CoimbatoreCa

Coimbatore Capital Limited

CLIENT REGISTRATION FORM (Individual)

APPLICATION N U M B E R

CLIENT N A M E :

CM

CLIENT CODE:

K&O

C L I E N T - I D :

CD

Branch Address (Seal)

For easv contact and communication

Mobile No.

Email Id

Application Form for Opening DP Account

Coimbatore Capital LimitedStock Exchange Building, 686, Trichy Road, Coimbatore - 641 005.

Phone : 0422 - 2320205 - 06 Fax : 0422 - 2320211Website : www.coimbatorecapital.com

Check list for filling Application Form for KYC

A. Important Points:

1. Don't fold the application form.2. Use Black Pen to fill all the columns and to sign.3. Please fill in the date.4. Use only capital letters.5. Paste your recent passport size photo in the

application form. Don't staple the photo.6. If any proof of identity or address is in a foreign

language, then translation into English is required.7. Name & address of the applicant mentioned on the

KYC form, should match with the documentaryproofsubmitted.

8. If correspondence & permanent address are different,then proof for both have to be submitted.

9. For opening an account with Depository participantor Mutual Fund, for a minor, photocopy of the SchoolLeaving Certificate/Mark sheet issued by HigherSecondary Board/Passport of Minor/BirthCertificate must be provided.

10. Photocopy of the first page of Bank Pass Bookcontaining details like Account Holder Name,Account number, type of account, address of theaccount holder, address of the bank in full, etc.

11. Copy of Pass Book, Pages containing the transactiondetails of the immediate past quarter.(The bankstatement should be of the latest quarter ending eg.Depository accounts opened in the month of April,May and June should be supported by the bankstatement of the quarter ending March 31) Incase thebank does not provide a pass book, then the statementas said above, printed on the bank stationery must beprovided. If the bank provides the statement on aplain sheet, the same should be attested by the officialof the bank with seal.

B. List of documents admissible as Proof ofIdentity:

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 / StateGovernment and its Departments, Statutory /

Regulatory Authorities, Public Sector Undertakings,Scheduled Commercial Banks, Public FinancialInstitutions, Colleges affiliated to Universities,Professional Bodies such as ICAI, 1C WAI, ICSI, BarCouncil etc., to their Members; and Creditcards/Debit cards issued by Banks.

C. List of documents admissible as Proof ofAddress:(^Documents having an expiry date should be validon the date of submission.)

1. Passport/ Voters Identity Card/ Ration Card/Registered Lease or Sale Agreement of Residence/Driving License/ Flat Maintenance bill/ InsuranceCopy.

2. Utility bills like Telephone Bill (only land line),Electricity bill or Gas bill - Not more than 3 monthsold.

3. Bank Account Statement/Passbook ~ Not more than3 months old.

4. Self-declaration by High Court and Supreme Courtjudges, giving the new address in respect of theirown accounts.

5. Proof of address issued by any of the following:Bank Managers of Scheduled CommercialBanks/Scheduled Co-Operative Bank/MultinationalForeign Banks/Gazetted Officer/Notary public/Elected representatives to the Legislative Assembly /Parliament / Documents issued by any Govt orStatutory Authority.

6. Identity card/document with address, issued by anyof the following: Central/State Government and itsDepartments, Statutory/Regulatory Authorities,Public Sector Undertakings, Scheduled CommercialBanks, Public Financial Institutions, Collegesaffiliated to Universities and Professional Bodiessuch as ICAI, 1C WAI, ICSI, Bar Council etc., to theirMembers.

7. For FH/sub account, Power of Attorney given byFll/sub-account to the Custodians (which are dulynotarized and/or apostiled or consularised) that givesthe registered address should be taken.

8. The proof of address in the name of the spouse maybe accepted.

Copy of the Proofs should be signed by account holders and attested by a staff ofCoimbatore Capital Limited holding valid NISM certification.

ANNEXURE-JPart I - Know Your Client (KYC) Application Form (for Individuals)

Coimbatore Capital LimitedDP ID: IN 300175

Stock Exchange Building, 686, Trichy Road, Coimbatore - 641 005.Phone : 0422 - 2320205 - 06 Fax : 0422 - 2320211

E-mail: dp@coimbatorecapital.net Website : www.coimbatorecapital.com

KRARef.

Please fill this form in ENGLISH and in BLOCK LETTERS

A. IDENTITY DETAILSName of the Applicant(as in PAN Card)

Father's Name

Spouse Name

Date of BirthM W ¥ Y V

Gender : Male Q Female Q Marital Status : Married Q] Unma

Nationality Status : n Resident Individus

Permanent Account Number (PAN)

Aadhaar Number, if any

Specify the proof of Identity submitted

B. ADDRESS DETAILS

Address forCorrespondence

Contact Details

Specify the proof ofaddress submitted forcorrespondence address

No.

PHOTOGRAPH

Please affix yourrecent passport size

..-sign across it

©

fried [~1

J O Non Resident Q Foreign National

~ ~~ •" .v;-; .•:,•]

C ity/Town /Vi 1 lage

State

Tel. (Off) Tel

Pin Code

Country

(Res)

Fax No. Mobile No.

E-mail ID

Permanent Address(if different from aboveor overseas address,mandatory forNon-ResidentApplicant)

Specify the proof ofaddress submitted forpermanent address

City/Town/Village Pin Code

State Country

DECLARATIONI hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and Iundertake to inform you of any changes therein, immediately. In case any of the above information is found to befalse or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

DateSignature of the Applicant

FOR OFFICE USE ONLY

I""! (Originals verified) True copies of documents received

[~] (Self-Attested) Self Certified Document copies received

Signature of the CCap - Branch Staffwith date

Branch Seal

Signature

Name of the Staff

DP-NCFM/NCDO/NISMNo.

lii-Person Verification(Branch Staff)

KRA Process Approved by(H.O)

Application No.

ANNEXURE-JPart II - Account Opening Form (for Individuals)

Coimbatore Capital LimitedDP ID: IN 300175

Stock Exchange Building, 686, Trichy Road, Coimbatore - 641 005.Phone : 0422 - 2320205 - 06 Fax : 0422 - 2320211

E-mail: dp@coimbatorecapital.net Website : www.coimbatorecapital.com

Date Client-Id(To be filled by Participant)

(Please fill all the details in CAPITAL LETTERS only)

I / We request you to open a depository account in my / our name as per the following details.

A. Details of Account Holder(s)

AccountHolder(s) Sole / First Holder Second Holder

Name

PAN

AccountHolder(s)Occupation(please tickany oneand givebriefdetails)

] Private Sector | | Agriculturist

] Public Sector Q Retired

GovernmentService

] Bussiness ^] StudentsOther

\l J (Pleasespecify)

Private Sector

Public Sector

I — 1 Government' — ' Service

Agriculturist

Retired

House Wife

I | Private Sector | | Agriculturist

D Public Sector Q Retired

D Government i—i u nreC™™ _J House Wife

I | Bussiness I I Students_ _ Other| | Professional | | (Please

specify)

Service

Bussiness

Professional

O StudentsOther

I | (Pleasespecify)

Briefdetails

Each and every Account Holder must submit a separate KYC Application Form,

B. For HUF, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., althoughthe account is opened in the name of the natural persons, the name & PAN of theHUF, Association of Persons(AOP), Partnership Firm, Unregistered Trust, etc., should bementioned below :

Entity Name : PAN

C. Type of Account

[] Ordinary Resident Q NRI - Repartiable H] NRI - Non Repartiable

J""| Qualified Foreign Investor I i Foreign National |~1 Promoter

D Margin 1 Others (Please specify)

D. In case of NRIs / Foreign Nationals

RBI Approval RBI ApprovalReference Number Date

£. Bank Details

Bank Account Type

Bank Account No.

Bank Name

MICR Code

.' - .

["I Savings Account |~| Current Account Q Others (Please speafy)

City/Town/Village Pin Code

State Country

IFSC

F. Other DetailsGross Annual Incomedetails (please specify)

(or) Net-worth

Please tick, *if applicable

D<^1 Lakh D^I-5Lac n* 5-10 Lac C

As on ?_£

.

? 10-25 Lac Q>^25Lac

5

>hould not be older than 1 year)

I | Politically Exposed Person (PEP)O Related to a Politically Exposed Person (PEP)

G. Standing Instructions

I/We authorise you to receive credits automatically into my/our account

I/We request you to enable my / our depository account with Flag"Standing Instruction for Auto Pledge Confirmation"

•• " • - ' - ; ,'t

D Yes D No

D Yes n No

H. Power of Attorney

Account to be operated through Power of Attorney (PoA) D Yes No

(to be fi I led by persons seeking to open a depository account who have give power of attorney to operate the depositoryaccount to a stock broker / Participant / Portfolio manager and do not intend to open a Basic Service Demat Account)

Option for issuance of DIS booklet (please tick any one)

Option 1 Q I / We wish to receive the Delivery Instructions Slip (DIS) booklet with account opening

Option 2 [] I / We do not wish to receive the DIS booklet with account opening. However, the DIS bookletshould be issued to me / us immediately on my / our request at any later date.

SMS Alert Facility [Mandatory if you are giving Power of Attorney (PoA). Ensure that the mobile number isprovided in the KYC Application Form]

1 . Sole / First Holder

2. Second Holder

3. Third Holder

D Yes

D Yes

D Yes

D No

D No

n NOI. Green Statement (transaction cum holding statement through e-mail)

I / We wish to receive the holding and transaction statement through e-mail Yes No

If you avail Green statement facility1. YoucansaveRs. 150annually ieyouneedtopayreducedAMC.2. If there is any change in your e-mail id, immediately inform to us by writing / mail from the existing e-mail id.3. Hard copy of the holding / transaction statement will be provided to you for the month of March only, every year,4. Read Note 4 and ensure that email ID is provided in KYC Application Form

J. Basic Services Demat Account (BSDA)

I / We request you to open my / our depository account as a BSDA Yes D No

I / We have read and understood the Securities and Exchange Board of India's guidelines for facility for a BSDA.I / We hereby declare that I / we am / are eligible to open a depository account as a BSDA holder and undertake tocomply with the requirements specified by Securities and Exchange Board of India (SEBI) or any such authorityfor such facility from time to time. I/We also understand that in case I/We at any point of time do not meet theeligibility as a BSDA holder, my/our aforesaid account is liable to be converted to regular account.

K. Guardian Details (Where sole holder is a minor)[For account of a minor, two KYC Application Forms must be filled i.e. one for the guardian and another forthe minor (to be signed by guardian]

Guardian Name

PANRelationship ofguardian with minor

L. Nomination Option

I/We wish to make a nomination.(As per details given below)

I/We do not wish to make a nomination.(Strike off the nomination details below)

Nomination DetailsI/We wish to make a nomination and do hereby nominate the following person in whom all rights and/or amountpayable in respect of securities held in the Depository by me/us in the said beneficiary owner account shall vest in theevent of my/our death.

1

2

3

4

Name of theNominee (Mr/Mrs.)

Relationship with theApplicant (if any)

Address ofNominee

Contactdetails ofNominee

City/Town/Village

State

Tel. (Off.) Tel. (Re

Fax No. Mobile

Email ID

Pin Code

Country

s.)

No.

5. Nominee Identification details (please tick any one from (a) to (0 and provide details of the same)

(a) n (0

V

Photograph

PHOTOGRAPHof NOMINEE

Please affixpassport size

photograph and..sign across it

•ooBJ

cB

u(3Q£

(ii)

Signature

XSignature of Nominee

(b)

(c)

(d)

(e)

(e)

DD

D

D

PAN of Nominee

Aadhaar Number of Nominee

Savings Bank Account Number of nominee,if maintained with the same Participant

Copy of any proof of identity document(accompanied by original for verification or dulyattested by any entity authorized for attesting thedocuments, as provided in AnnexureJB)

Demat account details of nomineeDP ID

Client ID

Sr.Nos. 6 -11 should be filled only if nominee is a minor

Date of Birth(in case of minor nominee)

Name of Guardian (Mr/Mrs.)(in case of minor nominee)

Address ofGuardian City/Town/Village Pin Code

State Country

Contactdetails ofGuardian

Tel. (Off.)

Fax No.

Email ID

Tel. (Res.)

Mobile No.

10 Relationship of guardian with nominee

11. Guardian Identification details (please tick any one from (a) to (f) and provide details of the same)

(a)

(b)

(c)

(d)

(e)

D

^—̂

D

(0

Photograph

V

PHOTOGRAPHof GUARDIAN

Please affixpassport size

photograph andsign across it

OiVIpBB.1VIV1

_wE

PAN of Guardian

Aadhaar Number of Guardian

Savings Bank Account Number of guardian,if maintained with the same Participant

Copy of any proof of identity document(accompanied by original for verification or dulyattested by any entity authorized for attesting thedocuments, as provided in AnnexureJB)

(")

Signature

XSignature of Guardian

(e) Demat account details of guardianDP ID

Client ID

DeclarationThe rules and regulations of the Depository and Depository participants pertaining to an account which are in forcenow have been read by me/us and I/we have understood the same and I/we agree to abide by and to be bound by therules as are in force from time to time for such accounts. I/we hereby declare that the details furnished above are trueand 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, Iam / we are aware that I/we may be held liable for ir. In case non-resident account, I/we also declare that I/we havecomplied and will continue to comply with FEM A regulations.

I / We acknowledge the receipt of copy of the document, "Rights and Obligations of the Beneficial Owner andDepository Participant"

Name(s) of holder(s)

Sole/First Holder/Guardian (in casesole holder is minor)

Second Holder

Third Holder

Signature(s) of holder

©

©

©

Notes:1.2.

All communications will be sent at the address of the Sole / First holder only.Thumb impressions and signatures other than English or Hindi or any of the language not contained in the VIIISchedule of the Constitution of India must be attested by a Magistrate or aNotary Public ora Special ExecutiveMagistrate.Instructions related to nomination, are as below:a. The nomination can be made only by individuals holding beneficiary owner accounts on their own behalf

singly or jointly. Non-individuals including society, trust, body corporate, partnership firm, karta ofHindu Undivided Family, holder of power of attorney cannot nominate. If the account is held jointly alljoint holders will sign the nomination form.

b. A minor can be nominated. In that event, the name and address of the Guardian of the minor nominee shallbe provided by the beneficial owner.

c. The Nominee shall not be a trust, society, body corporate, partnership firm, karta of Hindu UndividedFamily or a power of Attorney holder. A non-resident Indian can be a Nominee, subject to the exchangecontrols in force, from time to time.

d. Nominee in respect of the beneficiary owner account stands rescinded upon closure of the beneficiaryowner account. Similarly, the nomination in respect of the securities shall stand terminated upon transferof the securities.

e. Transfer of securities in favour ofNominee shall be valid discharge by the depository against the legal heir.f. The cancellation of nomination can be made by individuals only holding beneficiary owner accounts on

their own behalf singly orjointly by the same persons who made the original nomination. Non-individualsincluding society, trust, body corporate, partnership firm, karta of Hindu Undivided Family, holder ofpower of attorney cannot cancel the nomination. It the beneficiary owner account is held, jointly, all jointholders will sign the cancellation form.

g. On cancellation of the nomination, the nomination shall stand rescinded and the depository shall not beunder any obligation to transfer the securities in favour of the Nominee.

For receiving Statement of Account in electronic form:i. Client must ensure the confidentiality of the password of the email account.ii. Client must promptly inform the Participant if the email address has changed.iii. Client may opt to terminate this facility by giving 10 days prior notice. Similarly , Participant may also

terminate this facility by giving 10 days prior notice.Strike off whichever is not applicable.

* Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominentpublic functions in a foreign country, e.g., Heads of States or of Governments, Senior Politicians, SeniorGovernment / Judicial Military Officers, Senior Executives of State Owned Corporations, important PoliticalParty officials, etc.,

Fee Schedule-2015

Particulars

Account Opening

KYC

Annual MaintenanceCharges (AMC)

Transaction Charges

Demat/Conversionof MF Units

Remat

Pledge

Account Opening charges

Modification and registering with other KRA

Individual

Corporate

Credit

Debit

(Per

Transaction)

Holding up to 25 ISINs *

Holding more than 25 ISINs *

Green Statement **

Any number of ISINs, Including NSDL fee of Rs.500

Buy/Receipt

Thru' Delivery Instruction Slip (DIS)

Thru' Power of Attorney in favour of CCap

Thru ' Speed-e

Maximum No. of certificates per request is 10

Rs.

Nil

40

250

500

100

1000

Nil

30

20

20

200

lOpaisa per security subject to a minimum of Rs.250

Creation

Confirmation

Invoking

per instruction 100

Above charges are inclusive of Service Tax of 12.36 %ALL CHARGES TO BE PAID UPFRONT

1. * Average holding of 251 SINs during the preceding year2. * * Green Statement - those who had opted for e-statement. i .e. transaction cum holding statement through e-mai 13. You may order for DIS based on your requirement as and when necessary. No Compulsion to buy DIS at the time

of account opening4. DIS Booklets are available in 4,10 and 20 leaves.5. DIS purchased on or before 30.09.2014 is valid up to December 2015 only, as per SEBI directive.6. Any additional statement apart from the monthly Statement of Holdings and Transaction will be charged at the

rate of Rs. 10 per page, subject to a minimum of Rs.50.7. Speed-e users need to make a refundable deposit of Rs.500/- at the time of applying for the same.

Record of In-person Verification

Annexure to the Application Form (Annexure J)

Verification of original documents and In-person verification done by the officials as per Circular Number :NSDL/POLICY/2007/0016 dated 16/03/2007, NSDL/POLICY/2006/2007 dated 03/03/2006 andNSDL/PI/2004/1622 dated 07//09/2004.

I have physically seen the following original documents and visited the following address. The face of theperson matches with the photograph.

Client(s) Name First / Sole Holder :

Second Holder :

Third Holder :

Client(s) Signature in the presenceof Official once again :

First / Sole Holder :

Second Holder :

Third Holder :

In-person verification done by

Name :

Place of In-person verification :

Date of In-person verification :

Branch Address :

Signature of Staff :

Verified with originals done by

Branch Address :

f

Signature of NCFM Official :

Date - :

Date of Submission of Application :

DP Branch Seal :

©

©

©

Client Registration Form

CoimbatoreCapital

Coimbatore Capital LimitedStock Exchange Building, 686, Trichy Road, Coimbatore 641 005.

Client Registration Department: 0422 2320202 06 ExtnNo.148/149 Fax:0422-2320211Website: www.coimbatorecapital.com ; Email: clientregn@coimbatorecapital.net

INSTRUCTIONS/CHECK LIST FOR FILLING KYC FORM

A. Important Points:1. Self attested copy of PAN card is mandatory for

all clients, including Promoters / Partners / Karta/ Trustees and Whole Time Directors and personsauthorized to deal in securities on behalf ofcom pany/firm/others.

2. Copies of all the documents submitted by theappl icant should be self-attested andaccompanied by originals for verification. Incase the original of any document is not producedfor verification, then the copies should beproperly attested by entities authorized forattesting the documents, as per the belowmentioned list fin (E)].

3. If any proof of identity or address is in a foreignlanguage, then translation into English isrequired.

4. Name & address of the applicant mentioned onthe KYC form, should match with thedocumentary proof submitted.

5. If correspondence & permanent address aredifferent, then proof for both have to besubmitted.

6. Sole proprietor must make the application in hisindividual name & capacity.

7. For non-residents and foreign nationals, (will beallowed to trade subject to RBI and FEMAguidelines), copy of passport/PIO Card/OCICard and overseas address proof is mandatory.

8. For foreign entities, CIN is optional; and in theabsence of DIN no. for the directors, theirpassport copy should be given.

9. In case of Merchant Navy NRI's, Mariner'sdeclaration or certified copy of CDC(Continuous Discharge Certificate) is to besubmitted.

10. For opening an account with Depositoryparticipant or Mutual Fund, for a minor,photocopy of the School LeavingCertificate/Mark sheet issued by HigherSecondary Board/Passport of Minor/BirthCertificate must be provided.

11. Politically Exposed Persons (PEP) are defined asindividuals who are or have been entrusted withprominent public functions in a foreign country,e.g., Heads of States or of Governments, seniorpoliticians, senior Government/judicial/ military

officers, senior executives of state ownedcorporations, important political party officials,etc.

B. Proof of Identity (Pol): O- List of documents admissible as Proof ofIdentity:1. Un ique Iden t i f i ca t ion Number (UID)

(Aadhaar) @ / Passport/ Voter ID card/ Drivinglicense.

2. PAN card with photograph. ©3. Identity card/ document with applicant's Photo,

issued by any of the following: Central/StateG o v e r n m e n t and i t s D e p a r t m e n t s ,Statutory/Regulatory Authorities, Public SectorUndertakings, Scheduled Commercial Banks,Public Financial Institutions, Colleges affiliatedto Universities, Professional Bodies such asICAI, ICWAI, ICSI, Bar Council etc., to theirMembers; and Credit cards/Debit cards issuedby Banks.

C. Proof of Address (PoA): 0- List of documents admissible as Proof ofAddress:(^Documents having an expiry date should be validon the date ofsubmission.)1. Passport/ Voters Identity Card/ Ration Card/

Registered Lease or Sale Agreement ofResidence/ Driving License/ Flat Maintenancebill/ Insurance Copy.

2. Utility bills like Telephone Bill (only land line),Electricity bill or Gas bill - Not more than 3months old.

3. Bank Account Statement/Passbook — Not morethan 3 months old.

4. Self-declaration by High Court and SupremeCourt judges, giving the new address in respectof their own accounts.

5. Proof of address issued by any of the following:Bank Managers of Scheduled CommercialB a n k s / S c h e d u l e d C o - O p e r a t i v eBank/Multinational Foreign Banks/GazettedOfficer/Notary public/Elected representatives tothe Legislative Assembly / Parliament /Documents issued by any Govt. or StatutoryAuthority.

6. Identity card/document with address, issued byany of the following: Central/State Governmentand its Departments, Statutory/RegulatoryAuthorities, Public Sector Undertakings,Scheduled Commercial Banks, Public FinancialInstitutions, Colleges affiliated to Universitiesand Professional Bodies such as ICAI, 1C WAI,ICSI, Bar Council etc., to their Members.

7. For FH/sub account, Power of Attorney given byFH/sub-account to the Custodians (which areduly notarized and/or apostiled or consularised)that gives the registered address should be taken.

8. The proof of address in the name of the spousemay be accepted.

D. Exemptions/clarifications to PAN(*Sufflcient documentary evidence in support ofsuch claims to be collected.)1. In case of transactions undertaken on behalf of

Central Government and/or State Governmentand by officials appointed by Courts e.g. Officialliquidator, 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, OOO/- p.a.5. In case of institutional clients, namely, FIIs, MFs,

VCFs, FVCIs, Scheduled Commercial Banks,Multilateral and Bilateral DevelopmentFinancial Institutions, State IndustrialDevelopment Corporations, InsuranceCompanies registered with IRDA and PublicFinancial Institution as defined under section 4Aof the Companies Act, 1956, Custodians shallverify the PAN card details with the original PANcard and provide duly certified copies of suchverified PAN details to the intermediary.

E. List of people authorized to attest thedocuments:1. Notary Public, Gazetted Officer, Manager of a

Scheduled Commercial/ Co-operative Bank orM u l t i n a t i o n a l Foreign Banks (Name,Designation & Seal should be affixed on thecopy).

2. In case of NRIs, authorized officials of overseasbranches of Scheduled Commercial Banksregistered in India, Notary Public, CourtMagistrate, Judge, Indian Embassy /ConsulateGeneral in the country where the client residesare permitted to attest the documents.

CoimbatoreCapital

F. Instructions / Check List for fillingadditional information document

1. Additional documents in case of trading inderivatives segments - illustrative list © :(Evidence of Financial details)

t

Copy of ITR AcknowledgementCopy of Annual AccountsIn case of salary income - Salary Slip, Copy ofForm 16Net worth certificateCopy of demat account holding statement.Bank account statement for last 6 monthsAny other relevant documents substantiatingownership of assets.Self declaration with relevant supportingdocuments.

*In respect of other clients, documents as per riskmanagement policy of the stock broker need to beprovided by the client from time to time.

2. Copy of cancelled cheque leaf pass book/bankstatement specifying name of the constituent, MICRCode or/and IFSC Code of the bank should besubmitted. ®

3. Demat Account proof:®

Demat master or recent holding statement issued byDP bearing name of the client.

4. For individuals:a. Stock broker has an option of doing 'in-person'

verification through web camera at the branch officeof the stock broker/sub-broker's office.

b. In case of non-resident clients, employees at the stockbroker's local office, overseas can do in-person'verification. Further, considering the infeasibility ofcarrying out 'In-person1 verification of the non-resident clients by the stock broker's staff, attestationof KYC documents by Notary Public, Court,Magistrate, Judge, Local Banker, Indian Embassy /Consulate General in the country where the clientresides may be permitted.

5. Fornon-individuals:a. Form need to be initialized by all the authorized

signatories.b. Copy of Board Resolution or declaration (on the

letterhead) naming the persons authorized to deal insecurities on behalf of company/firm/others and theirspecimen signatures.

CoimbatoreCapitalt16124Application No.

Coimbatore Capital LimitedAll columns are to be filled in by the client and relevant supporting documents need to be attached by the client. Ifany question is not applicable, please write 'NA' in the space provided. Any correction or overwriting should alsobe authenticated by the client signature besides such correction. Please do not use correction fluid.All proofs should be in the name of the client with the spelling matching exactly with the application. Clientshould produce the originals of the supporting documents for verification at the time of submitting theapplication.

ACCOUNT OPENING KITIndex*

SI.No. Name of the Document Brief significance of the Document Page No. /

Ref. Nos.

DOCKET AMANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & NSE

1.

2.

3.

4.

5.

6.

Account Opening Form(AOF)

Rights and Obligations*

Risk Disclosure Document(RDD)*

Guidance Note *

Policies and Procedures *

Tariff Sheet*

A. KYC form - Document captures the basic informationabout the constituent(Ref. A-E of instruction/check list)

B. Document captures additional information about theconstituent relevant to trading account(Ref. F of instruction/check list)

Document stating the Rights & Obligations of CoimbatoreCapital Limited and client for trading on NSE (includingadditional rights & obligations in case of internet / wirelesstechnology based trading)

Document detailing risks associated with dealing in thesecurities market.

Document detailing do's and don'ts for trading on NSE, forthe education of the investors.

Document describing significant policies and procedures ofCoimbatoreCapital Limited.

Document detailing the rate/amount of brokerage and othercharges levied on the client for trading on NSE .

Annexure-1(Part I of

Annexure J)

3-7Annexure-2

8-12Annexure-3

13-16Annexure-4

16-17Annexure-5

18-22Annexure-6

22Annexure-7

DOCKETSDOCUMENTS AS PROVIDED BY COIMBATORE CAPITAL LIMITED

(Additional / Non-Mandatory)

7.

8.

9.

10.

11.

12

Additional AccountOpening Form

Additional Rights andObligations *

Dematerialised SharesCredit Authorisation *

Intimation of E-Mail ID forelectronic delivery *

Running AccountAuthorisation *

Inter Segment Transfer ofFunds - Standing Instruction *

Document captures additional information about theconstituent.

Documents stating the additional Rights and Obligations ofCoimbatore Capital Limited & Client for trading on NSE.

Authorisation for receiving credits of the shares to the client'sdemat account

Helps the client to receive documents in electronic form

Helps the client to enjoy exposures linked to the credit in thetrading account

Helps the client to transfer his/her funds between the segments)registered with CCap

23-24Annexure-8

25-29Annexure-9

31Annexure-1 0

31Annexure- 11

32Annexure- 12

33Annexure-1 3

CoimbatoreCapital

SI.No.

13

14

15

16

Name of the Document

Updation for alerts by NSE *

Declaration forMobile Number *

Client DefaulterDeclaration *

Declaration regardingvoluntary requirements *

Brief significance of the Document

Help the client to received sms & email alerts by NSE forhis/her transactions in the Trading Account

Declaration to Member for receiving information/alerts/SMS/call on the mobile numberoftheclient

Declaration by client that he/she is not associated in terroristactivities or is debarred by the regulators

Declaration regarding the execution of non-mandatorydocuments for the smooth conduct of business

Page/Ref.Nos.

33Annexure-14

34Annexure-15

34Annexure-16

34Annexure-17

17 Client authorisation to operate his/her trading account through another person

17a

17b

AuthorisedRepresentative Form

Special Power of Attorney

To be submitted along with Special Power of Attorneywith Passport size photo of the client and theauthorised person pasted and cross signed.

Special Power of Attorney executed on Rs. 100non-judicial stamp paper as per the format providedby C Cap to be submitted along with the application

Availableseparatelywith CCap

Availableseparatelywith CCap

* Standard set of Documents given to the constituent.

Dated d m m y y y >

1/12

Signature of the Applicant

Contact Details

Name of stock broker/trading member/ clearing member

SEBI Registration No. and date

Registered/Correspondence officeaddress

Compliance Officer

Chief Executive Officer (CEO)

*

Coimbatore Capital Limited

CM Segment : INB 230752939Futures & Options Segment : FNF 230752939Currency Derivatives Segment : INE 230752939

26.07.199526.06.200027.08.2008

Stock Exchange Building1" Floor, 686, Trichy Road, Coimbatore - 641 005Tel: (0422) 232 02 02 - 06 Fax: (0422) 232 02 1 1Email : ccap@coimbatorecapital.netWebsite:www.coimbatorecapital.com

N. VijayakumarMobile : 93454 04440Email: n.viyajakumar@ccap.co.in

Mr B VenkateswaranTel:0422-652 25 25 Mobile : 93447 74141Email: bvn@coimbatorecapital.net

For any grievance/dispute please contactCoimbatore Capital Limited (CCap) at the above address or email id igrc@coimbatorecapital.net andPhone No.91-0422-652 25 25/9345404440.

In case not satisfied with the response, please contactNational Stock Exchange of India Limited (NSE) at ignse@nse.co.in and Phone No.91-022-26598190 andFaxNo.91-022-26598190Securities Exchange Board of India (SEBI) at sebisro@sebi.gov.in and Phone No.91 -44-24674000 / 24674150andFaxNo.91-44-24674001

CoimbatoreCapital

Annexure -2 Docket - A

Trading Account Related Details

Client Code

D Capital Market (CM) Segment D Futures & Options (F&O) Segment 1 1 Currency Derivatives (CD) Segment

Please fill this form in ENGLISH and in BLOCK LETTERS

Name of the Applicant ©(as in PAN Card)

A. BANK ACCOUNT(S) DETAILS ©

Bank Name Branch Address BankAccount No.

B. DEPOSITORY AGCbUNTfiEf AIL!

Depo-sitoryName

NSDL

CDSL

DP Name and Address BeneficiaryName

Account Type :Savings / Current /Others - In case ofNRI/NRE/NRO

2 A • • ' •

DP ID

1

I

N

N

MICRNumber

IFSCCode

Beneficiary OwnerAccount Number

Indi-vidual /

JointHolder

C OTHER DETAILSGross Annual Income ©details (please specify)

(or) Net-worth

Occupation(please tick any oneand give brief details)

Name of Employer(If employed)

Name of Establishment(If self employed/business/professional/others)

r - / • - • • • • • _ .D < l L a k h CM - 5 Lac Q 5 - 10 Lac Q 10 - 25 Lac Q > 25 Lac

. Rsd d m m y y y y (should n o t b e older than 1 year)

f~| Private Sector f~| Public Sector |~1 Government Service

I | Business |~1 Professional 1 1 Agriculturist 1 1 RetiredQ HnnseWife Q Students Q Others

Designation :

Office Address

Please tick,if applicable

Any other information

City Pin Code

State Country

Phone No. (Office) Fax No.

03 Politically Exposed Person (PEP)

03 Related to a Politically Exposed Person (PEP)

C TRAHINr1 PRFFFHFNPFS * Please sign in the relevant boxes where you wish to trade.

i—i Capital Market i— i Futures & Options r— • Currency DerivativesMarket segments of LJ Segment Segment SegmentNational Stock Exchange of 2*12 20/12 20/12India Limited (NSE) © © ©

# If, in future, the client wants to trade on any new segment/new exchange, separate authorization/letter will betaken from the client by CCap.

D. PAST ACTIONSDetails of any action / proceedings initiated / pending / taken by SEBI /Stock exchange / any other authority against the applicant/constituentor its Partners / promoters / whole time directors /authorized persons incharge of dealing in securities during the last 3 years

(If yes, attach relevant documents)

E. DEALINGS THROUGH SUB-BROKERS AfifD OTHER STOCK BROKERS

Whether dealing with any otherstock broker / sub broker (in casedealing with mul t ip le stockbrokers / sub-brokers, providedetails of all)

Details of disputes / dues pendingfrom / to such stock broker / sub-broker

| | Yes Name of stock broker

I — I No Name of sub-broker, if any

Client Code

Exchange

F. ADDITIONAL DETAILSWhether you wish to receivephys ica l cont rac t note orElectronic Contract Note (ECN)(Please specify)

Whether you wish to avail of thefacility of internet trading/wireless technology (pleasespecify):

|~| I wish to receive Physical Contract Note

03 1 wish to receive Electronic Contract Note (ECN)

Your E-mail Id :

03 I wish to avail Internet Trading Facility

03 I wish to avail Wireless Technology Facility

CoimbatoreCapitaltInvestment / Trading Experience

Any other information

l)No prior experience 3) years in derivatives

2) years in stock 4) years in any other investment related field

G. INTRODUCER DETAILS (OPTIONAL)

Name of the introducer

Status of introducer

Address of theintroducer

Introducers's Signature

Name Sur Name Middle Name

n sub-on Exisl

Broker O Remisier D Authorised Personing Client Q Others, please specify

City/Town/Village Pin Code

State

Tel No -

©

Country

STD Code Number

H. NOMINATION DETAILSNomination

Name of the Nominee

PAN of Nominee

PI I wish to nominate Q I do not wish to nominate

Relationship withthe nominee

Date of BirthofNominee d d m m y y y y

Address ofNominee

City/Town/Village Pin Code

State Country

Tel No - Mobile NoSTD Code Number

If Nominee is a minor, details of guardian

Name of Guardian

Address ofGuardian

Signature of Guardian

City/Town/Village Pin Code

State Country

Tel No ' Mobile NoIC' _ STOCod* Number . iVIODlie 1MO.

©

CoimbatoreCapitaleWITNESS (Only applicable in case the account holder has made nomination)

1. Signature: ® 2, Signature:..®.

Name: Name:

Address:.. Address:

DECLARATION

1.1 hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and Iundertake to inform you of any changes therein, immediately. In case any of the above information is found to befalse or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.

2.1 confirm having read/been explained and understood the contents of the document on policy and procedures of thestock broker and the tariff sheet.

3.1 further confirm having read and understood the contents of the 'Rights and Obligations' document(s) and 'RiskDisclosure Document'. I do hereby agree to be bound by such provisions as outlined in these documents. I havealso been informed that the standard set of documents has been displayed for Information on stock broker'sdesignated website, if any.

Place:

Dated d m m y y y y

3/12

(c)

Signature of the Applicant

CoimbatoreCapital

FOR OFEICE USE ONLY

UCC Code allotted to the Client:

Name of the Employee

Employee Code

Designation of the employee

Date

Signature

Documents verifiedwith Originals

®

Client Interviewed By

®

In-Person Verificationdone by

®

I / We undertake that we have made the client aware of 'Policy and Procedures', tariff sheet and all the non-mandatory documents. I/We have also made the client aware of'Rights and Obligations' document (s), RDD andGuidance Note. I/We have given/sent him a copy of all the KYC documents. I/We undertake that any change in the'Policy and Procedures', 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/ourwebsite, if any, for the information of theclients.

Signature of the CCap - Branch Staff

Dated d m m y y y y

Seal/Stamp of CCap Branch

Annexure-8 Docket - B

Additional Account Opening Form

Additional Details of Client

CoimbatoreCapita! M

(Non-Mandatory)

EducationalQualification

Market Value ofPortfolio

D Graduate Q Post Graduate Q Professional Q Others

D NIL D < 5 Lacs

Specify ...

D5 - 10 Lacs D 10 -50 Lacs HI > 50 Lacs

Spouse Information

Name

Occupation

Name & Address ofemployer (if employed)

Name & Address ofestablishment (if selfemployed / business /professional / others)

•

Bank Details of the Nominee (Proof to be enclosed)

Bank Name

Bank Branch &Address

Bank A/c Number

MICR No.

IFSC Code

Account Type Q SB G CA

Details of the known person (s) of the Client's relative(s) / friend(s)(having trading account with Coimbatore Capital Limited)

SI.No.

Name of the Person

'

•

Relationship Trading CodeCM F & O CD

Demat AccountNumber with C Cap

23

DECLARATIONI hereby declare the details furnished above are true and correct to the best of my knowledge and belief and Iundertake to inform of any changes therein immediately. In case any of the above information is found to befalse oruntrue or misleading or misrepresenting I am aware that I may be held liable for it.

4/12

Place: Signature: ©

Date: Name:

Attested(The Signature is to be attested by

your Bank Manager or a Notary Public)

Witness

Signature:

Name :

Address :

24

CoimbatoreCapital

Annexure-10DEMATERIALISED SHARES CREDIT AUTHORISATION

ToCoimbatore Capital LimitedStock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 641 005

Date:

Dear Sir,

I hereby authorise Coimbatore Capital Limited (C Cap) and its authorities to credit all my purchase of dematshares in all types of settlements in the following accounts with respect toNational Securities Depository Ltd.,(NSDL) and Centra! Depository Services (India) Ltd., (CDSL).

NSDL-DPA/cNo.

CDSL-DPA.cNo.(Fillyow 16 digitaccount number)

DP Id.

I N

Client Id.

I hereby undertake to indemnify C Cap, its authorities, executors of any consequences, costs or any other actionarising due to crediting of the shares to my account(s) mentioned above.

Thankingyou.

Yours faithfully,

5/12

(C)

Annexure -11

To

INTIMATION OF E-MAIL ID FOR ELECTRONIC DELIVERY

Date:Coimbatore Capital LimitedStock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 641 005

Dear Sirs,

Sub : Consent to receive Electronic Contract Notes & other documents through email

Ref :My Trading Code in CM & / F&O & / CD Segment(s):

I request you to send the Contract Note, Account Statements, Bills, Trade Confirmation, Transaction Statements ofDepository Account, Statement of Holdings of Depository Account, other documents / communications, etc., withrespect to my Trading account(s) in CM, F&O Segment and CD Segment and Depository Account by electronicdelivery which may be in the form of an electronic mail, an electronic mail attachment or in the form of a link to anavailable download from a website, to my e-mail id:

I ensure that my above e-mail id is valid and any change in my above e-mail id shall be communicated to you inwriting.

I shall access this e-mail id on a regular basis to view the above communication sent by C Cap.

I am aware that non-receipt or bounced mail notification by C Cap will be considered as delivery of the contract to meat the above e-mail id and C Cap shall not be held responsible for the same.

Thankingyou,

Yours faithfully,

6/12

(c)

31

CoimbatoreCapital m_

Annexure -12RUNNING ACCOUNT AUTHORISATION

To Date:Coimbatore Capital LimitedStock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 64! 005

Dear Sir,

Sub : Request for maintenance of Running Account

Ref: My Trading Code in CM &/ F&O &/ CD Segments):

I hereby state that I am aware about the norms relating to pay-out of securities and funds. In order to facilitateoperations and banking convenience, I hereby authorise Coimbatore Capital Limited (C Cap), to maintain a runningaccount with C Cap, instead of daily settlement of ftmds due to me.

I request you to maintain running balance in my account and retain the credit balance in any of my account and to usethe unused funds towards my margin/pay-in/other future obligation(s) at any segment(s) of the Exchange/ClearingCorporation.

On written request by me to C Cap, C Cap may release the funds to me, if sufficient margins in respect of my tradingacross all segments ofNSE are available with C Cap.

In case I have an outstanding obligation on the settlement date, you may retain the requisite securities/funds towardssuch obligations and may also retain the funds expected to be required to meet margin obligations for next 5 tradingdays, calculated in the manner specified by NSE.

I request you to settle my fund and securities account once in every calendar quarter/month (strike off whichever isnot preferred) or such other higher period as allowed by SEBI/NSE from time to time, except the funds given towardscollaterals/margin.

I authorise CCap to retain Rs. 10,000 (Rupees ten thousands only) from Quarterly Funds Settlement as per NSECircular No. NSE/INSP/24849 dated 28.10.2013

I agree not to claim any interest from C Cap on such securities/funds so retained by C Cap.

I hereby agree that I shall confirm and bring to your notice any dispute arising from statement of account orsettlement so made to the notice of CCap in writing within seven working days from the date of receipt offunds/securities or statement of account or statement related to it, as the case may be. Failing which it is agreed by methat the statement of balances as issued by C Cap is proper and correct.

I further agree that C Cap shall not be liable for any claim for loss or profit or for any consequential, incidental,special or exemplary damages, caused by retention of such funds and/or securities.

I am also aware that the above authorization may be revoked by me at any time on communication to you in writing.

Thanking you,

Yours faithfully,

7/12

(c)

32

CoimbatoreCapital f-' - \?

Annexure -13

INTER SEGMENT TRANSFER OF FUNDS - STANDING INSTRUCTION

ToCoimbatore Capital LimitedStock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 641 005

Dear Sirs,

Sub : Request for transfer of funds between Trading SegmentsRef: My Trading Code in CM & / F&O & / CD Segment(s):

Date:

I hereby authorize you to transfer funds from Capital Market (CM) Segment to Futures & Options (F&O) Segment,CM Segment to Currency Derivatives (CD) Segment, F&O Segment to CD Segment and vice versa, whenevernecessary, to meet my margin requirements or to enable you to adjust my dues, if any, or meet my settlementobligations.

The above authorisation will hold good unless cancelled by me and communicated to you in writing.

Thanking you,

Yours faithfully,

8/12

(c)

Annexure -14

ToUPDATION FOR ALERTS BY NSE

Coimbatore Capital LimitedStock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 641 005

Date:

Dear Sirs,

Sub: Updation of MobileNumber and E-mail ID for SMS and E-mail alerts to investors by NSE

I request you to update my mobile number and e-mail id in my trading accounts) with Trading Code

MobileNumber

E-mail Id

Thankingyou. •

Yours faithfully,

9/12

Note: Kindly ensure to provide personal/separate, valid and correct mobile number & e-mailid. NSEshallsend you SMS & e-mail alerts for your transactions. (Ref. SEBI Circular No. CIR/MIRSD/15/2011NSE Circular No. NSE/1NYG/2011/18503 dated 02.08.2011 &NSE/INVG/21841 dated 04.10.2012)

33

CoimbatoreCapital f

Annexure-15DECLARATION FOR MOBILE NUMBER

ToCoimbatore Capital Limited Date :

Stock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 641 005

Ref: My Trading Code in CM & / F&O & / CD Segments):

I, having PAN No do hereby declare that

my mobile number is Further, I authorize Coimbatore Capital Limited that the samemay be used for giving me any information / alert / sms / call.

Further I declare that the above mentioned statement is true and correct.

Thanking you,

Yours faithfully,

10/12

(c)

Annexure -16CLIENT DEFAULTER DECLARATION

ToCoimbatore Capital Limited Date :Stock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 641 005

Ref: My Trading Code in CM & / F&O &/ CD Segment(s):

I, do hereby declare that I have not been involved in any terroristactivity and I have not been declared as defaulter or my name is not appearing in defaulter database as per SEBI /Various Exchanges / Regulatory Bodies / CIBIL (Credit Information Bureau of India Ltd.) etc.

Further I declare that the above mentioned declaration / statement is true and correct.

Thanking you,

Yours faithfully,

11/12

Annexure-17

DECLARATION REGARDING VOLUNTARY REQUIREMENTTo

Coimbatore Capital Limited Date :

Stock Exchange Building, 1st Floor686, Trichy Road, Coimbatore - 641 005

Ref: My Trading Code in CM &/ F&O &/ CD Segment(s):

In addition to the Mandatory Documents prescribed by SEBI /NSE in Docket 'A' of Account Opening Form, I herebydeclare that I have also executed / not executed Additional Rights and Obligations and other Additional Documentsas required by CCap in Docket 'B' of Account Opening Form for the smooth conduct of business.

Thanking you,

Yours faithfully,

12/12

©34

To be filled by C Cap Branch Office

CoimbatoreCapital•-.•-

Trading Terminal Location at

Date of issue of the Formto the client

Date of receipt of the Formfrom the client

Date of sending theForm to HO

Authorised by(Branch Incharge'sSignature, Namewith Branch Seal)

Client Brokerage Structure

Brokerage on commencement of trading :Capital Market (CM) Futures & Options (F&O) Currency Derivatives (CD)

JobbingBrokerage%

Jobbing(Minimum

Paise)

DeliveryBrokerage%

Delivery(Minimum

Paise)Brokerage%

Brokerage(Minimum

Paise)Brokerage%

Brokerage(Minimum

Paise)

Branch Head Approved by (HO) Entered by (HO)

For C Cap Head Office purpose only

Date of receipt of the Form

Segment

CM

FO

CD

Unique ClientCode

Back OfficeCode

Documentsverified by

Accountopening

authorised by

Registeredon by

First tradedate

Brokerage Verification :

S.NO. Brokerage being charged

•

Verified Date

Note : Once in 3 / 6 months the brokerage structure has to be verified by Head / Director - Operations / Internal Auditor

35

For single holder

CLIENT

THIS POWER OF ATTORNEY executed this the day of(Date) (Month)

By , son of/daughter of/wife ofaged years, residingat

201

having Depository Beneficial Account No. IN300175- with the Depository Participant division

of Coimbatore Capital Limited (hereinafter referred to as the CLIENT which expression shall include where the

context so requires his /her/ legal heirs, successors and assigns).

UNTO AND IN FAVOUR OFM/s. Coimbatore Capital Limited, a Public Company incorporated under the Companies Act 1956, having itsRegistered office at Stock Exchange Building, 686, Trichy Road, Coimbatore - 641 005, carrying on business as aStock Broker in NSEIL [SEBI Registration Numbers 1MB 230752939 in Capital Market Segment (CM) andINF 230752939 in Futures and Options Segment (F&O) and INE 230752939 in Currency Derivatives Segment(CD)] and as a Depository Participant in NSDL (SEBI Registration Number IN- DP- NSDL 19-97) (hereinafterreferred to as C Cap, which expression shall include where the context so requires its successors and assigns).

WHEREAS

A. CLIENT wishes to avail internet based/ non internetbased trading services through C Cap and hasopened a Depository Beneficiary Account NoIN300175 withCCap for holding his securities in dematerialisedform (hereinafter referred to as Client's DPAccount).

B. In respect of all trading effected by the CLIENTthrough CCap, CCap is required to transfer/takedelivery of securities in the course of such buyingand selling, provide margins/collaterals and settlefunds and securities.

C.To enable C Cap to carry on activities related toCLIENTS trading effected through C Cap, CLIENThas come forward to execute this Power of Attorneyin favour of CCap.

CLIENT

NOW THIS POWER OF ATTORNEYWITNESSES AS FOLLOWSA. The CLIENT hereby undertakes and agrees

1. to make available sufficient securities inCLIENTS DP Account for meeting deliveryobligations in respect of the sale transactions ofthe CLIENT and for transfer to the C Cap'sMargin/Collateral account to meet the marginrequirements specified by SEBI.

2. To be bound by "No Delivery" decision taken byC Cap in respect of securities not made availablein the CLIENTS DP Account before 6.00 P.M. ona working day prior to the due date for del i very.

3. To deliver to C Cap using Delivery InstructionSlip, all securities credited to the CLIENTS DPAccount after 6.00 P.M. on the day before the

Power of Attorney holder(s)For Coimbatore Capital Limited

i)

ii)

iii)

iv)

H35

©d

-©U

1

!

©u

UJ• 1—1

©o

settlement day to enable C Cap to meet thedelivery obligations of securities in respect of saletransactions of the CLIENT.To be bound by the decision of C Cap in respect offixation of the DP Charges payable to C Cap fortransferof securities under the Power of Attorney.

B. The CLIENT hereby appoints C Cap, to do or executein the name and on behalf of the CLIENT, thefollowing acts, deeds and things as the Power ofAttorney (PoA) of the CLIENT

1. In respect of trades executed by the CLIENTthrough CCapTo Transfer securities held in CLIENTS AccountNo.IN300175 toCCap'sPool account DP Id: IN 300175, CMBP Id:IN504316.To transfer securities held in CLIENTS Accountto C Cap's Client Margin accounts: CM Marginaccount No. IN300175-10553478, F&O Marginaccount No. IN300175-10553507, CD Marginaccount No. IN300175-10618208, towardsCLIENTS Stock Exchange related margin /delivery obligations.To pledge securities in favour of C Cap for thepurpose of meeting the margin requirements ofthe CLIENT.To sign, deliver and / or acknowledge allinstructions, all deeds, depository forms,instruments, slips receipts, documents and otherwritings as may be necessary or advisable foreffecting the smooth transfer of securities and anyinstruments, slips as may be necessary forrectifying any erroneous transfers.

2. To return to the CLIENT, the securities, that arereceived by it erroneously.

3. To debit the DP Charges in respect of the transfersto Client's Capital Market Trading Accountmaintained with C Cap's Broking Division.

4. To send consolidated summary of CLIENTSscrip wise buy and sell positions taken withaverage rates to the CLIENT by way of SMS /Email on a daily basis to mobile number

and to email id:

5. To send such other documents as may required tobe disseminated by SEBI from time to time.

6. Generally to do all acts and things and to executeall writings, deeds or assurances as may benecessary to effectuate the aforesaid transactionsand purposes.

7. The client understands that the present PoA isrevocable without notice. However, such arevocation shall be valid only on the receipt byC Cap the letter of revocation in writing dulynotarised sent by Registered Post or delivered inperson at the Head Office of C Cap and after allsecurities obligations for the trades done till thatdate with C Cap have been met.

8. Client retains the facility to use DeliveryInstruction Slip for operating his DP accountreferred to above. However such DeliveryInstruction Slips may be given effect to only afterall securities obligations for the trades done tillthat date with C Cap have been met.

9. CLIENT hereby agrees that all acts, deeds andthings lawfully done by the Attorney by virtue ofthis Power of Attorney shall be construed as Acts,deeds and things done by the CLIENT and theCLIENT undertake to ratify and confirmwhatever the said Attorney shall lawfully do orcause to be done by virtue of the Power herebygiven.

IN WITNESS WHEREOF THE CLIENT has executedthis UNDERTAKING & POWER OF ATTORNEY onthe day, month and year first above written.

CLIENT

Power of Attorney holder(s)ForCoimbatore Capital Limited

i)

iii)

iv)

Notorial fee stamps Office seal & signature of Notary