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