TRADING & DEMAT 3108249387

ACCOUNT OPENING FORM

Application Form (Please tick relevant boxes): 2 in 1 form (Trading + DP) 1 in 1 form (only Trading) Standalone DP

LG Code Y4792 LC Code 277438 Source Code 2731

Branch Inward Stamp & CPU Inward Stamp &

Authorised Signatory with Authorised Signatory with
Stamp Stamp

INDEX
Name of the document Brief Significance of the document Section Page No.

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

A. KYC form - Document captures the basic information about the constituent
PART A 3
and an instruction/check list.

Account Opening Form B. Document captures the additional information about the constituent
PART A 7
relevant to trading account and an instruction/check list. (PART II)

C. Additional details required for operating DP account PART A 5

Document stating the Rights & Obligations of stock broker/trading member,

Rights and Obligations
sub-broker and client for trading on exchanges (including additional rights & PART B 1
(Trading)
obligations in case of internet / wireless technology based trading).

Rights and Obligations Rights and Obligations of Beneficial Owner and Depository Participant as
PART A 15
(Demat) prescribed by SEBI and Depositories

Risk Disclosure Document

Document detailing risks associated with dealing in the securities market. PART B 7
(RDD)

Document detailing do's and don'ts for trading on exchange, for the education
Guidance note PART B 11
of the investors.

Policies and Procedures Document describing significant policies and procedures of the stockbroker PART B 14

Document detailing the rate/amount of brokerage and other charges\levied on

Tariff sheet (Trading) PART B 19
the client for trading on the stock exchange(s).

VOLUNTARY DOCUMENTS AS PROVIDED BY THE STOCK BROKER

Document required for linkage of Bank and demat account for experience of
Power of Attorney PART A 11
seamless trading in securities / order placement

Additional Non mandatory Confirmation of Additional Rights and Obligations for seamless trading
PART A 2
Rights & Obligations experience

Running Account Authorisation from client on maintenance of the funds / securities balances on
PART A 2
Authorisation running basis

Other Consent Consent for Margin Trading facility and to receive commercial call and/or sms PART A 2

Registered Office Address: I Think Techno Campus, Building - B, “Alpha”, Office Floor 8, Kanjurmarg (East), Mumbai - 400042.
Ph.: (022) 3075 3400 Fax : (022) 3075 3435 Website: www.hdfcsec.com (CIN - U67120MH2000PLC152193)

Correspondence Office Address: Trade Globe, 2nd Floor, Kondivita, Andheri-Kurla Road, Andheri East. Mumbai-400059. Ph.:
(022) 3901 9400 Fax : (022) 2834 6690.

Compliance Officer Name, Phone No. & Email ID: Murli V Karkera, (022) 3045 3600, complianceofficer@hdfcsec.com

CEO/M.D. Name, Phone No. & Email ID: Mr. Dhiraj Relli, (022) 6741 9951, md@hdfcsec.com

1
 INZ000186937 (NSE, BSE, MSEI,
SEBI Registration No.
MCX) For any grievance/dispute please contact HDFC
Securities Ltd. at the above address or email id-
NSE Trading Member Code 11094 customercare@hdfcsec.com and Phone no.:
BSE Clearing No. 393 (0+local area code + 3901 9400) and for escalation
you may write to us at services@hdfcsec.com.
MSEI Trading Member Code 30000

MCX Member Code 56015

AMFI Reg No. ARN -13549 In case not satisfied with the response, please
contact concerned exchanges BSE at
PFRDA Reg. No. POP 11092018 is@bseindia.com and Phone no. 022 2272 8097
and NSE at ignse@nse.co.in and Phone No. 022
IRDA Corporate Agent Licence No. CA0062
2659 8190
Research Analyst Reg. No. INH000002475

Investment Adviser INA000011538

CIN U67120MH2000PLC152193

NSDL DP ID IN301436

CDSL DP ID 13020700

SEBI DP Registration No. IN-DP-372-2018

HDFC Securities is registered as a trading cum clearing member in all Exchanges
HDFC Securities has a proprietary trading desk. This desk maintains an arm’s length distance with the Research team and all its activities are segregated from Research activities.
The proprietary desk operates independently, potentially leading to investment decisions that may deviate from research views.

RUNNING ACCOUNT AUTHORISATION

I confirm that my account may be maintained on a running account basis, whereby instead of paying any amounts or securities (lying in
Client Collateral Account / Collateral Account) representing mark to market profits, you shall retain, withhold, set-off and / or
appropriate the same for such purposes and in such manner as you deem fit and release the funds and / or securities (lying in Client
Collateral Account / Collateral Account) due to me, on my specific request, either written or oral. I am aware that I have the right to
amend or revoke this authorisation, at any time, by way of an amendment / revocation letter.
I confirm that you may settle the account once every calendar
S1
Quarterly or Monthly
X Signature of Client

OTHER CONSENT
• As a subscriber to the services offered by HDFC securities Ltd. I hereby instruct HDFC securities Ltd. to provide the following
communications through the medium of short messages services and / or telephone calls / or Whatsapp on my registered phone
number(s): (a) Research and investment ideas whether developed in-house and / or by outsourced agencies; (b) Market related
alerts; (c) Offers or subscription to new products / services from time to time; (d) Account and trading related information and other
notifications pursuant to the services provided under the captioned agreement; (e) Information relating to investment products and
services; (f) Any other service to aide in wealth creation process.
(Do not sign if you not wish to receive commercial calls and / or messages)
S2
X Signature of Client

CONSENT FOR MARGIN TRADING FACILITY (MTF)

I/we wish to avail the Margin Trading Facility (MTF). I/We confirm that I/we have received, read
and understood, acknowledged and agreed to the Margin Trading Facility (MTF) Rights and S3
Obligations as provided by HDFC Securities in PART C of the account opening document. X Signature of Client

SCHEDULE OF CHARGES (TRADING)

I/We have read and understood the features of the scheme and agreed to the below
A/C opening scheme Lite Zero New Charges 0

Payment Mode Cheque no. Bank A/C No.

Bank Name Date
Direct debit from my link HDFC Bank account
S4
None
X Signature of Client

2
 CUSTOMER INFORMATION FORM For Individuals Only
HDFC Bank, 4th floor,empire plaza-1, Lal Bahadur Shastri Road, Chandan
Nagar,Vikhroli West, Mumbai - 400083, Maharashtra. 3108249387
Registered Office:HDFC Bank House, Senapati Bapat Marg, Lower Parel, Mumbai - 13.

"Fields marked in Red are mandatory." "Form to be filled in Capital Letters only." "Strike off whichever is not applicable." "Fill this form in English."

Office use only Application Type New Update A/c Type Normal Small Simplified (for low risk customers)

Prefix Mr. Ms. Others.

FIRST NAME MIDDLE NAME LAST NAME
Applicant Name PRASHANT VISHWANATH DHABE
(Same as per ID Proof)
Gender Male Female Transgender Marital Status Single Married
Residential Status Resident Individual NRI Foreign National
Nationality Indian Other, please specify
Date of Birth 07/07/1962
PAN (Mandatory) AEAPD5048R
Proof of identity PAN Any other (Please specify) Aadhaar Expiry date

FIRST NAME MIDDLE NAME LAST NAME

Mother's Name Ms.

Spouse's Name Mr. / Mrs. / Ms.

Father's Name Mr. VISHWANATH DHABE

Proof of Address (Specify) Aadhaar Expiry date

Residence/ S/O: Vishwanath Dhabe,gajanan town ship,house no- 838,Kathora Bk.,Amravati,Amravati

Correspondence Camp,Amravati,Maharashtra,444602
Address
District Country INDIA
PIN Code 444602 Please mention a prominent landmark to ensure that the deliverables reach you
Address Type Residence Business Residential and Business Registered Office Unspecified

Permanent Address same as Present Address

Permanent S/O: Vishwanath Dhabe,gajanan town ship,house no- 838,Kathora Bk.,Amravati,Amravati Mandatory to be
Address Camp,Amravati,Maharashtra,444602 filled if different
from above

District Country INDIA Mandatory for

Non Resident
Applicant to
specify overseas
address

PIN Code 444602 Please Residing at current residence since Please mention a prominent landmark to ensure
that the deliverables reach you
Separate email ID & mobile number declaration - I hereby declare that the below
Mobile number belongs to Self
(Mandatory)
Tel (R) + Mobile No. +91 9404576329
Tel (O) + - Fax
Email ID belongs to Self
Email ID dhabe1997@gmail.com
Mode of receiving statement of accounts & annual reports Electronic Physical Share my email ID with the RTA Yes No
APPLICANT’S SIGNATURE
I/We hereby declare that the Know Your Client (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 SEBI
approved KYC Registration Agency (KRA) / Central KYC Registry through SMS/Email on the above registered number/Email address.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 / Central KYC Registry / FATCA and other Intermediaries with whom I have a business relationship for KYC purposes only. I am aware that my / our Trading / Demat account will be opened as per name
available in Income Tax database.

Signature of the applicant

(Originals verified) and Self –Attested Document copies
received
In-Person-Verification (IPV) details:
Name of the Person doing IPV DigiLocker
Signature of the Person doing IPV DigiLocker
Designation & Emp. code DigiLocker 13/11/2024 Place WEB
Branch code WEB 13/11/2024 Do not sign this form if it is BLANK. Please ensure all relevant sections
and columns are completely filled to your satisfaction and then only
Name and signature of authorised signatory doing IPV DigiLocker sign the form
OTP Use In IPV: Ip Address: 117.99.249.226
Geo Location: 20.9526404,77.7622751

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*Gross annual income(₹) Below Rs. 1lac Rs. 1lac to 5lac Rs. 5lac to 10lac Rs. 10lac to 25lac Above Rs. 25lac
(Income range per annum)
OR Net worth (₹) as on date Net worth should not be older than one year

Occupation details Public Sector Private Sector Government Service Employer Name
(please tick any one below
and give brief details) Business Professional Agriculturist Service Retired Student Housewife Designation
Others (please specify)

Brief Details Please tick, if applicable Politically Exposed Person (PEP) Related to a Politically Exposed Person (PEP)

Are you a tax resident of any country other than India ? No Yes, then please fill below
City of Birth Country of Birth
Address for Tax purpose (please tick) Same as Mailing Address Same as permanent Address

Country/(ies) of Tax Residency # Tax Identification Number (TIN)% Nationality / Citizenship Identification Type
(TIN or Other%, please specify)

1.
2.
3.
4.
5.
# To also include USA , where the individual is a citizen /green card holder of USA % In case Tax Identification Number is not available , kindly provide functional equivalent

FATCA/ CRS Indicia observed (ticked) Documentation required for Cure of FATCA/ CRS indicia
If customer does not agree to be Specified U.S. person/ reportable person
status
1 U.S. place of birth 1. Self-certification (in attached format) 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

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

3 Telephone number in a country other than India 1. Self-certification (in attached format) that the account holder is neither a
(and no telephone number in India provided) citizen of United States of America nor a resident for tax purposes; AND
2. Documentary evidence (refer list below)

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

Certification:
I/We have understood the information requirements of this Form as per the CBDT notified Rules 114F to 114H and hereby confirm that the information provided by me/us on this Form is
true, correct, and complete. I/We also confirm that I/We have read and understood the Terms and Conditions below and hereby accept the same. I/We understand that my personal
details as provided/available in the bank/securities records will be used for CBDT reporting. Further, I/We hereby authorize HDFC Securities Limited to furnish the above information to
HDFC Bank Limited for the purpose of compliance and reporting under CBDT Rules as applicable.

Details under FATCA/Foreign Tax Laws:

Towards compliance with tax information sharing laws, such as FATCA, we would be required to seek additional personal, tax and beneficial owner information and certain certifications
and documentation from our account holders. Such information may be sought either at the time of account opening or any time subsequently. In certain circumstances (including if we
do not receive a valid self-certification from you) we may be obliged to share information on your account with relevant tax authorities. If you have any questions about your tax
residency, please contact your tax advisor. Should there be any change in any information provided by you, please ensure you advise us promptly, i.e., within 30 days. Towards
compliance with such laws, we may also be required to provide information to any institutions such as withholding agents for the purpose of ensuring appropriate withholding from the
account or any proceeds in relation thereto. As may be required by domestic or overseas regulators/ tax authorities, we may also be constrained to withhold and pay out any sums from
your account or close or suspend your account(s). If you are a US citizen or resident or green card holder, please include United States in the foreign country information field along with
your US Tax Identification Number. Foreign Account Tax Compliance provisions (commonly known as FATCA) are contained in the US Hire Act 2010. Please note that you may receive
more than one request for information if you have multiple relationships with different members of the HDFC Group.Therefore, it is important that you respond to our request, even if you
believe you have already supplied any previously requested information.

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

4
 PART-II Application for Opening Demat Account - (For Individuals)
HDFC Bank, 4th floor,empire plaza-1, Lal Bahadur Shastri Road, Chandan Nagar,Vikhroli West, Mumbai - 400083, 3108249387
Maharashtra.
Registered Office:HDFC Bank House, Senapati Bapat Marg, Lower Parel, Mumbai - 13.

Please tick mandatorily CDSL (DP ID - 13020700) NSDL (DP ID - IN301436)

Part - B (1) DEMAT ACCOUNT OPENING DETAILS

I/We request you to open a depository account in my/our name as per the following details (Please tick one)
Ordinary Resident NRI - Repatriable NRI - Non - Repatriable Foreign National Promoter Margin Account
Qualified Foreign Investor Others (pls specify)

Part - B (2) DETAILS OF ACCOUNT HOLDER(s) (Please fill all the details in CAPITAL LETTERS only) No. of Holders 1

Sole / First Holders PRASHANT VISHWANATH DHABE

Second Holder
Third Holders

For Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the name of th e natural persons, the name &
PAN of the Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be mentioned below:
Name

PAN

Part - B (3) PAN OF APPLICANT

PAN: Applicant AEAPD5048R

Part - B (4) IN CASE OF NRIs / FOREIGN NATIONALS

Non face to face customer
RBI approval
reference number RBI Approval Date

Part - B (5) GUARDIAN DETAILS (Where sole holder is a minor)

Guardian Name
For account of a minor, two KYC application forms must be filled i.e. one for the guardian and another for the minor (to be
PAN signed by guardian)
Relationship of guardian with
minor

Part - B (6) BANK DETAILS FOR DIVIDENT & DEBIT AUTHORISATION

(Mandatory for the first Demat account holder for receiving credit of Dividend / Interest) Please give NRE Bank details only in case Demat account is to be
opened as NRE & NRO.
Bank A/C type Savings A/C Current A/C Other (pls specify)

Account No. 50100176894539 RTGS / NEFT / IFSC Code HDFC0002731

MICR Code 444240102 Customer Id 71097692

Bank Name HDFC BANK LTD Branch code if HDFC Bank A/C 2731

Branch Address VENUS PLAZA, SHEGAON NAKA, AMRAVATI, MAHARASHTRA 444604

Please attach photo copy of Blank / Cancelled cheque to verify the 9 digit MICR code

Part - B (7) SERVICE REQUEST

Account to be operated through Power of Attorney (POA) (Default is, No) Yes No SMS alert is mandatory if you are giving POA.
Refer to T & C on www.hdfcsec.com
SMS alert facility First holder Yes No Second holder Yes No Third holder Yes No
To be filled by persons seeking to open a Depository account and has opted for online trading facility or who have given Power of Attorney to operate the
Depository account to a stock broker/Participant / Portfolio Manager.
Delivery Instruction Yes, I / we wish to receive DIS Booklet at the time of account No, however, the DIS booklet should be issued to me/ us
Slip (DIS) booklet
opening immediately on my/ our request at any later date
facility

Standing Yes, To receive credit automatically into my/our a/c (Default is, No NOTE: SI for a Non PIS NRE Demat A/c will be by default
Instruction Yes) marked as "No."
Pledge Yes, to accept all pledge instructions in my/our account without any further instruction No (If not marked, the default option as
Instruction from my/our end “NO”)
One Time Self Yes, I / we declare that all transfer instructions (i.e. G-Sec / SGB) submitted by me / us for execution are bonafide and arising out of
Declaration genuine trade or transfer transaction
Mode of receiving Statement of Account Physical Electronic
Mode of Annual Reports, AGM notice and other communication from issuer Physical Electronic Both(Only for CDSL)

FOR OFFICE USE

1st holder High Medium Low DP ID IN301436 WEB

2nd holder High Medium Low Client ID

WEB
3rd holder High Medium Low Internal Ref. No. 3108249387

5
 Tariff Sheet for HDFC Bank Individual Demat Account 3108249387

S7 S7 S7
X Signature of 1st Holder X Signature of 2nd Holder X Signature of 3rd Holder

6
 TRADING ACCOUNT RELATED DETAILS - PART II 3108249387

BANK AND DEPOSITORY ACCOUNTS DETAILS:

Bank Name: HDFC Bank A/C Other Bank Name

Bank A/C No. 50100176894539 Account Type: Savings Current

IFSC Code HDFC0002731 MICR Number: 444240102

Branch Address VENUS PLAZA, SHEGAON NAKA, AMRAVATI, MAHARASHTRA 444604 Branch Code 2731

DP Name HDFC Bank Ltd Customer ID 71097692

Client ID (BO ID) DP ID: IN301436

Client ID (BO ID) Depository Name (tick one) NSDL CDSL

TRADING PREFERENCES:
*Please sign in the relevant boxes where you wish to trade. Please strike off the segment not chosen by you.

Segments\Exchange NSE BSE MCX

Cash Market /
Mutual Fund
Signature of client Signature of client NA

Futures &
Options
Signature of client Signature of client NA

Currency
Derivatives
Signature of client NA NA

Commodity
Derivatives
NA NA Signature of client

If you do not wish to trade in any of segments / Mutual Fund, please mention here _______________________________.
# If in future, the client wants to trade on any new segment / new exchange, seperate authorization / letter should be taken from the client
by the stock broker, Please specify the proof submitted to avail the privileges to trade in derivatives segment: (Please refer last page of
this application form)

Refer to MFSS terms & conditions available on our website and also available in the Part B provided to you

PAST ACTION: 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 If yes, please specify:

DEALINGS THROUGH SUB-BROKERS AND OTHER STOCK BROKERS: Not dealing, If yes, please mention details below:
Sub-Broker's Name: SEBI Registration number:
R. O. Address: Phone: Fax: Website:
Whether dealing with any other stock broker/sub-broker (if case dealing with multiple stock brokers/sub-brokers, provide details of all)
Name of Stock Broker: Name of Sub-Broker, if any:
Client Code: Exchange:
Details of disputes/dues pending from/to such stock broker/sub-broker:
ADDITIONAL DETAILS: I/we wish to receive Electronic Contract Note (ECN) OR Physical contract note (PCN)
E-mail ID for ECN dhabe1997@gmail.com

I wish to avail of the facility of internet trading/ wireless technology: Yes If No, Please Specify:
Number of years of Investment/Trading Experience: No prior Experience 0 Stock 0 Derivatives
Other investment related field Any other information:

INTRODUCER DETAILS (Optional)

Name

Status: Remisier Authorized Person Existing Clients Others, Please specify

Address: I1
Phone X Signature of Client

7
 Declarations, Terms & Conditions & Notes
A. Declaration: I/We am/are beneficial owner(s) ( or an authorized to sign for the beneficial owner) of all the income to which this form relates, The rules and regulations of the
Depository and Depository Participants pertaining to an account which are in force now have been read by me/us and I/We have understood the same and I/We agree to abide
by and to be bound by the rules as are in force from time to time for such accounts. I/We hereby declare that the details furnished above are true and correct to the best of
my/our knowledge and belief and I/we undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or
misleading or misrepresenting, I am/we are aware that I/we may be held liable for it. In case of non-resident account, I/We also declare that I/We have complied and will continue
to comply with FEMA regulations. I/We con?rm having read/been explained and understood the contents of the document on policy and procedures of the stock broker,
Depository Participants and the tariff sheet.
B. CBDT Terms and Conditions
The Central Board of Direct Taxes (CBDT) has notified Rules 114F to 114H, as part of the Income-tax Rules, 1962, which Rules require Indian financial institutions such as HSL
to seek additional personal, tax and beneficial owner information and certain certifications and documentation from all our account 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 account 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 HDFC
securities or its group entities. Therefore, it is important that you respond to our request, even if you believe you have already supplied any previously requested information.
C. Debit Authorisation: I/We hereby authorize the HSL to debit all types of Bank charges / commission / fees (“Service Charges”) payable by me / us to the linked Accounts. I/We
undertake that sufficient balances shall be maintained by me/us in the said Accounts to facilitate the debiting of Service Charges. The failure on part of me / us to maintain
sufficient balance in the said Account shall not in any way impair the right of the HSL to debit the Service Charges. I /We hereby further authorise HSL to charge any interest ond
ebit balance in the said Accounts due to the debiting of Service Charges, and/or recover the charges from any other account maintained by me/us with any bank. I/We
specifically agree and confirm that any matter or issue arising hereunder shall be governed by and construed exclusively in accordance with the Indian laws and shall be subject
to the jurisdiction of the courts of Mumbai in India.
D. Email Statement: I/We agree to discontinue the Physical Statements if electronic mode is opted. I/We understand that the email statements are for my/our convenience. HSL
shall not be liable or responsible for any breach of secrecy because the statements are being sent to the email ID. I/We shall verify the authenticity of the emails I/We receive.
I/We shall not hold the HSL responsible for any statement received from frauds/imposters. I/We shall not hold HSL liable if any problem arises with my/our computer network
because of me/ us receiving statements from HSL.I /We are authorised by the other holders to receive the Statements to the email address. HSLshall not be responsible if I/we
do not receive statement due to incorrect email address and technical reasons. I/We confirm to have read and understood the Terms & Conditions (a copy of which I am in
possession of) pertaining to my account. I/We understand and agree that the email statements will only be sent to the First holder in the account. I/we am/are aware that I/we will
not receive the transaction statements in paper form. I/we will take all the necessary steps to ensure confidentiality and secrecy of the login name and password of the
internet/email account. I/we am/are aware that the transaction statement may be accessed by other entities in case the confidentiality/secrecy of the login name and password is
compromised. I/We shall inform HSL in writing if there is any change in the email address.
Instructions related to mode of receiving Statement of Account in electronic form, are as below: I. All the necessary steps to ensure confidentiality and secrecy of the login name
and password of the internet/ email account should be taken by the client. Such statement may be accessed by other entities in case the confidentiality/ secrecy of the login
name and password is compromised. II. Participant or Client can terminate such arrangement by giving 10 days prior notice. III. In case opted for statement through email, the
Clients hall immediately inform the Participant about change in email address, if any. Strike off whichever is not applicable.

Acknowledgment / Consent - Individual Customer

Applicant Preference for receiving Documents as part of Account Opening Kit
# I / We wish to receive the following documents in Physical Form Electronic Form
1. Rights & Obligations of stock broker, sub-broker and client for trading on exchanges 5. Demat Standard tariff sheet
(including additional rights & obligations in case of internet/wireless technology based 6. Financial Details
trading); 7. FATCA Declaration
2. Rights and Obligations of beneficial owner and depository participant as prescribed by 8. Trading Tariff Sheet
SEBI and depositories;
3. Uniform Risk Disclosure Documents (for all segments/ exchanges)
4. Guidance Note detailing Do’s and Dont’s for trading on stock exchanges.
(Signatures of all the holders are required)
1st Holder’s Name: PRASHANT VISHWANATH DHABE
S
(Signature of 1st Holder)
Date: 13/11/2024 Place: DigiLocker 15

2nd Holder’s Name:

S
(Signature of 2nd Holder)
Date: Place: 15

3rd Holder’s Name:

S
(Signature of 3rd Holder)
Date: Place: 15

Declaration: I / We have understood the information requirements of this form and hereby con?rm that the information provided by me / us on this Form is true, correct and
complete, I / We have read and understood the Terms & Conditions mentioned above and hereby accept the same. I / We understand that my personal details as provided /
available in HSL records will be used for CKYCR reporting.

FOR OFFICE USE ONLY (LC to fill details and Sign)

UCC Code allotted to the Client:

Documents verified with Originals and In-Person Verification done by Client Interviewed By

Employee Name DigiLocker DigiLocker

Emp. Code DigiLocker Designation DigiLocker DigiLocker Designation DigiLocker

Date 13/11/2024 13/11/2024
Signature of Authorised
Signature of Authorised Signatory
Signatory

I / We undertake that we have made the client aware of 'Policy and Procedures', tariff sheet and all the non-mandatory documents. I/We have also made the client aware of 'Rights
and Obligations' document (s), RDD and Guidance Note. I/We have given/sent him a copy of all the KYC documents. I/We undertake that any change in the 'Policy and Procedures',
tariff sheet and all the nonmandatory 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.

Date 13/11/2024
X Signature of Authorised Signatory

8
 Nomination Form for Demat and
Trading Account NSDL Form 10 /
CDSL Annexure 3.2
3108249387
To be filled in by individual applying singly or jointly
(Not applicable for HUF/Minor Account)

I/We wish to make a nomination for Demat with HDFC Bank Ltd & Trading Account with HDFC Securities Ltd (As per details given below)
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 account 1st Nominee 2nd Nominee 3rd Nominee
Name of the Nominee(s) HRUDAYNATH PRASHANT
(Mr./Ms.) DHABE
Shares of Each Nominee If Not Equally, specify percentage 100 % If Not Equally, specify percentage % If Not Equally, specify percentage %
Equally

For CDSL Residual Securities

(Please tick any one nominee. If tick not
marked default will be first nominee)

Any odd lot after division shall be transferred to the first nominee mentioned in the form
Relationship with Applicant Son
(If any)

Nominee(s) Address SO VISHWANATH DHABEGAJANAN

TOWN SHIPHOUSE NO
838KATHORA BKAM
AMRAVATI MAHARASHTRA PIN Code PIN Code
INDIA PIN Code 444602

Nominee Identification Photo and Sign Aadhar No. Photo and Sign Aadhar No. Photo and Sign Aadhar No.
Details
(please tick any one from below and PAN Savings Bank A/C No. PAN Savings Bank A/C No. PAN Savings Bank A/C No.
provide details of the same) Demat account ID Proof of Identity Demat account ID Proof of Identity Demat account ID Proof of Identity
Please specify CKQPD1571D Please specify Please specify

Sign Sign Sign

Mobile/Telephone no. of 9404576329

Nominee(s)

Email ID of Nominee(s) dhabe1997@gmail.com

Date of Birth of Nominee(s) 26/09/1997

Guardian Details (should be filled only if nominees(s)is minor)

Name of Guardian (Mr./Ms.)

In case of minor nominee(s)

Address of Guardian(s)

PIN Code PIN Code PIN Code

Relationship of Guardian with

Nominee (If any)
Guardian Identification Photo and Sign Aadhar No. Photo and Sign Aadhar No. Photo and Sign Aadhar No.
Details
(please tick any one from below and PAN Savings Bank A/C No. PAN Savings Bank A/C No. PAN Savings Bank A/C No.
provide details of the same) Demat account ID Proof of Identity Demat account ID Proof of Identity Demat account ID Proof of Identity
Please specify Please specify Please specify

Sign Sign Sign

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 Mobile/Telephone no. of
Guardian

Email ID of Guardian

I/We do not wish to make a nomination for Demat with HDFC Bank Ltd & Trading Account with HDFC Securities Ltd.
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.

Declaration: The rules and regulations of the Depository and Depository Participants pertaining to an account which are in force now have been read by me/us and I/we have
understood the same and I/we agree to abide by and to be bound by the rules as are in force from time to time for such accounts. I/we hereby declare that the details furnished above
are true and correct to the best of my/our knowledge and belief and I/we undertake to inform you of any changes therein, immediately. In case any of the above information is found to
be false or untrue or misleading or misrepresenting, I am/ weare aware that I/we may be held liable for it. In case non-resident account, I/we also declare that I/we have complied and
will continue to comply with FEMA regulations. I/we acknowledge the receipt of copy of the document, "Rights and Obligations of the Beneficial Owner and Depository Participant.
This nomination shall supersede any prior nomination made by me / us and also any testamentary document executed by me / us. I/we authorise and give my consent to HDFC
Securities Limited to share my nomination details with HDFC Bank Limited for the purpose of nomination in my demat a/c and vice versa.

Signature & Name of

holder (s)

PRASHANT VISHWANATH
DHABE

Name & Address of the Witness (Mr. / Ms):

Notes:
1. All communication shall be sent at the address of the Sole/First holder only. 2. Thumb impressions and signatures other than English or Hindi or any of the other language not
contained in the 8th Schedule of the Constitution of India must be attested by a Magistrate or a Notary Public or a Special Executive Magistrate. 3. Instructions related to nomination,
are as below: I 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, partnership firm, and Hindu Undivided Family, holder of power of attorney cannot nominate. If the account is held jointly all joint holders will sign the nomination form. II. A
minor can be nominated. In that event, the name and address of the Guardian of the minor nominee shall be provided by the beneficial owner. III. Only Individual/natural person(s)
can be nominee(s). The Nominee shall not be artificial person created/dressed by the law or by a fiction such as trust, society, body corporate, partnership firm or Hindu Undivided
Family. A non-resident Indian can be a Nominee, subject to the exchange controls in force, from time to time. IV. Nomination in respect of the beneficiary owner account stands
rescinded upon closure of the beneficiary owner account. Similarly, the nomination in respect of the securities shall stand terminated upon transfer of the securities. V. Transfer of
securities in favour of a Nominee shall be valid discharge by the depository and the Participant against the legal heir. VI. 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, partnership firm, 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. VII. 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. VIII. Savings bank account details shall only be considered if the account is maintained with the same participant.

Nomination form accepted and registered wide registration No.

Date 13/11/2024

For Depository Participant

(Authorised Signatory)

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 Most Important Terms and Conditions (MITC)
(For non-custodial settled trading accounts)

1. Your trading account has a “Unique Client Code” (UCC), different from your demat account number. Do not allow anyone
(including your own stock broker, their representatives and dealers) to trade in your trading account on their own without
taking specific instruction from you for your trades. Do not share your internet/ mobile trading login credentials with anyone
else.
2.You are required to place collaterals as margins with the stock broker before you trade. The collateral can either be in the
form of funds transfer into specified stock broker bank accounts or margin pledge of securities from your demat account. The
bank accounts are listed on the stock broker website. Please do not transfer funds into any other account. The stock broker
is not permitted to accept any cash from you.
3.The stock broker’s Risk Management Policy provides details about how the trading limits will be given to you, and the tariff
sheet provides the charges that the stock broker will levy on you.
4.All securities purchased by you will be transferred to your demat account within one working day of the payout. In case of
securities purchased but not fully paid by you, the transfer of the same may be subject to limited period pledge i.e. seven
trading days after the pay-out (CUSPA pledge) created in favor of the stock broker. You can view your demat account
balances directly at the website of the Depositories after creating a login.
5.The stock broker is obligated to deposit all funds received from you with any of the Clearing Corporations duly allocated in
your name. The stock broker is further mandated to return excess funds as per applicable norms to you at the time of
quarterly/ monthly settlement. You can view the amounts allocated to you directly at the website of the Clearing
Corporation(s).
6. You will get a contract note from the stock broker within 24 hours of the trade.
7. You may give a one-time Demat Debit and Pledge Instruction (DDPI) authority to your stock broker for limited access to
your demat account, including transferring securities, which are sold in your account for pay-in.
8. The stock broker is expected to know your financial status and monitor your accounts accordingly. Do share all financial
information (e.g. income, networth, etc.) with the stock broker as and when requested for. Kindly also keep your email Id and
mobile phone details with the stock broker always updated.
9. In case of disputes with the stock broker, you can raise a grievance on the dedicated investor grievance ID of the stock
broker. You can also approach the stock exchanges and/or SEBI directly.
10. Any assured/guaranteed/fixed returns schemes or any other schemes of similar nature are prohibited by law. You will not
have any protection/recourse from SEBI/stock exchanges for participation in such schemes.

Signature & Name of holder (s)

PRASHANT VISHWANATH DHABE

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PAN Documents Details

X Signature of Client

12
 Customer Physical Sign

Name of the client: PRASHANT VISHWANATH DHABE

PAN of the Client: AEAPD5048R

X Signature of Client

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 Penny Drop Details

Name As Per Bank PRASHANT VISHWANATH DHABE

Beneficiary Name PRASHANT VISHWANATH DHABE

Beneficiary Bank HDFC BANK LTD

Beneficiary Account 50100176894539

Beneficiary IFSC Code HDFC0002731

MICR Code 444240102

Request Number 1207311

UTR Number I7F52O7YJ82DHDP

Transaction Status success

Transaction Time 13/11/2024

UDN Number 3108249387

X Signature of Client

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 Proof of Address

X Signature of Client

15