Know Your Client (KYC) Application Form (For Individuals Only) KARVYII Please fill in ENGLISH and in BLOCK LETTERS > EMI 4. Name of Applicant saponin in superting ientfain document, Name FathersSpouse Name ese a ‘the recent passport se photograph and 2.Gender Mile Clevale 6. Maral status []sesle [varied ¢ vate sign acess it 3: Nationality Cndan. Clothe 4 status ese ick (v}) Reser ital Non Reset Coregn National Papert Copy Madi fr Nis & Freig Natonas) 5.7aN Please ence 2 dy ated copy of you AN Cort ‘adhaar Numb, a 6 Proof of Identity submited for PAN exempt cases Pese Tick) vO tandoat rasoon Cleo owvag lien Clothes ‘Pease ee guise 0" ove ‘Address Detalls (please see guidelines overleaf) 1. Address for Comespondence Cyn lage Sat Coty 2. Contact Details re Wotie Fax ENalid 3. Proof of address to be provided by Applicant. Please submit ANY ONE of the following valid documents & tick (v) against the document attached. CiPeassoort CiRaton Card CiRegisteres Leasefale Agreement of Residence C]Drng Lense Clvote entity Cad CLatet Bank Ae StatementPassbook Citatest @ephone 2a only Land Line) Cr.atestFecticty Bil CILatest Gas il Clothes Pease sot "ot mare han 3 Months ld ValltyExpley date of prof of address submited / / 4, Permanent Address of Resident Applicant if different from above 81 OR Overseas Address (Mandatory) for Non-Resident Applicant yews age Pca ‘| Gonty 5. Proof af address to be provided by Applicant. Please submit ANY ONE ofthe follwing valid documents & tick (V) against the document attached, Passoor Cikation Cond CiReiere Lease Agreement of Residence CIDrving Leense Cote Went Coa Cates Bank Ae StatemensPastbok stares wephone 338 (ony Land tne) Cates ect il CsLaest Gas Bll Coches iene sec ‘Mot mare tan 3 Maris Vaya date of rt of addres submited I / {6 Any other information: > PE Raa ae hereby declare tha the deals furnished above are rue anccorect othe bes’ of myfour knowledge and beet and |Undertake to inform you ot any changes tere, immediately Incase any ofthe above information found tobe {alge oruntruearmiseading orm stepresenting,lamfue are aware thet Wwermay beheld able fort ce ate aan IPV Donec on _ANClnemadany rare OR code Seaistamo of he interecay Seal (otras vet se Cert Decent copies esas teed) fur copes of camer eeved Nan inemedin,Ha eeese mena ‘A. IMPORTANT POINTS: 1. Self attested copy of PAN cards mandatory oral len 2, Copies fal the documents submitted by the apolcant should be safatesed and accompanied by ariginls for verification. I case ‘the orginal of ary document i not produced for verfcation, then the copies shoulé be propel atested by entes authorized for attesting the documents, asperthebelow mentioned ist. If any prof of identity or address i in a foreign language, then ‘ranslation nto English is required, Name &addressof the applicant mentioned on the KYC form should match with the documertary proof submited, Hfcorespondence& permanent address are citferen, then proofs for bothhaveto be submited Sole proptoter must make the application in his individual name & capacty For non-residents ad foreign nationals alowed to ade subject to Bl and FEMA guidlines), copy of passporvPlOCardiOCICard and overseas adores proctismandatory. For foreign ents, IN is optional ann the absence of DIN no. fo ‘thedrectars, ther passpor copy should e given 9. Incase of Merchant Nawy NRIs, Matine's declaration or certified copyof CDC (Continuous Discharge Cerfcates tobe submited 10. For opening a acount with Depository patipant or Mul Fund, for amine, phetacopy ofthe Scho Leaving CerfcateMark sheet issued by Higher Seconday BoardPasspot. of MinocBith Confcate mustbeprovided Poltcaly Exposed Persons (PEP) are defined as ncviuals who are orhave been entrusted with prominent publcfunctions ina foreign county, eg, Heads of States or of Governments, senior poitiians, senior Governmensjuccaimitary officers, senior executives of state owed corporation, important polical party officials ete Proof of Identity( POH): List of documents admissible as Proof of Identity: 1. PAN card with photegragh This isa mandatory requirement far al applicants except those who ate specticlly exempt rom obtaining PAN (lstedin Secon), Unique dentfication Number (UID) (Aadnear / Passport! Voter ID card Dring cans, entity ca document wih pplcan’ Photo sued by any ofthe folowing: Certaate Goverment and. its Deparment, SteuorReguatoy Authors, Public Secor Undertakings, Scheduled Commercial Banks, Public Frandal Institutions, Colleges aflted to Unversites, Profesional Bodies suchas ICA, ICA, ICS, Bar Cound etc to ther Members and Credit aresDebit cards isuedby ans . Proof of Address (POA): List of documents admissible as Proof of Address: “Documents having an expiry date should be valid onthe date of submission) 1. Passponoters deny Cardaton Card Regiered (ease o Sale ‘Agreement of Resdence/Driving Licenseilat Maintenance billinsurance Copy sly bis ike Telephone Bl (only landline) Flector Gas ill Not more than3 months old Bank Account StatemertUPassbook- Not more than 3 months ld Saf declaration b High Cour and Supreme Courtjudges giving he ‘new adress in respect ther own accounts. Proof of addres issued by any ofthe following: Bank Managers of Scheduled Commercial Barks!Scheduled Co-Operative BanklMutinatona Foreign Sanks/Gazested —OficerNoray publitlected representatives tothe —_—Leglatve AssembyPariamenDocuments issued by any Govt, or Statutory Autos Identity carldocumment with aces issue by any of thefllwing: ContalState Government ands Departments, StatutonyRegulatory Authors, Public Sector” Undertakings, ‘Scheduled Commercial Banks, Public Financial Isitutons, Colleges afated to Universes and Professional Bodies such as ICAI, ICWAL ICS BarCouncletc, to their Members For Flisub account, Power of Attomey given by Flisub-account to the Custodians (which are duly notarzed andor apostied or . Exemptions/clarifications to PAN (*Sufficient documentary evidence in support of such claims tobe collected.) 1. Incase of vansactions undertaken on behalf Central Goverment andor State Government and by offi appointed by Courts 09 ffl euidatr Cour rciveree Investors residingin he state of Sikkim. UNentties/multlateal agencies exempt rom paying taxesiling tax retumsinindi, ‘1 of Mutual Funds upto Rs $0,0001-p. In case of institutional clients, namely, Fls, Ms, VCS, FVK\s, Scheduled Commercial Banks, Mutlateral and Bilateral Development Financial Instutions, State Indus Development poration, Insurance Compares registered wthIRDA and Public Financial Instusion as defined under section 4A ofthe Companies Act, 1956, Custodians shall vey the PAN card deta with the ctginal PAN card and provide duly certified copes of such verified PAN detalstothe intermedia, - Listof people authorized to attest the documer 1. Notary Publ, Gazeted Office, Manager of 2 Scheduled ‘CommercallCo-operatve Bark or Mutnational Foreign Banks (Wame, Designation & Seal shouldbe afixedon the copy), 2. In case of NR, authorized officials of overseas branches of Scheduled Commercial Barks registered in Incia, Notary Pub, Cur Magistate, udge, Indian EmiasyConsulate General in the county where the dient resides are permitted to attest the documents. Pienza Submit te EYE Docomerts on At Se Paper Only.