Académique Documents
Professionnel Documents
Culture Documents
Client Code
Client Name
Branch Code
________________________
PRADEEP SHARMA
________________________
BO ID
________________________
Branch Name
________________________
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6.
7.
8.
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D. Exemptions/clarifications to PAN
(Sufficient documentary evidence in support of such claims to be collected.)
1. In case of transactions undertaken on behalf of Central Government and/or State Government and by
officials appointed by Courts e.g. Official liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities/multilateral agencies exempt from Pay-ing taxes/filing tax returns in India.
4. SIP of Mutual Funds upto Rs 50, 000/- p.a.
5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks, Multilateral
and Bilateral Development Financial Institutions, State Industrial Development Corporations, Insurance
Companies registered with IRDA and Public Financial Institution as defined under section 4A of the
Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and provide
duly certified copies of such verified PAN details to the intermediary.
E. List of people authorized to attest the documents:
1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/ Co-operative Bank or Multinational
Foreign Banks (Name, Designation & Seal should be affixed on the copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in
India, Notary Public, Court Magistrate, Judge, Indian Embassy /Consulate General in the country where
the client resides are permitted to attest the documents
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Corporate
Partnership Firm
Trust
HUF
Documentary requirements
Copy of the balance sheets for the last 2 financial years (to be submitted every year).
Copy of latest share holding pattern including list of all those holding control, either
directly or indirectly, in the company in terms of SEBI takeover Regulations, duly
certified by the company secretary/Whole time director/MD (to be submitted every
year).
Photograph, POI, POA, PAN and DIN numbers of whole time directors/two directors in
charge of day to day operations.
Photograph, POI, POA, PAN of individual promoters holding control - either directly or
indirectly.
Copies of the Memorandum and Articles of Association and certificate of incorporation.
Copy of the Board Resolution for investment in securities market.
Authorised signatories list with specimen signatures.
Copy of the balance sheets for the last 2 financial
years (to be submitted every year)
Copy of partnership deed.
Photograph, POI, POA, PAN of Partners.
PAN of HUF.
Bank pass-book/bank statement in the name of
HUF.
Unincorporated
association
or
a
body of individuals
Banks/Institutional
Investors
Foreign institutional
Investors (FII) Army/
Government Bodies
Registered Society
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To,
IN PERSON VERIFICATION
Name of Employee
_______________
Employee Code
____________
Signautre of Employee
_______________
Date
Name of Client
PRADEEP SHARMA
Signature of Client
__________________
_______________
Place
______________
1 __________________
Signature of Client
2 __________________
INTRODUCER'S DETAIL
Introduction : Introduced by another constituent/director or employee or trading member/any
other person (please specify)
Name of Introducer
Address of Introducer*
: GHAZIABAD
Pin Code
: 201001
: __________________
______________
Validity: ____________
I hereby declare that all the details furnished above are true and correct to the
best of my knowledge and belief and I undertake to inform you of any changes therein immediately. In case
any of the above information is found to be false or untrue
or misleading or misrepresenting I am aware that I may be held liable for it
*Note: Please attach self attested copy of Identity Proof and Address Proof of the Introducer.
(Relationship Manager/Remisier's Details)
Name
&
Designation
of
: ________________________ Client Name
RM/Remisier
who interviewed the client
: ________________________
Employee
Code/Remisier : KA01331
Client's
Code
Signature
Signature of RM/Remisier
: ________________________ Dated
: PRADEEP SHARMA
:
3 __________________
: ________________________
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SEGMENT
Cash
F&O
Currency
Cash
F&O
Currency
Currency Derivatives
Currency Derivatives
DATE
26/07/1995
23/05/2000
25/08/2008
30/09/2004
08/05/2007
29/11/2013
13/07/2009
01/04/2010
Officer Details :
: Surabhi Sangal
: +91-120-4663333
: surabhi.sangal@trustline.in
CEO Details
Name
Phone No.
E-mail Id
For any grievance/dispute please contact Trustline Securities Ltd. at the above address or email id:
helpdesk@trustline.in and Phone No. +91-120-4663333. In case not satisfied with the response, please contact the
concerned exchange(s) at :
Exchange Name
National Stock Exchange of India Ltd.
Bombay Stock Exchange Ltd.
MCX Stock Exchange Ltd.
United Stock Exchange Ltd.
CDSL
E-mail ID
ignse@nse.co.in
is@bseindia.com
investorcomplaints@mcx-sx.com
info@useindia.com
complaints@cdslindia.com
Phone No.
1800-2200-58
022-22728097
022-67319000 Ext. 8883
022-42444999
022-22723333
You can also lodge your grievances with SEBI at http:// scores.gov.in
For any queries, feedback or assistance, please contact SEBI office or toll free Helpline at 1800-22-7575 /
1800-266-7575
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SOLE/FIRST HOLDER
NETRAPAL SHARMA
3. A.Gender MALE
4. A. Nationality INDIAN
B. Status (Please tick)
5. A. PAN FMLPS6981L
Ratio C ard
Driving License
Pin Code
Country
203207
INDIA
Tel.(Res.)
Fax
Others______________
Permanent Address of Resident Applicant if different from above B 1 OR Overseas Address (Mandatory) for
Non-Resident Application
192,DHOOM MANIKPUR,DHOOM MANIKPURR,TEHSIL-DADRI
City/Town/Village
GAUTAM BUDH NAGAR
Pin Code
203207
State
UTTAR PRADESH
Country
INDIA
5. Proof of address to be provided by Applicant.
4.
Passport
Ratio C ard
Driving License
Others______________
DECLARATION
SIGNATURE OF APPLICANT
I hereby dec lare that the details furnis hed above are true and c orrec t to the bes t of my/our knowledge and beliefand I undertake to inform you
of any c hanges therein, immediately. I n c as e any of the above information is foundto be fals e or untrue or mis leading or mis repres enting, I
am/we are aware that I /we may be held liable for it.
Place GHAZIABAD
Date 15-04-2015
4 __________________
DOCUMENTS VERIFICATION
IN-PERSON VERIFICATION
Staff N ame
Staff N ame
D es ignation
D es ignation
Signature
Signature
D ate
D ate
1
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6.
7.
8.
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D. Exemptions/clarifications to PAN
(Sufficient documentary evidence in support of such claims to be collected.)
1. In case of transactions undertaken on behalf of Central Government and/or State Government and by
officials appointed by Courts e.g. Official liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities/multilateral agencies exempt from Pay-ing taxes/filing tax returns in India.
4. SIP of Mutual Funds upto Rs 50, 000/- p.a.
5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks, Multilateral
and Bilateral Development Financial Institutions, State Industrial Development Corporations, Insurance
Companies registered with IRDA and Public Financial Institution as defined under section 4A of the
Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and provide
duly certified copies of such verified PAN details to the intermediary.
E. List of people authorized to attest the documents:
1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/ Co-operative Bank or Multinational
Foreign Banks (Name, Designation & Seal should be affixed on the copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in
India, Notary Public, Court Magistrate, Judge, Indian Embassy /Consulate General in the country where
the client resides are permitted to attest the documents
3
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SOLE/SECOND HOLDER
B. Marital Status
C.Date of Birth
4. A. Nationality
B. Status (Please tick)
5. A. PAN
Ratio C ard
Pin Code
Country
Tel.(Res.)
Fax
Driving License
Others______________
4.
Permanent Address of Resident Applicant if different from above B 1 OR Overseas Address (Mandatory) for
Non-Resident Application
City/Town/Village
State
5. Proof of address to be provided by Applicant.
Passport
Ratio C ard
Pin Code
Country
Driving License
Others______________
DECLARATION
SIGNATURE OF APPLICANT
I hereby dec lare that the details furnis hed above are true and c orrec t to the bes t of my/our knowledge and beliefand I undertake to inform you
of any c hanges therein, immediately. I n c as e any of the above information is foundto be fals e or untrue or mis leading or mis repres enting, I
am/we are aware that I /we may be held liable for it.
Place GHAZIABAD
Date 15-04-2015
4 __________________
DOCUMENTS VERIFICATION
IN-PERSON VERIFICATION
Staff N ame
Staff N ame
D es ignation
D es ignation
Signature
Signature
D ate
D ate
4
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6.
7.
8.
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D. Exemptions/clarifications to PAN
(Sufficient documentary evidence in support of such claims to be collected.)
1. In case of transactions undertaken on behalf of Central Government and/or State Government and by
officials appointed by Courts e.g. Official liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities/multilateral agencies exempt from Pay-ing taxes/filing tax returns in India.
4. SIP of Mutual Funds upto Rs 50, 000/- p.a.
5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks, Multilateral
and Bilateral Development Financial Institutions, State Industrial Development Corporations, Insurance
Companies registered with IRDA and Public Financial Institution as defined under section 4A of the
Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and provide
duly certified copies of such verified PAN details to the intermediary.
E. List of people authorized to attest the documents:
1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/ Co-operative Bank or Multinational
Foreign Banks (Name, Designation & Seal should be affixed on the copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in
India, Notary Public, Court Magistrate, Judge, Indian Embassy /Consulate General in the country where
the client resides are permitted to attest the documents
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SOLE/THIRD HOLDER
B. Marital Status
C.Date of Birth
4. A. Nationality
B. Status (Please tick)
5. A. PAN
Ratio C ard
Pin Code
Country
Tel.(Res.)
Fax
Driving License
Others______________
4.
Permanent Address of Resident Applicant if different from above B 1 OR Overseas Address (Mandatory) for
Non-Resident Application
City/Town/Village
State
5. Proof of address to be provided by Applicant.
Passport
Ratio C ard
Pin Code
Country
Driving License
Others______________
DECLARATION
SIGNATURE OF APPLICANT
I hereby dec lare that the details furnis hed above are true and c orrec t to the bes t of my/our knowledge and beliefand I undertake to inform you
of any c hanges therein, immediately. I n c as e any of the above information is foundto be fals e or untrue or mis leading or mis repres enting, I
am/we are aware that I /we may be held liable for it.
Place GHAZIABAD
Date 15-04-2015
4 __________________
DOCUMENTS VERIFICATION
IN-PERSON VERIFICATION
Staff N ame
Staff N ame
D es ignation
D es ignation
Signature
Signature
D ate
D ate
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6.
7.
8.
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D. Exemptions/clarifications to PAN
(Sufficient documentary evidence in support of such claims to be collected.)
1. In case of transactions undertaken on behalf of Central Government and/or State Government and by
officials appointed by Courts e.g. Official liquidator, Court receiver etc.
2. Investors residing in the state of Sikkim.
3. UN entities/multilateral agencies exempt from Pay-ing taxes/filing tax returns in India.
4. SIP of Mutual Funds upto Rs 50, 000/- p.a.
5. In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks, Multilateral
and Bilateral Development Financial Institutions, State Industrial Development Corporations, Insurance
Companies registered with IRDA and Public Financial Institution as defined under section 4A of the
Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and provide
duly certified copies of such verified PAN details to the intermediary.
E. List of people authorized to attest the documents:
1. Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/ Co-operative Bank or Multinational
Foreign Banks (Name, Designation & Seal should be affixed on the copy).
2. In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in
India, Notary Public, Court Magistrate, Judge, Indian Embassy /Consulate General in the country where
the client resides are permitted to attest the documents
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DECLARATION BY HUF
Please fill in for a HUF
As our HUF firm wishes to open an account with you DP in the said name __________ we beg to say that the first
signatory to this letter, ie __________ is the Karta of the Joint Family and other signatories are the audit coparceners of the said family.
We further confirm that the business of the said joint family is carried on mainly by the said Karta as also by the
other signatories hereto in the interest and for the benefit of the entire body to co-parceners of the joint family. We
all undertake that claims due to the DP from the said family shall be recoverable personally from all or any of us and
also for the entire family properties of which the first signatories is the Karta including the share of minor coparceners.
In view of the fact that ours is not a firm governed by the Indian Partnership Act of 1952, we have not got our said
firm registered under the said Act.
We hereby under take to inform the DP of the death or birth of a co-parcener of any change occurring at any time in
the membership of our joint family during the currency of the account.
S.
No.
Name
Date of Birth
Sex
Relation
Signature
1.
__________________
2.
__________________
3.
__________________
4.
__________________
5.
__________________
SIGN of Karta
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Branch Address
PLOT NO-114,GT ROAD
Account Type
SAVING
MICR Number
110240126
IFSC Code
HDFC0000927
Beneficiary Name
NSDL
CDSL
C. OTHER DETAILS
Income Range per annum
Rs 1-5 Lac
Rs 5-10 Lac
Rs 10-25 Lac
Rs 25 Lac -1 Crore
Gross Annual Income Details Below Rs 1 Lac
More
than
Rs
1Crore
(please specify)
Networth*
Amount
(Rs)
________________________
As
on
(date)
________________________ (Net worth should not be older than 1 year)
Occupation (please tick any one Private Sector
Public Sector
Government Service
Business
Professional
and give brief details):
Agriculturist
Retired
Housewife
Student
Others
Please tick, if applicable
Politically Exposed Person (PEP)
Related to a Politically Exposed Person (PEP)
Any other information
* For Individual Client 'Net-worth' is Optional, In case of Non-Invididual client 'Net-worth' will be mandatory.
C. TRADING PREFERENCES
* Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.
Exchange
Segments
Cash
NSE
Currency Derivative
F&O
Cash
BSE
Currency Derivative
F&O
MCX-SX
Currency Derivative
USE
Currency Derivative
# If, in future, the client wants to trade on any new segment/new exchange, separate authorization/letter should be
taken from the client by the stock broker. **Currency derivative segment include interest rate future.
D. PAST ACTIONS
Details of any action/proceedings initiated/pending/ taken by SEBI/ Stock Exchange/any other authority against the
applicant/constituent or its Partners/promoters/whole time directors/authorized persons in charge of dealing in
securities
during
the
last
3
years,
give
details
(attach
annexure
if
required)
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
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_________________
_______________
______________
Registered office address
______________
PIN Code _______________
Website
________________
Phone ________________
Fax
______________
Whether dealing with any other stock broker/sub-broker (if case dealing with multiple stock
______________
brokers/sub-brokers, provide details of all)
Name of stock broker
______________
Name of Sub-Broker (if any)
_______________
Client Code
_________________
Exchange _________________
Details of disputes/dues pending from/to such stock broker/sub- broker
_________________
F. ADDITIONAL DETAILS
Whether you wish to receive physical contract note or Electronic Contract Note
Physical Contract Note
Electronic
(ECN) (please specify)
Contract Note
I/We wish to avail facility provided by the exchange
SMS Alert
E-mail Alert
Both
In case of ECN / E-mail Alert Pls. Specify your Email id
PTPRADEEPSHARMA@GMAIL.COM
In case of SMS Alert Pls. Specify your Mobile No
________________________
Whether you wish to avail of the facility of internet trading/ wireless
Yes
No
technology (please specify)
Number of years of Investment/Trading Experience
0
Any other information
________________________
G. INTRODUCER DETAILS (optional)
Name of the Introducer
Status of the Introducer
Address of the Introducer
9811953358
____________________
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the
I/WE
DO
NOMINATE
GEETA DEVI
NOT
WISH
TO
WIFE
PAN of Nominee
08-09-1982
Phone
Nominee
192,DHOOM
DADRI
MANIKPUR,TEHSIL
No.
of
Signature of Nominee
9350781187
____________________
___________________
Photograph of
Nominee
Photograph of
Guardian (in
case of minor)
Name
Signature
Address
DILIP KUMAR
____________________
C-78, SUDESH PLAZA,RDC RAJNAGAR,GHAZIABAD
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DISCLOSURE
Dear Client, This is to inform you that we do client based trading and pro-account trading in National Stock Exchange of
India limited (NSE), MCX Stock Exchange Limited (MCX-SX) and United Stock Exchange (USE).
For, Trustline Securities Ltd.
Authorized Signatory
DECLARATION
1. I/We hereby declare that the details furnished above are true and 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, I am/we are aware that I/we may be held liable for
it.
2. I/We confirm having read/been explained and understood the contents of the document on policy and procedures of
the stock broker and the tariff sheet.
3. I/We further confirm having read and understood the contents of the 'Rights and Obligations' document(s) and 'Risk
Disclosure Document'. I/We do hereby agree to be bound by such provisions as outlined in these documents. I/We
have also been informed that the standard set of documents has been displayed for Information on stock broker's
designated website, if any.
4. I/We declare that Trustline Securities Ltd. , the brokers, has put me/us on notice that it is engaged in not only
client based trading but also in pro-account trading.
Name(s) of the Authorised Signatory
1.
5 ____________________
2.
____________________
3.
____________________
Date: 15-04-2015
FOR OFFICE USE ONLY
UCC Code allotted to the Client: ________________________
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 and Guidance 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/our website, if any,
for the information of the clients
Signature of the Authorised Signatory
Date: ________________________
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15.
16.
17.
18.
19.
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TERMINATION OF RELATIONSHIP
27. This relationship between the stock broker and the
client shall be terminated; if the stock broker for any
reason ceases to be a member of the stock exchange
including cessation of membership by reason of the
stock broker's default, death, resignation or
expulsion or if the certificate is cancelled by the
Board.
28. The stock broker, sub-broker and the client shall be
entitled to terminate the relationship between them
without giving any reasons to the other party, after
giving notice in writing of not less than one month to
the other parties. Notwithstanding any such
termination, all rights, liabilities and obligations of
the parties arising out of or in respect of transactions
entered into prior to the termination of this
relationship shall continue to subsist and vest in/be
binding on the respective parties or his/ its
respective heirs, executors, administrators, legal
representatives or successors, as the case may be.
29. In the event of demise/insolvency of the sub-broker
or the cancellation of his/its registration with the
Board or/withdrawal of recognition of the sub-broker
by the stock exchange and/or termination of the
agreement with the sub broker by the stock broker,
for any reason whatsoever, the client shall be
informed of such termination and the client shall be
deemed to be the direct client of the stock broker
and all clauses in the 'Rights and Obligations'
document(s) governing the stock broker, subbroker
and client shall continue to be in force as it is,
unless the client intimates to the stock broker his/its
intention to terminate their relationship by giving a
notice in writing of not less than one month.
ADDITIONAL RIGHTS AND OBLIGATIONS
30. The stock broker shall ensure due protection to the
client regarding client's rights to dividends, rights or
bonus shares, etc. in respect of transactions routed
through it and it shall not do anything which is likely
to harm the interest of the client with whom and for
whom they may have had transactions in securities.
31. The stock broker and client shall reconcile and settle
their accounts from time to time as per the Rules,
Regulations, Bye Laws, Circulars, Notices and
Guidelines issued by SEBI and the relevant
Exchanges where the trade is executed.
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INTERNET & WIRELESS TECHNOLOGY BASED TRADING FACILITY PROVIDED BY STOCK BROKERS TO CLIENT
(All the clauses mentioned in the 'Rights and Obligations' document(s) shall be applicable. Additionally, the
clauses mentioned herein shall also be applicable.)
1. Stock broker is eligible for providing Internet based trading (IBT) and securities trading through the use of
wireless technology that shall include the use of devices such as mobile phone, laptop with data card, etc.
which use Internet Protocol (IP). The stock broker shall comply with all requirements applicable to internet
based trading/securities trading using wireless technology as may be specified by SEBI & the Exchanges from
time to time.
2. The client is desirous of investing/trading in securities and for this purpose, the client is desirous of using either
the internet based trading facility or the facility for securities trading through use of wireless technology. The
Stock broker shall provide the Stock broker's IBT Service to the Client, and the Client shall avail of the Stock
broker's IBT Service, on and subject to SEBI/Exchanges Provisions and the terms and conditions specified on the
Stock broker's IBT Web Site provided that they are in line with the norms prescribed by Exchanges/SEBI.
3. The stock broker shall bring to the notice of client the features, risks, responsibilities, obligations and liabilities
associated with securities trading through wireless technology/internet/smart order routing or any other
technology should be brought to the notice of the client by the stock broker.
4. The stock broker shall make the client aware that the Stock Broker's IBT system itself generates the initial
password and its password policy as stipulated in line with norms prescribed by Exchanges/SEBI.
5. The Client shall be responsible for keeping the Username and Password confidential and secure and shall be
solely responsible for all orders entered and transactions done by any person whosoever through the Stock
broker's IBT System using the Client's Username and/or Password whether or not such person was authorized to
do so. Also the client is aware that authentication technologies and strict security measures are required for the
internet trading/securities trading through wireless technology through order routed system and undertakes to
ensure that the password of the client and/or his authorized representative are not revealed to any third party
including employees and dealers of the stock broker.
6. The Client shall immediately notify the Stock broker in writing if he forgets his password, discovers security flaw
in Stock Broker's IBT System, discovers/suspects discrepancies/ unauthorized access through his
username/password/account with full details of such unauthorized use, the date, the manner and the
transactions effected pursuant to such unauthorized use, etc.
7. The Client is fully aware of and understands the risks associated with availing of a service for routing orders
over the internet/ securities trading through wireless technology and Client shall be fully liable and responsible
for any and all acts done in the Client's Username/password in any manner whatsoever.
8. The stock broker shall send the order/trade confirmation through email to the client at his request. The client is
aware that the order/ trade confirmation is also provided on the web portal. In case client is trading using
wireless technology, the stock broker shall send the order/trade confirmation on the device of the client.
9. The client is aware that trading over the internet involves many uncertain factors and complex hardware,
software, systems, communication lines, peripherals, etc. are susceptible to interruptions and dislocations. The
Stock broker and the Exchange do not make any representation or warranty that the Stock broker's IBT Service
will be available to the Client at all times without any interruption.
10. The Client shall not have any claim against the Exchange or the Stock broker on account of any suspension,
interruption, nonavailability or malfunctioning of the Stock broker's IBT System or Service or the Exchange's
service or systems or non-execution of his orders due to any link/system failure at the Client/Stock
brokers/Exchange end for any reason beyond the control of the stock broker/ Exchanges.
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GUIDANCE NOTE - DO's AND DON'Ts FOR TRADING ON THE EXCHANGE(S) FOR INVESTORS ANNEXURE-6
BEFORE YOU BEGIN TO TRADE
11. Make the payments by account payee cheque in favour of the
1. Ensure that you deal with and through only
stock broker. Don't issue cheques in the name of sub-broker.
SEBI registered intermediaries. You may
Ensure that you have a documentary proof of your payment/
check their SEBI registration certificate
deposit of securities with the stock broker, stating date, scrip,
number from the list available on the Stock
quantity, towards which bank/ demat account such money or
exchanges www.exchange.com and SEBI
securities deposited and from which bank/ demat account.
website www.sebi.gov.in.
12. Note that facility of Trade Verification is available on stock
2. Ensure that you fill the KYC form
exchanges' websites, where details of trade as mentioned in
completely and strike off the blank fields in
the contract note may be verified. Where trade details on the
the KYC form.
website do not tally with the details mentioned in the contract
3. Ensure that you have read all the
note, immediately get in touch with the Investors Grievance
mandatory documents viz. Rights and
Cell of the relevant Stock exchange.
Obligations, Risk Disclosure Document, 13. In case you have given specific authorization for maintaining
Policy and Procedure document of the stock
running account, payout of funds or delivery of securities (as
broker.
the case may be), may not be made to you within one working
4. Ensure to read, understand and then sign
day from the receipt of payout from the Exchange. Thus, the
the voluntary clauses, if any, agreed
stock broker shall maintain running account for you subject to
between you and the stock broker. Note
the following conditions:
that the clauses as agreed between you
and the stock broker cannot be changed
a) Such authorization from you shall be dated, signed by you
without your consent.
only and contains the clause that you may revoke the same at
5. Get a clear idea about all brokerage,
any time.
commissions, fees and other charges levied
b) The actual settlement of funds and securities shall be done
by the broker on you for trading and the
by the stock broker, at least once in a calendar quarter or
relevant provisions/ guidelines specified by
month, depending on your preference. While settling the
SEBI/Stock exchanges.
account, the stock broker shall send to you a 'statement of
6. Obtain a copy of all the documents
accounts' containing an extract from the client ledger for funds
executed by you from the stock broker free
and an extract from the register of securities displaying all the
of charge.
receipts/deliveries of funds and securities. The statement shall
7. In case you wish to execute Power of
also explain the retention of funds and securities and the
Attorney (POA) in favour of the Stock
details of the pledged shares, if any.
broker, authorizing it to operate your bank
c) On the date of settlement, the stock broker may retain the
and demat account, please refer to the
requisite securities/funds towards outstanding obligations and
guidelines issued by SEBI/ Exchanges in
may also retain the funds expected to be required to meet
this regard.
derivatives margin obligations for next 5 trading days,
calculated in the manner specified by the
TRANSACTIONS AND SETTLEMENTS
8. The stock broker may issue electronic
contract
notes
(ECN)
if
specifically
authorized by you in writing. You should
provide your email id to the stock broker for
the same. Don't opt for ECN if you are not
familiar with computers.
9. Don't share your internet trading account's
password with anyone.
10. Don't make any payment in cash to the
stock broker.
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exchanges.
In
respect
of
cash
market
exchanges gives a public notice inviting claims
transactions, the stock broker may retain entire
relating to only the "transactions executed on
pay-in obligation of funds and securities due
the trading system" of Stock exchange, from the
from clients as on date of settlement and for
investors. Ensure that you lodge a claim with the
next day's business, he may retain funds/
relevant Stock exchanges within the stipulated
securities/margin to the extent of value of
period and with the supporting documents.
transactions executed on the day of such 17. Familiarize yourself with the protection accorded to
settlement in the cash market.
the money and/or securities you may deposit with
your stock broker, particularly in the event of a
d) You need to bring any dispute arising from the
default or the stock broker's insolvency or bankruptcy
statement of account or settlement so made to the
and the extent to which you may recover such money
notice of the stock broker in writing preferably within
and/or securities may be governed by the Bye-laws
7 (seven) working days from the date of receipt of
and Regulations of the relevant Stock exchange where
funds/securities or statement, as the case may be.
the trade was executed and the scheme of the
In case of dispute, refer the matter in writing to the
Investors' Protection Fund in force from time to time.
Investors Grievance Cell of the relevant Stock
DISPUTES/
COMPLAINTS
exchanges without delay.
14. In case you have not opted for maintaining running 18. Please note that the details of the arbitration
proceedings, penal action against the brokers and
account and pay-out of funds/securities is not
investor complaints against the stock brokers are
received on the next working day of the receipt of
displayed on the website of the relevant Stock
payout from the exchanges, please refer the matter
exchange.
to the stock broker. In case there is dispute, ensure
19.
In case your issue/problem/grievance is not being
that you lodge a complaint in writing immediately
sorted out by concerned stock broker/sub-broker then
with the Investors Grievance Cell of the relevant
you may take up the matter with the concerned Stock
Stock exchange.
exchange. If you are not satisfied with the resolution
15. Please register your mobile number and email id with
of your complaint then you can escalate the matter
the stock broker, to receive trade confirmation alerts/
to SEBI.
details of the transactions through SMS or email, by
20.
Note that all the stock broker/sub-brokers have been
the end of the trading day, from the stock exchanges.
mandated by SEBI to designate an e-mail ID of the
IN
CASE
OF
TERMINATION
OF
TRADING
grievance
redressal
division/compliance
officer
MEMBERSHIP
exclusively for the purpose of registering complaints.
16. In case, a stock broker surrenders his membership, is
expelled from membership or declared a defaulter;
Stock
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BROKERAGE SLAB
INTRADAY
DELIVERY
FUTURES
CURRENCY
OPTIONS F&O
SLAB %
________________________
________________________
________________________
________________________
________________________
NORMAL SLAB
________________________
________________________
________________________
________________________
________________________
OPTIONS CURRENCY
________________________
________________________
Note :
1. The above charges are exclusive of service tax, security transaction tax and other transaction charges.
2. All customers will get digital contract notes. Physical contract notes provided on request which would entail a
nominal charges.
Branch Head/Manager Name:
______________
6 ____________________
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7 __________________
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26. In connection with this "Other Terms & Conditions", as 31. "The Client" agrees and accepts that he shall never leave /
well as all transactions contemplated under this "Other
entrust bank Delivery Instruction Slip (also known as DIS)
Terms & Conditions" as offered by Trustline from time to
pertaining to his depository account to any employee /
time, the Client agrees to execute and deliver documents
agent (including sub-broker/ authorized person) of the
titled "authorisations" and to perform such additional
"Stock Broker", the same shall be un equivocally a
actions which may be necessary, appropriate or requested
personal , private arrangement between such person and
to carry out or evidence the transactions in respect of the
"the Client" and " the Stock Broker", shall have no liability
services availed by the Client from time to time. All the
towards "the Client" for outcome including losses, if any
terms of this "Other Terms & Conditions" shall be read as
on account of such entrustment / leaving of bank Delivery
part and parcel of authorisations.
Instructions Slips (also known as DIS) by " the Client" in
contravention of this explicit written term between "the
27. The Client hereby declares that all information which have
Stock Broker' and 'the Client".
been provided, are being provided and which shall be
provided by the Client to Trustline or any service provider 32. "The Stock Broker" sends through post, courier,
under this "Other Terms & Conditions" or in relation
government post, disseminates through web site the paythereof or as consequences thereof is and shall always be
in / pay out and other obligations relating to Client trading
true to the best of information and knowledge of the
and other relevant information. "The Client" agrees that it
Client.
is his /her / its responsibility to review any / all information
communicated including but not limited to order
28. The Client expressly agrees that his /her/ its utilization of a
placement, order confirmations, order modifications, order
service / facility such as but not limited to advisory
executions, trade confirmations, trade modifications, bills,
services, any other activity for and on the behalf of the
transaction statements, account statements, margin
Client or any other transaction which Trustline undertakes
requirements etc. communicated to "the Client" by any of
with or for the Client, shall also be covered by the terms &
the aforesaid means or mode whatsoever, immediately on
conditions of this "Other Terms & Conditions".
their receipt and take necessary action. If "the Client" does
not revert with objections within 48 hours of issuance of
29. The Client agrees that all monies, securities or other
information to him, the same shall be deemed accepted by
property which Trustline may hold on Client's account shall
"the Client". Client further agrees that due to above
be held subject to a general lien for the discharge of
regular dissemination / dispatch of information the Client
Client's obligations to Trustline. Client further agrees
shall be knowing the quantum of funds / securities etc.
neither to close bank and depository accounts nor to
which should be received by him in regular course of
mark any lien / pledge on the securities and / or monies
trading etc. Therefore where Client comes in possession of
lying in such accounts which are linked to his trading
assets of "the Stock Broker" (including those of any third
account such time that is account is fully settled with "the
party such as bank / other clients) which do not appear to
Stock Exchange" for all the obligations.
belong to him, (whether due to system, software /
hardware and / or human failure / fraudulent acts) the
30. "The Client" also acknowledges that "the Stock Brokers"'s
same
employees / agents (whether dealer, relationship manger,
sub broker or authorized person) are not authorized to
accepts any cash from
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12 __________________
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__________________
: ________________________
__________________
: ________________________
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LETTER OF AUTHORITY
Date: ________________________
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my/our contact number provided to you until such time when instructed otherwise in writing to the trading
member. I/We will refer my/ our self for any query in relation to my transactions to the contract notes issued
to me/us.
6. I/We authorize the trading member not to send us order confirmation/modification/cancellation slips and trade
confirmation slips to avoid unnecessary paper work. I/We affirm that as and when required, I/We will collect
the contract notes in duplicate, bills, statement of account, holding statement, transaction statement etc. as
per my/our own convenience from Head Office by an email request.
7. Trading of NSE/BSE is in electronic Mode, based on V-sat, leased line, ISDN, Modem and VPN, combination of
technologies and computer systems to place and route orders. We understand that there exists a possibility
of communication failure or system problems or slow or delayed response from system or trading halt, of any
such other problem/glitch whereby not being able to establish access to the trading system/network, which
may be beyond the control of you and may result in delay in processing or not processing buy or sell orders
either in part or in full.
8. I/We herby confirm that no action has been taken by SEBI or other any other competent authorities against
me/us during last 3 years. I/We shall inform the trading member as and when any such action is taken
against me/us and shall be responsible for any false declaration provided to the trading member by me/us in
this relation.
9. I/We undertake and confirm that my/our account shall be inactive if I/We do not trade in my/our account
during a significant time period as may be decided by the company and the reactivation of the inactive
account shall be subject to the KYC provisions of the trading member as may be provided from time to time.
10. I/We understand that only documents watermarked as mandatory are mandatory. Any other clauses or
documents executed along with the mandatory document in account opening form are non-mandatory. I/We
need not execute such non-mandatory documents if I/We do not wish to use the trading facility through
Trustline Securities Ltd.
11. I/We hereby agree to provide a written request to you for a copy of account opening form, Policies and
Procedures and any other document executed by me/us with Trustline Securities Ltd.
12. I/We understand that I/We may revoke such authorisation given above any point of time by giving prior
intimation to M/s. Trustline Securities Ltd.
Yours faithfully,
Client Name :
Client Code :
PRADEEP SHARMA
________________________
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ANNEXURE
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6. The names and dates of birth of the present minor co-parceners of the said joint family are given below. We
undertake to inform you in writing as and when each of the said members attains the age of majority and is
authorized to act on behalf of, and bind, the said HUF.
Name of the Minor
Father's Name
Date of Birth
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
________________________
7. We have received and read a copy of the Member's rules and regulations for the conduct of Share Trading
Accounts and we agree to comply with and be bound by the said rules now in force or any changes that may
be made therein from time to time.
Yours faithfully
Name
________________________
________________________
________________________
________________________
________________________
________________________
(Full personal signatures all major co-parceners)
Date:
________________________
Date of Birth
________________________
________________________
________________________
________________________
________________________
________________________
SIGN of Karta
-----------------------------------------------------------------Tear Here--------------------------------------------------------------ACKNOWLEDGEMENT
I/we have received full copy of this booklet including (KYC, RDD, INVESTOR' RIGHTS & OBLIGATIONS, POLICIES &
PROCEDURE etc.) executed by me/us.
15 __________________ Name of Client: PRADEEP SHARMA
Date: ________________________
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-----------------------------------------------------------------Tear Here---------------------------------------------------------------
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Details of terms & conditions for the Investor / Client for using New MFSS facility
1. Pre-requisites for becoming Investor / Client for the New MFSS facility
1.1 The client who is desirous of investing in units of mutual fund schemes through the New MFSS.
1.2 The Client intends to execute his instruction for the subscription/redemption of units of Mutual Fund
Schemes through the Participant of the New MFSS.
1.3 The client has satisfied itself of the capacity of the Participant to deal in Mutual Fund units and wishes to
execute its instruction through the Participant and the client shall from time to time continue to satisfy itself
of such capability of the Participant before executing transacting through the Participant.
1.4 The Client has approached to the Participant with the application for availing the New MFSS facility.
1.5 The client has submitted relevant KYC (Know Your Client) details to the Participants
2. Terms and Conditions
2.1 The client shall be bound by circulars issued by NSEIL, Rules, Regulations and circulars issued there under
by SEBI and relevant notifications of Government authorities as may be in force from time to time.
2.2 The client shall notify the Participant in writing if there is any change in the information in the 'client
registration form' provided by the client to the Participant at the time registering as a client for participating in
the New MFSS or at any time thereafter.
2.3 The client shall submit to the Participant a completed application form in the manner prescribed format for
the purpose of placing a subscription order with the Participant.
2.4 The client has read and understood the risks involved in investing in Mutual Fund Schemes.
2.5 The client shall be wholly responsible for all his investment decisions and instruction.
2.6 The client shall ensure continuous compliance with the requirements of the NSEIL, SEBI and AMFI.
2.7 The Client shall pay to the Participant fees and statutory levies as are prevailing from time to time and as
they apply to the Client's account, transactions and to the services that Participant renders to the Client.
2.8 The client will furnish information to the Participant in writing , if any winding up petition or insolvency
petition has been filed or any winding up or insolvency order or decree or award is passed against him or if any
litigation which may have material bearing on his capacity has been filed against him.
2.9 In the event of non-performance of the obligation by the Participant, the client is not entitled to claim any
compensation either from the Investor Protection Fund or from any fund of NSEIL or NSCCL.
2.10 In case of any dispute between the Participants and the investors arising out of the MFSS facility, NSEIL
and / or NSCCL agrees to extend the necessary support for the speedy redressal of the disputes.
21 __________________
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Date: _____________
Client Code
Relationship
Signature
1. That the above-mentioned authorized person/Members of my family are regularly trading/ investing/holding
securities through you on National Stock Exchange of India Ltd. / Bombay Stock Exchange Ltd. and/or any other
exchange(s)/Depository.
2. That I hereby authorize you to set off a part or whole of the collateral/funds, by way of appropriation of
relevant amount of cash/securities,from/to any account of the Client or of the Member of the family of the
Client (Whether Online or Offline accounts) with the Trading Member against the outstanding dues in the
account of the Client and/or of the Member of the family of the Client under this agreement across all
segments/exchange(s)/depository(ies).
The above mentioned family Members/authorized person/group of persons is/are also authorized to receive all
documents from Trustline Securities Ltd. and is/are further authorized to do all acts necessary for operation in
any of the account(s) and transactions, interalia include transfer of any or entire funds/securities to
his/her/their respective account(s).
That I agree to intimate you from time to time of any additions or deletions of group/family Members in the
group/family. I agree that any deletion shall take effect only on completion of settlement and adjustments of
balances in all the accounts of the Members of the group/family. In order to facilitate operations, I authorize
the Member to maintain a running account instead of settlement to settlement clearance of dues to me and no
interest shall be payable by the Member on the same.
3. That I have given the above authority to Trustline Securities Ltd. with my free consent and without any
pressure, threat or coercion from any corner whatsoever.
4. That in future I shall not make any claim from Trustline Securities Ltd. in any manner whatsoever of any
collateral/funds adjusted from my account to set off the outstanding debit or any otherdue(s) amount in the
above mentioned accounts. I further state that if anybody on my behalf claims the above said adjusted
amount/securities, the said act shall be null and void and shall be ineffective from all corners.
5. That this is my true irrevocable statement and shall remain binding on me/authorized persons/family members.
6. That I hereby undertake to intimate you from time to time of any additions of the Constituents to the said
Group Account for the purpose of either allowing them to trade on my behalf or for the purpose adjustment of
balance inter se
7. The signatures of the above-mentioned authorized persons/members of my family consenting to the above
mentioned terms of adjustments are affixed above.
Name of Client : PRADEEP SHARMA
PAN
: FMLPS6981L
22 __________________
Client Signature :
Client Code
: ________________________
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Internal Ref No
Client Name
________________________
PRADEEP SHARMA
Account No
Branch Code
1202420000____________
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PRADEEP SHARMA
________________________
________________________
________________________
PAN
UID
PAN
UID
PAN
UID
FMLPS6981L
________________________
________________________
________________________
Name *
________________________
*
In case of Firms, Association 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, Association of Persons (AOP), Partnership
Firm,Unregistered Trust, etc., should be mentioned above.
Type of Account (Please tick whichever is applicable)
Status
Sub-Status
INDIVIDUAL
INDIVIDUAL RESIDENT
Details of Guardian (in case the account holder is minor)
Guardian's Name
PAN
_________________
I/We instruct the DP to receive each and every credit in my/our account (If not marked, the
[Automatic Credit]
default option would be 'Yes')
I/We would like to instruct the DP to accept all the pledge instructions in my/our account
without any other further instruction from my/our end (If not marked, the default option
Yes
No
would be 'No')
Account Statement Requirement
As per SEBI Regulation
Daily
Weekly
Fortnightly
Monthly
I/We request you to send Electronic Transaction-cum-Holding Statement at the email ID
Yes
No
PTPRADEEPSHARMA@GMAIL.COM
I/We would like to share the email ID with the RTA
Yes
No
Physical
/
I/We would like to receive the Annual Report (Tick the applicable box. If not marked the
Electronic
/
Both
default option would be in Physical)
Physical and Electronic
I/We wish to receive dividend / interest directly in to my bank account as given below
through ECS (If not marked, the default option would be 'Yes') [ECS is mandatory for
Yes
No
locations notified by SEBI from time to time]
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Code*
A/c No.
Name
Branch Address
110240126
09271530016575
HDFC BANK
IFSC Code#
Bank A/c Type
Branch Name
(#11 Character )
HDFC0000927
SAVING
________________________
(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) Letter from the Bank.
In case of options (ii), (iii) and (iv) above, MICR code of the branch should be present / mentioned on the document.
Other Details
Gross Annual
Income Details
Occupation
Please tick, if
Applicable
Any other
information
________________________
Telephone No.
PAN
E-mail ID
Relationship with BO (if any)
Date of Birth (mandatory If nominee is a minor)
City/town/village
PIN Code
State
_____________ Country
_____________
Fax No.
________________________
UID
__________________
__________________
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__________________
__________________
__________________
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As the nominee is a minor as on date, to receive the securities 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 Guardian of Nominee
Address
PIN
__________________
Code
Country__________________
Fax No. __________________
City/town/village
State
Telephone No.
E-mail ID
________________________
Relationship of Guardian with Nominee
________________________
This nomination shall supersede any prior nomination made by me / us and also any testamentary document executed
by me / us.
Note : Two witnesses shall attest signature(s) / thumb impression(s)
DETAILS OF THE WITNESS
First Witness
Second Witness
Name of witness
________________________
________________________
________________________
________________________
Address of witness
________________________
________________________
__________________
__________________
Signature of witness
I/We have received and read the Rights and Obligations document and terms & conditions and agree to abide by and
be bound by the same and by the Bye Laws as are in force from time to time. I / We declare that the particulars given
by me/us above are true and to the best of my/our knowledge as on the date of making this application. I/We agree
and undertake to intimate the DP any change(s) in the details / Particulars mentioned by me / us in this form. I/We
further agree that any false / misleading information given by me / us or suppression of any material information will
render my account liable for termination and suitable action.
Name
Third Holder
Signature
(Signatures should be preferably in black ink ).
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2 __________________
__________________
Second Holder Signature
__________________
Third Holder Signature
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26. 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.
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.
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
Liability of the Depository
applicable to any disputes between the DP and the Beneficial
Owner.
21. As per Section 16 of Depositories Act, 1996,
1. Without prejudice to the provisions of any other law for 29. Words and expressions which are used in this document but
which are not defined herein shall unless the context
the time being in force, any loss caused to the beneficial
otherwise requires, have the same meanings as assigned
owner due to the negligence of the depository or the
thereto in the Rules, Bye-laws and Regulations and
participant, the depository shall indemnify such beneficial
circulars/notices issued there under by the depository
owner.
and/or SEBI.
2. Where the loss due to the negligence of the participant
under Clause (1) above, is indemnified by the depository, 30. Any changes in the rights and obligations which are specified
by SEBI/Depositories shall also be brought to the notice of
the depository shall have the right to recover the same
the clients at once.
from such participant.
31. If the rights and obligations of the parties hereto are altered
Freezing/ Defreezing of accounts
by virtue of change in Rules and regulations of SEBI or Byelaws, Rules and Regulations of the relevant Depository,
22. The Beneficial Owner may exercise the right to
where the Beneficial Owner maintains his/her account, such
freeze/defreeze his/her demat account maintained with the
changes shall be deemed to have been incorporated herein
DP in accordance with the procedure and subject to the
in modification of the rights and obligations of the parties
restrictions laid down under the Bye Laws and Business
mentioned in this document.
Rules/Operating Instructions.
23. The DP or the Depository shall have the right to
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
27.
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
28.
along with interest, if any.
3 __________________
__________________
Second Holder Signature
__________________
Third Holder Signature
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Terms and Conditions-Cum-Registration / Modification Form for receiving SMS Alerts from CDSL
Definitions :
Receiving Alerts :
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 office at 17th Floor, P.J.
Towers, Dalal Street, Fort, Mumbai 400001 and all its branch
offices and includes its successors and assigns.
2. DP' means Depository Participant 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 specified by the
depository from time to time.
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 effort basis as per these terms and conditions.
Availability :
1. The service will be provided to the BO at his / her request and
at the discretion 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 discontinued for a specific period / indefinite period, with or
without issuing any prior notice for the purpose of security
reasons or system maintenance or for such other reasons as
may be warranted. The depository may also discontinue the
service at any time without giving prior notice 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 submitted at the time of registration /
modification.
5. The BO is responsible for promptly intimating 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
intimated to the depository, the SMS
4 __________________
1.
2.
3.
4.
5.
6.
__________________
Second Holder Name & Signature
__________________
Third Holder Name & Signature
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depository.
access to the information meant for the BO. In
7. The information sent as an alert on the mobile phone
consideration of the depository providing the
number shall be deemed to have been received by the
service, the BO agrees to indemnify and keep safe,
BO and the depository shall not be under any
harmless and indemnified the depository and its
obligation to confirm the authenticity of the person(s)
officials from any damages, claims, demands,
receiving the alert.
proceedings, loss, cost, charges and expenses
8. The depository will make best efforts to provide the
whatsoever which a depository may at any time
service. The BO cannot hold the depository liable for
incur, sustain, suffer or be put to as a consequence
non-availability of the service in any manner
of or arising out of interference with or misuse,
whatsoever.
improper or fraudulent use of the service by the BO.
9. If the BO finds that the information such as mobile
Amendments :
number etc., has been changed with out proper
The depository may amend the terms and conditions
authorization, the BO should immediately inform the
at any time with or without giving any prior notice
DP in writing.
to the BOs. Any such amendments shall be binding
Fees :
on the BOs who are already registered as user of
Depository reserves the right to charge such fees from
this service.
time to time as it deems fit for providing this service
Governing Law and Jurisdiction :
to the BO.
Providing the Service as outlined above shall be
Disclaimer :
governed by the laws of India and will be subject to
The depository shall make reasonable efforts to ensure
the exclusive jurisdiction of the courts in Mumbai.
that the BO's personal information is kept confidential.
I/We wish to avail the SMS Alerts facility provided
The depository does not warranty the confidentiality or
by the depository on my/our mobile number
security of the SMS alerts transmitted through a
provided in the registration form subject to the
service provider. Further, the depository makes no
terms and conditions mentioned below. I/ We
warranty or representation of any kind in relation to
consent to CDSL providing to the service provider
the system and the network or their function or their
such information pertaining to account/transactions
performance or for any loss or damage whenever and
in my/our account as is necessary for the purposes
howsoever suffered or incurred by the BO or by any
of generating SMS Alerts by service provider, to be
person resulting from or in connection with availing of
sent to the said mobile number
SMS alerts facility. The Depository gives no warranty
I/We have read and understood the terms and
with respect to the quality of the service provided by
conditions mentioned above and agree to abide by
the service provider. The Depository will not be liable
them and any amendments thereto made by the
for any unauthorized use or access to the information
depository from time to time. I/ we further
and/ or SMS alert sent on the mobile phone number of
undertake to pay fee/ charges as may be levied by
the BO or for fraudulent, duplicate or erroneous use/
the depository from time to time.
misuse of such information by any third person.
I / We further understand that the SMS alerts would
Liability and Indemnity :
be sent for a maximum four ISINs at a time. If more
The Depository shall not be liable for any breach of
than four debits take place, the BOs would be
confidentiality by the service provider or by any third
required to take up the matter with their DP.
person due to unauthorized
I/We am/ are aware that mere acceptance of the registration form does not imply in any way that the request
has been accepted by the depository for providing the service.
DP Id 12024200 Client ID
Sole/First Holder's Name : PRADEEP SHARMA
Second Holder's Name
:
Third Holder's Name
:
Mobile No. on which messages are to be sent
9350781187
(Ple ase write only the m obile num be r without pre fix ing country code or ze ro)
5 __________________
__________________
Second Holder Name & Signature
Date :_____________________
__________________
Third Holder Name & Signature
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DECLARATION BY HUF
Please fill in for a HUF
As our HUF firm wishes to open an account with you DP in the said name __________ we beg to say that the first
signatory to this letter, ie __________ is the Karta of the Joint Family and other signatories are the audit coparceners of the said family.
We further confirm that the business of the said joint family is carried on mainly by the said Karta as also by the
other signatories hereto in the interest and for the benefit of the entire body to co-parceners of the joint family. We
all undertake that claims due to the DP from the said family shall be recoverable personally from all or any of us and
also for the entire family properties of which the first signatories is the Karta including the share of minor coparceners.
In view of the fact that ours is not a firm governed by the Indian Partnership Act of 1952, we have not got our said
firm registered under the said Act.
We hereby under take to inform the DP of the death or birth of a co-parcener of any change occurring at any time in
the membership of our joint family during the currency of the account.
S.
No.
Name
Date of Birth
Sex
Relation
Signature
1.
__________________
2.
__________________
3.
__________________
4.
__________________
5.
__________________
DECLARATION BY NRI
The Manager
Depository Division
Trustline Securities Ltd.
Corp. Office: Trustline Tower, B-3, Sector-3, Noida-201301
SUB : FEMA Declaration
Ref : My Demat Account No.
This has reference to my demat account under NRI-Repatriable/Nonrepatriable Category.
I hereby declare that I have complied and will continue to comply with FEMA Regulations.
Thanking you,
Your faithfully,
6 __________________
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TO ALL WHOM THESE PRESENT SHALL COME I/we, PRADEEP SHARMA , residing at/having place of business/registered
office at 192,DHOOM MANIKPUR,DHOOM MANIKPURR,TEHSIL-DADRI ,GAUTAM BUDH NAGAR ,UTTAR PRADESH ,INDIA
India, Indian inhabitant SEND GREETINGS.
Whereas I/we hold beneficial owner account number 1202420000 ________________________ with Central Depository
Services (India) Limited, through Trustline Securities Limited bearing DP-ID 12024200 (DP - SEBI registration No. INDP-CDSL-154-2001). And WhereasI/we am/ are desirous to buy and sell securities through Trustline Securities Limited
who is a member of National Stock Exchange of India Ltd, Bombay Stock Exchange Ltd bearing SEBI Registration No.
(NSE-INB230753634) and (BSE-INB010753631). And Whereas I/ we am/ are desirous of appointingTrustline Securities
Limitedas my/our constituted attorney to operate my / our beneficial owner account on my/our behalf for a limited
purpose in the manner hereinafter appearing and subject to conditions as provided herein.
Now know you all and these presents witness that I/we do hereby nominate, constitute and appoint Trustline
Securities Limited(hereinafter referred to as "the stock broker") as my true and lawful attorney and authorize it to
perform the following function on my behalf:
i. 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 account nos. 1202420000000010 (Client
Beneficiary a/c), 1202420000000025 (M50438) (NSE), 1202420000013714(936) (BSE) of the stock broker
maintained for the purpose 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 transfer of securities to the Clearing Member ID provided that I/we have executed a Client Member
Agreement with the stock broker for such exchanges.
ii. To pledge the securities in favour of the stock broker for the limited purpose of meeting my/our margin
requirements in connection with the trades executed by me/us on any recognized stock exchange through the
stock broker.
iii. To return to me/us, the securities that may have been received by the stock broker erroneously or those securities
that the stock broker was not entitled from me/us;
iv. To send consolidated summary of my/our scrip-wise buy and sell positions 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.
v. To apply for various products like Mutual Funds, Public Issues (shares as well as debentures), rights, offer of
shares tendering shares in open offers etc pursuant to oral/written/electronic instructions given by me/us to the
stockbroker.
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 witting 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 Trustline Securities Limited, B-3 Sector-3 Noida
201301.
Signed and delivered
7 _______________
By the within named Beneficial Owner/s
_______________
_______________
We Accept
Trustline Securities Limited
Director/Authorised Signatory
Trustline Securities Limited
2.
Corp. Office: Trustline Tower, B-3, Sector-3, Noida-201301
3.
________________________
(Name Address and Signature of the Attorney)
4.
5.
__________________Signature of Karta
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To,
Trustline Securities Ltd.
Corp. Office: Trustline Tower, B-3, Sector-3, Noida-201301
Tel.: +91-120-4663333, 4663300 Fax: +91-120-4663323
Client Code :
E-mail : depository@trustline.in, Website : www.trustline.in
Regd. Office: C-633, New Friends Colony, New Delhi-110025
Tel.: +91-11-26832111
I/We request you to allow me /us to use the following debit card for electronic fund transfer using the visa
payment gateway. I/ We understand that the facility is provided to me/us at my/our request and such facility will
be restricted to electronic fund transfer to my trading account with Trustline Securities Limited under the
captioned client code.
Bank Name :
Debit Card No. :
Valid Thru
Name on the Card
I/We hereby confirm that the aforesaid debit card is issued against the below bank account details :
Account No. :
Branch :
I/We hereby confirm that above mentioned bank and debit card details belongs to me/us and the bank is an
updated in your records.
Debit card issued against existing bank details updated with Trustlien Securities Ltd.
Yes
No
(In case No please attach the Change Request Form for Addition of Bank details for trading account.)
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and
I undertake to inform you of any changes therein, immediately. In case any of the above information is found to
be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
Client Name
Signature
PRADEEP SHARMA
__________________
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HDFC BANK
Branch Address
PLOT NO-114,GT ROAD
I hereby authorize you to debit my account for making payment to Trustline Securities Ltd through ECS (Debit)
clearing / Direct Debit as per the details given as under.
A. DIGIT CODE NUMER OF THE BANK
BRANCH :
B. ACCOUNT TYPE :
SAVING
C. ACCOUNT NUMBER :
09271530016575
D. Account Holder Name :
1st A/c Holder PRADEEP SHARMA 2nd A/c Holder 3rd A/c Holder
DP Client Code
Specify your ECS/Direct Debit Tenure
with
Trustline Name of the
Securities
Plan/Scheme
Start Date
End Date
Limited
Periodicity
(Monthly/Bi
Monthly)
Amount
Limit)
(Upper
E. Date of effect :
________________________
I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not
effected at all for reasons of incomplete or incorrect information, I would not hold Trustline Securities Ltd.
responsible. I have read the letter and agree to discharge the responsibility expected of me as a participant under
the scheme.
This is to inform that I/We have registered for the RBI's Electronic Clearing Service (Debit Clearing)/Direct
Debit/Standing Instruction and that my payment towards the above mentioned scheme with Trustline Securities Ltd.
shall be made from my /our above mentioned bank account with your bank. I/We authorize the representative
carrying this ECS (Debit Clearing) /Direct Debit/Standing instruction mandate form to get it verified & executed.
I agree to pay the necessary charges for ECS / Direct Debit facility as prevailing from time to time.
Date
Signature(s) of the account holder(s). (As per bank's record)
1st A/c Holder
______________
___________________________________________________________
FOR BANK USE ONLY
Certified that the bank account details and signatures of the account holders are correct and as per bank's records.
Date :
_______________Stamp & Signature of the Authorized Official of the Bank
.
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2. Following charges will be applicable for all ECS / Direct Debit per transaction (levied in trading account):
Charges
Rs 23 to Rs 25
Rs 5 to Rs 12
Rs 5 to Rs 12
Client's PAN No :
a) I have gone thru details of process; FAQ's before signing Mandate and
Charges forms.
b) I have contacted my bank branch and have confirmed of having such Client Signature
ECS / Direct Debit facility before registering and signing such forms.
c) I have read, understand and agree to abide by aforesaid terms and
conditions.
FMLPS6981L
______________
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HDFC BANK
Branch Name :
Branch Address
PLOT NO-114,GT ROAD
I hereby authorize you to debit my account for making payment to Trustline Securities Ltd through ECS (Debit)
clearing / Direct Debit as per the details given as under.
A. DIGIT CODE NUMER OF THE BANK
BRANCH :
B. ACCOUNT TYPE :
SAVING
C. ACCOUNT NUMBER :
09271530016575
D. Account Holder Name :
1st A/c Holder PRADEEP SHARMA 2nd A/c Holder 3rd A/c Holder
DP Client Code
Specify your ECS/Direct Debit Tenure
with
Trustline Name of the
Securities
Plan/Scheme
Start Date
End Date
Limited
Periodicity
(Monthly/Bi
Monthly)
Amount
Limit)
(Upper
E. Date of effect :
________________________
I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not
effected at all for reasons of incomplete or incorrect information, I would not hold Trustline Securities Ltd.
responsible. I have read the letter and agree to discharge the responsibility expected of me as a participant under
the scheme.
This is to inform that I/We have registered for the RBI's Electronic Clearing Service (Debit Clearing)/Direct
Debit/Standing Instruction and that my payment towards the above mentioned scheme with Trustline Securities Ltd.
shall be made from my /our above mentioned bank account with your bank. I/We authorize the representative
carrying this ECS (Debit Clearing) /Direct Debit/Standing instruction mandate form to get it verified & executed.
I agree to pay the necessary charges for ECS / Direct Debit facility as prevailing from time to time.
Date
Signature(s) of the account holder(s). (As per bank's record)
1st A/c Holder
______________
___________________________________________________________
FOR BANK USE ONLY
Certified that the bank account details and signatures of the account holders are correct and as per bank's records.
Date :
_______________Stamp & Signature of the Authorized Official of the Bank
.
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2. Following charges will be applicable for all ECS / Direct Debit per transaction (levied in trading account):
Charges
Rs 23 to Rs 25
Rs 5 to Rs 12
Rs 5 to Rs 12
Client's PAN No :
a) I have gone thru details of process; FAQ's before signing Mandate and
Charges forms.
b) I have contacted my bank branch and have confirmed of having such Client Signature
ECS / Direct Debit facility before registering and signing such forms.
c) I have read, understand and agree to abide by aforesaid terms and
conditions.
FMLPS6981L
______________
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HDFC BANK
Branch Name :
Branch Address
PLOT NO-114,GT ROAD
I hereby authorize you to debit my account for making payment to Trustline Securities Ltd through ECS (Debit)
clearing / Direct Debit as per the details given as under.
A. DIGIT CODE NUMER OF THE BANK
BRANCH :
B. ACCOUNT TYPE :
SAVING
C. ACCOUNT NUMBER :
09271530016575
D. Account Holder Name :
1st A/c Holder PRADEEP SHARMA 2nd A/c Holder 3rd A/c Holder
DP Client Code
Specify your ECS/Direct Debit Tenure
with
Trustline Name of the
Securities
Plan/Scheme
Start Date
End Date
Limited
Periodicity
(Monthly/Bi
Monthly)
Amount
Limit)
(Upper
E. Date of effect :
________________________
I/We hereby declare that the particulars given above are correct and complete. If the transaction is delayed or not
effected at all for reasons of incomplete or incorrect information, I would not hold Trustline Securities Ltd.
responsible. I have read the letter and agree to discharge the responsibility expected of me as a participant under
the scheme.
This is to inform that I/We have registered for the RBI's Electronic Clearing Service (Debit Clearing)/Direct
Debit/Standing Instruction and that my payment towards the above mentioned scheme with Trustline Securities Ltd.
shall be made from my /our above mentioned bank account with your bank. I/We authorize the representative
carrying this ECS (Debit Clearing) /Direct Debit/Standing instruction mandate form to get it verified & executed.
I agree to pay the necessary charges for ECS / Direct Debit facility as prevailing from time to time.
Date
Signature(s) of the account holder(s). (As per bank's record)
1st A/c Holder
______________
___________________________________________________________
FOR BANK USE ONLY
Certified that the bank account details and signatures of the account holders are correct and as per bank's records.
Date :
_______________Stamp & Signature of the Authorized Official of the Bank
.
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2. Following charges will be applicable for all ECS / Direct Debit per transaction (levied in trading account):
Charges
Rs 23 to Rs 25
Rs 5 to Rs 12
Rs 5 to Rs 12
Client's PAN No :
a) I have gone thru details of process; FAQ's before signing Mandate and
Charges forms.
b) I have contacted my bank branch and have confirmed of having such Client Signature
ECS / Direct Debit facility before registering and signing such forms.
c) I have read, understand and agree to abide by aforesaid terms and
conditions.
FMLPS6981L
______________
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REQUISITION SLIP
Instruction Slip for Market Delivery
From__________________
Date__________________
DP ID : 12024200
Account No.
To
Trustline Securities Ltd.
Corp. Office: Trustline Tower, B-3, Sector-3, Noida-201301
Tel.: +91-120-4663333, 4663300 Fax: +91-120-4663323
E-mail : depository@trustline.in, Website : www.trustline.in
Regd. Office: C-633, New Friends Colony, New Delhi-110025
Tel.: +91-11-26832111
________________
2nd Holder Signature
(For Office use only)
From ________
To ________
________________
3rd Holder Signature
Date of Issue ________
______________Authorised Signatory
BLANK & SIGNED DELIVERY INSTRUCTION SLIPS SHOULD NOT BE LEFT WITH YOUR DP / BROKER
-------------------------------------------------------------
DISCLOSURE TO CLIENT
To,
______________
______________
Sir,
As per exchange notification, we hereby inform you that, we do trading on behalf of client and on our own account
also.
Thanks and best regards
For Trustline Securities Ltd.
(Authorised Signatory)
I acknowledge receipt of your information that you do client based trading and Pro account trading.
9 ________________
________________
2nd Holder Signature
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________________
3rd Holder Signature
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SCHEME A
SCHEME-B
Account Opening
NIL
NIL
N.A.
N.A.
Life
Time
Annual
Individual/HUF/NRI N.A.
RS 1000/-
Maintenance
RS 1000/-
RS 50/NIL
RS 50/NIL
Incoming of Shares
NIL
NIL
Outgoing of Shares (Off Mkt/Inter- @.03% of the value of securities, @.03% of the value of securities,
Dp/Other) Per Instruction & Per Scrip Min. RS 20/Min. RS 18/Pledge/Hypothecation
Creation/Closure/Invocation
Instruction & Per Scrip
Demat processing charges
Remat processing charges
Delivery Instruction Booklet**
-@
.05%
of
the
value
Per securities,Minimum RS 100/Scrip
of @
.05%
of
the
per securities,Minimum RS
Scrip
value
100/-
of
per
NOTES:
1. Any service not listed above will be charged for extra.
2. Non-execution of delivery instruction due to any
problem/error-courier charges RS 30/- per communication
/dispatch.
3. . Modifications in client master RS 25/- per instance.
4. . Delivery instructions accepted at client's sole risk within
24 hours of execution date. DP not liable for any damage
thereof.
5. Non-periodic statement and other communications shall
be charged @ RS 5/- per page and postage/courier
charges@RS 30/- per mail.
6. Minimum credit balance of RS 500/- shall be maintained
as advance towards future charges.
7. In case of foreign correspondence address, in addition to
annual
account
maintenance
charges,
statement
/communication charges @ RS 50/- per mail shall be
charged extra.
8. In case of non-payment of bill/dues within 15 days of due
date, the depository services are liable to be discontinued
within a period of 30 days from the date of demand. The
renewal charges for resuming the services will be RS
100/-.
My email id______________________________is also i have read and understood the schedule of charges
prescribed above and agree to abide by same.And I like to join below mention scheme
Scheme-A
Scheme-B (X which is not applicable and which is applicable)
1st Holder
2nd Holder
3rd Holder
Name
Signature
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