Annexure to Digital Account Opening Form for INDIVIDUAL

Client Code Beneficiary account no. Form No

DECLARATION

I declare that I have applied for opening a share trading and/or Demat A/c with Angel Broking Ltd., to be identified by the above Client Code and in that connection executed a digital account
opening form and other prescribed documents (digital KYC), over the internet. I confirm that I have executed the said documents by a xing thereto my digital signature obtained from NSDL
which is a Digital Signature Certifying Authority. I have read and understood the terms and conditions and other stipulations governing the maintenance and operation of my account and I agree
to remain bound thereby. The digital KYC and this document, including the declaration, shall together constitute one integral document and shall always be read accordingly. In confirmation of
what is stated in this declaration I have written my signature hereunder.

NOMINEE DETAILS FOR TRADING AND DEMAT ACCOUNT

I/We wish to nominate I/We do not wish to nominate DP ID: 12033200 Client ID:

*Nominee 1 *Nominee 2 *Nominee 3

First Name First Name First Name
Middle Name Middle Name Middle Name
Last Name Last Name Last Name

Nominee Address, City, State & Pin Nominee Address, City, State & Pin Nominee Address, City, State & Pin

Contact Details Contact Details Contact Details

PAN PAN PAN
Date of Birth Date of Birth Date of Birth
% of allocation of Securties % of allocation of Securties % of allocation of Securties
Relationship with BO Relationship with BO Relationship with BO

GUARDIAN DETAILS (IF NOMINEE IS A MINOR)

Name Name Name

Guardian Address Guardian Address Guardian Address

Flat / Building Name / Area / Road / Land Mark, Flat / Building Name / Area / Road / Land Mark, Flat / Building Name / Area / Road / Land Mark,
City, State & Pin City, State & Pin City, State & Pin

Relationship with Nominee Relationship with Nominee Relationship with Nominee

Guardian Signature Guardian Signature Guardian Signature

WITNESSES (ONLY APPLICABLE IN CASE THE ACCOUNT HOLDER HAS MADE NOMINATION) ACCOUNT HOLDERS NAME & SIGNATURE

Witness Name First Holders Name Second Holders Name Third Holders Name

Witness Address

Witness Signature
First Holders Second Holders Third Holders
Date Signature Signature Signature
Place

* If in case of multiple nominee., Residual securities, Nominee 1 shall be entitled for Residual securities.

FOR OFFICE USE ONLY

Details of Employee KYC documents verified with Originals Client Interviewed By & In-Person Verification done by

Name & E Code

Designation

Date & Signature

OFFICE USE ONLY

(To be filled by Depository Participant)
DP ID 12033200 Client ID

Nomination form accepted and registered vide Registration No.: _______________________________________________________________________________________________________________

I / We undertake that we have made the client aware of ‘Policy and Procedures’, tariff sheet and all the non-mandatory documents. I/We have also made the client aware of ‘Rights and
Obligations’ document (s), RDD and Guidance Note. I/We have given/sent him a copy of all the KYC documents. I/We undertake that any change in the ‘Policy and Procedures’, tariff sheet and all
the non-mandatory documents would be duly intimated to the clients. I/We also undertake that any change in the ‘Rights and Obligations’ and RDD would be made available on my/our website, if
any, for the information of the clients.

Seal/Stamp of the Intermediary

Signature of the Authorised Signatory