2XBHXW Segment Addition All Documents

COMMODITIES ACCOUNT OPENING FORM
MANDATORY DOCUMENTS
DOCUMENT SIGNIFICANCE PAGE(s)

Account Opening Form a) KYC form - Document captures the basic information about the 4-8
constituent and an instruction/check list.
b) Document captures the additional information about the
constituent relevant to trading account and an instruction/check list.
Rights and Obligations Provided to client (consent declaration on Page - 8)

Risk Disclosure Document
(RDD) Provided to client (consent declaration on Page - 8)
Guidance Note Provided to client (consent declaration on Page - 8)

Policies and Procedures Provided to client (consent declaration on Page - 8)
Tariff Sheet Details the rate/amount of brokerage and other charges levied 10
on the client for trading on the stock exchange(s)
FATCA CRS Declaration Client’s self declaration on holding of overseas asset if any 15-16
VOLUNTARY CLAUSE
DOCUMENT SIGNIFICANCE PAGE(s)
Authorization for Letter of Authorization for Electronic Contract Notes. 12

Electronic Contract Notes
Authorization of running Letter or authority/request to RKSV Commodities India Pvt. Ltd. 11

account/request letter
REGISTERED OFFICE ADDRESS CORRESPONDENCE OFFICE ADDRESS

807, New Delhi House, Barakhamba Road RKSV Securities India Private Limited
Connaught Place, New Delhi, 110 011 Salasar Business Park,
Telephone: +91-22-6130-9999 Off 150 Feet Flyover Road,
Fax: +91-22-6710-7492 Bhayander West,
Email: contact@upstox.com, www.upstox.com Thane,
Maharashtra 401101
CEO / COMPLIANCE OFFICER Telephone: +91-22-6130-9999
Mr. Ravi Kumar Fax: +91-22-6710-7492
Telephone: +91-22-6130-9999 Email: contact@upstox.com, www.upstox.com
Email: compliance@upstox.com, www.upstox.com
SEBI | FMC REGISTRATION NUMBERS
SEBI | FMC Regn. No. INZ000015837 | MCX: MCX/
TM/CORP/2034
Registration Date: Jan 22, 2016
Clearing Member: ISSL Settlement & Transaction
Services Limited, MCX: MCX/CM/CORP/108
For any grievance/ dispute please contact RKSV Commodities India Pvt. Ltd. at the above address and/ or email id: complaints@rksv.in and complaints.mcx@rksv.in and/ or Phone
No. +91-22-6130-9999. In case you are not satisfied with the response, please contact the concerned exchange(s) at MCX at [grievance@mcxindia.com and Phone No.
+91-22-6731-8888].
Signed by: HERUR GOVINDARAJU VASANTHKUMAR
Reason: Upstox Trading and Demat Service Request by RKSV
eSigned using Aadhaar (digio.in)
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QUICK CHECKLIST
To get your account opened faster, please make sure you're not committing any of the below common errors.
Please affix a passport size photograph on page 4 and Page 16 and make sure you sign across it.
Please sign all areas marked with an ‘X’. There is a number next to each X, which is a count of the number of signatures -
make sure you are following the count!
Copies of all documents submitted should be self-attested.
Cancelled cheque should link to your primary banking account - if the cheque is not personalised, i.e., name is not printed
on the cheque, please attach latest Bank Statement to validate the same.
Please ensure to fill the details in the form exactly as mentioned in the proof submitted.
Email ID on Page 11 to be Handwritten only.
Look forward to receiving your completed form soon, and have you trading at Upstox!
ADDITIONAL DOCUMENTS IN CASE OF TRADING IN DERIVATIVES SEGMENTS - ILLUSTRATIVE LIST

In respect of other clients, documents as per risk management policy of the stock broker need to be provided by the client from time to time.
1. Copy of ITR Acknowledgement
2. Copy of Annual Accounts
3. In case of Salary Income – Salary Slip, Copy of Form 16
4. Net Worth Certificate
5. Copy of demat account holding statement.
6. Bank account statement for last 6 months
7. Self declaration with relevant supporting documents.
8. Any other relevant documents substantiating ownership of Assets.
COPY OF CANCELLED CHEQUE LEAF/ PASS BOOK/ BANK STATEMENT

Please ensure the document specifies the name of the constituent, MICR Code and/or IFSC code of the bank.
DEMAT MASTER OR RECENT HOLDING STATEMENT ISSUED BY DP BEARING NAME OF THE CLIENT
For individuals:
1. Stock broker has an option of doing ‘in-person’ verification through web camera at the branch office of the stock broker/ sub-broker’s office.
2. In case of non-resident clients, employees at the stock broker’s local office, overseas can do in-person verification. Further, considering the
infeasibility of carrying out ‘In-person’ verification of the non-resident clients by the stock broker’s staff, attestation of KYC documents by Notary
Public, Court, Magistrate, Judge, Local Banker, Indian Embassy / Consulate General in the country where the client resides may be permitted.
For non-individuals:
1. Form needs to be initialized by all the authorized signatory.
2. Copy of Board Resolution as declaration (on the letterhead) naming the persons authorized to deal in securities on behalf of company/firm/others
and their specimen signatures.
KYC REGISTRATION AGENCY (KRA)

If you have already processed your identity using a KYC system with any broker, depository participant, or other registered intermediary in India, you
are exempt from the following:
1. Providing us with a Proof of Identity.

2. Providing us with a Proof of Address.
3. Ensure that your address and identity details that was registered by the intermediary is up to date. If you feel that it may be incorrect, or you have
updated your address in the last 12 months, please provide the above proofs to ensure that your account is opened on time.
4. You can check if you are in the KRA system by visiting http://www.cvlkra.com/kycpaninquiry.aspx and entering your PAN card.

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INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM
(A) IMPORTANT POINTS

1. Self attested copy of PAN card is mandatory for all clients.
2. Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals for verification. In case the original
of any document is not produced for verification, then the copies should be properly attested by entities authorized for attesting the documents,
as per the below mentioned list.
3. If any proof of identity or address is in a foreign language, then translation into English is required.
4. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
5. If correspondence & permanent address are different, then proofs for both have to be submitted.
6. Sole proprietor must make the application in his individual name & capacity.
7. For non-residents and foreign nationals,(allowed to trade subject to RBI and FEMA guidelines), copy of passport/PIOCard/OCICard and overseas
address proof is mandatory.
8. For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their passport copy should be given.
9. In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC (Continuous Discharge Certificate) is to be submitted.
10. For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School Leaving Certificate/Mark sheet issued
by Higher Secondary Board/Passport of Minor/Birth Certificate must be provided.
11. Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominent public functions in a foreign country,
e.g., Heads of States or of Governments, senior politicians, senior Government/judicial/military officers, senior executives of state owned
corporations, important political party officials, etc.
(B) PROOF OF IDENTITY( P01): List of documents admissible as Proof of Identity:

1. PAN card with photograph. This is a mandatory requirement for all applicants except those who are specifically exempt from obtaining PAN (listed
in Section D).
2. Unique Identification Number (UID) (Aadhaar) / Passport / Voter ID card / Driving license.
3. Identity card/ document with applicant’s Photo, issued by any of the following: Central/State Government and its Departments, Statutory/
Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities,
Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members; and Credit cards/Debit cards issued by Bank.
(C) PROOF OF ADDRESS (POA): List of documents admissible as Proof of Address: (*Documents having an expiry date should be Valid on the date of
submission.)
1. Passport/Voters Identity Card/Ration Card/Registered Lease or Sale Agreement of Residence/Driving License/Flat Maintenance bill/Insurance
Copy.
2. Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill Not more than 3 months old.
3. BankAccount Statement/Passbook - Not more than 3 months old.
4. Self-declaration by High Court and Supreme Court judges, giving the new address in respect of their own accounts.
5. Proof of address issued by any of the following: Bank Managers of Scheduled Commercial Banks/Scheduled Co-Operative Bank/Multinational
Foreign Banks/Gazetted Officer/Notary public/Elected representatives to the Legislative Assembly/Parliament/Documents issued by any Govt.
or Statutory Authority.
6. Identity card/document with address, issued by any of the following: Central/State Government and its Departments, Statutory/Regulatory
Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities and
Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc.,to their Members.
7. For FII/sub account, Power of Attorney given by FM/sub-account to the Custodians (which are duly notarized and/or apostiled or consularised)
that gives the registered address should be taken.
8. The proof of address in the name of the spouse may be accepted.
(D) EXEMPTIONS/CLARIFICATIONS TO PAN (*Sufficient documentary evidence in support of such claims to be collected.)
1. In case of transactions undertaken on behalf of Central Government and/or State Government and by officials appointed by
Courts e.g. Official liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities / multilateral agencies exempt from paying taxes/filing tax returns in India.
4. SIP of Mutual Funds upto Rs 50, 000/- p.a.
5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks, Multilateral and Bilateral Development Financial
Institutions, State Industrial Development Corporations, Insurance Companies registered with IRDA and Public Financial Institution as defined
under section 4A of the Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and provide duly certified
copies of such verified PAN details to the intermediary.
(E) LIST OF PEOPLE AUTHORIZED TO ATTEST THE DOCUMENTS:

1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/Co-operative Bank or Multinational Foreign Banks (Name, Designation &
Seal should be affixed on the copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in India, Notary Public, Court Magistrate,
Judge, Indian Embassy/Consulate General in the country where the client resides are permitted to attest the documents.

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Know Your Client (KYC) PLEASE AFFIX A
RECENT PASSPORT
Application Form (For Individuals Only) PHOTOGRAPH AND
Please fill type the form in English and BLOCK letters. Sign all areas marked with SIGN ACROSS IT
‘x’. Once completed, please mail the completed form along with the necessary
proofs to our corporate office in Mumbai.
CLIENT’S SIGNATURE [1]
A. Identity Details (please see guidelines)

FULL NAME (As appearing in supporting identification document): HERUR GOVINDARAJU VASANTHKUMAR
FATHER / SPOUSE’S NAME: GOVINDARAJU HV
GENDER MALE FEMALE MARITAL STATUS SINGLE MARRIED DATE OF BIRTH (dd/mm/yyyy) 2 8 0 1 1 9 9 4
NATIONALITY INDIAN OTHER (Please Specify)
STATUS RESIDENT INDIVIDUAL NON RESIDENT FOREIGN NATIONAL (Passport copy mandatory for NRIs & Foreign Nationals)
PAN (Please enclose a duly attested copy) A U Y P V 8 9 9 3 K AADHAAR NUMBER (if any)
PROOF OF IDENTITY SUBMITTED FOR PAN EXEMPT CASES (Please Tick )

UID (AADHAAR) PASSPORT VOTER ID DRIVING LICENCE OTHERS (Please see guideline ‘D’)
B. Address Details (Please see guidelines)

ADDRESS FOR RESIDENCE/CORRESPONDENCE:
5, 7TH CROSS, NANDINILAYOUT PARIMALA NAGAR, NEAR KANTEERAVA STUDIO, BANGALORE
CITY/TOWN/VILLAGE: STATE: KARNATAKA

PIN CODE 5 6 0 0 9 6
BANGALORE COUNTRY: INDIA
TEL (OFF): TEL (RES): 7259108957
MOBILE: 7 2 5 9 1 0 8 9 5 7 FAX:
EMAIL ADDRESS: vasanthkumar.santhu@gmail.com

PROOF OF ADDRESS TO BE PROVIDED BY APPLICANT. PLEASE SUBMIT ANY ONE OF THE FOLLOWING VALID DOCUMENTS & CHOOSE THE DOCUMENT ATTACHED
PASSPORT RATION CARD REGISTERED LEASE/SALE AGREEMENT OF RESIDENCE DRIVING LICENCE VOTER IDENTITY CARD
*LATEST BANK A/c STATEMENT/PASSBOOK *LATEST TELEPHONE BILL (Only landline) *LATEST ELECTRICITY BILL *LATEST GAS BILL
OTHERS (Please Specify)
*Not more than 3 months old. Validity/Expiry date of proof of address submitted (dd/mm/yyyy)
PERMANENT ADDRESS OF RESIDENT APPLICANT IF DIFFERENT FROM ABOVE B1 OR OVERSEAS ADDRESS (MANDATORY) FOR NON RESIDENT APPLICANT:
Same as Above
CITY/TOWN/VILLAGE: STATE:
PIN CODE
COUNTRY:
PROOF OF ADDRESS TO BE PROVIDED BY APPLICANT. PLEASE SUBMIT ANY ONE OF THE FOLLOWING VALID DOCUMENTS & CHOOSE THE DOCUMENT ATTACHED
PASSPORT RATION CARD REGISTERED LEASE/SALE AGREEMENT OF RESIDENCE DRIVING LICENCE VOTER IDENTITY CARD
*LATEST BANK A/c STATEMENT/PASSBOOK *LATEST TELEPHONE BILL (Only landline) *LATEST ELECTRICITY BILL *LATEST GAS BILL
OTHERS (Please Specify)
*Not more than 3 months old. Validity/Expiry date of proof of address submitted (dd/mm/yyyy)
ANY OTHER INFORMATION:
DECLARATION
I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I/We undertake to inform you of any
changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am/We are aware that I may
be held liable for it.
PLACE: BANGALORE
CLIENT’S
SIGNATURE [2] X DATE (DD/MM/YYYY) 1 8 1 1 2 0 2 3
FOR OFFICE USE ONLY IPV Done on (dd/mm/yyyy)
AMC/Intermediary name OR code

Seal/Stamp of the intermediary should contain Seal/Stamp of the intermediary should contain
Staff Name Staff Name
(Originals verified) True copies of documents received Designation Designation
Name of the Organization Name of the Organization
(Attested) True copies of documents received Main Signature Signature
Intermediary Date Date
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TRADING ACCOUNT RELATED DETAILS
SECTION A PRIMARY BANKING ACCOUNT
BANK NAME STATE BANK OF INDIA BRANCH ADDRESS

CITY/TOWN/VILLAGE STATE
PIN CODE
BANGALORE COUNTRY
ACCOUNT NO. 20374992523 MICR NUMBER 5 6 0 0 0 2 1 2 6 IFSC CODE S B I N 0 0 1 1 2 8 8
ACCOUNT TYPE CURRENT SAVINGS NRI / NRE / NRO OTHERS (Please Specify)
SECTION B SECONDARY BANKING ACCOUNT (OPTIONAL)
BANK NAME BRANCH ADDRESS

CITY/TOWN/VILLAGE STATE
PIN CODE
COUNTRY
ACCOUNT NO. MICR NUMBER IFSC CODE
ACCOUNT TYPE CURRENT SAVINGS NRI / NRE / NRO OTHERS (Please Specify)
SECTION C PRIMARY DEPOSITORY ACCOUNT (OPTIONAL)
DEPOSITORY PARTICIPANT NAME DP TYPE (NSDL/CDSL) DEPOSITORY PARTICIPANT ID

RKSV SECURITIES INDIA PRIVATE LIMITED CDSL 12081800
BENEFICIARY NAME HERUR GOVINDARAJU VASANTHKUMAR BENEFICIARY ID (BO ID) 1208180064218318
SECTION D OTHER DETAILS

GROSS ANNUAL INCOME RANGE NET WORTH ON DATE (NOT OLDER THAN 1 YEAR)
BELOW 1 LAC 1 - 5 LAC 5 - 10 LAC OR VALUE
10 - 25 LAC OVER 25 LAC DATE (DD/MM/YYYY)
FOR NON INDIVIDUALS: 25 LAC - 1 CRORE OVER 1 CRORE
AFFILIATIONS: POLITICALLY EXPOSED PERSON (PEP) RELATED TO A POLITICALLY EXPOSED PERSON (RPEP)
OCCUPATION:
PRIVATE SECTOR SERVICE PUBLIC SECTOR PROFESSIONAL HOUSEWIFE STUDENT
GOVERNMENT SERVICE AGRICULTURIST BUSINESS RETIRED OTHER
ANY OTHER INFORMATION
SECTION E TRADING PREFERENCES
✔ I WOULD LIKE TO TRADE ON MCX COMMODITIES

CLIENT’S SIGNATURE [3] X
DATE (DD/MM/YYYY) 1 8 1 1 2 0 2 3
SECTION F PAST ACTIONS

Details of any action/ proceedings initiated/ pending/ taken by SEBI/ Stock exchange/ FMC/ any other authority against
the applicant/ constituent or its Partners/ promoters/ whole time directors/ authorized persons in charge of dealing in
securities during the last 3 years.

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SECTION G DEALINGS THROUGH OTHER MEMBERS
IF CLIENT IS DEALING THROUGH ANY OTHER MEMBER, PLEASE PROVIDE THE FOLLOWING DETAILS
(IN CASE DEALING WITH MULTIPLE MEMBERS, PROVIDE DETAILS OF ALL IN A SEPARATE SHEET CONTAINING
ALL THE INFORMATION AS MENTIONED BELOW)
MEMBER/AUTHORIZED PERSON NAME: EXCHANGE: EXCHANGE REGISTRATION NUMBER:
CONCERNED MEMBER’S NAME WITH WHOM AP IS REGISTERED: CLIENT CODE:
REGISTERED OFFICE ADDRESS: CITY:

STATE: COUNTRY: TELEPHONE: FAX:
EMAIL ID (As mentioned on Page 4): vasanthkumar.santhu@gmail.com DETAILS OF DISPUTES/DUES PENDING FROM/TO SUCH MEMBER/AP:
WEBSITE:
SECTION H VAT DETAILS (AS APPLICABLE, STATE WISE)
LOCAL SALES TAX REGISTRATION NUMBER:
VALIDITY DATE (DD/MM/YYYY) NAME OF THE STATE:
OTHER SALES TAX REGISTRATION NUMBER:
SECTION I SALES TAX REGISTRATION DETAILS

LOCAL SALES TAX REGISTRATION NUMBER:
CENTRAL SALES TAX REGISTRATION NUMBER:
VALIDITY DATE (DD/MM/YYYY)
OTHER SALES TAX REGISTRATION NUMBER:
SECTION J INVESTMENT/TRADING EXPERIENCE AND ADDITIONAL DETAILS

NO PRIOR EXPERIENCE IN TRADING / INVESTMENT
NUMBER OF YEARS OF COMMODITIES EXPERIENCE: YEARS OF EXPERIENCE IN OTHER INVESTMENT FIELDS:
CONTRACT NOTE PREFERENCES EMAIL ADDRESS:

ELECTRONIC CONTRACT NOTE (ECN) PHYSICAL CONTRACT NOTE vasanthkumar.santhu@gmail.com
SECTION K INTRODUCER DETAILS (OPTIONAL)
INTRODUCER’S NAME: INTRODUCER’S RELATIONSHIP:
INTRODUCER’S STATUS: EXISTING CLIENT AUTHORIZED PERSON SUB-BROKER REMISIER

OTHERS, PLEASE SPECIFY
INTRODUCER’S ADDRESS:
INTRODUCER’S PHONE NUMBER: INTRODUCER’S CLIENT ID: INTRODUCER’S SIGNATURE
PLEASE SIGN BELOW ATTESTING TO ALL THE INFORMATION ON THIS PAGE
CLIENT’S NAME: HERUR GOVINDARAJU VASANTHKUMAR
CLIENT’S SIGNATURE [4] X DATE (DD/MM/YYYY) 1 8 1 1 2 0 2 3

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SECTION L NOMINATION DETAILS (FOR INDIVIDUALS ONLY)
I WISH TO NOMINATE THE FOLLOWING PERSON I DO NOT WISH TO HAVE A NOMINEE
NOMINEE’S NAME: RELATIONSHIP WITH THE NOMINEE:
NOMINEE’S
ADDRESS:
NOMINEE’S PHONE NUMBER: NOMINEE’S PAN CARD NUMBER NOMINEE’S DATE OF BIRTH (DD/MM/YYY)
IF NOMINEE IS A MINOR, PLEASE PROVIDE DETAILS OF HIS/HER GUARDIAN

GUARDIAN’S NAME: GUARDIAN’S ADDRESS:
GUARDIAN’S PHONE NUMBER: GUARDIAN’S SIGNATURE:
TWO WITNESSES ARE REQUIRED TO ATTEST IF YOU WANT TO NOMINATE A PERSON

PRIMARY WITNESS’ NAME: PRIMARY WITNESS’ ADDRESS:
PRIMARY WITNESS’ PHONE NUMBER: PRIMARY WITNESS’ SIGNATURE:
SECONDARY WITNESS’ NAME: SECONDARY WITNESS’ ADDRESS:
SECONDARY WITNESS’ PHONE NUMBER: SECONDARY WITNESS’ SIGNATURE:
PLEASE SIGN BELOW ATTESTING TO ALL THE INFORMATION ON THIS PAGE
CLIENT’S

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DECLARATION
1. I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief
and I/we undertake to inform you of any changes therein, immediately. In case any of the above information is found to
be false or untrue or misleading or misrepresenting, I am/we are aware that I/we may be held liable for it.
2. I/We confirm having read/been explained and understood the contents of the tariff sheet and all voluntary/non
mandatory documents
3. I/We further confirm having read and understood the contents of the ‘Rights and Obligations’ document(s), ‘Dos
& Donts’ and ‘Risk Disclosure Document’. I/We do hereby agree to be bound by such provisions as outlined in these
documents. I/We have also been informed that the standard set of documents has been displayed for Information on
member’s designated website, if any.
CLIENT’S NAME HERUR GOVINDARAJU VASANTHKUMAR PLACE BANGALORE
CLIENT’S DATE (DD/MM/YYYY)

SIGNATURE [6] X 1 8 1 1 2 0 2 3
FOR OFFICE USE ONLY

CLIENT’S UCC CODE
DOCUMENTS VERIFIED WITH ORIGINALS
DOCUMENTS VERIFIED BY: EMPLOYEE CODE: EMPLOYEE DESIGNATION:
EMPLOYEE SIGNATURE: ON DATE (DD/MM/YYYY)
CLIENT INTERVIEW
CLIENT INTERVIEWD BY: EMPLOYEE CODE: EMPLOYEE DESIGNATION:
IN PERSON VERIFICATION (IPV)

IPV PERFORMED BY: EMPLOYEE CODE: EMPLOYEE DESIGNATION:
I / We undertake that we have made the client aware of tariff sheet and all the SEAL/STAMP OF THE INTERMEDIARY
non-mandatory documents. I/ We have also made the client aware of ‘Rights
and Obligations’ document (s), RDD, Dos & Donts and Guidance Note. I/ We
have given/ sent him a copy of all the KYC documents. I/ We undertake that
any change in the 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.
EMPLOYEE SIGNATURE DATE (DD/MM/YYYY)

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TO: RKSV Securities India Private Limited
30th Floor, Sunshine Tower,
Senapati Bapat Marg,
Dadar (W),
Mumbai - 400 013
Sub: Consent for trading in Commodity Options
Dear Sir / Madam,
HERUR GOVINDARAJU VASANTHKUMAR

1. I/We _______________________________________ want to register with you as a client for trading in commodity derivatives.
2. I/We understand that SEBI has allowed trading in commodity options. Exchange has also launched option contracts with commodity
derivatives as underlying.
3. I/We have gone through the additional risk disclosure document sent by you and have appraised myself/ourselves with the risk of
trading in commodity options.
4. I/We are interested in trading in commodity options and hereby accord my/our consent to trading in commodity options with
confirmation of having received additional risk disclosure document disclosing risk of trading in commodity options.
5. This consent is valid till I/we revoke the same. I/We understand that I/we have right to withdraw the same at any point of time.
CLIENT’S NAME HERUR GOVINDARAJU VASANTHKUMAR
Place: BANGALORE
CLIENT’S SIGNATURE [7] X DATE (DD/MM/YYYY) 1 8 1 1 2 0 2 3

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TARIFF SHEET
TO: RKSV Commodities India Private Limited
Dear Sir or Madam,
I would like to subscribe to the RKSV Commodities India Pvt. Ltd for trading and demat account and request RKSV
Commodities India Pvt. Ltd. to apply brokerage charges as mentioned and as per the terms and conditions of RKSV
Commodities India Pvt. Ltd.
BROKERAGE CHARGE
STATUTORY CHARGES
In addition to the above monthly subscription charges, the following statutory charges will also be levied at actuals:
Commodities Transaction Tax, Transaction Charges, Stamp Duty, SEBI Turnover Fees, Clearing Member Charges and GST.
Electronic Contract Notes are free. In case of any request for Physical Contract note, the Contract Note copies will be
charged at Rs. 50 per contract note (for ECN clients) + Courier charges as applicable. Depository Participant charges as
levied by RKSV. Terms and Conditions can be subject to change provided the same is done as for applicable guidelines of
SEBI/exchange.
The terms and conditions of the RKSV Commodities India Pvt. Ltd. plans have been read and understood by me. I wish to
avail the plans below provided by RKSV Commodities India Pvt. Ltd. for my trading account subject to the terms and
conditions mentioned above.
I declare that I have read and understood the terms and conditions governing the RKSV Commodities India Pvt. Ltd.
Note: Brokerage is also charged on expired, exercised and assigned Futures and Options contracts.
Yours faithfully,
CLIENT’S
FOR OFFICE USE ONLY
CLIENT’S TRADING ACCOUNT NUMBER

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AUTHORIZATION FOR RUNNING ACCOUNT

Dadar (W),
Mumbai - 400 013
I am a registered client with you, and am dealing in Commodity Market, and have a RKSV Commodities India Pvt. Ltd. client code
as mentioned below.
I am aware that payout / credited from the exchange(s) against settlement of transaction as per settlement cycle is available within
the prescribed time of the payout from the Exchange. It is difficult for me to make available the required funds on every pay-in
of funds obligation / margin obligation, hence I request you to maintain my account on a running basis and retain the payout
received / credit balance in my account for my future obligation / margin obligation or other liabilities unless I instruct otherwise.
If payment of funds is required, I shall request you in writing or through the web option for funds withdrawal on the web login.
Further it may be noted that if required I may revoke this authorization at any time after giving request in writing.
This running account authorization would continue until it is revoked by me. The actual settlement of funds shall be done at
least once in the preference period selected below.
QUARTERLY MONTHLY
While settling the account having outstanding obligations on the settlement date, you may retain the requisite funds towards such
obligations and may also retain the funds expected to be required to meet margin obligations for next 5 trading days, calculated
in the manner specified by the exchanges.
I shall bring any dispute arising from the statement of account or settlement so made to your notice within 7 working days from
the date of receipt of funds or statement, as the case may be. In case of non-receipt of any such communication the statement /
settlement of running account shall be considered as final as agreed and accepted by me.
Yours Faithfully,
CLIENT’S
AUTHORIZATION FOR ACCOUNT MODIFICATION
TO: RKSV Commodities

Dadar (W),
Mumbai - 400 013
If I/we were to add/modify/remove any of my detail including brokerage plans with RKSV Commodities India Pvt. Ltd, I/
we authorize you to carry it out based on my request sent through an email to support@upstox.com from my registered email
address or intimation through an interface provided by you, whereto I have been allowed secured access.
You may put in place appropriate mechanism to confirm the request before or after its execution by way of a call from a
recorded line, or otherwise, personal meeting, SMS or other such other mode as you may deem fit.
CLIENT’S

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ELECTRONIC CONTRACT NOTES (ECN) - DECLARATION

Dadar (W),
Mumbai - 400 013
Dear Sir,
HERUR GOVINDARAJU VASANTHKUMAR
I, as a client of RKSV Commodities India Pvt. Ltd., a member of MCX, as my broker
undertake as follows:
1. I am aware that the Member has to provide physical contract note in respect to all the trades placed by me unless I
myself want the same in the electronic form.
2. I am aware that the Member has to provide electronic contract note for my convenience on my request only.
3. Though the Member is required to deliver physical contract note, I find that it is inconvenient for me to receive physical
contract notes. Therefore, I am voluntarily requesting for delivery of electronic contract note pertaining to all the trades
carried out / ordered by me.
4. I have access to a computer and am a regular internet user, having sufficient knowledge of handling the email operations.
5. My email id is mentioned below. This has been created by me and not by someone else.
6. I am aware that this declaration form should be in English or in any other Indian language known to me.
7. I am aware that non-receipt of bounced email notification by the member shall amount to delivery of contact note at the
below Email ID.
EMAIL ADDRESS (Needs to be handwritten only): vasanthkumar.santhu@gmail.com

(AS MENTIONED ON PAGE 4)
The above declaration has been read and understood by me. I am aware of the risk involved in dispensing with the
physical contract note, and do hereby take full responsibility for the same
Yours Faithfully,

ADDRESS:
PAN CARD NUMBER A U Y P V 8 9 9 3 K PLACE: BANGALORE
CLIENT’S
FOR OFFICE USE ONLY

Verification of the Client Signature done by:
DESIGNATED OFFICER SIGNATURE DATE (DD/MM/YYYY)
DESIGNATED OFFICER NAME: CLIENT’S UNIQUE CLIENT CODE:

Date: 2023-11-18 00:22:36 IST PAGE 12
V 3.0.0
ACKNOWLEDGEMENT LETTER

Dadar (W),
Mumbai - 400 013
Dear Sir or Madam,
I/We hereby acknowledge receipt of the following documents
1. Rights and Obligations of Members, Authorised Persons and Clients

2. Risk Disclosure Document
3. Guidance Note - Do’s and Don’ts for Trading on the Exchange(s) for Investors
4. General Terms and Conditions governing commodities trading and broking services of RKSV Commodities India Pvt. Ltd.
I/We understand that the Voluntary documents executed by me/us are out of my/our own free will.
I/We hereby confirm that I/We have clearly understood and agree to abide by the Terms and Conditions described by
RKSV Commodities India Pvt. Ltd (RKSV). I/We also understand that these general Terms and Conditions can be changed by
RKSV from time to time with prior notice of 7 days and subject to posting of the amendments and modifications therein on it’s
website and their applicability with prospective effect.
I/We state that I have read and understood all above documents including the Terms and Conditions governing commodities
trading and broking services of RKSV Commodities India Pvt. Ltd. and agree to abide by the same.
Yours faithfully,
CLIENT’S
DISCLOSURE INFORMATION
Dear Sir or Madam,
This is to inform you as per Rules, Regulations and Bye-laws of Multi Commodity Exchange of India Ltd. (MCX) that we do Client
based trading and Proprietary trading and we are not indulged in portfolio management services.
Regards,
RKSV Commodities India Pvt. Ltd.
I/We acknowledge receipt of information given above by RKSV Commodities India Pvt. Limited that they do Client based trading
and Proprietrary trading and they are not indulged in portfolio management services.
CLIENT’S

PAGE 13
Date: 2023-11-18 00:22:36 IST
V 3.0.0
CLIENT REFERRAL PROGRAM

Dadar (W),
Mumbai - 400 013
SUB: Request for appointment as a Client Referrer
Dear Sir or Madam,
I wish to register with you as a client referrer using my registered client code. I intend to introduce other people to you as a
client so they can avail your services.
In this regards, I declare as under:
1. I am not a Broker on any Stock Exchange or Member of any Commodity Exchange.

2. I am not an employee of any Stock Broker or Member.
3. I am not a Sub Broker, Remisier and/or Authorised Person of any Stock Broker or Member.
4. There has not been any action initiaited or taken against me by FMC / SEBI or any regulatory authority.
5. I will not refer any immediate family members such as parents, siblings, spouse or children.
6. I undertake to inform you immediately in case there is any incident that results in a change in my declaration.
Should I violate any of the above specified terms, I understand that my account and/or some/all of my clients’ accounts may be
suspended and/or terminated.
I understand that after referring any individual to RKSV, I will email RKSV at support@upstox.com with my name, and the
Individual’s Name and Date of Birth from my registered email address with RKSV.
I will also fill out the Introducer Details section of the Trading Application Form with my details to confirm that I am the referrer
for the new client.
In light of any change to regulatory, exchange, or broker policy, I understand that the referral arrangement is subject to modification
at the discretion of the management of the company.
Yours faithfully,
CLIENT’S
CLIENT ID (LEAVE BLANK IF NEW CUSTOMER)
If you have any friends who are interested in RKSV, please leave their details below and we will reach out to them. They will be
credited to you as the introducing referror.
NAME PHONE NUMBER EMAIL ADDRESS

PAGE 14
Date: 2023-11-18 00:22:36 IST
V 3.0.0
FATCA/CRS Annexure - Individuals (including sole-proprietors)
(Applicable for Resident and Non-Resident Customers)
Date _____________________ Place __________________________ AOF Reference Number _______________________
Details under FATCA / CRS
Please fill the information below as requested FIRST ACCOUNT HOLDER SECOND ACCOUNT HOLDER THIRD ACCOUNT HOLDER
Name of the Account Holder HERUR GOVINDARAJU VASANTHKUMAR
Customer ID
5, 7TH CROSS,
Residence Address for Tax purpose NANDINILAYOUT PARIMALA
(including city, state, country and pin NAGAR, NEAR KANTEERAVA
code) STUDIO, BANGALORE
1
Address Type:
1- Residential or Business, 2- Residential,
3-Business, 4-Registered Office
Mobile/ Telephone Number (incl ISD and

STD code) 7259108957
Date of Birth (DD-MM-YYYY) 2 8 0 1 1 9 9 4
City of Birth
Country of Birth
Nationality (if of more than one country, Indian

please mention all the countries
separated by a comma)
Male
Gender (Male, Female, Others)
AUYPV8993K
PAN
Father’s Name (mandatory if PAN not GOVINDARAJU HV

provided)
Aadhar Number (optional)
Spouse’s Name (optional)
Identification Type- Documents submitted

as proof of identity of the individual
Identification Number - for the

identification type mentioned above
(mandatory if PAN or Aadhaar not
provided)
Are you a tax resident of any country other than India?
First Account Holder Yes ✔ No Second Account Holder Yes No

Third Account Holder Yes No
If yes, please indicate all countries in which you are resident for tax purposes and the associated Tax Reference Numbers below

Date: 2023-11-18 00:22:36 IST PAGE 15
V 3.0.0
ACCOUNT HOLDER COUNTRY(IES) OF TAX TAX IDENTIFICATION IDENTIFICATION TYPE
NAME OF THE CUSTOMER
DETAILS RESIDENCY* NUMBER (TIN)** (TIN or other, specify)**
First Holder
Second Holder
Third Holder
* To also include USA, where the individual is a citizen / green card holder of USA
** In case Tax Identification Number is not available, please provide functional equivalent
Certification: I / We have understood the information requirements of this Form (read along with the FATCA/CRS Instructions) and hereby confirm that the information
provided by me/us on this Form is true, correct and complete. I/We also confirm that I/We have read and understood the FATCA/CRS Terms and Conditions below and hereby
accept the same.
FIRST/SOLE HOLDER SIGNATURE [14] SECOND HOLDER SIGNATURE THIRD HOLDER SIGNATURE
X
DATE (DD/MM/YYYY) 1 8 1 1 2 0 2 3 PLACE ________________________________
BANGALORE
FATCA/CRS Terms & Conditions
The Central Board of Direct Taxes has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions
such as the Bank to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our account
holders. In relevant cases, information will have to be reported to tax authorities/ appointed agencies. Towards compliance, we may also be required
to provide information to any institutions such as withholding agents for the purpose of ensuring appropriate withholding from the account or any
proceeds in relation thereto. Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30 days.
Please note that you may receive more than one request for information if you have multiple relationships with RKSV Securities India Pvt Ltd or its group
entities. Therefore, it is important that you respond to our request, even if you believe you have already supplied any previously requested information.
FATCA/CRS Instructions
If you have any questions about your tax residency, please contact your tax advisor. If your are a US citizen or resident or green card holder, please
include United States in the foreign country information field along with your US Tax Identification Number.
It is mandatory to supply a TIN or functional equivalent if the country in which you are a tax resident issues such identifiers. If no TIN is yet available or
has not yet been issued, please provide an explanation and attach this to the form. In case the customer has the following Indicia pertaining to a foreign
country and yet declares self to be non-tax resident in the respective country, customer to provide relevant Curing Documents as mentioned below
FATCA/CRS INDICIN OBSERVED (Ticked) DOCUMENTATION REQUIRED FOR CURE OF FATCA/CRS INDICIN
U.S. place of birth 1. Self-certification (in attached format) that the account holder is neither a citizen of
United States of America not a resident for tax purposes.
2. Non-US passport or any non-US government issues document evidencing nationality
or citizenship (refer list below) AND
3. Any one of the following documents:
a. Certified Copy of Certificate of Loss of Nationality or
b. Reasonable explanation of why the customer does not have such a certificate despite
renouncing US citizenship; or why the customer did not obtain U.S. citizenship at birth
Residence/mailing address in a country 1. Self-certification (in attached format) that the account holder is neither a citizen of
other than India United States of America not a resident for tax purposes.
2. Documentary evidence (refer list below)
Telephone number in a country other than 1. Self-certification (in attached format) that the account holder is neither a citizen of
India (and no telephone number in India United States of America not a resident for tax purposes.
provided) 2. Documentary evidence (refer list below)
Standing instructions to transfer funds to an 1. Self-certification (in attached format) that the account holder is neither a citizen of
account maintained in a country other than United States of America not a resident for tax purposes.
India 2. Documentary evidence (refer list below)
List of acceptable documentary evidence needed to establish the residence(s) for tax purposes:
1. Certificate of residence issued by an authorized government body*
2. Valid indentification issued by an authorized government body* (e.g. Passport, National Identity Card, etc.)
* Government or agency thereof or a municipality. Signed by: HERUR GOVINDARAJU VASANTHKUMAR
Date: 2023-11-18 00:22:36 IST
PAGE 16
V 3.0.0
CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual
Important Instructions:
A) Fields marked with ‘*’ are mandatory fields.
B) Please fill the form in English and in BLOCK letters.
C) Please fill the date in DD-MM-YYYY format.
D) Please read section wise detailed guidelines / instructions at the end.
E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end.
F) List of two character ISO 3166 country codes is available at the end.
G) KYC number of applicant is mandatory for update application.
H) For particular section update, please tick () in the box available before the section number and strike off the sections not required to be updated.
FOR OFFICE USE ONLY (To be filled by financial institution)
Application Type* New ✔ Update

KYC Number (Mandatory for KYC update request)
Account Type* ✔ Normal Simplified (for low risk customers) Small
1. PERSONAL DETAILS (Please refer instruction A at the end)
Prefix First Name Middle Name Last Name
Name* (Same as ID proof) HERUR GOVINDARAJU VASANTHKUMAR PLEASE AFFIX A

RECENT PASSPORT
Maiden Name (If any*) PHOTOGRAPH
Father / Spouse Name* GOVINDARAJU HV
Mother Name*
Date of Birth* 2 8 0 1 1 9 9 4 CLIENT’S SIGNATURE [15]
Gender* ✔ M-Male F-Female T-Transgender

Marital Status* Married ✔ Unmarried Others
Citizenship* ✔ IN-Indian Others (ISO 3166 Country Code )
Residential Status* ✔ Resident Individual Non Resident Indian
Foreign National Person of Indian Origin
Occupation Type* S-Service ( ✔ Private Sector Public Sector Government Sector )
O-Others ( Professional Self Employed Retired Housewife Student )
B-Business
X-Not Categorised
2. TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instruction B at the end)
ADDITIONAL DETAILS REQUIRED* (Mandatory only if Section 2 is ticked)

ISO 3166 Country Code of Jurisdiction of Residence*
Tax Identification Number or equivalent (If issued by jurisdiction)*
Place / City of Birth* ISO 3166 Country Code of Birth*
3. PROOF OF IDENTITY (PoI)* (Please refer instruction C at the end)
(Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted)
A-Passport Number Expiry Date
B-Voter ID Card
✔ C-PAN Card A U Y P V 8 9 9 3 K
D-Driving Licence Expiry Date
E-UID (Aadhaar)
F-NREGA Job Card

Date: 2023-11-18 00:22:36 IST PAGE 17
V 3.0.0
Z-Others (any document notified by the central government)
Identification Number
S-Simplified Measures Account - Document Type code

4. PROOF OF ADDRESS (PoA)*
4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please refer instruction D at the end)
(Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted)
Address Type* Residential / Business Residential Business Registered Office Unspecified
Proof of Address* Driving Licence Passport UID (Aadhaar)

Voter Identity Card NREGA Job Card Others (Please specify)
Simplified Measures Account - Document Type code
Address
City / Town / Village* BANGALORE District*
Pin / Post Code* 5 6 0 0 9 6 State / U.T Code* ISO 3166 Country Code*
4.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS * (Please refer instruction E at the end)
✔ Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill ‘Annexure A1’)
Address
City / Town / Village* District*
Pin / Post Code* State / U.T Code* ISO 3166 Country Code*
4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE (Applicable if section 2 is ticked)
INDIA FOR TAX PURPOSES*
Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details
Address
City / Town / Village* District*
Pin / Post Code* State / U.T Code* ISO 3166 Country Code*
5. CONTACT DETAILS (All communications will be sent on provided Mobile no. / Email-ID) (Please refer instruction F at the end)
Tel. (Off) - Tel. (Res) -
FAX - Mobile 9 1 - 7 2 5 9 1 0 8 9 5 7
Email ID vasanthkumar.santhu@gmail.com
6. DETAILS OF RELATED PERSON (In case of additional related persons, please fill ‘Annexure B1’ ) (Please refer instruction G at the end)
Addition of Related Person Deletion of Related Person
KYC Number of Related Person (if available*)
Related Person Type* Guardian of Minor Assignee Authorized Representative

Prefix First Name Middle Name Last Name
Name* Signed by: HERUR GOVINDARAJU VASANTHKUMAR
Date: 2023-11-18 00:22:36 IST
PAGE 18
V 3.0.0
(If KYC number and name are provided, below details of section 6 are optional)
PROOF OF IDENTITY [PoI] OF RELATED PERSON* (Please see instruction (H) at the end)
A-Passport Number Expiry Date
B-Voter ID Card
✔ C-PAN Card
D-Driving Licence Expiry Date
E-UID (Aadhaar)
F-NREGA Job Card
Z-Others (any document notified by the central government)

S-Simplified Measures Account - Document Type code

7. REMARKS (If any )
8. APPLICANT DECLARATION
I hereby declare that the details furnished above 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 above information is found to be false or untrue or
misleading or misrepresenting, I am aware that I may be held liable for it.
I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/
email address.
PLACE: BANGALORE
CLIENT’S
FOR OFFICE USE ONLY
Documents Received Certified Copies
KYC VERIFICATION CARRIED OUT BY
Emp. Name: Emp. Code: Emp. Designation:
Emp. Branch: Employee Signature
DATE (DD/MM/YYYY)
INSTITUTION DETAILS
Emp. Name: Institution Stamp
Emp. Code:

Date: 2023-11-18 00:22:36 IST
PAGE 19
V 3.0.0
CENTRAL KYC REGISTRY | Instructions / Check list / Guidelines for filling Individual KYC Application Form
General Instructions:
1. Fields marked with ‘*’ are mandatory fields.
2. Tick ‘’ wherever applicable.
3. Self-Certification of documents is mandatory.
4. Please fill the form in English and in BLOCK Letters.
5. Please fill all dates in DD-MM-YYYY format.
6. Wherever state code and country code is to be furnished, the same should be the two-digit code as per Indian Motor Vehicle, 1988 and ISO 3166 country
code respectively list of which is available at the end.
7. KYC number of applicant is mandatory for updation of KYC details.
8. For particular section update, please tick () in the box available before the section number and strike off the sections not required to be updated.
9. In case of ‘Small Account type’ only personal details at section number 1 and 2, photograph, signature and self-certification required.
A Clarification / Guidelines on filling ‘Personal Details’ section

1. Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing
which the application is liable to be rejected.
2. Either father’s name or spouse’s name is to be mandatorily furnished. In case PAN is not available father’s name is mandatory.
B Clarification / Guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside India
1. Tax identification Number (TIN): TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued a high
integrity number with an equivalent level of identification (a “Functional equivalent”), the same may be reported. Examples of that type of number for
individual include, a social security/insurance number, citizen/personal identification/services code/number, and resident registration number)
C Clarification / Guidelines on filling ‘Proof of Identity [PoI]’ section

1. If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.
2. Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.
3. In case of Simplified Measures Accounts for verifying the identity of the applicant, any one of the following documents can also be submitted and
undernoted relevant code may be mentioned in point 3 (S).
Document Code Description
01 Identity card with applicant’s photograph issued by Central/ State Government Departments, Statutory/
Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, and Public Financial
Institutions.
02 Letter issued by a gazetted officer, with a duly attested photograph of the person.
D Clarification / Guidelines on filling ‘Proof of Address [PoA] - Current / Permanent / Overseas Address details’ section
1. PoA to be submitted only if the submitted PoI does not have an address or address as per PoI is invalid or not in force.
2. State / U.T Code and Pin / Post Code will not be mandatory for Overseas addresses.
3. In case of Simplified Measures Accounts for verifying the address of the applicant, any one of the following documents can also be submitted and
undernoted relevant code may be mentioned in point 4.1.
Document Code Description
01 Utility bill which is not more than two months old of any service provider (electricity, telephone, post-paid
mobile phone, piped gas, water bill).
02 Property or Municipal Tax receipt.
03 Bank account or Post Office savings bank account statement.
04 Pension or family pension payment orders (PPOs) issued to retired employees by Government Departments
or Public Sector Undertakings, if they contain the address.
05 Letter of allotment of accommodation from employer issued by State or Central Government departments,
statutory or regulatory bodies, public sector undertakings, scheduled commercial banks, financial
institutions and listed companies. Similarly, leave and license agreements with such employers allotting
official accommodation.
06 Documents issued by Government departments of foreign jurisdictions and letter issued by Foreign
Embassy or Mission in India.
E Clarification / Guidelines on filling ‘Proof of Address [PoA] - Correspondence / Local Address details’ section
1. To be filled only in case the PoA is not the local address or address where the customer is currently residing. No separate PoA is required to be submitted.
2. In case of multiple correspondence / local addresses, Please fill ‘Annexure A1’
F Clarification / Guidelines on filling Contact details’ section

1. Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention 91-9999999999).
2. Do not add ‘0’ in the beginning of Mobile number.
G Clarification / Guidelines on filling ‘Related Person details’ section

1. Provide KYC number of related person if available.
H Clarification / Guidelines on filling ‘Related Person details – Proof of Identity [PoI] of Related Person’ section
1. Mention identification / reference number if ‘Z- Others (any document notified by the central government)’ is ticked.
Date: 2023-11-18 00:22:36 IST
PAGE 20
V 3.0.0
List of two – digit state / U.T codes as per Indian Motor Vehicle Act, 1988
State / U.T Code State / U.T Code State / U.T Code

Andaman & Nicobar AN Himachal Pradesh HP Pondicherry PY
Andhra Pradesh AP Jammu & Kashmir JK Punjab PB
Arunachal Pradesh AR Jharkhand JH Rajasthan RJ
Assam AS Karnataka KA Sikkim SK
Bihar BR Kerala KL Tamil Nadu TN
Chandigarh CH Lakshadweep LD Telangana TS
Chattisgarh CG Madhya Pradesh MP Tripura TR
Dadra and Nagar Haveli DN Maharashtra MH Uttar Pradesh UP
Daman & Diu DD Manipur MN Uttarakhand UA
Delhi DL Meghalaya ML West Bengal WB
Goa GA Mizoram MZ Other XX
Gujarat GJ Nagaland NL
Haryana HR Orissa OR
List of ISO 3166 two- digit Country Code

Country Country Country Country Country Country Country Country
Code Code Code Code
Afghanistan AF Dominican Republic DO Libya LY Saint Pierre and Miquelon PM
Aland Islands AX Ecuador EC Liechtenstein LI Saint Vincent and the Grenadines VC
Albania AL Egypt EG Lithuania LT Samoa WS
Algeria DZ El Salvador SV Luxembourg LU San Marino SM
American Samoa AS Equatorial Guinea GQ Macao MO Sao Tome and Principe ST
Andorra AD Eritrea ER Macedonia, the former Yugoslav Republic MK Saudi Arabia SA
of
Angola AO Estonia EE Madagascar MG Senegal SN
Anguilla AI Ethiopia ET Malawi MW Serbia RS
Antarctica AQ Falkland Islands (Malvinas) FK Malaysia MY Seychelles SC
Antigua and Barbuda AG Faroe Islands FO Maldives MV Sierra Leone SL
Argentina AR Fiji FJ Mali ML Singapore SG
Armenia AM Finland FI Malta MT Sint Maarten (Dutch part) SX
Aruba AW France FR Marshall Islands MH Slovakia SK
Australia AU French Guiana GF Martinique MQ Slovenia SI
Austria AT French Polynesia PF Mauritania MR Solomon Islands SB
Azerbaijan AZ French Southern Territories TF Mauritius MU Somalia SO
Bahamas BS Gabon GA Mayotte YT South Africa ZA
Bahrain BH Gambia GM Mexico MX South Georgia and the South Sandwich GS
Islands
Bangladesh BD Georgia GE Micronesia, Federated States of FM South Sudan SS
Barbados BB Germany DE Moldova, Republic of MD Spain ES
Belarus BY Ghana GH Monaco MC Sri Lanka LK
Belgium BE Gibraltar GI Mongolia MN Sudan SD
Belize BZ Greece GR Montenegro ME Suriname SR
Benin BJ Greenland GL Montserrat MS Svalbard and Jan Mayen SJ
Bermuda BM Grenada GD Morocco MA Swaziland SZ
Bhutan BT Guadeloupe GP Mozambique MZ Sweden SE
Bolivia, Plurinational State of BO Guam GU Myanmar MM Switzerland CH
Bonaire, Sint Eustatius and Saba BQ Guatemala GT Namibia NA Syrian Arab Republic SY
Bosnia and Herzegovina BA Guernsey GG Nauru NR Taiwan, Province of China TW
Botswana BW Guinea GN Nepal NP Tajikistan TJ
Bouvet Island BV Guinea-Bissau GW Netherlands NL Tanzania, United Republic of TZ
Brazil BR Guyana GY New Caledonia NC Thailand TH
British Indian Ocean Territory IO Haiti HT New Zealand NZ Timor-Leste TL
Brunei Darussalam BN Heard Island and McDonald Islands HM Nicaragua NI Togo TG
Bulgaria BG Holy See (Vatican City State) VA Niger NE Tokelau TK
Burkina Faso BF Honduras HN Nigeria NG Tonga TO
Burundi BI Hong Kong HK Niue NU Trinidad and Tobago TT
Cabo Verde CV Hungary HU Norfolk Island NF Tunisia TN
Cambodia KH Iceland IS Northern Mariana Islands MP Turkey TR
Cameroon CM India IN Norway NO Turkmenistan TM
Canada CA Indonesia ID Oman OM Turks and Caicos Islands TC
Cayman Islands KY Iran, Islamic Republic of IR Pakistan PK Tuvalu TV
Central African Republic CF Iraq IQ Palau PW Uganda UG
Chad TD Ireland IE Palestine, State of PS Ukraine UA
Chile CL Isle of Man IM Panama PA United Arab Emirates AE
China CN Israel IL Papua New Guinea PG United Kingdom GB
Christmas Island CX Italy IT Paraguay PY United States US
Cocos (Keeling) Islands CC Jamaica JM Peru PE United States Minor Outlying Islands UM
Colombia CO Japan JP Philippines PH Uruguay UY
Comoros KM Jersey JE Pitcairn PN Uzbekistan UZ
Congo CG Jordan JO Poland PL Vanuatu VU
Congo, the Democratic Republic of CD Kazakhstan KZ Portugal PT Venezuela, Bolivarian Republic of VE
the
Cook Islands CK Kenya KE Puerto Rico PR Viet Nam VN
Costa Rica CR Kiribati KI Qatar QA Virgin Islands, British VG
Cote d'Ivoire !Côte d'Ivoire CI Korea, Democratic People's Republic KP Reunion !Réunion RE Virgin Islands, U.S. VI
of
Croatia HR Korea, Republic of KR Romania RO Wallis and Futuna WF
Cuba CU Kuwait KW Russian Federation RU Western Sahara EH
Curacao !Curaçao CW Kyrgyzstan KG Rwanda RW Yemen YE
Cyprus CY Lao People's Democratic Republic LA Saint Barthelemy !Saint Barthélemy BL Zambia ZM
Czech Republic CZ Latvia LV Saint Helena, Ascension and Tristan da SH Zimbabwe ZW
Cunha
Denmark DK Lebanon LB Saint Kitts and Nevis KN
Djibouti DJ Lesotho LS Saint Lucia LC
Dominica DM Liberia LR Saint Martin (French part) MF

Date: 2023-11-18 00:22:36 IST PAGE 21
V 3.0.0
Income details from Bank Statement
Name of the Bank ICICI Bank
Name of Account Holder (s) MR.VASANTHKUMAR H G
Account Number XXXXXXXX9654
Account Type SAVINGS
IFSC Code ICIC0001937
Time period of Bank Statement From 2023-05-18
To 2023-11-18
Number of Transactions (during the Time 309

period above)
Opening Balance 18462.69
Closing Balance 62088.63
Transaction Details
Transaction Remarks Transaction Withdrawal Deposit Balance (INR)

Date Remarks amount Amount
(INR) (INR)
2023-05-20 UPI/350600050943/Paid 62.0 18462.69

via
CRED/Q966791601@ybl/
Yes
2023-05-23 UPI/350956797246/Pay 565.0 17897.69

ment from
Ph/Q589006088@ybl/Ye
2023-05-23 NEFT-010526359887-N 5321.0 23218.69

R SWITCH N RADIO
SERVICES PVT
2023-05-24 NFS/04177632/CASH 500.0 22718.69

WDL/24-05-23
2023-05-25 UPI/351172394305/Pay 165.0 22553.69

ment from
Ph/sk.shashi30@ybl/K Signed by: HERUR GOVINDARAJU VASANTHKUMAR
2023-05-25 UPI/314522608594/UPI 1046.0 Date: 2023-11-18 00:22:36 IST
21507.69
Payment/vishalinnov@yb
l//ICI9
2023-05-27 UPI/351318110094/Pay 3700.0 25207.69
ment from
Ph/9845419127@ybl/Ca
2023-05-27 ATM/SFCNM462/CASH 3700.0 21507.69

WDL/27-05-23
2023-05-27 UPI/314716320782/Pay 1400.0 22907.69

ment from
Ph/8892927430@ybl/Ce
2023-05-27 NFS/40615608/CASH 200.0 22707.69

WDL/27-05-23
2023-05-29 UPI/351401583761/Pay 1.0 22706.69

ment from
Ph/9986608602@ybl/Ba
2023-05-29 UPI/351483237504/Pay 200.0 22906.69

ment from
Ph/9986608602@ybl/Ba
2023-05-29 UPI/351472569672/Pay 200.0 22706.69

ment from
Ph/8884888898@ybl/St
2023-05-30 UPI/351637643748/Pay 900.0 21806.69

ment from
Ph/vasanthkumarg2@/K
2023-05-30 UPI/351665656668/Pay 16000.0 37806.69

ment from
Ph/vasanthkumar.sa/S
2023-05-30 UPI/351664958237/pay 2800.0 35006.69

ment on
CRED/cred.club@axisb/A
2023-05-31 UPI/351743130568/Pay 70.0 34936.69

ment from
2023-05-31 UPI/351701240545/Pay 211.0 34725.69

ment from
2023-05-31 UPI/351783522152/Pay 241.0 34484.69

ment from
2023-05-31 UPI/351768184459/Pay 1000.0 33484.69

ment from
Ph/devaraju2007200/B
2023-06-01 UPI/351882435239/Pay 100.0 33384.69

ment from
2023-06-02 CMS/001211776441/BAJ 7580.0 25804.69

AJ_AUTO_CD__ICIC7021
3012300175
2023-06-02 NEFT-000923873369-N 4988.0 30792.69

R SWITCH N RADIO
SERVICES PR-/
2023-06-02 ATM/SACWL571/CASH 8500.0 22292.69

WDL/02-06-23
2023-06-05 UPI/352177762409/Pay 210.0 22082.69

ment from
2023-06-05 UPI/352193910189/Pay 25.0 22057.69

ment from
Ph/triquetra1@axl/Ax
2023-06-05 UPI/352182570107/Pay 8500.0 30557.69

ment from
Ph/9611377886@ybl/HD
2023-06-05 LHBYWXX28211 JUN23 19331.0 11226.69

Vasanthkuma
2023-06-07 NEFT-010530648986-N 38108.0 49334.69

R SWITCH N RADIO
SERVICES PVT
2023-06-07 BIL/000676835948/ICICI 17304.6 32030.09

BANK CREDIT
CA/431581120069
2023-06-07 BIL/000676836453/ICICI 1852.66 30177.43

BANK CREDIT
CA/437551953522
2023-06-09 UPI/352607735579/Pay 57.0 30120.43

ment from
2023-06-12 UPI/316209614759/Pay 12.0 30108.43

ment from
Ph/paytmqr28100505/P
2023-06-12 UPI/316388216107/pay 585.82 29522.61

ment on
2023-06-12 UPI/352931240032/Pay 60.0 29462.61

ment from
2023-06-13 UPI/316451575081/Pay 60.0 29402.61

ment from
2023-06-13 UPI/316413601688/Pay 170.0 29232.61

ment from
2023-06-14 UPI/316501577935/Pay 23.0 29209.61

ment from
Ph/Q264821302@ybl/In Signed by: HERUR GOVINDARAJU VASANTHKUMAR
2023-06-14 UPI/353119109794/Pay 6.0 Date: 2023-11-18 00:22:36 IST
29203.61
ment from
2023-06-14 UPI/353140527869/Pay 1000.0 30203.61
ment from
Ph/9902003843@ybl/Ca
2023-06-14 UPI/353116402787/Pay 125.0 30078.61

ment from
2023-06-15 UPI/353255109596/Paid 210.0 29868.61

via
Yes
2023-06-17 UPI/316802994086/pay 630.0 29238.61

ment on
CRED/credpay.ubcp@ax/
A
2023-06-17 UPI/353477594916/Paid 110.0 29128.61

via
Yes
2023-06-17 UPI/353431755104/Pay 980.0 28148.61

ment from
Ph/Q63356063@ybl/Yes
2023-06-19 UPI/353559585735/Pay 24.0 28124.61

ment from
2023-06-19 UPI/353566229477/Paid 110.0 28014.61

via
CRED/paytmqr28100505
/Pay
2023-06-19 UPI/353609131006/Pay 28000.0 14.61

ment from
2023-06-20 UPI/353779936453/Pay 15000.0 15014.61

ment from
Ph/anithanagraj@yb/S
2023-06-20 UPI/353733789947/Pay 15000.0 14.61

ment from
Ph/8884888898@ybl/St
2023-06-22 UPI/353875754917/Pay 550.0 564.61

ment from
2023-06-22 UPI/353964582532/Pay 550.0 14.61

ment from
Ph/nagarajaiah.v1@/A
2023-06-27 NEFT-010535869815-N 5909.0 5923.61

R SWITCH N RADIO
SERVICES PVT
2023-06-27 UPI/354444210761/Pay 5000.0 923.61

ment from
2023-06-30 193701509654:Int.Pd:30 196.0 1119.61

-03-2023 to 29-06-2023
2023-06-30 UPI/354773015607/Pay 2000.0 3119.61

ment from
Ph/6363559253@ybl/Ba
2023-06-30 IIN/I-Debit/Direct Tax 1000.0 2119.61

/202306301329/3181090
03628/
2023-06-30 IIN/I-Debit/Direct Tax 1000.0 1119.61

/202306301347/3181090
03922/
2023-06-30 UPI/354784281498/Pay 1000.0 119.61

ment from
2023-07-01 NEFT- 40000.0 40119.61

P182230250978074-
NAGARAJAIAH D V-
-35461010081
2023-07-01 MMT/IMPS/3182165691 13700.0 26419.61

29/EMI Federal
537/Vasanth ko/K
2023-07-01 UPI/318273866033/pay 2809.0 23610.61

ment on
2023-07-03 CMS/001230108738/BAJ 7580.0 16030.61

3012300175
2023-07-03 UPI/318458092819/Pay 300.0 15730.61

ment from
Ph/sribeereswaraha/H
2023-07-03 UPI/318480100859/Pay 85.0 15645.61

ment from
2023-07-03 UPI/355069360323/Pay 100.0 15545.61

ment from
Ph/8553981721@axl/St
2023-07-03 UPI/355023084946/Pay 1200.0 16745.61

ment from
Ph/8884888898@ybl/St
2023-07-04 NEFT- 7600.0 24345.61

P185230251556979-
NAGARAJAIAH D V-
-35461010081
2023-07-04 UPI/355143113541/Verif 65.0 24280.61

ied
Mercha/BHARATPE9071
880/Y Signed by: HERUR GOVINDARAJU VASANTHKUMAR
2023-07-05 LHBYWXX28211 JUL23 19331.0 Date: 2023-11-18 00:22:36 IST
4949.61
Vasanthkuma
2023-07-05 UPI/355298561134/Pay 4000.0 949.61

ment from
2023-07-05 UPI/318698861516/Pay 80.0 869.61

ment from
2023-07-08 UPI/318937155054/Paid 250.0 1119.61

via
CRED/9845980761@axis
/Can
2023-07-08 UPI/355507648207/Paid 250.0 869.61

via
/Can
2023-07-08 UPI/318950193036/Paid 1.0 868.61

via
/Can
2023-07-08 UPI/318986725565/Paid 250.0 618.61

via
/Can
2023-07-10 UPI/319172523230/pay 578.82 39.79

ment on
2023-07-10 UPI/355726421852/Pay 7700.0 7739.79

ment from
2023-07-10 BIL/000692655332/ICICI 5712.46 2027.33

BANK CREDIT
CA/437551953522
2023-07-10 BIL/000692655610/ICICI 1951.45 75.88

BANK CREDIT
CA/431581120069
2023-07-10 UPI/355705012972/Pay 3000.0 3075.88

ment from
2023-07-11 NEFT-010538957223-N 38108.0 41183.88

R SWITCH N RADIO
SERVICES PVT
2023-07-12 UPI/319353749151/Pay 1010.0 40173.88

ment from Ph/paytm-
319589@pa/P
2023-07-15 UPI/319610780365/Pay 2200.0 37973.88

ment from
Ph/7676954748@okbi/A
2023-07-15 UPI/319601331237/Pay 120.0 37853.88

to
BharatPe/BHARATPE.90
0604/F
2023-07-17 ATM/SFCNM462/CASH 4000.0 33853.88

WDL/16-07-23
2023-07-17 NFS/NBAN7031/CASH 3000.0 30853.88

WDL/16-07-23
2023-07-17 UPI/319784149472/UPI 200.0 30653.88

Transaction/parkplius.pa
yu@/H
2023-07-17 UPI/319881572234/Paid 450.0 30203.88

via
CRED/sribeereswaraha/
HDF
2023-07-17 UPI/356465795934/Paid 50.0 30153.88

via
CRED/sribeereswaraha/
HDF
2023-07-17 UPI/356419035472/Pay 6000.0 36153.88

ment from
Ph/9845419127@ybl/Ca
2023-07-19 UPI/356671561973/Pay 5500.0 30653.88

ment from
Ph/astuvision@ybl/In
2023-07-20 ATMDEC CHG/28-06- 29.5 30624.38

2023/1994+GST
2023-07-24 UPI/320488729766/Pay 310.0 30314.38

to
BharatPe/BHARATPE907
2676/Y
2023-07-24 UPI/357182967796/Pay 7400.0 37714.38

ment from
2023-07-25 CAM/02872SRY/CASH 37400.0 75114.38

DEP-Self/25-07-23/3532
2023-07-25 CAM/02872SRY/CASH 1100.0 76214.38

DEP-Self/25-07-23/3534
2023-07-25 VPS/BLUE 510.0 75704.38

ENERGI/202307252012/
320614374462/BANGAL
OR
2023-07-26 VIN/WWW BBMP 7287.0 68417.38

GO/202307261356/3207
08797789/
2023-07-26 VIN/WWW BBMP 6690.0 61727.38

GO/202307261404/3207
08922807/
2023-07-26 UPI/320782768785/Pay 1650.0 60077.38

ment from Reason: Upstox Trading and Demat Service Request by RKSV
Ph/decaraja@ibl/Unio eSigned using Aadhaar (digio.in)
Date: 2023-11-18 00:22:36 IST
2023-07-26 UPI/357348927362/Pay 50.0 60027.38

ment from
Ph/sathish81234@yb/C
2023-07-27 NFS/00762140/CASH 7400.0 52627.38
WDL/27-07-23
2023-07-28 UPI/320938824056/Pay 60.0 52567.38

ment from
Ph/paytmqrl5110dre/P
2023-07-29 UPI/357642320389/Pay 50.0 52517.38

ment from
Ph/9902963312@ybl/Ca
2023-07-29 UPI/357662101656/Pay 150.0 52367.38

ment from
2023-07-29 UPI/357634630211/Pay 20.0 52347.38

ment from
2023-07-29 UPI/357653946228/Pay 13540.0 38807.38

ment from
2023-07-29 UPI/357665845791/Pay 30.0 38777.38

ment from
2023-07-31 UPI/321144086018/Pay 12.0 38765.38

ment from
Ph/8618256854@ibl/Ca
2023-07-31 UPI/321233478896/Paid 310.0 38455.38

via CRED/paytm-
64426821@/Pay
2023-07-31 UPI/357886171521/pay 3438.0 35017.38

ment on
2023-07-31 Dt:25/07/23 BLUE 2.41 35014.97

ENERGIES
2023-07-31 UPI/321234550346/Pay 20.0 34994.97

to
2481/Y
2023-08-01 UPI/357966352508/Pay 135.0 34859.97

ment from
Ph/Q09241846@ybl/Yes
2023-08-02 CMS/001250643681/BAJ 7580.0 27279.97

3012300175
2023-08-02 UPI/321457652321/Pay 90.0 27189.97

ment from
Ph/paytmqr1kgsvt12/P
2023-08-02 UPI/358095723038/Pay 310.0 26879.97

ment from
2023-08-02 NEFT-010544765637-N 5388.0 32267.97

R SWITCH N RADIO
SERVICES PVT
2023-08-04 UPI/321618301885/Pay 25.0 32242.97

ment from
Ph/paytmqr1qb0in8j/P
2023-08-04 NEFT-010545574751-N 5200.0 37442.97

R SWITCH N RADIO
SERVICES PVT
2023-08-04 UPI/358245658297/Pay 3800.0 41242.97

ment from
2023-08-05 LHBYWXX28211 AUG23 19331.0 21911.97

Vasanthkuma
2023-08-05 UPI/358370243155/Pay 50.0 21861.97

ment from
Ph/9559611087@ybl/St
2023-08-05 UPI/321773657373/Pay 25.0 21836.97

ment from
2023-08-05 UPI/358396898933/Pay 23000.0 44836.97

ment from
2023-08-05 BIL/000705562500/Cred 44238.0 598.97

itcardbill/431581120069
000
2023-08-07 NEFT-010545921496-N 38108.0 38706.97

R SWITCH N RADIO
SERVICES PVT
2023-08-07 UPI/321975091421/Pay 337.0 38369.97

ment from
Ph/dominospizzaonl/P
2023-08-07 UPI/358513721412/Pay 337.0 38706.97

ment from
2023-08-07 UPI/358516200212/Pay 2000.0 40706.97

ment from
2023-08-10 UPI/322236471507/Car 3373.0 37333.97

Insurance
a/0790422a0021989//
2023-08-11 UPI/322338242622/Insu 943.0 36390.97

rance
balan/0790422a0021989
//
2023-08-12 UPI/322431346312/Pay 456.0 35934.97
Date: 2023-11-18 00:22:36 IST
ment from Ph/paytm-
68499834@/P
2023-08-14 UPI/359109378057/Pay 4500.0 40434.97
ment from
Ph/9738188830@ybl/Ko
2023-08-14 UPI/322545620016/UPI 310.0 40124.97

Payment/paytm-
64426821@//ICId
2023-08-14 UPI/359217152888/Pay 2000.0 38124.97

ment from
Ph/9845419127@ybl/Ca
2023-08-16 UPI/359479478751/Pay 1700.0 39824.97

ment from
2023-08-16 UPI/322823352812/Airte 588.82 39236.15

l
UPI/airtelpostpaid@/Axis
B
2023-08-19 UPI/359740241290/Pay 100.0 39136.15

ment from
Ph/9559611087@ybl/St
2023-08-19 UPI/359744117832/Pay 500.0 38636.15

ment from
Ph/9559611087@axl/St
2023-08-19 UPI/323132308688/Pay 180.0 38456.15

to
0608/F
2023-08-19 UPI/359729512390/Pay 10065.0 28391.15

ment from
2023-08-19 UPI/323136960407/Pay 1500.0 26891.15

ment from Ph/gpay-
1120353002/A
2023-08-19 UPI/323175710534/Pay 25.0 26866.15

ment from
2023-08-19 UPI/359747383668/Pay 510.0 26356.15

ment from
2023-08-19 UPI/323107334863/Pay 150.0 26206.15

ment from
2023-08-21 UPI/323231625462/BIGT 133.6 26072.55

REE
ENTERTA/bookmyshow
@axb/Ax
2023-08-21 UPI/323268486228/Pay 210.0 25862.55

ment from Ph/paytm-
76148509@/P
2023-08-21 UPI/323243949922/Pay 20.0 25842.55

ment from
2023-08-21 UPI/359820974006/Pay 5000.0 30842.55

ment from
Ph/9845419127@ybl/Ca
2023-08-21 ATM/SFCNM460/CASH 1000.0 29842.55

WDL/21-08-23
2023-08-21 UPI/359903677245/Pay 1000.0 28842.55

ment from
Ph/93429873759@ybl/A
2023-08-22 UPI/360047074618/Pay 1120.0 29962.55

ment from
Ph/9880566488@ybl/Ba
2023-08-23 UPI/323571603566/Pay 90.0 29872.55

ment from
2023-08-23 UPI/360161580441/Pay 90.0 29962.55

ment from
Ph/9880566488@ybl/Ba
2023-08-23 ATM/SFCNM462/CASH 1500.0 28462.55

WDL/23-08-23
2023-08-23 UPI/360150718409/Pay 500.0 28962.55

ment from
Ph/9880566488@ybl/Ba
2023-08-23 UPI/360119272532/Pay 1000.0 29962.55

ment from
Ph/93429873759@ybl/A
2023-08-24 NFS/NBAN7031/CASH 3200.0 26762.55

WDL/24-08-23
2023-08-24 UPI/360249038493/Pay 80.0 26682.55

ment from
2023-08-26 UPI/323820000635/Pay 5000.0 31682.55

ment from
Ph/govindaraju.hv1/U
2023-08-26 UPI/360426293025/Pay 60.0 31622.55

ment from
2023-08-26 UPI/360430969232/pay 2806.0 28816.55

ment on
2023-08-26 UPI/323886129402/Pay 175.0 28641.55

to
0608/F Signed by: HERUR GOVINDARAJU VASANTHKUMAR
2023-08-26 UPI/323880077479/UPI 310.0 28331.55
Date: 2023-11-18 00:22:36 IST
Payment/paytm-
64426821@//ICI4
2023-08-28 VPS/S R S 510.0 27821.55
PETRO/202308271404/3
23908919269/BANGALO
R
2023-08-28 VPS/WHITY 900.0 26921.55

COMFO/202308271752/
323912015311/BANGAL
OR
2023-08-28 VPS/PAYMNT 900.0 27821.55

RVSL/WHITY
COMFO/202308271752/
323912015
2023-08-28 VPS/WHITY 900.0 26921.55

COMFO/202308271753/
323912016033/BANGAL
OR
2023-08-28 UPI/323994949555/Pay 550.0 26371.55

ment from
Ph/paytmqrnoegkyai/P
2023-08-28 IPS/Sri Ranga 310.0 26061.55

F/202308272010/000000
027638/BANGALOR
2023-08-28 UPI/360601296375/Pay 62.0 25999.55

ment from
2023-08-29 UPI/324126393383/Pay 1098.0 24901.55

ment from
Ph/Q581072273@ybl/TJ
2023-08-29 Surcharge Dt:27/08/23 1.46 24900.09

MCC 5541
2023-08-30 UPI/324254715933/Pay 1000.0 25900.09

ment from
Ph/8892927430@ybl/Ce
2023-08-30 UPI/324209221622/Verif 675.0 25225.09

ied
Mercha/BHARATPE9100
014/Y
2023-08-30 NEFT-001027536859-N 5388.0 30613.09

R SWITCH N RADIO
SERVICES PR-/
2023-08-31 UPI/324347898134/Pay 212.0 30401.09

ment from Ph/paytm-
58493@pay/P
2023-08-31 UPI/324374250387/Pay 212.0 30613.09

ment from
Ph/8892927430@ybl/Ce
2023-08-31 ATM/SFCNM462/CASH 500.0 30113.09

WDL/31-08-23
2023-08-31 UPI/360952860397/Pay 1600.0 28513.09

ment from
Ph/9738188830@ybl/Ko
2023-09-01 UPI/361018585718/Pay 150.0 28363.09

ment from
2023-09-01 UPI/361029874381/Pay 50.0 28313.09

ment from
2023-09-01 UPI/324471229550/Pay 799.0 27514.09

ment from
Ph/Q581072273@ybl/TJ
2023-09-02 CMS/001270618877/BAJ 7580.0 19934.09

3012300175
2023-09-02 UPI/361181547314/Pay 3800.0 23734.09

ment from
2023-09-05 LHBYWXX28211 SEP23 19331.0 4403.09

Vasanthkuma
2023-09-06 ATM/SFCNM462/CASH 2600.0 1803.09

WDL/06-09-23
2023-09-06 UPI/324982107020/Pay 12.0 1791.09

ment from Ph/gpay-
1121556846/A
2023-09-08 UPI/361732171791/Pay 500.0 2291.09

ment from
2023-09-08 BIL/000721620212/ICICI 1841.56 449.53

BANK CREDIT
CA/437551953522
2023-09-08 UPI/325164395933/Pay 40.0 409.53

ment from
2023-09-08 UPI/325195425197/Pay 95.0 314.53

to
2762/Y
2023-09-08 UPI/325134233838/Pay 159.65 154.88

ment from Ph/paytm-
53817591@/P
2023-09-09 UPI/361869563208/Pay 200.0 354.88

ment from
Ph/9738188830@ybl/Ko
2023-09-11 UPI/325455368184/Pay 50.0 304.88

ment from Signed by: HERUR GOVINDARAJU VASANTHKUMAR
Ph/paytmqrpikxuvaa/P Reason: Upstox Trading and Demat Service Request by RKSV
Date: 2023-11-18 00:22:36 IST
2023-09-11 NEFT-010553913754-N 41970.0 42274.88
R SWITCH N RADIO
SERVICES PVT
2023-09-12 UPI/362189013939/Pay 4000.0 38274.88
ment from
2023-09-13 UPI/362256724322/Pay 3000.0 35274.88

ment from
2023-09-14 UPI/362337881015/Pay 1000.0 36274.88

ment from
Ph/9845419127@ybl/Ca
2023-09-15 UPI/362480286893/Pay 4000.0 40274.88

ment from
Ph/9845419127@ybl/Ca
2023-09-18 UPI/326040736217/Pay 75.0 40199.88

ment from
Ph/paytmqr168qm8kn/P
2023-09-18 UPI/362734001479/Pay 1000.0 39199.88

ment from
Ph/9845419127@ybl/Ca
2023-09-19 IPS/MIRAJ 260.0 38939.88

ENTER/202309191311/0
91923018579/BANGALO
R
2023-09-20 UPI/362967664258/Pay 10200.0 28739.88

ment from
2023-09-20 UPI/362924355559/Pay 2000.0 26739.88

ment from
Ph/karibasavaraju./S
2023-09-20 UPI/362964370565/Pay 8000.0 34739.88

ment from
Ph/9845419127@ybl/Ca
2023-09-20 UPI/362953743938/pay 2804.0 31935.88

ment on
2023-09-20 UPI/362981465765/Pay 13600.0 18335.88

ment from
2023-09-21 UPI/363086854576/Pay 2000.0 20335.88

ment from
Ph/karibasavaraju./S
2023-09-21 UPI/326459305457/UPI 210.0 20125.88

Payment/paytm-
64426821@//ICIc
2023-09-21 UPI/326431839091/Pay 30.0 20095.88

ment from
2023-09-21 UPI/326433546266/Pay 25.0 20070.88

ment from
Ph/paytmqr1bgi3r07/P
2023-09-22 UPI/326562032878/UPI 520.0 19550.88

Payment/paytm-
319589@pa//ICIc
2023-09-23 UPI/363225616838/Pay 125.0 19425.88

ment from
2023-09-25 UPI/363388760203/Pay 165.0 19260.88

ment from
2023-09-25 UPI/363331709022/Pay 1155.0 18105.88

ment from
Ph/deepakmanand2@a/A
2023-09-25 UPI/326767183119/UPI 1020.0 17085.88

Payment/paytm-
14248958@//ICI1
2023-09-25 UPI/363492735832/Pay 10.0 17075.88

ment from
2023-09-25 UPI/363464084158/Pay 19.0 17056.88

ment from
Ph/AIRTELPREDIRECT/Y
2023-09-26 UPI/326957575146/Pay 42.0 17014.88

ment from
Ph/paytmqri1k72342/P
2023-09-27 UPI/327076087049/UPI 320.0 16694.88

Payment/paytm-
64426821@//ICI3
2023-09-29 UPI/327270298155/Pay 40.0 16654.88

ment from
2023-09-29 UPI/327249210238/Pay 50.0 16604.88

ment from
Ph/paytmqr1tls6tq8/P
2023-09-30 193701509654:Int.Pd:30 210.0 16814.88

-06-2023 to 29-09-2023
2023-09-30 UPI/327385967048/Acco 1.0 16813.88

unt
Verific/setubrokentusk@/
/
2023-10-02 UPI/364060335468/Pay 45.0 16768.88

ment from
2023-10-02 UPI/327459092672/Pay 175.0 16593.88

ment from
Ph/paytmqr28100505/P Signed by: HERUR GOVINDARAJU VASANTHKUMAR
Date: 2023-11-18 00:22:36 IST
2023-10-02 UPI/364088386519/Pay 180.0 16413.88
ment from
2023-10-02 UPI/364068477919/Pay 160.0 16253.88
ment from
2023-10-02 UPI/327528055522/Pay 15.0 16238.88

ment from
2023-10-03 CMS/001289670219/BAJ 7580.0 8658.88

3012300175
2023-10-04 UPI/327385967048/Acco 1.0 8659.88

unt
Verific/setubrokentusk@/
/
2023-10-04 MMT/IMPS/3277220270 30000.0 38659.88

51/PaidviaCRED/DREAM
PLUGP/Axis
2023-10-05 MMT/IMPS/3278013685 10000.0 28659.88

93/Stock
537572951/Vasanthkum/
S
2023-10-05 LHBYWXX28211 OCT23 19331.0 9328.88

Vasanthkuma
2023-10-07 NEFT-010556205096-N 40769.0 50097.88

R SWITCH N RADIO
SERVICES PVT
2023-10-09 UPI/328114488244/Pay 35.0 50062.88

ment/azgo399.rzp@ici/I
CICI Ban
2023-10-09 UPI/364884413101/Pay 7700.0 42362.88

ment from
Ph/8884888898@ybl/St
2023-10-11 UPI/365062286078/pay 588.82 41774.06

ment on
CRED/cred.telecom@ax/
A
2023-10-11 BIL/000737026502/Cred 1837.76 39936.30

itbill/437551953522900
2023-10-12 UPI/365147493251/Pay 4500.0 44436.30

ment from
Ph/9738188830@ybl/Ko
2023-10-13 UPI/365238859577/Pay 25.0 44411.30

ment from
2023-10-13 UPI/328658551300/Pay 50.0 44361.30

ment from
2023-10-17 UPI/365635095566/Pay 1000.0 43361.30

ment from
Ph/devaraju2007200/B
2023-10-18 MMT/IMPS/3291173613 1.0 43360.30

05/Test
537572951/Vasanth
Ku/FD
2023-10-18 UPI/365727636409/Pay 1000.0 44360.30

ment from
Ph/9845419127@ybl/Ca
2023-10-18 UPI/365785275248/Pay 6000.0 50360.30

ment from
Ph/9845419127@ybl/Ca
2023-10-19 UPI/329281474496/Pay 500.0 49860.30

ment from
Ph/kiranmysairtel@/F
2023-10-19 UPI/365894511142/Pay 800.0 50660.30

ment from
2023-10-19 UPI/329245611132/Pay 780.0 49880.30

to
0608/F
2023-10-20 CLG/GANATRA/023468/ 7800.0 57680.30

TJS/19.10.2023
2023-10-20 UPI/365927894896/Pay 30.0 57650.30

ment from
2023-10-20 UPI/365923635082/Pay 500.0 57150.30

ment from
2023-10-20 UPI/329316082376/Pay 310.0 56840.30

ment from
2023-10-20 MMT/IMPS/3293199119 1.0 56841.30

62/ADOBE Penny
Dro/HDFC BANK /H
2023-10-21 NEFT- 30000.0 86841.30

N294232699155532-CC
TERM PRODUCTS
ONLINE - TR
2023-10-21 UPI/366080203002/Pay 10000.0 76841.30

ment from
2023-10-21 UPI/329464534382/Pay 26.0 76815.30

ment from
2023-10-23 ATM/SFCNM462/CASH 3500.0 Signed by: HERUR GOVINDARAJU VASANTHKUMAR

73315.30
WDL/22-10-23 Reason: Upstox Trading and Demat Service Request by RKSV
Date: 2023-11-18 00:22:36 IST
2023-10-23 UPI/366191850967/Pay 4000.0 69315.30
ment from
2023-10-23 UPI/329574789312/Pay 1000.0 68315.30
ment from
Ph/vasanthkumar.sa/U
2023-10-23 UPI/366121460096/Pay 14500.0 53815.30

ment from
2023-10-23 ATM/SFCNM462/CASH 500.0 53315.30

WDL/22-10-23
2023-10-23 UPI/366154399841/Pay 110.0 53205.30

ment from
2023-10-23 UPI/329618950393/Pay 28.0 53177.30

ment from
Ph/paytmqrwapsx90n/P
2023-10-23 UPI/366232191060/Pay 90.0 53087.30

ment from
Ph/raviak271988@yb/B
2023-10-23 NEFT-010558138757-N 5988.0 59075.30

R SWITCH N RADIO
SERVICES PVT
2023-10-24 UPI/366345568159/Car 3800.0 62875.30

EMI/nagarajaiah.v1@/Ax
is Bank
2023-10-24 UPI/329777567075/Pay 1990.0 60885.30

to
2112/Y
2023-10-24 UPI/366390025065/Pay 1410.0 62295.30

ment from
2023-10-24 VPS/M C 512.41 61782.89

Petrole/202310242304/3
29717490971/Bangalor
2023-10-24 UPI/329719799932/Pay 100.0 61682.89

ment from Ph/gpay-
1121690708/I
2023-10-24 UPI/366302328738/Pay 3000.0 58682.89

ment from
Ph/9845419127@ybl/Ca
2023-10-25 VPS/SRI RANGA 310.0 58372.89

F/202310251825/329812
829158/BANGALOR
2023-10-25 UPI/366448008171/Pay 710.0 57662.89

ment from
2023-10-26 UPI/329931383900/Pay 100.0 57562.89

To VIJAYA
L/BHARATPE0989111/Y
2023-10-26 UPI/366516036065/Pay 200.0 57362.89

ment from
2023-10-26 MMT/IMPS/3299114720 57000.0 362.89

29/NA
537572951/Vasanthkum/
SBIN
2023-10-26 UPI/329918884569/Pay 200.0 162.89

ment from
2023-10-28 UPI/330113715602/Pay 50.0 112.89

ment from
Ph/9535597353@ibl/Ko
2023-10-30 Dt:25/10/23 SRI RANGA 1.46 111.43

FILLING
2023-10-30 UPI/366987684718/Pay 30000.0 30111.43

ment from
2023-10-30 NEFT-010558629589-N 5388.0 35499.43

R SWITCH N RADIO
SERVICES PVT
2023-10-31 UPI/367021826158/Pay 70.0 35429.43

ment from
2023-11-02 CMS/001309446465/BAJ 7580.0 27849.43

3012300175
2023-11-03 UPI/330713558199/pay 2798.0 25051.43

ment on
2023-11-03 UPI/367389068961/Pay 70.0 24981.43

ment from
2023-11-06 LHBYWXX28211 NOV23 19331.0 5650.43

Vasanthkuma
2023-11-07 UPI/367707260162/Pay 7000.0 12650.43

ment from
2023-11-07 MMT/IMPS/3311122460 25000.0 37650.43

08/PaidviaCRED/DREAM
PLUGP/Axis
2023-11-07 UPI/331181914542/pay 30746.77 6903.66

ment on
2023-11-07 UPI/367776104636/pay 580.82 6322.84
ment on Date: 2023-11-18 00:22:36 IST
CRED/cred.telecom@ax/
A
2023-11-07 BIL/000750415267/ICICI 1501.82 4821.02
BANK CREDIT
CA/431581120069
2023-11-07 BIL/000750415742/ICICI 4072.39 748.63

BANK CREDIT
CA/437551953522
2023-11-09 UPI/331356718781/Pay 30.0 718.63

ment from
2023-11-09 NEFT-010560007180-N 10000.0 10718.63

R SWITCH N RADIO
SERVICES PVT
2023-11-09 NEFT-010559810509-N 40683.0 51401.63

R SWITCH N RADIO
SERVICES PVT
2023-11-09 UPI/367983331965/Pay 6000.0 57401.63

ment from
2023-11-10 UPI/331457947794/Pay 550.0 56851.63

ment from Ph/paytm-
64426821@/P
2023-11-10 UPI/368036761885/Pay 20000.0 36851.63

ment from
Ph/9738188830@ybl/Ko
2023-11-11 UPI/331514521887/Pay 210.0 36641.63

ment from Ph/paytm-
64426821@/P
2023-11-13 UPI/368245765887/Pay 2000.0 38641.63

ment from
Ph/9845419127@ybl/Ca
2023-11-15 UPI/331906039817/Pay 1010.0 37631.63

ment from Ph/paytm-
64426821@/P
2023-11-15 UPI/331934454607/Pay 30.0 37601.63

ment from
Ph/paytmqrwapsx90n/P
2023-11-15 UPI/368562654975/Pay 20000.0 57601.63

ment from
Ph/9738188830@ybl/Ko
2023-11-16 UPI/368685001591/Pay 4500.0 62101.63

ment from
Ph/9738188830@ybl/Ko
2023-11-17 UPI/332192977039/Pay 13.0 62088.63

ment from
Ph/paytmqr168qm8kn/P
This document is computer generated via Account Aggregator and

does not require Company's signature or stamp in order to be
considered valid

Date: 2023-11-18 00:22:36 IST
Date: 2023-11-18 00:22:36 IST

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COMMODITIES ACCOUNT OPENING FORM

DOCUMENT SIGNIFICANCE PAGE(s)

Rights and Obligations Provided to client (consent declaration on Page - 8)

Guidance Note Provided to client (consent declaration on Page - 8)

DOCUMENT SIGNIFICANCE PAGE(s)

Authorization for Letter of Authorization for Electronic Contract Notes. 12

Authorization of running Letter or authority/request to RKSV Commodities India Pvt. Ltd. 11

REGISTERED OFFICE ADDRESS CORRESPONDENCE OFFICE ADDRESS

ADDITIONAL DOCUMENTS IN CASE OF TRADING IN DERIVATIVES SEGMENTS - ILLUSTRATIVE LIST

COPY OF CANCELLED CHEQUE LEAF/ PASS BOOK/ BANK STATEMENT

KYC REGISTRATION AGENCY (KRA)

1. Providing us with a Proof of Identity.

Signed by: HERUR GOVINDARAJU VASANTHKUMAR

(A) IMPORTANT POINTS

(B) PROOF OF IDENTITY( P01): List of documents admissible as Proof of Identity:

(E) LIST OF PEOPLE AUTHORIZED TO ATTEST THE DOCUMENTS:

Signed by: HERUR GOVINDARAJU VASANTHKUMAR

A. Identity Details (please see guidelines)

FATHER / SPOUSE’S NAME: GOVINDARAJU HV

PROOF OF IDENTITY SUBMITTED FOR PAN EXEMPT CASES (Please Tick )

B. Address Details (Please see guidelines)

5, 7TH CROSS, NANDINILAYOUT PARIMALA NAGAR, NEAR KANTEERAVA STUDIO, BANGALORE

CITY/TOWN/VILLAGE: STATE: KARNATAKA

EMAIL ADDRESS: vasanthkumar.santhu@gmail.com

ANY OTHER INFORMATION:

FOR OFFICE USE ONLY IPV Done on (dd/mm/yyyy)

AMC/Intermediary name OR code

BANK NAME STATE BANK OF INDIA BRANCH ADDRESS

SECTION B SECONDARY BANKING ACCOUNT (OPTIONAL)

BANK NAME BRANCH ADDRESS

SECTION C PRIMARY DEPOSITORY ACCOUNT (OPTIONAL)

DEPOSITORY PARTICIPANT NAME DP TYPE (NSDL/CDSL) DEPOSITORY PARTICIPANT ID

SECTION D OTHER DETAILS

FOR NON INDIVIDUALS: 25 LAC - 1 CRORE OVER 1 CRORE

ANY OTHER INFORMATION

SECTION E TRADING PREFERENCES

✔ I WOULD LIKE TO TRADE ON MCX COMMODITIES

SECTION F PAST ACTIONS

Signed by: HERUR GOVINDARAJU VASANTHKUMAR

CONCERNED MEMBER’S NAME WITH WHOM AP IS REGISTERED: CLIENT CODE:

REGISTERED OFFICE ADDRESS: CITY:

VALIDITY DATE (DD/MM/YYYY) NAME OF THE STATE:

OTHER SALES TAX REGISTRATION NUMBER:

VALIDITY DATE (DD/MM/YYYY) NAME OF THE STATE:

SECTION I SALES TAX REGISTRATION DETAILS

VALIDITY DATE (DD/MM/YYYY) NAME OF THE STATE:

CENTRAL SALES TAX REGISTRATION NUMBER:

VALIDITY DATE (DD/MM/YYYY)

OTHER SALES TAX REGISTRATION NUMBER:

VALIDITY DATE (DD/MM/YYYY) NAME OF THE STATE:

SECTION J INVESTMENT/TRADING EXPERIENCE AND ADDITIONAL DETAILS

CONTRACT NOTE PREFERENCES EMAIL ADDRESS:

SECTION K INTRODUCER DETAILS (OPTIONAL)

INTRODUCER’S NAME: INTRODUCER’S RELATIONSHIP:

INTRODUCER’S STATUS: EXISTING CLIENT AUTHORIZED PERSON SUB-BROKER REMISIER

PLEASE SIGN BELOW ATTESTING TO ALL THE INFORMATION ON THIS PAGE

CLIENT’S NAME: HERUR GOVINDARAJU VASANTHKUMAR

CLIENT’S SIGNATURE [4] X DATE (DD/MM/YYYY) 1 8 1 1 2 0 2 3

I WISH TO NOMINATE THE FOLLOWING PERSON I DO NOT WISH TO HAVE A NOMINEE

NOMINEE’S NAME: RELATIONSHIP WITH THE NOMINEE:

IF NOMINEE IS A MINOR, PLEASE PROVIDE DETAILS OF HIS/HER GUARDIAN

GUARDIAN’S PHONE NUMBER: GUARDIAN’S SIGNATURE:

TWO WITNESSES ARE REQUIRED TO ATTEST IF YOU WANT TO NOMINATE A PERSON

PRIMARY WITNESS’ PHONE NUMBER: PRIMARY WITNESS’ SIGNATURE:

Date _ Place AOF Reference Number _____