Instructions / Checklist For Filling KYC Form
Instructions / Checklist For Filling KYC Form
Instructions / Checklist For Filling KYC Form
A. Important points
1. Self attested copy of PAN card is mandatory for all clients, including Promoters /Partners /Karta /Trustees and whole time directors and persons authorized to deal in securities
on behalf of company/firm/others.
2. Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals for verification. In case the original of any document is not
produced for verification, then the copies should be properly attested by entities authorized for attesting the documents, as per the below mentioned list.
3. If any proof of identity or address is in a foreign language, then translation into English is required.
4. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
5. If correspondence & permanent address are different, then proofs for both have to be submitted.
6. Sole proprietor must make the application in his individual name & capacity.
7. For non-residents and foreign nationals, (allowed to trade subject to RBI and FEMA guidelines), copy of passport/PIO Card/OCI Card and overseas address proof is mandatory.
8. For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their passport copy should be given.
9. In case of Merchant Navy NRI's, Mariner's declaration or certified copy of CDC (Continuous Discharge Certificate) is to be submitted.
10. For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School Leaving Certificate/Mark sheet issued by Higher Secondary
Board/Passport of Minor/Birth Certificate must be provided.
11. Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of
Governments, senior politicians, senior Government/judicial/ military officers, senior executives of state owned corporations, important political party officials, etc.
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.
In respect of other clients, documents as per risk management policy of the stock broker need to be provided by the client from time to time.
G. Copy of cancelled cheque leaf/ pass book/bank statement specifying name of the constituent, MICR Code or/ and IFSC Code of the bank should be submitted.
H. Demat master or recent holding statement issued by DP bearing name of the client.
For Individuals:
a. Stock broker has an option of doing 'in-person' verification through web camera at the branch office of the stock broker/sub-broker's office.
b. In case of non-resident clients, employees at the stock broker's local office, overseas can do in-person verification. Further, considering the infeasibility of carrying out
'In-person' verification of the non-resident clients by the stock broker's staff, attestation of KYC documents by Notary Public, Court, Magistrate, Judge, Local Banker,
Indian Embassy / Consulate General in the country where the client resides may be permitted.
For non-individuals:
a. Form need to be initialized by all the authorized signatories.
b. Copy of Board Resolution or declaration (on the letterhead) naming the persons authorized to deal in securities on behalf of company/others & their specimen signatures.
1
S. No. Name of the Document Brief Significance of the Document Page No
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES
A. KYC form - Document captures the basic information about 3
the constituent and an instruction/checklist.
1 Account Opening Form
B. Document captures the additional information about the 4–6
Constituent relevant to trading account and an instruction /check list.
2 Tariff Sheet Document detailing the rate/amount of brokerage and other charges 7
levied on the client for trading on the stock exchange(s).
Document stating the Rights & Obligations of stock broker /trading
3 Rights and Obligations member and client for trading on exchanges (including additional rights Annexure
& obligations in case of internet/wireless technology based trading). A
Risk Disclosure Document Document detailing risks associated with dealing in the securities Annexure
4 (RDD) market. B
Document detailing do’s and dont’s for trading on exchange for Annexure
5 Guidance note
education of investors C
6 Policies and Procedures Document describing significant policies and procedures of Annexure
Stock Broker. D
VOLUNTARY AND OPTIONAL DOCUMENTS AS PROVIDED BY THE STOCK BROKER
A. Identity details
Photograph
1. Name (Same as ID Proof) Please affix your
recent passport size
1a. Maiden Name (If any) photograph and
2. Father's/Spouse's Name sign across it
2a. Mother's Name
F1
3a. Gender Male Female Transgender 3b. Marital Status Single Married Other 3c. DOB
4a. Citizenship Indian Other ___________________(ISO 3166 Country Code )
4b. Residential Status Resident Individual Non Resident Indian Person of Indian Origin Foreign National
5a. PAN
5b. Unique Identification Number (UID) / AADHAR, if any
2019-08-17
6. Proof of Identity Submitted Pan Card Other (Please Specify) ____________________________________
B. Address details KRA VERIFIED
1. Contact Details PAN: AINPG6655L
Telephone (Office) SADHU RAMMobile No
GUBHAJU
Telephone (Residence) Email ID
Mother's Name
C. DECLARATION
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.
I hereby consent to receiving information from Central KYC Registry through SMS/email on the above registered F2 Client Signature
number/email address.
Date :
4. Address in the jurisdiction details where applicant is resident outside India for tax purpose (if applicable)
Address
D. Details of related person (In case of additional related persons, please fill below details)
Addition of Related Person Deletion of Related Person
KYC Number of Related Person (if available)
Related Person Type Guardian of Minor Assignee Authorized Representative
Name
(If KYC number & name are provided, below details are optional)
Proof Of Identity Of Related Person
Identity Proof Submitted Number
Expiry Date :
Others (any document notified by the Central Govt.) Identification No
Simplified Measures Account-Document Type Code Identification No
B. Other details
Gross Annual Income Details (please specify): Income Range per annum
Below Rs 1 Lakh 1-5 Lakh * 5-10 Lakh 10-25 Lakh >25 Lacs
Or Net-worth as on ________________date___________________ (Net worth should not be older than 1year)
Occupation
Private Sector Public Sector Government Service Business Professional Agriculturist Retired
Housewife Student Self Employed Others (please specify) ____________________________________
Others
Mode in which you wish to receive the RDD, Rights & Obligations, and Guidance Note: Physical Electronic *
Please tick, if applicable: Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)
Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client.
*If, in future, the client wants to trade on any new segment, a separate authorization/letter should be taken from the client
by the broker.
Cash F&O Currency derivatives Commodity derivatives
NSE
F3 (a) Client Signature F3 (b) Client Signature F3 (c) Client Signature F3 (d) Client Signature
BSE
F3 (e) Client Signature F3 (f) Client Signature F3 (g) Client Signature F3 (h) Client Signature
H. Additional details
(I) Whether you wish to receive (a) Physical contract note (b) Electronic Contract Note (ECN) *
If ECN Specify your Email ID __________________________________________________________________________
srg2407@gmail.com
(II) Whether you wish to avail the facility of internet trading/wireless technology/mobile trading Yes * No
5
Internet & wireless technology based trading facility provided by stock broker to the 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 datacard, 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 website 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 is 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 a 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 Stockbroker on account of any suspension, interruption, non-
availability or malfunctioning of the Stock broker’s IBT System or Service or the Exchange’s service or systems or nonexecution
of his orders due to any link / system failure at the Client/Stock brokers/Exchange end for any reason beyond the control of the
stockbroker/Exchanges.
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.
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.
F6 Client Signature
2. I/We request you to retain securities with you for my/our margin/pay-in/other future obligation(s) of any segment(s) of any
or all the Exchange(s)/Clearing Corporation, unless I/We instruct you to transfer the same to my/our account.
3. I/We request you to settle my fund and securities account (choose one option)
* Once in every calendar Quarter except the funds given towards collaterals/margin in form of Bank Guarantee and/or
Fixed Deposit Receipt
4. In case I/We have an outstanding obligation on the settlement date, you may retain the requisite securities/funds
towards such obligations and may also retain the funds expected to be required to meet margin obligation for next 5 trading
days, calculated in the manner specified by the exchanges.
5. I/We confirm you that I will bring to your notice any dispute arising from the statement of account or settlement so made
in writing preferably within 7 working days from the date of receipt of funds/securities or statement of account or statement
related to it, as the case may be at your registered office.
6. I/We confirm you that I can revoke the above mentioned authority at any time.
7. All accounts with credit balances of Rs. 10000/- or lesser shall be automatically retained and transfer of funds to the bank
account shall not be made as per SEBI circular MIRSD/SE/Cir-19/2009 & Exchange Circular Nos. NSE/INSP/24849 &
20091204-7.
Yours faithfully,
I____________________________________having
SADHU RAM GUBHAJU PAN______________________________
AINPG6655L do hereby declare that my
I _________________________________
SADHU RAM GUBHAJU having PAN________________________do
AINPG6655L hereby declare that I have not been
involved in any unlawful activities and I have not been declared a defaulter or my name is not appearing in defaulter database as
per SEBI/ Various Exchange/ Regulatory bodies, etc. I further declare that the above mentioned declaration/ statement is true
and correct.
F9 Client Signature
To
Zerodha Broking Limited
153/154, 4th Cross, Dollars Colony, Opp. Clarence Public School, J.P. Nagar, 4th Phase Bangalore - 560078
Sub: Acknowledgement
This is to acknowledge the receipt of following documents. I further state and confirm that I have read and understood
3 Risk Disclosure document (RDD) for Capital, Derivatives, and Currencies Segments
4 Guidance Note - Do's and Dont's for trading on the Exchange(s) for investors
6 Policies and Procedures Document pursuant to the SEBI circular dated December 03, 2009
7 General Terms & Conditions governing securities trading and broking services of Zerodha
I also confirm that I have received the relevant clarifications, if any, wherever required from the officials of Zerodha
Yours faithfully,
Account Statement Requirement * As per SEBI Regulation Daily Weekly Monthly Fortnightly
I / We request you to send electronic transaction-cum-holding statement at the following * Yes No
Email ID srg2407@gmail.com
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 Both Physical and Electronic
(Tick the applicable box. If not marked the default option would be in Physical)
I/We wish to receive dividend/interest directly in to my bank account as given below through ECS. * Yes No
(If not marked, the default option would be ‘Yes’) [ECS is mandatory for locations notified by SEBI from time to time ]
Bank Details [Dividend Bank Details]
Account type Saving * Current Others (specify)
Bank Code (9 digit MICR code) 110211065 IFS Code (11 character) UTIB0000738
Account number 738010100000754
Bank Name AXIS BANK LTD
Branch Name E-1
Bank Branch Address AXIS BANK LTD
City ---- State ----
Country ---- PIN code ----
(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 (please specify): Income Range per annum
Below Rs 1 Lakh 1-5 Lakh * 5-10 Lakh 10-25 Lakh >25 Lacs
Or Net-worth as on ________________date___________________ (Net worth should not be older than 1year)
Occupation :_______________________________________________________________________________________
Others
Please tick, if applicable: Politically Exposed Person (PEP) Related to Politically Exposed Person (RPEP)
Any other information:________________________________________________________________________________
Transactions Using I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I have
Secured Texting Facility read and understood the Terms and Conditions prescribed by CDSL for the same.
(TRUST). Refer to Terms I/We wish to register the following clearing member IDs under my/our below mentioned BO ID
and Conditions registered for TRUST
Annexure – 2.6
Yes * No
Stock Exchange Name/ID Clearing Member Name Clearing Member ID (Optional)
To register for easi, please visit our website www.cdslindia.com. Easi allows a BO to view his
ISIN balances, transactions and value of the portfolio online.
First/Sole Holder
or Guardian
F11 (in case of Minor) S1 Second Holder T1 Third Holder
Dear Sir,
Sub : Requesting for bill/transaction/holding statement through email.
I/We request you to send me/us bill, transaction and holding statement of my CDSL Demat account no. 12081600__________
23454132
Yours faithfully,
First/Sole Holder
or Guardian
F12(a) (in case of Minor) S2(a) Second Holder T2(a) Third Holder
Declaration
I/We have received and read the Rights and Obligations documents and terms & conditions and agree to abide by and be bound
by the same and the Bye Laws as are in force from time to time. I/We declare that the particulars given by me/us above are true
to the best of my/our knowledge as on the date of making this application.
I/We agree and undertake to intimate the DP of 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.
First/Sole Holder
or Guardian
F12(b) (in case of Minor) S2(b) Second Holder T2(b) Third Holder
To,
Zerodha Securities Pvt. Ltd.
153/154, 4th Cross, Dollars Colony, 4th Phase, JP Nagar, Opp. Clarence Public School, Bangalore - 560078.
Dear Sir,
I/We hereby state that: [select one of the option given below]
Option 1:
I/We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening my / our CDSL account
though I/ We have issued a Power of Attorney (POA) in favour of Zerodha Securities Pvt. Ltd. for executing delivery instructions
for settling stock exchange trades (Settlement related transactions) effected through such Clearing Member.
Option 2: OR
I/We do not require the Delivery Instruction Slip(DIS)for the time being, Since I/We have issued a POA in favour of Zerodha
Securities Pvt. Ltd. for executing the delivery instructions for settling stock exchange trades [settlement related transaction]
effected through such Clearing Member. However, the Delivery Instruction Slip (DIS) booklet should be issued to me / us
immediately on my / our request at any later date.
I/We hereby select Option 1 Option 2 *
First/Sole Holder
or Guardian
F15 (in case of Minor) S5 Second Holder T5 Third Holder
Declaration
I hereby declare that the mobile no./email ID mentioned in the Account opening form/ request for change in mobile no./email
ID is my own
Request letter for registration of mobile no./email ID of person belonging to the client's family
Please note that the mobile no./email id/both mentioned in the Account opening form/ request for change in mobile no./email ID
belongs to Mr/Mrs./Ms. ______________________________________________________________________ who is my
______________________________ [relationship with the client]
First/Sole Holder
or Guardian
F16 (in case of Minor)
[Only the mobile no./email id of your spouse, dependent children and dependent parents can be registered in your demat account]
To all to whom these presents shall come I/we the below mentioned send greetings.
Whereas I/we have established a business relation with Zerodha Securities Pvt. Ltd., an entity registered with Securities and Exchange
Board of India (SEBI) under Registration No IN-DP-100-2015, by virtue of opening a beneficial owner account with Central Depository
Services (India) Limited (CDSL)
And Whereas I/we am/are desirous to buy and sell securities through Zerodha Broking Limited (hereinafter referred to as “Zerodha’’), a
body corporate registered under the Companies Act of 2013 under CIN: U65929KA2018PLC116815, having its registered office at
153/154, 4th Cross, Dollars Colony, Opposite Clarence School, J.P Nagar, 4th Phase, Bangalore KA 560078 and is a Member (Trading
Member) of the National Stock Exchange of India Limited (NSE) & Bombay Stock Exchange limited (BSE) respectively (hereinafter
referred to as “the Exchange/'s”), who is a stock broker registered with SEBI under registration no. INZ000031633 and a member of
recognized stock exchange/s.
And Whereas In the course of availing the services and for meeting the settlement obligation thereof on the Exchanges, I/We do hereby
nominate, constitute and appoint Zerodha Broking Limited (Member Broker), hereinafter referred to as “Zerodha” acting through their
Director/'s and/or duly authorised staff for the purpose, as my/our true and lawful attorneys for my depository account with Zerodha
Securities Pvt. Ltd. (Depository Participant) DP ID 12081600 and Client ID as mentioned below, to execute and perform severally all
such acts and deeds provided the attorney complies with all applicable conditions of all or any of their services offered by them in their
capacity as stock brokers.
1 of 3
KNOW ALL MEN BY THESE PRESENTS THAT I/WE Mr./Ms./M/s.(First holder) __________________________________________
SADHU RAM GUBHAJU
_______________________________ (Second holder) _________________________________________________________
(Third holder)________________________________________ an individual/a sole proprietary concern/a partnership firm/a body
corporate/trust, registered/incorporated, under the provisions of the Indian Partnership Act, 1932/the Companies Act 1956, or any
relevant Act, having his/her/its residence/registered office/place of business at __________________________________________
______________________________________________________________________________________________________
BASEMENT, JHANDEWALAN
_____________________________________________________________
BASEMENT, JHANDEWALAN (hereinafter referred to as “Beneficial Owner”) wish to
avail/have availed the broking/e-broking facilities and services offered (hereinafter referred to as "Services") by Zerodha who is a
Member (Trading Member) of the National Stock Exchange of India Limited (NSE) & Bombay Stock Exchange limited (BSE)
respectively (hereinafter referred to as “the Exchange”).
Whereas in the course of availing the services and for meeting the settlement obligation thereof on the Exchanges, Zerodha would be
acting through their director/'s and/or duly authorised staff for the purpose, as my/our true and lawful attorneys for my depository
account with Zerodha Securities Pvt. Ltd. (Depository Participant) DP ID 12081600, Client ID 23454132
___________ to execute and perform
severally the following acts, deeds, matters and things, provided the attorney complies with all applicable conditions of all or any of
their services offered by them in their capacity as stock brokers.
1. To have and exercise the powers and/or authority, to do and/or execute the acts, deeds, matters and things specified in Mandatory
and Voluntary Client Registration Documents between Zerodha and the Beneficial Owner as may be applicable in relation to the
transactions executed by the client.
2. To Operate depository account/(s) for the purpose of transferring any collateral to the margin account and honouring delivery
obligations for any transaction executed with Zerodha Securities Pvt. Ltd. which is registered as a Depository Participant, as a stock
broker registered with Securities and Exchange Board of India (SEBI).
3. To Sign instructions on my behalf with respect to debit/credit the depository account/(s) for the credit or benefit of my/our account
with Zerodha for the transactions carried by me/us with Zerodha.
4. To issue instructions relating, executing delivery/receipt instructions, pledge creation instructions, pledge closure instructions,
lending and borrowing instructions, to operate the depository account by issue and receipt of instructions for the above mentioned
purpose and such other authorization given by me/us severally on behalf of all of us, or all/any of us jointly, in any electronic form, in
any format and at any time either through the portal of Zerodha or through the internet will be validly constituted attorney to intimate the
same to the Depository Participant for the purpose of debiting or crediting my account opened with the Depository Participant.
5. To validate on my/our behalf any such instruction so given to the Depository Participant(s), in written/physical or other form as may
be required by the concerned Depository Participant.
6. For these purposes and to this extent, Zerodha is empowered by me/us, to affix their signatures to any document, form or any other
record, being a delivery participant, as required by the concerned depository.
7. I/We also undertake to pay such demat charges/fees and such other charges incurred by Zerodha under this Power of Attorney and
that I/We further authorise Zerodha to debit my/our account with Zerodha with the said charges as and when the same becomes due
for payment and I/we hereby undertake to pay the same immediately on demand made by Zerodha. All charges have been mentioned
in the Tariff sheet in the application form.
8. To register this power of attorney with the Depository Participant and/or with any other party concerned as is required within the
parameters of this Power of Attorney.
9. To sign all applications, apply for, subscribe to or enter into correspondence with respect to any Initial Public Offers/Offers For Sale
of securities of the companies/units of mutual funds, asset management company or any other “investment products” offered through
the website www.zerodha.com (owned by Zerodha Securities Pvt. Ltd.) or any other means as per the instructions made available to
them by me/us as on the website or otherwise.
10. To transfer securities held in my/our aforesaid Demat Account towards Exchange(s) related Margin/delivery obligations arising out
of trades executed by me/us through the above said Trading Account with Zerodha on NSE/BSE or any such other Exchange(s) that
Zerodha, the Trading Member, may be a member of at such Recognized Stock Exchange(s) (As defined in Securities Contract
Regulation Act, 1956); provided that I/We have executed a Member – Constituent Agreement/Account opening application form and
accepted the Policies & Procedures of Zerodha, the Trading Member, with respect to such Exchange(s).
11. To debit securities and/or transfer the securities for the purpose of delivering the same to the clearing house of the respective
Stock Exchange(s) directly or through Zerodha’s (Trading Member) Pool Account towards any segment in respect of securities
sold by me/us through the Trading Member and to the Member Client Account for the margins towards Exchange cash segments
and F&O segment respectively.
Zerodha (the Trading Member) may from time to time open such other demat accounts in addition to the account numbers mentioned
below in Annexure B, for the above purpose from time to time. In case of any change in the below account numbers, Zerodha (the
Trading Member) is authorized to transfer the securities to the new account number(s) with prior intimation to me/us regarding such
change(s).
12. To pledge the securities in favour of Zerodha (the Trading Member)/Exchange/clearing house for the limited purpose of meeting
my/our margin requirements in connection with the trades executed by me/us on any Recognized Stock Exchange (s) through
Zerodha (the Trading Member).
13. To make payment to any party with respect to the aforesaid products mentioned in Point 9 above on my/our behalf to fulfil the
transaction requested by me/us.
14. To enter into correspondence with any party with respect to any transaction in any investment products.
15. To forward all such applications placed through the website to the online-IPO module of the concerned Exchange or owner/issuer
of “Investment Product”.
First/Sole Holder
or Guardian
(in case of Minor) Second Holder Third Holder
16. To receive intimation from the Exchange and any other party regarding the allocation/allotment/rejection/regret of the securities or
such other “Investment Product” applications / subscriptions / withdrawal or any other communications.
17. To authorize Zerodha to invest on behalf of me/us and to hold the mutual fund/asset management company(ies) based on the
request given by me/us. I confirm not to hold such mutual fund/asset management company/Zerodha liable for any transaction
processed based on my/our request to correspond with and give notice to the corresponding asset management company/body
corporate(s) issuer/registrar and transfer agent of securities including giving instructions with regard to nomination/change in
investment plans/any other changes that may be necessitated pursuant to the authorization given by me/us to Zerodha in this regard.
18. To deposit/transfer on allotment, the securities, debentures, units of the mutual funds and/or all other investments products applied
through Zerodha, on allotment, to my/our Beneficial Owner Demat Account opened for the purpose with the Zerodha-DP.
19. To do all other acts and things as may be necessary to affect the subscriptions/purchase/redemption or any other transaction in
any investment Product for which services are availed from Zerodha.
20. To debit my Trading account towards trade related fees or charges payable to Zerodha or a third party service provider or to any of
the affiliates/subsidiaries of Zerodha by virtue of I/We using/subscribing to any of the facilities/service provided either by Zerodha or
through a third party service provider or by any other security or financial instrument on behalf of me/us through Zerodha or any third
party. To bind ourselves with respect to any instruction given by first holder or any other holder to Zerodha.
21.In case of any erroneous transfer done by attorney, the attorney may return the same to my account as soon it comes to their
notice.
22.To send the consolidated summary of client wise, scrip wise buy and sell position with average rates by email.
23.To authorize Zerodha to transfer the securities to any of the demat accounts of Zerodha as mentioned in Annexure B.
24. We the joint holders of demat account agree, ratify and confirm to bind ourselves to any instructions given by the client herein
above mentioned who shall be the exclusive beneficiary of the transactions carried out pursuant to this power of attorney in favour of
the Director/(s) and/or the Authorised Signatories, who have in token thereof, subscribed their signature thereto.
That the Power of Attorney herein referred to is revocable at any time without notice subject to such revocation shall not be applicable
for any outstanding settlement obligation arising out of the trades carried out prior to receiving request for revocation of POA.
That, I/We hereby declare that all the actions taken by my/our above mentioned attorney (herein Zerodha) in this regards shall be
deemed to be an action done by me/us and if necessary shall be ratified by me /us on the instruction of the said attorney and that such
actions will be binding on me/us.
I/We agree that Zerodha is entitled to credit the proceeds of any instruction. This document shall be subject to the jurisdiction of the
courts in Bangalore.
In witness whereof I/We have executed this revocable Power of Attorney on the day, date and year herein below mentioned.
Annexure B
Particulars DP ID Client ID Particulars DP ID Client ID
CDSL BSE Principal A/C 12081600 00013706 CDSL BSE Early Pay-in A/C 11000010 00023629
CDSL NSE Pool A/C 12081600 00000061 NSDL BSE Pool A/C IN300095 11619878
CDSL Client Margin A/C 12081600 00101805 NSDL NSE Pool A/C IN300095 11496000
CDSL NSE Early Pay-in A/C 11000011 00019678
First/Sole Holder
or Guardian
(in case of Minor) Second Holder Third Holder
WITNESSES
Witness Name Witness Name
Address Address
Signature Signature
3 of 3
Nomination Details - Annexure 1A
Zerodha Broking Limited Nomination Registration No. Dated
Zerodha Securities Private Limited
Zerodha Commodities Private Limited
Note that only 1st Nominee will be considered for Zerodha and Zerodha Commodities Pvt. Ltd. accounts.
I/We the sole holder/joint holders/guardian (in case of minor) hereby declare that:
I/We do not wish to nominate any one for this demat account.
I/We nominate the following person who is entitled to receive security balances lying in
my/our demat account, particulars whereof are given below, in the event of my/our death.
Nomination Details
Up to 3 nominations can be made Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
Name of the nominee(s) (Mr./Ms.)
Share of each nominee Distribute equally
[If not equally shared,
please specify %age] Any odd lot after division shall be transferred to the rst nominee mentioned in the form.
Relationship With the Applicant (if any)
Address of nominee(s)
Signature Signature
First/Sole Holder
or Guardian
F17 (in case of Minor) S6 Second Holder T6 Third Holder
Acknowledgement
We have received the nomination request for the account with client ID
Account holder’s name
Received by
Signature of authorised signatory