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IL&FS House, Plot No.

14, Raheja Vihar, Chandivali, Andheri (E), Mumbai-400072 Tel: 4249 3000 Fax: 2857 0948 Email: issl-dp@issl.co.in Website : www.ilfsdp.com

NSDL Account Opening Form

Form No. 2700055

Form No. 2700055

DPID Stamp :
Group/Sub group code :_____________________

DPID Stamp :

For Branch Use Only


Upfront Payment Details :

Please pay by cheque only. Do not pay cash or by bearer cheque

Cheque No. Cheque Dt. Bank details.

Client Acknowledgement Copy

Break-up of payment :

IL&FS Securities Services Limited

1-Maintenance : 2-Stamp Charges : 3-Others Total : Acceptance date Accepted by : Accepted by (Sign): DSA code : DSA Auth. Signatory: Branch Manager/ Authorized official :

We hereby acknowledge the receipt of the account opening application form:

KANUPRIYA GUPTA

Name of the second joint holder

Name of the third joint holder

Name of the sole/first holder

For HO use only:

Inward date : Client Id.: Kit dispatch date: Scanning:

Branch Stamp

HO Stamp
1

Along with cheque No. drawn on

dated

Depository participant seal and signature

Amount (Rs.) :

Regd Off.: IL&FS House, Plot No. 14, Raheja Vihar, Chandivali, Andheri (E), Mumbai-400072 Tel: 4249 3000 Fax: 2857 0948 Email: issl-dp@issl.co.in Website : www.ilfsdp.com

for amount Rs

Form No. 2700055

HELP CHECKLIST FOR FILLING THE DP ACCOUNT OPENING FORM

Account opening form Page 3 Type / Sub type of account ticked Name in the Account Opening form to be the same as name in PAN card (all holders) Address for communication to be ticked In case the type of account is NRI, overseas address to be mandatorily filled Page 4 In case the sole holder is a Minor, guardian details to be mandatory filled Bank details duly filled Page 5 Signature on form to match with Signature on PAN card (all holders) Standing Instruction ticked Account to be operated through POA - option ticked Nature of Business / Financial details duly filled (all holders) Page 6 Photograph PASTED on the form (all holders) General Address to be in full and to match with the proof provided (all holders) Occupation details duly filled (all holders) Date of Birth to match with Date of Birth in PAN card PAN details to be filled (all holders) All blanks struck off Cancellations, if any, are authenticated by all the holders Documents to be submitted for opening a Demat Account : Account Opening Form - completed in all respects as mentioned in the checklist *Valid Proof of address (all holders)-any one document as given in the list. In case both the correspondence and permanent address are filled in the Account Opening Form, proof has to be provided for both *Valid Proof of Identity (all holders) - any one document as given in the list PAN card copy (all holders) MICR Proof (photocopy of cheque)-should match with the Bank account details provided in the form Rate sheet duly signed DP Client Agreement duly executed Agreement for receiving Bill and Transaction Statements by email (optional) POA duly signed and completed

Tick here

Document type Ration Card - should have the holders name in the list of members Voter ID card Passport - should be valid on the date of submission Driving License - should be valid on the date of submission Bank passbook Bank Statement - Original / Copy of bank statement on the stationery of the bank carries logo & name of the bank alongwith cancelled copy of cheque. OR Original bank statement on a computer generated stationery duly attested by the bank officials alongwith name and designation and signed by the client alongwith cancelled original cheque. The bank statement should be of the latest quarter Electricity Bills-the bill date should not be more that two months old on the date of submission Telephone Bills - the bill date should not be more than two months old on the date of submission. This has to be a landline bill only and FWT / Mobile bills not accepted Registered leave and license agreement-should be valid on the date of submission Registered Agreement for sale Identity card / document with address issued by Professional Bodies such as ICAI, ICWAI, Bar Council to their Members along with proof of membership Photo credit card / debit card issued by Banks Identity card/document with applicant photo , issued by a. Central / State Government and its departments b. Statutory / regulatory authorities c. Public Sector undertakings d. Scheduled Commercial banks e. Public Financial Institutions f. Colleges affiliated to Universities (this can be treated as valid only till the time the

Acceptable as Proof of address

Acceptable as Proof of Identity

Regd. Off. : IL&FS House, Plot No. 14, Raheja Vihar, Chandivali, Andheri (E), Mumbai-400072 Tel: 4249 3000 Fax: 2857 0948 Email : issl-dp@issl.co.in Website : www.ilfsdp.com

Form No. 2700055

Application for Opening a Demat Account for INDIVIDUALS - ANNEXURE J


INSTRUCTIONS : 1. Please fill all the details in CAPITAL LETTERS only. 2. Strike off whichever is not applicable. 3. Provide document evidence as per options on

Date

Client ID

TYPE OF ACCOUNTS (Please specify type correctly, change in type not allowed)

Ordinary

q HUF

q NRI Repatriable

q NRI Non-Repatriable

Margin

q Promoter

Others____________

I/We request you to open a depository account in my/our name as per the following details.
PERSONAL DETAILS SOLE/FIRST HOLDER DETAILS (The name mentioned here will be treated as valid & correct. No claims will be entertained later for any disputes arising out names specified wrongly)

FULL NAME (Mr./Ms.) as per pan card NAME OF FATHER/HUSBAND LOCAL/PERMANENT ADDRESS
Provide proof of this address (Options listed on page 2)

KANUPRIYA GUPTA KALYAN CHAKRAVARTHY B.S.S FLAT F2, PLOT NO.2, SRIVARAAHA, 20TH STREET, TANSI NAGAR, VELACHERY

CITY: CHENNAI
CORRESPONDENCE ADDRESS Provide proof of this address (options listed on page2)

STATE: TAMILNADU

PIN :

600042

CITY:

STATE:

PIN :

TELEPHONE NO. (with STD code) MOBILE NO. EMAIL

91-9962589968 9962589968

FAX NUMBER SMS FACILITY SEX

YES

NO

q MALE

FEMALE

OCCUPATION DATE OF BIRTH MOTHERS NAME ADDRESS FOR COMMUNICATION


IN CASE OF NON-RESIDENT INDIAN:

Service { q Central Govt. q State Govt. q q Professional q Business q Student 18/05/1982 PARVEEN

Public / Private Sector Housewife

q q

NGO Retired

q Statutory Body} q Others (Specify)______

PAN No. (Mandatory) : AKOPG7830Q

Local / Permanent Address

q Correspondence Address

qForeign Address

FOREIGN ADDRESS (Attestation Mandatory in proof)


CITY: STATE : COUNTRY: RBI APPROVAL DATE : TEL (RES): FAX: MOBILE : PIN:

RBI/AUTH DEALER REF. NO FOREIGN CONTACT DETAILS

Signature (s) F1 S1 T1

KANUPRIYA GUPTA

Form No. 2700055


GUARDIAN DETAILS (In case the Sole Holder is a Minor)

NAME (Mr./Ms.) as per pan card RELATIONSHIP ADDRESS OF GUARDIAN


CITY : STATE : TEL: :

Date of Birth (of minor) Proof Mandatory

PIN : MOB:

PAN No. (Mandatory)

SOLE/FIRST HOLDERS BANK ACCOUNT DETAILS (attach a cancelled / blank cheque leaf)

ACCOUNT TYPE ACCOUNT NUMBER (As per cheque leaf) NAME OF BANK

Savings
000201090819 ICICI BANK LTD MG ROAD BANGALORE

q Current

q Cash Credit

q Others

BRANCH ADDRESS (Banks Branch)

NON-MICR LOCATION 9-DIGIT CODE MICR NUMBER OF THE BANK AS APPEARING ON MICR CHEQUE LEAF.

Yes

No

Cheque Leaf Attached

Yes

q No

SECOND HOLDERS DETAILS (Joint holding not allowed in case any holder is (a) Minor or (b) if it is a HUF account)

FULL NAME (Mr./Ms.) as per pan card NAME OF FATHER/HUSBAND ADDRESS


Provide proof of this address

CITY:

STATE:

PIN : FAX NUMBER :

TELEPHONE NO. (with STD code) MOBILE NO. EMAIL OCCUPATION

SMS FACILITY SEX Service {

q YES q MALE

NO q FEMALE
Statutory Body} Others

q
DATE OF BIRTH MOTHERS NAME

Professional

q Central Govt. q State Govt. q Public / Private Sector q Business q Student q Housewife
PAN No. (Mandatory) :

q NGO q q Retired q

THIRD HOLDERS DETAILS (Joint holding not allowed in case any holder is (a) Minor or (b) if it is a HUF account)

FULL NAME (Mr./Ms.) as per pan card NAME OF FATHER/HUSBAND ADDRESS


Provide proof of this address

CITY:

STATE:

PIN : FAX NUMBER :

TELEPHONE NO. (with STD code) MOBILE NO. EMAIL OCCUPATION

SMS FACILITY SEX Service {

q
DATE OF BIRTH MOTHERS NAME Signature (s) F2

Professional

q Central Govt. q State Govt. q Business q Student

q Public / Private Sector q Housewife

q YES NO q MALE q FEMALE q NGO q Statutory Body} q Retired q Others

PAN No. (Mandatory) :

S2

T2

KANUPRIYA GUPTA 4

Form No. 2700055

DECLARATIONS
The rules and regulations of the Depository and Depository Participants pertaining to an account which are in force now have been read by me /us and I/we have understood the same and I/we agree to abide by and to be bound by the rules as are in force from time to time for such accounts. I/We also declare that the particulars given by me/us are true to the best of my/our knowledge as on the date of making such application. I/We further agree that any I/We, hereby confirm that I/We will act on my/our own behalf and will continue to act on my/our own behalf unless otherwise communicated in writing.

DECLARATIONS RE : PREVENTION OF MONEY LAUNDERING


Prevention of Money Laundering Act, 2002 (hereinafter referred to as Act) came into effect from July 1,2005 vide Notification No. GSR 436(E) dated July 1,2005 issued by Department of Revenue, Ministry of Finance, Government of India. Further, SEBI vide its circular reference number ISD /CIR/RR/AML/1/06 dated January 18, 2006 mandated that all intermediaries should formulate and implement a proper policy framework as per the guidelines on anti money laundering measures and also to adopt a Know Your Customer (KYC) policy. The intermediaries may, according to their requirements specify additional disclosures to be made by clients for the purposes of identifying, monitoring and reporting incidents of money laundering and suspicious transactions undertaken by clients. SEBI also issued another circular reference no. ISD/CIR/RR/AML/2/06 dated March 20, 2006 advising all intermediaries to take necessary steps to ensure compliance with the requirement of section 12 of the Act, inter-alia, maintenance and preservation of records and reporting of The investor(s) should ensure that the amount invested in the securities and represented as credit in their demat account is through legitimate sources only and does not involve and is not designated for the purpose of any contravention or evasion of the provisions of the Income Tax Act, Prevention of Money Launder ing Act, Prevention of Corruption Act and/or any other applicable law in force and also any laws enacted by the Government of India from time to time or any To ensure appropriate identification of the customer (s) under its KYC policy and with a view to monitor transactions , ISSL DP reserves the right to seek information, record customers telephonic calls and /or obtain and retain documentation for establishing the identity of the customer, proof of residence, source of funds, etc. It may re- verify identity, seek and obtain any incomplete or additional information for this purpose.

NAME (S) OF HOLDER(S) NAME AS IN PAN CARD / PAGE 3 SOLE/FIRST HOLDER (Mr./Ms.)

SIGNATURE(S) (Use Black Ink only) F3

KANUPRIYA GUPTA

SECOND HOLDER (Mr./Ms.)

S3

THIRD HOLDER (Mr./Ms.) GUARDIAN(in case of minor)


(Mr./Ms.)

T3

STANDING INSTRUCTION
I/We authorize you to receive credits automatically into my/our Demat account. No In case of a NRI account (RBI Approval)/Authorised Dealer Approval furnished Account to be operated through Power of Attorney

q q q

Yes (default) Yes Yes

q q

No No No (default)

ADDITIONAL FINANCIAL DETAILS (Mandatory)


FIRST HOLDER
Financial Status (Annual Income)

Income Range per annum:

Up to Rs.1Lakh Rs.5 - 10 Lakh

q Rs.1 - 2 Lakh q Rs.10 - 15 Lakh

q Rs.2 - 3 Lakh q > Rs.15 Lakh

q Rs.3 - 5 Lakh

NATURE OF BUSINESS
SECOND HOLDER
Financial Status (Annual Income)

HOUSEWIFE
Income Range per annum:

q Up to Rs.1Lakh q Rs.5 - 10 Lakh

q Rs.1 - 2 Lakh q Rs.10 - 15 Lakh

q Rs.2 - 3 Lakh q > Rs.15 Lakh

q Rs.3 - 5 Lakh

NATURE OF BUSINESS
THIRD HOLDER
Financial Status (Annual Income)

Income Range per annum:

q Up to Rs.1Lakh q Rs.5 - 10 Lakh

q Rs.1 - 2 Lakh q Rs.10 - 15 Lakh

q Rs.2 - 3 Lakh q > Rs.15 Lakh

q Rs.3 - 5 Lakh

NATURE OF BUSINESS

Signature (s) F4 S4 T4

KANUPRIYA GUPTA

Form No. 2700055

PHOTOGRAPHS OF ALL HOLDERS (Sign as per illustration provided)

IN PERSON VERIFICATION

NAME/DETAILS OF BRANCH/SERVICE CENTRE NAME OF THE DP STAFF

SIGNATURE OF THE DP STAFF & DP CODE DATE WHEN INPERSON VERIFICATION WAS CARRIED OUT PLACE WHERE INPERSON VERIFICATION WAS CARRIED OUT SIGNATURE OF THE APPLICANT(S) SIGNED IN THE PRESENCE OF THE DP STAFF

NAME (S) OF HOLDER(S)

SIGNATURE(S)

SOLE/FIRST HOLDER (Mr./Ms.)

KANUPRIYA GUPTA

F6

SECOND HOLDER (Mr./Ms.)

S6

THIRD HOLDER (Mr./Ms.) GUARDIAN(in case of minor) (Mr./Ms.)

T6

INSTRUCTION: Verify the photo with person; verify the originals of PAN card, other ID proofs and Address proof. Stamp the photocopies with Rubber stamps provided; sign & date

Signature (s)
F7 T7

S7

KANUPRIYA GUPTA 6

Form No. 2700055

FORM FOR NOMINATION ANNEXURE JA

q
transfer held

I/We

wish the

to

make

nomination in in in

and all of said

do

hereby of

nominate in the

following amount

person payable by me/us

whom respect the

rights

and/or

securities beneficiary

Depository

owner account bearing application no. as mentioned

I/WE DO NOT WISH TO MAKE A NOMINATION


Where a nomination is made please ensure that the following are present o o o o Photograph of the nominee, signed as illustrated on page 6 Signature of the Nominee, Nominee PAN Signatures of two witnesses. In case of minor nominee, guardian to also sign across the minor

DETAILS OF NOMINEE
NAME OF NOMINEE (Mr./Ms.)
(Cannot be one of the holders)

KALYAN CHAKRAVARTHY BSS SPOUSE PLOT NO2, SRIVARAAHA, 20TH STREET TANSI NAGAR VELACHERY

RELATIONSHIP WITH THE APPLICANT (if any)

ADDRESS

CITY: CHENNAI PIN 600042

STATE : TAMILNADU PAN No.

SIGNATURE OF NOMINEE

IF NOMINEE IS MINOR
GUARDIAN'S NAME (Mr./Ms.)
(in case Nominee is a minor)

RELATIONSHIP WITH THE APPLICANT (if any)

ADDRESS OF GUARDIAN

CITY : PIN

STATE : PAN No. DATE OF BIRTH OF NOMINEE

SIGNATURE OF GUARDIAN

DETAILS OF CLIENTS
NAME (S) OF HOLDER(S) NAME AS IN PAN CARD/PAGE 3. SIGNATURE(S) (Use Black Ink only)

SOLE/FIRST HOLDER (Mr./Ms.) SECOND HOLDER (Mr./Ms.) THIRD HOLDER (Mr./Ms.)

KANUPRIYA GUPTA

F8

S8

T8

WITNESSES TO NOMINATION (MANDATORY)


SR.NO. NAME & COMPLETE ADDRESS (address is mandatory) SIGNATURE DATE

1.

2.

Form No. 2700055

Kindly read the following instructions before filling up Nomination Details

1.

2. 3. 4. 5. 6.

The nomination can be made only by individuals holding beneficiary owner accounts on their own behalf singly or jounlty. Non indiciduals including society, trust body corporate, partnership firm, Karta of Hindu Undivided Family (HUF) Holder of power of attorney cannot nominate. If the account is held jointly, all the joint holders must sign the nomination form. Nomination can be made in favour of a Minor. In that event, the name and address of the Guardian of the minor nominee shall be provided by the beneficial owner(s). Guardian should be someone other than the holders of the beneficiary account. The Nominee shall not be a trust, society, body corporate, partnership firm, karta of Hindu Undivided Family or a power of attorney holder. A Non-resident Indian (NRI) can be a Nominee subject to the RBI Regulations in force, from time to Nomination in respect of the beneficiary owner account stands rescinded upon closure of the beneficiary owner account. Similarly the nomination in respect of the securities shall stand terminated upon transfer of the securities. Transfer of securities in favour of a nominee shall be valid discharge by the Depository or Depository Participant against the legal heirs of the beneficial owner(s). The cancellation of Nomination can be made by the same persons who made the original nomination. Non-individuals including society, trust, body corporate, partnership firm, karta of Hindu Undivided Family (HUF), holder of power of attorney cannot cancel the nomination. If the beneficiary owner account is held jointly all joint On cancellation of nomination, the nomination shall stand rescinded and the Depository /Depository Participant shall not be under any obligation to transfer the securities in favour of the Nominee.
If the nomination details are not completed in all respects, the nomination will not be registered

7. 8. 9.

In case you do not wish to nominate, we request you to tick the second option, i.e. I/WE THE UNDERSIGNED DO NOT WISH TO MAKE A NOMINATION IN RESPECT OF MY BO ACCOUNT in the nomination form duly signed by the account holder (s) and forward it to us. Please also strike the nominee details.

NOTES 1. 2. 3.
All communication shall be sent at the address of the Sole/First holder only. Thumb impressions and signatures other than English or Hindi or any of the other languages not contained in the 8th Schedule of the Constitution of India must be attested by a Magistrate or a Notary Public or a Special Executive Magistrate. As per NSDL Circular No. NSDL/PI/2004/1622 dated September 7, 2004, pursuant to SEBI Circular No. MRD/DoP/Dep/Cir-29/2004 dated August 24, 2004, a copy of any one of the following documents must be accepted as proof of identity / proof of address (local / correspondence/ foreign address as the case may be) : Proof of Identity : Passport, Voter ID Card, Driving license, PAN card with photograph, Identity card /document with applicants Photo issued by a) Central / State Governments and its Departments, b) Statutory/Regulatory Authorities c) Public Sector Undertakings d ) Scheduled Commercial Banks e) Public Financial Institutions f)Colleges affiliated to Universities g) Professional Bodies such as ICAI, Proof of Address : Ration card, Passport, Voter ID Card, Driving license, Bank passbook, verified copies of Electricity bills (not more that two months old)/Residence Telephone bills (not more than two months old) / Leave and License agreement /Agreement for sale, Self-declaration by High Court & Supreme Court judges giving the new address in respect of their own accounts, Identity card/document with address, issued by a) Central / State Governments and its Departments, b) Statutory/Regulatory Authorities c) Public Sector Undertakings d) Scheduled Commercial Banks e) Public Financial Institutions f)Colleges affiliated to universities; and g)

Form No. 2700055

AGREEMENT WITH THE DEPOSITORY PARTICIPANT


AGREEMENT BETWEEN THE DEPOSITORY PARTICIPANT AND THE PERSON SEEKING TO OPEN AN ACCOUNT WITH THE DEPOSITORY PARTICIPANT (APPLICANT)

This Agreement made and entered into this __________________________ day of _____________________ (month) ____________________ (year) between KANUPRIYA GUPTA residing at FLAT F2, PLOT NO.2, SRIVARAAHA, 20TH STREET, TANSI NAGAR, VELACHERY, CHENNAI, TAMILNADU - 600042 (hereinafter called client) and IL&FS Securities Services Limited situated at IL&FS House, Plot No. 14, Raheja Vihar, Chandivali, Andheri (E), Mumbai-400072. (hereinafter called the Depository Participant)

WITNESSETH
WHEREAS the Client has furnished to the Depository Participant the duly filled in application form requesting therein to open an account with the Depository Participant NOW THEREFORE in consideration of the Depository Participant having agreed to open account for the Client, both the parties to the agreement hereby convenant and agreeas follows:1. The Client shall pay such charges to the Depository Participant for the purpose of opening and maintaining his account, for carrying out the instructions of the Client and for rendering such other services as may be agreed to from time to time between the Depository Participant and the Client as set out in Schedule A. The Depository Participant shall reserve the right to revise the charges by giving not less than thirty days notice in The Client shall have the right to get securities which have been admitted on the Depository dematerialized in the form and manner laid down under the Bye Laws and Business Rules. The Depository Participant further undertakes that it shall not create or permit to subsist any mortgage, charges or other encumbrances over all or any of such securities submitted for dematerialisation except on the instructions of the Client The Depository Participant hereby undertakes that it shall maintain a separate account of its own securities held in dematerialized form with the Depository and shall not commingle the same with the securities held in dematerialized form on behalf of the Client The Depository Participant undertakes that a transfer to and from the accounts of the Client shall be made only on the basis of an order, instruction, direction or mandate duly authorised by the Client and that the Depository Participant shall maintain adequate audit trail of such authorization. The Depository Participant agrees that the Client may give standing instructions with regard to the crediting of securities in his account and the Depository Participant shall act according to such instructions. The Depository Participant undertakes to provide a transaction statement including statement of accounts , if any, to the Client at monthly intervals unless the Depository Participant and the Client have agreed for provision of such statements at shorter intervals. However, if there is no transaction in the account, then the Depository Participant shall provide such statement to the Client atleast once a quarter. The Depository Participant shall have the right to terminate this agreement, for any reasons whatsoever, provided the Depository Participant has given a notice in writing of not less than thirty days to the Client as well as to the Depository. Similarly, the Client shall have the right to terminate this agreement and close his account held with the Depository Participant, provided no charges are payable by him to the Depository Participant. In such an event, the Client shall specify whether the balances in its account should be transferred to another account of the Client held with another Depository Participant or to rematerialise the security balances held. Based on the instructions of the Client, the Depository Participant shall initiate the procedure for transferring such security balances or rematerialise such security balances within a period of thirty days, as per the procedure laid down in the Bye Laws and Business Rules. Provided further, termination of this agreement shall not affect the rights, liabilities and obligations of either party and shall continue to bind the parties to their satisfactory completion. On the failure of the Client to pay the charges as laid out in clause (1) of this agreement within a period of thirty days from the date of demand Depository Participant shall terminate this agreement and close the account of the Client by requiring it to specify

whether the balances in its account be transferred to the account of the Client held with another Participant or be rematerialised, in the manner specified in the Bye Laws and Business Rules. 9. The Client further agrees that in the event of the Client committing a default in the payment of any of the amounts provided in clause (1) within a period of thirty days from the date of demand, without prejudice to the right of the Depository Participant to close the account of the Client, the Depository Participant may charge interest @ not more than 24% p.a. or such other rate as may be specified by the Executive Committee from time to time for the period of such default. In case the Client has failed to make the payment of any of the amounts as provided in clause ( 1 ) of this agreement, the Depository Participant shall have the right to discontinue the Depository services till such time he makes the payment along with interest, if any, after giving two days notice to the Client. The Depository Participant shall have a right to provide such information related to the Clients account as may be requested by the National Securities Depository Ltd. From time to time The Client shall have the right to create a pledge of the securities held in the dematerialised form with the Depository Participant only in accordance with the procedure and subject to the restriction laid down under the Bye Laws and Business Rules. The Depository shall not be liable to the Client in any manner towards losses, liabilities and expenses arising from the claims of third parties and from taxes and other governmental charges in respect of securities credited to the Clients account. The Client may exercise the right to freeze his account maintained with the Depository Participant so as to lock the securities held with the Depository Participant in accordance with the procedures prescribed in the Bye Laws and Business Rules. The Client may exercise the right to defreeze his account maintained with the Depository Participant in accordance with the procedure and subject to the restrictions laid down under the Bye Laws and Business Rules. The Client shall notify the Depository Participant, within seven days, of any change in the details set out in the application form submitted to the Depository Participant at the time of opening the account or furnished to the Depository Participant from time to time The Depository Participant undertakes to resolve all legitimate grievances of the Client against the Depository Participant within a period of thirty days. The Depository Participant and the Client shall abide by the arbitration and conciliation procedure prescribed under the Bye Laws of National Securities Depository Ltd. and that such procedure shall be applicable to any disputes between the Depository Participant and the Client The Depository Participant and the Client further agree that all claims, differences and disputes, arising out of or in relation to dealings on the Depository including any transaction made subject to the Bye Laws or Business Rules of the Depository or with reference to anything incidental thereto or in pursuance thereof or relating to their validity, construction, interpretation, fulfillment or the rights, obligations and liabilities of the parties thereto including any question of whether such dealings, transactions have been entered into or not, shall be subject to the exclusive jurisdiction of the courts at Mumbai only

2.

10.

3.

11.

4.

12.

5.

13.

6.

14.

15.

7.

16. 17.

S9 F9 KANUPRIYA GUPTA

18.

8.

IN WITNESS WHEREOF the Client and the Depository Participant has caused these presents to be executed as of the day and year first above written. Signed and delivered for & on behalf of client

On Behalf of IL&FS Securities Services Limited

Witness

Signature:_________________________________________ Signature:___________________________________________ Name: _________________________________________

Name: ___________________________________________ (Authorised Signatory)

Address: _________________________________________ _________________________________________

Applicant

Witness

Signature: (1st Holder) : F10_________________________________


Name:

KANUPRIYA GUPTA

Signature:_________________________________________ Name: Address: _________________________________________ ________________________________________ _________________________________________

Signature: (2nd Holder) : S10________________________________


Name:

Signature: (3rd Holder) : T10_________________________________


Name:

T9

Form No. 2700055

RATE SHEET
SCHEDULE- A
CHARGES FOR THE DEPOSITORY SERVICES

I/We agree to pay the charges as per following charge structure for our Demat account with ISSL

Client ID : _________________________________________________ Effective : ________ / _______ / 20 ________


Charge head

Regular Scheme
Rs. 150 per quarter to be paid at the beginning of every quarter. At the time of new account opening AMC to be paid upfront for two quarters NON-REFUNDABLE

Refundable AMC Scheme


An amount of Rs. 7000/- to be paid upfront. There would be no AMC charged to the account for the duration this scheme has been opted for. If the demat account holder wishes to withdraw this amount at any point of time during the operation of the account or on closure, the above amount would be refunded after deducting Rs. 600/- i.e Rs. 2.00 per certificate plus courier charges of Rs. 35 per demat request for every 500 gms. 0.05% per debit instruction subject to minimum of Rs. 30 plus charges depository at actuals.

Annual Maintance Charges

Dematerialization Charges Transaction charges Market/Off Market/ Interdepository Transactions Same day execution and payin. SLB Charges

Rs. 2.00 per certificate plus courier charges of Rs. 35 per demat request for every 500 gms. 0.05% per debit instruction subject to a minimum of Rs . 25 plus depository charges at actuals.

Same day execution charges Rs.50 per transaction or 0.05% which ever is higher.. For Security Borrowing : Rs.25 plus Depositories charges For Security Lending : Rs.25 plus Depositories charges 0.02% of the transaction charges subject to a minimum of Rs.50 plus depository charges at actuals. 0.05% of the transaction charges subject to minimum of Rs. 50 Rs. 25 per certificate or 0.05% of the value whichever is higher plus depository charges as actuals. Rs. 50 per transaction

Same day execution charges Rs.50 per transaction or 0.05% which ever is higher.. For Security Borrowing : Rs.25 plus Depositories charges For Security Lending : Rs.25 plus Depositories charges 0.02% of the transaction charges subject to a minimum of Rs. 50 plus depository charges at actuals. 0.05% of the transaction charges subject to a minimum of Rs. 50 Rs. 25 per certificate or 0.05% of the value whichever is higher plus depository charges as actuals Rs. 50 per transaction

Pledge Charges Creation/Closure and Confirmation of both Pledge Charges for Invocation

Rematerialization Charges Failed / Rejected Transactions Demat Rejection Charges Adhoc / Non periodic statement requests

Rs. 35 per rejection for every 500 gms

Rs. 35 per rejection for every 500 gms

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. 5 PLUS courier charges. Charges will be applied based on charges as determined by our bankers

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. 5 PLUS courier charges. Charges will be applied based on charges as determined by our bankers

Cheque Bounce Charges

Tick Appropriate Scheme :

Regular Scheme

Refundable AMC Scheme

In case scheme is not ticked, the default scheme selected would be Regular Scheme. Note : It is mandatory that the rate sheet is signed by the applicant(s); and in case of special rate sheets, it should be attached to account opening form with signatures of applicants & DP executive I/We understand that the above charges are subject to revision by ISSL after providing a notice period of 30 days. Such revisions will be notified by ordinary post / courier.

Signature (s) F11 S11 T11

KANUPRIYA GUPTA

(Pls. Sign on the Reverse too)


10

Form No. 2700055

Client ID : _________________________________________________

OTHER POINTS :

Annual Maintenance Charges are non-refundable All charges would attract the service tax/cess/levies and /other such taxes as applicable from time to time All payments have to be made favouring IL &FS Securities Services Limited. You can pay by Cheques or Demand Drafts payable at the local branch where the account is opened, outstation cheques will not be accepted. All the percentages in the above structure would be applied on the value of the transaction as computed by NSDL/ CDSL. Out of Pocket expenses incurred on the Dispatch of securities for Dematerialisation and communication charges incurred on out-station calls/faxes made specifically on request of the client will be charged on actual. Charges quoted above are for the services listed. Any services not listed above will be charged separately.

IMPORTANT NOTE :

DP bills should be paid on or before the due date. Interest shall be levied @2% per month on outstanding amount for non payment from the bill due date. Pursuant to Clause 9 of the Client-DP Agreement, in case of non-payment of DP Charges within the due date, DP reserves the right to discontinue operation of the demat account till such time that the payment is received For all purposes the Bill date shall be construed as the date of demand and the bill will be considered as the Bill cum Notice for payment and, ISSL reserves the right to Freeze Depository account for debit transactions, in case of non payment of charges after two days from the Bill due date.

Signature (s) :

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KANUPRIYA GUPTA

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Form No. 2700055

ELECTRONIC CLEARING SERVICE (DEBIT CLEARING) FORM (This Form needs to be certified by Bank) ISSL Copy

Client ID : Client Name : Particulars of Bank Account A/c Holder(s) Name(s)

q S.B.
1. 2. 3.

q Current

q Cash Credit

Name of the Bank Name of the Branch Address

9-Digit code number of the bank and branch (Appearing on the MICR cheque issued by the bank) (Please attach a photocopy of a cheque or a blank Ledger and Ledger folio number : Account number (as appearing on the cheque book) I hereby instruct you to debit my account on 25th day of every billing month. I hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold ISSL DP responsible, I have read the option invitation letter and agree to discharge the responsibility expected of me as a beneficiary under the scheme.

Date :____________________

Encl: Cheque leaf

TO BE CERTIFIED BY CLIENTS BANK


Certified that the particulars furnished above are correct as per our records.
(Mandatory)

Banks Stamp Date :

Name :___________________________________

Signature :________________________________

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(Mandatory)

KANUPRIYA GUPTA

Form No. 2700055

ELECTRONIC CLEARING SERVICE (DEBIT CLEARING) FORM (This Form needs to be certified by Bank) Bank Copy

Client ID : Client Name : Particulars of Bank Account A/c Holder(s) Name(s)

q S.B.
1. 2. 3.

q Current

q Cash Credit

Name of the Bank Name of the Branch Address

9-Digit code number of the bank and branch (Appearing on the MICR cheque issued by the bank) (Please attach a photocopy of a cheque or a blank Ledger and Ledger folio number : Account number (as appearing on the cheque book) I hereby instruct you to debit my account on 25th day of every billing month. I hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold ISSL DP responsible, I have read the option invitation letter and agree to discharge the responsibility expected of me as a beneficiary under the scheme.

KANUPRIYA GUPTA
(Mandatory)

Date :____________________

Encl: Cheque leaf

TO BE CERTIFIED BY CLIENTS BANK


Certified that the particulars furnished above are correct as per our records.
(Mandatory)

Banks Stamp Date :

Name :___________________________________

Signature :________________________________

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Form No. 2700055

Date : The Manager IL&FS Securities Services Limited IL&FS House, Plot No.14 Raheja Vihar, Chandivali Andheri (East) Re : DPID : Demat Account no. / Form No. 2700055 IN300095

I/We refer to the DP-Client Agreement (the Agreement) entered into between me/us and IL&FS Securities Services Limited (ISSL) for opening the abovementioned Demat Account. I/We are aware that the DP, in terms of the NSDL Circular, agreed to provide monthly /quarterly Bills and Transaction Statements and other notices by email or on website on the terms and conditions annexed hereto(overleaf).

I/We intend to avail the facility of receiving monthly / quarterly Bills and Transaction statements and other intimations / notices by email or on website for the captioned demat account on the terms and conditions annexed hereto. I / We request you to register the following email ID(s) for the same :

All other terms and conditions of the Agreement remain the same. This letter shall form part and parcel of the Agreement

F13 KANUPRIYA GUPTA

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Form No. 2700055

Terms & Conditions for receiving Bills, Transaction Statements and other intimations / notices by email or on website
1. The client agrees not to receive Bills and Transaction statements and any other intimations / notices in paper form from the DP. Provided however that, in case when the DP is not able to provide such Bills and Transaction statements and intimations / notices to its clients through website / email due to any unforeseen problems, the DP should ensure that the same reaches me/us in physical form to the address as registered in the captioned demat account The client shall take all the necessary steps to ensure confidentiality and secrecy of the login name and password of the internet/email account The client is aware that the Bills and Transaction statement and any other intimation / notices may be accessed by other entities in case the confidentiality / secrecy of the login name and password is compromised The client shall immediately inform the DP about change in email address, if any, The client shall confirm the validity of the email address atleast once in a year The client and the DP shall have the right to terminate this agreement after giving a notice of at least 10 days in advance to the other party

2.

3.

4. 5. 6.

Signed and delivered by First Holder Second Holder Third Holder Client Id: Client email id/web-based id:
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Signed and delivered by (For and on behalf of Participant) Name: IL&FS Securities Services Limited
IL&FS House, Plot No. 14, Raheja Vihar, Chandivali Andheri (E), Mumbai-400072

Authorised Signatory

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