Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

FEQ Happy Service

Download as pdf or txt
Download as pdf or txt
You are on page 1of 43

Pen down your happiness

in the form of prosperity

EP12220024952
S. No.............
Version : E-2.8 Client Registration Form
Dated : 09-2022 Trading & Demat - Securities and Commodities
DIGI+ESIGN
www.rmoneyindia.com

Raghunandan Capital Pvt. Ltd

EXCHANGE/DEPOSITORY SEGMENT MEMBER ID SEBI REGISTRATION NO.

NSE CASH, F&O, CDS, COMMODITY 13176 INZ000307234


BSE CASH, F&O, CDS, COMMODITY 6112 INZ000307234
MCX F&O 56835 INZ000307234
NCDEX F&O 1296 INZ000307234
ICEX F&O 2097 INZ000307234
CDSL 69700 IN-DP-213-2016

Compliance Officer's Name : Mr. Narendra Singh CEO’s Name : Mr. Saurabh Mittal
Ph.: +91-562-4039212 Ph. : +91-562-4039217
E-mail Id: rmcompliance@rmoneyindia.com E-mail Id: saurabh.mittal@rmoneyindia.com

Regd. Office: Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A, Block No. 51,
Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office: 26/257B, Sultanganj, Near Ashish Palace, Agra - 282004 (U.P.)
Ph.: 0562-4266600, 9568654321 Fax: 0562-2526550 E-mail: askus@rmoneyindia.com

CLEARING MEMBER DETAILS

EXCHANGE SEGMENT CLEARING MEMBER NAME CLEARING CODE SEBI REGISTRATION NO.

NSE CASH, F&O, CDS, COMMODITY GLOBE CAPITAL MARKET LTD. 6637 INZ000177137
BSE CASH, F&O, CDS, COMMODITY GLOBE CAPITAL MARKET LTD. 3179 INZ000177137
MCX F&O GLOBE COMMODITIES LTD. 8550 INZ000024939
NCDEX F&O GLOBE COMMODITIES LTD. M50011 INZ000024939
ICEX F&O GLOBE COMMODITIES LTD. 2084 INZ000024939
609, Ansal Bhawan, 16, Kasturba Gandhi Marg, New Delhi-110001
Tel.: 011-30412345

(2)
www.rmoneyindia.com

INDEX OF DOCUMENTS
S. No. Name of Document Brief Significance of the Document Page No.

PART - I MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

A. KYC Form - Part - I Documents captures the basic information


5 to 6
about the constituent and instruction/check list (to be sent to KRA)
B. KYC Form - Part - II Documents captures the additional information
1. Account Opening Form 7 to 10
about the constituent relevant to trading account.
C. KYC Form - Part - III Documents captures the additional information
11 to 12
about the constituent relevant to demat account.

D. Nomination Form (for Trading & Demat Account) 13 to 15

Document stating the Rights & Obligation of Stock Broker/Trading Member,


2. Rights and Obligations Sub broker and client for Trading on exchanges (including additional Rights
and Obligations in case of Internet/Wireless Technology based Trading)
Risk Disclosure Document
3. Documents detailing Risk associated with dealing in the Securities Market.
(RDD) Provided in
soft or paper
Document detailing Do's & Don'ts for Trading on exchange, for the
4. Guidance Note form as opted
education for the investors.
by client
Documents describing significant policies and procedures of the
5. Policies & Procedures
stock broker (to be added by the stock broker)

6. Rights and Obligations of BO Rights and Obligations of Beneficial Owner and Depository Participant
and Depository Participant as prescribed by SEBI & Depositories.
Document details the rate/amount of brokerage and other charges levied on the
7. Tariff Sheet 16
client for trading on the stock exchange(s) (to be added by the stock Broker)

PART - II VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER

Letter for NSE-MFSS / BSE


8. STAR Mutual Fund NSE-MFSS / BSE STAR Facility and Terms & Conditions 17

9. Letter of Authorization For maintaining account on running basis. 18 to 19

Running Account Helps the client to enjoy exposures linked to the credit in the trading
10. 20
Authorisation account.

Consent / Authorization Consent / Authorization to avail Margin Trading Funding


11. 21
to avail MTF

12. Online Marketing Affiliate Online Marketing Affiliate 22

Authorization for Electronic Authorization to member for issuing ECN and other documents in 23
13. electronic form
Contract Notes (ECN)

(3)
www.rmoneyindia.com

PART - III ADDITIONAL DOCUMENTS FOR DEPOSITORY ACCOUNT


Terms & Conditions - cum - Registration/Modification form for receiving
1. SMS Alerts from CDSL 24 to 25
SMS alert from CDSL

2. Schedule of Charges Schedule of service charges for DP 26

3. Fatca & CRS Declaration Fatca & CRS Declaration for Individual 27 to 28

4. DDPI Demat Debit & Pledge Instructions 29 to 30

5. DIS Option Form Option Form for Issue of DIS Booklet 31

PART - IV FORMATS*

1. Banker's Verification Format Letter to be provided by investor on Bank's Letter Head for verification of signature.

Disclosure for Derivative/ Declaration to be provided by investor to enable F & O Trading with relevant income
2.
Financial proof.
Format for KRA registration need to be filled by all joint holders/authorized signatories
3. KRA for Individual
in case of joint holders.

*Formats are available on our website www.rmoneyindia.com under download section.

CONTACT DETAIL FOR INVESTOR GRIEVANCES

For any grievance/dispute please mail us at complaint@rmoneyindia.com or contact us on 0562-4266600, 9568654321.


In case not satisfied with the response, please contact the concerned exchange(s)/depository at :

Exchange Name E-mail ID Phone No.

National Stock Exchange of India Ltd. ignse@nse.co.in 18002660058

Bombay Stock Exchange Ltd. iscdelhi@bseindia.com 011-43007413

Central Depository Services (India) Ltd. complaints@cdslindia.com 022-22723333

Multi Commodity Exchange of India Ltd. grievance@mcxindia.com 022-67318888

National Commodity & Derivative Exchange Ltd. ig@ncdex.com 022-66406789

Indian Commodity Exchange grievance@icexindia.com 022-40381554

(4)
www.rmoneyindia.com

CENTRAL KYC REGISTRY | Know Your Customer (KYC) Application Form | Individual
Important Instructions:
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.
B) Please fill the form in English and in BLOCK letters. F) List of two character ISO 3166 country codes is available at the end.
C) Please fill the date in DD-MM-YYYY format. G) KYC number of applicant is mandatory for update application.
D) Please read section wise detailed guidelines / instructions H) For particular section update, please tick ( ) in the box available before the
at the end. section number and strike off the sections not required to be updated.

For office use only Application Type* ✔ New Update


(To be filled by financial institution) KYC Number (Mandatory for KYC update request)
Account Type* Normal ✔ Digilocker KYC KRA based KYC
1. PERSONAL DETAILS (Please refer instruction A at the end)
Prefix First Name Middle Name Last Name
Name* (Same as ID proof) Mr. LALIT
Maiden Name (If any*) Mr. LALIT
Father / Spouse Name* Mr. Mahesh Chand
Mother Name* Mrs. MEENA DEVI
Date of Birth* 01-01-2001
TS: 2022-12-22 10:47:32 PHOTO
Gender* ✔ M- Male F- Female T-Transgender
LAT: 27.0105817
Marital Status* Married ✔ Unmarried Others LONG: 78.126999
Citizenship* IN- Indian Others (ISO 3166 Country Code ) 246G 4XV Rajakhera Rd
Muzaffarpur Uttar
Residential Status* Resident Individual Non Resident Indian Pradesh 283125 India
Foreign National Person of Indian Origin
Occupation Type* S-Service ( Private Sector Public Sector Government Sector )
O-Others ( Professional Self Employed Retired Housewife ✔ Student)
B-Business Signature / Thumb
Impression
X- Not Categorised

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 BDTPL3299P
D- Driving Licence Driving Licence Expiry Date
✔ E- UID (Aadhaar) xxxxxxxx6291
F- NREGA Job Card
Z- Others (any document notified by the central government) Identification Number
S- Simplified Measures Account - Document Type code Identification Number

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* Residential / Business ✔ Residential Business Registered Office Unspecified


Proof of Address* Passport Driving Licence ✔ UID (Aadhaar)
Voter Identity Card NREGA Job Card Others please specify
Simplified Measures Account - Document Type code
Address
Line 1* S/O: Mahesh Chand,
Line 2 kakar pura, Shamsaabad,
Line 3 Shamshabad City / Town / Village* Agra
District* Agra Pin / Post Code* 283125 State / U.T Code* UP ISO 3166 Country Code* IN

(5)
www.rmoneyindia.com

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* S/O: Mahesh Chand,


Line 2 kakar pura, Shamsaabad,
Line 3 Shamshabad City / Town / Village* Agra
District* Agra Pin / Post Code* 283125 State / U.T Code* UP ISO 3166 Country Code* IN

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. / Email-ID) (Please refer instruction F at the end)
Tel. (Off) N/A Tel. (Res) N/A Mobile 8433089432
FAX N/A Email ID lalitnishad0950@gmail.com

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 Deletion of Related Person KYC Number of Related Person (if available*)
Related Person Type* Guardian of Minor Assignee Authorized Representative
Prefix First Name Middle Name Last Name
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 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

7. REMARKS (If any)


N/A

8. APPLICANT DECLARATION
• I/We hereby declare that the KYC details furnished by me are true and correct to the best of my/our knowledge and belief and I/we under-take
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 hereby consent to receiving information from CVL KRA through SMS/Email on the above registered number/Email address. [Signature / Thumb Impression]
• I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be validated against Aadhaar details. I/We hereby consent to
sharing my/our masked Aadhaar card with readable QR code or my Aadhaar XML/Digilocker XML file, along with passcode and as applicable,
with KRA and other Intermediaries with whom I have a business relationship for KYC purposes only. Signature / Thumb Impression of Applicant

Date : 22-12-2022 Place : Agra

9. ATTESTATION / FOR OFFICE USE ONLY

Documents Received Self Certified Copies


IPV / KYC VERIFICATION CARRIED OUT BY INSTITUTION DETAILS

Date 22-12-2022 Place Name Raghunandan Capital Pvt. Ltd.


Emp. Name Satish Kumar Code IN0088
Emp. Code RCPL1696
Emp. Designation EXECUTIVE
Emp. Branch
HO
[Institution Stamp]
[Employee Signature]

(6)
www.rmoneyindia.com MANDATORY

ADDITIONAL DETAILS FOR TRADING ACCOUNT

A. BANK ACCOUNT(S) DETAILS (Verified by Penny Drop.)


Bank Name Branch Address Account Number Account Type MICR Number IFSC Code
OPPHDFC BANK ✔ Saving Current
GOPALPURAAGRA ROAD 66390100007260 BARB0VJSHAM
Bank of Baroda
SHAMSHABADAGRA DIST Others-in case of 282012027
AGRA 283125 NRI / NRE / NRO
Saving Current
Others-in case of
NRI / NRE / NRO
Provide a copy of cancelled cheque leaf/pass book/bank statement specifying name of the client, MICR Code or/and IFSC Code of the Bank.

B. DEPOSITORY ACCOUNT(S) DETAILS (THROUGH WHICH TRANSACTIONS SHALL GENERALLY BE ROUTED)


Depository Participant Name of Depository Beneficiary Name DP ID Beneficiary ID (BO ID)
Name
Raghunandan Capital
Pvt. Ltd. NSDL CDSL 1 2 0 6 9 7 0 0
NSDL CDSL

Provide a copy of either Demat Client Master or a recent holding statement issued by DP bearing name of the client.
C. TRADING PREFERENCES
Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck of by the client.
Market Segment/s

✔ NSE ✔ NSE ✔ NSE ✔ NSE


Cash F&O CDS Commodity

✔ BSE ✔ BSE ✔ BSE ✔ BSE


Cash F&O CDS Commodity

✔ MCX ✔ NCDEX ✔ ICEX

D. FINANCIAL & OCCUPATION DETAILS


Gross Annual Income Details: Income Range per annum :
Below Rs. 1 Lac ✔ Rs. 1 Lac to 5 Lac Rs. 5 Lac to 10 Lac Rs. 10 Lac to 25 Lac Rs. 25 Lac to 1 Crore >1 Crore
100000
Net Worth (Net worth should not be older than 1 year) Amount Rs ..........................................................................................
as on (date).........................................................................................................................................................................................
22-12-2022

Occupation (please tick any one and give brief details)


Private Sector Public Sector Government Service Business Professional Agriculturist
Retired Housewife ✔ Student Others___________________________
Please tick, if applicable (Note : In case of Non-individuals please tick, if applicable for any of your authorised signatories/
Promoters/Partners/Karta/Trustees/whole time directors) :
Politically Exposed Person (PEP) Related to Politically Exposed Person (PEP)
N/A
Any other information__________________________________________________________________________________________________

Family Code Group (if any)______________________________________________________________________________________________


(7)
www.rmoneyindia.com

CATEGORIZATION IN COMMODITIES DERIVATIVES SEGMENTS

Note : According to SEBI Circular No. SEBI/HO/CDMRD/DNPMP/CIR/P/2019/08 and the circular of Recognized
Stock Exchange having Commodity Derivative Segment.

Please select exchange :

NSE Commodity BSE Commodity MCX NCDEX ICEX ✔ All Segment

Please select categories and product type :

Categories Product Types

Farmer / FPOs Bullions Base Energy Agri All


Metal Commodities

Value Chain Bullions Base Energy Agri All


Participants (VCPs) Metal Commodities

Foreign Participant Bullions Base Energy Agri All


Metal Commodities

Domestic Financial Bullions Base Energy Agri All


Institutional Investor Metal Commodities

✔ Other (Specify Bullions Base Energy Agri ✔ All


Metal Commodities

DECLARATION

I/We hereby declare that the details furnished above are true and correct to the best of my/our knowledge
and belied and I/we undertake to inform you of any changer therein, immediately. In case any of the above
information is found to be false or untrue or misleading of misrepresenting, I am / we are aware that I/we
may be held liable for it.

Client Name LALIT

Client Signature

Enclosure : Copy of PAN Card

(8)
www.rmoneyindia.com

E. PAST ACTIONS
Details of any action/proceedings initiated/pending/ taken by SEBI/ Stock exchange/any other authority against the
applicant/constituent or its Partners/promoters/whole time directors/authorized persons in charge of dealing in
securities during the last 3 years :
no
___________________________________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________________________________

F. DEALINGS THROUGH SUB-BROKERS AND OTHER STOCK BROKERS

If client is dealing through the sub-broker, provide the following details:

Sub-broker's Name N/A

SEBI Registration number

Registered office address

Phone Fax Website

Whether dealing with any other stock broker/sub-broker (in case dealing with multiple stock brokers/sub-brokers, provide details of all)

Name of stock broker

Name of Sub-Broker, if any :

Client Code Exchange

Details of disputes/dues pending from/to such stock broker/sub- broker :

G. ADDITIONAL DETAILS

Whether you wish to receive physical contract note or Electronic Contract Note (ECN) (please specify) : YES NO

Specify your Email id, if applicable lalitnishad0950@gmail.com

Whether you wish to avail of the facility of internet trading/ wireless technology (please specify) :

Number of years of Investment/Trading Experience : 0

H. INTRODUCER DETAILS (optional)

Name of the introducer

Status of the Introducer Sub Broker Remisier Auth. Person Existing Client Others
Address and Ph. No. of the
N/A
Introducer

Sign. of the Introducer

(9)
www.rmoneyindia.com

DECLARATION
1. 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.
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 ‘Rights and Obligations’ document(s) and ‘Risk
Disclosure Document’. 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 for Information on stock broker’
designated website, if any.
4. I am hereby submitting self certified blackout copy of Aadhar with my due consent for opening the above
said account associated to my investment with Raghunandan Capital Pvt. Ltd

Agra
Place ___________________________________
22-12-2022
Date ___________________________________ Client Signature __________________________________________

CLIENT DEFAULTER DECLARATION


LALIT BDTPL3299P
I ______________________________________________ having PAN___________________________________ do hereby declare
that I have not been involved in any unlawful activities and I have not been declared a defaulter or my name is
not appearing in defaulter database as per SEBI/ Various Exchange/ Regulatory bodies, etc. I further declare that
the above mentioned declaration/ statement is true and correct.

Client Signature __________________________________________ UCC________________________________

FOR OFFICE USE ONLY

UCC Code allotted to the Client

Document verified with Originals Client Interviewed By In-Person Verification Done by

Name of the Employee Satish Kumar Satish Kumar Satish Kumar

Employee Code RCPL1696 RCPL1696 RCPL1696

Designation of the Employee EXECUTIVE EXECUTIVE EXECUTIVE

Date 22-12-2022 22-12-2022 22-12-2022

Signature

I undertake that I have made the client aware of 'Policy and Procedures', tariff sheet and all the non-mandatory documents.
I have also made the client aware of 'Rights and Obligations' document (s), RDD and Guidance Note. I have given/sent him
a copy of all the KYC documents. I 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 also undertake that any change in the 'Rights and Obligations' and RDD
would be made available on my website, if any, for the information of the clients.

Signature of the Authorised Signatory _______________________________________

22-12-2022
Date ______________________________________________________ Seal / Stamp of the Stock Broker
(10)
www.rmoneyindia.com MANDATORY

ADDITIONAL DETAILS FOR OPENING A DEMAT ACCOUNT (FOR INDIVIDUAL)


IDENTITY DETAILS
Application No. Date
DP Internal Reference No.
DP ID 12069700 Client ID

HOLDERS DETAILS

Sole/First Holder's PAN BDTPL3299P


Name LALIT UID xxxxxxxx6291
UCC

Second Holder's PAN


Name UID

Third Holder's PAN


Name UID

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

TYPE OF ACCOUNT (Please tick whichever is applicable)


✔ Individual Resident Individual Director Individual Director's Relative
✔ Individual Individual HUF/AOP Individual Promoter Minor
Individual Margin Trading A/c (Mantra) Others (Specify)
NRI Repatriable NRI Non-Repatriable NRI Repatriable Promoter
NRI NRI Non-Repatriable Promoter NRI - Depository Receipts
Others (Specify)
Foreign National Foreign National-Depository Receipts
Foreign National
Others (Specify)

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


Guardian's Name PAN
Relationship with the applicant
I/We instruct the DP to receive each and every credit in my/our account [Automatic Credit]
(if not marked, the default option would be 'Yes') Yes No
I/We would like to instruct the DP to accept all the pledge instructions in my/our
account without any other further instruction from my/our end Yes No
(if not marked, the default option would be 'No')
Account Statement Requirement As per SEBI Regulation Daily Weekly Fortnightly Monthly
I/We request you to send Electronic Transaction-cum-Holding Statement at the
email Id_________________________________________________________________________________
lalitnishad0950@gmail.com Yes No

I/We would like to share the email ID with the RTA Yes No
I/We would like to receive the Annual Report Physical Electronic Both Physical and Electronic
(Tick the applicable box. If not marked the default option would be in Physical)
Do you wish to receive dividend/interest directly in to your bank account given below through ECS?
(If not marked, the default option would be 'Yes') Yes No
[ECS is mandatory for locations notified by SEBI from time to time]

(11)
www.rmoneyindia.com

BANK DETAILS (Dividend Bank Details)


Bank Code (9 digit MICR Code) 282012027

IFS Code (11 Character) BARB0VJSHAM

Account Number 66390100007260

Account Type Saving ✔ Current Others (specify)


Bank Name Bank of Baroda

Branch Name SHAMSHABAD


OPPHDFC BANK GOPALPURAAGRA ROAD SHAMSHABADAGRA DIST AGRA 283125

Bank Branch Address


City AGRA State UTTAR PRADESH Country INDIA

PIN 283125

1. Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued, (or)
2. Photocopy of the Bank Statement having name and address of the BO.
3. Photocopy of the Passbook having name and address of the BO, (or)
4. Letter from the Bank.
In case of option (ii), (iii) and (iv) above, MICR Code of the branch should be present/mentioned on the document.

SMS Alert Facility Refer to 8433089432 ✔ Yes No


Terms & Conditions given MOBILE No.: +91-........................................................
as Annexure 2.4 [Mandatory, if you are giving Power of Attorney (POA)] (if POA is not granted & you do
not wish to avail of this facility, cancel this option).
Transaction Using I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility.
Secured Texting Facility I have read and understood the Terms and Conditions prescribed by CDSL for the same.
(TRUST). Refer to Yes No
Terms and Conditions I/We wish to register the following clearing member IDs under my/our below mentioned
Annexure - 2.6 BO ID registered for TRUST
Stock Exchange Name/ID Clearing Member Name Clearing Member ID (Optional)

To register for easi, please visit our website www.cdslindia.com.


Easi
Easi allows a BO to view his ISIN balances, transactions and value of the portfolio online.

DECLARATION
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.

First/Sole Holder or Guardian Second Holder Third Holder


(in case of Minor)
Name LALIT

Signature

(Signatures should be preferably in Black ink)

(12)
www.rmoneyindia.com MANDATORY

NOMINATION FORM (for Trading & Demat A/c) (Annexure-A)


(To be filled in by individual applying singly or jointly)

Raghunandan Capital (P) Ltd.


Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

DATE D
- D- M- M
- Y- Y- Y
- Y- UCC

DP ID 1 2 0 6 9 7 0 0 Client ID

I/We wish to make a nomination. [As per details given below]


NOMINATION DETAILS
I/We wish to make a nomination and do hereby nominate the following person(s) who shall receive all the assets held in
my / our account in the event of my / our death.
Nomination can be made
upto three nominees in the Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
account
N/A N/A N/A
1. Name of the nominee(s)
Mr./Ms.)

2. Share of each Equally


[If not equally, N/A % N/A % N/A %
Nominee please specify
percentage]
Any odd lot after division shall be transferred to the first nominee mentioned in the form.

3. Relationship with the


N/A N/A N/A
Applicant (if any)
N/A N/A N/A
4. Address of Nominee(s)

City / Place N/A N/A N/A

State / Country N/A N/A N/A

PIN Code N/A N/A N/A

5. Mobile/Telephone No. N/A N/A N/A


of Nominee(s)
N/A N/A N/A
6. Email ID of nominee(s)

7. Nominee Identification details - N/A N/A N/A


[Please tick any one of following
and provide details of same]
Photograph & Signature
PAN AADHAAR
Saving Bank A/c No.
Proof of Identity
Demat Account ID

(13)
www.rmoneyindia.com

Sr. Nos. 8-14 should be filled only if nominee(s) is a minor :


8. Date of Birth {in case of N/A N/A N/A
minor nominee(s)}
N/A N/A N/A
9. Name of Guardian (Mr./Ms.)
{in case of minor nominee(s)}
N/A N/A N/A
10. Address of Guardian(s)
City / Place
N/A N/A N/A
State / Country N/A
N/A N/A

PIN Code N/A N/A N/A


11. Mobile/Telephone No.
N/A N/A N/A
of Guardian
N/A N/A N/A
12. Email ID of nominee(s)

13. Relationship of Guardian N/A N/A


with nominee
14. Guardian Identification details -
N/A N/A N/A
[Please tick any one of following
and provide details of same]
Photograph & Signature
PAN AADHAAR
Saving Bank A/c No.
Proof of Identity
Demat Account ID

Name(s) of Holder(s) Signature(s) of Holder

Sole/First Holder N/A


(Mr./Ms.)
Second Holder
(Mr./Ms.)

Third Holder
(Mr./Ms.)

*Signature of witness, along with name and address are required, if the account holder affixes thumb impression,
instead of signature.

Note:
This nomination shall supersede any prior nomination made by the account holder(s), if any.
The Trading Member / Depository Participant shall provide acknowledgement of the nomination form to the account holder(s).

(14)
www.rmoneyindia.com MANDATORY

DECLARATION FORM FOR OPTING OUT OF NOMINATION (Annexure-B)

Raghunandan Capital (P) Ltd.


Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

DATE D
2 D2 M
1 M
2 Y
2 Y0 Y
2 Y2 UCC

DP ID 1 2 0 6 9 7 0 0 Client ID

Sole/First Holder Name LALIT

Second Holder Name

Third Holder Name

I / We hereby confirm that I / We do not wish to appoint any nominee(s) in my / our trading / demat account and
understand the issues involved in non-appointment of nominee(s) and further are aware that in case of death of
all the account holder(s), my / our legal heirs would need to submit all the requisite documents / information for
claiming of assets held in my / our trading / demat account, which may also include documents issued by Court
or other such competent authority, based on the value of assets held in the trading / demat account.

Signatures
of Holder(s)

Signature of 1st Holder Signature of 2nd Holder Signature of 3rd Holder

* Signature of witness, along with name and address are required, if the account holder affixes thumb impression,
instead of signature

(15)
www.rmoneyindia.com MANDATORY

TARIFF SHEET
CAPITAL MARKET SEGMENT
Brokerage Slab Slab in % Minimum per Share
Delivery Based 0.25% 0.025%

Intra day 0.025% 0.025%

F & O SEGMENT
Brokerage Slab Slab in % Delivery Minimum per Lot
Future 0.025% N/A

Options N/A Rs-50 Per Lot

CURRENCY DERIVATIVES SEGMENT


Brokerage Slab in % Minimum Brokerage per Lot

Future 0.025% N/A

Options N/A Rs-25 Per Lot

COMMODITY SEGMENT
Brokerage Slab Slab in % Physical Delivery Minimum per Lot
Future 0.02% N/A

Options N/A RS-100 Per Lot

B. OTHER CHARGES
Particular Capital Market Segment Derivative Segment Currency Derivative Segment Commodity Segment
Charges Delivery Jobbing Futures Option Futures Option Futures Option
Stamp Duty &
Other charges
Will be charged as per current applicable rate including any revisions in concern
Transaction Charges
segments with respective exchanges.
GST As per the provision of Central Goods & Service Tax Act, 2017 and as amended from time to time

STT As per the provisions of STT Act and as amended from time to time
CTT As per the provisions of CTT Act and as amended from time to time
Other Taxes As may be applicable from time to time.
NOTE :
1. Charges/service standards are subject to revision at sole discretion of Raghunandan Capital Pvt. Ltd.
2. Charges quoted above are for the services listed. Any service not quoted above will be charged separately.
3. Transaction & clearing charges, Stamp duty, GST, SEBI Fee, STT, CTT, and all legal levies as may be applicable from time
to time shall be charged separately in addition to the brokerage.
N/A
4. In case Diet ID has been provided to the client a ID Charge @___________________% N/A
of turnover or Rs._________________/- per
month per segment shall be charged extra.
5. Penalty for delay in payment of settlement /margin obligation shall be charged 18% p.a. on daily outstanding balance till
settled in full. Further a penalty shall be levied at the rate 18% p.a. computed on daily basis on the excessive intraday
trading exposure.
6. Minimum processing fees of Rs. 20/- will be charged for each day of trade.
7. For futures and options delivery bases trades, a minimum of Rs. 0.5% will be charged on physical value of delivery contract.
8. All fines, penalties & charges paid on transactions done by the Client / Acts and deeds of the clients shall be recovered as per actual.
LALIT
I/We, __________________________________________________________________________________________________________________________
have read the above given information and agree to pay the charges / levies mentioned above.

_________________________________________________________________
(Signature of Client)
(16)
www.rmoneyindia.com VOLUNTARY

LETTER FOR NSE MFSS / BSE STAR MF


To,
Raghunandan Capital (P) Ltd. 22-12-2022
Dated __________________________
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004
Dear Sir,
Sub: Mutual Fund Service System (MFSS) facility of NSE/BSE STAR MF
I am registered as your client with Client Code as mentioned below for the purpose of trading in the Capital Market
Segment.
I am interested in availing the facility of the following Exchange for the purpose of dealing in the units of Mutual funds
Scheme permitted to be dealt with.
NSE MFSS BSE STAR MF
For the purpose of availing the facility, I state that Know Your Client details as submitted by me for the securities
broking may be considered for this purpose and I further confirm that the details contained in same remain
unchanged as on date.
I am willing to abide by the terms and conditions as mentioned in the Circular dated November 24, 2009 and as may
be specified by the Exchange from time to time in this regard.
I shall also ensure compliance with the requirements as may be specified from time to time by the Securities and
Exchange Board of India and/ or Association of Mutual Funds of India (AMFI).
I shall read and understand the contents of the Scheme Information Document and Key Information Memorandum,
addenda issued regarding each Mutual Fund Schemes with respect to which I choose to subscribe / redeem. I further
agree to abide by the terms and conditions, rules and regulations of the Mutual Fund Schemes.
I therefore request you to register me as your client for participating in the MFSS/ BSE STAR MF.

Terms and Conditions


1. The client shall be bound by circulars issued by NSEIL/ BSE, Rules, Regulations and circulars issued there under
by SEBI and relevant notifications of Government authorities as may be in force from time to time.
2. The client shall notify the Participant in writing if there is any change in the information in the 'client
registration form' provided by the client to the Participant at the time registering as a client for participating in
the New MFSS/ BSE STAR MF or at any time thereafter.
3. The client shall submit to the Participant a completed application form in the manner prescribed format for
the purpose of placing a subscription order with the Participant.
4. The client has read and understood the risks involved in investing in Mutual Fund Schemes.
5. The client shall be wholly responsible for all his investment decisions and instruction.
6. The client shall ensure continuous compliance with the requirements of the NSEIL, BSE, SEBI and AMFI.
7. The Client shall pay to the Participant fees and statutory levies as are prevailing from time to time and as they
apply to the Client's account, transactions and to the services that Participant renders to the Client.
8. The client will furnish information to the Participant in writing , if any winding up petition or insolvency petition
has been filed or any winding up or insolvency order or decree or award is passed against him or if any
litigation which may have material bearing on his capacity has been filed against him.
9. In the event of non-performance of the obligation by the Participant, the client is not entitled to claim any
compensation either from the Investor Protection Fund or from any fund of NSEIL/ BSE or NSCCL/ ICCL
10. In case of any dispute between the Participants and the investors arising out of this facility, NSEIL/BSE and / or
NSCCL/ ICCL agrees to extend the necessary support for the speedy redressal of the disputes.

Thanking You.
Yours faithfully

Signature: _____________________________________ Client Code: ____________________________________


Note: Signature required in case opted for NSE MFSS or BSE StAR MF on Trading Account details page
(17)
www.rmoneyindia.com VOLUNTARY

LETTER OF AUTHORISATION
To,
22-12-2022
Dated __________________________
Raghunandan Capital (P) Ltd.
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

Sub : Letter of Authority

I/We am/are dealing in shares/securities/commodities with you in various exchange segments and in order
to facilitate ease of operations. We authorize you as under :

1. Delivery of order/trade confirmation/cancellation :


I/We hereby authorize you not to provide me / us order confirmation / Modification / Cancellation Slips and
Trade Confirmation slips to avoid unnecessary paper work. I/we shall get the required details from contract
notes and confirmation issued by you.
2. Telephonic Conversation :
I/We request you to consider my/our telephonic instructions for order placing/order modification/order
cancellation as a written instruction and give us all the confirmation on telephone unless instructed otherwise
in writing. I/We am/are getting required details from contracts issued by you.
3. Set off of outstanding:
I/We authorize you to set off outstanding in any of my / our accounts against credits available or arising in
any other accounts maintained with you irrespective of the fact that such credits in the accounts may
pertain to transactions in any segment of the Exchange and / or against the value of cash margin or
collateral shares provided to you by me / us. I further authorise you to debit the financial charges @ 18% per
annum of the outstanding debit balance, if any, in my account and not settled as per the exchange
requirement.
4. Charges & Balance Maintenance :
I/We have a Trading As well as depository relationship with Raghunandan Capital Pvt. Ltd. Please debit the
charges relevant with depository services from my/our trading account on monthly basis. I/We also agree to
maintain the adequate balance in my/our trading account / pay adequate advance fee for the said reason.
I/we hereby agreed to maintain adequate cash collateral as per SEBI/ Exchange circular and always comply
the above circular. In case of non-compliance as above, I/ we hereby authorized you as below :-
You, hereby reserve right to levy interest upto 2% per month, to be calculated on daily basis on shortage in
cash collateral, if I/we fails to keep cash collateral upto 50% of total margin obligation for the day, which is
essential requirement of the exchange.
Further, you, hereby reserve right to levy interest upto 2% per month, to be calculated on daily basis on
shortage in total collateral, if I/we fails to keep total collateral upto 110% of total margin obligation for the
day. This requirement is mandatory for the member towards the exchange
5. Authority for intimation
I/ we shall authorise you to send SMS and email to registered email/ mobile no. in respect of my Trading and
Demat account.

Signature: _____________________________________

(18)
www.rmoneyindia.com

6. Facsimile Authorisation
During the operation of my trading I may require to place order instructions through Fax/Scan, I therefore
authorise you to honor the instruction and orders send through Fax/Scan copy send by me/ us.
7. Pro Trading Intimation :
I/We have been informed that RCPL is doing Pro trading in addition to trading for clients.
8. I/We have been explained that I/We may not opt to give any of the above authorisation and that the above
authorisations are voluntary on my/our part and that I/We can revoke this authorisation at any point of time
during the operation of my/our trading account with you by giving you a notice in writing.

For and On Behalf of Constituent


Thanking you,
Yours faithfully

Signature: __________________________________________

LALIT
Name: ______________________________________________

To, 22-12-2022
Date : _______________________
Raghunandan Capital Pvt. Ltd.
26/257 B, Near Ashish Palace, Sultan Ganj, Agra - 282004

Dear Sir,
In terms of SEBI Circular No. CIR/MIRSD/64/2016 dated July 12, 2016, I/We have the option of receiving the
following documents either electronically or physically:
a. Rights & Obligations of stock broker, sub-broker and client for trading on exchanges (including additional
rights & obligations in case of internet/ wireless technology based trading);
b. Rights and Obligations of beneficial owner and depository participant as prescribed by SEBI and
depositories;
c. Uniform Risk Disclosure Documents (for all segments/ exchanges); and
d. Guidance Note detailing Do’s and Don’ts for trading on stock exchanges.
e. Policies and Procedures as per SEBI Circular No. MIRSD/SE/CIR-19/2009 dated 03rd December, 2009
f. I have read and understood the investor charter as available on companies website.
Accordingly, I wish to receive the abovesaid documents in the below mentioned manner:
Electronically Physically

Signature: _____________________________________ LALIT


Client Name :__________________________________________

(19)
www.rmoneyindia.com VOLUNTARY

RUNNING ACCOUNT AUTHORISATION


To,
22-12-2022
Raghunandan Capital (P) Ltd. Dated __________________________
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

Sub : Running Account Authorisation


I/We are dealing through you as a client in Capital Market and/or Future & Option Segment and/or Currency
segment and/or Interest Rate Future Segment & in order to facilitate ease of operations and upfront
requirement or margin for trade.

I/We authorize you as under:

1. I/We request you to maintain running balance in my account & retain the credit balance in any of my/our
account and to use the unused funds towards my/our margin/pay-in/other future obligation(s) of any
segment(s) of any or all the Exchange(s)/Clearing Corporation unless I/We instruct you otherwise.

2. I/We request you to settle my funds after making necessary retention as per frequency option given
below:-

Once in a calender Month Once in every calender Quarter

except the funds given towards collaterals/margin in form of Bank Guarantee and/or Fixed Deposit
Receipt.

3. In case I/We have an outstanding obligation on the settlement date, you may retain the requisite funds
towards my settlement / margin obligations and may also retain the fund expected to be required to meet
margin obligation, calculated in the manner specified by the exchanges.

4. I/We confirm you that I/We shall bring to your notice any dispute arising from the statement of account or
settlement so made in writing preferably within 7 working days from the date of receipt of funds or
statement of account or statement related to it, as the case may be at your registered office.

5. This Running account authorization would continue until it is revoked by me by giving a notice in writing.

Thanking you
Yours faithfully, LALIT
Client Name :__________________________________________

Signature: _____________________________________ Client Code :__________________________________________

(20)
www.rmoneyindia.com VOLUNTARY

CONSENT / AUTHORIZATION TO AVAIL MARGIN TRADING FUNDING

To,
22-12-2022
Raghunandan Capital (P) Ltd. Dated __________________________
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

• I/we am/are interested in activating my/our account for avail margin trading funding with Raghunandan
Capital (P) Ltd. (RCPL). I/we hereby authorize you to activate my/our account for the above mentioned
funding as per my consent.

• I/we agree and understand to the terms and conditions of Margin Trading Funding provided by RCPL. I/we
do hereby agree to be bind by such provisions as outlined in these documents and act in accordance with
the same while availing the margin trading funding.

• I/we hereby undertake to refer to the updated policies and procedure as posted on RCPL website and abide
by the same.

• I/we confirm and agree to receive all the communication such as confirmation of orders/trades, margin
calls, decisions/calls to liquidate the collateral/ positions /security on my registered email address or
registered mobile number provided with RCPL send electronically by RCPL.

• I/we understand that by availing the funding to trade under Margin Trading, i/we authorize RCPL to treat all
my/our trade in group I securities (further classified by RCPL), which are not covered by 100 % margin (i.e.
Cash in ledger) as trades under Margin Trading Funding and accordingly I/we authorize RCPL to report all
such trades to the exchange(s) on next day as Margin Trading Trades.

• I/we understand and acknowledge that RCPL would consider entire clear ledger credit balance in normal
trading ledger for adjustment against the margin trading funding trades (Ledger) and would levy the
interest on the net debit balance in the MTF Ledger.

• I/we understand and agree that the interest would be calculated and levied on a daily basis at the rate
mutually agreed between client and RCPL from time to time

Thanking you
Yours faithfully,
LALIT
Client Name :__________________________________________

Signature: _____________________________________ Client Code :__________________________________________

(21)
www.rmoneyindia.com VOLUNTARY

ONLINE MARKETING AFFILIATE

To, 22-12-2022
Dated __________________________
Raghunandan Capital (P) Ltd.
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

Dear Sir,

In addition to opening my trading and DEMAT account, I also wish to associate with you as an Online
Marketing Affiliate.

I hereby confirm you that-

1. I have read the present Rules, Byelaws and Regulations of the Exchange & undertake to abide by them &
any modifications/amendments thereof.

2. I understand that the reward policy in the above said affiliate programme will be the same as updated
on the website of the Company from time to time.

3. I understand that I am not supposed to induce the client under any influence, misrepresentation and
false information merely for the purpose of generating the revenue.

4. I ensure you that I will only make true and fair commitment to any prospective client of the company.

5. I understand that I will be provided the online access through secured password and that will not be
disseminated by me to any one and the leads will be inserted by me through the online back office
provided to me by you.

6. I acknowledge the fact the Company reserves the right to accept or reject the client referred by me and I
will be bound by it.

Client Signature :__________________________________________

LALIT
Client Name :__________________________________________

(22)
www.rmoneyindia.com VOLUNTARY

ELECTRONIC CONTRACT NOTE (ECN) DECLARATION


APPENDIX - A
To,
Raghunandan Capital (P) Ltd. 22-12-2022
Dated __________________________
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004
Dear Sir,
LALIT
I, _________________________________________ Raghunandan Capital (P) Ltd.
a client with Member M/s.____________________________________________
of______________________________________________________________________________
NSE, BSE, MCX, NCDEX & ICEX 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.

email operations.
• lalitnishad0950@gmail.com
My email 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.
• I am aware that this authorisation can be revoked at any time by giving notice in writing.
[The above declaration has been read and under stood 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 LALIT

Unique Client Code

PAN BDTPL3299P

Address S/O: Mahesh Chand,, kakar pura, Shamsaabad,, Shamshabad

Signature of the Client

Date 22-12-2022 Place Agra

Verification of the client signature done by, Name of the designated officer of the Member

Signature Date 22-12-2022

(23)
www.rmoneyindia.com
VOLUNTARY

Raghunandan Capital Pvt. Ltd.


(Depository Participant - CDSL) DPID : 12069700, DP SEBI Regn. No. IN-DP-213-2016
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A, Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

Terms & Conditions-Cum-Registration / Modification Form for receiving SMS Alerts from CDSL
Definitions : Receiving Alerts :
In these Terms and Conditions the terms shall have 1. The depository shall send the alerts to the mobile
following meaning unless indicated otherwise. phone number provided by the BO while registering
Fees, Charges and deposits for service or to any such number replaced and
1. "Depository" means Central Depository Services informed by the BO from time to time. Upon such
(India) Limited a company incorporated in India under registration / change, the depository shall make every
the Companies Act 1956 and having its registered effort to update the change in mobile number within a
office at 17th Floor, P.J. Tower, Dalal Street, Fort, reasonable period of time. The depository shall not be
Mumbai-400001 and all its branch offices and includes responsible for any event of delay or loss of message
its successors and assigns. in this regard.
2. 'DP' means Depository Participant of CDSL. The term 2. The BO acknowledges that the alerts will be received
covers all types of DPs who are allowed to open demat only if the mobile phone is in 'ON' and in a mode to
accounts for investors. receive the SMS. If the mobile phone is in 'Off' mode
3. 'BO' means an entity that has opened a demat account i.e. unable to receive the alerts then the BO may not
with the depository. The term covers all types of demat get / get after delay any alerts sent during such period.
accounts, which can be opened with a depository as 3. The BO also acknowledges that the readability,
specified by the depository from time to time. accuracy and timeliness of providing the services
4. SMS means "Short Messaging Service" depend on many factors including the infrastructure,
connectivity of the service provider. The depository
5. 'Alerts' means a customized SMS sent to the BO over shall not be responsible for any non-delivery, delayed
the said mobile phone number. delivery or distortion of the alert in any way
6. 'Service Provider' means a cellular service provider(s) whatsoever.
with whom the depository has entered/will be
4. The BO further acknowledge that the service provided
entering into an arrangement for providing the SMS
to him is an additional facility provided for his
alerts to the BO.
convenience and is susceptible to error, omission
7. 'Service' means the service of providing SMS alerts to and/or in accuracy. In case of BO observes any error in
the BO on best effort basis as per these terms and the information provided in the alert, the BO shall
conditions. inform the depository and/or the DP immediately in
Availability : writing and the depository will make best possible
1. The service will be provided to the BO at his/her efforts to rectify the errors as early as possible. The BO
request and at the discretion of the depository. The shall not hold the depository liable for any loss,
service will be available to those account holders who damages, etc. that may be incurred/suffered by the BO
have provided their mobile numbers to the depository an account to avail SMS alerts facility.
through their DP. The service may be discontinued for 5. The BO authorized the depository to send any
a specific period/indefinite period with or without message such as promotional, greeting or any other
issuing any prior notice for the purpose of security message that the depository may consider
reasons or system maintenance or for such other appropriate, to the BO. The BO agrees to an ongoing
reasons as may be warranted. The depository may confirmation for use of name, email address and
also discontinue the service at any time without giving mobile number for marketing offers between CDSL
prior notice for any reason whatsoever. and any other entity.
2. The service is currently available to the BOs who are 6. The BO agrees to inform the depository and DP in
residing in India. writing of any unauthorized debit to his BO
3. The alerts will be provided to the BOs only if they account/unauthorized transfer of securities from his
remain within the range of the service provider's BO account, immediately, which may come to his
service area or within the range forming part of the knowledge on receiving SMS alerts. The BO may send
roaming network of the service provider. an email to CDSL at complaints@cdslindia.com The BO
4. In case of joint accounts and non-individual accounts is advised not to inform the service provider about any
the service will be available, only to one mobile such unauthorized debit to/transfer of securities from
number i.e. to the mobile number as submitted at the his BO account by sending a SMS back to the service
time of registration / modification. provider as there is no reverse communication
5. The BO is responsible for promptly intimating to the between the service provider and the depository.
depository in the prescribed manner any change in 7. The information sent as an alert on the mobile phone
mobile number, or loss of handset, on which the BO number shall be deemed to have been received by the
wants to receive the alerts from the depository. BO and the depository shall not be under any
In case of change in mobile number not intimated to obligation to confirm the authenticity of the person(s)
the depository, the SMS alerts will continue to be sent receiving the alert.
to the last registered mobile phone number. The BO 8. The depository will make best efforts to provide the
agrees to indemnify the depository for any loss or service. The BO cannot hold the depository liable for
damage suffered by it on account of SMS alerts sent on non-availability of the service in any manner
such mobile number. whatsoever.
(24)
www.rmoneyindia.com

9. If the BO finds that the information such as mobile Liability and Indemnity :
number etc., has been changed without proper The Depository shall not be liable for any breach of
authorization, the BO should immediately inform the confidentiality by the service provider or by any third
DP in writing. person due to unauthorized access to the information
Fees : meant for the BO. In consideration of the depository
Depository reserves the right to change such fees from providing the service, the BO agrees to indemnify and
time to time as it deems fit for providing this service to the keep safe, harmless and indemnified the depository and
BO. its officials from any damages, claims, demands,
Disclaimer : proceedings, loss, cost, changes and expenses
The depository shall made reasonable efforts to ensure whatsoever which a depository may at any time incur,
that the BO's personal information is kept confidential. sustain, suffer or be put to as a consequence of or arising
The depository does not warranty the confidentiality or out or interference with or misuse, improper or fraudulent
security of the SMS alerts transmitted through a service use of the service by the BO.
provider. Further, the depository makes no warranty or
representation of any kind in relation to the system and Amendments :
the network or their function or their performance or for The depository may amend the terms and conditions at
any loss or damage whenever and howsoever suffered or any time with or without giving any prior notice to the BOs.
incurred by the BO or by any person resulting from or in Any such amendments shall be binding on the BOs who
connection with availing of SMS alerts facility. The are already registered as user of this service.
Depository will not be liable for any unauthorized use or Governing Law and Jurisdiction :
access to the information and/or SMS alert sent on the
mobile phone number of the BO or for fraudulent, Providing the Service as outlined above shall be governed
duplicate or erroneous use/ misuse of such information by by the laws of India and will be subject to the exclusive
an third person. jurisdiction of the courts in Mumbai.

I/We wish to avail the SMS Alerts facility provided by the depository on my/our mobile number provided in the
registration form subject to the terms and conditions mentioned below. I/We consent to CDSL providing to the service
provider such information pertaining to account/transactions in my/our account as is necessary for the purpose of
generating SMS Alerts by service provider, to be sent to the said mobile number.
I/We have read and understood the terms and conditions mentioned above and agree to abide by them and any
amendments thereto made by the depository from time to time. I/we further undertake to pay fee/charges as may be
levied by the depository from time to time.
I/We further understand that the SMS alerts would be sent for a maximum four ISINs at a time. If more than four debits
take place, the BOs would be required to take up the matter with their DP.
I/We am/are aware that more acceptance of the registration form does not imply in any way that the request has been
accepted by the depository for providing the service.

DP ID 12069700

BO Id

Sole/First Holder's Name LALIT

Second Holder's Name

Third Holder's Name

Mobile No. on which messages are to be sent


(Please write only the mobile number without 8433089432
prefixing country code or zero)

The Mobile Number is registered in the name of LALIT

(Please write only ONE valid Email Id on which


lalitnishad0950@gmail.com
communication; if any, is to be sent)

________________________________________________ ________________________________________________ ________________________________________________


Signature of Sole/First Holder Signature of Second Holder Signature of Third Holder
IN CASE OF JOINT HOLDING, ALL JOINT HOLDERS MUST SIGN.
*Please do not use correction fluid, all cuttings must be attested by all the joint holder(s).
22 12 22
Place : Agra Date : ________/ _________/ 20_______
(25)
www.rmoneyindia.com
MANDATORY
Raghunandan Capital Pvt. Ltd.
(Depository Participant - CDSL) DPID : 12069700, DP SEBI Regn. No. IN-DP-213-2016
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

Schedule for DP Service charges for normal Demat A/c w.e.f. 15th June 2021
SCHEDULE - A (R-MONEY RELAX)
Yes, I want to avail the BSDA Facility No, I do not want to avail BSDA Facility
If Yes, Please sign the BSDA Tariff
S.
PARTICULAR CHARGES
No.

1. Account Opening Charges NIL

2. Account Maintenance Charges Rs. 299/- per annum Charged Quarterly

3. Dematerialisation Rs. 50/- Per DRF plus


Charges Rs. 5/- per Certificate
Courier Charges as applicable
4. Rematerialisation Rs. 50/- Per RRF plus
Charges Rs. 5/- per Certificate
Courier Charges as applicable
Intra DP charges per Rs. 20/- or .01% of transaction value whichever is higher
5.
Instruction
Rs. 20/- or .02% of the
Inter DP charges per
6. transaction value
Instruction whichever is higher
7. Pledge charges (per Transaction)
Creation/Invocation / Closure .02% of the Transaction Value or Rs. 50/- whichever is higher

8. Margin Pledge and Unpledge charges Rs. 20/- per ISIN

In addition to the above the following out of pocket expenses shall also be charged.
1. Instruction Booklet : Rs. 50/- Containing 5 Leaves plus courier charges.
2. Failed Instruction Intimation : Rs. 30/- per intimation per instruction.
3. Additional Statement of Holding/Transaction : Rs. 25/- or Rs. 2/- per Page whichever is higher + Postage
4. Non periodic statement & other communications shall be charged @ Rs. 25/- or Rs. 2/- per page whichever is higher.
5. Charges are subject to revision at Depository Participant's sole discretion by giving 30 days notice.
6. In case of demat rejection postage charges as per actual for dispatch to the client for removal of objection.
7. Any other services not specified above shall be charged extra.
8. GST will be charged extra as per regulation.
9. Any Modification in client master will be charged @ Rs. 30/- per modification.
10. All the charges are payable on monthly basis under scheme A and under all other schemes all charges are payable upfront.
11. Raghunandan Capital Pvt. Ltd. may suspend/freeze the depository services of the account holder on non payment of
outstanding bill till the outstanding DP service Charges is received.
12. In case of BSDA account AMC will be charged as applicable for BSDA account( If holding value is less than Rs 50,000; Nil,
Holding between Rs 50,000 to Rs 2,00,000 ; Rs 100 Per Annum). All other charges shall be as per scheme opted by the client.
Note : Rs. 100/- POA stamp paper charges are included with upfront charges in all schemes.

________________________________________________ ________________________________________________ ________________________________________________


Signature of Sole/First Holder Signature of Second Holder Signature of Third Holder

(26)
www.rmoneyindia.com

FATCA & CRS Declaration - Individual

To,
Raghunandan Capital (P) Ltd.
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra-282004

Account Code :__________________________________________ Demat ID :___________________________________

LALIT
Name :__________________________________________________________________________________________________________________

Do you have any non-indian Country(ies) of Birth / Citizenship / Nationality and Tax Residency? Yes ✔ No

Sole/First Holder/Guardian Yes No Second Holder Yes No Third Holder Yes No

Country of Birth Country of Birth Country of Birth

Country of Citizenship/ Country of Citizenship/ Country of Citizenship/


Nationality Nationality Nationality
Are you a US Specified Yes No Are you a US Specified Yes No Are you a US Specified Yes No
Person? Please provide Tax Payer Id Person? Please provide Tax Payer Id Person? Please provide Tax Payer Id
Country of Tax Residency* Country of Tax Residency* Country of Tax Residency*
(Other then India) Taxpayer Identification No. (Other then India) Taxpayer Identification No. (Other then India) Taxpayer Identification No.

1. 1. 1.

2. 2. 2.

3. 3. 3.

*Please indicate all countries in which you are a resident for tax purpose and associated Taxpayer identification number.

FATCA - CRS Terms & Conditions

I have read and understood the information requirements and the Terms & Conditions mentioned in this Form
(read along with FATCA & CRS instructions) and hereby confirm that the information provided by me on this
Form is true, correct and complete. I hereby agree and confirm to inform Raghunandan Capital Pvt. Ltd. for any
modification to this information promptly.
I further agree to abide by the provisions of the scheme related documents inter alia provisions of FATCA & CRS
on Automatic Exchange of Information (AEOI).

First / Sole Holder Signature Second Joint Holder Signature Third Joint Holder Signature

(27)
www.rmoneyindia.com

FATCA & CRS TERMS & CONDITIONS - FOR INDIVIDUAL


The Central Board of Direct Taxes has notified Rules 114F to 114H, as part of the Income tax Rules, 1962, which require
Indian financial institutions to seek additional personal, tax and beneficial owner information and certain certifications and
documentation from all our unit holders. In relevant cases, information will have to be reported to tax authorities /
appointed agencies. Towards compliance, we may also be required to provide information to any institutions such as
withholding agents for the purpose of ensuring appropriate withholding from the folio(s) or any proceeds in relation
thereto.
Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30 days.
Please note that you may receive more than one request for information if you have multiple relationships with us or our
group entities. Therefore, it is important that you respond to our request, even if you believe you have already supplied any
previously requested information. It is mandatory to supply a TIN or functional equivalent if the country in which you are
tax resident issues such identifiers. If no TIN is yet available or has not yet been issued, please provide an explanation and
attach this to the form.
In case investor has the following Indicia pertaining to a foreign country and yet declares self to be non-tax resident in the
respective country, investor to provide relevant Curing Documents as mentioned below:

FATCA/ CRS Indicia


Documentation required for Cure of FATCA/ CRS indicia
observed (ticked)
U.S. place of birth 1. Self-certification that the account holder is neither a citizen of United States of America
nor a resident for tax purposes;
2. Non-US passport or any non-US government issued document evidencing nationality or
citizenship (refer list below); AND
3. Any one of the following documents:
a. Certified Copy of “Certificate of Loss of Nationality or
b. Reasonable explanation of why the customer does not have such a certificate despite
renouncing US citizenship; or
Reason the customer did not obtain U.S. citizenship at birth

Residence/mailing 1. Self-certification that the account holder is neither a citizen of United States of America
address in a country nor a tax resident of any country other than India;
other than India and
2. Documentary evidence (refer list below)

Telephone number in a If no Indian telephone number is provided


country other than 1. Self-certification that the account holder is neither a citizen of United States of America
India nor a tax resident of any country other than India; and
2. Documentary evidence (refer list below)
If Indian telephone number is provided along with a foreign country telephone number
1. Self-certification (in attached format) that the account holder is neither a citizen of United
States of America nor a tax resident for tax purposes of any country other than India; OR
2. Documentary evidence (refer list below)

Standing instructions to 1. Self-certification that the account holder is neither a citizen of United States of America
transfer funds to an nor a tax resident of any country other than India; and
account maintained in a
2. Documentary evidence (refer list below)
country other than India
(other than depository
accounts)

List of acceptable documentary evidence needed to establish the residence(s) for tax purposes:
1. Certificate of residence issued by an authorized government body*
2. Valid identification issued by an authorized government body* (e.g. Passport, National Identity card, etc.)
* Government or agency thereof or a municipality of the country or territory in which the payee claims to be a resident.

(28)
www.rmoneyindia.com

DEMAT DEBIT & PLEDGE INSTRUCTIONS (DDPI) For Operating Beneficiary Account
I/We have been /shall be dealing through you as my/our broker on various Stock exchanges(s) such as
NSE/BSE/MSEI/MCX/NCDEX and as my/our Depository Participant (DP) with respect to my /our Trading Account
opened /to be opened under captioned Unique Client code (UCC) and Demat /beneficial owner (BO) account
opened /to be opened & mapped with my/out said Trading account. I/We authorize you to follow these
instructions across exchanges & across segments in which I/We have already opened accounts with you, or I/We
may open account in future. As my/our Broker i.e agent & or DP. I/We direct and authorize you to carry out
dealings on my/our behalf as per instructions given below:

For my/our convenience & in order to facilitate the proper execution of all transactions by me/us in pursuant to
agreement(s)

Entered /to be entered with M/S Raghunandan Capital Pvt. Ltd. I/We hereby agree & authorize FIPL to operate
my/our Demat /BO account (s) Opened /to be opened and mapped with MY/OUR AFORESAID Trading account to
transfer/pledge/re-pledge/de-pledge securities from my/our BO account(s) only FIPL BO account and /or
Exchange(s) related pool and Margin Account of RCPL specified here in below.

Exchange Depository CMBP ID DP ID Account No. Account Type

NSE NSDL IN515899 IN300966 10512432 Pool Account

NSE CDSL NA 12069700 00120071 Pool Account

NSE CDSL NA 11000011 00021005 NSE Early Pay-in A/c

BSE NSDL IN661124 IN300966 10536142 Pool Account

BSE CDSL NA 12069700 00000056 Pool Account

BSE CDSL NA 11000010 00021197 BSE Early Pay-in A/c

Depository TM/CM-Client Securities Margin Pledge Account DP ID Account No.

ALL SEGMENT

CDSL TM/CM-Client Securities Margin Pledge Account 12069700 00119640

Further, please note that while I /We am/are entitled to the revoke this DDPI authorization at any time, by
sending signed physical letter of revocation, through Regd/Speed post at your abovementioned address. I/We
agree that till the time my/our revocation request will be processed and updated in your records, FIPL will
continue to be authorized to transfer/pledge/re-pledge/de-pledge securities under this DDPI authorization
against my/our obligations, if any, in my/our captioned trading /demat account.

I/We shall be liable for all the loses, damages and actions which my arises a consequence of your adhering to
and carrying out my/our directions given above and further agree that you shall not be liable for any claim what
so ever, or for any consequential, incidental, special or exemplary damages, caused by transfer/pledge/re-
pledge/de-pledge of securities under this DDPI authorization FOR THE FOLLOWING PURPOSES.

(29)
www.rmoneyindia.com

Purpose 1 Transfer of securities held in the beneficial owner accounts of the client towards Stock
Exchange related deliveries / settlement obligations arising out of trades executed by clients on
the Stock Exchange through the same stock broker.

Purpose 2 Pledging / re-pledging of securities in favour of M/s Raghunandan Capital Pvt. Ltd. as a Trading
Member (TM) / Clearing Member (CM) for the purpose of meeting margin requirement of the
clients in connection with the trades executed by the clients on the Stock Exchange.

Purpose 3 Mutual Fund transactions being executed on Stock Exchange order entry platforms.

Purpose 4 Tendering shares in open offers through Stock Exchange platforms.

________________________________________________ ________________________________________________ ________________________________________________


Signature of Sole/First Holder Signature of Second Holder Signature of Third Holder

(30)
www.rmoneyindia.com

OPTION FORM FOR ISSUE OF DIS BOOKLET


DP ID 1 2 0 6 9 7 0 0 Client ID
First Holder Name LALIT
Second Holder Name
Third Holder Name
To,
Date D 22-12-2022
D M M Y Y Y Y
Raghunandan Capital (P) Ltd.
Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Dear Sir / Madam,
I / We hereby state that :

OPTION 1 : [Select one of the options given below]

I / We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening of my / our CDSL
account though I / we have issued a Power of Attorney (POA) / registered for E-DIS / Opted for DDPI / executed PMS
agreement in favor of / with__________________________________________________(name of the attorney / Clearing Member /
PMS manager) for executing delivery instructions for settling stock exchange trades [settlement related transactions]
effected through such Power of Attorney holder -Clearing Member / by PMS manager/ for executing delivery instructions
through E-DIS.
OR
✔ OPTION 2 :
I / We do not require the Delivery Instruction Slip (DIS) booklet for the time being, since I / We have issued a POA/Registered
for E-DIS / Opted for DDPI / executed PMS agreement in favor of / with Raghunandan Capital Pvt Ltd for executing delivery
instructions for settling stock exchange trades [settlement related transactions] effected through such Power of Attorney
Holder - Clearing Member / by PMS manager or for executing delivery instructions through E-DIS. However, the Delivery
Instruction Slip (DIS) booklet should be issued to me / us immediately on my / our request at any later date.
Yours faithfully
First / Sole Holder Second Joint Holder Third Joint Holder

Name LALIT

Signatures

ACKNOWLEDGEMENT RECEIPT

Received OPTION FORM FOR ISSUE / NON ISSUE OF DIS BOOKLET :

DP ID 1 2 0 6 9 7 0 0 Client ID

Name of the Sole/First Holder LALIT

Name of the Second Holder

Name of the Third Holder

________________________________________________
(Depository Participant Seal and Signature)
(31)
Your way to happiness
through our wide range of offerings

Equity Insurance Bonds

Commodities IPO Postal Savings Scheme

Derivatives Advisory E-insurance Account

Currency PAN Services NPS

Mutual Funds Depository Services Corporate FDRs

RAGHUNANDAN CAPITAL (P) LTD


Member: NSE, BSE, MCX, NCDEX & ICEX
SEBI Regn. No.: INZ000307234
Depository participant: CDSL
SEBI Regn. No.: IN-DP-213-2016, DP ID: 12069700

Regd. Office : Unit No. P04-02A, P04-02B, WTC Building, GIFT City, 4th Floor, Building No. 51A,
Block No. 51, Road 5E, GIFT City, Gandhinagar, Gujarat - 382355
Corp. Office : 26/257B, Sultanganj, Near Ashish Palace, Agra, Uttar Pradesh - 282004
Customer Care No.: 0562-4266600, 9568654321
CTD No.: 0562-4266666, 9690123456 | Fax: 0562-2526550
E-mail : askus@rmoneyindia.com | www.rmoneyindia.com
DigiLocker verified e-Aadhaar

This document is generated from verified Aadhaar XML obtained from DigiLocker with due user consent and
authentication

e-Aadhaar generated from DigiLocker verified


Document type
Aadhaar XML

Generation date 2022-12-22T10:41:24.128+05:30 Download date 2022-12-22T10:41:24.128+05:30


Masked
xxxxxxxx6291
Aadhaar number

Name Lalit

DOB 01-01-2001

Gender M

C/O, S/O S/O: Mahesh Chand

S/O: Mahesh Chand, , Shamshabad, , Shamsaabad,


Address
Agra, Uttar Pradesh, India, 283125
Landmark Locality Shamsaabad
Pincode 283125 City / District Agra
State Uttar Pradesh Country India
DigiLocker verified e-Aadhaar

This document is generated from verified Aadhaar XML obtained from DigiLocker with due user consent and
authentication

e-Aadhaar generated from DigiLocker verified


Document type
Aadhaar XML

Generation date 2022-12-22T10:41:24.128+05:30 Download date 2022-12-22T10:41:24.128+05:30


Masked
xxxxxxxx6291
Aadhaar number

Name Lalit

DOB 01-01-2001

Gender M

C/O, S/O S/O: Mahesh Chand

S/O: Mahesh Chand, , Shamshabad, , Shamsaabad,


Address
Agra, Uttar Pradesh, India, 283125
Landmark Locality Shamsaabad
Pincode 283125 City / District Agra
State Uttar Pradesh Country India
MR. LALIT
Account Number - 66390100007260
Your Account Statement as on Dec 21, 2022 Statement Period from Jun 01, 2022 to Dec 21, 2022

Statement of transactions in Savings Account 66390100007260 in INR for the period Jun 01, 2022 - Dec 21, 2022

LALIT SAVINGS ACCOUNT - 66390100007260


DATE NARRATION CHQ.NO. WITHDRAWAL (DR) DEPOSIT (CR) BALANCE
01-06-2022 Opening Balance 16.59 Cr
25-06-2022 MINIMUM BALANCE CHGS 16.59 0.00 Cr
14-10-2022 BY CASH 5000.00 5000.00 Cr
UPI/228726315815/15:19:08/UPI/Q388787250@
14-10-2022 20.00 4980.00 Cr
ybl/Paym
15-10-2022 APY PREMIUM + PENAL DUE COLL: 12/2021 60.00 4920.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 01/2022 59.00 4861.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 02/2022 58.00 4803.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 03/2022 57.00 4746.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 04/2022 56.00 4690.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 05/2022 55.00 4635.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 06/2022 54.00 4581.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 08/2022 52.00 4529.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 07/2022 53.00 4476.00 Cr
15-10-2022 APY PREMIUM DUE COLL: 10/2022 50.00 4426.00 Cr
15-10-2022 APY PREMIUM + PENAL DUE COLL: 09/2022 51.00 4375.00 Cr
UPI/228898640820/10:31:20/UPI/paytmqr2810
15-10-2022 25.00 4350.00 Cr
05050101
UPI/228885968236/11:51:15/UPI/9458444356@
15-10-2022 400.00 3950.00 Cr
ybl/Paym
UPI/228856240947/13:32:43/UPI/Q842722779@
15-10-2022 459.00 3491.00 Cr
ybl/Paym
UPI/228822414113/16:06:00/UPI/Payphi.ecome
15-10-2022 161.00 3330.00 Cr
xpress@
UPI/229018001708/12:54:53/UPI/paytmqr2810
17-10-2022 45.00 3285.00 Cr
05050101
UPI/229067505859/14:34:46/UPI/Q352054394@
17-10-2022 145.00 3140.00 Cr
ybl/Paym
UPI/229053556129/16:46:58/UPI/BHARATPE907
17-10-2022 220.00 2920.00 Cr
24674738
UPI/229264303128/09:25:53/UPI/969035@ybl/P
19-10-2022 1450.00 1470.00 Cr
ayment
UPI/229235388464/20:11:45/UPI/Q373058152@
19-10-2022 35.00 1435.00 Cr
ybl/Paym
UPI/229246306790/20:12:44/UPI/Q373058152@
19-10-2022 15.00 1420.00 Cr
ybl/Paym
UPI/229384370254/13:41:55/UPI/Payphi.ecome
20-10-2022 194.00 1226.00 Cr
xpress@

Page 1 | 4

1800 - 102 - 44 55
https://www.bankofbaroda.in Customer Care
1800 - 258 - 44 55
Statement of transactions in Savings Account 66390100007260 in INR for the period Jun 01, 2022 - Dec 21, 2022

LALIT SAVINGS ACCOUNT - 66390100007260


DATE NARRATION CHQ.NO. WITHDRAWAL (DR) DEPOSIT (CR) BALANCE
UPI/229355943565/18:22:51/UPI/EURONET@ybl
20-10-2022 241.00 985.00 Cr
/Payment
UPI/229333277943/20:01:33/UPI/8449139662@
20-10-2022 500.00 485.00 Cr
ybl/Paym
UPI/229319423687/20:23:22/UPI/8449139662@
20-10-2022 100.00 585.00 Cr
ybl/Paym
UPI/229438645346/12:31:42/UPI/8394960597@
21-10-2022 20.00 565.00 Cr
ybl/Paym
UPI/229477301188/13:06:51/UPI/9458444356@
21-10-2022 60.00 505.00 Cr
ybl/Paym
UPI/229449074544/21:24:25/UPI/paytm-726510
21-10-2022 200.00 305.00 Cr
47@payt
27-10-2022 MINIMUM BALANCE CHGS 147.50 157.50 Cr
27-10-2022 MINIMUM BALANCE CHGS 130.91 26.59 Cr
28-10-2022 SMSALERTFEE_-_01-07-2022_LIEN_REV 17.70 8.89 Cr
66390100007260:Int.Pd:01-08-2022 to
01-11-2022 2.00 10.89 Cr
31-10-2022
UPI/230571978422/17:29:19/UPI/8449139662@
01-11-2022 500.00 510.89 Cr
ybl/Paym
UPI/230589727277/17:37:41/UPI/paytm-726510
01-11-2022 454.37 56.52 Cr
47@payt
UPI/230626037987/14:28:33/UPI/paytmqr2810
02-11-2022 20.00 36.52 Cr
05050101
UPI/230618529355/14:53:30/UPI/paytmqr2810
02-11-2022 20.00 16.52 Cr
05050101
UPI/230613755597/20:56:01/UPI/BILLDESKPP@
02-11-2022 15.00 1.52 Cr
ybl/Paym
UPI/230788991365/14:49:11/UPI/9458444356@
03-11-2022 60.00 61.52 Cr
apl/UPI
UPI/230744831548/15:02:00/UPI/l7505579718
03-11-2022 60.00 1.52 Cr
@paytm/P
UPI/231647157148/21:32:02/UPI/9458444356@
12-11-2022 200.00 201.52 Cr
apl/Gggg
UPI/231686395528/21:33:14/UPI/BILLDESKPP@
12-11-2022 183.00 18.52 Cr
ybl/Paym
UPI/231852667407/23:05:17/UPI/phonepe-payo
14-11-2022 333.00 351.52 Cr
uts@yes
UPI/231862524295/23:37:08/UPI/l7505579718
14-11-2022 350.00 1.52 Cr
@paytm/P
UPI/231955932830/19:24:17/UPI/7500352198@
15-11-2022 1.00 0.52 Cr
ybl/Paym
UPI/231984339604/19:27:19/UPI/7500352198@
15-11-2022 1520.00 1520.52 Cr
ybl/Paym
UPI/231926340772/19:32:45/UPI/l7505579718
15-11-2022 1420.00 100.52 Cr
@paytm/P
16-11-2022 APY PREMIUM DUE COLL: 11/2022 50.00 50.52 Cr
UPI/232187165092/12:03:56/UPI/73008415351
17-11-2022 10.00 40.52 Cr
@ybl/Pay
UPI/232196691537/15:45:47/UPI/paytmqr2810
17-11-2022 35.00 5.52 Cr
05050101
UPI/232665597433/13:19:17/UPI/phonepe-payo
22-11-2022 244.00 249.52 Cr
uts@yes
UPI/232656047983/14:35:05/UPI/paytmqr2810
22-11-2022 40.00 209.52 Cr
05050101
UPI/232694461923/18:31:27/UPI/8439437611@
22-11-2022 110.00 99.52 Cr
paytm/Pa
UPI/232637372441/18:34:31/UPI/8439437611@
22-11-2022 40.00 59.52 Cr
paytm/Pa
UPI/232664314099/18:45:21/UPI/paytmqr2810
22-11-2022 40.00 19.52 Cr
05050101
UPI/232885800917/17:40:33/UPI/8433089432@
24-11-2022 1.00 20.52 Cr
ybl/Paym
UPI/232888442232/17:43:29/UPI/9458444356@
24-11-2022 20.00 0.52 Cr
ybl/Paym

Page 2 | 4

1800 - 102 - 44 55
https://www.bankofbaroda.in Customer Care
1800 - 258 - 44 55
Statement of transactions in Savings Account 66390100007260 in INR for the period Jun 01, 2022 - Dec 21, 2022

LALIT SAVINGS ACCOUNT - 66390100007260


DATE NARRATION CHQ.NO. WITHDRAWAL (DR) DEPOSIT (CR) BALANCE
UPI/233254104830/14:37:50/UPI/7500352198@
28-11-2022 250.00 250.52 Cr
ybl/Paym
03-12-2022 BY CASH 14100.00 14350.52 Cr
UPI/233746172262/12:00:34/UPI/7500352198@
03-12-2022 2000.00 12350.52 Cr
ybl/Paym
UPI/233753718308/12:18:17/UPI/8433089432@
03-12-2022 4.00 12354.52 Cr
ybl/Paym
UPI/233771936107/13:33:14/UPI/6398767695@
03-12-2022 1000.00 11354.52 Cr
ybl/Paym
UPI/233745057070/19:05:35/UPI/Q942912508@
03-12-2022 40.00 11314.52 Cr
ybl/Paym
UPI/233709255044/19:14:47/UPI/paytmqr2810
03-12-2022 25.00 11289.52 Cr
05050101
UPI/233747005252/19:18:52/UPI/Q544062867@
03-12-2022 50.00 11239.52 Cr
ybl/Paym
UPI/233823177804/09:30:02/UPI/Payphi.ecome
05-12-2022 543.00 10696.52 Cr
xpress@
UPI/233879437428/11:29:00/UPI/7500352198@
05-12-2022 4300.00 6396.52 Cr
axl/Paym
UPI/233869614303/12:21:56/UPI/7500352198@
05-12-2022 300.00 6096.52 Cr
ybl/Paym
UPI/233925354744/15:04:06/UPI/7500352198@
05-12-2022 5000.00 1096.52 Cr
ybl/Paym
UPI/234056449929/10:21:44/UPI/paytm-726510
06-12-2022 499.06 597.46 Cr
47@payt
UPI/234024155025/16:50:34/UPI/paytmqr2810
06-12-2022 145.00 452.46 Cr
05050101
UPI/234121511930/15:20:37/UPI/Q544062867@
07-12-2022 65.00 387.46 Cr
ybl/Paym
UPI/234496359645/18:15:43/UPI/phonepe-payo
10-12-2022 543.00 930.46 Cr
uts@yes
UPI/234597677347/13:22:15/UPI/phonepe-payo
10-12-2022 299.00 1229.46 Cr
uts@yes
12-12-2022 APY PREMIUM DUE COLL: 12/2022 50.00 1179.46 Cr
UPI/234647593535/09:15:00/UPI/969035@ybl/P
12-12-2022 800.00 379.46 Cr
ayment
12-12-2022 DCISU_-_Issuance_PLAT_OCT_22_LIEN_REV 354.00 25.46 Cr
UPI/234681230735/21:17:32/UPI/BILLDESKPP@
12-12-2022 15.00 10.46 Cr
ybl/Paym
UPI/234709225510/09:11:56/UPI/9675831161@
13-12-2022 1050.00 1060.46 Cr
ybl/Paym
UPI/234798940270/12:36:00/UPI/MYNTRA@ybl/
13-12-2022 875.00 185.46 Cr
Payment
UPI/234700774991/13:50:14/UPI/phonepemerc
13-12-2022 875.00 1060.46 Cr
hant@yes
UPI/234794250375/16:45:39/UPI/Payphi.ecome
13-12-2022 280.00 780.46 Cr
xpress@
UPI/234775620448/21:23:57/UPI/BILLDESKPP@
13-12-2022 25.00 755.46 Cr
ybl/Paym
UPI/234809474704/12:42:29/UPI/Payphi.ecome
14-12-2022 402.00 353.46 Cr
xpress@
UPI/234802316735/15:46:13/UPI/phonepe-payo
14-12-2022 280.00 633.46 Cr
uts@yes
UPI/234837619484/16:49:35/UPI/paytmqr2810
14-12-2022 250.00 383.46 Cr
05050101
19-12-2022 SMS Alert charges for Qtr Dec-22 17.70 365.76 Cr
UPI/235450720179/17:12:57/UPI/paytmqr2810
20-12-2022 40.00 325.76 Cr
05050101
UPI/235409339452/17:33:36/UPI/BHARATPE.90
20-12-2022 250.00 75.76 Cr
06180050
21-12-2022 Closing Balance 75.76 Cr

Page 3 | 4

1800 - 102 - 44 55
https://www.bankofbaroda.in Customer Care
1800 - 258 - 44 55
ABBREVIATIONS
SP - Stop Payment INT - Interest
EC - Error Corrected CBI - Cheque Book Issue
MB - Minimum Balance Retd - Returned Cheque
SI - Standing Instructions DAUE - Drawing Against Uncleared Effect
OBC - Outward Bill for collection INCHGS - Incidental charges
ECS - Electronic Clearing Service ISLIXN - Inter sol transactions

Account Related Other Information :

NOMINEE DETAILS
SR.NO. ACCOUNT TYPE ACCOUNT NUMBER NOMINEE NAME(S)
1 SAVINGS ACCOUNT 66390100007260 1) MAHESH CHAND

BRANCH ADDRESS MICR IFSC


SHAMSHABAD BRANCH OPPOSITE HDFC BANK MAIN SHAMSHABAD ROAD AGRA, UTTAR PRADESH, INDIA -
282012027 BARB0VJSHAM
283125

Page 4 | 4

1800 - 102 - 44 55
https://www.bankofbaroda.in Customer Care
1800 - 258 - 44 55
Profile Photo
Signature
Sign Verification
Income Proof
PAN VERIFICATION RECORD
Permanent Account Number

BDTPL3299P
Name LALIT
Gender MALE
DOB 01/01/2001
Verified On 22/12/2022 10:41:33

Digitally Signed On:


22/12/2022 10:41:33 IST

Note:

1. This PAN data is verified by DigiLocker (https://digilocker.gov.in) as per data provided


by the issuing authority, Income Tax Department, Govt. of India.
2. This digitally signed verification document is valid as per the IT Act 2000 when used
electronically.

Powered by TCPDF (www.tcpdf.org)

You might also like