CUSTOMER DECLARATION LETTER

To,
Nuvama Wealth and Investment Limited,
Edelweiss House,
Off CST Road, Kalina,
Mumbai – 400098

Subject: Declaration on regulatory action

I SHAIKH MOHAMMAD TAWSEEF HAFIZUDDIN hereby declare that, my PAN FFPS1002G and
my DOB is 13/10/1990.
I/We are given to understand that, our name is same/ similar to names of certain person(s) found on a
publicly available watchlist/ restricted list.

In this regard I/we hereby confirm and declare that we, have not been blacklisted/ De-registered/
debarred / disqualified or declared defaulter by any Government department/ Statutory
Authority/MCA/ SEBI or Stock Exchanges or any other regulatory authority.

I/We have also do not have any arbitration claim payable to any other stock-broker for transactions
executed on the Stock Exchanges.

You are requested to process my application with Nuvama Wealth and Investment Limited
having application number 60181660.

Regards,
Client Name: SHAIKH MOHAMMAD TAWSEEF HAFIZUDDIN

Client E-Sign: