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5/28/2020 https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?

ReferenceNumber=WB352555
M352555 PAN: BXJPN9940B

ACKNOWLEDGEMENT
Date: D D M M Y Y Y Y

To,
Reliance Securities Limited PHOTO
Reliance Centre, 4th Floor, North Wing, Off Western Express Highway,
Near Prabhat Colony, Santacruz (E), Mumbai 400 055.
I hereby acknowledge that the following documents/ process were made available/ explained to me:
1   Rights and Obligations of Stock Brokers, Sub-brokers and Clients (Trading)
2   Rights and Obligations of Beneficial owner and Depository Participant (DP)
3   Rights & Obligations of Clearing Member/Participant and its Client (SLBS)
4   Risk Disclosure Document for Capital Market and Derivatives Segments
5   Guidance Note - Do’s and Dont’s for Trading on the Exchange(s) for Investors
6   Policies and Procedures of Reliance Securities Ltd. pursuant to the SEBI circular dated December 03, 2009
7   General Terms and Conditions governing securities trading and Broking services of Reliance Securities Ltd.
8   Terms & Conditions for Basic Services Demat Account (BSDA), if applicable
I understand that the Voluntary documents executed by me are out of my/our free will.
I hereby confirm that I have clearly understood and agree to abide by the Policies and Procedures, Terms and Conditions (containing para 1 to 105)
and Tariff Structure described by Reliance Securities Ltd. (RSL) and I have accordingly selected the Tariff on tablet/ computer/ mobile phone.I also
understand and agree that these Policies and Procedures, Terms and Conditions and Tariff Structure can be changed by RSL from time to time with
prior notice of 30 days through email.
I/We hereby declare that any change in the information submitted by me/us in regard to FATCA/CRS shall be intimated to RSL immediately.
I am aware that the login Id and password of my trading account will be sent on email ID, alerts on mobile number furnished in KYC form and any
changes thereof.
I confirm that the details of KYC/ Demat / Trading forms filled through tablet/ computer/ mobile phone have been shown to me and verified by me. I
have been informed that the forms/ documents / tariff would made available to me through my log-in in my account on RSL website and I undertake
that it would be my responsibility to check, scrutinize the said forms and documents within 15 days of account opening and intimate discrepancies if
any therein to RSL immediately and in any case within one month of account opening, I have understood the process of submission of details for
account opening through tablet/ computer/ mobile phone. I further authorize RSL to use my facsimile signature and details submitted through above
process for execution of my documents for both Trading and Demat account. I further undertake that the signature on this declaration will be populated
electronically on all the forms/ documents/ declarations required to be executed by me for my Trading & Demat account opening and will have the
same validity and will be acceptable by me as if the same have been physically signed and I shall not object to the same.
I hereby declare that the details furnished through the above process are true and correct to the best of my knowledge and belief and I undertake to
inform you of any changes therein, immediately. In case any of the said information is found to be false or untrue or misleading or misrepresenting, I
am aware that I may be held liable for it.

Client Signature         


Reliance Securities Limited 1 Ver 2.3 / Feb 2020

https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?ReferenceNumber=WB352555 1/4
5/28/2020 https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?ReferenceNumber=WB352555

POWER OF ATTORNEY

THIS POWER OF ATTORNEY is made on the date, and place as mentioned in the e. to sign, deliver, endorse and/or acknowledge all instructions, forms, transfer
Schedule hereunder by the persons mentioned in the Schedule under title “Demat deeds, depository forms and instruments, slips, receipts and other instruments
Account Holder” (hereinafter referred to as “Demat Account Holder”) IN FAVOUR OF and writings which are required, necessary or advisable for performing all or any
Reliance Securities Limited, a Company in-corporated under the Companies Act, of the powers or authorities hereby conferred;
1956 having its Registered Office at Reliance Centre, 4th Floor, North Wing, Off f. To effect all non-cash corporate actions in respect of the securities held in my
Western Express Highway, Near Prabhat Colony, Santacruz (E), Mumbai 400 055 Demat Account, if applicable;
and having an office at Reliance Securities Ltd., No.110, Pondy - Cuddalore main
Road, Thavalakuppam, Puducherry – 605 007 (hereinafter referred to as “ Attorney” / 2. To sign the application forms, composite application forms, applications and the
“Reliance Securities Limited ” which expression shall unless repugnant to the context required documents for me to apply, subscribe and /or renounce in the Initial
thereof shall mean and include its successor) acting through its directors, officers or Public Offering (IPO), follow-on issues, further issues, rights issue or other
such other persons as may be authorised by the Attorney from time to time in this offerings of the securities and to facilitate in investment and redemption units of
regard mutual fund schemes;
WHEREAS: 3. To do all such acts, deeds and things as may be necessary for or incidental to the
The persons mentioned in the Schedule under title “Client Details” (hereinafter powers granted hereby;
referred to as "the Client") has opened/is desirous of opening a Trading Account with AND GENERALLY to do, perform and execute all such other acts, deeds,
Reliance Securities Limited. instruments, matters and things on my behalf as the said Attorney may think fit to all
The Demat Account Holder hold demat account/s with Reliance Securities Limited, a intents and purposes as I myself could do if I were personally present AND for the
Depository Participant details whereof are mentioned in the Schedule hereunder further, better and more effectually doing, effecting, executing and performing the
under title “Demat Account Holder” (hereinafter referred to as “the Demat Account”). several matters and things aforesaid AND I hereby ratify and confirm and agree and
To facilitate proper execution of various transactions carried out by the Client, undertake to ratify and confirm whatsoever the said Attorney shall lawfully do or
including but not limited to transactions placed by the Clients for Shares, Securities, cause to be done by virtue of these presents.
Derivatives, Futures &Options Contracts, Bonds, IPOs /Public Offers of various The Attorney is authorized to send to me consolidated summary of scrip wise buy
Companies and in various Mutual Fund Schemes and such other Services and sell positions by way of short messaging services or e-mails on a daily basis.
/Products/Facilities availed by the Client from time to time.With respect to these I hereby ratify and confirm any and all transactions, trades or dealings effected in and
aforesaid activities, the Client is now desirous of constituting and appointing Reliance for my above mentioned accounts by my Attorney. This Power of Attorney and
Securities Limited as their lawfully constituted attorney and confer upon it the powers authorization is in addition to (and in no way limits or restricts) any and all rights
hereinafter stated. which the Attorney may have under any other agreement or agreements between the
NOW KNOW ALL AND THIS POWER OF ATTORNEY WITNESSETH that I, the Attorney and me. The Attorney hereby agrees to return to me the Securities that may
Account Holder hereby nominate, appoint and constitute Reliance Securities Limited, have been received by it erroneously or that it was not entitled to receive. This Power
acting through its directors, officers or employees or such other persons as may be of Attorney and authorization shall not be affected by lapse of time. It shall continue in
authorised by Reliance Securities Limited in this regard from time to time as the true full force and effect until the Attorney shall receive written notice of revocation
and lawful attorney to do the following acts, deeds, and things for and on my behalf; thereof, signed by me;
namely: This Power of Attorney shall be terminated by me without any notice period and in
1. To operate and debit the Demat Account which is in my name for facilitating the event of termination thereof by my death/dissolution, until the Attorney shall have
transactions by/through Reliance Securities Limited to meet all margin / received actual notice thereof, and such revocation or termination shall in no way
settlement obligations and for recovering any outstanding amounts due from affect the validity of this POA, with reference to any transaction(s) initiated by me or
me to Reliance Securities Limited and for any of the facilities / services by my Attorney prior to the actual receipt by the Attorney of a notice of such
offered by Reliance Securities Limited and availed by me and to do the revocation or termination, as above provided.
following: I have read carefully the provisions of this Power of Attorney and understand that it
a. to transfer securities from the Demat Account for the purpose of delivering the authorizes my Attorney, to exercise all rights and powers set forth with respect to my
same in respect of securities sold by me or for margin purposes and to meet Demat Account. I understand that anything my Attorney may do in the exercise of
margin obligations and/or other obligations in respect of any transactions such rights and powers shall be fully binding upon me. The powers hereby given to
done on any of the Exchange(s) by me; the Attorney shall be given the widest interpretation.The Attorney is a person duly
authorised to sign on behalf of the company/partnership firm/association of
b. to transfer securities from my Demat Account to Demat account of the persons/trust. This Power of Attorney does not intend to give any exclusive rights to
Attorney mentioned herein below or to any other accounts as may be the Attorney on the Demat Account. The powers granted herein together with this
updated/amended by proper communication without executing a new Power POA shall be valid and effective only upon acceptance of the grant by Reliance
of Attorney everytime. Securities in whose favour the same is granted. This Power of Attorney shall be
c. to block and/or hold all or any of the Securities lying in the Demat Account governed by the laws of India and shall be subject to the Jurisdiction of the Courts at
including in the Attorney’s internal systems belonging to me or in such other Mumbai.
manner as the Attorney may determine, without any further instructions to Demat Account details: NSE: CDSL: 1304140000000138 | NSDL: CMBP ID -
transfer all the said securities to the Attorney or any account of the Attorney IN563575
or in accordance with the instructions of the Attorney; BSE: CDSL: 1304140000000 220| NSDL: CMBP ID - IN654519 | Bank Account
d. subject to permitted laws, to create/mark a lien, charge or pledge on all or any details - HDFC Bank Ltd, Mumbai. Bank Account Number - 00602340027240
of the securities lying in the Demat Account including in Reliance Securities
Limited internal systems belonging to me or in such other manner as the
Attorney may determine, without any further instructions to transfer all the
said Securities to the Attorney or any account(s) of the Attorney or in
accordance with the instructions of the Attorney;

The schedule herein above referred to;


Client & Demat Account Holder Details (as per PAN): Witness Details: Official Use:
Client Name :
MANOJKUMAR NAGULA Witness Name: Accepted
Address: For Reliance Securities Limited
PAN Number: BXJPN9940B
Trading Client Code: Authorized
Signatory:
DP ID: 13041400 Client ID
Witness Signature Date:D D M M Y Y Y Y Place: Puducherry
Client Signature
Reliance Securities Limited 2 Ver 2.3 / Feb 2020

https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?ReferenceNumber=WB352555 2/4
5/28/2020 https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?ReferenceNumber=WB352555

 
Verified on: D D M M Y Y Y Y
M352555 PAN: BXJPN9940B

CHECKLIST FOR COLLECTING FORM


Client Details Verified Status

Photograph

Name MANOJKUMAR NAGULA

PAN BXJPN9940B

Aadhar No

Correspondence Address 4-130-B-A FAZIL NAGAR FAZILNAGAR KARIMNAGAR KARIMNAGAR KARIM NAGAR
TELANGANA INDIA 505524

Permanent Address: 4-130-B-A FAZIL NAGAR FAZILNAGAR KARIMNAGAR KARIMNAGAR KARIM NAGAR
TELANGANA INDIA 505524

STATE BANK OF INDIA

SBIN0020147
Bank Details
505002506

62487703881

Email ID MANOJNAGULA.MK@GMAIL.COM

Mobile No 9346096016

Client Signature         


FOR OFFICE USE

Executive Name Authorized Person Name Signature

Reliance Security Limited

Reliance Securities Limited 3 Ver 2.3 / Feb 2020

https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?ReferenceNumber=WB352555 3/4
5/28/2020 https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?ReferenceNumber=WB352555

Reliance Securities Limited 4 Ver 2.3 / Feb 2020

https://dbo.rsec.co.in/RelianceServiceNew/RXRelianceAccountOpeningFormV3.html?ReferenceNumber=WB352555 4/4

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