krishna cdsl kmc ac. opening form... · the demat account has a nomina on facility and it is...

ACKNOWLEDGEMENT RECEIPT

We hereby acknowledge the receipt of the Account Opening Applica on from :

Name of the Sole/First Holder

Name of the Second Holder

Name of the Third Holder

For, Krishna Mul farious Consultancy Pvt. Ltd.

Seal and Signature

Applica on No. Date – – 2 0 1







Seal and Signature








Seal and Signature


FOR KYC INDIVIDUAL

FOR KYC NON INDIVIDUAL

FOR DIS BOOK

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Dos Register for CDSL’s internet based facility ‘easi’ to monitor your demat account yourself. Conact

your DP for details. Register for CDSL’s SMS Alert facility - SMART and obtain alerts for any debits or credits due

to a corproate ac on, in your demat account. Accept the DIS book from your DP only if each slip has been pre-printed with a serial number

along with your demat account number and keep it in safe custody. Always men on the details like ISIN, number of securi es accurately. In case of any queries,

please contact your DP or broker. Ensure that all demat account holder(s) sing on the DIS. Please strike out the any blank space on the slip. Cancella ons or correc ons on the DIS should be ini aled or signed all the account holder(s). Submit the DIS ahead of the delivery date for all type of market trasanc ons. DIS can be

issued with a future execu on date. In mate any change of address or change in bank account details to your DP immediately. Check the demat performace of the issuer company with your DP before deciding to send

cer fi cates for demat. The list of companies whose demat rquest are pending is published at www.cdslindia.com

Before sending securi es for demat, record the dis nc ve numbers of the securi es sent. Before gran ng Power of A orney to anyone, to operate your demat account, carefully examine

the scope & implica ons of powers being granted. The demat account has a nomina on facility and it is advisable to appoint a nominee, in case

of sole account holders. Ensure that, both, your holding and transac on statements are received periodically as instructed

to your DP. You are en tled to receive a transac on statement every month if you have any transac ons and once a quarter if there have been no transac ons in your account.

Check your demat account statement on receipt. In case you no ce any unathorized debits or credits, contact your DP for clarifi ca on. If not resolve, you may contact CDSL’s Investor Rela ons Offi cers, Mr. Suhas Kulkarni, Central Depository Services (India) Ltd., 17th Floor, P. J. Towers, Dalal Street, Mumbai-400 001, Tel. 2272 3333, email : [email protected].

Don’ts Do not leave your instruciton slip book with anyone else. Do not sign blank DIS as it is equivalent to a bearer Cheque. Avoid over-wri ng, cancella ons, misspellings, changing of the name and quan ty of securi es.

We request you to me culously follow the above instruc ons, to avoid any problems in opera on of your demat account.

B. O. Signature

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DO and DON’ts

First / Sole Holder Second Joint Holder Third Joint Holder

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(To be fi lled by the applicant in BLOCK LETTER in English)I / We request you to open a Demat Account in my / our name as per the following details :

HOLDERS DETAILS

Sole/First Holder’s Name

Second Holder’s Name

Third Holder’s Name

Name *

* In case of Firms, Associa on of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the name of the natural persons, the name of the Firm, Associa on of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be men oned above.

TYPE OF ACCOUNT (Please ck whichever is applicable)STATUS SUB STATUS

INDIVIDUAL Individual Resident Individual - Director Individual Director’s Rela ve Individual HUF / AOP Individual Promoter Minor Individual Margin Trading A/c. (MANTRA) Others (Specify) ______________

NRI NRI Repatriable NRI Non-Repatriable NRI Repatriable Promoter NRI Non-Repatriable Promoter NRI - Depository Receipts Others (Specify) ______________

Foreign Na onal Foreign Na onal Foreign Na onal – Depository Receipts Others (Specify)____

Depository Par cipant : KRISHNA MULTIFARIOUS CONSULTANCY PVT. LTD. 09, Dhar Complex, Near Eye Hospital, Unjha-384170, Gujarat. Phone : 02767-255441 • Fax : 02767-255441 • E-mail : [email protected] SEBI Regn. No. : IN-DP-CDSL-638-2011 DP ID : 12072700


DP Internal Reference No.

DP ID Client ID 1 2 0 7 2 7 0 0

ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT ONLY FOR INDIVIDUALS

PAN$UID

PAN$UID

PAN$UID

OTHER DETAILS :

1. Gross Annual Income Details (Please ck ()) : Below 1 Lac 1-5 Lac 5-10 Lac 10-25 Lac > 25 Lacs OR Networth in `_____________________________________ as on (date) D D – M M – Y Y Y Y (Networth should not be older than 1 year)2. Occupa on (Please ck () any one and give brief details) : Private Sector Service Public Sector GovernmentService Business Professional Agriculturist Re red Housewife Student Private Forex Dealer Others (please specify) ____________________________________3. Please ck, if applicable : Poli cally Exposed Person Related to a Poli cally Exposed Person For defi ni on of PEP, please refer guideline4. Any other Informa on : ______________________________________________________________________________

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BANK DETAILS (Dividend Bank Details)

Bank Code (9 Digit MICR Code)

IFS Code (11 Character)

Account Number

Account Type Savings Current Others (specify)____________________________

Bank Name

Branch Name

Bank Branch Address

City State Country Pin

(i) Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued, (or)

(ii) Photocopy of the Bank Statement not more than 3 months old having name and address of the BO (iii) Photocopy of the Passbook having name and address of the BO, (or) (iv) Le er from the Bank. • In case of op ons (ii), (iii) and (iv) above, MICR code of the branch should be present / men oned on the

document.

DETAILS OF GUARDIAN in case the account holder is minor) PAN

Name of Guardian

Rela onship with Applicant

I / We instruct the DP to receive each and every credit in my / our account [Automa c credit] (If not marked, the default op on would be ‘Yes’) Yes No

I / We would like to instruct the DP to accept all the pledge instruc ons in my /our account without any other further instruc on from my/our end. Yes No( If not marked, the default op on would be ‘No’)

Account Statement Requirement As per SEBI Regula on Daily Weekly Fortnightly Monthly

I/we request you to send Electronic Transac on cum Holding Statement at Yes NoE-mail ID ______________________________________________________________

I/ We would like to share the email ID with the RTA Yes No

I / We would like to receive the Annual Report Physical / Electronic/(Tick the applicable box. If not marked the default op on would be in Physical) Both Physical & Electronic

I / We wish to receive dividend / interest directly in to my/our bank account asgiven below through ECS. (If not marked, the default op on would be ‘Yes’) Yes No[ECS is mandatory for loca ons no fi ed by SEBI from me to me]

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NOMINEE DETAILSFull Name of the NomineeAddress

City State

Country Pin Code

Telephone No. Fax No.$PAN $UID

E-mail ID

Rela onship with BO (if any)

Date of Birth — —(Mandatory if nominee is a minor)

NOMINATION DETAILSNomina on Registra on No. DateI / We the sole holder / Joint Holders / Guardian (in case of minor) hereby declare that :

Yes I/We nominate the following person who is en tled to receive security balances lying in my/our account par culars whereof are given below, in the event of my / our death.

No I/We do not wish to nominate any one for this demat account.

— —

I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I have read and understood the Terms and Condi ons prescribed by CDSL for the same. Yes NoI/We wish to register the following clearing member IDs under my/our below men oned BO ID registered for TRUST.

Transac ons Using Secured Tex ng Facility (TRUST). Refer to Terms and Condi ons Annexure–2.6 Stock Exchange Name/ID Clearing Member Name Clearing Member ID (Op onal)

To register for easi, please visit our website www.cdslindia.com easi allows easi a BO to view his ISIN balances, transac ons and value of the por olio online.

SMS Alert Facility MOBILE NO. +91Refer to Terms & Condi ons (Mandatory, if you are giving Power of A orney (POA) (If POA is not grantedgiven as Annexure-A (2.4) & you do not wish to avail of this facility, Cancel this Op on)

As the nominee is a minor as on date, to receive the securi es in this account on behalf of the nominee in the event of the death of the Sole holder / all Joint holders, I/We appoint following person to act as Guardian: Full Name of the Guardian of NomineeAddress

City StateCountry Pin CodeTelephone No. Fax No.E-mail IDRela onship of Guardian with NomineeThis nomina on shall supersede any prior nomina on made by me / us and also any testamentary document executed by me / us.

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Note : Two witnesses shall a est signature(s) / thumb impression(s)

DETAILS OF THE WITNESS

First Witness Second Witness

Name of Witness

Address of Witness

Signature of WitnessI / We have received and read the Rights and Obliga ons document and terms & condi ons and agree to abide by and be bound by the same and by the Bye Laws as are in force from me to me. I / We declare that the par culars given by me/us above are true and to the best of my/our knowledge as on the date of making this applica on. I/We agree and undertake to in mate the DP any change(s) in the details / Par culars men oned by me / us in this form. I/We further agree that any false / misleading informa on given by me / us or suppression of any material informa on will render my account liable for termina on and suitable ac on.

First/Sole Holder or Second Holder Third Holder Guardian (in case of Minor)

Name

Signature

(Signatures should be preferably in black ink).

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INSTRUCTIONS TO THE APPLICANTS (BOs) FOR ACCOUNT OPENING Annexure 2.3

1. Signatures can be in English or Hindi or any of the other languages contained in the 8th Schedule of the Cons tu on of India. Thumb impressions and signatures other than the above men oned languages must be a ested by a Magistrate or a Notary Public or a Special Execu ve Magistrate / Special Execu ve Offi cer under his/her offi cial seal.

2. Signatures should be preferably in black ink.

3. Details of the Names, Address, Telephone Number(s), etc., of the Magistrate / Notary Public / Special Execu ve Magistrate / Special Execu ve Offi cer are to be provided in case of a esta on done by them.

4. In case of addi onal signatures (for accounts other than individuals), separate annexures should be a ached to the account opening form.

5. In case of applica ons containing a Power of A orney, the relevant Power of A orney or the self-cer fi ed copy thereof, must be lodged along with the applica on.

6. All correspondence / queries shall be addressed to the fi rst / sole applicant.

7. Strike off whichever op on, in the account opening form, is not applicable.

• • •

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(To be fi lled by the applicant in BLOCK LETTER in English)I / We request you to open a Demat Account in my / our name as per the following details :

HOLDERS DETAILS

Sole/First Holder’s SearchName Name



Name ** In case of Firms, Associa on of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is

opened in the name of the natural persons, the name of the Firm, Associa on of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be men oned above.

TYPE OF ACCOUNT (Please ck whichever is applicable) STATUS SUB STATUS

Body Corporate Banks Trust Mutual Fund OCB FII To be fi lled by the DP CM FI Clearing House Other (Specify )

SEBI Registra on No. SEBI Registra on(If applicable) DateRBI Registra on No. RBI Approval(If applicable) DateNa onality : Indian Other (Specify )

Depository Par cipant : KRISHNA MULTIFARIOUS CONSULTANCY PVT. LTD. 09, Dhar Complex, Near Eye Hospital, Unjha-384170, Gujarat. Phone : 02767-255441 • Fax : 02767-255441DP SEBI Regn. No. : IN-DP-CDSL-638-2011 DP ID : 12072700


DP Internal Reference No.

DP ID Client ID 1 2 0 7 2 7 0 0

ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT FOR NON-INDIVIDUALS

OTHER DETAILS :

I / We instruct the DP to receive each and every credit in my / our account [Automa c credit] (If not marked, the default op on would be ‘Yes’) Yes NoI / We would like to instruct the DP to accept all the pledge instruc ons in my /our account without any other further instruc on from my/our end. Yes No( If not marked, the default op on would be ‘No’)Account Statement Requirement As per SEBI Regula on Daily Weekly Fortnightly Monthly

PAN

PANUIDPANUID

Gross Annual Income Details

Name worth as on (Date)[Net worth should not be older than 1 year]

Rs D D M M Y Y Y Y

Income Range per annum: Up to Rs 1,00,000 Up to Rs 1,00,000 to Rs 5,00,000 Rs 5,00,000 to Rs. 10, 00,000 Up to Rs 10,00,000 to 25,00,000 Rs 25,00,000 to 1,00,00,000 More than Rs. 1,00, 00,000

Please ck If any of the authorised signatories / Promoters / Partners / Karta / Trustees / Whole Time Directors is either Poli cally Exposed Person (PEP) or Related to Poli cally Exposed Person (RPEP) . Please provide details as per Annexure 2.2 A.

Any other informa on:

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BANK DETAILS (Dividend Bank Details)Bank Code (9 Digit MICR Code)

IFS Code (11 Character)Account NumberAccount Type Savings Current Others (specify)____________________________Bank NameBranch NameBank Branch Address

City State Country Pin(i) Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued, (or) (ii) Photocopy of the Bank Statement having name and address of the BO (iii) Photocopy of the Passbook having name and address of the BO, (or) (iv) Le er from the Bank. • In case of op ons (ii), (iii) and (iv) above, MICR code of the branch should be present / men oned on the document.

CLEARING MEMBER DETAILS (To be fi lled by CMs only)

Name of Stock Exchange

Name of CC / CH

Clearing Member ID Trading Member ID

I/ We wish to receive dividend / interest directly in to my bank account as given below through ECS (If not marked, the default op on would be ‘Yes’) Yes No[ECS is mandatory for loca ons no fi ed by SEBI from me to me ]

I/we request you to send Electronic Transac on cum Holding Statement at Yes NoE-mail ID ______________________________________________________________I/ We would like to share the email ID with the RTA Yes NoI / We would like to receive the Annual Report Physical / Electronic/(Tick the applicable box. If not marked the default op on would be in Physical) Both Physical & Electronic

I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I have read and understood the Terms and Condi ons prescribed by CDSL for the same. Yes NoI/We wish to register the following clearing member IDs under my/our below men oned BO ID registered for TRUST.

Transac ons Using Secured Tex ng Facility (TRUST). Refer to Terms and Condi ons Annexure–2.6

Stock Exchange Name/ID Clearing Member Name Clearing Member ID (Op onal)

To register for easi, please visit our website www.cdslindia.com easi allows easi a BO to view his ISIN balances, transac ons and value of the por olio online.

SMS Alert Facility MOBILE NO. +91Refer to Terms & (Mandatory, if you are giving Power of A orney (POA)Condi ons given (If POA is not granted & you do not wish to avail of this facility, as Annexure-A (2.4) Cancel this Op on)

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II/We have received and read the document of ‘Rights and Obliga on of BO-DP’ (DP-CM agreement for BSE Clearing Member Accounts) including the schedules thereto and the terms & condi ons and agree to abide by and be bound by the same and by the Bye Laws as are in force from me to me. I / We declare that the par culars given by me/us above are true and to the best of my/our knowledge as on the date of making this applica on. I/We further agree that any false / misleading informa on given by me / us or suppression of any material informa on will render my account liable for termina on and suitable ac on.

First/Sole Authorised Signatory Second Authorised Signatory Third Authorised Signatory

Name

Designa on

Signature

(Signatures should be preferably in black ink). (In case of more authorized signatories, please add annexure)

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Details of Poli cally Exposed Persons (PEP) / Related to Poli cally Exposed Person (RPEP) [For non-individual]

Annexure – 2.2

Name of Holder ________________________________________ PAN of the Holder ____________________________

Name and Signature of Authorised SignatoryDate – – 2 0 1

PEP: Poli cally Exposed PersonsRPEP: Related to Poli cally Exposed Person

Sr.No. Name of the Authorized Signatories / Promoters Rela on with the Holder Please ck the Partners / Karta / Trustees / Whole Time Directors (i.e. Promoters, relevant op on Whole Time Directors etc.

PEP RPEP PEP RPEP PEP RPEP PEP RPEP PEP RPEP

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General Clause

1. The Beneficial Owner and the Depository participant (DP) shall be bound by the provisions of the Depositories Act, 1996, SEBI (Depositories and Participants) Regulations, 1996, Rules and Regulations of Securities and Exchange Board of India (SEBI), Circulars/Notifications/Guidelines issued there under, Bye Laws and Business Rules/Operating Instructions issued by the Depositories and relevant notifications of Government Authorities as may be in force from time to time.

2. The DP shall open/activate demat account of a beneficial owner in the depository system only after receipt of complete Account opening form, KYC and supporting documents as specified by SEBI from time to time.

Beneficial Owner information

3. The DP shall maintain all the details of the beneficial owner(s) as mentioned in the account opening form, supporting documents submitted by them and/or any other information pertaining to the beneficial owner confidentially and shall not disclose the same to any person except as required by any statutory, legal or regulatory authority in this regard.

4. The Beneficial Owner shall immediately notify the DP in writing, if there is any change in details provided in the account opening form as submitted to the DP at the time of opening the demat account or furnished to the DP from time to time.

Fees/Charges/Tariff5. The Beneficial Owner shall pay such charges to the DP for the

purpose of holding and transfer of securities in dematerialized form and for availing depository services as may be agreed to from time to time between the DP and the Beneficial Owner as set out in the Tariff Sheet provided by the DP. It may be informed to the Beneficial Owner that “no charges are payable for opening of demat accounts”

6. In case of Basic Services Demat Accounts, the DP shall adhere to the charge structure as laid down under the relevant SEBI and/or Depository circulars/directions/notifications issued from time to time.

7. The DP shall not increase any charges/tariff agreed upon unless it has given a notice in writing of not less than thirty days to the Beneficial Owner regarding the same.

Dematerialization8. The Beneficial Owner shall have the right to get the

securities, which have been admitted on the Depositories, dematerialized in the form and manner laid down under the Bye Laws, Business Rules and Operating Instructions of the depositories.

Separate Accounts

9. The DP shall open separate accounts in the name of each of the beneficial owners and securities of each beneficial owner shall be segregated and shall not be mixed up with

the securities of other beneficial owners and/or DP’s own securities held in dematerialized form.

10. The DP shall not facilitate the Beneficial Owner to create or permit any pledge and /or hypothecation or any other interest or encumbrance over all or any of such securities submitted for dematerialization and/or held in demat account except in the form and manner prescribed in the Depositories Act, 1996, SEBI (Depositories and Participants) Regulations, 1996 and Bye-Laws/Operating Instructions/Business Rules of the Depositories.

Transfer of Securities

11. The DP shall effect transfer to and from the demat accounts of the Beneficial Owner only on the basis of an order, instruction, direction or mandate duly authorized by the Beneficial Owner and the DP shall maintain the original documents and the audit trail of such authorizations.

12. The Beneficial Owner reserves the right to give standing instructions with regard to the crediting of securities in his demat account and the DP shall act according to such instructions.

Statement of account

13. The DP shall provide statements of accounts to the beneficial owner in such form and manner and at such time as agreed with the Beneficial Owner and as specified by SEBI/depository in this regard.

14. However, if there is no transaction in the demat account, or if the balance has become Nil during the year, the DP shall send one physical statement of holding annually to such BOs and shall resume sending the transaction statement as and when there is a transaction in the account.

15. The DP may provide the services of issuing the statement of demat accounts in an electronic mode if the Beneficial Owner so desires. The DP will furnish to the Beneficial Owner the statement of demat accounts under its digital signature, as governed under the Information Technology Act, 2000. However if the DP does not have the facility of providing the statement of demat account in the electronic mode, then the Participant shall be obliged to forward the statement of demat accounts in physical form.

16. In case of Basic Services Demat Accounts, the DP shall send the transaction statements as mandated by SEBI and/or Depository from time to time.

Manner of Closure of Demat account

17. The DP shall have the right to close the demat account of the Beneficial Owner, for any reasons whatsoever, provided the DP has given a notice in writing of not less than thirty days to the Beneficial Owner as well as to the Depository. Similarly, the Beneficial Owner shall have the right to close his/her demat account held with the DP provided no charges

Rights and Obliga ons of Benefi cial Owner and Depository Par cipant as prescribed by SEBI and Depositories

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Signed and delivered by I/we have received and read the copy of Rights and Obligations document.

are payable by him/her to the DP. In such an event, the Beneficial Owner shall specify whether the balances in their demat account should be transferred to another demat account of the Beneficial Owner held with another DP or to rematerialize the security balances held.

18. Based on the instructions of the Beneficial Owner, the DP shall initiate the procedure for transferring such security balances or rematerialize such security balances within a period of thirty days as per procedure specified from time to time by the depository. Provided further, closure of demat account shall not affect the rights, liabilities and obligations of either the Beneficial Owner or the DP and shall continue to bind the parties to their satisfactory completion.

Default in payment of charges

19. In event of Beneficial Owner committing a default in the payment of any amount provided in Clause 5 & 6 within a period of thirty days from the date of demand, without prejudice to the right of the DP to close the demat account of the Beneficial Owner, the DP may charge interest at a rate as specified by the Depository from time to time for the period of such default.

20. In case the Beneficial Owner has failed to make the payment of any of the amounts as provided in Clause 5&6 specified above, the DP after giving two days notice to the Beneficial Owner shall have the right to stop processing of instructions of the Beneficial Owner till such time he makes the payment along with interest, if any.

Liability of the Depository

21. As per Section 16 of Depositories Act, 1996,

1. Without prejudice to the provisions of any other law for the time being in force, any loss caused to the beneficial owner due to the negligence of the depository or the participant, the depository shall indemnify such beneficial owner.

2. Where the loss due to the negligence of the participant under Clause (1) above, is indemnified by the depository, the depository shall have the right to recover the same from such participant.

Freezing/ Defreezing of accounts

22. The Beneficial Owner may exercise the right to freeze/defreeze his/her demat account maintained with the DP in accordance with the procedure and subject to the restrictions laid down under the Bye Laws and Business Rules/Operating Instructions.

23. The DP or the Depository shall have the right to freeze/

defreeze the accounts of the Beneficial Owners on receipt of instructions received from any regulator or court or any statutory authority.

Redressal of Investor grievance

24. The DP shall redress all grievances of the Beneficial Owner against the DP within a period of thirty days from the date of receipt of the complaint.

Authorized representative

25. If the Beneficial Owner is a body corporate or a legal entity, it shall, along with the account opening form, furnish to the DP, a list of officials authorized by it, who shall represent and interact on its behalf with the Participant. Any change in such list including additions, deletions or alterations thereto shall be forthwith communicated to the Participant.

Law and Jurisdiction26. In addition to the specific rights set out in this document, the

DP and the Beneficial owner shall be entitled to exercise any other rights which the DP or the Beneficial Owner may have under the Rules, Bye Laws and Regulations of the respective Depository in which the demat account is opened and circulars/notices issued there under or Rules and Regulations of SEBI.

27. The provisions of this document shall always be subject to Government notification, any rules, regulations, guidelines and circulars/ notices issued by SEBI and Rules, Regulations and Bye-laws of the relevant Depository, where the Beneficial Owner maintains his/ her account, that may be in force from time to time.

28. The Beneficial Owner and the DP shall abide by the arbitration and conciliation procedure prescribed under the Bye-laws of the depository and that such procedure shall be applicable to any disputes between the DP and the Beneficial Owner.

29. Words and expressions which are used in this document but which are not defined herein shall unless the context otherwise requires, have the same meanings as assigned thereto in the Rules, Bye-laws and Regulations and circulars/notices issued there under by the depository and /or SEBI

30. Any changes in the rights and obligations which are specified by SEBI/Depositories shall also be brought to the notice of the clients at once.

31. If the rights and obligations of the parties hereto are altered by virtue of change in Rules and regulations of SEBI or Bye-laws, Rules and Regulations of the relevant Depository, where the Beneficial Owner maintains his/her account, such changes shall be deemed to have been incorporated herein in modification of the rights and obligations of the parties mentioned in this document.

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ANNEXURE-A Terms And Condi ons-cum-Registra on / Modifi ca on Form for receiving SMS Alerts from CDSL

DEFINITIONS:In these Terms and Conditions the terms shall have

following meaning unless indicated otherwise:1. “Depository” means Central Depository Services

(India) Limited a company incorporated in India under the Companies Act 1956 and having its registered offi ce at 17th Floor, P.J. Towers, Dalal Street, Fort, Mumbai 400001 and all its branch offi ces and includes its successors and assigns.

2. ‘DP’ means Depository Par cipant of CDSL. The term covers all types of DPs who are allowed to open demat accounts for investors.

3. ‘BO’ means an entity that has opened a demat account with the depository. The term covers all types of demat accounts, which can be opened with a depository as specifi ed by the depository from me to me.

4. SMS means “Short Messaging Service”5. “Alerts” means a customized SMS sent to the BO over

the said mobile phone number.6. “Service Provider” means a cellular service provider(s)

with whom the depository has entered / will be entering into an arrangement for providing the SMS alerts to the BO.

7. “Service” means the service of providing SMS alerts to the BO on best eff ort basis as per these terms and condi ons.

AVAILABILITY:1. The service will be provided to the BO at his / her

request and at the discre on of the depository. The service will be available to those accountholders who have provided their mobile numbers to the depository through their DP. The services may be discon nued for a specifi c period / indefi nite period, with or without issuing any prior no ce for the purpose of security reasons or system maintenance or for such other reasons as may be warranted. The depository may also discon nue the service at any me without giving prior no ce for any reason whatsoever.

2. The service is currently available to the BOs who are residing in India.

3. The alerts will be provided to the BOs only if they remain within the range of the service provider’s service area or within the range forming part of the roaming network of the service provider.

4. In case of joint accounts and non-individual accounts the service will be available, only to one mobile number i.e. to the mobile number as submi ed at the me of registra on / modifi ca on.

5. The BO is responsible for promptly in ma ng to the depository in the prescribed manner any change in mobile number, or loss of handset, on which the BO wants to receive the alerts from the depository. In case of change in mobile number not in mated to the depository, the SMS alerts will con nue to be sent to the last registered mobile phone number. The BO agrees to indemnify the depository for any loss or damage suff ered by it on account of SMS alerts sent on such mobile number.

RECEIVING ALERTS:

1. The depository shall send the alerts to the mobile phone number provided by the BO while registering for the service or to any such number replaced and informed by the BO from me to me. Upon such registra on / change, the depository shall make every eff ort to update the change in mobile number within a reasonable period of me. The depository shall not be responsible for any event of delay or loss of message in this regard.

2. The BO acknowledges that the alerts will be received only if the mobile phone is in ‘ON’ and in a mode to receive the SMS. If the mobile phone is in ‘Off ’’ mode i.e. unable to receive the alerts then the BO may not get / get a er delay any alerts sent during such period.

3. The BO also acknowledges that the readability, accuracy and timeliness of providing the service depend on many factors including the infrastructure, connec vity of the service provider. The depository shall not be responsible for any non-delivery, delayed delivery or distor on of the alert in any way whatsoever.

4. The BO further acknowledges that the service provided to him is an addi onal facility provided for his convenience and is suscep ble to error, omission and/ or inaccuracy. In case the BO observes any error in the informa on provided in the alert, the BO shall inform the depository and/ or the DP immediately in wri ng and the depository will make best possible eff orts to rec fy the error as early as possible. The BO shall not hold the depository liable for any loss, damages, etc. that may be incurred/ suff ered by the BO on account of op ng to avail SMS alerts facility.

5. The BO authorizes the depository to send any message such as promo onal, gree ng or any other message that the depository may consider appropriate, to the BO. The BO agrees to an ongoing confi rma on for use of name, email address and mobile number for marke ng off ers between CDSL and any other en ty.

[ 18 ]

6. The BO agrees to inform the depository and DP in writing of any unauthorized debit to his BO account/ unauthorized transfer of securi es from his BO account, immediately, which may come to his knowledge on receiving SMS alerts. The BO may send an email to CDSL at [email protected]. The BO is advised not to inform the service provider about any such unauthorized debit to/ transfer of securi es from his BO account by sending a SMS back to the service provider as there is no reverse communica on between the service provider and the depository.

7. The informa on sent as an alert on the mobile phone number shall be deemed to have been received by the BO and the depository shall not be under any obliga on to confi rm the authen city of the person(s) receiving the alert.

8. The depository will make best eff orts to provide the service. The BO cannot hold the depository liable for non-availability of the service in any manner whatsoever.

9. If the BO fi nds that the informa on such as mobile number etc., has been changed with out proper authoriza on, the BO should immediately inform the DP in wri ng.

FEES:Depository reserves the right to charge such fees from me to me as it deems fi t for providing this service to

the BO.DISCLAIMER:The depository shall make reasonable eff orts to ensure that the BO’s personal informa on is kept confi den al. The depository does not warranty the confi den ality or security of the SMS alerts transmi ed through a service provider. Further, the depository makes no warranty or representa on of any kind in rela on to the system and the network or their func on or their performance or for any loss or damage whenever and howsoever suff ered or incurred by the BO or by any person resul ng from or in connec on with availing of SMS alerts facility. The Depository gives no warranty with respect to the quality of the service provided by the service provider. The Depository will not be liable for any unauthorized use or access to the informa on and/ or SMS alert sent on the mobile phone number of the BO or for fraudulent, duplicate or erroneous use/ misuse of such informa on by any third person.

LIABILITY AND INDEMNITY:The Depository shall not be liable for any breach of confi den ality by the service provider or by any third person due to unauthorized access to the informa on meant for the BO. In considera on of the depository providing the service, the BO agrees to indemnify and keep safe, harmless and indemnified the depository and its offi cials from any damages, claims, demands, proceedings, loss, cost, charges and expenses whatsoever which a depository may at any time incur, sustain, suff er or be put to as a consequence of or arising out of interference with or misuse, improper or fraudulent use of the service by the BO.AMENDMENTS: The depository may amend the terms and condi ons at any me with or without giving any prior no ce to the BOs. Any such amendments shall be binding on the BOs who are already registered as user of this service.GOVERNING LAW AND JURISDICTION:Providing the Service as outlined above shall be governed by the laws of India and will be subject to the exclusive jurisdic on of the courts in Mumbai.I/We wish to avail the SMS Alerts facility provided by the depository on my/our mobile number provided in the registra on form subject to the terms and condi ons men oned below. I/ We consent to CDSL providing to the service provider such informa on pertaining to account/transac ons in my/our account as is necessary for the purposes of genera ng SMS Alerts by service provider, to be sent to the said mobile number.I/We have read and understood the terms and condi ons men oned above and agree to abide by them and any amendments thereto made by the depository from me to me. I/ we further undertake to pay fee/ charges as may be levied by the depository from me to me.I / We further understand that the SMS alerts would be sent for a maximum four ISINs at a me. If more than four debits take place, the BOs would be required to take up the ma er with their DP.I/We am/ are aware that mere acceptance of the registra on form does not imply in any way that the request has been accepted by the depository for providing the service. I/We provide the information for the purpose of REGISTRATION / MODIFICATION (Please cancel out what is not applicable) in Annexure 17.9C.

[ 19 ]

TERMS AND CONDITIONS FOR AVAILING TRANSACTION USING SECURED TEXTING TRUST SERVICE OFFERED BY CDSL

1. Defi ni ons: In these Terms and Condi ons the terms shall have

following meaning unless indicated otherwise: i. “Depository” means Central Depository Services

(India) Limited (CDSL) ii. TRUST means “Transac ons Using Secured Tex ng”

service off ered by the Depository. iii. “Service Provider” means a cellular service

provider(s) with whom the Depository has entered / shall enter into an arrangement for providing the TRUST service to the BO.

iv. “Service” means the service of providing facility to receive/give instruc ons through SMS on best eff ort basis as per the following terms and condi ons. The types of transac on that would normally qualify for this type of service would be informed by CDSL from me to me.

v. “Third Party” means the operators with whom the Service Provider is having / will have an arrangement for providing SMS to the BO.

2. The service will be provided to the BO at his / her request and at the discretion of the depository provided the BO has registered for this facility with their mobile numbers through their DP or by any other mode as informed by CDSL from me to me . . Acceptance of applica on shall be subject to the verifi ca on of the informa on provided by the BO to the Depository

3. The messages will be sent on best eff orts basis by way of an SMS on the mobile no which has been provided by the BOs. However Depository shall not be responsible if messages are not received or sent for any reason whatsoever, including but not limited to the failure of the service provider or network.

4. The BO is responsible for promptly informing its DP in the prescribed manner any change in mobile number, or loss of handset on which the BO wants to send/receive messages generated under TRUST. In case the new number is not registered for TRUST in the depository system, the messages generated under TRUST will con nue to be sent to the last registered mobile number. The BO agrees to indemnify the depository for any loss or damage suff ered by it on account of messages sent on such mobile number.

5. The BO agrees that SMS received by the Depository from the registered mobile number of the BO on the basis of which instruc ons are executed in the depository system shall be conclusive evidence of such instructions having been issued by the BO. The DP / CDSL will not be held liable for ac ng on SMS so received.

6. The BO shall be responsible for submi ng response to the ‘Responsive SMS’ within the specifi ed me period. Transac ons for which no posi ve or nega ve confi rma on is received from the BO, will not be executed except for transac on for deregistra on. Further, CDSL shall not be responsible for BOs not submi ng the response to the said SMS within the me limit prescribed by CDSL.

7. The BO agrees that the signing of the TRUST registration form by all joint holders shall mean that the instruc ons executed on the basis of SMS received from the registered mobile for TRUST shall be deemed to have been executed by all joint holders.

8. The BO agrees to ensure that the mobile number for TRUST facility and SMS alert (SMART) facility is the same. The BO agrees that if he is not registered for SMART, the DP shall register him for SMART and TRUST. If the mobile number provided for TRUST is diff erent from the mobile number recorded for SMART, the new mobile number would be updated for SMART as well as TRUST.

9. BOs are advised to check the status of their obliga on from me to me and also advise the respec ve CMs to do so. In case of any issues, the BO/CM should approach their DPs to ensure that the obliga on is fulfi lled through any other mode of delivery of transac ons as may be informed / made available by CDSL from me to me including submission of Delivery Instruc on Slips to the DP .

10. The BO acknowledges that CDSL will send the message for confi rma on of a transac on to the BO only if the Clearing Member (registered by the BO for TRUST) enters the said transac on in CDSL system for execu on through TRUST within prescribed me limit.

11. The BO further acknowledges that the BO/CM shall not have any right to any claim against either the DP or Depository for losses, if any, incurred due to non receipt of response on the responsive SMS or

Annexure – 2.6

[ 20 ]

receipt of such response a er the prescribed me period. In the event of any dispute rela ng to the date and me of receipt of such response, CDSL’s records shall be conclusive evidence and the Par es agree that CDSL’s decision on the same shall be fi nal and binding on both Par es.

12. The BO may request for deregistra on from TRUST at any me by giving a no ce in wri ng to its DP or by any other mode as specifi ed by Depository in its operating instructions. The same shall be eff ected a er entry of such request by the DP in CDSL system if the request is received through the DP.

13. Depository reserves the right to charge such fees from me to me as it deems fi t for providing this service to the BO.

14. The BO expressly authorises Depository to disclose to the Service Provider or any other third party, such BO informa on as may be required by them to provide the services to the BO. Depository however, shall not be responsible and be held liable for any divulgence or leakage of confi den al BO informa on by such Service Providers or any other third party.

15. The BO takes the responsibility for the correctness of the informa on supplied by him to Depository through the use of the said Facility or through any other means such as electronic mail or written communica on.

16. The BO is solely responsible for ensuring that the mobile number is not misused and is kept safely and securely. The Depository will process requests originated from the registered Mobile as if submi ed by the BO and Depository is not responsible for any claim made by the BO informing that the same was not originated by him.

17. Indemnity: In considera on of providing the service, the BO agrees that the depository shall not be liable to indemnify the BO towards any damages, claims, demands, proceedings, loss, cost, charges and expenses whatsoever as a consequence of or arising out of interference with or misuse, improper or fraudulent use of the service by the BO.

18. Disclaimer: Depository shall be absolved of any liability in case:-

a. There is loss of any informa on during processing or transmission or any unauthorized access by any other person or breach of confi den ality.

b. There is any lapse or failure on the part of the service providers or any third party affecting the said Facility and that Depository makes no warranty as to the quality of the service provided by any such service provider.

c. There is breach of confi den ality or security of the messages whether personal or otherwise transmi ed through the Facility.

[ 21 ]

COMBINED REGISTRATION FORM FOR AVAILING SMS ALERT AND /OR TRUST FACILITY AND FOR REGISTERING CLEARING MEMBERS ON WHOSE BEHALF THE SECURITIES CAN BE TRANSFERRED FROM THE ACCOUNT OF BO ON THE BASIS OF SMS UNDER TRUST FACILITY

To, Krishna Multifarious Consultancy Pvt. Ltd.Regd. Office. : 9, Dharti Complex, Near Eye Hospital, Unjha-384170, Gujarat.

Dear Sir/Madam,I/We wish to avail the following facility/ies provided by the depository on my/our mobile number as provided below subject to the terms and conditions as specified by CDSL a. SMART-SMS alert facility b. TRUST- TRansaction using Secured Texting facility(please note that SMS alert facility is mandatory if TRUST facility is opted for)

BO ID : (Please write your 8 digit DPID) (Please write your 8 digit Client ID)

Sole/First Holder’s Name



I/We wish to register the following clearing members / IDs under my/our above mentioned BO ID registered for TRUST

Place: _______________ Date : _______________

Sr. Stock Exchange Name/ID Clearing Member Name Clearing Member ID No. (Optional)

Mobile Number on which messages are to be sent

+91

(Please write only the mobile number without prefixing country code or zero)(Existing users registered for SMS alerts:- Please note that if the mobile number for TRUST is different than the registered mobile number for SMS alert, the new mobile number will be updated for SMS alert also. )The mobile number is registered in the name of:

Name : ____________________________________________________________________________

Email ID : ____________________________________________________________________________(Please write only ONE valid email ID on which communication; if any, is to be sent)I/ We consent to CDSL providing to the service provider such information pertaining to account/transactions inmy/our account as is necessary for the purpose of availing the said facility.I/we acknowledge that transactions entered by the above clearing members will be executed on the basis of SMS sent through our registered mobile number under TRUST and I/we shall be wholly responsible for exe-cution / nonexecution of the said transactions based on receipt/non-receipt of such SMS.I/We have read and understood the terms and conditions prescribed by CDSL for the said facility/ies and agree to abide by them and any amendments thereto made by the depository from time to time. I/ we further undertake to pay fee/ charges as may be levied by the depository from time to time.

1 2 0 7 2 7 0 0

Annexure – 17.9C

(10 )


[ 22 ]

(To be executed on Stamp Paper of Rs. 100/-)Date : - - 2 0 1

(1

1)

To all whom these presents shall come I / We ________________________________________

____________________________________________________________ (name of the BO) ____________________________________________________ (Name of the Second Holder), ____________________________________________________ (Name of the Third Holder), Indian Inhabitant(s) send greetings.

Whereas I/We hold a Beneficiary account no.(s)with Central Depository Services (India) Limited, through M/s. Krishna Multifarious Consultancy Private Limited, a member of Bombay Stock Exchage of India Ltd. (BSE) bearing BSE Cash Segment SEBI Registration No. INB011399533 and a member of Bombay Stock Exchange of India Ltd. Futures and Options (F&O), bearing SEBI Registration No. INF011399533.

And Whereas due to exigency and paucity of time, I / We desirous of appointing an agent / attorney to operate the aforesaid beneficiary account on my / our behalf for a limited purpose in the manner hereinafter appearing :

NOW KNOW WE ALL AND THESE PRESENTS WITNESSTH THAT I / WE THE ABOVENAMED DO HEREBY NOMINATE, CONSTITUTE AND APPOINT M/s. Krishna Multifarious Consultancy Private Limited. as my / our true and lawful attorney (hereinafter referred to as the attorney) for me / us and on my / our behalf and in my / our name to do instruct the aforesaid Depository Participant to debit securities and/or to transfer securities from the aforesaid Depository Participant as under :

1. I am / we are maintaining above mentioned BO A/c. with you. We are also Client having unique client code No. ______________________ of Krishna Multifarious Consultancy Private Limited for Bombay Stock Exchange of India Ltd., Cash and Futures & Options

POWER OF ATTORNEY

1 2 0 7 2 7 0 0

Segment trades and are solely responsible for delivery of securities sold by us and as such agreed to our request to deliver the securities on our behalf as per our this authorization.

2. to transfer securities held in my / our aforementioned beneficial owner account(s) or any other account informed by me in writing to the stock broker from time to time to the demat accoutn nos. as mentioned hereunder of the stock broker / exchange maintained for the prupose of settlement of trades and margin obligations arising out of trades executed by me/us on any recognized stock exchange through the stock broker. However, the said power will be restricted to only trasfer of securities to the Clearign Member ID allotted to the stock broker by any existing or future exchange that the stock broker has jointed / will join as a member or to any demat accounts linked to the said Clearing Member ID provided that I / we have entered in to client registration with the stock broker for such exchanges.

Details of Demat Account of KRISHNA MULTIFARIOUS CONSULTANCY PVT. LTD. Description of Demat Account Demat Account No. BSE : CM Pool A/c. CDSL 12072700 00000047

CM Early Pay-in A/c. CDSL 11000010 00022834

CM Pool A/c. NSDL IN300966 10566774

CM Client Margin A/c. CDSL 12072700 00000085

3 to pledge the securities in favour of the abovementioned stock brokers only to meet out my / our margin requirements in connection with the trades executed by me / us on the stock exchanges only through the above mentioned stock brokers.

4. to return to me / us the securities or funds that may have been received by the Stock Broker erroneously or the securities or funds that the stock broker was not entitled to receive from me/us.

1. 2. 3.

[ 23 ]

5. to send consolidated summary of my / our scrip-wise buy and sell posotions taken with average rates to me / us by way of SMS / Email on a daily basis, notwithstanding any other document to be disseminated as specified by SEBI from time to time.

6. to apply for various products like Mutual Funds, Publis Issues (shares as well as debentures), rights, offer of shares, tendering shares in open offiers etc. persuant to oral / written / electronic instructions given by me / us to the stock broker.

I / we ratify the instructions given by the aforesaid stock broker to the Depository Participant named hereinabove in the manner specified herein.

I/we further agree and confirm that the powers and authorities conferred by this Power of Attorney shall continue until it is revoked (without notice) in woriting by me and that the said revocation shall be effective from the date on which the revocation notice is received by the stock broker in his office at 09, Dharti Complex, Near Eye Hospital, Unjha-381470.

IN WITNESS WHERE OF, I the above named Mr. ___________________________________ have hereunto set my hands this _______________ day of _______________ Two Thousand ___________________________,

Signed, sealed and delivered )By the within named Beneficial Owner

1. (12)

2.

3.

IN THE PRESENCE OF

I Accept, Krishna Multifarious Consultancy Private Limited09, Dharti Complex, Near Eye Hospital, Unjha-381470, Gujarat.

For, Krishna Multifarious Consultancy Private Limited

(Any One Only)

[ 24 ]

KRISHNA MULTIFARIOUS CONSULTANCY PVT. LTD.

Date : - - 2 0 1Client Code : __________________________________

From : ____________________________________________

From : ____________________________________________

From : ____________________________________________

From : ____________________________________________

To,Krishna Mul farious Consultancy Pvt. Ltd.Regd. Offi ce. : 9, Dhar Complex, Near Eye Hospital,Unjha-384170, Gujarat.Tel. 02767-255441 E-mail : [email protected] ID : [email protected]

Sub. : Le er for Opera onDear Sir,I / We authorize you to transfer funds from any of my / our account in any segment / exchange to my / our client account in CDSL (Central Depository Services (I) Ltd.) opened with you for the purpose of any transac on charges / maintenance charges / outstanding levies etc. I / we authorize you to transfer funds from my / our accoutn by passing through journal entry / debit note in your books of account of respec ve sec on / department or by physical exchange of cheque.Thanking you,Yours truly,

VOLUNTARY

....................................................................................................................................................

Date : - - 2 0 1To,Krishna Mul farious Consultancy Pvt. Ltd.Regd. Offi ce. : 9, Dhar Complex, Near Eye Hospital, Unjha-384170, Gujarat. Tel. 02767-255441 E-mail : [email protected] Complaint ID : [email protected]

Re. : Benefi cial Owner (BO) Account No.

I / We confi rm having opted to receive the statement of accounts pertaining to the above men oned BO account in electronic mode in lieu of physical copy of the statement of account.I / We confi rm that the dispatch of statement of account to me / us at the following email address shall cons tute full and absolute discharge of your obliga on under the above agreement to provide me / us with statement of my / our BO account. But, I / we reserve my / our right to receive the physical copy of statement of accounts despite receiving the same in electronic mode, if such a demand is made in wri ng on you.(Email address : __________________________________________________________)I / We confi rm that any change in the aforesaid email address or any other instruc ons with regard to dispatch / service of my / our statement of account on me / us shall not be binding upon you unless you are in mated in wri ng by me / us by acknowledged delivery.Yours faithfully,

Name/s of the Benefi ciary owner/s (all joint holder) Signature/s

First/Sole Holder _____________________________________ (14) _______________________________

Second Holder ______________________________________ _______________________________

Third Holder ________________________________________ _______________________________

1 2 0 7 2 7 0 0

Name/s of the Benefi ciary owner/s (all joint holder) Signature/s

First/Sole Holder _____________________________________ (13) _______________________________

Second Holder ______________________________________ _______________________________

Third Holder ________________________________________ _______________________________

[ 25 ]

B. O. NAME(S) B. O. SIGNATURE(S)

1. (15)

2.

3.

BOID 1 2 0 7 2 7 0 0

Condi on :1) AMC will be collected on upfront basis for the current year. For Corporate Account AMC shall be Rs. 1000/- per year.2) All charges men oned above are inclusive of CDSL charges.3) Service tax, as applicable would be levied.4) The above charges are subject to change with 30 days prior no ce. However, in case of revision of charges by CDSL, ashorter

no ce may be given.5) Charge once paid will not be refunded except as required by law.6) All instruc ons for transfer must be received at least one day before the Execu on/Pay in date.7) Same day execu on /late instruc ons will be accepted on “A best eff ort basis” at the sole risk and responsibility of the

depository account holder (s)8) The depository service may be temporarily discon nued if the cheque given for availing DP services is returned un paid.

In ma on of discon nua on of the DP services shall be in accordance with the rues specifi ed by CDSL. The DP services shall be resumed a er recovery of the returned cheque plus ` 100/- as addi onal charges.

9) All pledging services (crea on,closure and invoca on) shall be separately charged at the me of each transa on.10) All value of securi es will be in accordance with the rate provided by CDSL.11) Non periodical statement will be charged at ` 25 per statement.12) Charges quoted above are for the services listed. Any services not quoted above will be charged separately.13) Inter-scheme Transfer Charge is ` 1000. Per me-Scheme Change.14) For scheme B & C deposit will be refunded at the me of account closing a er deduc ng Annual Maintance charges as

per scheme A.15) Non-Judicial Stamp Paper or Franking Charges would be levied as per prevailing rate.l/WE HAVE READ AND UNDERSTOOD THE CHARGES AND CONDITIONS AS ABOVE AND AGREE TO ABIDE BY THE SAME.

KRISHNA MULTIFARIOUSCONSULTANCY PVT. LTD.

09, Dhar Complex, Near Eye Hospital, Unjha-384170, Gujarat.Phone : 02767-255441 Fax : 02767-255441E-mail : [email protected] : www.kmcindia.net

(DP ID 12072700)SCHEDULE OF CHARGES

Par culars Scheme- A Scheme-B Scheme-C Scheme-BSDAA. Deposit Nil ` 2000/- ` 500/- NilB. Charges Account Opening Nil Nil Nil NilAccount Closing Nil Nil Nil NilAnnual Maintenance Rs.250 Nil Nil As per BSDA Circular of SEBIDemat/Remat Request/ ` 3 (per cer fi cate) ` 3(per cer fi cate) ` 3(per cer fi cate) ` 3(per cer fi cate)Rejec on + ` 50 Postage + ` 50 Postage + ` 50 Postage + ` 50 PostageCustody Charges Nil Nil Nil NilC. Transfer of Securi es Buy Nil Nil Nil NilSales/Failed Instruc on ` 18 (` 12 for ` 18 (` 12 for ` 25 per ISIN ` 25 per ISIN in-house market in-house market transac ons) per ISIN transac ons) per ISINInterdepository/Off market ` 26 ` 26 ` 26 ` 26D. Pledge Pledging Services (crea on, 0.02% of the value of 0.02% of the value of 0.02% of the value of 0.02% of the value ofclosure and invoca on) securi es Minimum securi es Minimum securi es Minimum securi es Minimum ` 50 per ISIN ` 50 per ISIN ` 50 per ISIN ` 50 per ISIN

[ 26 ]

FEMA DECLARATIONS (Incase of NRI(s) / Foreign Na onals)

I/We hereby confi rm that I am a /we are non-resident Indian/s / foreign na onal/s individual/s. I/We also confi rm that :– I/we have complied with FEMA (erstwhile FERA) regulations and I / we would continue to comply with FEMA (FERA) regula ons.

SIGNATURE OF APPLICANTS :

First / Sole Holder : (1) (16)

Second Holder* : (2)

Third Holder* : (3)

(* To be signed only if second and/or third holder/s is/are NRI/s or FN/s. Not to be signed if second and/or third holder/s is/are resident Indian/s.)

IN PERSON VERIFICATION

(A) Account No. 1 2 0 7 2 7 0 0

DP NAME : Krishna Multifarious Consultancy Pvt. Ltd.

(B) NAME OF BRANCH :

(C) DP STAFF DETAILS :

NAME :

SIGNATURE :

(D) DATE :

PLACE :

(E) SIGNATURE OF APPLICANT :

HOLDER (1) (17)

(2)

(3)

........... ................ .............................. Cut from here ........... ................ ............................

[ 27 ]

OPTION FORM FOR ISSUE OF DIS BOOKLET Annexure 2.5

To,KRISHNA MULTIFARIOUS CONSULTANCY PVT. LTD.09, Dhar Complex, Near Eye Hospital, Unjha-384170, Gujarat.Phone : 02767-255441 • Fax : 02767-255441

Dear Sir /Madam,I / We hereby state that : [Select one of the op ons given below]

OPTION : 1I / We require you to issue Delivery Instruc on Slip (DIS) booklet to me / us immediately on opening my / our CDSL account though I / we have issued a Power of A orney (POA) / executed PMS agreement in favour of / with _______________________________(name of the a orney / Clearing Member / PMS manager) for execu ng delivery instruc ons for se ng stock exchange trades [se lement related transac ons] eff ected through such Clearing Member / by PMS manager. Yours faithfully

Date – – 2 0 1

DP ID Client ID 1 2 0 7 2 7 0 0

First/Sole Holder Second Holder Third Holder

Name

Signature

OR OPTION : 2

I / We do not require the Delivery Instruc on Slip (DIS) for the me being, since I / We have issued a POA / executed PMS agreement in favour of / with _______________________________________ (name of the a orney / Clearing Member / PMS manager) for execu ng delivery instruc ons for se ng stock exchange trades [se lement related transac ons] eff ected through such Clearing Member / by PMS manager. However, the Delivery Instruc on Slip (DIS) booklet should be issued to me / us immediately on my / our request at any later date. Yours faithfully

(19)

First/Sole Holder Second Holder Third Holder

Name

Signature

(18)

[ 28 ]

SPECIMEN SIGNATURE CARD

Account No.:

NAMESpecimen Signature of mine/us of the person/s authorised by us are given below. (Please sign in black ink)

Mode of Opera on : Tel. No. (for Correspondence) Fax Indemnity Yes No Standing Instruc on for Credit Yes NoNote : In case of addi onal siganture separate annexures should be a ached to the Applica on form. ** Signatures in all the languages men oned in the Eighth Schedule of the Cons tu on are accepted.

1 2 0 7 2 7 0 0


Signature(s) **Name of First / Sole Signatory

Name of Second Signatory

Name of Third Signatory

1.

2.

3.

No.:

FOR OFFICE USE ONLY

PARTICULAR Remarks

Form Received Date

Query 1

Query2

Query3

Form Return Date Form Received Date

KYC Entry/Modify Date Documents Upload Date

KYC Status and Agency

(20)

[ 29 ]

SPECIMEN SIGNATURE CARD

Account No.:

NAMESpecimen Signature of mine/us of the person/s authorised by us are given below. (Please sign in black ink)

Mode of Opera on : Tel. No. (for Correspondence) Fax Indemnity Yes No Standing Instruc on for Credit Yes NoNote : In case of addi onal siganture separate annexures should be a ached to the Applica on form. ** Signatures in all the languages men oned in the Eighth Schedule of the Cons tu on are accepted.

1 2 0 7 2 7 0 0


Signature(s) **Name of First / Sole Signatory

Name of Second Signatory

Name of Third Signatory

1.

2.

3.

No.:

MkneLkk Lk{qLkkLkwt fkzo

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