Professional Documents
Culture Documents
Opening INDIVIDUAL
Form
DP ID
Branch Code
Sub Code
3. A Client Declaration - Open Interest Position A Client Declaration - Open Interest Position 7
Document describing significant policies and
4. Policies and Procedures procedures of the stock broker
FH Signature of Client / First Holder SH Signature of Second Holder TH Signature of Third Holder
2. In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature
IMPORTANT INSTRUCTIONS
1. All details to be filled in Capital Block letters in Black / Blue Ink Only.
2. Email ID & Mobile number is mandatory for account related passwords and transaction details.
3. Corrections in the KYC form should be counter signed.
4. Strike off whichever option, in the account opening form, is not applicable.
5. All Originals to be produced for physical verification.
6. If any proof of identity or address is in a regional language, then translation into English is required.
7. Sole proprietor must make the application in his individual name & capacity.
8. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
KYC CHECKLIST (PLEASE TICK WHEREVER APPROPRIATE)
PAN Card Account Holder & Joint Holder’s (If any)
Photograph One Colored Front Face Photograph on photographic Paper (Passport Size)
1. Bank Statement / Bank Passbook with cheque leaf (not more than 3 months old)
Bank Proof With
MICR / IFSC Code 2. Banker’s Certificate on letter head of the Bank (ORIGINAL)
(1st Holder only)
3. Cancelled Personalized Cheque leaf
FIRST HOLDER
KNOW YOUR CLIENT (KYC) |
APPLICATION FORM (FOR INDIVIDUALS ONLY) Application No. : AB15872658
Please fill in ENGLISH & in BLOCK LETTERS with black/blue ink & tick the appropriate options
A. IDENTITY DETAILS
1. Name of Applicant Gadde Srikanth
FIRST NAME MIDDLE NAME LAST NAME
2. Maiden Name FOR MARRIED WOMEN ONLY
3. Father’s / Spouse Name PRABHAKAR
FIRST NAMEGADDE MIDDLE NAME LAST NAME
4. Mother Name PHOTOGRAPH
B. ADDRESS DETAILS
1-15A KANDUKURU MANDALAM MACHAVARAM
1. Residence /
Correspondence
Address
City/Town/Village PRAKASAM District ANDHRA PRADESH
Pin Code 523105 State ANDHRA PRADESH Country India
2. Contact/Mobile No 8897190815 Tel (Res.)
Tel (Off.) Email id gadde0846@gmail.com
3. Specify the proof of address submitted for Residence / Correspondence Address:
DECLARATION
I hereby declare that the details furnished above are true and correct to the best of my/our 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/we are aware that I/we 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.
STATE: ANDHRA PRADESH CITY: PRAKASAM LATITUDE: 20.0063 LONGITUDE: 77.0060
Digitally Signed by:
Place MUMBAI FH
Name:Gadde Srikanth
Location:PRAKASAM
Signature of Applicant
13-10-2021
2/9 Reason:Kyc For Angel Broking
Date DD / MM / YYYY Date:Wed Oct 13 19:03:26 IST 2021
Ver: 3.2 1
Angel Broking Ltd.
SECOND HOLDER
KNOW YOUR CLIENT (KYC) |
APPLICATION FORM (FOR INDIVIDUALS ONLY) Application No. : AB15872658
Please fill in ENGLISH & in BLOCK LETTERS with black/blue ink & tick the appropriate options
A. IDENTITY DETAILS
1. Name of Applicant FIRST NAME MIDDLE NAME LAST NAME
2. Maiden Name FOR MARRIED WOMEN ONLY
3. Father’s / Spouse Name FIRST NAME MIDDLE NAME LAST NAME
4. Mother Name PHOTOGRAPH
B. ADDRESS DETAILS
1. Residence /
Correspondence
Address
City/Town/Village District
Pin Code State Country
2. Contact/Mobile No Tel (Res.)
Tel (Off.) Email id
3. Specify the proof of address submitted for Residence / Correspondence Address:
4. Permanent Address
(if different from above
correspondence address)
City/Town/Village District
Pin Code State Country
DECLARATION
I hereby declare that the details furnished above are true and correct to the best of my/our 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/we are aware that I/we 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 SH
Signature of Applicant 2/4
Date DD / MM / YYYY
Ver: 3.2 2
FATCA / CRS DECLARATION / SELF CERTIFICATION FOR INDIVIDUAL
Client Name Gadde Srikanth
First/Sole Holder
Are you U.S. Person? (Refer KYC Handout - Customer Copy) Yes ✔ No No
Specify country of residence for tax purpose (Tax Residency) ✔ India Other Yes
Specify country of citizenship ✔ India Other India
A. BANK ACCOUNT DETAILS - Payin / Payout of funds will be routed through the said bank account only
PAYTM PAYMENTS BANK LTD
Bank Name & Branch Location:
Account No. 918897190815 ✔ Savings Current Saving
MICR Code IFSC Code PYTM0123456
B. DEPOSITORY ACCOUNT DETAILS (DP1 DETAILS CONSIDERED FOR PAYOUT OF SECURITIES IF FILLED)
DP 1 Details DP 2 Details
Depository CDSL CDSL NSDL
DP Name Angel Broking Ltd
Client Name
DP ID 12033200
BO ID 1203320085212919
C. TRADING PREFERENCES (Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.)
Stock Exchanges
NSE BSE
All Exchanges
FH DIGITALLY SIGNED
MCX NCDEX 1/11
4/9
NSE BSE
I hearby confirm having knowledge
of risks associated with dealing
I hearby confirm having knowledge
of risks associated with dealing
BOTH
in Currency derivatives segment in Currency derivatives segment
FH DIGITALLY SIGNED
1/11
5/9
For any additional segment / exchange, separate authorization/letter shall be required from the client
Margin Trading Facility ( Refer Rights & Obligation document) ✔ Yes No Yes
Wish to make Nomination in trading and Demat account Yes ✔ No (If yes, please fill up annexure “A”)
No
Interested in Receiving WhatsApp Notifications ✔ Yes No Yes
F. PAST ACTIONS
Details of any action / proceedings initiated / pending / taken by SEBI / Exchanges / any other authority against the applicant / constituent or its
Partners / promoters / whole time directors /authorized persons in charge of dealing in securities / commodities during the last 3 years:
✔ No If yes, please specify No
G. GST REGISTRATION DETAILS
Registration No Validity Date Name of the State
GSTIN No: DD / MM / YYYY
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.2 4
H. DEALING THROUGH SUB-BROKERS / AUTHORISED PERSON (AP) / OTHER STOCK BROKERS
If Yes, please specify: -
Name of Stock Broker - Name of SB/AP -
Name of Exchange - Client Code (as given by other broker)
Details of disputes/dues pending from/to such stock broker/sub-broker:
Whether you are a Member / Sub-broker / AP of any Exchange Yes ✔ No
If yes, provide SEBI / Exchanges registration no: Ph. Website:
I. INTRODUCER DETAILS
Status of Introducer Sub-broker/AP Employee Existing Client ✔ Others (Specify): Self
Introducer Name: SB/Emp/Client Code:
Address:
Mobile No:
DECLARATION
FH SH TH
6/9 DIGITALLY SIGNED 3/4 1/2
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.2 5
Trading Brokerage and Demat Tariff for Individual (POA client )
iTrade Prime
Plan Name ✔ Angel 699 Angel Classic Angel Preferred Angel Premier
- DP AMC Charges @ 450 / Year Free for 1 yr Free for 1 yr Free for 2 yr Free for 3 yr
- Online Fund Transfer via Net Banking & UPI Free Free Free Free
-Delay Payment Charges (DPC) on outstanding bill amount if 1.5 % Per month
not paid within due date (levied every 15 days)
Notes :
1.Brokerage is levied per executed order across all segments
2. Order value for Options is calculated as ( Strike + Premium ) x Lot size. Brokerage is also charged on expired, exercised
and assigned options contract
3. Stamp duty, GST, Education cess & other statutory levies (if any) will be charged as applicable
4. Above tariff is subject to change. Changes if any will be intimated 30 days in advance
FH SH TH
DIGITALLY SIGNED
7/9 4/4 2/2
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.2 6
PLEASE TICK WHICHEVER IS APPLICABLE
✔ A. CLIENT DECLARATION - OPEN INTEREST POSITION
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.2 8
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.2 9
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.2 10
I/We hereby state & confirm that I have read & understood the terms & conditions as mentioned above & agree to abide by the same.
Note: In case of any correction in the form - Sign next to the correction done & Sign has to match the original signature Ver: 3.2 11
Ver: 3.2 12
I would like to avail of Margin Trading Facility and agree to the above Rights & Obligation
FH
Client Signature 9/9 DIGITALLY SIGNED
Ver: 3.2 13
ANNEXURE-A
NOMINEE DETAILS FOR TRADING AND DEMAT ACCOUNT
Client Name Trading Code DP ID 12033200 Client ID
I/We wish to nominate ✔ I/We do not wish to nominate
Nominee Details *Nominee 1 *Nominee 2 *Nominee 3
First Name
Middle Name
Last Name
Address
City
State
PIN
Contact Details
PAN
UIDAI
Date of Birth
% of allocation of Securties
Relationship with BO
GUARDIAN DETAILS (IF NOMINEE IS A MINOR)
First Name
Address
City
State / Country
PIN
Relationship with Nominee
Guardian Signature
FH DIGITALLY SIGNED SH TH
Ver: 3.2 14
Angel Broking Ltd
Registered / Correspondence Office: G-1, Ackruti Trade Centre, Road No. 7, MIDC, Andheri (E), Mumbai - 400 093.
Tel.: 91 22 4231 9600 / 3083 7700. Fax: 91 22 2835 8811. Website: www.angelbroking.com. CIN: U67120MH1996PLC101709
Member: Bombay Stock Exchange Ltd. / National Stock Exchange of India Ltd./ Metropolitan Stock Exchange of India Ltd. /
Multi Commodity Exchange of India Ltd. / National Commodity & Derivatives Exchange Ltd. / CDSL-Depository Participant
National Commodity & Derivatives Exchange Ltd. (Trading cum Clearing Member)
TM Code - 00220
For any grievance/dispute please contact Angel Broking Ltd at the above address or email id: support@angelbroking.com
and Phone no.: 022-3355 1111 / 4281 5454. In case not satisfied with the response, please contact the concerned exchange(s):
BSE Email: is@bseindia.com & Tel.: (022) 2272 8097 | 1&'(; (PDLO DVNXV#QFGH[FRP _ NSE Email: ignse@nse.co.in
& Tel.: (022) 2659 8190 | MCX Email: customersupport@mcxindia.com & Tel No: (022) 6731 8888 | CDSL Email:
complaints@cdslindia.com & Tel.: (022) 2272 3333 | SEBI Web: http://scores.gov.in & Toll Free Helpline: 1800 22 7575 / 1800 266 7575.
Compliance Officer Name: Mr. Rajiv Kejriwal Tel.: 91 22 3941 3940. Email ID: compliance@angelbroking.com
CEO Name: Mr. Vinay Agrawal. Tel.: 022 - 3355 1111 / 4218 5454. Email ID: support@angelbroking.com
Also refer our website: www.angelbroking.com for updated details, if any.
UIDAINO.
Name Gadde Srikanth
Gender ,Male
✔ r Female
Date of birth 20-09-2002
Mobile No.
Email
I say that I fetched my personal data above, from UIDAI database using my Aadhaar. The data
have been provided by UIDAI in XML format and I uploaded the data to Angel Broking Ltd. for
doing KYC with them.
IMPS Verified Bank Proof
Account No : 918897190815
MICR NO :
Reference Number :
Lively Photo:
Geolocation Detail:
Country India
Region N/A
City KANDUKUR
Zip N/A
Latitude 20.0063
Longitude 77.0060