ACCOUNT OPENING FORM
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- Lee Nichols
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1 Happy Savings Happy Investing ACCOUNT OPENING FORM ANMOL COMO BROKING PRIVATE LIMITED* ANMOL SHARE BROKING PRIVATE LIMITED 4 th Floor, Bhagavathy Towers, #52, 33 rd Cross, Jayanagar 4 th Block, Bangalore T: M/WhatsApp: E: info@myanmol.com W: Member: MCX, NSE*, BSE*, CDSL* *Through Anmol Share Broking Private Limited
2 Important Instructions 1 All details to be filled in CAPITAL BLOCK letters using Blue/ Black Ink only. 2 Holder s Names in all the required fields should be filled as per the supporting documents submitted. 3 ID &Mobile number is very important, account related passwords and transaction details will be communicated on that. Please provide your own ID and Mobile Number. If it belongs to your family, please give a separate declaration for the same. Family for this purpose would mean self, spouse, dependent children and dependent parents. 4 Provide correct Bank IFSC&MICR code for hassle free Transactions in future. 5 Ensure signatures on all MANDATORY forms &the VOLUNTARY documents, which are opted by you 6 Self-Attestation of all KYC documents 7 In case of any correction in the form- Please sign next to the correction & ensure it is identical to the original signature. Name of commodity broker/trading member/clearing member: FMC Registration No. MCX/TCM/CORP/1091 SEBI Registration INZ No. MCX ANMOL COMO BROKING PRIVATE LIMITED Registered and Correspondence Office Address Name of the Compliance Officer Name of the Director Service Tax Registration Number PAN No. CIN No. 4th Floor, No. 52, Bhagvathi Towers, 33rd Cross, Jayanagar 4th Block, Banglaore Tel.: Fax: Website: Mr. Mahesh Bajaj Ph id: maheshbajaj@anmolshare.com Mr. Mahesh Bajaj Ph id: maheshbajaj@anmolshare.com AAICA1543PSD001 AAICA1543P U67120KA2009PTC For any grievance/dispute: Please contact commodity broker (Anmol Como Broking Private Limited) at the above address or id-info@anmolshare.com/grievance@anmolshare.comand phone no In case not satisfied with the response, please contact MCX at grievance@mcxindia.comand phone no /
3 INDEX Sl. No. Name of the Document Brief Significance of the Document Page No. MANDATORY DOCUMENTS AS PRESCRIBED BY FMC & THE EXCHANGES 1 Account Opening Form A. KYC form - Document captures the basic information about the constituents and an Instruction/checklist. (To be filled by customer) B. Document captures the additional information about the constituent relevant to trading account Information required as per PMLA 2002 Details of client with respect to PMLA 11 VOLUNTARY FORM AS PROVIDED BY THE COMMODITY BROKER 3 Authorization for Running Account Authorization letter to Anmol Como Broking Private Limited, facilitates maintaining of fund with the member for every pay-in of funds obligation / margin obligation 13 4 Office Use Acknowledgement and office use copy MANDATORY DOCUMENTS AS PRESCRIBED BY FMC & EXCHANGES (Booklet 2) 1 Rights and Obligations (Trading) 2 Rights and Obligations (DP) Document stating the Rights & Obligations of commodity broker/trading member, sub-broker and client for trading on exchanges (including additional rights & obligations in case of internet wireless technology based trading). Documents detailing Rights & Obligations of beneficial owner and Trading member 3 Risk Disclosure Document (RDD) Document detailing risks associated with dealing in the securities market. 4 Guidance note 5 Policies and Procedures Document detailing do s and don ts for trading on exchange, for the education of the investors. Document describing significant policies and procedures of the commodity exchange Booklet 1: To be filled by client and returned to ACBPL. Booklet 2: Client Acknowledgement copy- to be read and understood by the client for future reference Important Note: Signature Types First holder/ Client** xx/13 First Witness FW **Signature of First Holder will be followed by numbers only Introducer
4 PAN card CHECK LIST FOR FILLING KYC FORM (List of documents to be Submitted) - For Individual Acceptable Documents(Self attested copies required) of Account Holder Photograph One Colored Front Face Photograph on photographic Paper(Passport Size) Proof of Address (Any One) 1. Valid Passport(Name,Address & Photo page) 2. Voter ID(front and back) 3. Valid Driving License(Name, Address & Photo page) 4.Unique Identification Number(UID)(Aadhaar) 5. Bank Statement/ Passbook (not more than 3 months old, seal & signature of the bank official) 6. Banker s Certificate on letter head of the Bank(ORIGINAL) 7. Electricity Bill(notmorethan3monthsold) 8. Resident Landline Tel.Bill (notmorethan3monthsold) 9. Registered Flat Sale Agreement of Residence 10.Registered Lease/Leave & License Agreement 11.Other*(Pls. Specify) Bank Proof 1. Bank Statement/Bank Passbook with cheque leaf Provide for all (not more than 3 months old, seal &signature of Bank Official) the Bank Account 2. Banker s Certificate on letterhead of the Bank(ORIGINAL) Mentioned 3. Cancelled Personalized Cheque leaf (Any One) Proof of Income (Any One) 1. Copy of ITR Acknowledgement 2. Copy of Annual Accounts 3. In case of salary income SalarySlip,CopyofForm16 4. Net-worth certificate 5. Copy of Demat Account Holding Statement 6. BankAccountStatementforlast6monthsreflectingincome specifying name of the constituent, MICR Code or/and IFSC Code of the bank PleaseTick IMPORTANT INSTRUCTIONS - GENERAL Trading Account will be in the name of First holder of Bank A/c only Thumb impression &signatures other than English, Hindi or any other language not contained in the 8 th Schedule of the Constitution of India must be attested by Magistrate or Notary Public or special Executive Magistrate Witness should be a person other than co-holder / joint holder The applicant should authenticate any corrections/ alteration in the account opening form All the fields in the Form must be filled up otherwise the Form may be rejected The Applicant has to sign wherever sign mark is mentioned {F-First Holder} Cheque/DD towards Registration fees & other charges should be drawn in favor of Anmol Como Broking Private Limited It is mandatory to provide complete Bank Account details. In absence of complete details, form may be rejected.
5 CENTRAL KYC REGISTRY Know Your Customer (KYC) Application Form Individual Important Instructions: A) Fields marked with * are mandatory fields. B) Please fill the form in English and in BLOCK letters. C) Please fill the date in DD-MM-YYYY format. D) Please read section wise detailed guidelines / instructions at the end. E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end. F) List of two character ISO 3166 country codes is available at the end. G) KYC number of applicant is mandatory for update application. H) For particular section update, please tick ( ) in the box available before the section number and strike off the sections not required to be updated. For office use only (To be filled by financial institution) Application Type* KYC Number Account Type* New Update (Mandatory for KYC update request) Normal Simplified (for low risk customers) Small 1. PERSONAL DETAILS (Please refer instruction A at the end) Prefix First Name Middle Name Last Name Name* (Same as ID proof) Maiden Name (If any*) Father / Spouse Name* Mother Name* Date of Birth* Gender* Marital Status* Citizenship* D D M M Y Y Y Y PHOTO M- Male F- Female T-Transgender Married Unmarried Others IN- Indian Others (ISO 3166 Country Code ) Residential Status* Resident Individual Foreign National Non Resident Indian Person of Indian Origin Occupation Type* S-Service ( Private Sector Public Sector Government Sector ) O-Others ( Professional Self Employed Retired Housewife Student) B-Business X- Not Categorised Signature / Thumb Impression 1/13 2. TICK IF APPLICABLE RESIDENCE FOR TAX PURPOSES IN JURISDICTION(S) OUTSIDE INDIA (Please refer instruction B at the end) ADDITIONAL DETAILS REQUIRED* (Mandatory only if section 2 is ticked) ISO 3166 Country Code of Jurisdiction of Residence* Tax Identification Number or equivalent (If issued by jurisdiction)* Place / City of Birth* ISO 3166 Country Code of Birth* 3. PROOF OF IDENTITY (PoI)* (Please refer instruction C at the end) (Certified copy of any one of the following Proof of Identity[PoI] needs to be submitted) A- Passport Number Passport Expiry Date B- Voter ID Card C- PAN Card D- Driving Licence Driving Licence Expiry Date E- UID (Aadhaar) F- NREGA Job Card Z- Others (any document notified by the central government) Identification Number S- Simplified Measures Account - Document Type code Identification Number D D M M Y Y Y Y D D M M Y Y Y Y 4. PROOF OF ADDRESS (PoA)* 4.1 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS (Please see instruction D at the end) (Certified copy of any one of the following Proof of Address [PoA] needs to be submitted) Address Type* Proof of Address* Address Line 1* Line 2 Line 3 District* Residential / Business Residential Business Registered Office Unspecified Passport Driving Licence UID (Aadhaar) Voter Identity Card NREGA Job Card Others please specify Simplified Measures Account - Document Type code City / Town / Village* Pin / Post Code* State / U.T Code* ISO 3166 Country Code*
6 4.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS * (Please see instruction E at the end) Same as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill Annexure A1 ) Line 1* Line 2 Line 3 District* Pin / Post Code* City / Town / Village* State / U.T Code* ISO 3166 Country Code* 4.3 ADDRESS IN THE JURISDICTION DETAILS WHERE APPLICANT IS RESIDENT OUTSIDE INDIA FOR TAX PURPOSES* (Applicable if section 2 is ticked) Same as Current / Permanent / Overseas Address details Same as Correspondence / Local Address details Line 1* Line 2 Line 3 City / Town / Village* State* ZIP / Post Code* ISO 3166 Country Code* 5. CONTACT DETAILS (All communications will be sent on provided Mobile no. / -ID) (Please refer instruction F at the end) Tel. (Off) FAX Tel. (Res) ID Mobile 6. DETAILS OF RELATED PERSON (In case of additional related persons, please fill Annexure B1 ) (please refer instruction G at the end) Addition of Related Person Related Person Type* Name* Deletion of Related Person KYC Number of Related Person (if available*) Guardian of Minor Assignee Authorized Representative Prefix First Name Middle Name Last Name (If KYC number and name are provided, below details of section 6 are optional) PROOF OF IDENTITY [PoI] OF RELATED PERSON* (Please see instruction (H) at the end) A- Passport Number B- Voter ID Card C- PAN Card D- Driving Licence E- UID (Aadhaar) F- NREGA Job Card Passport Expiry Date Driving Licence Expiry Date D D M M Y Y Y Y D D M M Y Y Y Y Z- Others (any document notified by the central government) Identification Number S- Simplified Measures Account - Document Type code Identification Number 7. REMARKS (If any) 8. APPLICANT 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/ on the above registered number/ address. Date : D D M M Y Y Y Y Place : [Signature / Thumb Impression] Signature / Thumb Impression of Applicant 2/13 9. ATTESTATION / FOR OFFICE USE ONLY Documents Received Certified Copies KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS Date D D M M Y Y Y Y Name Anmol Como Broking Private Limited Emp. Name Code Emp. Code Emp. Designation Emp. Branch [Institution Stamp] [Employee Signature]
7 CENTRAL 4.3 ADDRESS KYC REGISTRY IN THE JURISDICTION Instructions DETAILS / Check WHERE list / Guidelines APPLICANT for IS filling RESIDENT Know OUTSIDE Your Customer INDIA FOR (KYC) TAX Application PURPOSES* Form (Applicable if Section 2 is ticked ) Annexure A1 General Same Instructions: as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill Annexure A1 ) 1 Line CENTRAL Fields 1* marked KYC with * are REGISTRY mandatory fields. Know Your Customer (KYC) Application Form Individual Correspondence / Local Address 2 Tick ( ) wherever applicable. Important Instructions: 3 Line Self-Certification 2 form is mandatory. 4 A) Fields marked with * are mandatory fields. E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end. Line Please 3 fill the form in English in BLOCK Letters. City / Town / Village* 5 B) Please fill fill all the dates form in in DD-MM-YYYY English and in format. BLOCK letters. F) List of two character ISO 3166 country codes is available at the end. State / U.T Code* Pin / Post Code* ISO 3166 Country Code* 6 C) Wherever Please fill state the date code in and DD-MM-YYYY country code format. is to be furnished, the same G) should KYC number the two-digit of applicant code is as mandatory per Indian for Motor update Vehicle, application and ISO 3166 country code respectively. 7 List of State/U.T code as per Indian Motor Vehicle Act 1988 is available D) Please read section wise detailed guidelines / instructions H) For at the particular end section update, please tick ( ) in the box available before the 8 List 5. of CONTACT two character DETAILS ISO-3166 country (All communications codes is available will be at sent the end. on provided Mobile no. \ -ID) (Please refer instruction F at the end)) at the end. section number and strike off the sections not required to be updated. 9 KYC number of applicant is mandatory for update application at the end. 10 Tel. For (Off) particular section update, please tick ( ) in the box available before Tel. (Res) the section number and strike off the sections not required Mobile to be updated. 11 FAX In case of Small Account type only personal details at section number 1 ID and 2, photograph, signature and self-certification required. For office use only Application Type* New Update A. Clarification/guidelines on filling Personal Details section (To be 9. filled APPLICANT by financial DECLARATION institution) KYC Number (Mandatory for KYC update request) 1 Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the application is liable to be I rejected. hereby declare that the details furnished above are true and correct to the best of my/our knowledge and belief and I undertake to inform you of any changes therein, immediately. 2 Either In case father s any of name the above or spouse s information name is found is to be to be mandatorily false untrue furnished. or misleading In case or PAN misrepresenting, not available I am/we father s are name aware is that mandatory. I/we may be held liable for it. 1. CORRESPONDENCE / LOCAL ADDRESS DETAILS (Please see instruction E at the end) I would like to share my personal / KYC details with Central KYC Registry B. Clarification/guidelines I Same hereby as consent Current to receiving / Permanent on filling details information / Overseas if applicant from Central Address residence KYC Registry details for tax purposes in jurisdiction(s) outside India through SMS/ on the above registered number/ address 1 Line Jurisdiction 1* (s) of Residence: It may be mentioned that since US taxes the global income of its citizen, every US citizen if whatever nationality, is also a resident for tax purpose in USA. 2 Tax identification Number (TIN): In the footnote it may be mentioned that TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued Line Date by high 2 : integrity D D number M M with an Y equivalent Y Y Y level of identification (a Functional equivalent ), the same may be reported. Examples of that type of [Signature number / Thumb for individual Impression] include, a social Line security/insurance Place 3 number, citizen/personal identification/services code/number, and resident registration number) : City / Town / Village* Signature / thumb Impression of Applicant District* Pin / Post Code* State / U.T Code* ISO 3166 Country Code* C.Clarification/guidelines on filling Proof of Identity section 10. ATTESTATION / FOR OFFICE USE ONLY 1 If driving license number or passport is provided as proof of identity then Expiry date is to be mandatorily furnished. 2. CONTACT DETAILS (All communications will be sent on provided Mobile no./ -ID) (Please refer instruction F at the end) 2 Mention identification / reference number if Z- Others (any document notified by the central government) is ticked. Documents Received Self-Certified True Copies Notary Tel. (Off) Tel. (Res) Mobile D. Risk Clarification/guidelines Category on filling Proof High of Address [PoA] Medium - Current / Permanent / Overseas Low Address details section 1. FAX PoA to be submitted in only if the submitted PoI does not have an address ID or address as per PoI is invalid or not in force. IN PERSON VERIFICATON DETAILS IN PERSON VERIFICATON DETAILS E. Clarification/guidelines on filling Proof of Address [PoA] - Correspondence / Local Address details section 1 3. APPLICANT DECLARATION Identity To be filled Verification in only in case the PoA is Done not the local address or address where the customer is Name currently residing. No separate PoA is required to be submitted. 2 In case I hereby of declare multiple that correspondence the details furnished / above local are addresses, true and correct Please to the fill best Annexure of my knowledge A1 and belief and I undertake to inform you of any changes Date therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, Code I am aware that I may be held F. liable for it. Emp. Clarification/guidelines Name on filling Contact details section 1 Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention ). [Signature / Thumb Impression] 2 Emp. Do not Code add 0 in the beginning of Mobile number. Emp. Date Designation : D D M M Y Y Y Y Place : Signature / Thumb Impression of Applicant 3/13 G. Clarification/guidelines on filling Related Person details section 1 Emp. Provide Branch KYC number of related person if available. [Institution Stamp] H. Clarification/guidelines on filling Related Person details Proof of Identity [PoI] section 1 In case of nominees, proof of identity is not required. [Employee Signature] 2 Mention identification / reference number if Z- Others (any document notified by the central government) is ticked.
8 CENTRAL 4.3 ADDRESS KYC REGISTRY IN THE JURISDICTION Instructions DETAILS / Check WHERE list / Guidelines APPLICANT for IS filling RESIDENT Know OUTSIDE Your Customer INDIA FOR (KYC) TAX Application PURPOSES* Form (Applicable if Section 2 is ticked ) Annexure B1 General Same Instructions: as Current / Permanent / Overseas Address details (In case of multiple correspondence / local addresses, please fill Annexure A1 ) 1 Line CENTRAL Fields 1* marked KYC with * are REGISTRY mandatory fields. Know Your Customer (KYC) Application Form Individual Related Person 2 Tick ( ) wherever applicable. Important Instructions: 3 Line Self-Certification 2 form is mandatory. 4 A) Fields marked with * are mandatory fields. Line Please 3 fill the form in English and in BLOCK Letters. E) List of State / U.T code as per Indian Motor Vehicle Act, 1988 is available at the end. City / Town / Village* 5 B) Please fill fill all the dates form in in DD-MM-YYYY English and in format. BLOCK letters. F) List of two character ISO 3166 country codes is available at the end. State / U.T Code* Pin / Post Code* ISO 3166 Country Code* 6 C) Wherever Please fill state the date code in and DD-MM-YYYY country code format. is to be furnished, the same G) should KYC be number the two-digit of applicant code as is mandatory per Indian Motor for update Vehicle, application and ISO 3166 country code respectively. 7 D) List Please of State/U.T read section code as wise per detailed Indian Motor guidelines Vehicle / instructions Act 1988 is available H) For at the particular end section update, please tick ( ) in the box available before the 8 List 5. of CONTACT two character DETAILS ISO-3166 country (All communications codes is available will be at sent the end. on provided Mobile no. \ -ID) (Please refer instruction F at the end)). at the end. section number and strike o f the sections not required to be updated. 9 KYC number of applicant is mandatory for update application at the end. 10 Tel. For (Off) particular section update, please tick ( ) in the box available before Tel. (Res) the section number and strike off the sections not required Mobile to be updated. 11 FAX In case of Small Account type only personal details at section number For office use only Application Type* 1 New ID and 2, photograph, signature and self-certification required. Update A. (To Clarification/guidelines be filled by financial institution) filling Personal KYC Number Details section (Mandatory for KYC update request) 9. APPLICANT DECLARATION 1 Name: Please state the name with Prefix (Mr/Mrs/Ms/Dr/etc.). The name should match the name as mentioned in the Proof of Identity submitted failing which the application is liable to be I rejected. hereby declare that the details furnished above are 1. DETAILS OF RELATED PERSON (Please true and refer correct instruction to the best G at the of my/our end) knowledge and belief and I undertake to inform you of any changes therein, immediately. 2 Either In case father s any of name the above or spouse s information name is found is to be to be mandatorily false untrue furnished. or misleading In case or PAN misrepresenting, not available I am/we father s are name aware is that mandatory. I/we may be held liable for it. Addition I would like of Related to share Person my personal / KYC Deletion details of with Related Central Person KYC Registry KYC Number of Related Person (if available*) B. Clarification/guidelines on filling details if applicant residence for tax purposes in jurisdiction(s) outside India Related I hereby Person consent Type* to receiving information Guardian from Central of Minor KYC Registry through SMS/ Assignee on the above registered number/ Authorized Representative address 1 Jurisdiction (s) of Residence: It may be mentioned that since US taxes the global income of its citizen, every US citizen if whatever nationality, is also a resident for tax purpose in USA. Prefix First Name Middle Name Last Name 2 Tax identification Number (TIN): In the footnote it may be mentioned that TIN need not be reported if it has not been issued by the jurisdiction. However, if the said jurisdiction has issued Date Name* by high : integrity D D number M M with an Y equivalent Y Y Y level of identification (a Functional equivalent ), the same may be reported. Examples of that type of [Signature number / Thumb for individual Impression] include, a social security/insurance number, citizen/personal Place : (If KYC number identification/services and name are provided, code/number, below details and resident of section registration 1 are optional) number) Signature / thumb Impression of Applicant C.Clarification/guidelines PROOF OF IDENTITY on (PoI) filling OF Proof RELATED of Identity PERSON* section (Please see instruction (H) at the end) 10. ATTESTATION / FOR OFFICE USE ONLY 1 If driving license number or passport is provided as proof of identity then Expiry date is to be mandatorily furnished. 2 Mention A- Passport identification Number / reference number if Z- Others (any document notified by the central government) Passport is ticked. Expiry Date Documents Received Self-Certified True Copies Notary B- Voter ID Card D. Risk Clarification/guidelines Category on filling Proof High of Address [PoA] Medium - Current / Permanent / Overseas Low Address details section 1. PoA C- to PAN be submitted Card in only if the submitted PoI does not have an address or address as per PoI is invalid or not in force. D D M M Y Y Y Y D- Driving Licence IN PERSON VERIFICATON DETAILS Driving Licence IN PERSON Expiry VERIFICATON Date D D DETAILS M M E. Clarification/guidelines on filling Proof of Address [PoA] - Correspondence / Local Address details section Y Y Y Y 1 Identity To E- be filled UID Verification in (Aadhaar) only in case the PoA is Done not the local address or address where the customer is Name currently residing. No separate PoA is required to be submitted. 2 In case of multiple correspondence / local addresses, Please fill Annexure A1 Date F- NREGA Job Card Code F. Emp. Clarification/guidelines Z- Name Others (any document on filling notified Contact by the details central section government) Identification Number 1 Please mention two- digit country code and 10 digit mobile number (e.g. for Indian mobile number mention ). Emp. S- Code Simplified Measures Account - Document Type code 2 Do not add 0 in the beginning of Mobile number. Identification Number Emp. Designation G. Clarification/guidelines 2. APPLICANT DECLARATION on filling Related Person details section 1 Emp. Provide Branch KYC number of related person if available. 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 [Institution Stamp] 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 H. Clarification/guidelines liable for it. on filling Related Person details Proof of Identity [PoI] section [Signature / Thumb Impression] 1 In case of nominees, proof of identity is not required. [Employee Signature] 2 Mention identification / reference number if Z- Others (any document notified by the central government) is ticked. Date : D D M M Y Y Y Y Place : Signature / Thumb Impression of Applicant 4/13 3. ATTESTATION / FOR OFFICE USE ONLY Documents Received Certified Copies KYC VERIFICATION CARRIED OUT BY Date D D M M Y Y Y Y Emp. Name Emp. Code Emp. Designation Emp. Branch Name Code INSTITUTION DETAILS Anmol Como Broking Private Limited [Employee Signature] [Institution Stamp]
9 7 Version 1.0 TRADING ACCOUNT RELATED DETAILS BANK ACCOUNT DETAILS (Account No 1 would be considered for Pay-Out of Funds) Bank 1: Bank name & Address: Account No: Savings Current MICR Code: IFSC Code: Bank 2: Bank name & Address: Account No: MICR Code: IFSC Code: Savings Current Depository Participant Name: Client Name: DEPOSITORY ACCOUNT DETAILS Depository Name: CDSL NSDL DP ID: Client ID: TRADING PREFERENCE Sr. No. Name of the National Commodity Exchanges Date of Consent for trading On concerned Exchange Signature of the Client 1 Multi Commodity Exchange of India Ltd 5/ 13 SALES TAX REGISTRATION DETAILS (As applicable, State wise) (Please attach separate sheet for more) Local Sales Tax Registration No: Validity Date Name of the State Central Sales Tax Registration No. Validity Date Other Sales Tax Registration No: Validity Date Name of the State VAT REGISTRATION DETAILS (As applicable, State wise) (Please attach separate sheet for more) Local VAT Registration No: Validity Date: Name of the State Other VAT Registration No: Validity Date Name of the State PAST ACTIONS Details of any action/proceedings initiated/pending/ taken by FMC/commodity 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.
10 DEALINGS THROUGH AUTHORISED PERSONS/ OTHER BROKERS/ INTRODUCER DETAILS Status of Introducer: Remisier AP Existing Client Employee Others i) Sub-broker/ AP Name/ Introducer Name: SB/ Remisier/ AP Tag/ Emp. Code/ Client Code: FMC Registration / Exchange No.: Registered office address: Mobile/ Phone: Fax: Website: ii) Whether dealing with any Other Broker / SB / AP(If registered with multiple members, provide details) Yes No Name of Stock Broker (if yes) Name of SB/ AP: Name of Exchange (if yes) Client Code (as given by other broker) Details of disputes/dues pending from/to such stock broker/sub- broker/authorized person: I/ we hereby confirm that I/we have verified the identity & bonafides of client. I/ We shall also ensure that all the dealings with the clients shall be as per the prevailing Rules/ Regulations/ Bye-Laws/ Circulars of the Exchange and FMC. Further, I/We undertake to abide by the operational policies and procedures of Anmol and also as per the agreement entered with Anmol Share Broking Limited Signature of the SB/ AP/ Introducer (Rubber Stamp required if non-individual introduces client) ADDITIONAL DETAILS E-Broking SMS/ Mobile Registration Do you wish to avail Internet Trading/Wireless Trading Facility Yes No Do you wish to receive trade confirmation on SMS/ directly from Exchange/CDSL SMS Both Self Other (please specify Name ) (Relationship with the client ) Gross Annual Income Details: Below 1 Lac 1-5 Lacs 5-10 Lacs Lacs >25 Lacs OR Net Worth in Rs as on date DD/ MM/ YYYY Private Sector Public Sector Business Retired Govt. Service Professional Occupation Agriculturist Housewife Student Forex Dealer Other Please Tick, if Applicable: Politically Exposed Person Related to a Politically Exposed Person (First Holder Signature) 6/13 DECLARATION 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. I/We confirm having read/been explained and understood the contents of the document on policy and procedures of the commodity broker. 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 commodity broker s designated website, if any.
11 NOMINATION DETAILS 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 Trading & Demat account. I / We wish to nominate the following person (who is entitled to receive security balances lying in my/our account. particulars whereof given below, in the event of the death of the Sole holder or the death of all the joint holders) Details: Name Relationship with Client Date of Birth Address Mobile number ID If Minor, details of the Guardian As the nominee is a minor on this date, I / We appoint the following person to act as a guardian to receive the securities / funds in this account on behalf of the nominee in the event of the death of the sole holder or the death of all the joint holders. Name and Contact details Address Mobile Number id Relationship of the Guardian Signature of Guardian This nomination shall supersede any prior nomination made by me/ us and also any testamentary document executed by me/ us. 7/13 SH 4/7 TH 4/7 (First Holder Signature) (Second Holder Signature) (Third Holder Signature) Name and Address of Witness 1 WITNESS DETAILS G Signature FW Name and Address of Witness 2 Signature SW Nomination Registered vide regn no: dated
12 Experience Education Residential Details Source of Income (Fund Details) Information for Prevention of Money Laundering Act, 2002 Client Details No. of years of Investment/ Trading Experience in Commodities No. of years of Investment/ Trading Experience in other investment options If No Trading Experience, please tick here Non Metric SSC/HSC Graduate Lawyer other specify Owned Rented Do you Invest in stock market with: Own Funds or Borrowed Funds i) Primary source: Salary Business Others Specify ii) Secondary Source: Royalties Rental Dividend Others specify Name Relationship UCC Details Of Relatives, Having Account With Anmol Como Broking Pvt. Ltd Occupation Details/ Details Of Corporate/ Partnership Firms/ Trust/Etc. Where Client Is Affiliated Please Tick Occupation Corporate/Partnership firm/trust/etc. Name of the Firm Address Designation (If Occupation) / Relationship with firm (if corporate): Nature of Business Manufacturing Services Consultancy Trading Others: Is The Client Politically Exposed Person (Pep*) Or Related To A Pep Yes No If yes, please provide below mentioned details Name Relationship PAN *Politically Exposed Persons(PEP) are individuals who are or have been entrusted with prominent public functions in a foreign country, e.g. Heads of States of Governments, senior government/judicial/military officers, senior executives of state corporations, important political party officials, etc. In addition, a Politically Exposed Person includes the immediate family members of a Politically Exposed Person such as spouse, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a Politically Exposed Person who conducts transactions on behalf of a Politically Exposed Person. 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. Client Signature 8/13
13 (To be Franked) POWER OF ATTORNEY IN FAVOUR OF ANMOL COMO BROKING PRIVATE LIMITED TO ALL TO WHOM THESE PRESENTS SHALL COME, I/We residing at / having place of business / registered officeat send greetings. WHEREAS I / We wish to avail, / I/We am/are a client availing of the Commodity Broking (hereinafter referred to as said Services) offered by Anmol Como Broking Private Limited, a company registered under the provisions of the Companies Act,1956, having its Registered office at 4th Floor, No. 52, Bhagvathi Towers, 33 rd Cross, Jayanagar 4th Block, Banglaore and (hereinafter referred to as 'ACBPL') with/ without On- Line trading/ E-broking & web based facilities and/ or services through its website or any other website used for offering said Services. AND WHEREAS as consideration for availing said services as well as a prerequisite for fulfilling the various preconditions and requirements so as to avail of the services by ACBPL, I / we am/are desirous of appointing an attorney and confer upon it powers hereinafter stated. NOW THESE PRESENTS WITNESS that I / we, do hereby, jointly and severally nominate, constitute and appoint ACBPL acting through any of its directors, officers and / or agents, as my / our true and lawful Constituted Attorney (hereinafter referred to as the said Attorney) for me / us, in my / our name and on my / our behalf and at my / our risk and costs to do, exercise and perform all or any of the following acts, deeds and things: In this Power of Attorney the term Commodities shall have same meaning as assigned to goods in Forward contracts (Regulation) act, 1952 and Rules & Regulation made thereunder 1. To give delivery/receive instructions, borrowing and lending instructions, pledge closure instructions in the course of business relating to operation of demat account No. With Depositories Participant with CDSL or any other demat account as may be communicated in writing towards the obligation for transactions done through ACBPL on MCX. by me on any of the Commodity Exchanges. 3. Pursuant to my/our instruction or instruction of my/our Authorised Representative to do all such acts and things as may be necessary to effect the purchases/sell in commodity for which services are availed from ACBPL. 4. To pledge the Securities / commodities for the limited purpose of meeting the margin requirements in connection with the trades executed on the Commodity exchanges. 5. To instruct the Depository Participant to debit commodities to the said account and/or transfer securities from the said account to pool/collateral /margin/any other beneficiary account of ACBPL to the extent of commodities sold through ACBPL for pay in obligation as well as for margins towards any commodity Exchanges. 6. To issue instructions to my DP to execute the commodity transfer requests given by me/us in electronic form, in any format and at any time through the website of Anmol Como Broking Private Limited or through the internet or any other electronic mode, towards upfront margin or any other margin obligation towards any commodity exchange. 7. To authorize ACBPL to send trades and accounts related information and also consolidated summary of commodity-wise buy and sell positions taken with average rates by way of SMS / on a regular basis. 8. For the purpose of the aforesaid to sign contracts, agreements, transfers, acceptances, receipts, or other instruments, documents and forms, to accept and carry out correspondence with such person(s) or authority/ authorities or department(s) and to do all such lawful acts requisite for effecting the same. To do or commit to do all such acts and things as may be necessary or desirable in order to exercise its powers hereinabove or to comply with any laws, orders, rules, regulations or directions of any government or regulatory or other authorities. 9. My / Our Attorney ACBPL shall not be liable for any loss that may result from failure/inability of electronic connectivity of rejection of my/our application for any reason whatsoever. 2. To debit my/our ledger account maintained with ACBPL for fees/charges etc. and to discharge all financial obligations relating to transactions undertaken
14 10. In case the commodities or fund that may have been delivered / credited / transferred to my DP account erroneously or those commodities or fund that I was not entitled to receive, then ACBPL is authorized to instruct the DP to reverse such transactions without obtaining any authorization from me. 11. I understand that on production of adequate proof by me you will return to me the Commodity/(ies) or funds that may have been erroneously credited/transferred to your account which you are not entitled to receive from me or us. 12. The demat account details of ACBPL where shares can be transferred for above purpose is mentioned below : ACBPL Account details where client has to provide his/their Equity Shares as Collaterals AND I / We hereby agree that ACBPL shall exercise such powers and authorities conferred under the above Power of Attorney pursuant only to the instructions in that behalf given by me / us or my/our Authorised Representative, which may be given orally, over the telephone, through the internet, electronically or in any other manner acceptable to ACBPL and such instructions shall be deemed to have been given by me/us and shall not be questioned by me/us and shall be conclusive and binding on me/us. AND I /We hereby agree that all such acts done by my/our above mentioned attorney shall be deemed to be acts done by me/us and if necessary shall be ratified by me/us on the instructions of the said attorney. I/We do hereby confirm and declare that this Power of Attorney shall be valid, effective, operative and shall remain in force till the same is revoked by me / us. Further, I/We hereby confirm that such revocation shall not affect my/our obligations outstanding at the time such revocation and the authority granted hereunder shall continue until all transactions and instructions already executed or issued in pursuance of this Power of Attorney and all outstanding towards Anmol Como Broking Private Limited have been settled. I/We hereby agree that any dispute arising out of all trades, transactions and contracts will be settled under the Bye-Laws, Rules and Regulations of the concerned commodities Exchanges where the trades have been executed and depository related issues under the bye Laws of the concerned Depository, where the concerned beneficial owner demat account is held. This document shall be subject to the jurisdiction of the Courts in Bangalore and all trades, transactions and contracts shall take effect as wholly made, entered into and to be performed in the city of Bangalore. And generally my said attorney shall have the power to do all such acts, deeds and things on my behalf and I could have lawfully done, if personally present. AND I do hereby for myself, my heirs, executors, administrators of acts done and legal representatives ratify and confirm and agree to ratify and by attorney confirm all and whatsoever my said attorney or his substitute or substitutes shall lawfully do or cause to be done by virtue of these presents. MADE at Bangalore on this 20 day of IN WITNESS WHEREOF I/We have hereunto set and subscribed my/our respective hands to these presents the day and the year herein above written. Signature for and on behalf of First holder Second Holder Third Holder The Participant Signature 9/13 SH Witness 1 Name & Address Signature FW Witness 2 Name & Address Signature SW POA Registered vide regn no: Dated
15 Date: Anmol Como Broking Private Limited, 4th Floor, No. 52, Bhagvathi Towers, 33rd Cross, Jayanagar 4th Block, Banglaore Dear Sir/ Madam, This is to inform Anmol Como Broking Private limited that: 1. I/ We have a commodity derivative trading account with Anmol Como Broking Private Limited (ACBPL) for trading purpose. 2. I / We have opted to have settlement of funds / securities / commodities on a periodic basis that shall be suitably informed by me / us to ACBPL and I / We authorize ACBPL to retain settlement credits in my / our account and to settle / release the credits or any such amount only on receipt of specific advice / instruction, which can either be oral or in writing. The above is applicable to funds / securities / Commodities. 3. I/We shall send you a written/oral request whenever I/we require delivery /payment of any commodities / funds. 4. I/We request you to retain Commodity/ Securities / Warehouse receipt in your Demat account for my / our margin/ future obligation of MCX unless I/We instruct you otherwise. 5. I/ We request you to consider my/our telephonic or verbal instructions for placing/ modification/ cancellation of orders, as a written instruction. We expressly agree that once the trade confirmation is sent by you and/ or contract note is accepted by me/us, there shall be no question in relation of execution or non-execution of our orders for a particular trading day and I/We agree that I/We shall be fully liable and responsible for any such problems/ glitches. 6. I / We hereby declare that I / we have read and understood the general guidelines issued by regulators / exchanges to the member to release funds / securities / commodities pay-outs to the client within specified time frame of the exchange payout. However being fully aware of the same, I /we have authorized ACBPL to retain / utilize credits as mentioned above, for operational convenience. 7. I / We undertake that this authorization will continue until it is revoked by me/us and I/we may revoke this authorization at any time. I / we further state that this authorization is given by me / us purely out of our choice of convenience. I / we shall not make any claim whatsoever upon ACBPL, for ACBPL standing guided by this authorization in favor of maintaining my / our account on running account basis. My/our preference for actual settlement of funds is at least: Half Yearly Quarterly Monthly Thanking you. Authorization Of Running Account Yours Faithfully, Client Signature: 10/13 Name: Client Code:
16 COMMODITIES TRADING BROKERAGE TARIFF SHEET Delivery Intraday Others Max Min Max Min DELIVERY Min. Delivery charges of Rs.25/- per contract apply subject to exchange norms. Additional Statutory charges applied as per exchange norms. Client Signature: 11/13 Instruction list Relevant to Trading Account For individuals: a) Commodity broker has an option of doing in-person verification through web camera at the branch office of the commodity broker/sub-broker s office. b) In case of non-resident clients, employees at the commodity broker s local office or overseas office can do in-person verification. Further, considering the infeasibility of carrying out In-person verification of the non-resident clients by the commodity 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.
17 To, Anmol Como Broking Private Limited, Acknowledgement I/We hereby acknowledge that the following documents were received by me: 1. Rights and obligations of members, authorized persons and as prescribed by FMC and Commodity Exchanges 2. Risk Disclosure Document for commodities market. 3. Guidance Note - Do s and Don ts for Trading on the Exchange(s) for Investors 4. Policies and procedures of Anmol Como Broking Private Limited. 5. Copy of Account Opening Form I/We also understand and agree that Policies and Procedures as well as Terms and Conditions can be changed by ACBPL from time to time with prior notice of 15 days and subject to posting of the amendments and modifications therein on its website and their applicability with prospective effect. I/We aware that the login Id and password of my trading account will be sent on my ID & alerts on Mobile no. furnished in KYC form and any changes thereof. I am also interested and agree to receive updates/ information regarding the following products/ services: Share Trading Mutual Funds Insurance Life Insurance Medical Insurance General (Assets/ Property/ Travel/ Fire/ Business etc) Interest-bearing instruments like bonds/ debentures etc Financial Planning Portfolio Management Investment Advisory Real Estate I also wish to refer the following people, whom you can contact for similar services to be provided: Name Contact Number ID Name First Holder name Second Holder Name Third Holder Name Signature 12 / 13 SH 4/4 TH 4/4 ===========================================(Please Tear Here)========================================== ACKNOWLEDGEMENT Sl No Anmol Como Broking Private Limited. 4th Floor, No. 52, Bhagvathi Towers, 33rd Cross, Jayanagar 4th Block, Banglaore Tel.: (91) (80) Fax : (91) (80) info@anmolshare.com/ grievance@anmolshare.com We hereby acknowledge the receipt of the Account Opening Form (Trading) from: First Holder name Cheque Details Amount Chq No. Date Second Holder Name Margin cheque detail Third Holder Name A/c opening cheque detail Employee Name and Signature
18 FOR OFFICE USE ONLY UCC Code allotted to client: Sr.No. Entity Name Code Branch Sales (Sourcing) RM (Service) Client Risk Profile High Medium Low Margin/A/c opening Cheque Details Amount Cheque No. Bank Name Date Branch & City Cheque deposit Date (Self - Attested) Self Certified documents copies received Declaration: 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 non-mandatory documents would be duly intimated to the clients. I/We also undertake that any change in sheet and all non-mandatory documents would be duly intimated to the clients. I/We 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. Name of the employee Employee code Designation Date &Signature Documents verified by Originals Client interviewed By In Person Verification By FINAL CHECKLIST Pre Confirmation Call (Before filling the from) Form Filling and Stamping KYC- KRA Upload MCX Client Mapping Mailer& Message Client confirmation and Welcome call Welcome Kit Signature of Authorizer:
19 Electronic Contract Note [ECN] DECLARATION (VOLUNTARY) To, Anmol Como Broking Pvt. Ltd 4th Floor, No. 52, Bhagvathi Towers, 33rd Cross, Jayanagar 4th Block, Banglaore Dear Sir, I, a client with M/s. Anmol Como Broking Pvt. Ltd of Multi Commodity Exchange of India Ltd Exchange undertake as follows: I am aware that the Member has to provide physical contract note in respect of all the trades placed by me unless I myself want the same in the electronic form. I am aware that the Member has to provide electronic contract note for my convenience on my request only. Though the Member is required to deliver physical contract note, I find that it is Inconvenient for me to receive physical contract notes. Therefore, I am voluntarily requesting for delivery of electronic contract note pertaining to all the trades carried out/ordered by me. I have access to a computer and am a regular internet user, having sufficient knowledge of handling the operations. My id is.. This has been created by me and not by someone else. I am aware that this declaration form should be in English or in any other Indian language known to me. [The above declaration has been read and understood by me. I am aware of the risk involved in dispensing with the physical contract note, and do hereby take full responsibility for the same] (The above lines must be reproduced in own handwriting of the client.) Client Name: Unique Client Code: PAN: Address: Signature of the client: Date: Place: 13/13 Verification of the client signature done by (Employee name and code): Name of the Authorised signatory of ACBPL: Member Signature: Date:
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21 Stock Broking Derivatives Currency Commodity Broking Depository Services Bonds, NCDs, FDs IPOs OFFERING YOU A RANGE OF SERVICES Mutual Funds Life Insurance Medical Insurance General Insurance Happy Savings :)Happy Investing :) ANMOL COMO BROKING PRIVATE LIMITED 4th Floor, No. 52, BhagvathiTowers, 33rd Cross, Jayanagar 4th Block, Bangalore B: E: info@anmolshare.com Block Block, Banglaore
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