Welcome to Punjab National Bank Depository Services \ DPID-IN300708 DEMAT ACCOUNT OPENING FORM INDIVIDUAL CLIENT NAME-—EXAYA.-E DEMAT ACCOUNT NUMBER- a SAVING/ CURRENT ACCOUNT NUMBER-LELORALOROAEEEL nH Wetoeeooicna secu Per ikauta ts Depository Back Office, 5, Sansad Marg, New Delhi ~ 110007 Phone no. O11-23737839 e-mait pnbdepositorypnb.coinetal of bank account Hl identi nmol ct Nomines 1 real ol Ident (any one}-Sef ottestec and culywertied by Branch Otfice/ Avmerised Oticer Posipost Voteri0 Cora Diving Ucense PAN Cordwith photogasn Unique idertfcation Number uib/Aachoar Cora) \ Jenity caraseeument win conlicon!'s photo isued by Central/Stcte Goverment ond its department Stotutory/Reguotory Avnet! Publ Sector Undertakings! Scheduled Commercis forks Auoie Forest inetivtens. College: atiicied 10 Uriveniten! Profemiond Bods sch ai IGAL ICWAl ICSL Sor Counc eic fo thelt memben! Credit ord Debst Cards with photo, sued by Bari Pract of Aidcress: (any ene). eit itexted and duly verfled by Branch Office, Auorised Oticer Poupen Voter iO cord Aadhoor \ntterinwed by Unaue ldenttcation Atnotty of india Diving Uiceree Bork ponbect/ank rctemant (Not mere than 3 months clo- es on dove ol receipt of documents} Unique identiication Number [ViD/Aadnaor eore) Uiity bil ke [ot mone than 3 mann elo- es en deta ef menipt of ase uments} © Bectrcity bits © Telephone bis Londiine onl. ord 1 © Gerba Seldeciarotion by High Cols & Supreme Coun judges. giving Ine Rew odcrest respect of thelr own occounts oentty corc/documents witn odsrett isudd by Cenhovticte Goverment ond its Gepotmenty Hotvlen/Recuctony Avinentiely Pubic Sector Undedokingi Scheculed Commercial Borda? Pubic Froncial rettulont. Celeger attlated 19 Universes [this con be \ treated ca void ory tithe frre the appcan it © student). ond Professonal Bocies uch ax FEAL ICWA, KEEL Bor Cauncl elc to ner member Proof ef eaten axes © Bonk Manogen ot Schedule Commercis! Bonky/ Senacule Co-scerotive Bonk! Muttinctiongl Foreign Bari © Gateted otteer © Notary Puce | 2 Biecledrepreseriotiver tone Legulotve Assematy/ Parioment 2 _ DScUMents lived by any Government orStatutory Autnostty one Account Stotement/ Penbodk-{Note mote than 3 months old-or on dole of receiot of documents Rotion cord whare ever accented by the slate avtnotty)PART 1- KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Indivshlat PUNJAB NATIONAL BANK MO: S, Samad Marg.New Delhief 10001 (DF Please fil is fora in ENGLISH and ia BLOCK LETTERS: "Ap IDENTITY DETAILS 300708), 1 | Name of he Applicant Avi Kumar Govier Father's Vambens Nowe Samy. RAABRMITH QuinDan, aa 7 pok ewes ‘Signature of the Appticant—— fe ] Alslelcl y [oom EF Ea [vente Ste [emedoe [olulelel dale ls (FF inion | [ST esr eat iomaey (1 Ober 4) sehan | |) Shen | +] Masel | ease ety » [2S || Feige ienead | T cr Naamber, a 2lnel 5 [wean Tale laisieleli Wy |e ree Fn] b[a3 [etelaiisicg Ped Ci | 16 | Specify the proof of identity submited Te Ary ober menerpesiy, Wass Pert Magy abesbed_) fa ESS DETANS ; | [Lo Conespandence Aaieas fey Revdenes Adds 1 ZBL Sobha Emerald | | Residence / Coneponiense | Jar , Veal cas) Bekrad Taker Fyrg Sched [enaowwvite [Benantara || oe [S] 6] 0] O14 [ey| ‘Suet KaeNarana)| Coon | IND iA, Sify ha prot of waeen weed fr Reem i 2 See [PasePoat cory. Te. (0m) Tel (Re) 9 | Cease Denis MabieNs [441 9902085001 | Ema | RiGowpty @ Gronic «Com Br Somes EMERALD | Permanent Acerca (eiierent | Yh KKME 4 [fen above, Mondatny for NowRestlest Applicant ‘apesify wooreasadress) Cipnrewvion [RENGALURA | PCH |S] Bb] Ol o [6 [4 | | ‘State URARET RRA | Country | INDIA [@ beetxmos | q I hereby declare tat the dei finshed above ard rut and corset ote bes} of my Knowledge and belief and underal 19 inte fos of tay changes terse mediately. La cane an) of he soove formato 1s found be fale fut of mslenng thnrepeseating Lames fat ay be Bei able fort [om tplolaFOROFFICE USE ONLY - Ne TL Originals verified and Self-Atented Document copier received InePeraon-Verification (TPV) det [ST Reena of te person dong 10 1) | Designaticn ©) Name of Organization PUNJAB NATIONAL BANK [Tose T Name 4 Signature of the Authorised Signatory. DateTank detaile 1] Bank count ype CA Savings Account (] Curent Account] (] Others (Please mpecify Bank Account Number \L51 000\0L 09080) Bank Name Perayay NeKeral Beak Reenyn Indaytrial Estate C245, 5% Crusty Citytown'village | BEN O% Vania | KARNAT HA Please tick, ifuppleable [0 Staeaing Tevtroctioms 1] TW e nathorns you i ceive cred matory fo of our aOURE ¥ | Account i be opened trough Power of Anoracy POA) | [vo the KNC Apps tion Ferm) SRLS Tie ein anda Fy are Pomer of Ato Pad Beare Bate mobs Meer ried or Na Welder Va Ne ' SoleTintlisae BAM RMOAR Gooner ET Second Holder PADRAK Riri GomerbAey Thind Holder ne o Tasso eceng Statereai of Asvoual [Tick any ane} CB pairew 1 Teer lest Fae ied Rer Snr er eID Pod RATE appcss Foy] ‘Made of receiving Rights & Obiegations [Tick any coe] 4 CD testes [ees Tecan Farm “Opiion to receive Anal igmed by guards) Candin Name [for account ofa mince, two KYC Application Forms must be flied Le one forthe guardian acs another forthe minor (10 he |S Beans Foe PAN Kesianp of panies wihPUNJAB NATIONAL BANK 110: 4, Sunsad Marg, New Dalhi-119001 (DP [D-1N 300708) + FARTAT ACCOUNT OFENING FORM (FOR INDIVIDUALS) Teach Oe (eae Dx? (Tote filed by Partigua ! el I [six] TRG SRF SST apn) can a myo neve wn pe al Wri aan acraimmieay ee ee 2| 0/4] Ael2|e “RI Duta of Accowat bolder Recount] Ba Ft alee Sead Wager ‘ied Hota seer se Ravi Kamen Grrmpaas | PhDem Riker Goiebae a Tey ALAL YP tol lal siel4ltelsteiel TTT TI ITT vac — | Tae eget a sea le TTT (pica ck —| om oo eo OS | = Oj Oe Dp Seo a oOo =a a= o-— o= o=lo= ao se Sa i mr om 7 Mode and [Ematia oMe or OMe ot OMe ot Email My family | a My fail My fami Wr Ses Pe TTL Tala epee s BATTER ES fobny OF BATTERIES Dedaration | Motiv na | OMe of ae aMe or for same My family | My fil My family | SS Aasieaion of Pevonn (AGP), Farnerbip Far Unregistered Treat ee, nlnough ihe acct opened inthe sue of PF satura persons the aache & PAN of tbe Atsciston of Penons (AOP), Parierhio Fim, Unregitred Trust, ets should be mentioned below ® Ty | ape of account (EF Ordinary Resident To) NRE-Repatriable Naito Onslised Foreign laverior Foreigs National ‘Repatriable: CO Margin Others (Pease wpecify) i Premeser Trcome Range per annum (plane tick ary 04) Ye OO Batow" 1 ne OD *1-suc OO +510 CO -ieasue CO sores "28 as Ta eave of Nis! Ferrign Nationals RBI Appeoval Reference Nember | wa Takai ealec|Fina Tom T NATIONAL FORM FOR NOMINATION CemetLeatson OF NOMINATION ‘SANE (Wo be led by msl epg ash he) HO: 8, Soman t larg. New bese | A Cr FZ frrertn mamatsssematon [4 per demise beim Ressatas Oral | AES reese romnanien ond Fy ea a Klong reed Ball aga a SiN Ta TES Fy a Ses eee soo a et ol wear : Shddeeh R pied ty CT Taitonhip Wi the Appicamt C17 ant Ais Sema agatha Sues Tokar, Bingatars Cite — | Gia Teephane he of noma {sa Itt omnes = ‘amyaetldetiieriee Goins Vimar eh ny ont ef flowing tad Pride ‘also ime Peewnd spe | BRPQLONIA rae rs het tay Donat Aco Sen F1v abou ies aly i noms) ae ‘aime af Gearon (MIMIC) Uinta oT rae wernt ‘der of Cerin)‘Nomination Option Te wish fo make a nomination. 1 Derails are provided st FORM 10) The rues amd reguttios of the Depestory ant Depoitony Picicioasts penning 1918 NSH ead by metus nnd Le bave understood the same and Dwe agree 12 abide one for veh newouts Uwe hardy declare atthe deals frished wOove Wet elie and we underabe inform you of any changes Seri, ienecly a cave any of the nbowe information ix found tobe fee et or stenng or miarerveating |e wear rare sat com devare tht Le bave corel! und wil cosine io comply wit FEMA regulations cum, "Rights wed Obligations of the Benetiial Owner ad Depository Petisipant Declaration which are in force mow have been try and to be bound bythe rules as ar in fore fom tine 10 a cocrest to the best of myfout knowledge and sve het lable for it ta ease can-enident account, we ‘Vase acknowledge the receipt of copy ofthe ‘Newey of blderio) ‘Signature of bolder + tae Fat Haider Commdean (in 886 sole holder ia einer) (stele) , Ean Bamne, Gooernaw ee Ks Spahr Seccod Halser Qe) Papas Bam Geibaw |i 6 nif Gazal Turd Welder iMiMa) Now eae eter: 3. Forteceiving Statement of Ascount i electronic form | Ciient must ensure the confidentiality oft facility by eiving 1D days poor notice .Stike off whichever it not applicable Eu Seqarte mobile mare and E-nailndrens “Fails ea x 1, Attcommuciation sal vest be arent of th Seite oy 1 S impreaons and vipanre ber han Elin ot Hind cru ofthe Stes BORO ae aeccion of nda mus be wei bys Magnate ora Notary Publi or Spec Exocutive Magistrate yword of the Gail account tL Cheat mat prompt infor the Pastcigant ifthe email crs hat ae Lik, Cheat say open terminate thi flyby giving 10 days prior rove Similaly, Participant may als terminase this net contained In the 8° Schecate of red us set spouse, dependent children and dependent parenLETTER OF AUTHORITY } Punjab National Bank Date: 80, Dear Sir, Reg: Depository Account No. rT ‘With reference to above Account, I/We authorize you to debit all the charges leviable in the above account to my/ our $F/CA No. f SJ ‘This authority s irrevocable. Yours faithfulty, ‘Signature Attested/in-person Verification done Ht - Name of Authorised Official Signature et tie Se — (All the account holder ef saving A/ebhould sign) GBPA No. Depository Account No. Sole/First Holder seecimen Syetee fr Comper Senin) fee Kos byob Second Holder | Third Holder Ae Opened by Signature’ scanned by Verified & Released Authorised Signatory ‘Authorised Signatory Authorised Signatory,Rar area BAY Kae) AE Goan Dhy PAdna Ravi Gow DAW Where be Reais Eo — |. Tee nomination cat be sue only by individual Bldg Yenticiaty owner accounts on dir ove UabAlE EY or jointly Noe niats lating society, tut boy corporate aad parser frm, kara of Hinds Undivised Family holder of power of shorney eset nominate Af thc account shel joy, at jit bolder wil sign the noenization form. 2 minor cant nominated. tat event, tbe mame nd ates f the Qardan ofthe mince samieee shalt be provided by = 5:7 Naineas) sll not be » bust, society, body corporate, pansentip frm, kar of Hinds Undivies Fame 8 Post i i Anzeney holder. A pon-resident Indien can bea Nominee, stject wo the exchange coro in Foret fmm tin 99S 4. Nomination ia respect ofthe beneficiary owner acount sands rescinded pon clovure of the beneficiary owe! sccourt. Similarly, the nomination in respect of the securities hall stand terminated upon transier of the securities 4 Tranter of securities ia vour of « Nomiee|) stall be vals Gachaige by the depoutry and he Panipat agains! the legal bei. 4 Toe emeltin of nomination canbe mice by lias ony bolingbeetcincy ewer asso on te owe MET cae can by fe tame pris who made the crip! sominaion. Not inital fechas soy, EAR body! naa Cat prep fer kara of Hin Undid Fumi bode of power af asorey cant cos Be Sent te the Beneficiary owner account is eld joy, ll joint holder wl to trangfet the securities in favour ef the Nominee). ‘the cancellation form. ~ 4.0 cancelation of he nomcaton, 8 somnaig shal sand rescinded andthe depaitary shal no bs under say vbligation 4. Nomination ean be made upto thee nominees na Gerataccour. Inca of ultpie nominess, the Client must specify be perventage of sare foreach nominee Balsall eal upto hundred percent be event Of beneficiary owner fot indicating er parent ge of ocaton/hare for ack ofthe noiaces, he df oten shal i to sie the aia equally amongst all the pominect. 9, On request of Substation of existing norinecs by tbe beneficial aunts he ewer nomination shall wand rescinded. Hence, details of nominees a4 mentioned in the FORM 10.at the the complete details of all the nominees. 10. Copy of any proof ef iden mst be secompanie! by eign for verifaton x duly test By 47 entity nuthoriaed for testing the documests, as provided in Annexure D, ii Savings bank accowst detail shall only be considered if fe sos ja maintained with the same participant. DP 1D and client ID shall be provided where dem etal is required 9 be provided ‘of substitution willbe considered. Therefore, please mention the \TOS ot nara vale with minmam of Ra. 30 ‘per nsructon aod max of Ri 300: per instruction Reap par Patan Rs. 207 perinstucten Instruments! Govt. TT) rsnancton aT Tree, | C820 of ark aie wih minimum of Rs 20% pi. and | OGG of market value with minimum ef R20 pl. and Ci Trait vee ‘wit rnimum of pay Be 602 percent of of valon oP secotes won renin ot Re Soe ry PNB is wit counter rey maximum of RS255- per | maximum of RA2S6- per | Ra 20 Securities inatucsen ington, Bi and maximum 1] Creation of pledge PRD i courier EPR is eeuriar PNB in counter pany pany Ra 0.02 pect of of rae eects wh mena Bat per rey PND is ot counter Party + Fa 0.04 perce of of ate of aecwteer win minora ot a 6 par ery Usateanon Recor Sata a0 pet request. ont bookie (015) ot 10 eaves matte proved fea tesat Cera Bechet wl be charged Ra 89 br booklet oC lew! and potage | prod te af cowt Eten [ocd witb charged P20 pr wit Ta | Bebitto Client Accoune (Fj Carpes ent tary cna err Fit por rerun pra fs Eeneton of Wival Funds units inte SoA {statement ot ‘Accounts ti ors we wits precentad by Sa ! (statersent | | Accounts} wo | ! DEMAT ACCOUNT \ 16 | Reconversion of Mutual [Rs 1ow0perrandien | Riv Spe raracion | Ra 10 perremacion 17 |Redempilon — of Watwal Funds unis though Participants: W__|Piedge confirmation TniersSetiienertDepository Service Charges for Retail and Corporate Account. {Undertaking ta be obtained from Customers at the time of opening of Demat Account) PUNJAB NATIONAL BANK DEPOSITORY BACK OFFICE 5, SANSAD MARG,NEW DELHI-110001 (DP 1D- IN 300708) CHARGES sweat en a eg Seen aie oe cee coos T “Account Closing hi Crs Nit / T pa Freezing! Rea 20 per msiruction: it xe 3 pas a pa STR PTS | minimum of RsZ5 ples | minimum of R425 plus porlage as acplcatse | postaga.ss appicatle minimum of RS2S* put ‘eoptage as applcstie: a a fee Gt Ant ior evey [a a fee of Ra 10 to ere hunored seckrtes or part | hurcred secucibes or part hare of subject to maxirum | there of sutyect 10 maximum fos of Rs 500000 00:0R | fee ef $0000 00, OR be fat foe of As 10 per |B. a fat fon of R319 per cernfcate, whichever ia | cerficale, whechever 18 higher. No reraterllaston fee shat be charged for Govervrert Securtves. 7a fee of fa 10 ior honored wecuPtion oF pat ere of suber 12 maxmun tee of As || '500000 60: OR | atatteeot Rs.10 per) cardcae, pherevar anghar Ho renateralaaton foe snot be charged fot Government Secures esount Maintenance For naval Account Holder fs 250- pa] Re Z50-pa. SENIOR CITIZEN As 115p.a | SENOR CITZENRs 115p.a Rata pa ‘Keceunt —Wairtenaace Charge (AMG) for or frontal acct Haber (ME, | Corporate, Trusts, Gide Boles Bg Invesors, Tracers, #Aooe accounts etc} Ra. 80.0009 Ra. 860.00-pa | NA Recount Waianance Wiese cave Caent have E Shares of Pua om cate of five of Ceuta UiRoraeit and alsa have Depost Account: with us iC crs Re (wsca) For Dect Seeurties Gy ve of Pkg ia usta Ri ooo (it wave of kiog tem Ra 109.001 we Pnz.00,000 For other ian Dutt Secwroae Gane of Holdin wi Ra sao Ui) vive of. alding trom Ra $0.01 na Ra 200,000 Cs we Rs 100 Re 100 NL na Rs 109 | R109 ra Rs 100 na. Ra 100far gives a Tre 1@ Tha value of holding shall be determined by the DPs on te basis ofthe daly closing price or NAY et the‘securtes or unks of mutual funds, as the case may be. Whefb such pres. s nol @vematie fs ast ‘traded prices may be taken into the account and for unl ites other than the unks. of mutual funds, face value may be taken into the account, @ait ‘of holding in such BSDA axceads the fretenbed crea at any date, bank will levy charges as applicable tg reguiar account. (Non-BDSA), Bank wit provide two statement ‘of sccount, free of cost and will charge Rs 25:00 for additional statement ‘Terms & Conditions: Market value a3 on dat of transaction os advised by NSDL ei YRo'above schedule of charges is based on NSDL charges end is subject to revision at the discretion of the Bank, ny revision in the schedule of charges will be notfied by ordinary post with 30 days notice. “Tins revision in charges supersedes all our earlier rate sinictures. The mates ricicated in % terms will be applied on the value of transactions as computed by NSDL Ail aforesaid mentioned charges are excluding of GST of any prevalent Tax. The GST will be charged extra at applicable ais. n ease of staff, GST will be charged on the rate applicable public. ‘Concession in AMC as per various RMD, HO circulars. Gutel pocket expenses Le. postage, telephone, fax, mail etc. on actual basis wherevel applicable a arged extra. iT concession in charges obtained under Serial no. B A, treding |e. sale of shares! secures nt to bo done fram Dermat nceourt, \ any point of fre, Bank finds Demat Account Holder indulging in Trading of shares! securtes the Demat Account in which concession has been cblained in AMC (Serial No. 8 A), then AMC wal be charged from date of sale of share/ securty, | > Concession in AMC mentioned wil be applicable only from date of issuance of Circular or date of pening of account whichever is later Re AiG ie ties ewe | Signature of ‘Signature of 2nd Client Signature of 3rd Client Wor 6 Sameat Marg. ew Dts 100 (DE IO-1N 389708) Rewived the aplcaton Som MM va the pent Bolder somgwen na perl vad Bu eden prov Honing oA depenary wos, Pane gute a BP TD & Clea 1D aval yom mall pos Dar corpendoe ' Perceipaat Stamp SignaturPunjab National Bank HO: 5, Sansad Marg. New Delhi = 110 001, OP 1D =1N 300708. (Trin cocument inne hands Bol that uncer acknewacpeman General Clause [The Benefcsl Owner ans the Depesitry parscpant (DP) shal be bound bythe provisions of the Depouiterea Act, 1936, SEB! (Depontones sad Pacicipkats) Regulation. 1995, Rules and Repustins of Securities and Exchange Woerd ef ida SEB, Cculary Neti fcationy Guidelines nmued there unde. Bye Lawn and Buscness Rulew Operating Intrusions he by ‘te Deposiores and relevant noifientions of Government Authortet aa may be ia fare rom time tote. 2. The DP shall open/acuimie demas account cf & beneficial ewner in the depositary sytem enly ar receipt of compete ‘Accourt opening form, KYC od supporting documenn at npc by SEB ter tine Hime Beneficial Owner information — | 3. The DP suit maincan all the denils of te beneficial ewvert) at mentaned in the account opening form, rupporing cuments iubmatied by them andlor ary ether information peraisng lo it beneficial owner corfdemally und sail at incon the tame to amy peren except at requ by bey satuory. legal or repuatory nutoriy inthis regard 4, The Beneficial Owner shall immediately notify the DP in wring f here 8 any change in dtu provided bn th account pening fora at ube to the DP at the time ef openingthe demut account ct fumithed to the DP foe kine toe, Fees!ChargesTarift $. The Beastial Owner shall ray such charge to the DP or the purpose of Belding and wannter of securities ia derailed form and for avaling Geouitory services at may be egeed fo fom time #8 tina between the DP aad the Beneficial nner au stout inte Tait Sheet pomed by he DP. may be itormed ft Benetcal Ota ta charges ert patie or open of em sr pian ef Bate Services Dera Asoo the D? el see te charge sewer a aid dows ene th vast EBL anchor Depontery elas recone met carors sued fom bast tone 1%, The DP sai not increase any chargevtanff ged upon unless give mei in wring ef wt Kea tan tly ay tothe Beneficial ae repang these. Dematerialization The Beneficial Quer shal have the righ 10 get the securities, which have been ndmined on the dematriained inthe form and. manner iad dewn uncer the Dye Laws, Business Rules and Operating lneructions of the ‘eponsories. : Separate Accounts The DP sll pen parse neu in th mame ech of he beef une ad secure of eich beef! wre sal be nepal abe med gw ia che nel ovee and OP Sra cra fl a demaecaiand 10 The OF shal nt fae the Bene Owner tera c¢parit any padgs and/or hypothecation any cer inter! encumbrace over al oan ef ach vecares hited fr dante lion mdi held deat secant rap the farm dod tater prescribed i the Depentoren Act, 19¥h SEB] (Depots and Parurpacs) Repulasos, 1996" and Bye-LrectOpeting lnrochona Bunness Rees ox Degeneres UL, Tht OP ata tect traraer to and fom he dem accra ofthe Ben! Owner only on the bats Of a onde ‘nraction rection or munca duly matoraed bythe Beneficial Gum and tba DP tall maintain the erginal Socuscts wad the cali tal of ch subewao 12, The Beoficial Owner reserves he rg to pve sanding ineractions wih reyrd tothe cmdsing of secures his diet sccourt nd tbe DP tal at mcd nck stra Statement of account 12, The DF abl provide ssemeres of accuat othe beneticisl owner in soch form a manner and i vac Le a agreed ih the Beneficial Owes and pecs by SED Gepenry m ieee 14. However, hare apo amano In the erat sco cr Hf te balan bas tecome Nil ring Se yest, he DP sal Se ee pyc reef ang many ot BOs anal rare ening fe Pranic end tn wa ‘hres warmction jae aceon 1ST DP my provide te verve of ining De sseent of demat secon in 49 eetonic te ifthe Bential Owner deen. The OF wil fran he Beni Owner vatement of ews secs tnt is cipal peat as soe ‘Scar tbe eformtion Techoclogy At, 2000, Noweve ifthe DP ave ast te et fay ef frovcng nated of dat ‘count inte eleceit mode then the Purina thal he chiged to frward the Haicen! of derat tests n pret Py 1 cae of Basie Services Demat Aaount, te DP abl send the aoc ntemney ot mandnied by SEB! andr [Deponory Eom tine i oneMannerofClovure of Demat account | 1 aaa ene fighters De sma serunt of stil Oe vera sens jee Dr 127 eon at yea tl yee weve expan Si ‘Beosficial Owner shall have the right to clone isthe erat rhckt with the OP previded #0 Bent Ove hal on eet al ann ect rind ey let ‘Raed nt oe ace pred ey a fer Pca spd ne OF renin tk OY Pare eet met al fe es Sani a tom wt Seren Pre tt gna win paren a) FO | Datta prymen ochre | Del ae nming 8 deta tbe putty arch peidedin Cah 5 & Sat Pe LS a efter ee vale te OF tl te ead wef Bonet et of wes idea aa Ee DP afer ging fwe day notice tothe Beneficial Qwest ‘Beecticil Owrper tl uch ine Ne maken te payment alongwith interes =P See Sree antag nto yen ent dba roe te Sif eo wir nr decton gered ne Pee teonaomeelson fonts meee reeding/ Defrectog of accounts | reg etre el ay carci ha gh Senelciecs hve Somat waved maimsant if DP eles 22 Teg Demon an niyecto the rescind we unde Be fy Lawn wd Busi RalesOPreang trac B Ae ata a have ix gto ferolrbeem be acomgss ofthe Bente OWTET on feet of Fert recived for any regulate of cour or any wattary mabey, | Redrestal of tavestor grievance | at ee Een grivance ofthe Bocficil Over wie ODF sah a pero of ir dys He de of receipt of te complain. Anthorlaed expresentative | ‘tera fer ein body corporate or ea iy it hal song wih acre pening fom sa Os 25, the emi Oe ye wl repent sa inert on is beta wt he Pricpan: Any shag ik Int ethane sation, éelciona or raion ther sal be forces cenuranicfe ote Pita [Law nnd Jerindiction | tan a es esi gt wo ca in ht Soar, the DP and he Behl wr tna bs seine AY 3 ea be OF rte Dewi Ove nny have nce: x Rae Be Las et Regs oy Soe Se eae Jem ain agened un rslaton ey net Rue nd poo oT Devan ia A accent sal ies be tabjes to Grecia ot ation. re rion, ESSE, Ti The prvi of ASE gales Rupa ané Biyeinws of erga Drpenory, where she Denese! Ove Seienshus bee scour, atenay bein forséfamtenevotime || tn a ne DP tal ty the ration a concn proc rebel sa Boerwt of 2. Tae ene at ach prover stall be apical to any apie etwntn ie DF and ce Hemel OE pesca wd er Eck we wt a fa Gonument which ae not Gfined baron shall nie, ha cole ST 29 ert Ce atch. emed tron fe Rae, Be-ems wad Repaions nt creirvndns ved ett ‘cadre the Gepatitory and or SES! 30AN eens ag undo which rc pce by SEBIDeptrie al ane to a Pw OY cleat ere ee arin pres et se yw of cane i alsa pte of SER SO 2 el tr evant Depry, wrt wept vor nil Nt =D wo inn Rae a Raped of OS Cyd bein rodicaten of he Hip and chums a x pres manent Soewemat i a le retPUNJAB NATIONAL BANK DEPOSITORY BACK OFFICE §, SANSAD MARG, : NEW DELHI \ t Dotalls under FATCA/ CRS ! (Pit carat your prfeustnaltas advacr fr hetPar guidance on you las rasiseney, Hrequred) No] Please fil the information below 1 ‘Name of the Account Holder Rav Kumar Geen ban 2 Customer ID DOTY [3 [Basaran COT | SuesnaarT a County oar atte 5. _| Nationality (Piaase specty indian or eS Others) (if national of more than cne country, please mention all the countries | Separated by a comma) coe Aasha scone Wobilel Telephone Number (ncluding ISO 5 and STD code) AA Fete toot! 8. Are you a tax resident of any country other than india? = [[}-—vas. vol No, please sign the declaration on Page 2 it yes, please provide details belo: (Please indicate all countries in which you are resident for tax purposes and associated details) Couniryi | ax densification | Residence Address | Address Type: #8) of Tax | Identificatio | Type (TINcr | tor Taxpurpose residency | n Number {inctuding City, State, | t= Resldential o * rs Country and Pin Business, code) 2-Resigential, 3-Business, 4-Ragistered Office aia Not [Apel cht, Ta aisoinchde USA, where the individval is a ciizea’ green card holder of USA. Kdentiveaton Number is not available, kinaly provide functonal equivalent? Further details required if account holder is tax resident outside India wk ‘Gender (Male, Female, Others) we\ Ti. | Father's Name (mandatory f PAN not provided) (Sin. Aye eer Govinmey 72. | Asdhaat Number (optional) 7 4 Proof of ently - Doeurments submitted | (A-Passport*, B-Election Id Card, C-PAN Card, DAD. 4 Pope : Card, E-Driving License’, G- VIDA Letter, H-NREGA Job card) (ia, | identification No. - for the Klentiicstion type mentioned | | above (mandatory if no PAN! Aadhgar provided) =) F463 Breve | Bo 15, | Occupation Type: + Service JOmners Business [Business Certification Under penaity of perjury. Uwe certily that | e tundertard hat Puy Katona Bark rtyng on ta iformation fa fhe purote of erlermanig te satus he accent hee mare an ee PATOUCRS, Parfon ratoral Barm ct aie > Ofer anf tae adees on PATCA.cr CRS or Mama on Fie SEvial heer | onan yee gic rm proennonal an advacr Fr wry tan goers (age nub a em frm win 30 day it any elarmation or eran i bac rT | ngs rat on ny ba rcure by orm Fepfetanadbaoun Pare Neral Bank mapas be ream pu woertie ‘eta ts COOTor ote muosten/ajencien or eee of Suspend my SecEL.Of ROPES | nve Urcervood the irfarnatcn requrementa of th Form (wed sing wee FATCACAS lrsruchora) und tary contin Matte a ee ey tae on fos Farm mciusig tha tengayer Oenifeaton numa @ ive, COTeKL we Semptete Yo corfem Matt iret ONG Ye turd fe FATCACAS. Terma and Condtome bekw and Nareby sete the come pate: SEK GENEAEEL Qe pLace REM BAL wR ly — FATCAICRS Terms and Conditions The Certs! Board of Ovect Tass hs noted Rules 114F to 14H, an paola Incoms-ax Rites, 1962 wich Fades recure Tiger traroat iethgora such aa he Bark 12 week addtional personal, tbx and beneficial amnetinisnnation rd certain Tertcatona end documentation Wom el cur account cies. Towards commplance, wa may be required tp provice information fo bry lneutstons such as wining agents forthe purpose of ensuing pporoptate wihaksng from the account cr any proceeds in relation rereio Name & signature of Account holder ‘reane note that you rigy receive more than one request for inforation il yu have mdsele relationships wn he Bank ox te roup srites,Trarfore tis roca tal you respond tour request. eyen i yous bekeve you Nave mity Rope ary Dreviousy requesied Information. {— FATCAICRS Instructions, if you have any quvstons abou your tai residency, please contact yow tai. advisor. M you are 2 US clizen or resident oF reeneand holder, please inchude United States in the foreign couniry Information feld ator with your US Tex geotifieation Number. | ‘ Sis mandatary to supply 8 TIN or functional equivalent ifthe country in whieh you mre [ax resdont sues suc itertern, Hike {TIN us yet avaiable or has not yet been issued, please provide Bn explanation and atch tis to the form, incave customer has the folowieg Indicia pertaining 10 @ foreign country end yet dectares sel! to be non-tan resident i the Feapentive country, customer fo provide revert Cling Documents as mentioned belowDEPOSITORY SERVICES t { PNB as Depository Participant (OP) af NSDL provides you depository ‘services with a secure and convenient way for holding your securities through all the branches of the bank Koy Services : Opening of Bemat account Demateriaiization Rematerialization Setterent of trade Settiément of off-market trades Electronic credit in respatt of securities allotted under IPO Receiving non-cash corporate bénefits, such as, allotment of bonus and fights shares, stack Pledging Un-pledging ot securties Providing periodical statement of transactions split, etc. ONLINE TRADING We provide Online Tradirg Facilities in association with our following Online Trading Associate: » Mls, SMC Global Securities Ltd, > Mis, IDB! Capital Market Services Ltd. ® Mls. Networth Stock Broking Ltd. With the unique 3n-t Account (Bank ale & Demat ale with PNB and Trading a/c with the above associales, your Online Trading process becomes smooth, hassle frea and you can experience tha bast of services — Doivery Trades, Intraday Trading, Purchase Today Sell Tomorrow, Derivative Trading, Online IPO and MF etc For more details, ploasé contact our ‘Nearest branch or callus at 011-23737599 or apply at www.onb net in oF ‘e-mail your phone fo, and city name pabdepostor asd coin or ebrokingfpab.co.ia, we will contact you Freh Mela oledarelcregral deredINCOME TAX PAN SERVICES UNIT (Managed by NSDL e-Governance Infrastructure Limited) *" Floor, Mantrl Starling, Plot No. 341, Survey No. 897/8, Model Colony, ‘lear Deep Bungalow Chowk, Pune - 411 016, © Mo. DITISYPANATMN_REG Se fm RA We DOME DRET GOVT. OF IND: SOOARTH RAMI GOVINDAN, RAVIRUMAR DOVINDAN, “umes om oer The income Tax Department takes pleasure in informing thai tne Permanent Account Number (PAN) llotied to you is. BKOPG6097A 4nd the PAN card is. enclosed herewith. For filling the raiumn of income, please cortact ITO WARD 8(2) ¥& wish fo inform you that quoting of PAN onretum of income and challans lor paymoni of 28 S necessary to ensure accurate credit of taxes paid by you and faster processing o! reiuit Gt inceme. Please quote PAN in all communications. with department as it helps to knarove We inform thal i 8 mandatory to quote PAN in sdyeral transactions spenified uncer ihe come Tex Act, 1961. For details of such transactions, referenca is invited tc mule 1148 of tha = Rules, 1962 road with sectian 139A of the Income Tax Act, 1961. ‘Wkelv ovent of mere than ene PAN being allotted, this fact should be brought lo the wali ‘6 and may attract penalty of upto Rs. 10,000/, oi your Assessing Officer, as possessing or using more than one PAN is agzinsi tha “ny erior ia the data printad on your PAN Card may be brought to the notice of IT PAN Sernces: ‘nit at tive eddress given above or an the reverse of tha PAN Card, © &% apartment maintains @ website - wiw.incometaxindiacovin end Aayaker his sie contains detailed information on PAN also. 1O- P veaDeagY 127% / Ged | B40670N3 FFL TFB /O0S7OOOECONSIN / BBe87O74 1DOARTH. RAV COVINDAN Sot Chena Gee AGIR FUNG cous BAicALORS AROATARA - sear FEL Wo-o1 mooso9a001 X Kendra (Phone - 1800 - 180 - 1961) for providing information and services to citizens, Incoma Tax Department fg Totler Siddelh Q Connte (This being @ computer-generated letter, no signature is required)