Branch Tag

Client Code

Wellindia Securities Ltd.

File No.

INDIVIDUAL / CORPORATE

Client Registration Form

Wellindia Securities Limited
(Trading & Clearing Member)
SEBI Registration Numbers :
Exchange
National Stock Exchange
Bombay Stock Exchange
MCX Stock Exchange
United Stock Exchange of India

Segment
Capital Market, Derivatives, Currency
Capital Market, Derivatives
Currency Derivatives
Currency Derivatives

Registered with SEBI Since
24/05/2007, 24/05/2007, 27/08/2008
07/09/2007, 01/08/2011
29/09/2008
18/06/2010

SEBI Registration Nos.: NSE -INB/INF/INE 231282931, BSE -INB/INF 011282937,
MCX-SX-INE261282931, USE -INE271282936
Corp. Office : A-78, Sector 2, Noida-201301, Uttar Pradesh
Regd. Office : 1249, Sector 19, Faridabad-121002 Haryana
Tel.: +91-9990799941-48 Fax : 0120-4313311
E-mail : info@wellindia.com Website : www.wellindia.com
Clearing Member for : NSE, CURRENCY DERIVATIVE & MCX-SX, CURRENCY DERIVATIVE :
Name : GLOBE CAPITAL MARKET LIMITED
Address : 609, Ansal Bhawan, 16, Kasturba Gandhi Marg, New Delhi-110001 Tel.: 23316916-20
SEBI Regn. No.: (NSE Currency) INE 230663732, Clg. Code : M50302
SEBI Regn. No.: (MCX-SX) INE 260663732, Clg. Code : 1004

CEO

Compliance Officer
RAVI PRAKASH GUPTA
Ph. : 9990799988
E-mail : compliance@wellindia.com

RAJIV AGRAWAL
Ph. : 9990799941-47
E-mail : info@wellindia.com

For any grievance/dispute please contact WELLINDIA SECURITIES LIMITED at the above address or email idinvestorgrievance@wellindia.com and Phone No. +91-9990799941-48. In case not satisfied with the response, please contact the
concerned exchange(s) at
Exchange Name

E-mail ID

Phone No.

National Stock Exchange of India Ltd.

ignse@nse.co.in

011-23344313

Bombay Stock Exchange Ltd.

iscdelhi@bseindia.com

011-43007413

MCX Stock Exchange Ltd.

investorcomplaints@mcx-sx.com

022-67319000

United Stock Exchange Ltd.

investorcomplaints@useindia.com

011-43007413

ACKNOWLEDGEMENT
To,

Wellindia Securities Limited

Dated :...................................

Corp. Office : A-78, Sector 2, Noida-201301, Uttar Pradesh
Regd. Office : 1249, Sector 19, Faridabad-121002 Haryana

I/We hereby acknowledge the receipt of duly executed copy of Right and Obligations, Risk Disclosure Document & Guidance Note with
duly executed copy of KYC and other documents. Further I/We confirm that the supporting documents for KYC submitted by me/us are
true and correct. I/We acknowledge that the other details related to my/our account are as under:

Name..................................................................... Address............................................................................................................
......................................................................................................................Trading Code.............................................................
UCC....................................................... My Email Id.......................................................................................................................

(Signature of Client)

INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM
A.
1.

IMPORTANT POINTS:
Self attested copy of PAN card is mandatory for all clients, including Promoters/Partners/Karta/Trustees and whole
time directors and persons authorized to deal in securities on behalf of company/firm/others.
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/PIO
Card/OCI Card 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 (POI) : - List of documents admissible as Proof of Identity:
1. Unique Identification Number (UID) (Aadhaar)/ Passport/ Voter ID card/ Driving license.
2. PAN card with photograph.
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 Banks.
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. Bank Account 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 CoOperative Bank/Multinational Foreign Banks/Gazetted Officer/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 FII/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.

Insurance Companies registered with IRDA and Public Financial Institution as defined under section 4A of the Companies Act. VCFs. Registered Society • • • • • Copy of SEBI registration certificate. . namely. Unincorporated association or a body of individuals • Proof of Existence/Constitution document. POA. as mentioned below: Types of entity Documentary Requirments Corporate • Copy of the balance sheets for the last 2 financial years (to be submitted every year). Deed of declaration of HUF/ List of coparceners. Photograph. Army Government Bodies • Self-certification on letterhead. PAN and DIN numbers of whole time directors/two directors in charge of day to day operations. POA. 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. POA. FIIs. • Copy of the Board Resolution for investment in securities market. POI. In case of Non-Individuals. Manager of a Scheduled Commercial/ Co-operative Bank or Multinational Foreign Banks (Name. Gazetted Officer. Partnership Firm • • • • • Copy of the balance sheets for the last 2 financial years (to be submitted every year). • Photograph. Designation & Seal should be affixed on the copy). POA. POI. Photograph. True copy of Society Rules and Bye Laws certified by the Chairman/Secretary. FVCIs. Certificate of registration (for registered trust only). duly certified by the company secretary/Whole time director/MD (to be submitted every year). • Authorised signatories list with specimen signatures. POA. Copy of partnership deed. State Industrial Development Corporations. in the company in terms of SEBI takeover Regulations. Court Magistrate. F. POI. • Copies of the Memorandum and Articles of Association and certificate of incorporation. E. • Photograph. Notary Public. Notary Public. • Authorized signatories list with specimen signatures. additional documents to be obtained from non-individuals. 2. In case of institutional clients. • Authorized signatories list with specimen signatures. List of trustees certified by managing trustees/CA. Banks/Institutional Investors Foreign Institutional Investors (FII) • Copy of the constitution/registration or annual report/balance sheet for the last 2 financial years. HUF • • • • PAN of HUF. over & above the POI & POA. Copy of Registration Certificate under Societies Registration Act.5. Scheduled Commercial Banks. • Resolution of the managing body & Power of Attorney granted to transact business on its behalf. Authorised signatories list with specimen signatures. Trust • • • • Copy of the balance sheets for the last 2 financial years (to be submitted every year). either directly or indirectly. authorized officials of overseas branches of Scheduled Commercial Banks registered in India. PAN of Partners. Indian Embassy /Consulate General in the country where the client resides are permitted to attest the documents. Certificate of registration (for registered partnership firms only). Multilateral and Bilateral Development Financial Institutions. POI. Photograph. List of people authorized to attest the documents: 1. 1956. Judge. PAN of Karta. MFs. PAN of individual promoters holding control-either directly or indirectly. Bank pass-book/bank statement in the name of HUF. Committee resolution for persons authorised to act as authorised signatories with specimen signatures. • Authorized signatories list with specimen signatures. Copy of Trust deed. List of Managing Committee members. • Authorized signatories list with specimen signatures. In case of NRIs. PAN of Trustees. • Copy of latest share holding pattern including list of all those holding control. POI.

2. Address and Tel No. Letter of Authority 2. In case of applications under a Power of Attorney. Additional KYC Form For Opening a Demat Account 9-13 Rights and Obligations Page No. sub-broker and client for trading on exchanges (including additional rights & obligations in case of internet/wireless technology based trading). 1. ADDITIONAL DOCUMENTS FOR SPECIAL TYPE OF ACCOUNTS (DEMAT ACCOUNT ONLY) Accounts of Minors 1. In case of additional signatures (For accounts other than individuals). 6. Guidance Note Documents detailing do's and don'ts for trading on exchange. 2. etc. 8. 5.No. 1. KYC Form . Name of the Document Brief Significance of the Document Letter where in Client Authorises Stock Broker to maintain running account and to accept verbal orders etc. 1. As per Separate Document detailing risks associated with dealing in the securities market. 4. One photograph of the minor and one of the guardian with guardian’s signature across both the photographs. Risk Disclosure Document (RDD) 4. 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 under his/her official seal. Brokerage Structure Document detailing the rate / amount of brokerage and other charges levied on the client for trading on the stock exchange(s) 14-15 16 VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER S. Strike off whichever is not applicable. Policies and Procedures Document describing significant policies and procedure of the stock broker. for the education of the investors. 3. separate annexures should be attached to the application form.Document captures the basic information about the constituent and an instruction / check list. Proof of identity and address documents of the guardian as above.1 ACCOUNT OPENING KIT INDEX OF DOCUMENTS MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES S. PAN card of the minor. Document captures the additional information about the constituent relevant to trading account and an instruction / check list. 6. 1-4 B. 5-8 C.wellindia. CDSL Form 3. Name of the Document Brief Significance of the Document Account Opening Form A.No. 17-18 19-28 INSTRUCTIONS FOR THE APPLICANTS FOR FILLING ACCOUNT OPENING FORM (DEMAT ACCOUNT) Signatures can be in English or Hindi or any of the other languages contained in the 8th schedule of the Constitution of India. . Signatures should be preferably in black ink and at all places marked Details of the Names.com in download section. All correspondence / queries shall be addressed to the first / sole applicant. Please submit the following documents alongwith A/c opening form. 2.ANNEXURE . 5. 4. Printout 3. Birth certificate of the minor. of the Magistrate / Notary Public / Special Executive Magistrate are to be provided in case of any attestation done by them. Following formats related to account opening and modifications are available at our website www. 3. Document stating the Rights & Obligations of stock broker/ trading member. 7. Where the client wishes to open a demat account with us as CDSL DP Page No. the relevant Power of Attorney or the certified and duly notarized copy thereof must be lodged alongwith the application.

.

.................................................... .... Validity Expiry Date of Proof of Address Submitted (1) D D M M Y Y Y Y .... mandatory for Non-Resident Applicant) : ............................................................ Faridabad-121002 Haryana PHOTOGRAPH NEW CHANGE REQUEST (Please tick the appropriate) Please fill this form in ENGLISH and in BLOCK LETTERS (Please tick the box on left margin of appropriate row where CHANGE/CORRECTION is required and provide the details in the corresponding row) Please affix the recent passport size photograph and sign across it A IDENTITY DETAILS Name of the Applicant : ...................................................................................................... (R) .......................................: (O) ....................................................................................................... Pin Code : Contact Details : Tel......................................................... Office : 1249.............. Fax .................................................................................. Gender : Date of Birth : Status : Male Female Resident Individual Marital Status : Single Nationality : Indian Non Resident Married Other.......................................... State : .................................................................... Specify the proof of identity submitted : Other....... for correspondence address Validity Expiry Date of Proof of Address Submitted D D M M Y Y Y Y Permanent Address (If different from above or overseas address................................................................... (Please Specify) Foreign National Permanent Account Number (PAN) : Unique Identification Number (UID) / Aadhaar.................................................................................................................................................. Noida-201301... Sector 19............. Country: ....................................... if any : ...................................... E-mail ...................................................................................................................... Tel....... City/Town/Village : ........................................................................ State : .... Office : A-78.............. (As Appearing in Supporting Identification Documents) Father's/Spouse Name : .......................................................................................... Sector 2.......................................................................MANDATORY DOCUMENT Acknowledgement No....................................... Specify the proof of address submitted : .. Country: ...........(Please Specify) PAN Card B ADDRESS DETAILS Correspondence Address : ......................... City/Town/Village : ............................... Mobile ........................................................................................................................ Pin Code : Specify the proof of address submitted for Permanent address : ........... Uttar Pradesh Regd........................................................................................................................................................................................................................................................................................................................................................................... ................... KNOW YOUR CLIENT (KYC) APPLICATION FOR INDIVIDUALS Wellindia Securities Limited Corp...

................................ if applicable : Any other information : .............................................................. Name of the Organization : WELLINDIA SECURITIES LIMITED Date of IPV: D D M M Y Y Y Y Signature of the person who has done the IPV (Originals verified) True Copies of documents received (Self-Attested) Self Certified Document copies received Date Signature of the Authorised Signatory (2) ........................ D D (Net worth should not be older than 1 year) M M OR Y Y Y Y Occupation (please tick any one and give brief details) : Please tick...........................................MANDATORY DOCUMENT C OTHER DETAILS Gross Annual Income Details : Income Range per annum : (please specify) Rs.. Designation :........ immediately..................... Seal/Stamp of the Intermediary Employee ID :.. I am aware that I may be held liable for it............................................................ 10 Lac to 25 Lac >25 Lac Net-worth as on (date)...................................................................................... 1 Date : D D Signature of the Applicant M M Y Y Y Y FOR OFFICE USE ONLY In Person Verification (IPV) Details : Name of the person who has done the IPV : .... Private Sector Agriculturist Public Sector Retired Government Service Housewife Politically Exposed Person (PEP) Student Business Professional Others_________Please Specify Related to Politically Exposed Person (PEP) D DECLARATION I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein............................. 1 Lac Rs............... 1 Lac to 5 Lac Rs................... In case any of the above information is found to be false or untrue or misleading or misrepresenting....... 5 Lac to 10 Lac Below Rs.....................................................................

............................................................................................ Faridabad-121002 Haryana PHOTOGRAPH NEW CHANGE REQUEST (Please tick the appropriate) Please fill this form in ENGLISH and in BLOCK LETTERS (Please tick the box on left margin of appropriate row where CHANGE/CORRECTION is required and provide the details in the corresponding row) Please affix the recent passport size photograph and sign across it A IDENTITY DETAILS Name of the Applicant : ..... ......................................................... Fax ............................................................................................................. (As Appearing in Supporting Identification Documents) Father's/Spouse Name : ..............(Please Specify) PAN Card B ADDRESS DETAILS Correspondence Address : ................................................ Sector 19...... Pin Code : Contact Details : Tel................................................................................................... KNOW YOUR CLIENT (KYC) APPLICATION FOR INDIVIDUALS Please Tear Here “Please note that the KYC Application Form and overleaf instructions should be printed on the same page (back to back).................................... Country: .................................................................................................................................................MANDATORY DOCUMENT Acknowledgement No.......................... Sector 2................. If printed separately then both the pages should be attached and signed by the applicant.................................................................................................................. Specify the proof of address submitted : .......................................................................................................................................................................................................................................... Specify the proof of identity submitted : Other................................. Tel......................” Wellindia Securities Limited Corp............................. E-mail ..................................................................................................................................... Uttar Pradesh Regd..................................... Gender : Date of Birth : Status : Male Female Resident Individual Marital Status : Single Nationality : Indian Non Resident Married Other........................................................................ mandatory for Non-Resident Applicant) : .............................................................. for correspondence address Validity Expiry Date of Proof of Address Submitted D D M M Y Y Y Y Permanent Address (If different from above or overseas address.................. Office : A-78................................ City/Town/Village : ........ if any : ....................................................... Mobile ................................................................................................. Noida-201301........ City/Town/Village : .... (R) .............................. Pin Code : Specify the proof of address submitted for Permanent address : ............................. State : .................. Country: ...................................... Validity Expiry Date of Proof of Address Submitted (3) D D M M Y Y Y Y .......................................................................... ... (Please Specify) Foreign National Permanent Account Number (PAN) : Unique Identification Number (UID) / Aadhaar......: (O) .............. State : ..................................................................... Office : 1249.................................................

........................ 1 Lac Rs.... In case any of the above information is found to be false or untrue or misleading or misrepresenting...................................... 1 Date : D D Signature of the Applicant M M Y Y Y Y FOR OFFICE USE ONLY In Person Verification (IPV) Details : Name of the person who has done the IPV : ..MANDATORY DOCUMENT Please Tear Here “Please note that the KYC Application Form and overleaf instructions should be printed on the same page (back to back)...................................................... 5 Lac to 10 Lac Below Rs........................................................... 10 Lac to 25 Lac >25 Lac Net-worth as on (date)........... Seal/Stamp of the Intermediary Employee ID :......................................... Name of the Organization : WELLINDIA SECURITIES LIMITED Date of IPV: D D M M Y Y Y Y Signature of the person who has done the IPV (Originals verified) True Copies of documents received (Self-Attested) Self Certified Document copies received Date Signature of the Authorised Signatory (4) ............................................. If printed separately then both the pages should be attached and signed by the applicant............ immediately.” C OTHER DETAILS Gross Annual Income Details : Income Range per annum : (please specify) Rs. Private Sector Agriculturist Public Sector Retired Government Service Housewife Politically Exposed Person (PEP) Student Business Professional Others_________Please Specify Related to Politically Exposed Person (PEP) D DECLARATION I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein.............................. if applicable : Any other information : ............................ 1 Lac to 5 Lac Rs................................. Designation :................................................. I am aware that I may be held liable for it..................... D D (Net worth should not be older than 1 year) M M OR Y Y Y Y Occupation (please tick any one and give brief details) : Please tick................................

.............. (R) ............................................................................................... City/Town/Village : ................. Office : A-78............... Date of incorporation : Place of incorporation : ......... State : ...... Co................................................................................... NGO's FI Public Ltd........................................................................................................................ Validity Expiry Date of Proof of Address Submitted (5) D D M M Y Y Y Y ..................... (e.................................... Status (Please tick any one) : Private Limited Co............. Sector 2.... .......................................................................................................................................................................................................................................................................................... ..... Faridabad-121002 Haryana PHOTOGRAPH NEW CHANGE REQUEST (Please tick the appropriate) Please fill this form in ENGLISH and in BLOCK LETTERS (Please tick the box on left margin of appropriate row where CHANGE/CORRECTION is required and provide the details in the corresponding row) A Please affix the recent passport size photograph and sign across it IDENTITY DETAILS Name of the Applicant : ............................................... for correspondence address Validity Expiry Date of Proof of Address Submitted D D M M Y Y Y Y Registered Address (If different from above) : ............ Uttar Pradesh Regd................................................. Body Non-Govt................................................................................................................................................................ KNOW YOUR CLIENT (KYC) APPLICATION FOR NON-INDIVIDUALS Wellindia Securities Limited Corp..................... E-mail .............................................................................................................. CIN) : ............. Office : 1249............. Sector 19.............................. State : ................................................................................ Pin Code : Specify the proof of address submitted for Registered address : ... Fax ..........................................: (O) ................................................................................................. Specify the proof of address submitted : .......................................... Country: .............................. Mobile .......... FII HUF Defense Establishment B BOI Body Corporate Partnership Trust Charities AOP Bank Govt............................... Pin Code : Contact Details : Tel................. City/Town/Village : ............................... Tel......................... Organization Society LLP Others_____________(Please Specify) ADDRESS DETAILS Correspondence Address : ..MANDATORY DOCUMENT Acknowledgement No................................................................................................................ Date of commencement of business : Permanent Account Number (PAN) : Registration No......g....................................................................... Noida-201301....................................................... Country: ..............................................................................................

........................ Name of the Organization : WELLINDIA SECURITIES LIMITED Date of IPV: D D M M Y Y Y Y Signature of the person who has done the IPV (Originals verified) True Copies of documents received (Self-Attested) Self Certified Document copies received Date Signature of the Authorised Signatory (6) ....... I am/We are aware that I/We may be held liable for it...................................... In case any of the above information is found to be false or untrue or misleading or misrepresenting.......................................... 1 Lac to 5 Lac Gross Annual Income Details: Income Range per annum : (please specify) Rs............... as on (date) D D M M Y Y Y Y Name...... D DECLARATION I/We hereby declare that the details furnished above are true and correct to the best of my/are knowledge and belief and I/We undertake to inform you of any changes therein....................................................... PAN............................................... Designation :..... DIN/UID OF Promoters/Partners/Karta and whole time directors :... enclosed these details separately (illustrative format enclosed) Please tick..............MANDATORY DOCUMENT OTHER DETAILS Below Rs........................... 10 Lac to 25 Lac Rs............ 25 Lac to 1 Crore >1 Crore Net Worth (Net worth should not be older than 1 year) Amount Rs.............................................................................................................................................. 1 Lac Rs..... Residential Address and photographs of Promoters/Partners/Karta/Trustees and whole time directors : If space is insufficient........................... 5 Lac to 10 Lac Rs.................... for any of your authorised signatories/Promoters/Partners/Karta/Trustees/whole time directors : Politically Exposed Person (PEP) Related to Politically Exposed Person (PEP) Any other information : ............................................................................. If space is insufficient............................... immediately.................................................................. Seal/Stamp of the Intermediary Employee ID :....... enclosed these details separately (illustrative format enclosed) ..................... if applicable.................................................................................. 1 Date : D D Name & Signature of the Director / Authorised Signatory(ies) M M Y Y Y Y FOR OFFICE USE ONLY In Person Verification (IPV) Details : Name of the person who has done the IPV : ................

whole time directors etc.e. Relationship with Applicant (i. Please tick. if applicable : Politically Exposed Person (PEP) Related to Politically Exposed Person (PEP) (7) .e. promoters. DIN/ UID Please affix your recent passport size photograph and sign across it 4. Relationship with Applicant (i.) 3a. PAN 3b. PAN 3b. Name PHOTOGRAPH 2. if applicable : Politically Exposed Person (PEP) Related to Politically Exposed Person (PEP) 1. Residential/ Registered Address City / Town / Village Pin Code Country State 5. Residential/ Registered Address City / Town / Village Pin Code Country State 5. DIN/ UID Please affix your recent passport size photograph and sign across it 4. Please tick.) 3a. Residential/ Registered Address City / Town / Village Pin Code Country State 5. DIN/ UID Please affix your recent passport size photograph and sign across it 4. whole time directors etc.e. promoters. Name PHOTOGRAPH 2. Relationship with Applicant (i. whole time directors etc. Please tick. Name PHOTOGRAPH 2. if applicable : Politically Exposed Person (PEP) Related to Politically Exposed Person (PEP) 1. PAN 3b. promoters.) 3a.Details of Promoters/Partners/Karta/Trustees and whole time directors forming a part of Know Your Client (KYC) Application Form for Non-Individuals Name of Applicant PAN of the Applicant 1.

promoters. PAN 3b.) 3a. promoters.1. Name PHOTOGRAPH 2. Relationship with Applicant (i. DIN/ UID Please affix your recent passport size photograph and sign across it 4. Please tick. Name PHOTOGRAPH 2. if applicable : Politically Exposed Person (PEP) Related to Politically Exposed Person (PEP) 1. whole time directors etc. PAN 3b.) 3a. Residential/ Registered Address City / Town / Village Pin Code Country State 5. Please tick.e. DIN/ UID Please affix your recent passport size photograph and sign across it 4.e. if applicable : 1-A Politically Exposed Person (PEP) Related to Politically Exposed Person (PEP) Name & Signature of the Authorised Signatory(ies) Date PEP: Politically Exposed Person RPEP: Related to Politically Exposed Person (8) . Relationship with Applicant (i. whole time directors etc. Residential/ Registered Address City / Town / Village Pin Code Country State 5.

............................................................................................................................................................... if you want to trade on any new segment/new exchange please submit separate authorization / letter..................................... ..... provide the following details: Sub-broker's Name : ........................... Stock Exchange NSE Market Segment/s Cash F&O Currency Derivative BSE Cash MCX-SX Currency Derivative F&O Currency Derivative In future........3 (For Individuals & Non-Individuals) TRADING ACCOUNT RELATED DETAILS A................................................................................................................................................................................................MANDATORY DOCUMENT ANNEXURE ................................... E.......... .......... DEALINGS THROUGH SUB-BROKERS AND OTHER STOCK BROKERS If client is dealing through the sub-broker. Website :........................................................................................................................................... Fax :.............................................................................................. BANK ACCOUNT(S) DETAILS (Through which transactions shall generally be routed) Bank Name Branch Address Account Number Account Type MICR Number IFSC Code Saving Current Others in case of NRI / NRE / NRO B.............................................. 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 : ..................... SEBI Registration number : .................................................................... Derivative (NSE & BSE).................................... DEPOSITORY ACCOUNT(S) DETAILS (Through which transactions shall generally be routed) Depository Participant Name Name of Depository NSDL CDSL NSDL CDSL NSDL CDSL Beneficiary Name DP ID Beneficiary ID (BO ID) C............................................................................................ Currency Derivative (NSE....... Ph :.................. TRADING PREFERENCES Please sign in the relevant boxes where you wish to trade......................................................... USE) Offline Online Both D........................... (for format download from our website) ONLINE / OFFLINE PREFERENCES USE Capital Market (NSE & BSE)..... MCX-SX....... Registered office address : ... (9) ........................................ The segment not chosen should be struck off by the client............

......................................... Signature..... Signature....... Name of Sub-Broker....................................... Residential Address..... UID.................... Designation......................................................................................................................................................................................................................... No.............................................................................................. Details of disputes/dues pending from/to such stock broker/sub.................................................................................................................................. residential address and photographs of persons authorized to deal in securities on behalf of company/firm/others: PHOTOGRAPH PHOTOGRAPH Sign across the Photograph Sign across the Photograph Name.................... Exchange :......................... of the Introducer :...................................... PAN.......... Name................................................ ADDITIONAL DETAILS Whether you wish to receive physical contract note or Electronic Contract Note (ECN) (please specify) : ...................................................................... UID....................................................................................... PAN.............................. F.......................Sign............................................... ........................................................... Designation.............................................................................................................................. if any :........................... of introducer (if any) : Status of the Introducer : Sub Broker Auth..................... .................................... signature.......................................... of the Introducer......................................................................................................................................... Specify your Email id............................................................................................................................... Whether you wish to avail of the facility of internet trading/ wireless technology (please specify) : ................................................................................................................................................................................................................................................................................................. Residential Address.............. In case of non-individuals.............................. .................................................................. designation. G.................................... Person Existing Client Others________________ Address and Ph........................................................................................................................... provide details of all) Name of stock broker :.... ...................................................... name................................................................................................................................................................................................. PAN..... Any other information : ..................... if applicable : ......................................................................................broker : ........................................................................................................................................................................................................................................................................................................ Number of years of Investment/Trading Experience : ........MANDATORY DOCUMENT Whether dealing with any other stock broker/sub-broker (if case dealing with multiple stock brokers/sub-brokers............................... INTRODUCER DETAILS (optional) Name of the introducer :. (10) ....................................... ................................................................................. ............................................................................................................................................................................................................ Client Code :.... (Surname) (Name) (Middle Name) PAN No............ UID...........................................................................................................................

........ 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............................ No..................................................................... I/We further confirm having read and understood the contents of the ‘Rights and Obligations’ document(s) and ‘Risk Disclosure Document’...................wellindia. I/We do hereby agree to be bound by such provisions as outlined in these documents..... Sign.................................................................... PAN of Nominee :...................................................................... Address and Ph.. Place __________________ 2 Signature of Client / All Authorized Signatory (ies) Date __________________ (11) . WITNESSES (Only applicable in case the account holder has made nomination) Name_______________________________________ Name_______________________________________ Signature_____________________________________ Signature_____________________________________ Address______________________________________ Address______________________________________ ____________________________________________ ____________________________________________ ____________________________________________ ____________________________________________ DECLARATION 1................................................................................................... 2................... of the Nominee :................................................................ No...................................................... I/we am/are aware that I/we may be held liable for it..................... immediately................................................................................................................................................................... Date of Birth of Nominee :................ 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............................... of Guardian :............................. of Guardian........................................... If Nominee is a minor..... I/We have also been informed that the standard set of documents has been displayed for Information on www.... .......................................................................... Address and Ph............................ In case any of the above information is found to be false or untrue or misleading or misrepresenting....... ..MANDATORY DOCUMENT H............com.................................................................................... Relationship with the Nominee :............................................... NOMINATION DETAILS (for individuals only) I/We wish to nominate I/We do not wish to nominate Name of the Nominee :........................................................................................................................ 3................................. details of guardian : Name of the Guardian :.......................................................................................................................................

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. Indian Embassy / Consulate General in the country where the client resides may be permitted. b. Magistrate. 5. Court. I/We have also made the client aware of 'Rights and Obligations' document (s).MANDATORY DOCUMENT FOR OFFICE USE ONLY UCC Code allotted to the Client :________________________ Document verified with Originals In-Person Verification Done by Client Interviewed By Name of the Employee Employee Code Designation of the Employee Date Signature I / We undertake that we have made the client aware of 'Policy and Procedures'. Additional documents in case of trading in derivatives segments . 3.Salary Slip. 2. Local Banker. Copy of cancelled cheque leaf/ pass book/bank statement specifying name of the constituent. I/We undertake that any change in the 'Policy and Procedures'. Judge. tariff sheet and all the nonmandatory documents would be duly intimated to the clients. In case of non-resident clients. I/We also undertake that any change in the 'Rights and Obligations' and RDD would be made available on www. considering the infeasibility of carrying out 'In-person' verification of the non-resident clients by the stock broker's staff. Copy of Board Resolution or declaration (on the letterhead) naming the persons authorized to deal in securities on behalf of company/firm/others and their specimen signatures. b.com if any for the information of the clients. (12) .illustrative list : Copy of ITR Acknowledgement Copy of Annual Accounts In case of salary income . For individuals: a.wellindia. Demat master or recent holding statement issued by DP bearing name of the client. Form need to be initialized by all the authorized signatories. employees at the stock broker's local office. attestation of KYC documents by Notary Public. I/We have given/sent him a copy of all the KYC documents. Further. For non-individuals: a. overseas can do in-person' verification. RDD and Guidance Note. 4. Signature of the Authorised Signatory Date __________________ Seal / Stamp of the Stock Broker INSTRUCTIONS / CHECK LIST 1. MICR Code or/and IFSC Code of the bank should be submitted. Copy of Form 16 Net Worth Certificate Copy of Demat Account Holding Statement Bank Account Statement for last 6 months Any other relevant documents substantiating ownership of assets Self declaration with relevant supporting documents. tariff sheet and all the non-mandatory documents.

15 minutes before the scheduled closing. The Stock Broker at its sole discretion can give extra exposure or intraday limit to the client. value of security(ies) or may require compulsory settlement / advance payment of expected settlement value/ delivery of securities for settlement prior to acceptance / placement of order(s) as well. a maximum brokerage of 25 paise per share may be collected.). Sometimes client’s sauda may go to IOC (Immediate or Cancel) instead of normal bidding if broker terminal is on square off mode. For Cash Market Segment: The maximum brokerage chargeable in relation to trades effected in the securities admitted to dealings on the Capital Market segment of the Exchange shall be 2. The client agrees that the stock broker shall not be responsible for such variation. 2. The stock broker may be unable to inform the client of such variation. The client is aware and agrees that the stock broker may need to vary or reduce or impose new limits urgently on the basis of the stock broker’s risk perception. set by the stock broker or by the Exchange or Clearing Corporation or SEBI from time to time. In case of benefit of margin will be given only after realization of instrument. reduction or imposition of limits.MANDATORY DOCUMENT POLICIES AND PROCEDURES AS PER SEBI CIRCULAR NO.per lot single side or such other rates as provided by the exchanges.. 4.100/. 100% margin will be taken from the client and these shares will not be taken to as Margin deposit. Regulations. All fines/penalties and charges levied upon the Client due to its acts / deeds or transactions will be recovered by the Stock Broker directly from the client’s account. If payment/securities towards the Margin or shortfall in Margin is not received instantaneously to enable restoration of sufficient Margin in the Client’s account. MIRSD/ SE/CIR-19/2009 DATED 3 DEC. The right to sell clients’ securities or close clients’ positions. risk profile of the client and other factors considered relevant by the stock broker including but not limited to limits on account of exchange/ SEBI directions/ limits (such as broker level/ market level limits in security specific / volume specific exposures etc. The stock broker has the right but not the obligation. 4. the order being for securities which are not in the permitted list of the stock broker / exchange(s) / SEBI or does not commensurate with the risk profile of the client as assessed by the broker. such extra exposure will automatically be squared off by trading mechanism without any further reference to the client appx. 5. (13) For Option contracts: Brokerage for option contracts would not exceed Rs. failure on payment of auction. If the client gives orders / trades in the anticipation of the required securities being available subsequently for pay in through anticipated payout from the exchange or through borrowings or any off market delivery(s) and if such anticipated availability does not materialize in actual availability of securities / funds for pay in for any reason before the close of market . margin imposed (initial + MTM) interest will be charged at 2% p. to cancel all pending orders and to sell/close/liquidate all open positions/ securities / shares at the pre-defined square off time or when Mark to Market (M-T-M) percentage reaches or crosses stipulated margin percentage mentioned 5 . short selling of securities or units. on account of non-payment of client’s dues (This shall be limited to the extent of settlement/ margin obligation) 1. if any. Imposition of penalty/delayed payment charges by either party. It is hereby further clarified that where the sale / purchase value of a share is Rs. 3. without giving notice to the client. Decision of Broker will be binding on the client and will be final. 2009 POLICIES AND PROCEDURES: 1. specifying the rate and the period (This must not result in funding by the broker in contravention of the applicable laws) Client shall be liable to penalty and other charges on nonpayment of margin money. Guidelines and Circulars issued by SEBI and stock exchange time to time and client will be kept informed about the rate of such penalties & fines.or less.5 % of the contract price exclusive of statutory levies. b. Setting Up Client’s Exposure Limits: The client agrees to abide by the exposure limits. 3.m.10/. Similarly in case of non receipt of full payment of value of delivery purchased. reduction or imposition in advance. The stock broker shall have authority from time to time limit (quantity/ value) or refuse orders in one or more securities due to various reasons including market liquidity. Refusal of orders for penny stocks: Stock broker is advising to the clients not to deal in penny securities and if client deals with the penny stocks. increase open position or on any orders / trades / deals / actions of the client which are contrary to this agreement / rules / regulations / bye laws of the exchange or any other law for the time being in force as per Rules. calculated on daily basis on shortfall amount till the date of actual realization of money. Applicable Brokerage Rate a. non delivery of shares. cheque bounce. reduction or imposition or the client’s inability to route any order through the stock broker’s trading system on account of any such variation. 2.

and adjust the transactions outstanding under limit by proceeds of such liquidation / close out. For non-payment or erosion of margins or other amounts. client shall be entitled to receipt of the same. For that purpose client will be liable first to allowed to take further position or the broker settle his account in full. debited earlier. on the website. regulations. If securities cannot be purchased from market account at the client’s request due to any force majeure condition. The short delivering client is debited by an account or trading facility / any other service if. agrees to provide securities/funds to fulfill the 3. violate any laws. the client has of day prior to Pay-in/Payout Day. 2. if closing time of the normal market or if the client’s any. 6 (14) .. 7. margin is evapourated by 90% in any of 6. debited to the short delivering seller client along with reversal entry of provisionally amount Any profit/loss arising out of these transactions shall be at the risk of and borne by the client. And in case of surplus arising out after netting of execution of orders due to but not limited to the reason account. cases of short delivery of cum transactions which 9. 8... the delivery and debits/ The stock broker can with hold the payouts of client credits shall be as per Exchange Debits and and suspend his trading account due to his surveillance Credits after deducting exchange penalties. Deregistering a client settlement till the auction A client is at liberty to deregister himself / itself from the Conditions under which a client may not be member. fraud or has acted in delivered short are purchased from market on T contradiction of this agreement or / evade / +3 day which is the Auction Day on Exchange. market at a reasonable price or at all. Stock Broker reserves the right to temporarily closure / record date.. The securities committed a crime. which are not to this the client will have to pay penalties and marked for delivery 15 minutes before the charges levied by exchange in actual and losses. as under: 5. of lack of margin / securities or the order being outside The member shall also have power to deregister the the limits set by stock broker / exchange/ SEBI and any client after settling his account at its sole discretion. the client so no fresh trade will be taken. etc. The client hereby authorizes the Stock Broker to payin obligation failing which the client will have square up all his outstanding positions at the to face auctions or internal close outs. whichever is earlier. in addition discretion of the Stock Broker. or if trading is halted in a security due to any action on account of unusual trading The policy and procedure for settlement of shortages activity or stock hitting circuit filters or for any in obligations arising out of internal netting of trades is other reason as prescribed or instructed by SEBI... similarly all 1. whatsoever name called may be closed out at against the client’s liabilities/ obligations. outstanding debts. In case of any shortfall or any may close the existing position of a client. when there Shortages in obligations arising out of internal are no outstanding orders either on the buy side netting of trades or the sell side. to include sale of the securities which form part 4. The Management may allow closed out at higher of 10% above the official operations in such account after making such closing price on the auction day or the highest verification as it deems fit.. traded price from first trading day of the 10. rules. for the period as specified in the request in written and Where the delivery is matched partially or fully at duly signed by him. specified time if not squared off by the client. Any order which is executed without the 5. reserves the right to square off of securities by the Stock Broker shall be deemed positions. Temporarily suspending or closing a client’s b. In case open position (Le. the Exchange Clearing. Policy regarding treatment of inactive accounts: cannot be auctioned on cum basis or where the When Trade is not done in an account for more than 3 cum basis auction payout is after the book months. . the short Client may instruct the member to close out the delivering seller is debited at the closing rate on T account or suspend the trading through client’s account +3 day or Auction day on Exchange +10%.MANDATORY DOCUMENT 6. directions of a and the purchase consideration (inclusive of all lawful authority whether Indian or foreign or if statutory taxes & levies + upto 5% extra) is the stock broker so apprehends.. if any. dues or payment remaining after adjusting the margin account. would be compulsory suspend the operations. action or judicial or / and regulatory order/action c. Any reference in these terms to sale or transfer exchanges. short/long) gets required Margin in the Client’s account or the converted into delivery due to non square off brokers exposure is more than 90% and above because of any reason whatsoever. The stock broker is entitled to disable / freeze the a. In cases of securities having corporate actions all requiring client suspension.. in amount equivalent to 20% above of closing rate the opinion of the stock broker. Under certain market conditions. the client will be liable to make payment of the The stock broker may refuse to execute / allow same. other reasons which the stock broker may deem appropriate in the circumstances. it may be of the Margin maintained by the Client with the difficult or impossible to liquidate a position in the Stock Broker.

member is required to disclose to its client about the proprietary trades. I have noted the above 7 Date : Sole / First Applicant Signature PMLA .will be charged per contract note. 8 Clients Signature BROKERAGE STRUCTURE CASH SEGMENT Slab in % Brokerage Slab Minimum Paise Min. In Z Groups share 2% brokerage will be charged subject to minimum 10 paisa per share. BSE. 2003. In view of this circular. SEBI charge. we wish to inform you that. 25/. Minimum Processing Fee of Rs. Stamp duty. SEBI/MRD/SEC/Cir-42/2003 dated 19th November. 3. Per Lot Intra Day Future Carry Forward Intra Day Option Carry Forward CURRENCY DERIVATIVES SEGMENT Minimum brokerage per lot Brokerage Slab % Any Remarks : Note : 1. I further declare that I shall adhere to the rules and regulations and requirements mentioned in the PMLA Act.DECLARATION I______________________________having the trading code no. Exchange Transaction Charge.________________with WSL confirm and declare that I have read and understood the contents and the provisions of the PMLA Act.MANDATORY DOCUMENT DISCLOSURE OF PROPRIETARY TRADING BY WSL Dear Client. 2. Service Tax. other charges (if any) and the levies shall be charged extra. 2002 and it was also explained by WSL official. F&O and currency derivatives segment of NSE. MCX-SX & USE. Per Transaction Delivery Based Daily Square up (Intra Day) Z Group Transaction DERIVATIVES SEGMENT Slab in % Minimum Paise Borkerage Slab Min. we do proprietary trades in the Cash. In term of SEBI circular No. 2002. (15) (Signature of Client) 9 . Securities Transaction Tax.

..... Set off of outstanding: I/We authorize you to set off outstanding in any of my / our accounts against credits available or arising in any other accounts maintained with you irrespective of the fact that such credits in the accounts may pertain to transactions in any segment of the Exchange and / or against the value of cash margin or collateral shares provided to you by me / us.. 2.. Electronic Mode of delivery: I/We request that you may send/ Dispatch me/ous contract notes other documents through E-mail: on my/our designated E-mail address of..... calculated in the manner specified by the exchanges.... I/We am/are getting required details from contracts issued by you.... 7... to use the securities for meeting margin / other obligation in stock exchange in whatever manner which may include pledging of shares in favour of bank and/or taking loan against the same for meeting margin/pay-in obligation on our behalf or for giving the same as margin to the Stock Exchange or otherwise......... Uttar Pradesh Regd. 6........ Noida-201301. I/We stress that I/we will not hold you responsible under any circumstances in the event of an E-mail which you send gets bounced due to any reason such as mail box being full..... Sector 2...... 2009 and further request you to retain all amounts and securities receivable by me/ us until specifically requested by me/ us in writing to be settled or to be dealt with in any other manner Once a Calender Quarter 10 Once in a Month Sign. Sector 19.. inactive account or due to any technical reason beyond your control.. Authorization to Use Margin: I/we hereby authorize you to keep all the securities which I/we give you in margin including the payout of securities received. Office : 1249........... 3..... Delivery of order/ trade confirmation/ cancellation: I/We hereby authorize you not to provide me / us order confirmation / Modification / Cancellation Slips and Trade Confirmation slips to avoid unnecessary paper work. I/we further authorize the stock broker as per the requirement of SEBI Circular no. Log Report: I/We will completely rely on the log reports of your dispatching software as a conclusive proof of dispatch of E-mail to me and will not dispute the same.NSE / BSE / MCX-SX / USE I/We am/are dealing in shares/securi ties with you at NSE/BSE /MCX-SX/USE in various segments and in order to facilitate ease of operations....... 2009 that in case of any outstanding obligations on the settlement date. Telephonic Conversation: I/We request you to consider my/our telephonic instructions for order placing/order modification/order cancellation as a written instruction and give us all the confirmation on telephone unless instructed otherwise in writing. W e authori ze you as under : 1....... 5.... MIRSD/ SE /Cir-19/2009 dated December 3...... I/we shall get the required details from contract notes and confirmation issued by you. Office : A-78........ I/We further agree to all the Terms and Conditions of Running Account mentioned in SEBI Circular no.. (16) 11 . in my account and not settled as per the exchange requirement...... Running Account: That I/We desirous of regularly dealing in CM... the stock broker may retain the requisite securities/funds towards such obligations and may also retain the funds expected to be required to meet margin obligations for next 5 trading days. MIRSD/ SE /Cir-19/2009 dated December 3...... Faridabad-121002 Haryana Sub : Letter of Authority .VOLUNTARY DOCUMENT LETTER OF AUTHORITY To........ if any.... I further authorise you to debit the financial charge @2% per month of the debit balance.... F&O and Currency Derivative segment with you and request you to maintain a Running Account for funds and securities on my/our behalf............. 4.. Date : Wellindia Securities Limited Corp......

ISDN.. which may be beyond the control of you and may result in delay in processing or not processing buy or sell orders either in part or in full. if any. 12. I/We also agree to maintain the adequate balance in my/our trading account / pay adequate advance fee for the said reason... Inter Settlement of Securities: I/We am/are agreeable for inter-settlement transfer of securities towards settlements. 19. I/We am/are aware that above authorisation is voluntary on my/our part and that I/We can revoke this authorisation at any point of time during the operation of my/our trading account with you by giving you a notice in writing. Change in E-mail Id: I/We will inform you any change in my E-mail..... I/we understand that there exists a possibility of communication failure or system problems or slow or delayed response from system or trading halt. 13. combination of technologies and computer systems to place and route orders. Hold of funds Pay outs: I/We am/are agreeable for & authorise you to with hold funds pay-out towards all the applicable margins and debits... based on VSAT..... in physical mode by regd... 10. 12 (17) .. of any such other problem/glitch whereby not being able to establish access to the trading system/network.. Modem and VPN..... in future. I/we agree that I/we shall be fully liable and responsible for any such problems glitch... leased line.. 14. Sub Letting of Terminal: I/We confirm that I/we will never sublet the trading terminal on any term of connectivity from my/our place to any other place without your prior approval. 11..... Charges & Balance Maintenance: I/We have a Trading As well as depository relationship with .. Fines & Penalties: All fines/penalties and charges levied upon you due to my/our acts / deeds or transactions may be recovered by you from my/our account......... Yours faithfully . post or by hand delivery and through a digitally signed E-mail..VOLUNTARY DOCUMENT 8. Thanking you.. Electronic Trading: Trading of NSE is in Electronic Mode. Please debit the charges relevant with depository services and courier charges for sending physical contract notes & other documents from my/our trading account on monthly basis.. 15.

................... Faridabad-121002 Haryana Tel...... NO.........com Website : www.....................: +91-9990799941-48 Fax : 0120-4313311 E-mail : info@wellindia.................. CDSL DP ID : 12058000 • SEBI REGN............ Office : A-78........................................ Noida-201301.................... Uttar Pradesh Regd.......................................... Office : 1249......................: IN-DP-CDSL-483-2008 Corp...........com ACCOUNT OPENING FORM BO ID IN PERSON VERIFICATION Signature(s) of applicant(s) : (in the presence of the DP staff) DP Name : Wellindia Securities Limited DP ID : 12058000 HO/Branch Name :............. Signature : #............................ Third Holder Signature (18) . Sector 2................wellindia........... Sector 19.................................................................Serial No............... 3 Employee Code :............................................................... : Type of Account : Normal BSDA CDSL Wellindia Securities Limited DP : CENTRAL DEPOSITORY SECURITIES LTD......... Staff doing 'In person' Verification 13 Sole/First Holder Signature Name of Employee :......... Second Holder Signature Date of In Person Verification : 3 Place of In Person Verification :................................................

com • URL : www.Depository Receipts Others (Specify)_________________ Foreign National-Depository Receipts Others (Specify)_________________ Foreign National DETAILS OF GUARDIAN (in case the account holder is minor) Guardian's Name PAN Relationship with the applicant I/We instruct the DP to receive each and every credit in my/our account (if not marked. etc. Noida-201301. Association of Persons (AOP). Sector 2. DP ID 1 2 0 5 8 0 0 0 Client ID (To be filled by the applicant in BLOCK LETTERS in English) I/We request you to open a demat account in my/our name as per following details : HOLDERS DETAILS Sole/First Holder's Name PAN Second Holder's Name PAN Third Holder's Name PAN Name* * In case of Firms.4 Wellindia Securities Limited CDSL DP ID : 12058000 • SEBI REGN. etc.: IN-DP-CDSL-483-2008 Corp. should be mentioned above.. Office : 1249. Sector 19.. Partnership Firm. although the account is opened in the name of the natural persons. Unregistered Trust. the default option would be 'Yes') Account Statement Requirement As per SEBI Regulation Daily I/We request you to send Electronic Transaction-cum-Holding Statement at the email Id______________________________________________ Do you wish to receive dividend/interest directly in to your bank account given below through ECS? (If not marked.wellindia. Partnership Firm. D M M Y Y Y Y DP Internal Reference No. TYPE OF ACCOUNT (Please tick whichever is applicable) Individual NRI Foreign National Individual Resident Individual Director Individual Director's Relative Individual HUF/AOP Individual Promoter Minor Individual Margin Trading A/c (Mantra) Others (Specify)_________________ NRI Repatriable NRI Non-Repatriable NRI Repatriable Promoter NRI Non-Repatriable Promoter NRI . Faridabad-121002 Haryana E-mail : info@wellindia. Association of Persons (AOP).com ACCOUNT OPENING FORM INDIVIDUALS ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT (To be filled by the Depository Participant) Date D Application No. Unregistered Trust. Office : A-78. NO. Uttar Pradesh Regd.ANNEXURE . the name of the Firm. the default option would be 'Yes') [ECS is mandatory for locations notified by SEBI from time to time] (19) [Automatic Credit] Yes No Weekly Yes Yes Fortnightly No No Monthly .

E-mail ID Relationship with BO (if any) Date of Birth (Mandatory if nominee is a minor) (20) . please visit our website www. transactions and value of the portfolio online. (or) Letter from the Bank.cdslindia. Photocopy of the Passbook having name and address of the BO. (iii) and (iv) above. 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.: +91Refer to Terms & Conditions [Mandatory. Yes SMS Alert Facility MOBILE No. Easi No To register for easi. In case of option (ii). (or) Photocopy of the Bank Statement having name and address of the BO. MICR Code of the branch should be present/mentioned on the document.BANK DETAILS (Dividend Bank Details) Bank Code (9 digit MICR Code) IFS Code (11 Character) Account Number Account Type Saving Current Others (specify)___________________________ Bank Name Branch Name Bank Branch Address City (i) (ii) (iii) (iv) State PIN Country Photocopy of the cancelled cheque having the name of the account holder where the cheque books is issued. Full Name of the Nominee Address City State Country PIN Telephone No. if you are giving Power of Attorney (POA)] given as Annexure 2. D D M M Y Y Y Y I/We the Sole Holder/ Joint Holder / Guardian (in case of minor) hereby declare that : I/We do not wish to nominate any one for this demat account. cancel this option). Yes No NOMINATION DETAILS Date Nomination Registration No. Easi allows a BO to view his ISIN balances. Fax No.com.4 (if POA is not granted & you do not wish to avail of this facility.

................................. Third Holder Signature Name Signatures 3 ...................................... Details of the Witness First Witness Second Witness Name of Witness Address of Witness Signature of Witness I/We have read the terms & conditions DP-BO agreement and agree to abide by and be bound by the same and by the Bye Laws as are in force from time to time........................ I / We declare that the particulars given by me/us above are true and to the best of my/our knowledge as on the date of making this application...... Second Holder Signature ......................... Fax No.. First / Sole Holder of Guardian (in case of Minor) Second Holder Third Holder ................. Note : Two witnesses shall attest signature(s) / thumb impression(s).. Sole/First Holder Signature 1 (Signatures should be preferably in black ink) (21) 1 . to receive the securities in this account on behalf of the nominee in the event of the death of the Sole holder / all Joint holders.. I/We further agree that any false / misleading information given by me / us or suppression of any material information will render my account liable for termination and suitable action.................. E-mail ID Relationship of Guardian with Nominee This nomination shall supersede any prior nomination made by me/us and also any testamentary document executed by me/us........... I/We agree and undertake to intimate the DP any change(s) in the details / Particulars mentioned by me / us in this form........ I/We appoint following person to act as Guardian : Full Name of Guardian of Nominee Address City State Country PIN Telephone No.........As the nominee is a minor as on date..........

Partnership Firm. Association of Persons (AOP). D M M Y Y Y Y DP Internal Reference No. although the account is opened in the name of the natural persons. etc. Association of Persons (AOP). the default option would be 'Yes') Account Statement Requirement FII Other (Specify)________________________ SEBI Registration No. TYPE OF ACCOUNT (Please tick whichever is applicable) Sub-Status (To be filled by the DP) Status Body Corporate Banks CM Clearing House FI Trust Mutual Fund RBI Registration No.. Faridabad-121002 Haryana E-mail : info@wellindia. the name of the Firm. (if applicable) Indian SEBI Registration Date D D M M Y Y Y Y RBI Approval Date D D M M Y Y Y Y ROC Registration Date D D M M Y Y Y Y Others (specify)__________________________ I/We instruct the DP to receive each and every credit in my/our account (if not marked. Unregistered Trust. Sector 2. NO. should be made applicable. etc. Partnership Firm.Wellindia Securities Limited CDSL DP ID : 12058000 • SEBI REGN. the default option would be 'Yes') (22) [Automatic Credit] Yes No Weekly Yes Yes Fortnightly No No Monthly .com • URL : www. (if applicable) ROC Registration No. Office : A-78. 1 2 0 5 8 0 0 0 DP ID Client ID (To be filled by the applicant in BLOCK LETTERS in English) I/We request you to open a demat account in my/our name as per following details : HOLDERS DETAILS Sole/First Holder's Name PAN Second Holder's Name PAN Third Holder's Name PAN Search Name Name* * In case of Firms. Noida-201301. Sector 19. (if applicable) Nationality OCB As per SEBI Regulation Daily I/We request you to send Electronic Transaction-cum-Holding Statement at the email Id______________________________________________ Do you wish to receive dividend/interest directly in to your bank account given below through ECS? (If not marked.: IN-DP-CDSL-483-2008 Corp.wellindia.com ACCOUNT OPENING FORM NON-INDIVIDUALS ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT (For entities other than Individuals) (To be filled by the Depository Participant) Date D Application No. Uttar Pradesh Regd. Unregistered Trust. Office : 1249..

....... Easi Yes No Yes No I/We have read the terms & conditions DP-BO agreement and agree to abide by and be bound by the same and by the Bye Laws as are in force from time to time. MOBILE No........... please add annexure) (23) ...com....... (iii) and (iv) above....... Easi allows a BO to view his ISIN balances. To register for easi.......... Second Holder Signature 2 ........ In case of option (ii).. (or) Letter from the Bank. I / We declare that the particulars given by me/us above are true and to the best of my/our knowledge as on the date of making this application....... transactions and value of the portfolio online...................... if you are giving Power of Attorney (POA)] given as Annexure 2................4 (if POA is not granted & you do not wish to avail of this facility... I/We agree and undertake to intimate the DP any change(s) in the details / Particulars mentioned by me / us in this form................ MICR Code of the branch should be present/mentioned on the document........ Photocopy of the Passbook having name and address of the BO...: +91SMS Alert Facility Refer to Terms & Conditions [Mandatory........ the default option would be 'Yes') [ECS is mandatory for locations notified by SEBI from time to time] Yes No BANK DETAILS (Dividend Bank Details) Bank Code (9 digit MICR Code) IFS Code (11 Character) Account Number Account Type Saving Current Others (specify)___________________________ Bank Name Branch Name Bank Branch Address City (i) (ii) (iii) (iv) State PIN Country Photocopy of the cancelled cheque having the name of the account holder where the cheque books is issued.............. cancel this option)...CLEARING MEMBER DETAILS (To be filled by CMs only) Name of Stock Exchange Name of CC / CH Trading Member ID Clearing Member ID Do you wish to receive dividend/interest directly in to your bank account given below through ECS? (If not marked.......................... First / Sole Authorised Signatory Second Authorised Signatory Third Authorised Signatory Name Designation 4 Signature . Sole/First Holder Signature (Signatures should be preferably in black ink) 2 ................ please visit our website www.............cdslindia.. Third Holder Signature (In case of more authorised signatories. (or) Photocopy of the Bank Statement having name and address of the BO.. I/We further agree that any false / misleading information given by me / us or suppression of any material information will render my account liable for termination and suitable action.

the Beneficial Owner’s account........ 3...3 It is agreed and understood between the parties that if the same extent as if the same were set out herein and the Participant does not have the facility of providing the formed part of this Agreement............ Second Holder Signature * Please stamp & Sign in case of HUF / Corporate Account ** In case of Joint holding....... The Participant shall be entitled to change or revise the fees.. 2000. statement of account in the electronic mode.............................. then the Fees. Provided AGREED BY AND BETWEEN THE PARTIES HERETO AS however that in the event of the Beneficial Owner FOLLOWS: requiring a physical copy of the statement of accounts......... taxes................ issued by CDSL from time to time in the same manner and to 3......... SEBI (Depositories and Participants) mode..... all joint holders must sign.................................................... as governed under NOW THIS AGREEMENT WITNESSETH AND IT IS HEREBY the Information Technology Act...................... WHEREAS the Beneficial Owner is desirous of opening a 3... duties....... 1996. Bye Laws and Operating Instructions physical copy thereof to the BO................................. Third Holder Signature AGREEMENT BETWEEN A PARTICIPANT AND A PERSON SEEKING TO OPEN A BENEFICIAL OWNER’S ACCOUNT 15 ...................... ................. Faridabad-121002 Haryana that month..... statutory of instructions of Beneficial Owners till such time he makes or revenue authority in respect of securities credited to the payment along with interest if any........................................... all joint holders must sign................... Beneficial Owner committing a default in the payment of any unless notified by the Beneficial Owner..... such amount payable to the Participant on their respective Depository not liable for claims against Beneficial due dates or within fifteen days of the same being demanded Owner (where no such due date is specified)............. 2.. the Participant shall be obliged to provide a Regulations..................... On such arising from the claims of third parties or for any fees......... State............................ levies or penalties levied..... to the Beneficial Owner shall have a right to stop processing imposed or demanded by any Central...................................... Participant shall furnish such statements at such ........... Statement of Account day of.............................................. continued default........... then the Participant and render services to the Beneficial Owner as a participant............. Sole/First Holder Signature 5 ..... on the will furnish to the Beneficial Owner the statement of terms and conditions recorded hereinbelow: accounts under its digital signature............... In case the particulars furnished to the Participant from time to time.................... The Participant shall not be liable or responsible for any loss that may be caused to the Beneficial Owner by the Participant shall have given at least one month’s notice in reason of his/its failure to intimate change in the writing to the Beneficial Owner in that behalf. shorter periods as may be required by the Beneficial ....... then 1...... and in any event once at the end of each (hereinafter called “the Participant”) of quarter.......... Charges and deposits Participant shall be obliged to forward the statement of account only in physical form.............. having its registered there has been even a single entry or transaction during Office at 1249....................... Owner on payment of such charges by the Beneficial hereinafter called “the Beneficial Owner” of the Other Part.. Sole/First Holder Signature 14 This Agreement made and entered into at this...................... charges or deposits from time to time provided however that Beneficial Owner shall intimate change of particulars no increase therein shall be effected by the Participant unless 4....................................................... CDSL shall not be liable to the Beneficial Owner in any manner towards losses....................... Owner as may be specified by the Participant.1 The Participant shall furnish to the Beneficial Owner a statement of his/its account at the end of every month if between Wellindia Securities Limited................. the One Part....... * Please stamp & Sign in case of HUF / Corporate Account 4 4 .. Third Holder Signature ........................................................ Sector 19............ Second Holder Signature .............................. General Clause despite receiving the same in the electronic mode................................... Beneficial Owner under this Agreement shall be in the having his/ its office/ registered office/address at form specified in Operating Instructions or as communicated by CDSL from time to time........ (24) 5 . The statement of accounts to be provided to the ..................... AND.....2 It is agreed that if a Participant is providing the services beneficial owner’s account with the Participant and the Participant of issuing the statement of accounts in an electronic mode and if the Beneficial Owner is desirous of availing has agreed to open an account in the name of the Beneficial Owner such services from the Participant............... the Participant after giving two days notice charges.. The ................... liabilities and/ or expenses outstanding or unpaid per annum or part thereof................ 1996........ The parties hereto agree to abide by the provisions of the irrespective of having forwarded the same via electronic Depositories Act........ the Participant shall be entitled to charge interest @ 15% on the amount remaining 5......................AGREEMENT ** In case of Joint holding....................

........ Notwithstanding anything contained herein or in the Bye Laws.................. criminal conspiracy. earthquake................ Any notice or communication required to be given under the Agreement shall not be binding unless the same is in writing and shall have been served by delivering the same at the address set out hereinabove against a written acknowledgement of receipt thereof or by sending the same by pre-paid registered post at the aforesaid address or transmitting the same by facsimile transmission. revolution.......... Notice sent by facsimile transmission......... riot..................... the Participant shall deal with the securities lying in the account of a Beneficial Owner in accordance with the instructions of such Beneficial Owner..... storm............ * Please stamp & Sign in case of HUF / Corporate Account ** In case of Joint holding....... Any stamp duty (including interest or penalty levied thereon) payable on the Agreement and/or on any deed................ Second Holder Signature : ..... Date :.......... Notice given by post in accordance with this clause shall be deemed to be given at the commencement of business of the recipient of the notice on the third working day next following its posting.. deletions or alterations thereto shall be forthwith communicated to the Participant........ enemy action........ fire...............Authorised Representative 6................ flood. it shall...... or intrusion. The parties may at any time terminate this agreement................................ (25) ......... sabotage............ The parties hereto agree to submit to the exclusive jurisdiction of the courts in Delhi... The Agreement shall be governed by and construed in accordance with the laws in force in India.. lockout or boycott.................. Service of Notice 10......... rebellion........ damage or injury caused to the other due to causes reasonably beyond its control including but not limited to tide. year and place first hereinabove mentioned......... neither party hereto shall be liable to indemnify or compensate the other for any breach.. IN WITNESS WHEREOF the parties hereto have hereunto set and subscribed their respective hands/ seals to this Agreement in duplicate on the day........... provided that a notice of not less than thirty days is given in the manner and on the terms and conditions and procedure set out in the Bye Laws and the Operating Instructions................ In the event of termination by either party........ Authorised Signatory : ... Witness Signature : Signed and delivered by Client 16 Sole/First Holder Signature Name : ............ Notice given by personal delivery shall be deemed to be given at the time of delivery................................ simultaneously with the execution of the Agreement furnish to the Participant...... war.................. act of terrorism or vandalism.. who shall represent and interact on its behalf with the Participant........... labour action or unrest including strike. all joint holders must sign...................... Termination 7............ month........ electronic mail or electronic data transfer shall be deemed to be given at the time of its actual transmission.................... lightning.... The parties hereto shall....................................... or any other irresistible force or compulsion..................... loss............................. Any change in such list including additions.................. embargo or sanction.... Place :... blockade... cyclone.......... Force Majeure 9.............. electronic mail or electronic data transfer at number or address that shall have been previously specified by the party to be notified......................... Arbitration 11........... abide by the provisions relating to arbitration and conciliation specified under the Bye Laws. Where the Beneficial Owner is a body corporate or a legal entity... blast................ interruption or failure of any utility service.............. insurrection........explosion or any other act of God.......................... Address : ................... a list of officials authorized by it............... Stamp Duty 8......... civil commotion.................................. document or writing executed in pursuance hereof between the parties hereto shall be borne and paid by the Beneficial Owner....... Jurisdiction 12............ in respect of all disputes and differences that may arise between them................... Governing Law 13..... non-performance or delay in performance of any obligations under the Agreement or for any harm....................................................... 6 Address : . 6 Witness Signature : Third Holder Signature Signed and delivered by Participant For Wellindia Securities Limited (DP ID 12058000) Name : ..................................

............. IN-DP-CDSL-483-2008)...................................... Sector 2.... CONSTITUTE /AND APPOINT Wellindia Securities Limited as my true and lawful attorney (hereinafter referred to as the attorney) for me / us and on my / our behalf and in my / our name to do instruct the aforesaid Depository Participant and to do the following acts and deeds: 1.......... notwithstanding any other document to be disseminated as specified by SEBI from time to time.................................. I am desirous of appointing an agent/attorney to operate the aforesaid beneficiary account on my behalf for a limited purpose in the manner hereinafter appearing.................................................................................. Indian inhabitant SEND GREETINGS................................ (26) ............ (NSE-INB/INF/INE231282931...............BP ID IN655630 NSDL IN300966 for meeting out of Settlement / Margin Obligation arising out of the trades executed by me / us on the stock exchange through Wellindia Securities Limited............ : ..... Address : ........ I/We further agree and confirm and understand that this power of attorney shall be revocable at any time by giving a notice in writing SIGNED AND DELIVERED By the within named Beneficial Owner 17 ............................................. through Wellindia Securities Limited... Address : .......................... Noida-201301 (Uttar Pradesh) 3 4 5 * Sign of Karta (Authorised Signatory) Witness Signature : Witness Signature : Name Name : ..........................SEBI Registration No............................................ The Stock Broker is hereby authorized to send consolidated summary of Client's scrip-wise buy and sell positions taken with average rates to the client by way of SMS / email on a daily basis......... This authority is restricted to the pay-in / margin obligations and ratifies the instruction given by above said attorney to the Depository Participant named herein above in the manner specified herein above....... NSDL POOL ID CDSL POOL ID NSDL POOL ID NSE BSE CDSL POOL ID Depository ID Beneficiary ID CDSL 12058000-00002102 10515172 12058000-00002161 10515180 12058000-00002155 12058000-00002174 12058000 CM ....................................... To sign all the debit instruction and forms relevant to the operation of the said beneficiary account issued in favour of Wellindia Securities Limited in following accounts....... a member of National Stock Exchange & Bombay Stock Exchange.............. MCX Stock Exchange & United Stock Exchange Limited bearing SEBI Registration No..................................................................... the securities that may have been received by it erroneously or those securities it was not entitled to receive from the client........ INE261282931 & INE271282936).. : ....... Haryana bearing DP–ID 12058000 (DP ......... Regd..................... _________________________ (For SMS Alert – Mandatory) 7 7 ................ Office: 1249........................................................POWER OF ATTORNEY TO ALL TO WHOM THESE PRESENTS SHALL COME I __________________________________________________ India.............................................. 4...... Second Holder Signature .................. Whereas I hold a Beneficiary account no............................. : ........................... 2........ _________________with Central Depository Service (India) Limited........... Name Signature 1 2 We accept the above the Power Attorney for and behalf of WELLINDIA SECURITIES LIMITED A-78.... NOW KNOW WE ALL AND THESE PRESENTS WITNESSTH THAT I THE ABOVE NAMED DO HEREBY NOMINATE................ Third Holder Signature FOR HUF ACCOUNT ONLY Name Signature of Coparceners SR......... And Whereas due to exigency and paucity of time................................. Sector 19................... Sole/First Holder Signature IN THE PRESENCE OF Client ID _________________________ Client Code _________________________ Mobile No...................................... INB/INF011282937................. The Power of Attorney is given to Stock Broker subject to the condition that the Stock Broker would return to the client ........................... Faridabad – 121002..........BP ID IN565592 CM ............. 3...... And Whereas I an investor engaged in buying and selling of securities through Wellindia Securities Limited..................................

.e. P..... 4....com • URL : www.. connectivity of the service provider..... The BO also acknowledges that the readability.. The alerts will be provided to the BOs only if they remain within the range of the service provider's service area or within the range forming part of the roaming network of the service provider... which can be opened with a depository as specified by the depository from time to time...... immediately... 'DP' means Depository Participant of CDSL.. Charges and deposits 1.wellindia. omission and/or in accuracy. Availability : 1.. Noida-201301. the depository shall make every effort to update the change in mobile number within a reasonable period of time... Fees........ damages. 'BO' means an entity that has opened a demat account with the depository. Tower... The depository shall send the alerts to the mobile phone number provided by the BO while registering for service or to any such number replaced and informed by the BO from time to time. the BO shall inform the depository and/or the DP immediately in writing and the depository will make best possible efforts to rectify the errors as early as possible... The BO further acknowledge that the service provided to him is an additional facility provided for his convenience and is susceptible to error..... 3... Second Holder Signature (27) 8 ..... 'Service' means the service of providing SMS alerts to the BO on best effort basis as per these terms and conditions.. greeting or any other message that the depository may consider appropriate.. 7... 2.. Office : 1249.com SMS ALERT FACILITY Annexure-A Terms & Conditions-Cum-Registration / Modification Form for receiving SMS Alerts from CDSL Definitions : In these Terms and Conditions the terms shall have following meaning unless indicated otherwise. The BO is responsible for promptly intimating to the depository in the prescribed manner any change in mobile number...... In case of change in mobile number not intimated to the depository.... Receiving Alerts : 1. The term covers all types of demat accounts.. 2. The depository shall not be responsible for any event of delay or loss of message in this regard...... Dalal Street...... Faridabad-121002 Haryana E-mail : info@wellindia.. The term covers all types of DPs who are allowed to open demat accounts for investors..... 2.. In case of BO observes any error in the information provided in the alert.: IN-DP-CDSL-483-2008 Corp... or loss of handset.. 18 .. The BO agrees to an ongoing confirmation for use of name.... The service will be provided to the BO at his/her request and at the discretion of the depository..... Sector 2. The depository may also discontinue the service at any time without giving prior notice for any reason whatsoever...... accuracy and timeliness of providing the services depend on many factors including the infrastructure... 4. 'Service Provider' means a cellular service provider(s) with whom the depository has entered/will be entering into an arrangement for providing the SMS alerts to the BO. Upon such registration / change.. 'Alerts' means a customized SMS sent to the BO over the said mobile phone number.. 3........ Third Holder Signature . email address and mobile number for marketing offers between CDSL and any other entity... to the mobile number as submitted at the time of registration / modification. The service is currently available to the BOs who are residing in India... etc......... "Depository" means Central Depository Services (India) Limited a company incorporated in India under the Companies Act 1956 and having its registered office at 17th Floor. Office : A-78.. unable to receive the alerts then the BO may not get / get after delay any alerts sent during such period......... on which the BO wants to receive the alerts from the depository.. Sole/First Holder Signature 8 . The BO agrees to indemnify the depository for any loss or damage suffered by it on account of SMS alerts sent on such mobile number.. The service will be available to those account holders who have provided their mobile numbers to the depository through their DP. The depository shall not be responsible for any non-delivery....... The service may be discontinued for a specific period/indefinite period with or without issuing any prior notice for the purpose of security reasons or system maintenance or for such other reasons as may be warranted... 6.com The BO is advised not to inform the service provider about any such unauthorized debit to/transfer of securities from his BO account by sending a SMS back to the service provider as there is no reverse communication between the service provider and the depository. SMS means "Short Messaging Service" 5...... In case of joint accounts and non-individual accounts the service will be available... which may come to his knowledge on receiving SMS alerts..J.. Fort... The BO may send an email to CDSL at complaints@cdslindia.. the SMS alerts will continue to be sent to the last registered mobile phone number..... The BO authorized the depository to send any message such as promotional.. 4..... 3.. 5..... The BO shall not hold the depository liable for any loss.. Sector 19...... only to one mobile number i.. 6.... The BO agrees to inform the depository and DP in writing of any unauthorized debit to his BO account/unauthorized transfer of securities from his BO account.. NO. Mumbai-400001 and all its branch offices and includes its successors and assigns..Wellindia Securities Limited CDSL DP ID : 12058000 • SEBI REGN.... 5. that may be incurred/suffered by the BO an account to avail SMS alerts facility.... Uttar Pradesh Regd.. The BO acknowledges that the alerts will be received only if the mobile phone is in 'ON' and in a mode to receive the SMS.e... delayed delivery or distortion of the alert in any way whatsoever... to the BO. If the mobile phone is in 'Off' mode i........

Date :.... Third Holder Signature . the depository makes no warranty or representation of any kind in relation to the system and the network or their function or their performance or for any loss or damage whenever and howsoever suffered or incurred by the BO or by any person resulting from or in connection with availing of SMS alerts facility............... I/We am/are aware that more acceptance of the registration form does not imply in any way that the request has been accepted by the depository for providing the service... I/We consent to CDSL providing to the service provider such information pertaining to account/transactions in my/our account as is necessary for the purpose of generating SMS Alerts by service provider.. Second Holder Signature Place :........... changes and expenses whatsoever which a depository may at any time incur................. demands................. I/We further understand that the SMS alerts would be sent for a maximum four ISINs at a time... In consideration of the depository providing the service........ If the BO finds that the information such as mobile number etc...... Fees : Depository reserves the right to change such fees from time to time as it deems fit for providing this service to the BO.... The depository will make best efforts to provide the service.... The Depository will not be liable for any unauthorized use or access to the information and/or SMS alert sent on the mobile phone number of the BO or for fraudulent... is to be sent) 19 ............ loss.... If more than four debits take place... Further... DP ID 1 2 0 5 8 0 0 0 BO ID Sole/First Holder's Name : Second Holder's Name : : Third Holder's Name Mobile No........ the BO agrees to indemnify and keep safe........ duplicate or erroneous use/ misuse of such information by an third person............. * Please stamp & Sign in case of HUF / Corporate Account ** In case of Joint holding....... I/We wish to avail the SMS Alerts facility provided by the depository on my/our mobile number provided in the registration form subject to the terms and conditions mentioned below....... I/We have read and understood the terms and conditions mentioned above and agree to abide by them and any amendments thereto made by the depository from time to time.7........... harmless and indemnified the depository and its officials from any damages.. sustain... the BOs would be required to take up the matter with their DP...... 8... The depository does not warranty the confidentiality or security of the SMS alerts transmitted through a service provider...... improper or fraudulent use of the service by the BO..... if any. The information sent as an alert on the mobile phone number shall be deemed to have been received by the BO and the depository shall not be under any obligation to confirm the authenticity of the person(s) receiving the alert.. The BO cannot hold the depository liable for non-availability of the service in any manner whatsoever........ I/We provide the following information for the purpose of registration/modification (Please cancel out what is not applicable)... (28) 9 ............. to be sent to the said mobile number.. Any such amendments shall be binding on the BOs who are already registered as user of this service.. Disclaimer : The depository shall made reasonable efforts to ensure that the BO's personal information is kept confidential. has been changed without proper authorization.. on which messages are to be sent + 9 1 (Please write only the mobile number without prefixing country code or zero) The Mobile Number is registered in the name of : E-mail Id : (Please write only ONE valid email Id on which communication.. cost............. I/we further undertake to pay fee/charges as may be levied by the depository from time to time........ 9...... Amendments : The depository may amend the terms and conditions at any time with or without giving any prior notice to the BOs. the BO should immediately inform the DP in writing... Sole/First Holder Signature 9 ... Liability and Indemnity : The Depository shall not be liable for any breach of confidentiality by the service provider or by any third person due to unauthorized access to the information meant for the BO..... suffer or be put to as a consequence of or arising out or interference with or misuse....... all joint holders must sign.... claims.... proceedings..... Governing Law and Jurisdiction : Providing the Service as outlined above shall be governed by the laws of India and will be subject to the exclusive jurisdiction of the courts in Mumbai........

.. Signature______________ Date_____________________ (29) Place___________________ ..com ELECTRONIC ACCESS TO SECURITIES INFORMATION & EXECUTIVE OF SECURE TRANSACTION (EASIEST) REGISTRATION FORM ..P. No...................... . 2.with us... Signature 20 Sole/First Holder Signature Place...... are maintaining BO A/c No.).......................2............ Sector 2. 10 Second Holder Signature 10 Third Holder Signature (To be filled by DP) This is to certify that 1...................................... Client ID 1....B Central Depository Services (India) Ltd............ Noida-201301.. Office : A-78. 3...3. (CDSL) 17th Floor... 2. Tel.............. Faridabad-121002 Haryana Email Address of the BO Mobile No......... Sector 19..Beneficial Owner (BO) Name of the Beneficial Owner(s) 1. Mumbai-400 023 Phone : 22723333 Fax : 91-22-22723199 Website : http://www. 3...... No. applicable only if Trusted A/c option is selected) DP ID Sr.............. Office : 1249....... I/We hereby agree to the terms and conditions I/we have read earlier for availing the said service.................. We have verified the signature of the said a ccount holders and they match with the specimen signatures as per our records........ DPID 1 2 0 5 Client ID 8 0 0 0 Login ID (To be given by BO) DP Name WELLINDIA SECURITIES LIMITED DP Address Corp...... with STD Code Transfer Option (Y/N) Trusted A/c Account of Choice Details of Trusted A/c (Submit the under taking from Trusted a/c holders are per format attached........ Dalal Street..........EASY / EASIEST FACILITY ANNEXURE .cdslindia........ Date.......................................... Regd...... Phiroze Jeejebhoy Towers.... (U........ I/We would like to register above mentioned account for the easiest service..........

.......... Signature(s) 21 .... We have no objection for the same.............. (Authorised Signatories) To be signed by the Trusted a/c holder I/We hereby nominate the above account holder as our trusted account for easiest services where securities can be credited from my/our account using the common infrastructure through interne.. 2.. We acknowledge your request to nominate our depository account as a trusted account for the purpose of receiving credits from your account.. The details of our account (trusted a/c) are as under.. We agree that if any securities are moved to our account which are not due to us for any reasons including but not limited to an error or fraud................. we undertake to immediately return the securities to you.. 3......... Second Holder Signature To be signed by the BO (30) 111 ...............................Beneficial Owner (BO) Letter from the Trusted Account Holder Date Name of the Beneficial Owner(s) 1................................................. Address Client ID DPID 1 2 0 5 8 0 0 0 Dear Sir/Madam.................... Third Holder Signature ........... Client ID DPID Yours faithfully..... Sole/First Holder Signature 11 .................ELECTRONIC ACCESS TO SECURITIES INFORMATION & EXECUTIVE OF SECURE TRANSACTION (EASIEST) TRUSTED FORM ...........

........ Third Holder Signature (Please Tear Here) Acknowledgement Receipt Received BSDA declaration from : DP ID 1 2 0 5 8 0 0 0 Client ID Name Address Depository Participant Seal and Signature (31) ........ Noida-201301............com Dated :______________________ Dear Sir / Madam I / We wish to avail the BSDA facility for the new account for which we have submitted my / our account opening form I / We wish to avail the BSDA facility for my / our below mentioned demat account number DP ID 1 2 0 5 8 0 0 0 Client ID NAME PAN Sole/First Holder Second Holder Third Holder I/We have read and understood the regulatory (SEBI) guidelines for opening a Basic Services Demat Account and undertake to comply with the aforesaid guidelines from time to time...... NO...............: IN-DP-CDSL-483-2008 Corp............... the first / Sole holder also hereby declare that I do not have / propose to have any other demat account across depositories as a first / sole holder...... I/we also undertake to comply with the guidelines issued by any such authority for BSDA facility from time to time.... Sector 19........ Signature(s) 21 .... I/We also agree that in case our demat account opened under BSDA facility does not meet the eligibility for BSDA facility as per guideline issued by SEBI or any such authority at any point of time.. Faridabad-121002 Haryana E-mail : info@wellindia..... Uttar Pradesh Regd..................... Office : A-78........................ Second Holder Signature 111 ......com • URL : www......... Sole/First Holder Signature 11 .....DECLARATION FOR AVAILING OF BASIC SERVICES DEMAT ACCOUNT (BSDA) FACILITY To........ Sector 2...... I.wellindia....... Office : 1249..................... Wellindia Securities Limited CDSL DP ID : 12058000 • SEBI REGN........... my / our BSDA account will be converted to regular demat account without further reference to me/us and will be levied charges as applicable to regular accounts as informed by the DP...

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.... ................................. I would not hold the user responsible.... If the transaction is delayed or not effected at all for reasons of incomplete information........................................................ 1................. Account Type MICR – 9 Digit code number of the bank & branch (appearing on the MICR cheque issued by the bank): 9-Digit MICR Code* I hereby authorize you to debit my account for making payment to Rs........................ ELECTRNOIC CLEARING SER VICE (DEBIT CLEARING) MANDA TE FORM DEPOSITORY DIVISION A-78........................ .... Bank Name The Manager Unique Identifier Code AUTHORISATION TO BANK FOR DEBITING THE ACCOUNT .......................... declare that the particulars given are correct and complete...................... declare that the particulars given are correct and complete................. hereby.................................... ECS Debit state date: Name of the Scheme Account No...... Cash Credit (Code 13) Ledger No... Bank Name 4... Ledger No.................. If the transaction is delayed or not effected at all for reasons of incomplete information...... .......... :........ Unique Identifier Code I hereby authorize you to debit my account for making payment to Rs..............................Name Address 2........... I hereby agree to discharge the responsible..................... Branch Address:........................................................................................... 1 2 0 5 8 0 0 0 9-Digit MICR Code* B) Date of effect Periodicity (M/Bim/Qly/etc.......................... :........................................................................................................... I would not hold the user responsible..................... Sector 2................................................. :...................... :................................................................................. No.............. Noida-201301....................................................... I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme...................................................... (As per Bank's proof) DP A/c....................................... .... Current A/c (Code 11) D) SB A/c (Code 10) Account Type C) MICR – 9 Digit code number of the bank & branch (appearing on the MICR cheque issued by the bank): Branch Name :.................................................................................. :......................................................... Branch Name :............................ A) :............ Phone No........ Date of effect ECS Debit state date: Name of the Scheme Address (As per Bank's proof) Name Account No....... I hereby agree to discharge the responsible............................... Periodicity (M/Bim/Qly/etc.... :............................................................................. ............................................................................................. Uttar Pradesh WELLINDIA SECURITIES LIMITED :. Amount of installment/ Amt of bill with upper limit Number of installments/ Valid up to (in case of utility bills) / End date (As per bank's record) Signature of the Applicant(s) Date : Bank's Stamp : Signature of Authorised Bank Offical Certified that the particulars furnished above are correct as per our records................ 3.............................../Folio No.../Folio No......................... :................................................ In case of joint account both the holder must sign the mandate form) Date : Bank's Stamp : Certified that the particulars furnished above are correct as per our records...................................... through ECS (Debit) clearing as per the details given as under. I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme.. SB A/c (Code 10) Current A/c (Code 11) Cash Credit (Code 13) Date : Amount of installment/ Amt of bill with upper limit Number of installments/ Valid up to (in case of utility bills) / End date Signature of Authorised Bank Offical (A/c holder's Signature should be the same as in bank A/c............................ through ECS (Debit) clearing as per the details given as under........................... 1 13 Signature_____________________________________Name_________________________________ Signature_____________________________________Name_________________________________ 13 Signature_____________________________________Name_________________________________ 24 I..................... Date : 23 I................................ hereby..

........ ....................WELLINDIA SECURITIES LIMITED A-78.. :.../Folio No........................................................................... declare that the particulars given are correct and complete........ Unique Identifier Code 4............................ hereby................ Address (As per Bank's proof) 3.......................................................... If the transaction is delayed or not effected at all for reasons of incomplete information. I would not hold the user responsible....... I hereby agree to discharge the responsible............ 9-Digit MICR Code* I hereby authorize you to debit my account for making payment to Rs......................... 26 Signature_____________________________________Name_________________________________ 14 Signature_____________________________________Name_________________________________ 1 14 Signature_____________________________________Name_________________________________ Signature of Authorised Bank Offical Certified that the particulars furnished above are correct as per our records.................................. Branch Name :..... Branch Address:................ Bank's Stamp : Date : (A/c holder's Signature should be the same as in bank A/c... :...................... I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme........................... Name of the Scheme ECS Debit state date: 25 Signature of the Applicant(s) I....................... Unique Identifier Code Bank Name The Manager Branch Name :...................................... Current A/c (Code 11) Amount of installment/ Amt of bill with upper limit Cash Credit (Code 13) Number of installments/ Valid up to (in case of utility bills) / End date Ledger No............................... hereby................ No.......... SB A/c (Code 10) Current A/c (Code 11) Cash Credit (Code 13) MICR – 9 Digit code number of the bank & branch (appearing on the MICR cheque issued by the bank): Account Type Ledger No............................. declare that the particulars given are correct and complete......... Name :.......... ................................................................../Folio No................... Bank Name :......................................... Address Name of the Scheme ECS Debit state date: Date : I.................................. ............ If the transaction is delayed or not effected at all for reasons of incomplete information.. Phone No.................................. ....... I hereby agree to discharge the responsible... I hereby authorize you to debit my account for making payment to Rs..... SB A/c (Code 10) MICR – 9 Digit code number of the bank & branch (appearing on the MICR cheque issued by the bank): B) C) D) Date of effect Account No................. Account No................................. :........................... A) 9-Digit MICR Code* Account Type Periodicity (M/Bim/Qly/etc............................ Amount of installment/ Amt of bill with upper limit Number of installments/ Valid up to (in case of utility bills) / End date .................................................................................................. (As per Bank's proof) Date of effect Periodicity (M/Bim/Qly/etc........................ 1................. Bank's Stamp : Date : AUTHORISATION TO BANK FOR DEBITING THE ACCOUNT :. 1 2 0 5 8 0 0 0 ELECTRNOIC CLEARING SER VICE (DEBIT CLEARING) MANDA TE FORM Name :................................................ In case of joint account both the holder must sign the mandate form) ........................................................................................................................ through ECS (Debit) clearing as per the details given as under..................................................................................... Date : (As per bank's record) Signature of Authorised Bank Offical Certified that the particulars furnished above are correct as per our records.. through ECS (Debit) clearing as per the details given as under... 2.......... I would not hold the user responsible................... Noida-201301................... I have read the option invitation letter and agree to discharge the responsibility expected of me as a participant under the scheme................................... :........................................ Sector 2.......... Uttar Pradesh DEPOSITORY DIVISION DP A/c................................................................ :.................................................................................................................................................................

Sector 19.com ACKNOWLEDGEMENT RECEIPT We hereby acknowledge the receipt of the Account Opening application form : Name of the Sole/First Holder Name of the Second Holder Name of the Third Holder (Depository Participant Seal and Signature) . Noida-201301.: IN-DP-CDSL-483-2008 Corp. Faridabad-121002 Haryana Tel. CDSL DP ID : 12058000 • SEBI REGN.Wellindia Securities Limited DP : CENTRAL DEPOSITORY SECURITIES LTD.wellindia. Office : 1249. Office : A-78.: +91-9990799941-48 Fax : 0120-4313311 E-mail : info@wellindia. Uttar Pradesh Regd.com Website : www. Sector 2. NO.

Client Account Status Report issued by 14. UCC UPLOADED : NSE 6. Details Punched in Computer by TM__________________ DP__________________ 4. Client Instruction Book issued by 13.VOLUNTARY DOCUMENT CHECK LIST FOR CLIENT REGISTRATION FORM FORM RECEIVING DATE : BRANCH CODE : ACCOUNT OPENING DATE : GROUP CODE : CLIENT CODE 1. Minimum ______________ Minimum ______________ Option ______________ NSE F&O NSE (Currency) MCX-SX (Currency) BSE (CM) USE (Currency) Sub-broker and Client to be informed if any of the above detail is missing or invalid by_______________________Date_________________Time___________________ 3. d) Photograph (duly signed) e) A copy of PAN Card (Self Attested) f) Address Proof (Self Attested) g) Bank Proof containing Client Name (Self Attested) h) Demat Account Proof (Self Attested) i) Brokerage : j) Exchange given : YES Intra Day Delivery F & O Intra Day ____________ ____________ ____________ NSE (CM) BSE F&O 2. Cross Checking done by TM__________________ DP__________________ 5. DP WEB LOGIN User Name ID________________________Password _______________________ 8. Details sent to Surveillance by_______________Date :_________ Time :__________ 9. __________________ Date : ________________ Time : ________________ Verified by _________________ REMARKS . INTERNET TRADING Odin Diet Welltrade Now Mobile Trading User ID___________________________Password ____________________________ 11. CHECKING DETAILS a) Name as it appears on the ID & Address Proof (in capital letter) b) Signature of Client on all pages and wherever necessary (Witness wherever required) c) Signature Checked and Verified. Form sent to DP by_________________Date :_____________Time :_____________ 12. Form Returned to Compliance by_________________Date :___________Time :__________ 15. Confirmation from Client (Telephonic Verfication) Extn. Kit Dispatched on________________(Date) 16. BSE MCX-SX USE ENTERED IN FORM DATA BACK OFFICE WEB LOGIN User Name ID________________________Password _______________________ 7. Client ID Mapping done by ________________________ Branch ID_________________User ID:_______________Dealer ID :_______________ 10. No.

com (Media Presence) www. USE -INE271282936 Corp.wellindia.ibbm.: NSE -INB/INF/INE 231282931. Faridabad-121002 Haryana Tel. Uttar Pradesh Regd.news. MCX-SX-INE261282931. Sector 2. Sector 19.wellindia.in (Financial Education) www.com Website : www.wellindia.: +91-9990799941-48.Yatra4u (Restaurant) Wellindia Securities Limited MEMBER : NSE. Noida-201301. Office : A-78.pr.com (Monthly News Updates) www.22acre.com (Real Estate) www.wellindia.com (Financial) www.com Tour & Travels . MCX-SX & USE SEBI Registration Nos.wellindia.com or SMS “WELL” at 56677 .co.Our Group Services Broking Equity Commodity Currency Research & Advisory Equity Commodity Currency Invesments Mutual funds Bonds IPO’s Fd’s Life & General Insurance Real Estate Our Group Websites www. BSE -INB/INF 011282937. Office : 1249.com (Travel) Financial Education IBBM www.com For more information visit us at www. Fax : 0120-4313311 E-mail : info@wellindia.yatra4u.snacksindia. BSE.