Know Your Client (KYC) Application Form (For Individuals Only) ‘pplication No Please fil ths form in ENGLISH and in BLOCK LETTERS. vwmcarsra.com n 1. Name of Applicant (As appearing in supporting identfcation document) Name coLour Fathers | PHOTOGRAPH ‘Spouse's Name Please ac recent passpon kV) Wal size photograph and 2e, Date of Birth Sn across ¢ 3. Nationality Peavetekiv) Indian 1 Others 4. Status Please ick) Rosier nuit C] Non Reson Fri Nara Passpr op manda ler Nae Fursig Nationa) 5. pan| Ploase enclose a cuiy attested copy of your PAN Card Unique lenieation Number (UIDVAsdhaar, any 6, Proof of Identity submitted for PAN exempt cases. Plas ck 7) (U (Aadtaw) CI Passpet C1 Veer CD%ing Lanse other (ease soe guideline ovo) Pa PO 4 Address for Correspondence (ly Tm le Sie 2. Contac Deal [ron] Mesile feats 5 Proof of address tobe provided by Applicant. Please submit ANY ONE of the following valid documents & tick (v) against the document attache [aPasspot CARaton Card CiRegserd Lease Sal AeonontoResitonce C1 Oring Liarse C1 Voor erty Cord "Let Bane AcountStatonertPassbaok [C'Last Toston it ony Land Lin) Latest Electret i C"Letes Gas il Clones “Not mare than 3 mont od 4, Permanent Addrass of Resident Applicant if different from B1 above OR Overseas Address (Mandatory) for Non-Resident Applicant ‘iy Town ge | Sale ‘cont 5. Proof of address tobe provided by Applicant. Please submit ANY ONE of the following valid documents & tick (/) against the dacument attached [Passport CARaton Card CRegsteredLease Sol AemertofResiéeree C1Dring License C1Voereity Card CI *.test Bark Account StateertPassbook [atest Teeshone Bion Land Line) CI'Latest Eley | CI-Leest Gas il C1Oves “Not nce han 3 months Pe Seer "hereby eae at edt uid sbove re and aeto i bes oy kona and ele and undetkeoomyeue ihc ar olbesbvetorterandabetasecUnneenaing mere er sna ea aretnag fesaplcton abe pupoeclcoaretendl aya en eguscr rary tee re mn rr ayaa on tata oe ae fares betmal Sagat Chapa spp septs predate Pace Date EY {PV Done Con ‘Aliielomedany rane OR cde SealSanp ole Warraaay Saas Sian || —GralSanp oa arraday stove ‘Si Name ‘satan 23H No Eman No ‘ED ralere) Sat Canad Dacomar cones rated SH en Designation 1D (Ate) Tue copes of acumen receiee ‘Shrente ‘Main ntornediaryINSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM \. IMPORTANT POINTS: Soif attested copy of PAN car. Copies of all documents that are submited need to be compulsorly selatested by the applicant and accompanied by originals for verification. incase the original of ary document Is not produced for verfation, then the copes should be propery attested by enities authorized for attesting the documents, as per thelist mentioned under{E} If any proa of identity or address is ina foreign language, then lranslationinto Englishis required. "Name & address ofthe applicant mentioned onthe KYC form, should match withthe documentary proof submited. If correspondence & permanent addresses are diferent, then proofs forboth have tobe submited. Sole propiietor must make the application in is individual name & capaci For non-residents and foreign nationals (allowed to trade subject to RBI and FEMA guidelines), copy of assporiPIOCardiOCICard and overseas address proot is mandatory. In case of Merchant Navy NRIs, Matiner’s deciaration or cated copy of CDC (Continuous Discharge erica) isto be submited For opening an account with Depository participant or Mutual Fund, fora minor, photocopy ofthe School Leaving Certificate! Mark sheet issued by Higher Secondary Board/Passport of Minor Bith Certificate mustbe provided, . Proof of kdentty (PO): List of documents admissible as Proof of Identity (‘Documents having an expiry date shouldbe valid on the date of submission.): PAN card with photograph. This is a mandatory requirement forall applicants except those wha are specifically exempt from obtaining PAN listed in Section). Unique ldentficaton Number (UID) (AachaaryPassporvVoter 'DcaraiDriving icense, Identity card’ document with appican’s Photo Issued by any of the following: Central/State Government and its Departments, Satutory/Regulatery Authors, Pubic Sector Undertakings, Scheduled Commercial Banks, Public Financial Insttutions, Colleges affliated to Universities, Professional Bodies such as ICAl, IOWA, ICSI, Bar Council et, to thelr Members; and Credit cards/Debitcardsissued by Banks, . Proof of Address (POA): List of documents admissible as Proof of Address: (‘Documents having an expiry date shouldbe valid on the date of submission.) PassportNoters Identity CardRation Card Registered Lease or Sale Agreement of Residence/Driving License/Flat Maintenance bililnsurance Copy. Usity ils lke Telephone Bil (only and ine), Electret bill or Gas bil-Not ore than 3 months ol ‘Bank Account StatementPassbook -Not more than 3 months ol, Self deciaration by High Court and Supreme Court judges, Giving thenew adéressin respect oftheir own accounts Proof of address issued by any of the following: Bank Managers of Scheduled Commercial Banks/Schecule Co-operative Bank/Mulinational Foreign Banks/Gazetted Officer Notary pubieiElected representatives tothe Legislative Assemoly or PariamentiOocuments issued by any Govt. or Statutory Authorty Ientty cardidocument with address, issued by ary of the fellowing: CentvalState Government and its Departments, StatutoryiRegulatory Authorities, Pubic Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges aflated to Universities and ProfessionalBodias such as CA, ICWALCS} Bar Couneiletc. to ther Members. ‘The proof of address in the name of the spouse may be accepted, Exemptions/larfications to PAN (‘Sufficient documentary ‘evidence in support of such claims to be collected.) In case of transactions undertaken on behalf of Cental Government andlor State Government and by officials appointedby Courise.g, Oficial iguidator, Cour receiver ate. Investors residing inthe state of Sikkim. UN entities/multilateral agencies exempt from paying taxesfling taxretumsin inci, Investmentsincluding SIPs), in Mutual Fund schemes upto s.50000/perinvestorper year per mutual fund. List of people authorized to attest the documents after verification withthe originals: Notary Public, Gazetted Officer, Manager af @ Scheduled ‘Commeresa\Co-operative Bank or Multinational Foreign Banks (Name, Designation & Seal shouldbe affixed on the copy). In caso of NRis, authorized officials of overseas branches of| Scheduled Commercial Banks registered in India, Notary Public, Court Magistrate, Judge, indian EmassyiConsulate GGoneralin the county where the cent resides are permitted to attstthe documents, Government authorised officials who are empowered to issue Apostile Certeates, ‘incase of Mutual Fund folowing persons can additonaly attest KYD compliant mutual fund distributors. Authorised ofcias of Asset Management Companies (AMC), Authorised offeals of Registrar & Transfor Agent (R&T) acting conbehalfofthe AMC. List of people authorized to perform In Person Verification (Pv: Manager of @ Scheduled CommetcialiCo-operative Bark of “Multinational Foreign Banks forinvestrs investing direct). In case of NRI applicants, a person permitted to attest ocuments in E(6) above, may also conduct the in Person Verification and confiem the Same inthe KYC Form Incase of Mutual Fund folowing persons can addiionaly attest KYD compliant mutual fund distributor. Authorised oficial ofAsset Management Companies (AMC), Authorised ofeials of Registrar & Transfer Agent (R&T) acting onbehalfofthe AMC, Please Print the KYC Application Form in Ad Size Paper Only.