ACCOUNT OPENING FORM (NSE/BSE/DP-CDSL)

DHAMINI SUNIL NAGPAL Borivali-Indirect

Name: _______________________________________________________________________ Branch / HO:_________________________________

1959848 80292
Client Code: ____________________ DP ID: ____________________ Form No: ____________________

Email id for investor grievances: ig@prudentcorporate.com

 ACCOUNT OPENIING KIT INDEX

Sr. No Name of the Document Brief Significance of the Document Page No

PART A
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES
KYC form and Account Document captures the basic & additional information about the
1. Opening Form 2-5
constituent relevant to trading / Demat / KRA / CKYC.

Tariff sheet of Brokerage & Documents detailing the rate / amount of brokerage / demat charges &
2. Schedule of Charges 5-6
other charges levied on the client for trading on stock exchange(s)

PART B
NON-MANDATORY DOCUMENTS AS PROVIDED BY STOCK BROKER
Additional terms & conditions specific to clients for the purpose of
3. Voluntary Terms & Conditions 7-9
operational efficiency

Voluntary authorization Letter for Running Account maintenance,

4. Voluntary Authorisation letter 10
ECN, debiting various charges etc

5. Documents for Mutual Fund Trading Documents for BSE StAR MF & MFSS 11-12

Internet & wireless technology based trading facility provided by

6. IBT Letter 13
stock broker to client

7. Declaration Declaration for online trading & demat account opening through e-sign 13

8. Nomination Nomination from client for trading and demat account 14-15

Demat Debit And Pledge Instruction

9. Voluntary Demat Debit And Pledge Instruction (ddpi) 16-17
(DDPI)

PART C - MANDATORY AND NON - MANDATORY DOCUMENTS

THAT FORM A PART OF THE FORM CONTAINED IN A SEPARATE BOOKLET.
Rights and Obligations of Rights and Obligations of the parties prescribed by
1. 2-5
the parties SEBI and Stock exchanges.

Internet & wireless technology Internet & wireless technology based trading facility Provided by
2. 6
based trading facility Stock Brokers to Client

Uniform Risk Disclosure Uniform Risk Disclosure Documents (RDD) prescribed by SEBI
3. 7-10
Documents and Stock exchanges.

4. Guidance note Guidance note detailing Do’s and Don’ts for trading in the Stock Exchanges 11-12

5. Policies and Procedures Policies and Procedures 13-16

6. Anti Money Laundering Information on Anti Money Laundering 16-17

7. Additional Terms & Conditions Additional Terms & Conditions (Voluntary Document) 18-21

Terms and Conditions for General Terms & Conditions w.r.t SMS and E-mails alerts from
8. 22-26
SMS and Email alerts Stock Exchange, Stock Brokers & CDSL.

Rights and obligations - Rights and obligations of Beneficial Owner and Depository participant
9. 27-29
Depository Participant as prescribed by SEBI and Depositories to clients

10. KYC Document KYC Document Booklet and Declaration 30

 L91120GJ2003PLC042458

DHAMINI SUNIL NAGPAL

Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
Reason: Account Opening
Location: IPAddress : 110.226.183.240| City : Mumbai
FIRST HOLDER
KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Individuals)
Please fill this form in ENGLISH and in BLOCK LETTERS

A. IDENTITY DETAILS
1. Name of the Applicant DHAMINI SUNIL NAGPAL

2. Father's/ Spouse Name SUNIL HIRALAL NAGPAL

Photograph
3. Mother’s Name GUNJAN NAGPAL

4. a. Gender Male ✔ Female Transgender Please affix your

Single recent passport
b. Marital Status ✔ Married DD/MM/YYYY
c. Date of Birth 10/08/2000 size photograph
5. Nationality INDIA lat : 19.2042488 | lng : 72.8250908 | City : Mumbai and sign across it

✔ Resident Individual Non Resident Foreign National Digitally signed by

Date: 2024.02.11 17:23:45 +05:30
6. Status FH Reason: Account Opening
NRI Repatriable NRI Non-Repatriable Location: IPAddress : 110.226.183.240| City : Mumbai

7. a. PAN CQJPN0376D b. UID/Aadhaar

8. Specify the proof of Identity submitted PAN 9. UCC Detail 1959848

B. ADDRESS DETAILS
402 KANDIVALI ANIKET CHSL,PLOT NO 4 RSC-2 MUMBAI
1. Correspondence Address

City/town/village MUMBAI PinCode 400067

State MAHARASHTRA Country INDIA

2. Contact Details Tel.(Off.) Tel.(Res.)

Mobile No 9967208172 Email ID DHAMININAGPAL@GMAIL.COM
3. Permanent Address
(if different from above or 402 KANDIVALI ANIKET CHSL,PLOT NO 4 RSC-2 MUMBAI
overseas address, mandatory
for Non-Resident Applicant)
City/town/village MUMBAI PinCode 400067

State MAHARASHTRA Country INDIA

4. Specify the proof of address submitted for correspondence address Aadhaar

5. Specify the proof of address submitted for Permanent address Aadhaar

DECLARATION
I/We hereby declare that the KYC details furnished by me are true and correct to the best of my/our knowledge and belief and I/we
under-take 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.
I/We hereby consent to receiving information from KRA through SMS/Email on the above registered number/Email address.
I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be validated against Aadhaar details. I/We hereby
consent to sharing my/our masked Aadhaar card with readable QR code or my Aadhaar XML/Digilocker XML file, along with passcode
and as applicable, with KRA and other Intermediaries with whom I have a business relationship for KYC purposes only.
Digitally signed by
Place MUMBAI Signature of Applicant/ Date: 2024.02.11 17:23:45 +05:30
FH Reason: Account Opening

Date 11/02/2024 Authorized Signatory Location: IPAddress : 110.226.183.240| City : Mumbai

FOR OFFICE USE ONLY

Details of Employee/ Documents Verified Clients Interviewed by & In-Person Seal/Stamp of
Authorized Signatory with Original Verification done by Prudent Corporate Advisory
Services Limited
Name & Employee Code Hani Patel(Employee code : 00411) Hani Patel(Employee code : 00411) D
TE A VISO
RA
RY
O

Designation Senior Officer - FundzBazar Senior Officer - FundzBazar

C OR P

SERVICE

AHMEDABAD
11/02/2024
T

Date 11/02/2024
EN

S
D

LT
PRU D.
Signature

[2]
 PNB COMPLEX,PLOT NO 202,RDP
PUNJAB NATIONAL BANK 6,CHARKOP,KANDIWALI WES
MUMBAI MAHARASHTRA 400067
1693010026594 SAVING 400024095 PUNB0986700

DHAMINI SUNIL NAGPAL

Digitally signed by Digitally signed by

Date: 2024.02.11 17:23:45 +05:30 Date: 2024.02.11 17:23:45 +05:30
Reason: Account✔ Opening Reason: Account ✔ Opening
Location: IPAddress : 110.226.183.240| City : Mumbai Location: IPAddress : 110.226.183.240| City : Mumbai

Currency

Parth Vipul Shah 87680

A 204 JAY VAIBHAV CHS JAMBLI GULLY, OPP D.K CROP, BORIVALI WEST MUMBAI 400092
9167522063
G. STANDING INSTRUCTIONS / OTHER DETAILS / EMAIL-SMS ALERT / CONTRACT NOTE PREFERENCE
Contract Note/Holding & Transaction Statement including Physical
✔ Electronic
Consolidated Account Statement/Other Document
Receive Delivery Instruction Slip No Yes ✔ On Demand

Share Email ID with Registrar & Transfer Agent No ✔ Yes

Receive Annual Report ✔ Electronic Physical Both

DP Account Statement Monthly Fortnightly Weekly Daily ✔ As per SEBI Regulation

Declaration for Mobile Number ✔ Self Spouse Child Parent

Declaration for Email ID ✔ Self Spouse Child Parent
I wish to avail the facility of mobile/digital/web/internet ✔ Yes
No
base trading technology offered by PCAS.
BSDA ✔ No Yes
Margin Trading Facility ✔ No Yes
Easi Statement No ✔ Yes

Status Sub - Status

✔ Individual ✔ Individual Resident Individual-Director Individual Promoter
Individual Director’s Relative Individual HUF / AOP Minor
Individual Margin Trading A/C Others(specify)
(MANTRA)

NRI NRI Repatriable NRI Non-Repatriable NRI – Depository Receipts

NRI Repatriable Promoter NRI Non-Repatriable Promoter

Others(specify)

Foreign National Foreign National - Depository Receipts Others (specify)

Name*
*In case of Firms, Association of Person (AOP), Partnership Firm, Unregister Trust, etc., although the account is opened in the
natural persons, the name of the Firm, Association of Person (AOP) Partnership Firm, Unregister Trust, etc, should be mentioned
above.
Details of Guardian (in case the account holder is minor)

Guardian’s Name PAN

Relationship with the applicant

SMS Alert Facility MOBILE NO. + 91 9967208172

Refer to Terms & Conditions [(Mandatory, if you are giving Power of Attorney ( POA)]
given as Annexure - 2.4 (if POA is not granted & you do not wish to avail of this facility,
(refer voluntary booklet)
cancel this option).

Note
1. In case client doesn’t opt for DIS booklet, it would be issued on request at any later date.
2. BO can view his ISIN balances, transactions & value portfolio online. To register for Easi please visit website www.cdslindia.com
3. Other documents includes SEBI prescribed standard documents i.e. Rights & Obligation documents for trading and depository
account, Risk Disclosure Document and Guidance Note or any other communication /document disseminated by PCAS.
4. Dividend/Interest will be credited to bank account via ECS.
5. PCAS may carry out proprietary trades in addition to cliental trades.

[4]
 (4) Transactions Using I wish to avail TRUST facility using the Mobile Number registered for SMS Alert Facility.
Secured Texting Facility I have read and understood the Terms and Conditions prescribed by CDSL for the Same Yes
(TRUST) Refer to Terms and I/wish to register the following clearing member IDs under my/our below mentioned No
Conditions Annexure-2.6 BO ID Registered for TRUST

Stock Exchange Name Clearing Member Name Clearing Member ID (Optional)

H. INFORMATION FOR PREVENTION OF MONEY LAUNDERING ACT, 2002

Experience Number of years of Investment / Trading Experience ✔ NIL 0-5 >5
Below 1 lac ✔ 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs
Gross Annual Income
OR Net Worth in ` as on date

Occupation Govt Service Professional Private Sector Service Public Sector Business
(Please tick) Retired Agriculturist Housewife ✔ Student Others
Nature of Business Manufacturing Services Trading Consultancy Others
Risk Categorisation ✔ Low Medium High
Is the Client Politically Exposed Person (PEP) or Related to a PEP PEP Related to PEP ✔ Not a PEP/RPEP

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 document on policy and procedures of the
stock broker, tariff sheet and all voluntary/ non-mandatory documents.
3. I/We further confirm having received, read and understood the contents of the 'Rights and Obligations' document(s) for
equity, demat, 'Risk Disclosure Document' (RDD) for equity, Guidance Note and agree to abide by and be bound by the same Bye
Laws as are in force from time to time. 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 members designated
website www.fundzbazar.com
4. I/We agree and undertake to intimate the PCAS any change(s) in the details / particulars mentioned by me / us in this form.
I/We further agree that any false / misleading information given by me / us or suppression of any material information will render
my/our account liable for termination and suitable action.
5. In case non-resident account, I/We also declare that I/We have complied and will continue to comply with FEMA regulations.
I/We state that I have read and understood all above documents and these documents are binding upon me.
6. The KYC documents cover the additional terms and conditions mentioned which are voluntary. I/We hereby give/do not give
(Strike off whichever Is not applicable) my consent for additional terms and conditions. I/We have received the booklet with
above mentioned content.
TARIFF SHEET OF BROKERAGE
Equity Futures & Options
Percentage (%) Minimum
Trading (Cash Segment) 0.03 0.03 (Paisa per Share) Futures (%) 0.03
Delivery (Cash Segment) 0.30 0.03 (Paisa per Share) Option (Rs) per lot 20.00

1. We will charge the minimum amount of brokerage of Rs 10 per trade or as per your existing brokerage slab whichever is
higher.
2. The above rates are exclusive of Stamp Duty, Exchange Transaction charges, Securities Transaction Tax, SEBI Turnover C h a r g e s ,
Clearing Charges and GST which will be charged extra at the rate prevailing from time to time. Further it is exclusive of any other
charges /levies that may be Imposed from time to time.
3. The General Rates as mentioned here shall be applied unless the Special Rates as may be agreed by the Client and the same are
mentioned above.
4. For Internet Based Trading (IBT) clients, additional charges with regard to so ware access etc. will be applicable as per the terms
agreed at relevant point In time.
5. Clients who opt to recieve physical contract notes will be charged Rs. 20/- per contract note plus courier charges.
6. Brokerage on options will be charged as per lot basis on each leg as mentioned in the Tarrif sheet of brokerage.
First Holder Second Holder Third Holder
Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
FH Reason: Account Opening SH TH
Location: IPAddress : 110.226.183.240| City : Mumbai

[5]
SCHEDULE OF CHARGES

Particulars Normal Yearly AMC Scheme

Agreement Charges (single time) (With Postage & courier Charges) NIL
Annual Maintenance Charges Rs. 300/- (Individual) Rs. 600/- (Other than individual)
One Time Charges Not Applicable
Demat / Remat Charges Rs. 3/- Per Cert. + Rs. 50/- for courier handling per ISIN
Market / Off Market Rs. 20/- Per ISIN
Pledge (Creation / Closure / Invocation) Rs. 40/- Per ISIN (Rs. 20/- Per ISIN for Margin Pledge)
Failure Instruction NIL
Other charges (Non periodical statements any physical statement) Rs. 50/- (for non-routine/on demand print out request/physical statement)
No transaction in Financial Year Charges NIL
Cheque Bounce Charges Actual Bank Charges
Notification in CML Rs. 25/- Per Request
First Delivery Instruction Book (DIS) Free (5 Leaves)
Every Additional Delivery Instruction Book (DIS) Rs. 25/- (5 Leaves)

CONDITIONS
1. Annual maintenance charges have to be paid at the end of financial year, all charges mentioned above are exclusive of GST or
other Government/statutory levies, E-sign charges, Stamp duty (if any) will be charged as applicable from time to time, The
above charges are subject to change with 30 days prior notice. However, in case of revision of charges by CDSL, a shorter
notice may be given.
2. Charges once paid will not be refunded.
3. PCAS reserves the right to revise the tariff structure from time to time at its sole discretion, under advance intimation to
clients either by way of ordinary post or by an email or by SMS or by notification on the back office interface.
4. Demat outstanding will be transferred to your trading account.
5. For availing 'Easiest' facility of CDSL, The charges as levied by CDSL would be collected from clients at actuals.
6. PCAS to set off a part or whole of the collateral/ledgerbalances/securities in my demat account i.e. by way of appropriation of
the relevant amount of cash or by way of sell or transfer or liquidation/close out positions of all or some of the securities
placed as collateral or lying in my demat account as stated above for the purpose of clearing any outstanding amount related
to the aforesaid demat account maintained with PCAS. Any and all losses and financial charges on account of such
liquidation/close-out shall be borne by me.
7. For all purposes the bill date shall be construed as the date of demand and the bills will be considered as a bill come notice for
payment and PCAS reserves the right to freeze depository account for debit transaction in case of non payment of charges
a er two days from the bill date.

AUTHORISATION TO MAINTAIN NON-BASIC SERVICE DEPOSITORY PARTICIPANT(BSDA)

Keeping in view my past and proposed transaction and holding ,I would like to continue / avail normal depository participant facility.
I have also noted being a normal depository participant (NON BSDA), normal annual subscription charges as per the PCAS’ Demat
tariff would be applicable. The tariff for normal depository participant (NON BSDA) are already provided and agreed under tariff
sheet in Account Opening Form and any changes in the same will be updated by PCAS from time to time on its website and / or
application.

Terms and Conditions

1. I/We hereby confirm and understand that by providing this authorization we specifically waive off the right to access my
Depository participant as BSDA account even if applicable by eligibility.
2. I/We confirm and understand that my depository participant would be charged and treated as normal depository participant
(NON BSDA) until opted otherwise by a specific Communication to PCAS.
3. Salient Features of BSDA are kept on www.fundzbazar.com and I/We hereby confirm to have read and understood the salient
features of BSDA account.
WE HAVE READ AND UNDERSTOOD THE CHARGES AND CONDITIONS AS ABOVE AND AGREE TO ABIDE BY THE SAME.
BOID 1 2 0 9 0 6 0 0
“I hereby agree to open a regular demat account with the above schedule of charges. For opening a BSDA
Declaration account separate request letter has to be signed in the format.”

Name(s) Signature(s)
Digitally signed by
1. DHAMINI SUNIL NAGPAL FH Date: 2024.02.11 17:23:45 +05:30
Reason: Account Opening First Holder
Location: IPAddress : 110.226.183.240| City : Mumbai

2. SH Second Holder

3. TH Third Holder

[6]
VOLUNTARY TERMS AND CONDITIONS

Whereas the client intends to open securities trading account with representatives, employees or other persons to make any
Prudent Corporate Advisory Services Limited, (hereina er referred representation, or to give any promise, assurance, warranty,
as PCAS) for the purpose of trading in Capital Market Segment of the undertaking or commitment as to return on investment of the
Bombay Stock Exchange Ltd., National Stock Exchange of India Ltd., client whether in writing or otherwise on behalf of PCAS.
and Mutual Fund transactions facilities offered by SEBI recognized
Stock Exchange/ and whereas for the purpose of more fully and 7. Recording of Conversation: The client is aware and agrees that
conveniently availing of the services agreed to beprovided by PCAS PCAS may record the conversation between the client/client's
and also the additional services that may be made available by PCAS representative and PCAS, whether over the telephone or in
from time to time, the Client, on its own free will and volition, agrees person, as per applicable laws, rules and regulations of SEBI /
to accept and be bound by the following terms and conditions. The Exchanges. PCAS may produce before competent authorities,
Client understands that these terms and conditions are voluntary voluntarily or on such production being required by such
i.e, non-mandatory in nature but on their acceptance, these shall authorities, recorded conversation or transcript thereof or both
constitute the contract between the parties and bind them fully and as valid evidence of the content of the conversation so
be enforceable by each party against the other. recorded.

1. Authorization to debit additional charges with regard to 8. Confidentiality of Client Details: PCAS may disclose the client
Trading and Demat Account: Without prejudice to the other information to any person /entity as required under the law or
rights and obligations of the parties, the client understands and to any broker's Association or organisations in case of dispute
agrees that PCAS may levy additional charges including Annual in order to take informed decision. The Client hereby agrees
Maintenance Charges and all transaction charges with respect and give its consents for the disclosure by PCAS to any person
to clients demat account for any service rendered by PCAS and or entity including but not limited to any independent third
as may be required by the client, and recover from the Client all parties or any entities of Prudent Group, whether within or
reasonable costs, as may be incidental or consequential for outside India, of any. information and data relating to Client or
rendering the said services. The said charges will be debited to relating to Client's trading account with PCAS for the purposes
the clients ledger account with PCAS. of or in connection with, any present or proposed initiatives,
including but not limited to any marketing or cross sell
2. Lien: All securities, funds and/or properties (Any assets initiatives, business proposals, activities, facilities or services
available with PCAS) of the Client as may be permitted by the availed of or to be availed, by Client in future.
Exchange(s)/SEBI from time to time to be placed with PCAS
shall be subject to a lien for the payments or fulfillment of all 9. Disclosure as to Proprietary Trades by PCAS: PCAS may carry
undischarge liabilities and obligations of the Client in relation out proprietary trades in addition to trades on behalf of its
to its transactions. PCAS shall be entitled to withhold such Clients.
securities, funds and/or property of the Client as security
towards any such un-discharged liabilities or obligation of the 10. Notices: All notices or communications issued by PCAS shall
client and to sell and/or appropriate to itself all such securities, be served on the Client in any one or more or all of the
funds or properties at its sole discretion at any point of time. following ways at the ordinary business address and/or
ordinary place of residence and/or last known address of the
3. Authorization for delivering / pledging shares: The client client:
understands and agrees that PCAS may deliver to the Exchange
any securities held by it on behalf of the client to discharge 10.1 (a) By ordinary post or (b) By registered post or (c) By
settlement obligations in respect of securities sold by the client express delivery post or (d) by SMS on registered mobile or
or pledge the same with the clearing house of the recognized by telephonic call or (e) By affixing it on the door at the last
stock exchange in any segment where the client is registered known business or residential address or (f) By oral
for trading for the purpose of providing margin for the trading communication to the party or on the last known telephone
positions contracted or to be contracted by the client. number or on the recording machine of such number or (g)
By advertising it in at least one prominent daily newspaper
4. Authorization for inter segment fund balance transfer and stock having circulation in the area where the last known business
transfers: The client hereby authorizes PCAS to transfer its or residential address of the client is situated or (h) By
debit/ credit balances in the ledger account arising during the publishing it on the website of PCAS wherein secured log-
course of trades in any segment to its ledger account in any id and password to Client is provided or (I) By a notice
other segment or to transfer any securities purchased / lying in posted on the notice board of the Exchange if no address be
its account in any segment to its account in any other segment known or (j) By electronic mail or fax or (k) By hand delivery
as o en as may be required. The transfers may be completed or By Courier or any other approved mode as may be allowed
by passing journal entries in the books of PCAS. for communication.

5. Manner/Mode of placing orders/instructions & Nonexecution/ 10.2 Notwithstanding anything stated above, communication
delay/cancellation of orders: The client may communicate relating to orders, margins, maintenance calls and other
orders and other instructions to PCAS or the Authorised Person similar matters in the ordinary course of dealings between
as the case may be over phone at the designated contact PCAS and the client may be made orally.
telephone number, or through mobile application/online portal
in writing, or through designated email, or by personally 11. Electronic Payment Gateway for Net Banking Services: PCAS
visiting the designated office. The client hereby agrees that may provide on its internet trading website, access to
PCAS or the Exchanges shall not be liable for non execution or Electronic Payment Gateways provided by various banks for
partial execution of any orders caused due to suspension, facilitating transfer of funds from Client's bank account to the
interruption, or malfunctioning of the online as well as offline account of the client with PCAS. Client understands that PCAS
trading services, disruptions or congestion of communication is only providing access to the electronic fund transfer facility
networks, hardware or so ware problems, or failure of the provided by the banker of the client through PCAS website by
electronic trading beyond the control of PCAS or the Exchange. means of an interface and is not liable or responsible for the
proper functioning or otherwise of the Gateway or for any
6. Client not to act on representations of agents, employees: transaction errors, losses, malfunctioning or hacking of the
Client is aware that PCAS has not authorized any agents,
[7]
VOLUNTARY TERMS AND CONDITIONS
system by unscrupulous elements, frauds, and/or any
incidental or consequential claims arising thereout. Client
undertakes not to make PCAS a party to any litigation, claim,
dispute, difference or complaint that the Client may initiate in
respect of, arising out of or in connection with any transactions
on the Gateway and agrees that PCAS liability shall at all time
be limited to the amount actually received in its account by 15. No Waiver: No forbearance, relaxation or inaction by any party
electronic transfer from client's account with the Bank.
12. Extra Ordinary Events and termination/suspension of trading
facility: PCAS will not be liable for losses caused directly or
indirectly by government restriction, Exchange rulings,
suspension of trading, computer, communication, telephone or
system failure, war, earthquakes, flood, accident, power failure,
equipment or so ware glitches or corruption, low processing
speed, strikes or any other conditions beyond PCAS control 16. Severance: In case any one or more of the terms and conditions
resulting in non execution, partial or incomplete execution of
orders and the resulting financial loss, if any PCAS may at any
time terminate, discontinue or temporarily suspend trading
facility provided to the client in the event of any such
extraordinary event occurring without giving prior notice to the
client.
17. Amendments to the terms and conditions: PCAS reserves the
13. Mutual Fund Service System Facility / BSE Star MF: Client is
registered with PCAS and has executed Know Your Client Form
(KYC) and certain other documents for the purpose of trading in
securities market on the recognized Stock Exchange (herein
a er referred as Exchange”). Incase client opts for the purpose
of dealing in the units of Mutual Funds Schemes permitted to
be dealt with on the SEBI recognized Stock Exchanges (Mutual 18. I/We further declare that I am/We are aware of the illegal
Fund Transaction Facilities). KYC details as submitted by & the
client for the stock broking shall be considered for the purpose
of Mutual fund transaction facilities and abide by the terms and
conditions as mentioned in the circulars as may be specified by
the Exchanges from time to time in this regard. Client shall also
ensure compliance with the requirements as may be specified
from time to time by Securities and Exchange Board of India
and Association of Mutual Funds of India (AMFI). Client shall
read and understand the contents of the Scheme Information
Document and Key Information Memorandum, addendum
issued regarding each Mutual Fund Schemes with respect to
which client choose to subscribe/ redeem. Client further agrees
to abide by the terms and conditions, rules and regulations of
the Mutual Fund Schemes. Client confirms to have read &
understood the terms & conditions for using Mutual Fund
transaction facility as stated in KYC. Client is aware that he/she
can transact directly with the AMC without recourse to
Distributor's name at any time under the folio(s) tagged with
the Distributor's name/broker code. The Client agrees and
authorizes PCAS as distributor of mutual funds to
communicate on his/ her behalf with the AMCs for financial and
/or non-financial transactions including for re-investment 19. I/We further declare that as on the date of registration as your
receiving details from the AMC.
14. Parties agree that all claims, differences or disputes between
them, arising out of or in relation to this mandatory and
voluntary client/registration document, any dealings and
transactions made subject to the Bye laws, Rules and
Regulations of the Exchanges shall be submitted to arbitration
for resolution in accordance with the provisions of the
Arbitration and Conciliation Act, 1996 and the Bye laws and
Regulations of the concerned Exchange. Provided, however,
that recourse shall not be had to the arbitration, the grievance 20. I/We have no objection if due to punching errors you might
red ressal mechanisms or to the investor protection schemes of
the of the Exchanges or SEBI where the claims, differences or
disputes exclusively arise out of or relate to any contracts
entered into transactions carried out; schemes, leagues or
competition joined other arrangements or understandings 21. I/We, as a client, hereby agree and indemnify, and shall always
reached or relations established by the client with a group
concern or associate of the Stock Broker or any third parties
and to which the Byelaws, Rules and Regulations of the
[8]
Exchange are not attracted and the Client understands and
agrees that any application for invoking the arbitration/
grievance redressal mechanisms or investor protection
schemes of the Exchange in relation to any such dispute, claims
or differences shall be dismissed.
to require from the other performance or discharge of any
obligation to be performed or discharged by the other under
this document shall in any way affect, diminish, or prejudice
the right of such party to require of the other party at any time
such performance or discharge of any other obligations under
this document or be considered to be a waiver of any rights,
unless the waiver is specifically agreed in writing.
contained in this document become invalid, illegal or
unenforceable in any respect under any applicable law, the
validity, legality and enforce ability of the remaining provisions
contained herein shall not in any way be affected or impaired
thereby.
right to amend the terms and conditions herein contained by
adding, deleting, modifying or varying the provisions thereof. In
the event where the client has not objected to revised terms
and conditions within prescribed days of receiving the
notification, the same shall be binding on the client.
practices that are prevalent in the Stock Market and I/We assure
you that I/We will not indulge into the same. I/We further
declare that I/We will not carry out any unfair trade practices
such as Synchronized Deals, Structured Deals, Circular Trading,
Insider Trading in the Capital Market. I/We specifically
consented not to indulge into any off-market transactions
leading to dubba-trading. I /We further declare and confirm
that I/We will not place any order or carry out any trades/
transactions on the Exchange which will reflect as an
arrangement for profit or loss transactions or cross deals.
Further, all the orders placed on the Exchange through you, will
be in the normal market at normal/prevailing market prices
and not at unrealistic prices where there is corresponding
underlying securities positions in the cash or future segment of
the Exchange. In case, any of my transactions being declared as
violate to any rules/regulations/bye laws/ circulars/directions/
guidelines etc. of the Exchange/SEBI/ SCRA, l will be solely
responsible for all penalties/charges/ damages etc. levied from
you by the Exchange and accordingly do hereby undertake to
reimburse / pay the same to you.
client, I/We am eligible to transact in the stock market as per
applicable rules, regulations, bye laws, circulars, guidelines, etc
concerned regulatory Authorities and have not been banned/
restrained to transact in the securities market by any Exchange
or statutory authorities and whatever permissions/prior
permissions, as may be required from Government
authority(ies) have been obtained by me/us. In case of any
further action taken by the said relevant authorities, I/We shall
intimate the same to you.
have to change the client codes for trade done as the
circumstances may warrant, within the parameters and rules
and regulations of the Exchange.
keep you indemnified against all such action and/or claims,
costs, charges damages, losses and expenses which may be
incurred, suffered and/or sustained by you with respect to any
VOLUNTARY TERMS AND CONDITIONS

cheque(s) and/or delivery of shares, which may be given by
me as your client to be credited in my / our account as your
client.
22. I/We, as your client do hereby agrees with respect to
Compliance with Prevention of Money Laundering Act, 2002 25. Disclaimer: The client understands and agrees that neither
(PMLA), as amended till date and from time to time and
rules, regulation and guidelines framed hereunder and
confirms that all the information which may be required by
you (Stock Broker) to enable you to comply with the
provisions of the PMLA and the rules, regulation and
guidelines framed there under has been disclosed including a) Any inaccuracy, error, omission or delay in the
issues related to “beneficial ownership”, if any and also
undertakes to promptly provide the same on an on-going
basis whenever required. As also I / We hereby agree to
keep you (Stock Broker) informed of any change in the
information earlier provided in/through Know Your Client
Form or otherwise in this regard immediately in writing.
23. For delayed payments / Overdue payments, I am / We are
aware and agree that you may charge delayed payment
charges @ 1.5 % per month or at such other rate as you
determine at your absolute discretion.
24. I/We, further specifically agrees that without prejudice to
the Member's other rights including the right to refer a
matter to arbitration, the member shall be entitled to
liquidate/close out all or any of my/our position with oral
intimation to either my sub-broker or to me/us, of margins,
other amounts due from me/us to you as a member, an
exchange, a clearing house, any agent or sub-broker of the
member.
PCAS nor any other party disseminating any market data,
message or information through the Website of PCAS
(www.fundzbazar.com) or in any other media shall be liable
for:
transmission or delivery of any such data, information or
message, or
b) Any loss or damage arising from or occasioned by
(i) Any such inaccuracy, error, delay or omission,
(ii) Non-performance, or
(iii) Interruption in making available any such data,
information or message, due to either any act or
omission by PCAS or any disseminating party to any
"force majeure" (e.g. flood, extraordinary weather
condition, earthquake or other act of nature, fire, war,
insurrection, riot, labour dispute/unrest, accident,
action of government, communications or power
failure, equipment or so ware malfunction) or any
other cause beyond the reasonable control of PCAS or
any is seminating party.

Sharing of Data & Information:

(a) I/We have opened a trading and demat account with PCAS (d) To the extent appropriate for our relationship with you,
having the captioned client code and demat code and I/We
interested in knowing about various financial products/
facilities offered by your associate/group companies. I/We
aware that associate/group companies are required to
obtain information about me and my transactions for
providing various financial products/ facilities.
(b) I/We authorize you, your group companies and associates to
keep me informed with any financial product which PCAS,
its group companies and associates presently issue, deal in,
or distribute or may, from time to time, launch, issue, deal in
or distribute through e-mail, SMS, telephone, print media or
otherwise as may be allowed.
(c) I/We hereby voluntarily accept and expressly authorize
PCAS get the information from any other Depository
Participant of its group/associate companies with whom I
have the Demat account and share/disclose or use in any
manner, the information/documents/data about me and
our transactions, with group of associates companies which
is offering the products / facilities.
personal information may be shared for the following
purposes:
(i) to comply with applicable laws, rules and regulations,
including anti-terrorism, KYC, anti-money laundering
and tax reporting rules and regulations.
(ii) to comply with legal process, to respond to requests
from public, regulatory or government authorities
(including authorities outside your country of
residency), and to allow us to pursue remedies and
limit damage
(iii) to any of our associate / affiliate / group entities
including our service providers performing delegated
outsourced function to enable them to perform
internal business processes (which facilitate
transactions) such as risk management purposes,
data analysis, audits, developing and improving new
products and services, etc
(iv) to any of our associate / affiliate / group entities to
enable them to provide you with appropriate products
and services

(I) Information provided by me in the Trading and Demat (e) I/We have no objection to PCAS sharing the above
Account Opening Kit. information or any such other information, about me/us
(ii) My holdings in stocks/securities. with its group/ associate companies or affiliates. This is
(iii) Ledger balances in my Trading/Demat Account across without legal obligation on you, your group companies and
all Exchanges/Depositories. associates to so inform and you or they may, in their
(iv) Transaction cum holding statement with Demat discretion, discontinue sending such information.
Department.
(v) Any other related information.

First Holder
Digitally signed by
Client Signature: FH Date: 2024.02.11 17:23:45 +05:30
Reason: Account Opening
Location: IPAddress : 110.226.183.240| City : Mumbai

[9]
VOLUNTARY TERMS AND CONDITIONS

Running account authorization

I/We are dealing through you as a client in Capital Market and/or Mutual Fund segment & in order to facilitate ease of operations
and upfront requirement of margin for trade.

I/We authorize you as under:

1. I/We request you to maintain running balance in my / our account & retain the credit balance in any of my/our account and to use
the unused funds towards my/our margin/pay-in/other future obligation(s) of any segment(s) of any or all the Exchanges(s)
/Clearing corporation unless I/We instruct you otherwise.

2. I/We request you to retain securities with you for my/our margin/pay-in/other future obligation(s) of any segment(s) of any or all
the Exchange(s)/Clearing Corporation as permitted by SEBI/Stock Exchange(s) unless I/We instruct you to transfer the
same to my/our account.

3. I/We request you to settle my fund and securities account (choose one option)

Once in a calendar Month ✔ Once in every calendar Quarter

except the funds given towards collaterals/margin in form of Bank Guarantee and/or Fixed Deposit Receipt

4. In case, I/We have an outstanding obligation on the settlement date, you may retain the requisite securities/fundstowards
such obligations and may also retain the funds expected to be required to meet margin obligation for next 5 trading days,
calculated in the manner specified by the exchanges.

5. I/We confirm you that I/We will bring to your notice any dispute arising from the statement of account or settlement so made
in writing preferably within 7 working days from the date of receipt of funds/securities or statement of account or statement
related to it, as the case may be at your registered office.

6. I/We confirm you that I can revoke the above mentioned authority at any time.

7. I understand that in respect of equity and derivative market transaction, apart from margin liability as on the date of
settlement, trading member may retain additional margins (maximum up to 125% of margin requirement on the day of
settlement) to take care of any margin obligation arising in next days.

8. This running account authorization would continue until it is revoked by me/us.

Declaration: Default Name for FundzBazar Broking Account Opening

I/We confirm and understand that my name in Trading and Demat account will be taken as per the income-tax/PAN website for the
purpose of account opening in case there is mismatch of name as per KRA database/Name in Aadhaar card and Linked Bank Account
the name as per income-tax site/PAN website should be considered. I/We also confirm that names as mentioned in KRA , IT dept,
Aadhaar and linked bank account belongs to me/us.

First Holder Second Holder Third Holder

Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
FH Reason: Account Opening SH TH
Location: IPAddress : 110.226.183.240| City : Mumbai

[ 10 ]
VOLUNTARY DOCUMENTSBSE StAR MF
(Letter to be provided by the Investor to the MFI)

Prudent Corporate Advisory Services Limited.

Prudent House, Panjrapole Cross Road, Nr. Polytechnic, Ambawadi, Ahmedabad - 380015
Sir,

Sub. : BSE StAR MF

DHAMINI SUNIL NAGPAL

I/We _________________________________________________________ am/are registered as your client with Client Code No.
______________________
1959848 and have executed the Rights and obligations document for the purpose of trading in the Equity
Segment of Bombay Stock Exchange Ltd. (Exchange).I/We am/are interested in availing the trading facility of the Exchange for the
purpose of dealing in the units of Mutual Funds Schemes permitted to be dealt with on the BSE StAR MF. For the purpose of availing
this facility, I/We state that Know Your Client details as submitted by me/us for the stockbroking may be considered for the purpose
of BSE StAR MF and I/We further confirm that the details contained in same remain unchanged as on date. I/We are willing to abide by
the terms and conditions as mentioned in the Notice dated December 2, 2009 and as may be specified by the Exchange from time to
time in this regard. I/We shall ensure also compliance with the requirements as may be specified from time to time by Securities and
Exchange Board of India and Association of Mutual Funds of India (AMFI). I/We shall read and understand the contents of the of the
Scheme Information Document and Key Information Memorandum, addenda issued regarding each Mutual Fund Schemes with
respect to which I/We choose to subscribe/redeem. I/We further agree to abide by the terms and conditions, rules and regulations of
the Mutual Fund Schemes.

I/We therefore request you to register me/us as your client for participating in BSE StAR MF.

Details of terms & conditions for the Investor / Client for using New BSE StAR MF facility

1. Pre-requisites for becoming Investor / Client for the BSE StAR MF platform.
1.1. The client who is desirous of investing in units of mutual fund schemes through the BSE StAR MF.
1.2. The Client intends to execute his instruction for the subscription/redemption of units of Mutual Fund Schemes through the
broker who is a Mutual Fund Schemes through the Participant of the BSE StAR MF.
1.3. The client has satisfied itself of the capacity of the Participant to deal in Mutual Fund units and wishes to execute its
instruction through the Participant and the client shall from time to time continue to satisfy itself of such capability of the
Participant before executing transacting through the Participant.
1.4. The Client has approached to the Participant with the application for availing the BSE StAR MF facility.
1.5 The client has submitted relevant KYC (Know Your Client) details to the Participants.

2. Terms and Conditions.

2.1. The client shall be bound by circulars issued by BSEs, Rules, Regulations and notice/circulars issued there under by SEBI
and relevant notifications of Government authorities as may be in force from time to time.
2.2. The client shall notify the Participant in writing if there is any change in the information in the 'client registration form'
provided by the client to the Participant at the time of registering as a client for participating in the BSE StAR MF platform or
at any time therea er.
2.3. The client shall submit to the Participant a completed application form in the manner prescribed format for the purpose of
placing a subscription order with the Participant.
2.4. The client has read and understood the risks involved in investing in Mutual Fund Schemes.
2.5. The client shall be wholly responsible for all his investment decisions and instruction.
2.6. The client shall ensure continuous compliance with the requirements of the BSE, SEBI and AMFI.
2.7. The client shall pay to the Participant fees and statutory levies as are prevailing from time to time and as they apply to the
client's account, transactions and to the services that Participant renders to the client.
2.8. The client will furnish information to the Participant in writing , if any winding up petition or insolvency petition has been
filed or any winding up or insolvency order or decree or award is passed against him or if any litigation which may have
material bearing on his capacity has been filed against him.
2.9. In the event of non-performance of the obligation by the Participant, the client is not entitled to claim any compensation
either from the Investor Protection Fund or from any fund of BSE or its Clearing Corporation-Indian Clearing Corporation
Limited (ICCL)
2.10. In case of any dispute between the Participants and the investors arising out of the BSE StAR MF platform/BSE and/or ICCL
agrees to extend the necessary support for the speedy redressal of the disputes.

First Holder Date

Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
FH Reason: Account Opening 11/02/2024
Location: IPAddress : 110.226.183.240| City : Mumbai

[ 11 ]
VOLUNTARY DOCUMENTS Mutual Fund Service System (MFSS)
(Letter to be provided by the Investor to the Participant)

11/02/2024
Prudent Corporate Advisory Services Limited. Date: _____________________
Prudent House, Panjrapole Cross Road, Nr. Polytechnic, Ambawadi, Ahmedabad - 380015
Sub: Mutual Fund Service System (MFSS) facility

DHAMINI SUNIL NAGPAL

I/We ______________________________________________________________ am/are registered as your client with Client Code
1959848
No. ___________________ and have executed the Trading Member and Client Agreement for the purpose of trading in the Capital
Market segment of National Stock Exchange of India Ltd. (Exchange).I/We am/are interested in availing the MFSS facility of the
Exchange for the purpose of dealing in the units of Mutual Funds Schemes permitted to be dealt with on the MFSS of the Exchange.
For the purpose of availing the MFSS facility, I/We state that Know Your Client details as submitted by me/us for the stock broking
may be considered for the purpose of MFSS and I/We further confirm that the details contained in same remain unchanged as on
date. I/We are willing to abide by the terms and conditions as mentioned in the Circular dated December 2, 2009 and as may be
specified by the Exchange from time to time in this regard. I/We shall ensure also compliance with the requirements as may be
specified from time to time by Securities and Exchange Board of India and Association of Mutual Funds of India (AMFI). I/We shall
read and understand the contents of the of the Scheme Information Document and Key Information Memorandum, addenda issued
regarding each Mutual Fund Schemes with respect to which I/We choose to subscribe/redeem. I/We further agree to abide by the
terms and conditions, rules and regulations of the Mutual Fund Schemes. I/We therefore request you to register me/us as your client
for participating in the MFSS.

Details of terms & conditions for the Investor / Client for using MFSS facility

1. Pre-requisites for becoming Investor / Client for the MFSS facility

1.1. The client who is desirous of investing in units of mutual fund schemes through the MFSS.
1.2. The Client intends to execute his instruction for the subscription/redemption of units of Mutual Fund Schemes through the
Participant of the MFSS.
1.3. The client has satisfied itself of the capacity of the Participant to deal in Mutual Fund units and wishes to execute its
instruction through the Participant and the client shall from time to time continue to satisfy itself of such capability of the
Participant before executing transacting through the Participant.
1.4. The Client has approached to the Participant with the application for availing the MFSS facility.
1.5. The client has submitted relevant KYC (Know Your Client) details to the Participants.

2. Terms and Conditions

2.1. The client shall be bound by circulars issued by NSEIL from time to time including Rules, Regulations and circulars issued
there under SEBI and relevant notifications of Government authorities as may be in force from time to time.
2.2. The client shall notify the Participant in writing if there is any change in the information in the 'client registration form'
provided by the client to the Participant at the time registering as a client for participating in the MFSS or at any time
therea er.
2.3. The client shall submit to the Participant a completed application form in the manner prescribed format for the purpose of
placing a subscription order with the Participant.
2.4. The client has read and understood the risks involved in investing in Mutual Fund Schemes.
2.5. The client shall be wholly responsible for all his investment decisions and instruction.
2.6. The client shall ensure continuous compliance with the requirements of the NSEIL, SEBI and AMFI.
2.7. The client shall pay to the Participant fees and statutory levies as are prevailing from time to time and as they apply to the
client's account, transactions and to the services that Participant renders to the client.
2.8. The client will furnish information to the Participant in writing , if any winding up petition or insolvency petition has been
filed or any winding up or insolvency order or decree or award is passed against him or if any litigation which may have
material bearing on his capacity has been filed against him.
2.9. In the event of non-performance of the obligation by the Participant, the client is not entitled to claim any compensation
either from the Investor Protection Fund or from any fund of NSEIL or NSCCL.
2.10. In case of any dispute between the Participants and the investors arising out of the MFSS facility, NSEIL and / or NSCCL
agrees to extend the necessary support for the speedy redressal of the disputes.

First Holder Date

Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
FH Reason: Account Opening 11/02/2024
Location: IPAddress : 110.226.183.240| City : Mumbai

[ 12 ]
INTERNET & WIRELESS TECHNOLOGY BASED
TRADING FACILITY PROVIDED

BY STOCK BROKERS TO CLIENT (All the clauses mentioned in the 'Rights and Obligations' document(s) shall be applicable.
Additionally, the clauses mentioned herein shall also be applicable.)
1. Stock broker is eligible for providing Internet based trading
(IBT) and securities trading through the use of wireless
technology that shall include the use of devices such as
mobile phone, laptop with data card, etc. which use
Internet Protocol (IP). The stock broker shall comply with
all requirements applicable to internet based trading/
securities trading using wireless technology as may be
specified by SEBI & the Exchanges from time to time.
2. The client is desirous of investing/trading in securities and
for this purpose, the client is desirous of using either the
Internet Based Trading facility or the facility for securities
trading through use of wireless technology. The Stock
broker shall provide the Stock broker's IBT Service to the
Client, and the Client shall avail of the Stock broker's IBT
Service, on and subject to SEBI/ Exchanges Provisions and
the terms and conditions specified on the Stock broker's
IBT Website provided that they are in line with the norms
prescribed by Exchanges/ SEBI.
3. The stock broker shall bring to the notice of client the
features, risks, responsibilities, obligations and liabilities
associated with securities trading through wireless
technology/internet/smart order routing or any other
technology should be brought to the notice of the client by
the stock broker.
4. The stock broker shall make the client aware that the
Stock Broker's IBT system itself generates the initial
password and its password policy as stipulated in line with
norms prescribed by Exchanges/SEBI.
5. The Client shall be responsible for keeping the Username
and Password confidential and secure and shall be solely
responsible for all orders entered and transactions done
by any person whosoever through the Stock broker's IBT
System using the Client's Username and/or Password
whether or not such person was authorized to do so. Also
the client is aware that authentication technologies and
strict security measures are required for the internet
trading /securities trading through wireless technology
through order routed system and undertakes to ensure
that the password of the client and/or his authorized
representative are not revealed to any third party including
employees and dealers of the stock broker.
6. The Client shall immediately notify the Stock broker in
writing if he forgets his password, discovers security flaw
in Stock Broker's IBT System, discovers /suspects
discrepancies/unauthorized access through his username/
password/account with full details of such unauthorized
use, the date, the manner and the Transactions effected
pursuant to such unauthorized use, etc.
7. The Client is fully aware of and understands the risks
associated with availing of a service for routing orders over
the internet/securities trading through wireless technology
and Client shall be fully liable and responsible for any and
all acts done in the Client's Username/password in any
manner whatsoever.
8. The stock broker shall send the order/trade confirmation
through email to the client at his request. The client is
aware that the order/trade confirmation is also provided on
the web portal. In case client is trading using wireless
technology, the stock broker shall send the order/trade
confirmation on the device of the client.
9. The client is aware that trading over the internet involves
many uncertain factors and complex hardware, so ware,
systems, communication lines, peripherals, etc. are
susceptible to interruptions and dislocations. The Stock
broker and the Exchange do not make any representation
or warranty that the Stock broker's IBT Service will be
available to the Client at all times without any interruption.
10. The Client shall not have any claim against the Exchange or
the Stock broker on account of any suspension,
interruption, non-availability or malfunctioning of the
Stock broker's IBT System or Service or the Exchange's
service or systems or non execution of his orders due to any
link/ system failure at the Client /Stock brokers / Exchange
end for any reason beyond the control of the stock
broker/Exchanges.

Declaration for Online Trading & Demat Account Opening through ESIGN

I/We hereby declare that the details provided through the online portal are true and correct to the best of my/our knowledge and
belief.
I/We also agree and undertake to inform you of any change(s) therein, immediately.
I/We further confirm having read and understood the contents of the 'Rights and Obligations' document(s) and 'Risk Disclosure
Document' & set of documents has been displayed for information on the designated website, www.fundzbazar.com
I/We confirm having read & understood copy of Rights and Obligations of the Beneficial Owner and Depository Participant and
agree to abide by and be bound by the same and by the Bye Laws as are in force from time to time. I/We agree and undertake to
inform you of any change(s) in the details/particulars mentioned by me/us in this form.
I/We have read, received, been explained and understood all the voluntary and non-voluntary documents issued by PCAS.
I/We also request you to consider the uploaded Specimen Signature for any physical correspondence from my/our side.
I/We hereby confirm and agree to open Trading & Demat Account with PCAS. through AADHAAR based E Signature mode.

First Holder Second Holder Third Holder

Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
FH Reason: Account Opening SH TH
Location: IPAddress : 110.226.183.240| City : Mumbai

MUMBAI 11/02/2024
Place Date
[ 13 ]
 NOMINATION FORM FOR TRADING & DEMAT ACOOUNT

Nominee Registration Number 13363 Date D1 D

1 M
0 M
2 Y
2 0Y 2Y 4Y

Prudent Corporate Advisory Services Ltd.

"Prudent House", Panjrapole Cross Road, FORM FOR NOMINATION
Nr. Polytechnic, Ambawadi, (To be filled in by individual applying singly or jointly)
Ahmedabad - 380015, Gujarat, India.

UCC 1 9 5 9 8 4 8 DP ID 1 2 0 9 0 6 0 0 Client ID
I/We wish to make a nomination. [As per details given below]

Nomination Details (Applicable to both Trading and Demat Account)

I/We wish to make a nomination and do here by nominate the following person(s) who shall receive all the assets held in my / our account in
the event of my / our death.

Nomination can be made upto

Details of 1ˢᵗ Nominee Details of 2ⁿᵈ Nominee Details of 3ʳᵈ Nominee
three nominees in the account.
Sunil Hiralal Nagpal
1 Name of the nominee(s) (Mr./Ms.)

Share of each Equally 100 % % %

2 [If not equally, please
Nominee specify percentage] Any odd lot afer division shall be transferred to the first nominee mentioned in the form.
Relationship With the
3 Farher
Applicant ( If Any)
402, Kandivali Aniket Chs , Ganesh
Address of Nominee(s) Nagar, ,Mumbai,Maharashtra,India
4
City / Place:
State & Country:

PIN Code 400067

5 Mobile/Telephone No. of nominee(s) 9323987524

bharatnagpal659@gmail.com
6 Email ID of nominee(s)

Nominee Identification details

(Please tick any one of following
and provide details of same)
Photograph & Signature
7 ✔ PAN Aadhaar
PAN

Saving Bank account no.

Proof of Identity
Demat Account ID

Sr. Nos. 8-14 should be filled only if nominee(s) is a minor:

Date of Birth {in case of minor

8
nominee(s)}

Name of Guardian (Mr./Ms.)

9
{in case of minor nominee(s) }

10 Address of Guardian(s)

City / Place:
State & Country:

PIN Code
11 Mobile/Telephone No. of Guardian

12 Email ID of Guardian

Relationship of Guardian
13
with Nominee

Guardian Identification details

(Please tick any one of following
and provide details of same)

Photograph & Signature

14 PAN Aadhaar
Saving Bank account no.
Proof of Identity
Demat Account ID

Name(s) of holder(s) Signature(s) of holder*

Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
Sole / First Holder (Mr./Ms.) DHAMINI SUNIL NAGPAL FH Reason: First
Account Holder
Opening
Location: IPAddress : 110.226.183.240| City : Mumbai

Second Holder (Mr./Ms.) SH Second Holder

Third Holder (Mr./Ms.) TH Third Holder

* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature

Note:
This nomination shall supersede any prior nomination made by the account holder(s), if any.
The Trading Member / Depository Participant shall provide acknowledgement of the nomination form to the account holder(s)

Declaration Form for opting out of nomination [Annexure B to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601
dated July 23, 2021 on Mandatory Nomination for Eligible Trading and Demat Accounts]

To
Prudent Corporate Advisory Services Ltd.
Date D D M M Y Y Y Y
"Prudent House", Panjrapole Cross Road, Nr. Polytechnic, Ambawadi,
Ahmedabad - 380015, Gujarat, India.

UCC DP ID 1 2 0 9 0 6 0 0 Client ID

Sole/First Holder Name

Second Holder Name

Third Holder Name

I / We hereby confirm that I / We do not wish to appoint any nominee(s) in my / our trading / demat account and understand the issues involved
in non-appointment of nominee(s) and further are aware that in case of death of all the account holder(s), my / our legal heirs would need to
submit all the requisite documents / information for claiming of assets held in my / our trading / demat account, which may also include
documents issued by Court or other such competent authority, based on the value of assets held in the trading / demat account.

Signature of Holder(s)
First Holder Second Holder Third Holder

FH First Holder SH Second Holder TH Third Holder

* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature
TO ALL TO WHOM THESE PRESENTS SHALL COME I/We,
(First Holder)
DHAMINI SUNIL NAGPAL
___________________________________________________________________________________________________________,
(an individual/ a partnership firm / an HUF / A company / a trust / a society / an Association), executed through
Mr./Ms./Mrs._________________________________________________________________________________________________
(partners in case of partnership firm / karta in case of H.U.F. / Authorized person in case of Company / Trustee(s) in the case of a trust /
members of an Association), residing / having office / registered office at
402 KANDIVALI ANIKET CHSL,PLOT NO__________________________________________________________________________
___________________________________ 4 RSC-2,Mumbai,Mumbai,Maharashtra

Where as I / We hold Beneficiary account no._________________________________ (BO-ID) with Central Depository Services
(India) Limited, with Prudent Corporate Advisory Services Limited (a Depository Participant with CDSL bearing DP-ID12090600
and whereas I/We are registered as a client with Prudent Corporate Advisory Services Limited having SEBI Registration No.
INZ000293634 (a trading member of Bombay Stock Exchange Limited(BSE)& National Stock Exchange of India Limited(NSE) for
dealing in securities market. CM ID M52097(NSE), 6733(BSE).

I/WE ALL THE ABOVE NAMED DO HEREBY NOMINATE, CONSTITUTE AND/OR APPOINT M/s Prudent Corporate Advisory Services
Limited, as my/our name to carry out following exercises for me/us and on my/our behalf and in my/our name from time to time
until revoked by me/us in writing given to Prudent Corporate Advisory Services Limited and such revocation shall not affect the
validity of any acts, deeds or things done or action taken by Prudent Corporate Advisory Services Limited for discharging any of
my/our settlement/margin obligations in respect of any transactions which is pending on the date of receipt of the notice of
revocation by me.

Signature of Client
Purpose
(physical signature or e-Sign)

Digitally signed by
Date: 2024.02.11 17:23:45 +05:30
F/H First
Reason:Holder
Account Opening
Transfer of securities held in the beneficial owner accounts of me/us towards Location: IPAddress : 110.226.183.240| City : Mumbai

Stock Exchange related deliveries/settlement obligations arising out of

✔ trades executed by me/us on the Stock Exchange in any segments to the S/H Second Holder
respective pool accounts of Prudent Corporate Advisory Services Limited as
mentioned in Annexure-1 of this instrument. T/H Third Holder

Pledging/re-pledging of securities in favor of Prudent Corporate Advisory Digitally signed by

Date: 2024.02.11 17:23:45 +05:30
F/H First
Reason:Holder
Account Opening
Services Limited to therespective Margin Pledge accounts of Prudent Location: IPAddress : 110.226.183.240| City : Mumbai

Corporate Advisory Services Limited as mentioned inAnnexure-1 of this

✔ instrument & re-pledging of securities by Prudent Corporate Advisory S/H Second Holder
Services Limited to Clearing Corporations for the purpose of meeting margin
requirements of me/us inconnection with the trades executed by me/us on
T/H Third Holder
the Stock Exchanges in any segments.

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 Signature of Client
Purpose
(physical signature or e-Sign)

Digitally signed by
F/H First
Reason:Holder
Date: 2024.02.11 17:23:45 +05:30
Account Opening
Location: IPAddress : 110.226.183.240| City : Mumbai

Mutual Fund transactions being executed on Stock Exchange order

✔ entry platforms.
S/H Second Holder

T/H Third Holder

Digitally signed by
F/H Date: 2024.02.11 17:23:45 +05:30
First
Reason:Holder
Account Opening
Location: IPAddress : 110.226.183.240| City : Mumbai

✔ Tendering shares in open offers through Stock Exchange platforms. S/H Second Holder

T/H Third Holder

Sr. No Name Type of Account DP ID Client ID

1 Prudent Corporate Advisory Services Limited BSE Principal Account 12090600 00250010

2 Prudent Corporate Advisory Services Limited BSE Pool Account 12090600 00250025

3 Prudent Corporate Advisory Services Limited NSE Pool Account 12090600 00250044

4 Prudent Corporate Advisory Services Limited NSE NSDL Pool Account IN301330 22406893

5 Prudent Corporate Advisory Services Limited BSE NSDL Pool Account IN301330 22406908

6 Prudent Corporate Advisory Services Limited NSE Early Pay-in Account 11000011 00020886

7 Prudent Corporate Advisory Services Limited BSE Early Pay-in Account 11000010 00024369

8 Prudent Corporate Advisory Services Limited TM/CM CMPA 12090600 00250122

Date: 11/02/2024 Place: Ahmedabad

Digitally signed by
F/H First Holder
Date: 2024.02.11 17:23:45 +05:30
Reason: Account Opening
Location: IPAddress : 110.226.183.240| City : Mumbai

S/H Second Holder

T/H Third Holder

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An Independent Retail Wealth
Management Service Group

Registered Office
Prudent House, Panjrapole Cross Road,
Nr. Polytechnic, Ambawadi,
Ahmedabad - 380015, Gujarat, India.
Contact: +91 - 79 - 40209600

Corporate Office
Unit no 308A, Hubtown Solaris,
Telli Galli Junction, N S Phadke Marg,
Andheri East, Mumbai - 400069,
Maharashtra, India.
Contact: +91 - 22 - 42124600
Email: info@prudentcorporate.com

www.prudentcorporate.com
www.fundzbazar.com

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