RAS Application Form Name of the Applicant *Fathers/ husband’s name *PAN Number *Date of Birth *Aadhar Number *Gender *MaleFemaleNationality *Permanent/Correspondence Address : *Tel./Mobile No. *Email *Signature *Choose FileNo file chosenDelete uploaded fileWith dateSelf-Attested PAN Card *Choose FileNo file chosenDelete uploaded fileSelf-Attested Aadhar Card *Choose FileNo file chosenDelete uploaded fileOccupation *BusinessProfessionalSelf‐EmployedStudentHousewifeRetiredService (Pvt)Service (Govt)FarmingOthersIf Selected Others ‐ Specify here *DeclarationsNo action taken by SEBI/ Stock Exchange/ any other authority for violation of securities laws/ other economic offences as on date, If taken submit details with this formConsent *I/ We hereby submit that I/We will immediately inform you in case I am/We are convicted under any grounds or any action is taken against me/us by any authorityConsent *I/We undertake to provide all the disclosures as required under SEBI (Insider Trading) Regulations, Prevention of Money Laundering Act 2002 as amended from time to time or any other Act/Regulation.Consent *I/We hereby declare that the amount given/to be given by me/us to the Research Analyst for services is derived through legitimate sources and is not held or designed for the purpose of contravention of any act, rules, regulations or any statute or legislation including Prevention ofMoney Laundering Act, 2002 or any other applicable laws or any notifications, directions issued by any governmental or statutory authority from time to time.Consent *I/We have disclosed all the details properly and correctly. I/We undertake to inform you in writing of any change in the particulars furnished above. I/We further agree that I/We shall be held liablefor any false/misleading information given by me/us.Consent *I will Submit KYC Form Attached herewith along with Documents to you along with this form as per rules, Regulations and Guidelines of SEBI.Consent * will cooperate with Investment Advisor from my Part to comply with the requirement of Rules, Regulation, Circulars, Notification issued under SECURITIES AND EXCHANGE BOARD OF INDIA ACT 1992 including SECURITIES AND EXCHANGE BOARD OF INDIA (RESEARCH ANALYSTS) REGULATIONS, 2014 as amended from time to time.Consent *I have seen, read, and understand Privacy Policy, Standard Disclosures, Disclaimer, terms and conditions, Refund Policy and formal agreement of investment adviser. I agree to all that without any exception.Consent *I know that “Investment in securities market are subject to market risks. Read all the related documents carefully before investing.” Further I also know that “Registration granted by SEBI membership of a SEBI recognized supervisory body (if any) and certification from NISM in no way guarantee performance of the intermediary or provide any assurance of returns to investors.”Date *Place *Signature of Applicant *Choose FileNo file chosenDelete uploaded fileRisk Factors: Securities investments are subject to market risks and there is no assurance or guarantee that the objectives of the Investment Adviser will be achieved. As with any securities investment, the value of the Investment can go up or down depending on the factors and forces affecting the capital markets. Investment Advisor/we are not responsible or liable for losses resulting from the operations of the Investment.SUBMIT KYC Form A. IDENTITY DETAILS1. Name of the applicant *Recent passport size photograph and sign halfway across the form and the photo *Choose FileNo file chosenDelete uploaded file2. Father's/Spouse Name *3. (a) Gender *MaleFemale(b) Marital Status *SingleMarried(c) Date Of Birth *4. (a) Nationality *(b) Status *Resident IndividualNon ResidentForeign National5. (a) PAN Number *(b) Aadhaar Number *PAN Card *Choose FileNo file chosenDelete uploaded fileUpload Both Side pdfAadhar Card *Choose FileNo file chosenDelete uploaded fileUpload Both Side pdfADDRESS DETAILS1. Address *Residence AddressCorrespondence AddressProper Detailed Address *City/Town/Village *Pin Code *State *Country *2. Specify Proof of address submitted for Residence/Correspondence Address *Choose FileNo file chosenDelete uploaded file3. Tel. (Res.) *Tel. (Off.)Fax No.Mobile No. *Email Id *4. Permanent Address (If different from above. Mandatory for Non-Resident Applicant to specify overseas address,)C. DECLARATIONConsent *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..Date *Signature of the Applicant *Choose FileNo file chosenDelete uploaded fileINSTRUCTION/CHECK LIST FOR FILLING KYC FORMA. IMPORTANT POINTS: *1. Self-attested copy of PAN card is mandatory for all clients, includingPromoters/Partners/Karta/Trustees and whole time directors and persons authorized to deal in securities on behalf of company/firm/others.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/PIO Card/OCI Card 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, seniorexecutives of state owned corporations, important political party officials, etc.B. Proof of Identity (POI): - List of documents admissible as Proof of Identity: *1. Unique Identification Number (UID) (Aadhaar)/ Passport/ Voter ID card/ Driving license.2. PAN card with photograph.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 Banks.C. Proof of Address (POA): - List of documents admissible as Proof of Address: *1. Passport/ Voters Identity Card/ Ration Card/ Unique Identification Number (UID)/Aadhaar Letter/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. Bank Account 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 SectorUndertakings, 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 FII/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.SUBMIT