 Y
4 UCC/ DP ID 1 2 0 8 1 8 0 1 Client ID
I/We the sole holder/Joint holders/Guardian (in case of minor) hereby declare that:
I/We do not wish to nominate any one for this demat account.
I/We nominate the following person who is entitled to receive security balances lying in my/our account, Particulars
whereof are given below, in the event of my/our death.
I/We wish to make a nomination. [As per details given below]
Nomination Details
I/We wish to make a nomination and do hereby nominate the following person(s) who shall receive all the assets held in my / our account in the event
of my / our death.
Nomination can be made upto three Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
nominees in the account.
1 Name of the nominee(s) (Mr./Ms.)
2 Share of Equally % % %
each
[If not equally,
Nominee please specify
percentage] Any odd lot after division shall be transferred to the first nominee mentioned in the form.
3 Relationship With the Applicant

( If Any)
4 Address of Nominee(s)
City / Place:
State & Country:
PIN Code
5 Mobile / Telephone No. of

nominee(s)
6 Email ID of nominee(s)
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 14
V 3.1.1
7 Nominee Identification details –
󠄀 Photograph & Signature 󠄀󠄀 PAN

󠄀 Aadhaar 󠄀󠄀 Saving Bank
account no. 󠄀 󠄀󠄀 Proof of Identity 󠄀󠄀
Demat Account ID
Sr. Nos. 8-14 should be filled only if nominee(s) is a minor:
8 Date of Birth {in case of minor

nominee(s)}
9 Name of Guardian (Mr./Ms.) {in

case of minor nominee(s) }
10 Address of Guardian(s)
City / Place:
State & Country:
PIN Code
11 Mobile / Telephone no. of

Guardian
12 Email ID of Guardian
13 Relationship of Guardian with

nominee
14 Guardian Identification details –

󠄀 Photograph & Signature

󠄀 PAN 󠄀 󠄀󠄀 Aadhaar Saving Bank
account no. 󠄀󠄀 Proof of Identity󠄀 󠄀
󠄀 󠄀Demat Account ID
Name(s) of holder(s) Signature(s) of holder*
Sole / First Holder (Mr./Ms.)
Second Holder (Mr./Ms.)
Third Holder (Mr./Ms.)
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature
Note:
This nomination shall supersede any prior nomination made by the account holder(s), if any.
The Trading Member / Depository Participant shall provide acknowledgement of the nomination form to the account holder(s)
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
PAGE 15
V 3.1.1
Declaration Form for opting out of nomination
[Annexure B to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601 dated July
Date D1 D3 M0 M3 Y2 Y0 Y2 Y4
To
Trading Member/Participant’s Name Upstox Securities Private Limited

Trading Member/Participant’s Address Marg, Dadar (W), Mumbai - 400 013
UCC/DP ID
1 2 0 8 1 8 0 1
Client ID (only for Demat account)
Sole/First Holder Name

DEVAN LUXAN
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)*

DEVAN LUXAN
1.___________________________________2.__________________________________________3___________________________________
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of
signature
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
16
V 3.1.1
TARIFF SHEET
BO ID DATE (DD/MM/YYYY)
TO: Upstox Securities Private Limited

Dear Sir or Madam,
I would like to subscribe to the Upstox Securities Pvt. Ltd for trading and demat account and request Upstox Securities Pvt. Ltd. to apply
brokerage charges as mentioned and as per the terms and conditions of Upstox Securities Pvt. Ltd.
I/We agree to pay the charges as per following charge structure with Upstox Securities Private Limited
Account opening fee Free Rs. 149/- [Trading] +GST
Rs. 199/- [Trading] +GST Rs. 499/- [Trading] +GST Rs. 999/- [Trading] +GST Brokerage charges for Equity Delivery -
2.5% or Rs. 20 / per order (Whichever is
Brokerage - Basic 0.05% or Rs. 20/- (Whichever is lower) per order for Equity lower)
Intraday, Futures. For Option, Rs. 20 per order traded.
CHARGE HEAD CHARGES
Annual Maintenance Charges – For individual account : Rs. 0/-

Transaction charges Market / Off Market / – Rs. 13/- plus Rs. 5.50/- (CDSL charges) per scrip.
Interdepository Transactions
Pledge Charges Creation / Closure and – 0.02% of the transaction charges subject to a minimum of Rs. 50/- plus NSDL / CDSL
Confirmation of both charges at actual.
Pledge Charges for Invocation – 0.05% of the transaction charges subject to a minimum of Rs. 50/-
Dematerialization Charges – Rs 200/- per certificate plus charges of Rs. 20/- per request.
Rematerialization Charges – For every 100 shares Rs. 25/- part thereof, subject to maximum 5,00,000 or flat fee
Rs. 25/- per certificate, whichever is higher.
SLB Charges – For Securities Borrowings: Rs. 25/- plus NSDL / CDSL charges at actuals.
– For Securities Lending: Rs. 25/- plus NSDL/ CDSL charges at actuals.
Repurchase / Redemption Charges – Flat Rs. 25/- per transaction plus Depository charges at actuals.
Failed / Rejected Transactions – Rs. 50/- per transaction.
Demat Rejection Charges – Rs. 35/- per rejection for every 500 gms.
In addition to the above monthly subscription charges, the following statutory charges will also be levied at actuals:
1. Securities Transaction Tax, Transaction Charges, Stamp Duty, SEBI Turnover Fees, Clearing Member Charges and GST.
2. Ele ctronic Contract Note s are fre e . Physical Contract note copie s are charge d at Rs. 50 pe r contract note (for ECN clients)
+ Courier charge s as applicable . De pository Participant charge s as le vie d by Upstox. Te rms and Conditions can be subje ct
to change provided the same is done as for applicable guidelines of SEBI/exchange.
3. The terms and conditions of the Upstox Securities Pvt. Ltd. plans have been read and understood by me. I wish to avail the plans
above provided by Upstox Securities Pvt. Ltd. for my trading account subject to the terms and conditions mentioned above.
4. I declare that I have read and understood the terms and conditions governing the Upstox Securities Pvt. Ltd.
5. Call and trade and square off charges at Rs. 50 will be charged
Note: Brokerage is also charged on expired, exercised and assigned Futures and Options contracts.
*Disclaimer: For Delivery based trades, a minimum of Rs. 0.01 will be charged per contract note.
Adhoc / Non periodic statement requests – Adhoc statement requests: - Rs. 25/- (Rs 500 for foreign address) per request upto 10
pages. Every additional 5 pages or a portion thereof will be charged at Rs. 10/- plus courier /postage charges.
E-Mail Statement - – Periodic Bills and Transactions statements and other communications will be sent by email, only. Terms and
Conditions for the same to be mandatorily executed. Requests for physical statements will be charged as mentioned above.
Cheque Bounce charges - – Charges will be applied based on charges as determined by our bankers.
NOTE: For all purposes the bill date shall be construed as the date of demand and the bills will be considered as the bill cum notice
for payment and Upstox Securities Pvt. Ltd. reserves the right to Freeze Depository account for debit transaction in case of non
payment of charges after two days from the bill date.
Interest @ 13% p.a will be charged on the outstanding bill amount if not paid within the due date. The above tariff is subject to
change. Changes if any be intimated 30 days in advance. GST and othertaxes applicable on all above charges.
eSigned document:
DEVAN LUXAN
X 13.03.2024 22:39:04
PAGE 17
V 3.1.1
ACKNOWLEDGEMENT LETTER
Upstox Securities Private Limited

30th Floor, Sunshine Tower, Senapati
Bapat Marg,
Dadar (W),
Mumbai - 400 013
Dear Sir or Madam,
I/We hereby acknowledge receipt of the following documents
1. Rights and Obligations of Stock Brokers, Sub-brokers and Clients (including additional rights & obligations in case of
internet / wireless technology based trading).
2. Risk Disclosure Document for Capital Market and Derivatives Segments.
3. Guidance Note - Do’s and Don’ts for Trading on the Exchange(s) for Investors.
4. Policies and Procedures Document pursuant to the SEBI circular dated December 03, 2009.
5. The Upstox Securities Pvt. Ltd. Tariff sheet.
6. General Terms and Conditions governing securities trading and broking services of Upstox Securities Pvt. Ltd.
7. All other mandatory and voluntary client registration documents.
8. I/We hereby acknowledge the receipt of duly executed copy of KYC and all other documents as executed by me/us.
Further I confirmed that the documents for KYC submitted by me are true and correct.
I/We understand that the Voluntary documents executed by me/us are out of my/our own free will.
I state that I have read and understood all above documents and these documents are binding upon me.
Yours faithfully,
DATE (DD/MM/YYYY) 1 3 0 3 2 0 2 4
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
V 3.1.1
Income details from Bank Statement
Name of the Bank Axis Bank
Name of Account Holder (s) LUXAN D
Account Number XXXXXXXXXXX5640
Account Type SAVINGS
IFSC Code UTIB0002103
Time period of Bank Statement From 2023-09-13
To 2024-03-13
Number of Transactions (during the Time 361

period above)
Opening Balance 13367.72
Closing Balance 4806.36
Transaction Details
Transaction Remarks Transaction Withdrawal Deposit Balance (INR)

Date Remarks amount Amount
(INR) (INR)
2023-09-15 UPI/P2M/325830515432 100.0 13367.72

/Mohamedkamalbadhush
a /food
2023-09-15 UPI/P2A/325835146433/ 1000.0 12367.72

KARUNAKARAN . /UPI
2023-09-16 UPI/P2M/325970812714 120.0 12247.72

/Sriram bhavan /UPI
2023-09-16 UPI/P2M/325971996867 185.0 12062.72

/SRI VENKATESWARAA
MED/UPI
eSigned document:
2023-09-16 UPI/P2M/325973471495 100.0 11962.72
/Rani Ammal DEVAN LUXAN
Enterprise/petrol
13.03.2024 22:39:04
2023-09-16 UPI/P2M/325979049300 75.0 11887.72
/ SOUNDARAVALLI U
/food
2023-09-16 UPI/P2M/325979260018 120.0 11767.72

/Mr P B RAMESH /food
2023-09-16 UPI/P2M/325979470335 95.0 11672.72
/ULAGARAJ A /food
2023-09-17 UPI/P2M/326029903676 572.34 11100.38

/PVR LIMITED /Paymen
2023-09-17 UPI/P2M/326030373528 122.0 10978.38

/PS4 REDHILLS /food
2023-09-17 UPI/P2M/326040539929 350.0 10628.38

/Ms H SRAENIK KUMAR
/bulb
2023-09-18 UPI/P2M/326176030316 230.0 10398.38

/Sumathi Medicals
/medici
2023-09-19 UPI/P2M/326296771956 27.0 10371.38

/DHANUSHKODI R /tea
2023-09-19 UPI/P2M/326211037810 200.0 10171.38

/VIJAY SERVICE
STATION/UPI
2023-09-19 UPI/P2M/326213372096 80.0 10091.38

/BALAMURUGAN M
/grocer
2023-09-19 UPI/P2A/326215606887/ 3800.0 6291.38

HARI KRISHNAN J /UPI
2023-09-20 UPI/P2M/326357439467 510.0 5781.38

/RAJESH S /grocer
2023-09-21 UPI/P2M/326484374408 205.0 5576.38

/Mr P B RAMESH /lunch
2023-09-21 UPI/P2A/326490670652/ 3590.0 1986.38

VASIKARAN M /vkyc
2023-09-22 UPI/P2M/326530861286 70.0 1916.38

/Chithra R /grocer
2023-09-22 UPI/P2M/326533583784 100.0 1816.38

/VIJAY SERVICE
STATION/UPI
2023-09-22 UPI/P2M/326538646274 85.0 1731.38

/MOHAMMED SADIK
/mainte
2023-09-22 UPI/P2A/326593486185/ 6000.0 7731.38

Mr DEVAN /Indian
Ba/wage
2023-09-23 UPI/P2M/326681415906 100.0 7631.38

/F.f.s2 PUMP 3 /bike s
2023-09-25 UPI/P2A/326839084917/ 700.0 6931.38

Mr Naveendasan
Jagade/UPI
2023-09-25 UPI/P2A/326840159798/ 2000.0 4931.38

VIGNESH R /UPI
2023-09-25 UPI/P2M/326846718573 40.0 4891.38

/Kavitha Kumaran /juice
2023-09-26 UPI/P2M/326988591146 100.0 4791.38

/VIJAY SERVICE
STATION/bike s
2023-09-27 UPI/P2M/327041558029 10.0 4781.38

/BALAMURUGAN M
/grocer
2023-09-27 UPI/P2A/327043262756/ 200.0 4581.38

Mr Manikandan
Govinda/UPI
2023-09-29 UPI/P2M/327210698323 100.0 4481.38

/Aadhiti Fuel Station
/UPI
2023-09-29 UPI/P2M/327217374107 10.0 4471.38

/BALAMURUGAN M
/UPI
2023-09-29 Salary for the month of 18934.0 23405.38

Sep 23
2023-09-30 UPI/P2A/327350450379/ 4.0 23409.38

GOOGLEPAY/Axis
Bank/UPI
2023-09-30 UPI/P2M/327350947234 220.68 23188.7

/pvrcinemas /PVR Ci
2023-09-30 UPI/P2M/327352523245 100.0 23088.7

/UPI
2023-09-30 UPI/P2M/327355545028 40.0 23048.7

/A NAGARAJ /food
2023-09-30 UPI/P2M/327360037424 60.0 22988.7

/V P MILK DAIRY /milk
2023-09-30 UPI/P2M/327362459882 170.0 22818.7

/DEVAGI SIVA /food
2023-09-30 NEFT/MB/AXOMB32737 20000.0 2818.7

120075/saivarahisha
eSigned document:
2023-10-01 921010018305640:Int.P 59.0 2877.7
d:01-07-2023 to 30-09- DEVAN LUXAN
2023
13.03.2024 22:39:04
2023-10-01 UPI/P2M/327493166820 147.12 2730.58
/pvrcinemas /PVR Ci Reason: Upstox Trading and Demat A/C Opening
2023-10-01 UPI/P2M/327493832188 83.82 2646.76

/BIGTREE
ENTERTAINMENT/UPI
2023-10-01 UPI/P2M/327494259531 155.28 2491.48
/BIGTREE
ENTERTAINMENT/UPI
2023-10-01 UPI/P2M/327496131337 1000.0 1491.48

/THINNILI KATTU
VAITHI/UPI
2023-10-01 UPI/P2M/327415199062 50.0 1441.48

/ PURUSHOTHAMAN K
/food
2023-10-01 UPI/P2M/327421943074 50.0 1391.48

/THIRUMANGALAM
/UPI
2023-10-01 UPI/P2M/327424728833 485.0 906.48

/JAAG FOODS /UPI
2023-10-01 UPI/P2M/327426631673 90.0 816.48

/SUNDARAM R /grocer
2023-10-03 UPI/P2M/327679217585 100.0 716.48

/VIJAY SERVICE
STATION/UPI
2023-10-03 UPI/P2A/327600282618/ 3600.0 4316.48

VASIKARAN/State
Ban/account
2023-10-03 UPI/P2A/327691838505/ 3000.0 1316.48

LUXAN D /UPI
2023-10-03 UPI/P2M/327693028455 60.0 1256.48

/A NAGARAJ /food
2023-10-03 UPI/P2M/327693284002 95.0 1161.48

/CHENNAI SWEET AND
BAK/grocer
2023-10-03 UPI/P2M/327695371730 100.0 1061.48

/VIJAY SERVICE
STATION/bike s
2023-10-03 UPI/P2M/327619850734 52.0 1009.48

/Sumathi Medicals
/medici
2023-10-04 UPI/P2M/327738100013 82.0 927.48

/SAIDALAVI /food
2023-10-04 UPI/P2M/327757253983 125.0 802.48

/BharatPe Merchant /Pay
to
2023-10-04 IMPS/P2A/32772107924 1.0 803.48

4/COMPUTER/IDFCBank
/Accountv
2023-10-05 UPI/P2M/327885588298 100.0 703.48

/VIJAY SERVICE
STATION/UPI
2023-10-05 UPI/P2A/327898747543/ 350.0 353.48

Mr V Senthil /sell
2023-10-05 UPI/P2M/327812948654 85.0 268.48

/SUNDARAM R /grocer
2023-10-06 UPI/P2M/327933379328 100.0 168.48

/AADHITI FUEL
STATION /UPI
2023-10-06 UPI/P2M/327933722794 10.0 158.48

/Vignesh R /pen
2023-10-06 UPI/P2M/327940718088 40.0 118.48

/Kavitha Kumaran
/grocer
2023-10-07 UPI/P2M/328064225397 45.0 73.48

/RUBAN S /food
2023-10-07 UPI/P2A/364617539495/ 2000.0 2073.48

Mr Naveen/City
Unio/Sent fro
2023-10-10 UPI/P2M/328311151897 49.0 2024.48

/KARUPATTI COFFEE
/food
2023-10-11 UPI/P2M/328465359904 20.0 2004.48

/Sankar P /grocer
2023-10-11 UPI/P2M/328465584906 180.0 1824.48

/Mrs P VIJAYALAKSHMI
/grocer
2023-10-11 UPI/P2M/328476425882 14.0 1810.48

/Nv Printers /xerox
2023-10-16 UPI/P2A/328989093326/ 40.0 1770.48

AMUTHAVALLI /aadhar
2023-10-16 UPI/P2M/328989751720 150.0 1620.48

/B M MOBILES /temper
2023-10-16 UPI/P2M/328992060283 29.0 1591.48

/Mr Vignesh Thazhai
Ka/food
2023-10-16 UPI/P2M/328997652603 100.0 1491.48

/UPI
2023-10-16 UPI/P2M/328998834826 100.0

eSigned document: 1391.48
/Babu /UPI
DEVAN LUXAN
2023-10-17 UPI/P2A/329046082305/ 20.0 13.03.2024 22:39:04 1371.48
Mr SELVENDHIRAN
RENU /UPI Reason: Upstox Trading and Demat A/C Opening
2023-10-17 UPI/P2M/329047438549 100.0 1271.48
/BP Petrol Pump -
Baga/bike s
2023-10-17 UPI/P2M/329058218773 170.0 1101.48
/MUHIL ATTHO SHOP
/UPI
2023-10-18 UPI/P2M/329186685728 44.0 1057.48

/The Chennai Medicals
/medici
2023-10-18 UPI/P2M/329189229290 90.0 967.48

/NISHANTHI PASUMAI
PAZ/UPI
2023-10-18 UPI/P2M/329190973525 100.0 867.48

/AADHITI FUEL
STATION /UPI
2023-10-20 UPI/P2M/329365175062 110.0 757.48

/DHANUSHKODI R /tea
2023-10-20 UPI/P2M/329372421446 170.0 587.48

a /food
2023-10-20 UPI/P2M/329384330390 100.0 487.48

/SWASTHIK FUELING-
SWAS/bike s
2023-10-22 UPI/P2M/329557342385 30.0 457.48

/MADHAVAN S /tea
2023-10-26 UPI/P2A/329923577555/ 147.12 604.6

pvrcinema/Paytm
Pay/express
2023-10-26 UPI/P2M/329942988785 20.0 584.6

/A NAGARAJ /food
2023-10-26 UPI/P2M/329944790546 20.0 564.6

/Sankar P /grocer
2023-10-26 UPI/P2A/329929293054/ 220.68 785.28

pvrcinema/Paytm
Pay/express
2023-10-28 UPI/P2A/330115285792/ 50.0 735.28

ABINESH ARUL /wage
2023-10-30 UPI/P2A/330325984192/ 300.0 435.28

LUXAN D /UPI
2023-10-30 Salary for the month of 15447.0 15882.28

Oct 23
2023-10-30 UPI/P2A/330336710027/ 13000.0 2882.28

LUXAN D /gift
2023-10-31 UPI/P2A/330447118696/ 2000.0 882.28

LUXAN D /gift
2023-10-31 UPI/P2A/330463507082/ 220.0 662.28

U LAVANYA /rr ent
2023-11-02 UPI/P2M/330655205750 20.0 642.28

/Mr P B RAMESH /tea
2023-11-06 UPI/P2M/331038073516 50.0 592.28

/Annamalaiyar
Internet/xerox
2023-11-07 UPI/P2M/331173431018 15.0 577.28

/MADHAVAN S /tea
2023-11-07 UPI/P2A/367726802325/ 2000.0 2577.28

Mr Naveen/City
Unio/Sent fro
2023-11-08 UPI/P2A/331265994081/ 350.0 2227.28

SUGANYA B /dress
2023-11-09 UPI/P2A/331371099092/ 20000.0 22227.28

LUXAN D/HDFC
BANK/UPI
2023-11-09 ATM-CASH- 20000.0 2227.28

AXIS/DERH326001/7155
/091123/CHENNAI
2023-11-10 NEFT/N3142327329702 12340.0 14567.28

55/ASPINO HR/HDFC
BANK/NEFT
2023-11-10 UPI/P2A/331428717021/ 12000.0 2567.28

LUXAN D /UPI
2023-11-10 UPI/P2A/331436639971/ 200.0 2367.28

N FAYAZ AHMED /UPI
2023-11-10 UPI/P2M/331444642669 150.0 2217.28

/BALAMURUGAN M
/grocer
2023-11-10 UPI/P2A/331468496479/ 250.0 1967.28

VINOSH KUMAR P /UPI
2023-11-11 UPI/P2M/331595302000 100.0 1867.28

/BP Petrol Pump - Sri
/bike s
2023-11-11 UPI/P2M/331597008099 20.0 1847.28

/GOVINDAN SHANKAR
/UPI
2023-11-11 UPI/P2M/331597256517 80.0 1767.28

/AMBIGAS /UPI
eSigned document:
2023-11-11 UPI/P2A/331597845323/ 120.0 1647.28
B REKHA /UPI DEVAN LUXAN
13.03.2024 22:39:04
2023-11-12 UPI/P2A/331639882185/ 100.0 1547.28
SARFARAJ AHMAD S O
IJ/haircu
2023-11-12 UPI/P2M/331646721338 10.0 1537.28

/EURONETGPAY /UPI
2023-11-13 UPI/P2M/331779174581 80.0 1457.28
/Senthil kumar /food
2023-11-13 UPI/P2M/331779473650 140.0 1317.28

/MUBARAK BASHA
HUSSAIN/food
2023-11-13 UPI/P2M/331793754558 350.0 967.28

/MARUTHUPANDI M
/mobile
2023-11-15 UPI/P2A/331976972361/ 100.0 867.28

VINOSH KUMAR P /UPI
2023-11-15 UPI/P2M/331978156955 22.0 845.28

/PS4 REDHILLS /food
2023-11-16 UPI/P2A/332034060581/ 50.0 795.28

LOGANATHAN
SHANKAR /UPI
2023-11-16 UPI/P2A/332034941741/ 85.0 710.28

LAKSHMINARAYANAN
K /goods
2023-11-18 UPI/P2M/332213621023 50.0 660.28

/Sankar P /grocer
2023-11-18 UPI/P2A/332214045498/ 200.0 460.28

AROKIARAJ M . /goods
2023-11-19 UPI/P2M/332373554845 130.0 330.28

/LATHA S /god
2023-11-19 UPI/P2M/332373677109 135.0 195.28

/KARUPATTI COFFEE
/UPI
2023-11-20 UPI/P2M/332495604965 105.0 90.28

/SRIBALAJISTORES
/grocer
2023-11-28 UPI/P2M/333242796342 20.0 70.28

/Sankar P /grocer
2023-12-06 NEFT/CMS34023882448 36966.0 37036.28

95/UNITY 3PL/KOTAK
MAH/NEFT-UNI
2023-12-06 IMPS/P2A/33402028374 1.0 37035.28

7/Siva/X841713
2023-12-06 NEFT/MB/AXOMB33408 36966.0 69.28

745896/Siva
2023-12-07 NEFT/N3412327720070 17633.0 17702.28

62/ASPINO HR/HDFC
BANK/NEFT
2023-12-07 NEFT/MB/AXOMB33419 12000.0 5702.28

055030/saivarahisha
2023-12-07 UPI/P2M/370738776493 15.0 5687.28

/DHANUSHKODI R /food
2023-12-08 UPI/P2A/334258194722/ 30.0 5657.28

SUDHARSHAN
SURYAPRAKA/UPI
2023-12-08 UPI/P2M/334267498293 305.0 5352.28

/Sriram bhavan /grocer
2023-12-08 UPI/P2M/370864498447 40.0 5312.28

/REDHILLS MEDICAL
/medici
2023-12-09 UPI/P2M/370985336304 90.0 5222.28

/VISWANATHAN /food
2023-12-09 UPI/P2M/370984740880 90.0 5132.28

/A NAGARAJ /UPI
2023-12-09 UPI/P2M/334315043556 2856.0 2276.28

/SSS SUPER MARKET
/grocer
2023-12-09 UPI/P2M/370903143796 60.0 2216.28

/Sankar P /grocer
2023-12-09 UPI/P2M/334382042876 30.0 2186.28

/MARI S /UPI
2023-12-09 UPI/P2M/370954544258 130.0 2056.28

/VIMALRAJD /Pay to
2023-12-09 UPI/P2M/370954643521 115.0 1941.28

/VIVEK GURU K /milk
2023-12-09 UPI/P2M/334376743539 240.0 1701.28

/MANIKANDAN E
/grocer
2023-12-09 UPI/P2M/370989662306 380.0 1321.28

/SUMATHI MEDICALS
/UPI
2023-12-10 UPI/P2M/371030067566 12.0 1309.28

/V P MILK DAIRY /UPI
2023-12-11 UPI/P2M/334559906013 260.0 1049.28

/PS4 REDHILLS /UPI
2023-12-12 UPI/P2M/371203659652 360.0 689.28

/Udipi Guest Hotel
/lunch eSigned document:
DEVAN LUXAN
2023-12-13 UPI/P2M/334796292961 100.0 589.28
/FFS PUMB 2 /bike s 13.03.2024 22:39:04
2023-12-14 UPI/P2M/371401053424 25.0
Reason: Upstox Trading and Demat
564.28
A/C Opening
/Jones Gift /UPI
2023-12-14 UPI/P2A/334898457974/ 100.0 464.28

Mr Babu G /UPI
2023-12-15 UPI/P2M/371510262487 120.0 344.28
/Sriram bhavan /UPI
2023-12-16 UPI/P2M/335019320716 70.0 274.28

/CHINNATHAMBI
/bakery
2023-12-16 UPI/P2M/371645320598 120.0 154.28

/Mr. P B RAMESH /food
2023-12-16 UPI/P2M/335043820770 60.0 94.28

/SUNDARAM R /grocer
2023-12-20 NEFT/CMS35423909672 25158.0 25252.28

00/UNITY 3PL
SERVICES PRIVATE L
2023-12-22 NEFT/CMS35623913977 8286.0 33538.28

13/UNITY 3PL
SERVICES PRIVATE L
2023-12-23 NEFT/MB/AXOMB33572 1.0 33537.28

319536/Leela
2023-12-24 NEFT/MB/AXOMB33586 15000.0 18537.28

554352/Siva
2023-12-24 NEFT/MB/AXOMB33586 15000.0 3537.28

555223/Leela
2023-12-27 UPI/P2A/336160865353/ 2000.0 5537.28

LUXAN D/HDFC
BANK/UPI
2023-12-28 UPI/P2M/372849556613 10.0 5527.28

/VISWANATHAN /tea
2023-12-28 UPI/P2A/372899566582/ 60.0 5467.28

SATHISH S /UPI
2023-12-28 UPI/P2M/372896882505 20.0 5447.28

to
2023-12-29 00423596 FULL AND 8037.0 13484.28

FINAL SETTLEMENT
DEC WEEK4
2024-01-01 921010018305640:Int.P 22.0 13506.28

d:01-10-2023 to 31-12-
2023
2024-01-04 UPI/P2M/400451831833 30.0 13476.28

/B BILAL /Pay To
2024-01-04 UPI/P2A/400435338589/ 3000.0 16476.28

JAYABALAN/Axis
Bank/UPI
2024-01-04 UPI/P2A/400481717537/ 13.0 16489.28

GOOGLEPAY/Axis
Bank/UPI
2024-01-04 UPI/P2M/400459943735 140.0 16349.28

/BALAMURUGAN M
/grocer
2024-01-05 UPI/P2M/437118783471 40.0 16309.28

/A NAGARAJ /food
2024-01-05 UPI/P2M/437194483281 40.0 16269.28

/A NAGARAJ /food
2024-01-05 UPI/P2M/437156982375 80.0 16189.28

/DEVAGI SIVA /food
2024-01-05 UPI/P2M/400503489774 40.0 16149.28

/Mr. P B RAMESH /food
2024-01-05 NEFT/CMS00524941535 16548.0 32697.28

18/UNITY 3PL
SERVICES PRIVATE L
2024-01-05 UPI/P2M/400596612054 100.0 32597.28

/FFS PUMP 3 /bike s
2024-01-06 NEFT/N0062428201714 10566.0 43163.28

96/ASPINO HR
SERVICES PVT LTD
2024-01-06 UPI/P2A/400630533024/ 2200.0 45363.28

K NARESHK/HDFC
BANK/UPI
2024-01-07 UPI/P2A/400746073585/ 1125.0 46488.28

JAYABALAN/Axis
Bank/UPI
2024-01-07 NEFT/MB/AXOMB40078 16500.0 29988.28

653063/Siva
2024-01-08 UPI/P2M/400884194146 65.0 29923.28

a /food
2024-01-08 UPI/P2M/400865605849 300.0 29623.28

/MULIK ENTERPRISES
/997463
2024-01-08 UPI/P2A/400899514152/ 200.0 29423.28

ROBERT /hair c
2024-01-08 UPI/P2A/437485723747/ 1.0 29422.28

ABINESH ARUL /UPI
eSigned document:
2024-01-08 UPI/P2A/437423432927/ DEVAN LUXAN
4000.0 33422.28
ABINESH /State
Ban/UPI 13.03.2024 22:39:04
2024-01-08 UPI/P2M/437414325951 17000.0
16422.28
/MAGIC ENTERPRISES
/100769
2024-01-08 UPI/P2A/437434932166/ 4000.0 12422.28

Mr DEVAN M /abi ku
2024-01-09 UPI/P2M/437569040433 60.0 12362.28

/HOTEL SRI DURGA
/food
2024-01-09 UPI/P2M/437528537313 100.0 12262.28

/FFS PUMP 3 /bike s
2024-01-09 UPI/P2A/400925054142/ 2000.0 14262.28

Mr Naveen/City
Unio/iPhone 7
2024-01-09 UPI/P2M/400974751027 20.0 14242.28

/Sankar P /grocer
2024-01-09 UPI/P2M/400950349811 127.0 14115.28

/MANIKANDAN E
/grocer
2024-01-09 UPI/P2A/400920278868/ 3.0 14118.28

GOOGLEPAY/Axis
Bank/UPI
2024-01-09 NEFT/IDFBH240093240 710.64 14828.92

21/MOTHER TERESA
NURSING AND JO
2024-01-09 UPI/P2M/437536173174 300.0 14528.92

/R S GARMENTS
/dyu62s
2024-01-10 UPI/P2M/437683677899 60.0 14468.92

/HOTEL SRI DURGA
/food
2024-01-10 UPI/P2A/437638283420/ 2000.0 16468.92

DINESH RA/Axis
Bank/UPI
2024-01-10 IMPS/P2A/40101203681 668.34 17137.26

0/SHRISANW/INDUSIN
D/P2AMOB
2024-01-10 UPI/P2M/437641402030 5000.0 12137.26

/MADHU TRADERS
/1u4s
2024-01-11 UPI/P2M/437739927703 60.0 12077.26

/HOTEL SRI DURGA
/food
2024-01-11 UPI/P2A/401121238191/ 500.0 12577.26

VINOSH KU/Canara
Ba/UPI
2024-01-11 IMPS/P2A/40111473575 1066.0 13643.26

5/KHALAKSI/INDUSIND
/P2AMOB
2024-01-12 IFT/AXBH240120000029 5365.0 19008.26

/120124RN00474/SHRIR
AM FINANCE
2024-01-12 IMPS/P2A/40121213029 786.78 19795.04

1/ERACUREH/ICICIBAN
/BULD3270
2024-01-12 UPI/P2M/401295982712 100.0 19695.04

/SRI
CHAMUNDEESWARI
/bike s
2024-01-12 UPI/P2A/401257788931/ 1277.0 18418.04

JAYA BALAN V /dress
2024-01-12 UPI/P2M/401244089323 2360.0 16058.04

/RATHOD'S /dress
2024-01-12 UPI/P2M/437864191526 140.0 15918.04

/MANIVEL R /food
2024-01-12 UPI/P2M/401256698127 478.0 15440.04

/SANGEETHA TEX
/dress
2024-01-12 UPI/P2M/401240104498 300.0 15140.04

/BALAMURUGAN M
/grocer
2024-01-13 UPI/P2M/437994008257 120.0 15020.04

/HOTEL SRI DURGA
/food
2024-01-13 UPI/P2A/437903912928/ 40.0 14980.04

BHARATH N /UPI
2024-01-13 UPI/P2M/437953234825 1335.0 13645.04

/DRSUPERMARKET
/grocer
2024-01-14 UPI/P2M/438059883982 25.0 13620.04

/Jio Prepaid
Recharges/UPI
2024-01-15 UPI/P2M/401549906206 160.0 13460.04

/REVATHI STORES
PRIVAT/UPI
2024-01-15 UPI/P2A/401591106371/ 350.0 13110.04

Mr Naveendasan
Jagade/UPI
2024-01-15 UPI/P2M/401546907276 45.0 13065.04

/MANIKANDAN E
/grocer
2024-01-15 UPI/P2A/438144606446/ 40.0 eSigned document: 13025.04

AROKIARAJ M . /UPI
DEVAN LUXAN
2024-01-16 UPI/P2M/438234330304
/MAJEED P /tea
40.0 13.03.2024 22:39:04 12985.04

2024-01-16 IMPS/P2A/40161151477 3196.0 16181.04
9/MEGHATRA/INDUSIN
D/P2AMOB
2024-01-16 UPI/P2A/401642133956/ 100.0 16081.04
NARENDRA KUMAR P
/UPI
2024-01-16 UPI/P2M/401612336893 110.0 15971.04

/HOTEL SRI DURGA
/food
2024-01-16 UPI/P2M/438214737761 590.0 15381.04

/M S VAIRAM BIRYANI
/food
2024-01-16 UPI/P2M/401692239687 100.0 15281.04

/FFS PUMP 3 /bike s
2024-01-16 UPI/P2A/401696790150/ 110.0 15391.04

VINOSH KU/State
Ban/UPI
2024-01-17 IMPS/P2A/40171427900 791.48 16182.52

0/KANCHANE/INDUSIN
D/P2AMOB
2024-01-18 IMPS/P2A/40181576550 784.9 16967.42

8/KHANCONS/ICICIBAN
/BULD3291
2024-01-19 UPI/P2M/438537142823 100.0 16867.42

/SWETHA K
ENTERPRISES /bike s
2024-01-19 UPI/P2A/401921796976/ 12000.0 28867.42

Mr DEVAN /Indian
Ba/UPI
2024-01-19 UPI/P2M/401962750245 120.0 28747.42

/PINTU JANA /food
2024-01-19 IMPS/P2A/40191417284 787.72 29535.14

9/SHREESWA/ICICIBAN
/BULD3294
2024-01-19 AXISDIRECT/D786172/1 981.19 28553.95

9-01-2024/06:01
2024-01-20 NEFT/CMS02024971885 26108.0 54661.95

05/UNITY 3PL
SERVICES PRIVATE L
2024-01-20 NEFT/MB/AXOMB40208 26108.0 28553.95

486636/Siva
2024-01-21 SMS Alerts Chrgs Incl 5.02 28548.93

GST
2024-01-21 UPI/P2M/438778826716 380.0 28168.93

/ANAZ K K /food
2024-01-21 UPI/P2M/402181628089 40.0 28128.93

/Sumathi Medicals
/medici
2024-01-21 UPI/P2M/438721429181 300.0 27828.93

/AMEER BASHA S
/grocer
2024-01-21 UPI/P2M/402179254890 1000.0 26828.93

/AMIT ENTERPRISES
/IN11hn
2024-01-22 IMPS/P2A/40222506636 2387.6 29216.53

1/VINAYAKE/RATNAKAR
/PAYFOR17
2024-01-22 UPI/P2M/402206660627 1000.0 28216.53

/AMIT ENTERPRISES
/IN11hn
2024-01-22 UPI/P2M/402296288140 16000.0 12216.53

/NARSINGH
MARKETING /t4yx
2024-01-23 UPI/P2M/438943906213 154.0 12062.53

/REVATHI STORES
PRIVAT/UPI
2024-01-23 IMPS/P2A/40231547220 1392.14 13454.67

2/SAILOGIS/INDUSIND/
P2AMOB
2024-01-23 UPI/P2M/438992706908 1010.0 12444.67

/CONA ENTERPRISES
/IN11hn
2024-01-23 UPI/P2M/438923825489 1500.0 10944.67

/jagdamba33257@fbl
/awnlh
2024-01-24 UPI/P2A/439047435586/ 300.0 10644.67

Mr Naveendasan
Jagade/UPI
2024-01-24 IMPS/P2A/40241812677 1393.0 12037.67

1/RAHULTRA/INDUSIN
D/P2AMOB
2024-01-24 UPI/P2A/402476152877/ 500.0 11537.67

DINESH RAJENDRAN
/UPI
2024-01-25 IMPS/P2A/40251247585 1387.0 12924.67

5/RAHULTRA/INDUSIN
D/P2AMOB
2024-01-26 UPI/P2M/439274607431 195.0 12729.67

/HOTEL SRI DURGA
/UPI
eSigned document:
2024-01-26 IMPS/P2A/40261825804 DEVAN LUXAN
1388.38 14118.05
1/KARNALGE/INDUSIN
D/P2AMOB
13.03.2024 22:39:04
2024-01-26 UPI/P2A/402656697312/ Reason: Upstox
5000.0 Trading and Demat A/C Opening
19118.05
LUXAN D/HDFC
BANK/UPI
2024-01-27 UPI/P2A/402770061889/ 200.0 19318.05

LUXAN D/HDFC
BANK/UPI
2024-01-27 UPI/P2M/402716145594 15165.0 4153.05

/BALAJI
CONSTRUCTION /o9j
2024-01-28 UPI/P2A/439416780332/ 1000.0 3153.05

Mr Naveendasan
Jagade/UPI
2024-01-29 UPI/P2A/402944197119/ 3.0 3156.05

GOOGLEPAY/Axis
Bank/UPI
2024-01-29 UPI/P2A/402944197166/ 3.0 3159.05

GOOGLEPAY/Axis
Bank/UPI
2024-01-29 UPI/P2A/439571020157/ 377.0 3536.05

Mr Naveen/Indian
Ba/UPI
2024-01-31 UPI/P2M/403142859513 2888.0 648.05

/I N COTTEX /03x2
2024-01-31 UPI/P2A/439782423375/ 648.05 0.0

LUXAN D /UPI
2024-02-06 NEFT/N0372428698620 6414.0 6414.0

76/ASPINO LOGISTIC
SOLUTIONS PV
2024-02-07 UPI/P2A/440462102712/ 25.0 6389.0

Mr C CRAMAN /UPI
2024-02-07 UPI/P2A/440459525749/ 1000.0 7389.0

AKAASH A/Canara
Ba/UPI
2024-02-07 UPI/P2A/403838938826/ 1000.0 8389.0

Mr Naveen/City
Unio/Sent fro
2024-02-07 UPI/P2A/440430603972/ 3000.0 11389.0

Mr Naveen/City
Unio/Sent fro
2024-02-07 UPI/P2M/403850437691 100.0 11289.0

/srinivasa agencies /bike
s
2024-02-07 UPI/P2A/403828242105/ 3000.0 8289.0

Mr Naveendasan
Jagade/UPI
2024-02-08 UPI/P2M/403958968800 700.0 7589.0

/RR FRUITS AND JUICE
/grocer
2024-02-08 UPI/P2M/440561570648 100.0 7489.0

/FFS PUMB 2 /bike s
2024-02-08 UPI/P2M/440573472643 254.0 7235.0

/Sankar P /grocer
2024-02-09 UPI/P2M/440600691043 10.0 7225.0

/MASILAMANI P /food
2024-02-11 UPI/P2A/404240895433/ 100.0 7125.0

DINESH RAJENDRAN
/UPI
2024-02-11 UPI/P2M/440895103966 125.0 7000.0

/SYED SWEETS /Pay to
2024-02-11 UPI/P2M/404223006761 480.0 6520.0

/Ss Hyderabad
Biriyani/food
2024-02-11 UPI/P2M/404296623450 40.0 6480.0

/A NAGARAJ /food
2024-02-11 UPI/P2M/404212224603 30.0 6450.0

/SSS SUPER MARKET
/grocer
2024-02-11 UPI/P2M/404283824184 50.0 6400.0

/SRI SRI RAM HOT
CHIPS/bakery
2024-02-11 UPI/P2M/404237225257 100.0 6300.0

/HP Auto Care Centre
/bike s
2024-02-12 UPI/P2M/440914641283 30.0 6270.0

/PRIYA JUICE SHOP
/juice
2024-02-12 UPI/P2M/440943247359 150.0 6120.0

/Gopi /grocer
2024-02-12 UPI/P2A/404363154232/ 100.0 6220.0

DINESH RA/Axis
Bank/UPI
2024-02-12 MBBPay/JioPrepaid/9060 666.0 5554.0

763671/120224
2024-02-13 UPI/P2A/404453495067/ 10000.0 15554.0

LEELA D/Axis Bank/UPI
2024-02-13 UPI/P2A/441072193483/ 5000.0 10554.0

Mr L Jaisankar /csc
2024-02-14 UPI/P2M/404535717383 22.0 10532.0

/Kommisetti eSigned document:
Venkateswa/breakf
DEVAN LUXAN
2024-02-14 UPI/P2M/404557680452
/UNIQUE
50.0 13.03.2024 22:39:04 10482.0
IDENTIFICATION/UPI Reason: Upstox Trading and Demat A/C Opening

Tr
2024-02-14 UPI/P2M/404520142515 155.0 10327.0

/SAFEER SON OF
MOHAMME/food
2024-02-14 UPI/P2A/441139248783/ 500.0 9827.0
LUXAN D /UPI
2024-02-15 UPI/P2M/441214968962 5.0 9822.0

/MOHAMED YOUSUF K
K /UPI
2024-02-15 UPI/P2M/404691898107 100.0 9722.0

s
2024-02-16 UPI/P2A/404728502956/ 30.0 9692.0

AKASH /UPI
2024-02-16 UPI/P2M/404744812013 45.0 9647.0

/AR Sweets And Bakery
/cake
2024-02-16 UPI/P2M/404747021742 924.0 8723.0

/ANJAPPAR CHETTINAD
IN/UPI
2024-02-17 UPI/P2M/441448461519 30.0 8693.0

/AHAMED SHITHIK A
/grocer
2024-02-18 UPI/P2M/441520316013 40.0 8653.0

/A NAGARAJ /food
2024-02-19 UPI/P2M/405067850372 100.0 8553.0

/RAMAKRISHNA
SERVICE S/UPI
2024-02-19 UPI/P2A/441647651649/ 10.0 8543.0

RAJENDIRAN G /UPI
2024-02-19 UPI/P2M/405052052573 40.0 8503.0

/VPM TEA STALL /UPI
2024-02-19 UPI/P2M/441664453131 90.0 8413.0

/surya coll bar /food
2024-02-19 UPI/P2M/441657377143 50.0 8363.0

/Mouna Guru
Kannappasa/UPI
2024-02-19 UPI/P2M/441746880371 25.0 8338.0

/Jio Prepaid
Recharges/UPI
2024-02-20 UPI/P2A/405171277298/ 100.0 8238.0

K NARESHKUMAR /UPI
2024-02-21 UPI/P2A/405280120077/ 72.0 8166.0

Mr C CRAMAN /UPI
2024-02-21 UPI/P2A/441826721134/ 10.0 8156.0

Mr C CRAMAN /UPI
2024-02-21 UPI/P2A/405238629850/ 24168.0 32324.0

Mr Naveen/Indian
Ba/UPI
2024-02-21 UPI/P2M/441825836666 100.0 32224.0

/surya coll bar /UPI
2024-02-21 UPI/P2A/441873837584/ 24168.0 8056.0

DEVAN M /UPI
2024-02-21 UPI/P2M/441854839737 100.0 7956.0

/Pump 1 /bike s
2024-02-21 UPI/P2A/441801944404/ 250.0 7706.0

D SHOBANBABU /porter
2024-02-22 UPI/P2A/405383366472/ 2000.0 5706.0

KALAIVANI R /UPI
2024-02-22 UPI/P2M/405374172869 200.0 5506.0

/HOTEL SRI DURGA
/UPI
2024-02-22 UPI/P2M/441936674832 30.0 5476.0

/HOTEL SRI DURGA
/food
2024-02-22 UPI/P2M/441911386399 70.0 5406.0

/SURESH PRAKASAM
/cake
2024-02-24 UPI/P2M/442136387676 30.0 5376.0

/Usha /grocer
2024-02-25 UPI/P2M/405624796180 80.0 5296.0

/VISWANATHAN /food
2024-02-25 UPI/P2M/405682905634 40.0 5256.0

/A NAGARAJ /food
2024-02-25 UPI/P2M/405688805574 100.0 5156.0

s
2024-02-27 UPI/P2A/442482592401/ 5000.0 156.0

Mr L Jaisankar /UPI
2024-02-28 UPI/P2A/442586215659/ 100.0 56.0

AROKIARAJ M . /UPI
2024-02-29 UPI/P2A/442628461992/ 30.0 26.0

Mr C CRAMAN /UPI
2024-02-29 UPI/P2A/406007489693/ 6354.0

eSigned document: 6380.0
Mr Naveen/Indian
Ba/UPI
DEVAN LUXAN
2024-02-29 UPI/P2A/406043593580/ 13.03.20242000.0
22:39:04 8380.0
KALAIVANI/Canara
Ba/UPI Reason: Upstox Trading and Demat A/C Opening
2024-03-01 UPI/P2M/406151936932 50.0 8330.0
/PARTHIPAN K /Pay to
2024-03-02 UPI/P2M/442833788639 540.0 7790.0
/FB cakes Redhills /UPI
2024-03-02 UPI/P2A/406290391453/ 500.0 7290.0

Mr Naveendasan
Jagade/UPI
2024-03-02 UPI/P2M/406255097644 510.0 6780.0

/SARANYA B /UPI
2024-03-03 UPI/P2M/442957406130 90.0 6690.0

/A GANDHI /Pay to
2024-03-03 UPI/P2M/406306328271 150.0 6540.0

/Mr K CHIRANJEEVI
/UPI
2024-03-04 UPI/P2M/443068661117 106.0 6434.0

/REVATHI STORES
PRIVAT/UPI
2024-03-04 UPI/P2M/406475462441 38.0 6396.0

/Sumathi Medicals
/medici
2024-03-05 UPI/P2M/406506000629 590.0 5806.0

/ZOLOSTAYS PROPERTY
SO/UPIInt
2024-03-05 UPI/P2A/406546795188/ 300.0 5506.0

ARUNKUMAR R /UPI
2024-03-05 UPI/P2A/406557506631/ 4000.0 1506.0

MR FRANKLIN JOE S
/UPI
2024-03-06 UPI/P2M/406683675929 24.0 1482.0

/BABULAL GURJAR
/food
2024-03-07 UPI/P2A/406757608715/ 750.0 732.0

PALIES IT SERVICES
/UPI
2024-03-07 UPI/P2M/443301314621 100.0 632.0

/RAVI CHANDRAN N C
/UPI
2024-03-07 NEFT/N0672429218417 11437.0 12069.0

61/ASPINO HR
SERVICES PVT LTD
2024-03-07 UPI/P2M/406737432522 12.0 12057.0

/BABULAL GURJAR /tea
2024-03-08 UPI/P2A/443431753330/ 1000.0 13057.0

Mr Naveen/Indian
Ba/UPI
2024-03-08 UPI/P2A/406844530049/ 590.0 13647.0

ZOLOSTAYS/ICICI
Ban/Refund f
2024-03-08 UPI/P2M/406835485882 60.0 13587.0

/CHETTINADU IDLY
KADAI/UPI
2024-03-09 UPI/P2M/406933726172 371.64 13215.36

/BIGTREE
ENTERTAINMENT/UPI
2024-03-09 UPI/P2M/406975330817 240.0 12975.36

/PVR LIMITED /Paymen
2024-03-09 UPI/P2M/406928242815 204.0 12771.36

/KOVAI BIRIYANI
HOTEL /UPI
2024-03-09 UPI/P2A/406949645930/ 150.0 12621.36

Mr Pappusamy
Subbanna/UPI
2024-03-09 UPI/P2M/443531140992 195.0 12426.36

/NAGAVALLI D /UPI
2024-03-09 UPI/P2M/406975342117 70.0 12356.36

/GOVINDHARAJAN
RAJINI /UPI
2024-03-09 UPI/P2M/443500142508 60.0 12296.36

/RANJITH R /UPI
2024-03-10 UPI/P2A/407016946826/ 60.0 12236.36

Fajuludheen B /UPI
2024-03-10 UPI/P2A/407086144780/ 100.0 12136.36

SANTHOSHKUMAR R
/UPI
2024-03-10 UPI/P2M/443632843841 200.0 11936.36

/NELAR /UPI
2024-03-10 ATM-CASH- 1000.0 10936.36

AXIS/DWRO483601/384
5/100324/COIMBATORE
2024-03-10 POS/SATHYA AGENCIES 2910.0 8026.36

P/COIMBATORE/100324
/14:14
2024-03-10 POS/A RANGASWAMY 1355.0 6671.36

CHET/COIMBATORE/10
0324/15:25
2024-03-10 UPI/P2M/407095989540 29.0 6642.36

/Jio Prepaid
Recharges/UPI
eSigned document:
2024-03-11 UPI/P2M/407177310316 190.0 DEVAN LUXAN 6452.36
/SIMMI G K /food
13.03.2024 22:39:04
2024-03-11 UPI/P2M/443726334783 1000.0 5452.36A/C Opening
Reason: Upstox Trading and Demat
/MANA CLOTHES
/171016
2024-03-12 UTI Nifty 50 500.0 4952.36

In/108446995/NIGP
2024-03-13 UPI/P2M/407314443218 145.0 4807.36
to
2024-03-13 UPI/P2M/407387339857 1.0 4806.36

/Upstox /Accoun
This document is computer generated via Account Aggregator and

does not require Company's signature or stamp in order to be
considered valid
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04
eSigned document:
DEVAN LUXAN
13.03.2024 22:39:04

65f1d5fd0701275b0dd55d30 All Sign

Uploaded by

Copyright:

Available Formats

You might also like

65f1d5fd0701275b0dd55d30 All Sign

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

65f1d5fd0701275b0dd55d30 All Sign

Uploaded by

Copyright:

Available Formats

Know Your Client (KYC) PLEASE AFFIX A

A. Identity Details (please see guidelines)

FULL NAME (As appearing in supporting identification document): DEVAN LUXAN

CITIZENSHIP ✔ IN - INDIAN OTHER DATE OF BIRTH (dd/mm/yyyy) 02/03/2001

PAN (Please enclose a duly attested copy) BEEPL5112B Applicant E-Sign

A- Aadhar Card XXXX XXXX

B. Address Details (Please see guidelines)

398 K S Nagar Main Street Puzhal, Kavangarai Puzhal Mathavaram

CITY/TOWN/VILLAGE: TIRUVALLUR STATE: TAMIL NADU PIN CODE 600066

DISTRICT: TIRUVALLUR COUNTRY: India

398 K S Nagar Main Street Puzhal, Kavangarai Puzhal Mathavaram

CITY/TOWN/VILLAGE: TIRUVALLUR STATE: TAMIL NADU PIN CODE 600066

✔ A- Aadhar Card XXXX XXXX 0178

B- Passport Number Expiry Date

E - NREGA Job Card

EMAIL ID* luxansiva232001@gmail.com

MOBILE NO.* 9444221165

DECLARATION FOR NAME MISMATCH

Name as per Income Tax DEVAN LUXAN

Name as per Bank Proof LUXAN D

Name as per Address Proof Luxan D

Name as per Income Proof

CLIENTʼS SIGNATURE [12 ] X

Document type e-Aadhaar generated from DigiLocker verified Aadhaar XML

Generation date 2024-03-13T22:19:11.918+05:30 Download date 2024-03-13T22:19:11.918+05:30

Date of birth 02-03-2001

c/o, s/o, C/O: M Devan

PIN Code 600066 State Tamil Nadu

DOCUMENT SIGNIFICANCE PAGE(s)

Rights and Obligations Provided to client

Guidance Note Provided to client

DOCUMENT SIGNIFICANCE PAGE(s)

Authorization for Letter of Authorization for Electronic Contract Notes. 10

Authorization of running Letter or authority/request to RKSV Commodities India Pvt. Ltd. 10

REGISTERED OFFICE ADDRESS KYC PROCESSING OFFICE ADDRESS

(A) IMPORTANT POINTS

(B) PROOF OF IDENTITY( P01): List of documents admissible as Proof of Identity:

(E) LIST OF PEOPLE AUTHORIZED TO ATTEST THE DOCUMENTS:

ADDITIONAL DOCUMENTS IN CASE OF TRADING IN DERIVATIVES SEGMENTS - ILLUSTRATIVE LIST

A. Identity Details (please see guidelines)

FULL NAME (As appearing in supporting identification document): DEVAN LUXAN

CITIZENSHIP ✔ IN - INDIAN OTHER DATE OF BIRTH (dd/mm/yyyy) 02/03/2001

PAN (Please enclose a duly attested copy) BEEPL5112B Applicant E-Sign

A- Aadhar Card XXXX XXXX

B. Address Details (Please see guidelines)

398 K S Nagar Main Street Puzhal, Kavangarai Puzhal Mathavaram

CITY/TOWN/VILLAGE: TIRUVALLUR STATE: TAMIL NADU PIN CODE 600066

DISTRICT: TIRUVALLUR COUNTRY: India

398 K S Nagar Main Street Puzhal, Kavangarai Puzhal Mathavaram

CITY/TOWN/VILLAGE: TIRUVALLUR STATE: TAMIL NADU PIN CODE 600066

✔ A- Aadhar Card XXXX XXXX 0178

B- Passport Number Expiry Date

E - NREGA Job Card

EMAIL ID* luxansiva232001@gmail.com

MOBILE NO.* 9444221165

TEL (Off) TEL (Res)

DECLARATION FOR NAME MISMATCH

Name as per Income Tax DEVAN LUXAN