Application Form No. : ACKNOWLEDGEMENT

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1 Application Form No. : ACKNOWLEDGEMENT I acknowledge receiving from Mr. / Ms. the required documents for opening 3 in 1 account ( Bank Account, Demat Account of ICICI Bank Limited & Trading Account of ICICI Securities Ltd.). I have received cheque of ` towards account opening fees charged only for opening trading account with ICICI Securities Ltd, vide Cheque no dated Date : ICICI Bank Limited (Depository Participant *) / ICICI Securities Ltd. Stamp & signature of Official *Participant Name - ICICI Bank Limited, Address - ICICI Bank Demat Services, C/o. 3i infotech limited, Akruti Trade centre, 3rd Floor, P.10, Road No.7, MIDC Marol, Bhim Nagar, Andheri (EAST), Mumbai , INDIA. DP ID - NSDL IN303028, CDSL Note: Please note that this acknowledgment does not constitute automatic acceptance of the documents and places no obligation than the submission of the indicated documents to ICICI Securities Ltd / ICICI Bank Ltd. Note: If the form is invalidated for any reason, ICICI is under no obligation to return the same to the applicant(s).

2 See Your Application Status Online View the status application online at http//: under the link Check Application Status under New User Section on the Customer Service page. View Your Application Online The scanned copy of your filled form will be uploaded after your account has been opened.to view the form, please log in to your account and visit the Customer Service section >> My Profile >> My Account Opening Form in the 'My Account' section. CUSTOMER CARE CONTACT NUMBERS (Whom to contact List) Ahmedabad: Andhra Pradesh: Assam : Shimla : Banglore : Bhopal : Bhubaneswar : Tamilnadu : Bihar & Jharkhand: Chandigarh : Chattisgarh & MP : UP(E)-Lucknow : Chennai : Dehradun : Delhi : Uttranchal : Ernakulam : Goa : Gujrat : Uttar Pradesh : Gurgaon : Haryana : Himachal Pradesh: West Bengal : Hyderabad : Jaipur : Karnataka : Jammu and Kashmir : Kerala : Kolkata : Maharashtra : Mumbai : North East : Orissa : Panaji : Patna : Punjab : Raipur : Ranchi :

3 1. This is an important document. Please ensure that it is filled in your presence in Black Ink. 2. The Account Opening form has been divided into 3 parts - PART A, PART B and PART C 3. PART A of the form captures your Demographic and other details necessary for opening your account(s). After satisfactory processing of PART A, our representative would approach you once again with PART B and PART C of the Form. Account Opening Form (For Resident Individuals only) Inclusive of Savings Bank and Demat Account Opening Forms For Office Use Only (please specify) FORM TYPE : E INVEST ERS ONLINE PREFERRED CONTACT TIME : Between OR am / pm am / pm SUB BROKER Individual Others AGENT/BROKER CODE : Match No : KYC CAT CODE : BANK/TL/SM/SUB AGENT CODE : LEAD NUMBER : ANNEXURE FORM : CHANNEL : OTHER CODE : (Salary Team) H H (Bank Team) (Channel sales/centre sales/rclg sales/ibg/dsa/others) BB CODE (Bank Branch code) B B PPA CODE IMPORTANT INSTRUCTIONS 1. Please ensure that your name as mentioned in the Form matches exactly with that mentioned on the PAN. If there is a mismatch, please ask our sales executive to guide you on further formalities. 2. Please do not give any blank cheques or cash to the sales executive. 3.Please ensure to counter sign against cancellations/overwriting, if any, on the form. 4. Please ensure that you are aware of all the terms and conditions applicable to your bank account and demat account. 5. Driving license of Maharashtra state can not be accepted as Address Proof. 6. Driving License of UP State can not be accepted as address proof if it is handwritten. 7. Driving License of Delhi can not be accepted as address proof if it mentions " Not Valid for Residence Proof" 8.Your online account displays details of all the transactions entered in your account. 9.The account gives you an independent tool to view your details on a daily basis without having to depend on s / correspondences from I- Sec, which may come after a lag. 10.Please ensure to login into your trading account regularly by using your user id and password provided to you. 11. Please reconcile the transactions displayed in your account to ensure that all the transactions are as per your knowledge or as confirmed by your sub broker / dealer (in case you are availing such services) 12. Never disclose / share User id and password of your trading account with any body. Never respond to any I have read and taken note of the above important instructions.communication seeking your User id and password. 13. Please note that you need not issue cheque / Transfer Instruction For Delivery (TIFD) slip for doing transactions through icicidirect.com. Please do not give any blank cheque / TIFD slip to / in favour of anyone; not even the sales executive / sub broker / Authorised Person or any other official of ICICI Securities Ltd. 14. Always update your recent address, phone number and id to ensure that you receive all correspondences from I-Sec. 15. For Opening New Bank Account the acceptable address proofs are Aadhar Card, Voter ID, Passport, & Driving License. 16. You can view standard account opening documents on > customer service > useful links > Client Registration Documents in Vernacular Language. 1 Version 51

4 PLEASE AFFIX ACKNOWLEDGMENT FOR WEB I-KIT Please Affix Customer Visiting Card 2

5 ID This ID

6 USER ID : SECTION 1 : ICICIdirect.com Account Details I have registered myself on ICICIdirect.com website for opening an ICICIdirect.com account including bank and demat accounts. The USER ID and password for this account has been selected by me at the time of registration and I undertake to keep the password confidential. I am aware that fresh password would be issued to me after the above account is opened and I would be able to access my account with the fresh password only. (It should be 6, 8 characters) (As registered on site or preferred user ID) Account Reference Number (ARN) : Gross Annual Income Details Please Tick ( ): <1 Lac 1-5 lac 5-10 lac lac >25 lacs or Net-worth in ` (*Net Worth should not be older than 1 year) as on (date) D D M M Y Y Y Y Occupation (Please tick ( ) any one and give brief details): Private Sector Service Public Sector Government Service Business Professional Self Employed Retired Housewife Student Not Categorised Please tick applicable Politically Exposed Person Related to a politically Exposed Person I am not Politically Exposed Person neither I am Related to a politically Exposed Person (For defination of PEP, Please refer part C) 1st Holder KRA KYC Compliant : Yes No C KYC Compliant: Yes No Education : NonMatric SSC/HSC Under Graduate Graduate Post Graduate Professional SECTION 2 : Bank.. Account Details I wish to open a Saving Bank Account Status code : Branch Code : ` # Name of ICICI Bank Branch :... However, I also currently hold... Bank account(s) with ICICI Bank. Account No.1 Account No.2 Account No.3 # Category : Individual SC ST OBC Others # Account Type : Sole Applicant Joint Account Debit Card 1. If Applicant is already having an existing Saving Bank Account with ICICI Bank, a Debit Card will not be issued to the new Saving Bank Account. However, the Applicant can link the new Saving Bank Account to the Debit Card of the existing Saving Bank Account by calling up our call center or visiting the nearest branch. 2. In case first applicant is not having an existing saving bank account, he would be allotted Debit Card compulsorily. I wish to apply for a Debit Card (Second Holder) Yes No I wish to apply for a Debit Card (Third Holder) Yes No Single Either or Survivor Anyone or Survivor BSR CODE : Whether you wish to receive physical contract note or Electronic Contract Note (ECN) (please tick) Physical ECN EXPECTED VALUE OF TRANSACTION IN A MONTH (Rs.) If status code is blank, by defult MAB will be 5000/- Cash Deposit Upto 1Lacs 1Lacs<10Lacs >= 10Lacs Non Cash Deposit Upto 1Lacs 1Lacs<10Lacs >= 10Lacs Cash Withdrawals Upto 1Lacs 1Lacs<10Lacs >= 10Lacs Non Cash Withdrawals Upto 1Lacs 1Lacs<10Lacs >= 10Lacs Foreign Inward Remittances NiL 1Lacs<10Lacs >= 10Lacs Foreign Outward Remittances NiL Upto 10Lacs >= 10Lacs Source of Funds Salary Business income Agriculture Investment Inheritance Rent Pension Funds from family members Others (Please specify)... Remittance Purpose :... (mandatory for remittance card account) Mode of Operation Phone / Mobile Banking 9 Digit code number of the bank and branch appearing on MICR cheque issued by the bank : MOTHER'S MAIDEN NAME : (This would be used to identify you over the phone for PhoneBanking. PhoneBanking available in selected cities only) Type of Profession : Doctor CA/CS Lawyer Architect Consultant Engineer Trader Others... Nature of Business : Manufacturing Trading Services Personal Details of Joint Applicants Second Holder Name:... Sex : Male Female Blood Relative : Yes No Date of Birth : D D M M Y Y Y Y cannot be a minor Third Holder Name:... Sex : Male Female Blood Relative : Yes No Date of Birth : D D M M Y Y Y Y cannot be a minor Note: If opted Joint Holders, provied Joint Holder details in page 8& 9. Permanent Address : Retailing Agriculture Stock Broker Real Estate Others ADDRESS FOR CORPORATE BENEFITS Correspondence Address : IMPORTANT CUSTOMER DECLARATION (PLEASE TICK REQUIRED OPTIONS) (i) We (ICICI Bank Limited, its group companies, agents, representatives) would like to keep our customers updated on the latest marketing offers. Please help us to serve you better by giving your consent to receive such information. (a) I consent / do not consent to receive such informantion through SMS alerts. (b) I consent / do not consent to receive such informantion through Phone calls. (ii) I authorise / do not authorise ICICI Bank to exchange, share or part with all the information/ data provided herein including personal and business information with ICICI group companies / other institutions / such other persons as may be necessary / required for the purpose of, including but not limited to, marketing, cross selling of various products and sevices etc. to me/us, use or process the aforesaid information / data by such person/ s, or furnishing of the processed information / data / products tereof to other Banks/ institutions / other persons as may be necessary, and I shall not hold ICICI Bank liable in connection with the use of such information or otherwise. Existing Bank Account to be linked: If you already have bank account with ICICI Bank and wish to link it with ICICIdirect.com Account, mention your account details in the space provided. The Sole Applicant of the trading account should be the first Holder in this account.the name and signature in the Bank s record must match with the signatures on the form. I wish to link my Existing Saving Bank Account : # Existing Saving Bank A/C No: IFSC Code #BranchAddress: MICR Number I/ We understand that existing Quantum Optima or Money Multiplier facility for fixed deposits, if any will be discontinued in this bank account. I/We further confirm to delink existing linked FDs, if any from my / our saving account. I/ We understand that henceforth these existing FDs will not be linked to saving account and will not get closed automatically whenever there is shortfall in saving bank balance. I/We also authorize that the existing bank details and details under existing cust ID to be modified as per this application. X 2 Signature of 1 st Applicant 2 nd Holder in Bank 3 rd Holder in Bank 4

7 Mandatory for Sub broker custmers FATCA Are you a US Person Yes No Please specify your country of Birth India US Others Place (City/Town) of Birth (if other than India) : Citizenship: India U.S Other Name of the Employer (Organization Name) : Employed Since : Establishment Name : Employer s / Office Address : City : State : Pincode : Country Tel.: Fax/TelexNo.: Designation : If salaried employed with Proprietorship Partnership Pvt. Ltd. Public Ltd. Public Sector Government Multinational Others Investment / Trading Experience years in stock, years in Derivatives, years in any other investment related field. If client is dealing through the sub-broker / AP, provide the following details: Sub-broker s / AP Name: SEBI / Stock Exchange Registration number: Registered office address: Ph: Fax: Website: Whether dealing with any other stock broker/sub-broker (in case dealing with multiple stock brokers/sub-brokers, provide details of all) If registered with multiple members, provide details of all. Name of Broker : SEBI Reg. No. : Registered Office Address : Details of the First Applicant Primary Source of Wealth: Salary Business Gift Royalty Rental Income Prize money Ancestral property Others Whether Tax Resident in any country other than India : Yes No If Yes Please fill details asked in below - BLOCK Country of Residence for Tax Purpose Tax Identification No. (TIN) or Type of No. Please specify FE Type/ Name (other than India) / TIN issuing country functional equivalent (FE) of TIN (Not applicable if TIN provided) TIN FE TIN FE Address in the foreign country of which you are a tax resident (Other than India): City/Town/Village State Pin Code Country *TIN or Functional Equivalent number to be communicated to ICICI Bank within 90 days, else Bank account may get closed. If you satisfy the criteria as mentioned above but do not have TIN / FE, please fill the following details: Country Name No. other than TIN / FE Type of No. VISA Resident No. Work permit no. Dependent VISA Student VISA Seafarer status Going to the country of residence for first time* Name of sub broker (if any): Name of Exchange : Client Code No.: Details of disputes/dues pending from/to such stock broker/sub- broker: Details of any action/proceedings initiated/pending/ taken by SEBI/ Stock exchange/any other authority against the applicant/constituent during the last 3 years: INTRODUCER DETAILS (optional) Name of the Introducer: (Surname) (Name) (Middle Name) Status of the Introducer: Sub-broker/Remisier/Authorized Person/Existing Client/Others, please specify Cust id : Contact Number: Address of the Introducer: Signature of the Introducer: 5

8 SECTION 3 : Demat Account Details You can link upto four Demat Accounts to ICICIdirect.com Account. The First Applicant in this form should be the First Holder in all these account(s). 1. Specify the Demat Account No. in the appropriate cell if you wish to link an existing demat account to your ICICIdirect.com Account. Whether you wish to avail of the facility of internet trading/ wireless technology(please tick) Yes Category : ( Please tick any one of the option - In case of more than 1 demat account BSDA option is not available) I wish to open new residential individual demat account in NSDL CDSL REGULAR DEMAT ACCOUNT OR BASIC SERVICE DEMAT ACCOUNT Please Note - If Selected BSDA option, Please refer BSDA Benefits in Part C Letter of confirmation Page Number 73 No # DEMAT STANDING INSTRUCTION Whether the applicant is interested in receiving Demat / Bank transactions statement through Yes No If YES, please provide your ID on page 3. I/We authorise you to receive credits automatically into my/our a/c. Yes No Account to be operated through Power of Attorney (POA) Yes No I wish to receive standard account opening documents in Physical or Electronic Part C if given in CD select Electronic otherwise select Physical Whether you wish to avail of the facility of internet trading/ wireless technology(please tick) Yes No Option for Issue of DIS booklet (please tick any one) Option 1 I/We wish to receive the Delivery Instruction Slip (DIS) booklet with account opening. Option 2 I/We do not wish to receive the DIS booklet with account opening. However, the DIS booklet should be issued to me/ us immediately on my/ our request at any later date. *I wish to designate the demat account to be opened vide this application form under the Rajiv Gandhi Equity Savings Scheme (RGESS) for availing tax benefits. As per given selection ( Only 1 Demat Account can be selected) If selected yes you need to submit duly signed form A. Please note that - Eligible Securities credited in the RGESS Designated Demat accounts will be subject to lockin as per income tax requirements. Combination of demat account TYPE OF ACCOUNT Select Type of accounts DP ID A/c Number Combinations RGESS * Single Holder Fist Applicant + A First Applicant + B First Applicant A + B If you wish to link demat accout please specify details Opting for New Demat Account Trading Preference Exchange National Stock Exchange (NSE) Segments Capital Market Future and Option X 3 Signature of 1 st Applicant X 4 Signature of 1 st Applicant Currency Derivative X 5 Signature of 1 st Applicant Bombay Stock Exchange (BSE) Capital Market Future and Option X 6 Signature of 1 st Applicant Signature of 1 st Applicant X 7 If derivatives segment is selected, please submit any one of the financial documents as stated in page no 6. In absence of financial documents we would be unable to activate your account for derivatives segment. Copy of Latest ITR Acknowledgement Financial Document Proof Copy of Latest Annual Accounts (Balance Sheet & Profit & Loss A/c.) Copy of Latest Net worth certificate Latest Form 16 No Nomination Declaration in Demat Account / Accounts This declaration needs to be signed by those customers who do not wish to nominate anyone in demat. This document is mandatory as per NSDL circular number NSDL/POLICY/2009/0004 dated January 9, 2009 & CDSL Circular number CDSL/OPS/ DP/1424 dated January 15, As per NSDL / CDSL guidelines, I/We confirm that I/We have been explained about the benefits of nomination facility to my /our demat account by the official. 2. I also understand that in the event of my / our demise, the process of Transmission will have to be followed by the legal heir as per the guidelines of NSDL / CDSL by visiting the nearest branch offering Demat Services. 3. Request you to kindly process my / our account opening form without the nomination facility. Latest Salary Slip not earlier than 3 months Copy of Bank account statement for last 6 months Copy of demat account Holding statement. X 8 Signature of 1 st Applicant Signature of Co-Holder A in Demat Signature of Co-Holder B in Demat 6

9 SECTION 4 : NOMINATION FOR BANK ACCOUNT # FOR BANK ACCOUNT NOM. REG. NO. Note : Nomination for Bank Account Nomination for Bank under section 45ZA of the Banking Regulation Act, 1949, & rule 2(1) of the Banking Companies (Nomination) Rules 1985 in respect of bank deposits. I/We nominate the following person who is entitled to receive money outstanding in my/our account in the event of the death of the First Applicant or the death of all the Joint holders. In case application is made by Karta of HUF, Nomination can t be made. This nomination is in accordance with the section 109 A of the Companies Act, 1956, and shall supersede any prior nomination made by me / us and also any testamentary document executed by me / us. Name : Mr./Mrs./Dr. Relationship with the Applicant : Date of Birth: D D M M Y Y Y Y Address : Flat / Plot No. : Bldg. /Society Name : Road No./ Name : Area / Locality : City : Pin : State : Guardian Details (In case the nominee is a minor) As the nominee is a minor on this date, I/ We appoint the Guardian (details provided hereunder) to receive the amount of the deposit on behalf of the nominee in the event of my/our/minor s death during the minority of the nominee. Name : Mr./Mrs./Dr. Relationship with the Applicant : Address : Flat / Plot No. : Bldg. /Society Name : Road No./ Name : Area / Locality : City : Pin : State : IF THE EXISTING BANK A/C GIVEN FOR LINKING ALREADY HAS A NOMINATION, THE NEW NOMINATION ON THE AOF, WILL NOT BE UPDATED IN THE SB ACCOUNT (To be signed by all the Holders in case a nomination has been made) Name :... Address :... Date... Signature: X... Two Witness for the Nomination for Bank Account Name :... Address :... Date... Signature: X... X 9 Signature of 1 st Applicant X Signature of Second Holder In Bank X Signature of Third Holder in Bank No Nomination Declaration in New Bank Account In case of opening a new bank account, if you have not provided the nomination details, kindly sign the following letter. If you have provided the nomination details, then please cancel this section This document is mandatory as per RBI circular no. DBOD.No.Leg BC. 75 / / dated April 05, 2007 To, The Manager ICICI Bank Limited Branch Name... Branch Address Dear Sir / Madam, Providing Nomination to my / our Bank Account with ICICI Bank Ltd Type of Bank Account : Savings Bank Account As per RBI guidelines, I / We confirm that I / we have been explained about the benefits of nomination facility to my / our bank account by the official. However, I / we state that inspite of the explanation of the said benefits, I / we do not wish to nominate any person to Savings Bank Account applied for by me vide this Application form bearing no. Request you to kindly process my / our account opening form without the nomination facility. Thanking you, Yours truly, X 10 Signature of 1 st Applicant X Signature of Second Holder In Bank X Signature of Third Holder in Bank 7

10 # Joint Holder s in Bank Account If Relevant If you have opted to have a Joint Holder in your new bank account(s) then fill in his/her details below. If you do not wish to have a Joint holder, then please cancel this section. Name of Joint Holder 1 : Mr./Mrs./Dr: FIRST NAME MIDDLE NAME LAST NAME Maiden Name (f any) Father s Name : Spouse Name : Mother s Name: Correspondence Address : House / Flat No,: Floor Premise Name : Street No.: Street Name Locality: Landmark:. CIity/Town/Village: District : Pin : State : Mobile : Fax : PAN Tel. Off. : Tel.Res. : ID Permenent Address : House / Flat No,: Floor Premise Name : Street No.: Street Name Locality: Landmark:. CIity/Town/Village: District : Pin : State : Blood Relative: Yes No Date of Birth : Address Type Residential / Business Residential Business Registered Office Unspecified Category: ST SC OBC Others Form 60 / Form 61 (Fill in Annexed form 60/61) Nationality, If other than Indian KRA KYC Compliant : Yes No (If Yes, provide copy of letter provided by KRA) Relation with primary applicant C KYC Compliant : Yes No SMS : YES NO Please tick, if applicable: Politically Exposed Person Related to a Politically Exposed Person (for future use only) cannot be a minor Marital Status Single Married Others Gender Male Female Transgender Status Please tick ( ) Resident Individual No Resident Foreign National (Passport Copy Mandatory for NRIs & Foreign Nationals) person of Indian Origin Unique Identification Number (UID)/ Aadhaar, if any : Know your customer document : 1. Identity Proof: Validity date of proof of Address (only for ID Proof wherever Applicable) 2. Current address proof: 3. Permenent Address Proof : Expiry Date : Specify Proof of identity submitted for PAN exempt cases please tick ( ) : UID (Aadhaar) Passport Voter ID Driving Licence Others...Any Others Information... Financial Details of the Constituent : Gross Income range per annum : ` 0-5 Lac 5-10 lac lac >25 lacs FATCA or Net-worth in ` as on (date) If Salaried, employed with Proprietorship Partnership Pvt. Ltd. Public Ltd. Public Sector Government Multinational Others If Self Employed, and if in business, nature of Business Manufacturing Trading Services Retailing Agriculture Stock Broker Real Estate Shroff/ Moneylenders If Professional, type of Profession Doctor CA/CS Lawyer Architect Consultant Engineer Others If Others House Wife Retired Student If Agri Allied/ Farmer, Details of landholding Nil <=5 acres >5 acres Education Under Graduate Graduate Post Graduate Professional Number of earning members in family : 1 2 >2 For office use only - BSR Code Are you a US Person Yes No Please specify your country of Birth India US Others Place (City/Town) of Birth (if other than India) : Citizenship: India U.S Other Primary Source of Wealth: Salary Business Gift Royalty Rental Income Prize money Ancestral property Others Whether Tax Resident in any country other than India : Yes No If Yes Please fill details asked in below - BLOCK Country of Residence for Tax Purpose Tax Identification No. (TIN) or Type of No. Please specify FE Type/ Name (other than India) / TIN issuing country functional equivalent (FE) of TIN (Not applicable if TIN provided) TIN FE TIN FE Address in the foreign country of which you are a tax resident (Other than India): If you satisfy the criteria as mentioned above but do not have TIN / FE, please fill the following details: Country Name No. other than TIN / FE Type of No. City/Town/Village State Pin Code Country *TIN or Functional Equivalent number to be communicated to ICICI Bank within 90 days, else Bank account may get closed. VISA Resident No. Work permit no. Dependent VISA Student VISA Seafarer status Going to the country of residence for first time* 8

11 # Joint Holder s in Bank Account If Relevant If you have opted to have a Joint Holder in your new bank account(s) then fill in his/her details below. If you do not wish to have a Joint holder, then please cancel this section. Name of Joint Holder 2 : Mr./Mrs./Dr: FIRST NAME MIDDLE NAME LAST NAME Maiden Name (f any) Father s Name : Spouse Name : Mother s Name: Correspondence Address : House / Flat No,: Floor Premise Name : Street No.: Street Name Locality: Landmark:. CIity/Town/Village: District : Pin : State : Mobile : Fax : PAN Tel. Off. : Tel.Res. : ID Permenent Address : House / Flat No,: Floor Premise Name : Street No.: Street Name Locality: Landmark:. CIity/Town/Village: District : Pin : State : Blood Relative: Yes No Date of Birth : Address Type Residential / Business Residential Business Registered Office Unspecified Category: ST SC OBC Others Form 60 / Form 61 (Fill in Annexed form 60/61) Nationality, If other than Indian KRA KYC Compliant : Yes No (If Yes, provide copy of letter provided by KRA) Relation with primary applicant C KYC Compliant : Yes No SMS : YES NO Please tick, if applicable: Politically Exposed Person Related to a Politically Exposed Person (for future use only) cannot be a minor Marital Status Single Married Others Gender Male Female Transgender Status Please tick ( ) Resident Individual No Resident Foreign National (Passport Copy Mandatory for NRIs & Foreign Nationals) person of Indian Origin Unique Identification Number (UID)/ Aadhaar, if any : Know your customer document : 1. Identity Proof: Validity date of proof of Address (only for ID Proof wherever Applicable) 2. Current address proof: 3. Permenent Address Proof : Expiry Date : Specify Proof of identity submitted for PAN exempt cases please tick ( ) : UID (Aadhaar) Passport Voter ID Driving Licence Others...Any Others Information... Financial Details of the Constituent : Gross Income range per annum : ` 0-5 Lac 5-10 lac lac >25 lacs FATCA or Net-worth in ` as on (date) If Salaried, employed with Proprietorship Partnership Pvt. Ltd. Public Ltd. Public Sector Government Multinational Others If Self Employed, and if in business, nature of Business Manufacturing Trading Services Retailing Agriculture Stock Broker Real Estate Shroff/ Moneylenders If Professional, type of Profession Doctor CA/CS Lawyer Architect Consultant Engineer Others If Others House Wife Retired Student If Agri Allied/ Farmer, Details of landholding Nil <=5 acres >5 acres Education Under Graduate Graduate Post Graduate Professional Number of earning members in family : 1 2 >2 For office use only - BSR Code Are you a US Person Yes No Please specify your country of Birth India US Others Place (City/Town) of Birth (if other than India) : Citizenship: India U.S Other Primary Source of Wealth: Salary Business Gift Royalty Rental Income Prize money Ancestral property Others Whether Tax Resident in any country other than India : Yes No If Yes Please fill details asked in below - BLOCK Country of Residence for Tax Purpose Tax Identification No. (TIN) or Type of No. Please specify FE Type/ Name (other than India) / TIN issuing country functional equivalent (FE) of TIN (Not applicable if TIN provided) TIN FE TIN FE Address in the foreign country of which you are a tax resident (Other than India): If you satisfy the criteria as mentioned above but do not have TIN / FE, please fill the following details: Country Name No. other than TIN / FE Type of No. City/Town/Village State Pin Code Country *TIN or Functional Equivalent number to be communicated to ICICI Bank within 90 days, else Bank account may get closed. VISA Resident No. Work permit no. Dependent VISA Student VISA Seafarer status Going to the country of residence for first time* 9

12 # NOMINATION / NO NOMINATION FOR DEMAT ACCOUNT (To be filled in by individual applying singly or jointly) I/We nominate following persons who is / are entitled to receive security balances lying in my / our account, particulars where of are given below, in the event of my /our death. Notes for NSDL DP: 1. The nomination can be made only by individuals holding beneficiary owner accounts on their own behalf singly or jointly. Non- individuals including society, trust, body corporate and partnership firm, karta of Hindu Undivided Family, holder of power of attorney cannot nominate. If the account is held jointly, all joint holders will sign the nomination form. 2. A minor can be nominated. In that Nomination Details to be applied Opting for New event, the name and address of the Guardian of the minor nominee shall be provided by the beneficial owner 3. The Nominee(s) shall not to below combinationof Demat Account be a trust, society, body corporate, partnership firm, karta of Hindu Undivided Family or a power of Attorney holder. A non-resident Indian can be a Nominee, subject to the exchange controls in force, from time to time. 4. Nomination in respect of the beneficiary owner account stands demat account rescinded upon closure of the beneficiary owner account. Similarly, the nomination in respect of the securities shall stand terminated upon transfer of the securities. 5. Transfer of securities in favour of a Nominee(s) shall be valid discharge by the depository and the Participant against the legal heir. 6. The cancellation of nomination can be made by individuals only holding beneficiary owner accounts on their own behalf singly or jointly by the same persons who made the original nomination. Non- individuals including society, trust, body corporate and partnership firm, karta of Hindu Undivided Family, holder of power of attorney cannot cancel the nomination. If the beneficiary owner account is held jointly, all joint holders will sign the cancellation form. 7. On cancellation of the nomination, the nomination shall stand rescinded and the depository shall not be under any obligation to transfer the securities in favour of the Nominee(s). 8. Nomination can be made upto three nominees in a demat account. In case of multiple nominees, the Client must specify the percentage of share for each nominee that shall total upto hundred percent. In the event of the beneficiary owner not indicating any percentage of allocation/share for each of the nominees, the default option shall be to settle the claims equally amongst all the nominees. 9. On request of Substitution of existing nominees by the beneficial owner, the earlier nomination shall stand rescinded. Hence, details of nominees mentioned in the from 10 at the time of substitution will be considered. Therefore please mention the complete details of all the nominees. 10. Copy of any proof of identity must be accompanied by original for verification or duly attested by any entity authorized for attesting the documents, as provided in Annexure D. 11. Savings bank account details shall only be considered if the account is maintained with the same depository participant. Type of accounts Single Holder Fist Applicant + A First Applicant + B First Applicant A + B Select Combinations 12. DP ID and Client ID shall be provided where demat details is required to be provided. (refer point no.8 Nominee Identification details) Notes for CDSL DP: 1. 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. 2.This nomination shall supersede any prior nomination made by me / us and also any testamentary document executed by me / us. Sr No. Nomination Details Nominee 1 Nominee 2 Nominee 3 1. Name of the Nominee(s) (Mr./Ms.) First Name Middle Name Last Name 2. Share of Each Nominee Equally (If not equally, pls specify percentage 3. Fractional allocation of the securities if any (pls tick the respective nominee, (any one) if tick not marked default will be first nominee) 4. Relationship With the Applicant* (If Any) 5. Address of Nominee(s) (Including City, State, Pin Code andcountry) 6. Mobile No. Telephone no. of nominee (s) (with STD code) FAX No. 7. ID of nominee(s) 8. Nominee Identification details [Please tick any one of following and provide details of same] a. Photograph and Signature b. PAN c. Saving Bank account no d. Aadhar e. Proof of Identity f. Demat Account ID Sr Nos should be filled only if nominee (s) is a minor. 9. Date of Birth 10. Name of the Guardian of Nominee (Mr./Ms.) First Name Middle Name Last Name 11. Address of Guardian of Nominee (Including City, State, Pin Code andcountry) 12. Age of Guardian 13. Mobile No. Telephone no. of nominee (s) (with STD code) FAX No ID of Guardian 15. Relationship of Guardian with nominee 16. Guardian Identification details[please tick any one of following and provide details of same a. Photograph and Signature b. PAN c. Saving Bank account no d. Aadhar e. Proof of Identity f. Demat Account ID Witness for the Nomination for Demat Account Name :... Address :... Date... Signature: X... X 11Signature of 1 X st Applicant Date Co-Holder A in Demat Date X Co-Holder B in Demat Date 10

13 ID This ID 12 11

14 ID This ID 12 11

15 Details of the Co-Holder Please tick applicable Gross Anual Income details Occupation PEP Private Sector Service Public Sector Politically Exposed Person Related to a politically Exposed Person Government Service Business <1 Lac 1-5 lac 5-10 lac I am not Politically Exposed Person Demat Co-holder A Professional Agriculturist Retired lac >25 lacs neither I am Related to a politically Exposed Person Housewife Student Forex Dealer Others (Please Specify)... FATCA KRA KYC Compliant : Yes No C KYC Compliant: Yes NoType of Profession : Doctor CA/CS Lawyer Architect Education : NonMatric SSC/HSC Under Graduate Graduate Professional Post Graduate Are you a US Person Yes No Please specify your country of Birth India US Others Place (City/Town) of Birth (if other than India) : Citizenship: India U.S Other Consultant Engineer Trader Others... Nature of Business : Manufacturing Trading Services Retailing Agriculture Stock Broker Real Estate Others.. Primary Source of Wealth: Salary Business Gift Royalty Rental Income Prize money Ancestral property Others Whether Tax Resident in any country other than India : Yes No If Yes Please fill details asked in below - BLOCK Country of Residence for Tax Purpose Tax Identification No. (TIN) or Type of No. Please specify FE Type/ Name (other than India) / TIN issuing country functional equivalent (FE) of TIN (Not applicable if TIN provided) TIN FE TIN FE Address in the foreign country of which you are a tax resident (Other than India): If you satisfy the criteria as mentioned above but do not have TIN / FE, please fill the following details: Country Name No. other than TIN / FE Type of No. City/Town/Village State Pin Code Country *TIN or Functional Equivalent number to be communicated to ICICI Bank within 90 days, else Bank account may get closed. VISA Resident No. Work permit no. Dependent VISA Student VISA Seafarer status Going to the country of residence for first time* FATCA Please tick applicable Gross Anual Income details Occupation PEP Private Sector Service Public Sector Politically Exposed Person Related to a politically Exposed Person Government Service Business <1 Lac 1-5 lac 5-10 lac I am not Politically Exposed Person Demat Co-holder B Professional Agriculturist Retired lac >25 lacs neither I am Related to a politically Exposed Person Housewife Student Forex Dealer Others (Please Specify)... KRA KYC Compliant : Yes No C KYC Compliant: Yes NoType of Profession : Doctor CA/CS Lawyer Architect Education : NonMatric SSC/HSC Under Graduate Graduate Professional Post Graduate Are you a US Person Yes No Please specify your country of Birth India US Others Place (City/Town) of Birth (if other than India) : Citizenship: India U.S Other Consultant Engineer Trader Others... Nature of Business : Manufacturing Trading Services Retailing Agriculture Stock Broker Real Estate Others.. Primary Source of Wealth: Salary Business Gift Royalty Rental Income Prize money Ancestral property Others Whether Tax Resident in any country other than India : Yes No If Yes Please fill details asked in below - BLOCK Country of Residence for Tax Purpose Tax Identification No. (TIN) or Type of No. Please specify FE Type/ Name (other than India) / TIN issuing country functional equivalent (FE) of TIN (Not applicable if TIN provided) TIN FE TIN FE Address in the foreign country of which you are a tax resident (Other than India): If you satisfy the criteria as mentioned above but do not have TIN / FE, please fill the following details: Country Name No. other than TIN / FE Type of No. City/Town/Village State Pin Code Country *TIN or Functional Equivalent number to be communicated to ICICI Bank within 90 days, else Bank account may get closed. VISA Resident No. Work permit no. Dependent VISA Student VISA Seafarer status Going to the country of residence for first time* 13

16 KYC CERTIFICATION FORM NO : Please affix a recent photograph. Please sign in black ink within the box. Signatures And Photographs : # First applicant Name : Co-Holder A Name : Please paste latest Passport size Photograph Please paste latest Passport size Photograph (Sign across the photo) (Sign across the photo) X 14 Signature of 1 st Applicant Signature of Co-holder A in Demat Second Holder Name : Co-Holder B Name : Please paste latest Passport size Photograph Please paste latest Passport size Photograph (Sign across the photo) (Sign across the photo) Signature of 2nd Holder in Bank Signature of Co-holder B in Demat Third Holder Name : Please paste latest Passport size Photograph (Sign across the photo) Signature of 3rd Holder in Bank SECTION 5 : NOMINATION FOR TRADING ACCOUNT #FOR TRADING ACCOUNT NOMINATION DETAILS (for individuals only) I/We do not wish to nominate I/We wish to nominate Name of the Nominee:...Relationship with the Nominee:... PAN of Nominee:... Date of Birth of Nominee:... Address and phone no. of the Nominee: If Nominee is a minor, details of guardian: Name of guardian:... Address and phone no. of Guardian : Two Witness for the Nomination (Trading Account) Signature of guardian... Name :... Address :... Date... Signature: X... Name :... Address :... Date... Signature: X... Customer ID No. : ICICI Bank Account No.: Bank Account Opening Date : FOR OFFICE USE ONLY Checked by DVU Official at RPC: Date : D D M M Y Y Y Y Signature FOR OFFICE USE ONLY Combinations ICICI Bank Demat A/c. No. Combinations ICICI Bank Demat A/c. No. First Applicant / Karta First Applicant + A First Applicant + B First Applicant +A+ B Total Amount Payable PAYMENT DETAILS (Account Opening Fees) Cheque Details (` in words) (` in figures) No.... Date... / Digit Code Number of the Bank and branch appearing on the MICR cheque issued by the Bank Debit Note Bank Account No. drawn on Bank

17 DECLARATION 1. I hereby declare that the details furnished in the account opening form 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/we are aware that I may be held liable for it. 2. I 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 further confirm having read and understood the contents of the Schedule of Charges, Rights and Obligations document, Risk Disclosure Document, Policies and Procedures and Guidance Note I do hereby agree to be bound by such provisions as outlined in these documents. I have also been informed that the standard set of documents has been displayed on 4. The rules and regulation of the Depository Participants pertaining to an account which are in force now have been read by me/us and I have understood the same and I agree to abide by and to be bound by the rules as are in force from time to time for such accounts. I/we acknowledge the receipt of copy of the document, Rights and Obligations of the Beneficial Owner and Depository Participant. Under penalty of perjury, I certify that: 5 The applicant is (i) an applicant taxable as a US person under the laws of the United States of America ( U.S. ) or any state or political subdivision thereof or therein, including the District of Columbia or any other states of the U.S., (ii) an estate the income of which is subject to U.S. federal income tax regardless of the source thereof. (This clause is applicable only if the account holder is identified as a US person) or 6. The applicant is taxable as a tax resident under the laws of country outside India. (This clause is applicable only if the account holder is a tax resident outside of India) 7. In case of any change in my Tax residency status on a future date, I undertake to inform I Sec within 30days. I agree that if I am a U.S. Person or tax resident of a reportable foreign jurisdiction (other than U.S.) requiring reporting under FATCA/CRS or any other laws, my account details, as required under Inter Governmental Agreement (IGA)/ Multilateral Competent Authority Agreement (MCAA) signed by Indian Government, would be reported by I-Sec to the relevant tax authority. I hereby confirm that details as provided by me above can be shared by I-Sec with the concerned Asset Management Companies (AMCs) or such other product providers, to whom FATCA/ CRS norms are applicable, in whose schemes/ products I may invest/transact in future through I-Sec. Following clause applicable only if any of the indicia parameters is outside India and TIN/ FE is not available since not resident for tax purpose outside India OR Country of Birth is US and US person is mentioned as No in FATCA / CRS declaration I hereby confirm that I am not a US Person or a resident for tax purpose in any country other than India, though my Country of Birth suggests my relation with US or one or more parameters suggest my relation with the country outside India. I am providing / already provided copy of my PAN card to I-Sec Reason and now providing a certificate of relinquishment of US citizenship (loss of nationality) OR reasons for not having such a certificate despite relinquishing US citizenship OR for not obtaining US citizenship at birth (only if born in US) 8. I hereby consent to receive information from Central KYC Registry through SMS/ on the registered number/ address as mentioned in KYC form. I hereby confirm that details as provided by me above can be shared by I-Sec with the concerned Asset Management Companies (AMCs), Insurers or such other product providers, to whom CKYCR norms are applicable, in whose schemes/ products I may invest/transact in future through I-Sec or as required by any regulator or under any law. 9. I hereby authorise ICICI Securities Limited / ICICI Bank Ltd to fetch and download my details from Central KYC Registry. I also hereby authorise ICICI Securities Ltd / ICICI Bank to modify and update my existing details in Central KYC Registry with my latest KYC details provided account opening form. I / We declare that not providing details of mobile no and or id in the account opening form shall be considered that I / We do not have same to provide. I have given cheque of ` towards account opening fees charged only for opening trading account with ICICI Securities Ltd, vide Cheque no dated Alternate PIN Code and City for branch mapping for custumer servicing. X 15 Signature of 1 st Applicant Signature of Co- Holder A in Demat Signature of Co- Holder B in Demat FOR OFFICE USE ONLY UCC Code allotted to the Client: CKYC No. Particulars Documents verified with Client Interviewed In-Person Originals By Verification done by Name of the Employee Employee Code Designation of the employee Date Signature I / We undertake that we have made the client aware of Policy and Procedures, tariff sheet and all the nonmandatory 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. I have met Mr. / Ms. /Joint Holder 1 in bank / Co-Holder A in Demat / Joint Holder 2 in bank / Co-Holder B in Demat / in person at his / her residence / office / Others (please specify) and confirm that the form has been signed by the applicant in my presence. Signature of the Authorised Signatory Date Stamp of ICICI Bank / ICICI Securities Ltd (The person who is doing IPV can also sign) 15

18 Charge Regular Account Basic Services Demat Account (BSDA) Account Opening Nil Nil Annual Maintenance Charges ` ¹ 700 plus applicable service tax payable at the time of Holding value account opening and there afterevery year in the month in Upto ` 50,000 NIL From ` 50,001 - which theaccount was opened (waived for all ICICIdirect.com ` 2,00,000 ` 100 Above ` 2,00,000 customer for the first year in which they open the account) Tariff of regular accounts. Buy Market and Off-Market Nil Nil Nil for Trades done at Nil for Trades done at Sell Market and Off-Market and Redemption of MF units (% of transaction value of each ISIN) Max. ` 500 for debt instruments 0.04% of value of securities (Min. ` 30 and Max ` 25,000) 0.06% of value of securities (Min. ` 35 and Max ` 25,000) Instruction submitted through Internet (E-inst / IVR) 0.04% of value of securities (Min. ` 35 and Max ` 25,000) 0.06% of value of securities (Min. ` 40 and Max ` 25,000) Instruction submitted through Call Centre 0.04% of value of securities (Min. ` 40 and Max ` 25,000) 0.06% of value of securities (Min. ` 45 and Max ` 25,000) Instruction submitted at Branches Nil for Trades done at Nil for Trades done at Rejection/failure of Transfer Instruction For Delivery (TIFD) ` 30 ` 30 Extra charges for processing of TIFDs submitted after the cut-off timing (% of transaction value) Instruction submitted through Internet (E-inst / IVR) Nil Nil Instruction submitted through Call Centre Nil Nil Instruction submitted at Branches ` 10 per ISIN ` 10 per ISIN (accepted at Client s risk) Dematerialisation For each request form ` 50 ` 50 Extra for each certificate ` 3 ` 3 Rematerialisation A fee of ` 25 for every hundred securities or part thereof A fee of ` 25 for every hundred securities or part thereof subject to maximum fee of ` 3,00,000; or a flat fee of subject to maximum fee of ` 3,00,000; or a flat fee of ` 25 per certificate, whichever is higher. ` 25 per certificate, whichever is higher. Reconversion of MF units ` 25 Per Instruction ` 25 Per Instruction Closure of Account Nil Nil Pledge Creation / Closure / Confirmation / Invocation (% of value for each ISIN in each request) If, ICICI Bank is counter party 0.02% (Min. ` 35 and Max ` 25,000) 0.04% (Min. ` 60 and Max ` 25,000) If, ICICI Bank is not counter party 0.04% (Min. ` 45 and Max ` 25,000) 0.06% (Min. ` 60 and Max ` 25,000) Additional Account Statements ` 20 ` 20 Reissuance of Delivery Instruction Slip (DIS) Booklet charge ` 50 per booklet ` 50 per booklet In addtion to above NSDL/CDSL charges are applicable from time to time are recoverable Sell-Market and Off-Market Remat Charges MANDATORY DOCUMENTS Schedule of Charges (Brokerage Plan) A. Brokerage Account Please choose between any of the two brokerage plans for Capital Market - Delivery Transactions I-Saver- A Variable brokerage plan for Delivery Transactions based on Volumes done in a quarter I-Secure : A fixed brokerage plan irrespective of delivery volumes Plans Cash Brokerage (Delivery) I-Saver Ranging from 0.25% to 0.75% I-Secure 0.55% I-Secure - (Form version to be selected as 2 in ICIS) Brokerage rates in Margin, Margin Plus, Futures, Options and Currency Segment Product Brokerage % Brokerage % on 2 nd Leg Intra-day Square off Margin 0.03% to 0.05% 0.03% to 0.05% Margin Plus 0.03% to 0.05% 0.03% to 0.05% Equity Futures 0.03% to 0.05% `50 per lot Equity Options ` 35 to ` 95 per lot `50 per lot Currency Futures 0.03% to 0.05% `10 per lot I have also read and understood detailed schedule of charges provided in PART C of Account opening form 1. Minimum balance All the new bank accounts opened will have to maintain requirement an average monthly balance of ` 5000/-. Failure to do so would result in a fee as per the regulation of ICICI Bank. 2. If trading account is closed or ICICI Bank account is de-linked, then you would have to maintain minimum balance as applicable to the respective type of account with ICICI Bank 3.In case you avail any additional facility / service on the linked ICICI Bank account, then you agree to be bound by the terms and conditions and applicable charges for the relevant facility / service as mandated by ICICI Bank. DEMAT FEE SCHEDULE : NSDL - ` 4.5/- per debit instruction (Nil for commercial paper and short-term debt instructions) : CDSL - ` 5.5/- per debit instruction (Nil for commercial paper and short-term debt instructions) : NSDL - A fee of ` 10/- for every hundred securities or part thereof; subject to maximum fees of ` /-, or flat fee of ` 10/- per certificate, Whichever is higher. : CDSL - A fee of ` 10/- for every hundred securities or part or a flat fee of thereof; subject to maximum fees of ` /-, or a flat fee of ` 10/- per certificate, whichever is higher. However no fee shall be the collected in case of Goverment Securities and Mutul Fund units. Reconversion of MF units into SoA : NSDL Rs 10 per instruction ; CDSL Flat fee of Rs per transaction. I-Saver (Form Version to be selected as 3 in ICIS) Redemption of MF units through Participants : NSDL Rs per instruction ; CDSL Flat fee of Rs per transaction. Pledge Creation : NSDL - ` 25/- per instruction CDSL - ` 12/- per instruction Pledge Closure : CDSL - ` 12/- per instruction CONDITIONS 1. The value of shares and charges is calculated as per NSDL / CDSL formula and rates. 2. There will be a charge of ` 100 for dishonour of any cheque or unsuccessful attempt to recover payment through direct debit or ECS. The depository services are liable for discontinuation, if ICICI Bank is unable to recover charges from the customer for any reason whatsoever. In such cases there will be a charge of `250 for resumption of services and the services will be resumed after a minimum of three working days from the date of receipt of request at Central Processing Office, Mumbai. 3. Any service that is not indicated above will be charged separately as per the rates applicable from time to time. 4. Service Tax and other Government taxes, levies, etc. applicable as per the prevailing rates will be charged in addition to these charges. 5. As per regulatory guidelines, if you close/shift your demat account, the portion of the advance Annual Service Charge applicable to the balance quarter(s) will be refunded. This is with effect from July 1, ICICI Bank reserves the right to revise the tariff structure from time to time and the same will be communicated to the customers with a notice of 30 days. 7. No charges are payable for opening of Demat accounts. X 16 Signature of 1 st Applicant X Signature of Co-Holder A in Demat X Signature of Co-Holder B in Demat 16

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