Know Your Client (KYC)

Intermediary
Application Form (For Individuals Only) Logo

Please fill the form in ENGLISH and in BLOCK letters

Fields marked * are mandatory

Fields marked + are pertaining to CKYC and mandatory

Application Number:
only if processing CKYC also
Application Type*: New KYC Modification KYC

KYC Mode*: Please Tick (✓)

Normal EKYC OTP EKYC Biometric Online KYC Offline EKYC Digilocker

1. Identity Details (please refer guidelines overleaf)

PAN* CRHPS1883D Please enclose a duly attested copy of your PAN Card

Name* (same as ID proof) DEVENDER SINGH

Maiden Name+ (if any)

Fathers/Spouse's Name* HARI SINGH

Date of Birth* 14-07-1983

Gender* Male Female Transgender

Marital Status* Single Married

Nationality * Indian Other

Residential Status* Resident Individual Non Resident Indian

Please Tick (✓)
(Passport mandatory for NRIs, PIOs and Foreign Nationals)

Proof of Identity (POI) submitted for PAN exempted cases (Please tick ✓)

A — Aadhaar Card XXXX XXXX

B — Passport Number (Expiry Date)

C — Voter ID Card

D — Driving License (Expiry Date)

E — NREGA Job Card

F — NPR

Z — —Others (any document notified by Central Government)

Identification Number

2. Address Details* (please refer guidelines overleaf)

A. Correspondence/ Local Address*

Line 1* Hari singh, Behaind old power, House near

Line 2 panwarsarwell, Bikaner, Bikaner, Bikaner, Rajasthan,
Line 3 334001, India

City/Town/Village* Bikaner District* Bikaner Pin Code* 334001

State* Rajasthan Country * India

Address Type* Residential/Business Residential Business Registered Office Unspecified

Applicant e-SIGN

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

B. Permanent residence address of applicant, if different from above A / Overseas Address* (Mandatory for NRI
Applicant)

Line 1* Hari singh, Behaind old power, House near

Line 2 panwarsarwell, Bikaner, Bikaner, Bikaner, Rajasthan,
Line 3 334001, India

City/Town/Village* Bikaner District* Bikaner Pin Code* 334001

State* Rajasthan Country * India

Address Type* Residential/Business Residential Business Registered Office Unspecified

Proof of Address* (attested copy of any 1 POA for correspondence and permanent address each to be submitted)

A — Aadhaar Card XXXX XXXX 3 1 6 6

B — Passport Number (Expiry Date)

C — Voter ID Card

D — Driving License (Expiry Date)

E — NREGA Job Card

F — NPR

Z — —Others (any document notified by Central Government)

Identification Number

3. Contact Details

Email ID zxgemer4@gmail.com

Mobile No. +91 9610065160

Tel (Off) Tel (Res)

4. Applicant Declaration
I/We hereby declare that the KYC details furnished by me are true and Applicant e-SIGN Applicant Wet Signature
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 KRA through SMS/Email
on the above registered number/Email address. eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
I am/We are also aware that for Aadhaar OVD based KYC, my KYC request Devender Singh
shall be validated against Aadhaar details. I/We hereby consent to sharing
Date: Wed Feb 12 15:50:45 IST 2025
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.

DATE: 12-02-2025 (DD-MM-YYYY)

PLACE: Jaipur

5. For Office Use Only

In-Person Verification (IPV) carried out by* Intermediary Details*

IPV Date 12-02-2025 Self certified document copies received (OVD)

True Copies of documents received (Attested)

Emp. Name Inderpreet Chitkara
AMC / Intermediary
Emp. Code IND120 Name:

Emp. Designation Operations Manager

INDMONEY PRIVATE LIMITED

Employee Signature and Stamp

Institution Name and Stamp
eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 Trading and Demat account opening form

Name of the Trading Member: INDmoney Private Limited

Name of the Clearing Member: INDmoney Private Limited

Stock Broking SEBI Registration Number: - [INZ000305337]
NSE Trading Member ID: [90267], NSE Clearing Member ID: [M70042]
BSE Trading Member ID: [6779], BSE Clearing Member ID: [6779]
Depository Participant SEBI Registration Number: [IN-DP-690-2022]

INDmoney Pvt Ltd, 616, 6th floor, Suncity Success Tower, Sector 65,
Registered Office:
Gurugram, Haryana, 122005
Compliance Officer: Mr. Ameya M Bhelekar,
Phone No.: +91 7314852022, Email ID: complianceinstocks@indmoney.com.
For any support / query please contact INDmoney Pvt Ltd email to instockssupport@indmoney.com &
for grievance email to grievanceinstocks@indmoney.com
Phone no. +91 7314852049

Managing Director: Mr. Nikhil Behl, Phone & Email ID +917314852061, directorinstocks@indmoney.com

In case not satisfied with the response, please contact the concerned Exchange, DP & SEBI at:
NSE: investorhelpline.nseindia.com/NICEPLUS/ or Please send email or physical form to the
concerned Regional Investor Service Centre of the Exchange or contact at 1800 266 0050
BSE: bsecrs.bseindia.com/ecomplaint/frmInvestorHome.aspx or Please send email or physical form to
the concerned Regional Investor Service Centre of the Exchange or contact at 022 2272 8097
CDSL: www.cdslindia.com/Footer/grievances.aspx or Email at complaints@cdslindia.com or contact
at 1800225533
SEBI: scores.gov.in/scores/Welcome.html or contact at 1800 266 7575 or 1800 22 7575
After exhausting all available options for the resolution of the grievance, if you are still not satisfied with
the outcome, can initiate dispute resolution through the ODR Portal https://smartodr.in
Website: www.indstocks.com

Version: 2.4.7

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

Sr. Name of the document Brief description of the document Page
No.
MANDATORYDOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

A. KYC Form - Document captures the basic information 05

about the client and an instruction /checklist for
1 account opening.
Account Opening Form
B. Document captures the additional information about the
client relevant to Trading/Depository Participant (DP 09
account and an instruction /checklist.

2 Document detailing the rate/amount of brokerage &

15
Tariff Sheet charges levied on the client for trading on Stock
Exchange(s) & DP Service charges & other charges.
A. Rights & Obligations of Stock Broker/ Trading Member
Annexure-1
and Client for trading on exchanges (including
additional rights & obligations in case of digital and
3 Rights and Obligations internet based trading).
B. Rights & obligations of Beneficial Owner & Depository Annexure-
Participant as prescribed by SEBI & Depositories. 1A

Risk Disclosure Document Document detailing risks associated with dealing in the Annexure-2
4 (RDD) securities market.
Document detailing dos and don’ts for trading on
5 Guidance note Annexure-3
exchange, for the education of the investors.
Document describing significant policies and procedures Annexure-4
6 Policies and Procedures of INDmoney Pvt Ltd.
Policy on Facility of Voluntary Freezing/Blocking of Annexure-5
7 Policy Trading Accounts by Clients
Most Important Terms and Conditions (MITC)
8 MITC 17

9 Annexures Nomination Form 18

VOLUNTARYDOCUMENTS AS PROVIDED BYTHE STOCK BROKER

1 Running Account Authorization Authorization to maintain a Running Account. 21

Additional terms & conditions specific to clients for 22

2 Voluntary Terms & Conditions the purpose of operational efficiency.

24-25
Avail Mutual Funds Schemes permitted to dealt with on
3 BSE StAR MF Facility. the Exchange Platforms including BSE StAR Mutual
Fund Platform of BSE

A. Name Mismatch declaration

28-33
4 Voluntary Declaration B. Declaration for confirmation of Signature
C. Option FORM for issue of DIS Booklet
D. Policy for Handling Good Till Cancelled Orders

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

2
IMPORTANT INSTRUCTIONS
A. Important Points
• Self-attested copy of PAN card is mandatory for all retails clients / individual investors, including Promoters
/ Partners / Karta / Trustees and whole-time directors and persons authorized to deal in securities on behalf
of Company / Firm / Others.
• Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals
for verification. In case the original of any document is not produced for verification, then the copies should
be properly attested by entities authorized for attesting the documents, as per the below mentioned list.
• If any proof of identity or address is in a foreign language, then translation into English is required.
• Name & address of the applicant mentioned on the KYC form, should match the documentary proof
submitted.
• If correspondence & permanent address are different, then proof for both have to be submitted.
• Sole proprietor must make the application in his individual name & capacity.
• For non-residents and foreign nationals, (allowed to trade subject to RBI and FEMA guidelines), copy
of passport/PIO Card/OCI Card and overseas address proof is mandatory.
• For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their passport copy
should be given.
• In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC (Continuous
Discharge Certificate) is to be submitted.
• For opening an account with Depository participant or Mutual Fund, for a minor, photocopy of the School
Leaving Certificate/Mark sheet issued by Higher Secondary Board/Passport of Minor/Birth Certificate must
be provided.
• Politically Exposed Persons (PEP) are defined as individuals who are or have been entrusted with prominent
public functions in a foreign country, e.g., Heads of States or of Governments, senior politicians, senior
Government/judicial/ military officers, senior executives of state-owned corporations, important political party
officials, etc.

B. Proof of Identity(POI)
List of documents admissible as Proof of Identity:
• Unique Identification Number (UID) (Aadhaar)/ Passport/ Voter ID card/ Driving license.
• PAN card with photograph.
• Identity card / document with applicant’s Photo, issued by any of the following: Central/State Government
and its Departments, Statutory/ Regulatory Authorities, Public Sector Undertakings, Scheduled
Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities, Professional Bodies
such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members; and Credit cards/Debit cards issued by
Banks.

C. Proof of Address(PoA)
List of documents admissible as Proof of Address: (*Documents having an expiry date should be valid on
the date of submission.)
• Passport/ Voters Identity Card/ Ration Card/ Registered Lease or Sale Agreement of Residence/ Driving
License.
• Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill - Not more than 3 months old.
• Bank Account Statement/Passbook - Not more than 3 months old.
• Self-declaration by High Court and Supreme Court judges, giving the new address in respect of their own
accounts.
• Proof of address issued by any of the following: Bank Managers of Scheduled Commercial Banks/ Scheduled
Co-Operative Bank / Multinational Foreign Banks / Gazetted Officer / Notary Public / Elected representatives
to the Legislative Assembly / Parliament / Documents issued by any Govt. or Statutory Authority.
• Identity card/document with address, issued by any of the following: Central/State Government and its
departments, Statutory / Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks,
Public Financial Institutions, Colleges affiliated to Universities and Professional Bodies such as ICAI, ICWAI,
ICSI, Bar Council etc., to their Members.

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

3
• For FII / sub account, Power of Attorney given by FII / sub-account to the Custodians (which are duly
notarized and / or apostilled or consularised) that gives the registered address should be taken.
• Proof of address in the name of the spouse may be accepted.
D. Exemptions/clarifications to PAN(*Sufficient documentary evidence in support of such claims
to be collected.)
• In case of transactions undertaken on behalf of Central Government and / or State Government and by
officials appointed by Courts e.g. Official liquidator, Court receiver etc.
• Investors residing in the state of Sikkim.
• Un entities / multilateral agencies exempt from paying taxes / filing tax returns in India.
• SIP of Mutual Funds up to INR 50,000/- p.a.
• In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial Banks,
Multilateral and Bilateral Development Financial Institutions, State Industrial Development Corporations,
Insurance Companies registered with IRDA and Public Financial Institution as defined under section 4A
of the Companies Act, 1956, Custodians shall verify the PAN card details with the original PAN card and
provide duly certified copies of such verified PAN details to the intermediary.

E. List of people authorized to attest the documents.

• Notary Public, Gazetted Officer, Manager of a Scheduled Commercial / Co-operative Bank or Multinational
Foreign Banks (Name, Designation & Seal should be affixed on the copy).
• In case of NRIs, authorized officials of overseas branches of Scheduled Commercial Banks registered in
India, Notary Public, Court Magistrate, Judge, Indian Embassy / Consulate General in the country where the
client resides are permitted to attest the documents.

F. Additional documents in case of trading in derivatives segments - illustrative list:

Copy of ITR Acknowledgement Copy of Annual Accounts

In case of salary income - Salary Slip, Copy of Form 16 Networth certificate
Copy of demat account holding statement. Bank account statement for last 6 months
Any other relevant documents substantiating ownership Self declaration with relevant supporting
of assets. documents.
*In respect of other clients, documents as per risk management policy of the stock broker need to be
provided by the client from time to time.

G. Copy of cancelled cheque leaf/ pass book/bank statement specifying name of the constituent,
MICR Code or/ and IFSC Code of the bank should be submitted.

H. Demat master or recent holding statement issued by DP bearing name of the client.
For Individuals:
• Stock broker has an option of doing ‘in-person’ verification through web camera at the branch office of
the stock broker/Authorised Person office.
• In the case of non-resident clients, employees at the stock broker’s local office overseas can do in- person
verification. Further, considering the infeasibility of carrying out ‘In-person’ verification of the non- resident
clients by the stock broker’s staff, attestation of KYC documents by Notary Public, Court, Magistrate, Judge,
Local Banker, Indian Embassy / Consulate General in the country where the client resides may be
permitted.

For non-individuals:
• Form needs to be initialized by all the authorized signatories.
• Copy of Board Resolution or declaration (on the letterhead) naming the persons authorized to deal in
securities on behalf of company/ others & their specimen signatures.

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

4
Mandatory

A. KNOWYOUR CLIENT (KYC) APPLICATION FORM (FOR INDIVIDUALSONLY)

KYCKIN No: Account Normal

Type:

Please fill in ENGLISH& in BLOCKLETTERS (*Mandatory fields)

A. IDENTITYDETAILS (Please refer instruction A)

1. Name of Applicant Devender Singh Photograph
Maiden Name and sign
across it.
2. a. Mother’s Name
b. Father/Spouse’s Name
HARI SINGH
3. a. Gender Male Female Transgender

b. Date of birth (DD-MM-YYYY) 14-07-1983

c. Marital Status Single Married Others

4. Nationality ✓ Indian

5. Residential Status ✓ Residential Individual

6.Occupation Type Service Private Public Sector Government Sector
Sector
Business Not Categorized

Others Professional Self Employed Retired

Housewife Student Any Others
7. Citizenship Indian 8. ISO 3166 Country Code IN

Tick if applicable

Residence for tax purpose in jurisdiction(s) outside

ISO 3166 Country Code of Jurisdiction of

Tax identification Number or Equivalent Country Code

ISO3166 Country Code of

Place of Birth

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
5
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 PROOFOFIDENTITY(POI) (Please refer instruction C)
(Certified copy of any one of the following Proof of Identity [PoI] needs to be submitted)

PAN UID (Aadhaar)x x x x x x x x 3 1 6 6

C R H P S 1 8 8 3 D
Identification No. Expiry Date (if Any):
Other
(Please
Specify

B. ADDRESS DETAILS

Current/Permanent/Overseas Address Details (Please refer instruction D)

(Certified copy of any one of the following Proof of Address [PoA] needs to be submitted)
i. Address Type* Residential Registered Office

Business Unspecified

ii. Proof of Address* Passport Voter Card

Driving License NREGA Job Card

UID (Aadhaar) Others

Simplified Measures Account – Document Type Code

1. Address* Line 1 Hari singh, Behaind old power, House near panwarsarwell, Bik

Line 2 aner, Bikaner, Bikaner, Rajasthan,,334001, India

Line 3
City/Town/Village* Bikaner District*
State* Rajasthan Country INDIA
Pin/Post Code* 334001
State/U.T Code* RJ
ISO3166 Country Code* IN
2. Contact/Mobile No.
9610065160 Tel(Res.)

Tel(off). Email Id* zxgemer4@gmail.com

Mobile No.* 9610065160 Fax
3. Proof of Address AADHAAR_DIGIO

Correspondence/Local Address Details* (Same as Current/Permanent/Overseas

Address details)
1. Address Line 1 Hari singh, Behaind old power, House near panwarsarwell, Bik
Line 2 aner, Bikaner, Bikaner, Rajasthan,,334001, India

Line 3

6
eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 City/Town/Village* Bikaner District*
State* Rajasthan Country* IN

Pin/Post Code* 334001 State/UT Code* RJ

ISO3166 Country Code* IN

2. Contact/Mobile No.* 9610065160 Tel(Res.)
Tel(off). Email Id* zxgemer4@gmail.com
Mobile No.* 9610065160 Fax
C. Address in the Jurisdiction Details where Applicant is Resident Outside India for
Tax Purposes*
1. Address

City/Town/Village* State
ZIP/Post Code* ISO 3166 Country Code*
D. DETAILS OF RELATED PERSON
Addition of Related Person/ Deletion of Relate Person

KYC Number of Related Person (if available)

Related Person Type* Guardian of Minor Assignee

Authorized Representative

Name*

PROOFOF IDENTITY (PoI) OF RELATED PERSON*(If KYC number and name

are provided, below details are optional)
Identity Proof Submitted
Identity Proof Number
Expiry Date
Others (any document notified Identification No.
by the central government)
Simplified Measures Account Identification No.
-Document Type code

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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

7
 E. REMARKS (if any):

DECLARATION
I hereby declare that the details furnished above are true and correct to the best of my / our
knowledge and belief and I undertake to inform you of any changes therein, immediately. 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 and my account may
be frozen or deactivated. I hereby give consent to receiving information from KRA / CKYC
registry through SMS / Email on the above-mentioned mobile number/Email.

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

Signature of Applicant and Date Place

For Office use only

Documents Received Certified Copies

Details of INDmoney Pvt Ltd Documents

Employee verified & In Person Verification
done by
Name & E code Inderpreet Chtkara
Designation Manager - Operations

Branch
Gurugram
Date / Place
12/02/2025 - Gurugram

Signature Stamp and Seal of

INDmoney Pvt Ltd

8
 Mandatory
A. ADDITIONAL KYC DETAILS FOR DEMAT &TRADING ACCOUNT

UCCID:
TYPE OF ACCOUNT : Normal Sub Status Resident

(To be filled by INDmoney Pvt Ltd)

Application No. Date

DP Internal Reference No.
DP ID Client ID

I/We request you to open a demat account in my/ our name as per following details:
Sole / First PAN C R H P S 1 8 8 3 D
UID x x x x x x x x 3 1 6 6
Holder’s Devender Singh UCC
Name Exchange NSE (90267) & BSE (6779)
Name & ID
Second Holder’s PAN
Name UID
Third Holder’s PAN
Name UID
A. BANK ACCOUNT DETAILS (Bank will be considered for payout of funds)
Bank Accountholder Name: DEVENDER SINGH
Branch Location:BIKANER
Bank Name: IDBI BANK
City State
BIKANER RAJASTHAN
Country PIN Code

Account No. XXXXX1370 Account Type Savings

MICR Code 334259002 IFSC Code IBKL0000105
i. Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued,
ii. Photocopy of the Bank Statement having name and address of the BO
iii. Photocopy of the Passbook having name and address of the BO, (or)
iv. Letter from the Bank.
In case of options (ii), (iii) and (iv) above, IFSC code of the branch should be present / mentioned on the document.

I / We instruct the DP to receive each and every credit in my / our [Automatic Credit]
account (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 As Per SEBI ❑ Daily ❑ Weekly ❑Fortnightly ❑Monthly

Requirement Regulation

I / We request you to send Electronic Transaction-cum-Holding Statement at the ❑ Yes ❑ No

email ID

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
eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
as given
I/ We wish to receive dividend / interest directly in to my bank account Devender Singh

❑ No
Date: Wed Feb 12 15:50:45 IST 2025
below through ECS (If not marked, the default option would be ‘Yes’) ❑ Yes
[ECS is mandatory for locations notified by SEBI from time to time ] 9
9
 B. DEPOSITORYACCOUNT DETAILS

DP Details

DP Name INDmoney Pvt Ltd

Depository Name Central Depository Services (India) Limited

(NSDL/ CDSL)

Beneficiary Name
Devender Singh
DP ID Client ID
C.TRADING PREFERENCES
*Please sign in the relevant boxes where you wish to trade. Please strike off the segment not
chosen by you

Exchanges NSE & BSE

All Cash/ Mutual Fund

F&O Debt
Segments

eSigned using Aadhaar (Leegality.com - eSigned using Aadhaar (Leegality.com - eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD) 01JKWTRFWSBT6SQMBYV2WHAPGD) 01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh Devender Singh Devender Singh
Date: Wed Feb 12 15:50:45 IST 2025 Date: Wed Feb 12 15:50:45 IST 2025 Date: Wed Feb 12 15:50:45 IST 2025

If you do not wish to trade in any of segments/ Mutual Fund, please mention here
.

FATCA/ CRS DECLARATION/ SELF CERTIFICATIONFOR INDIVIDUAL

Client Name:
Devender Singh

First Second Third

Holder Holder Holder
Are you a tax resident of only India? Yes NA NA
(Refer Risk Disclosure Document)
Specify country of residence for tax NA NA NA
purpose (if above clause is no)
Specify Tax Identification No. / Others NA NA NA

Do you have any asset outside India? No NA NA

I have understood the information requirement of this form (read with the FATCA-CRS) and
hereby confirm that the information provided above is true, correct and complete to the best of
my knowledge and belief. In case any of the above specified information is found to be false or untrue
or misleading or misrepresenting, I am aware that I may be liable for it. In case of any change in the
above given status on a future date, I undertake to inform INDmoney Pvt Ltd the same within 30 days.

D. 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: 10

No Yes:
If Yes, Please Specify
 E. OTHER DETAILS
Number of years of Investment / Trading Nil 1-5 Years >5 Years
Experience
Gross <1Lac 1-5 Lac 5-10 Lac 10-25 Lac 25Lac-1Cr >1Cr
Annual
Income or Net Worth in ₹(Net worth should not be older than 1 year) as on date:

Occupation
Please tick, if applicable:
Politically Exposed Person (PEP)/ Related to a Politically Exposed Person (PEP)

Dealings If client is dealing through the AP, provide the following details:
through AP Name Not Applicable
authorized
persons (AP SEBI Registered Number: Not Applicable
and other Registered office address: Not Applicable
stock
brokers Ph: Fax: Website:
Whether dealing with any other stock-broker/AP (if case dealing with multiple
stock brokers/AP, provide details of all)
Name of stock broker: Not Applicable

Name of AP, if any: Not Applicable

Client code: Exchange:

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

Any other information:
SMS Alert Facility Refer to Terms & Conditions given in Annexure - 5

MOBILE NO. +91 9610065160

[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).
Easi
To register for easi, please visit our website www.cdslindia.com. Easi allows a BO to view his ISIN
balances, transactions and value of the portfolio online.

Transactions Using Secured Texting Facility (TRUST). Refer to Terms and Conditions
Annexure – 6

I wish to avail the TRUST facility using the Mobile number registered for SMS Alert Facility. I
have read and understood the Terms and Conditions prescribed by CDSL for the same.
I wish to register the following clearing members/ IDs under my above-mentioned BO ID
registered for TRUST.
Yes No

11
eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 Sr No. Stock Exchange Clearing Member Name Clearing Member ID
Name/ID (Optional)
1. NSE INDmoney Pvt Ltd M70042
2. BSE INDmoney Pvt Ltd 6779

F. Additional Details
Whether you wish to receive physical ECN
contract note or Electronic Contract Note
(ECN) (please specify): zxgemer4@gmail.com
…………………………………..
Specify your Email id, if applicable:
Whether you wish to avail of the facility of I/We wish to avail the facility
internet trading/ wireless technology mobile/digital/web/internet based trading
(please specify): technology offered by INDmoney Pvt Ltd

G. Introducer Details(Optional)
Name of the Introducer:
Status of the Introducer: AP/ Remisier/ Authorized
Person/ Existing Client/ Others, please specify:
Address and phone no. of the Introducer
Signature of the Introducer:

H. Nomination Details (Please tick the appropriate options & Fill Annexure 7)
I / We do wish to nominate.
I / We do not wish to nominate

INTERNET & WIRELESS TECHNOLOGYBASEDTRADING FACILITYPROVIDED BYSTOCK BROKERS

TO CLIENT (All the clauses mentioned in the ‘Rights and Obligations’ document(s) shall be applicable.
Additionally, the clauses mentioned herein shall also be applicable.)

1. Stock broker is eligible for providing Internet based trading (IBT) and securities trading through the use
of wireless technology that shall include the use of devices such as mobile phone, laptop with data card,
etc. which use Internet Protocol (IP). The stock broker shall comply with all requirements applicable to
internet based trading/securities trading using wireless technology as may be specified by SEBI & the
Exchanges from time to time.
2. The client is desirous of investing/trading in securities and for this purpose, the client is desirous of using
either the internet based trading facility or the facility for securities trading through use of wireless
technology. The Stock broker shall provide the Stock broker’s IBT Service to the Client, and the Client shall
avail of the Stock broker’s IBT Service, on and subject to SEBI/Exchanges Provisions and the terms
and conditions specified on the Stock broker’s IBT Web Site provided that they are in line with the
norms prescribed by Exchanges/SEBI.
3. The stock broker shall bring to the notice of client the features, risks, responsibilities, obligations and
liabilities associated with securities trading through wireless technology/internet/smart order routing or any
other technology should be brought to the notice of the client by the stock broker.
4. The stock broker shall make the client aware that the Stock Broker’s IBT system itself generates the
initial password and its password policy as stipulated in line with norms prescribed by Exchanges/ SEBI.

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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

5. The Client shall be responsible for keeping the Username and Password confidential and secure and shall
be solely responsible for all orders entered and transactions done by any person whosoever through the
Stock broker’s IBT System using the Client’s Username and/or Password whether or not such person was
authorized to do so. Also the client is aware that authentication technologies and strict security measures
are required for the internet trading/securities trading through wireless technology through order routed
system and undertakes to ensure that the password of the client and/or his authorized representative are
not revealed to any third-party including employees and dealers of the stock broker.
6. The Client shall immediately notify the Stock broker in writing if he forgets his password, discovers security
flaw in Stock Broker’s IBT System, discovers/suspects discrepancies/ unauthorized access through his
username/password/account with full details of such unauthorized use, the date, the manner and the
transactions effected pursuant to such unauthorized use, etc.
7. The Client is fully aware of and understands the risks associated with availing of a service for routing orders
over the internet/securities trading through wireless technology and Client shall be fully liable and
responsible for any and all acts done in the Client’s Username/ password in any manner whatsoever.
8. The stock broker shall send the order/trade confirmation through email to the client at his request. The
client is aware that the order/ trade confirmation is also provided on the web portal. In case client is trading
using wireless technology, the stock broker shall send the order/trade confirmation on the device of the
client.
9. The client is aware that trading over the internet involves many uncertain factors and complex
hardware, software, systems, communication lines, peripherals, etc. are susceptible to interruptions and
dislocations. The Stock broker and the Exchange do not make any representation or warranty that the
Stock broker’s IBT Service will be available to the Client at all times without any interruption.
10. The Client shall not have any claim against the Exchange or the Stock broker on account of any suspension,
interruption, non-availability or malfunctioning of the Stock broker’s IBT System or Service or the
Exchange’s service or systems or non-execution of his orders due to any link/system failure at the
Client/Stock brokers/Exchange end for any reason beyond the control of the stock broker/Exchanges
DECLARATION

• I hereby agree with the Terms & conditions, Privacy Policy and Policies & Procedures of INDmoney Pvt
Ltd. I consent to INDmoney Pvt Ltd for conducting my KYC to open my Trading and Demat Account.
• I/We hereby authorize INDmoney Pvt Ltd to download the available CKYC record from the CKYC
Registry, KRA, NSDL for conducting my KYC to open my Trading and Demat Account.

• I/We hereby authorize INDmoney Pvt Ltd to use my KYC details for registration/modification KRA,
CERSAI (CKYC), Exchanges and other parties involved for the purpose of KYC registration.
• I confirm having read/been explained and understood the contents of the document on policy and
procedures of the stockbroker and the tariff sheet.

• I further confirm having read/been explained and understood the contents of the ‘Rights and
Obligations’ document(s) and ‘Risk Disclosure Document’, document on policy and procedures of the
stock broker and the tariff sheet. 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 have been displayed for
information on the stockbroker’s designated website, if any.
• I 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 declare that
the particulars given by me above are true and to the best of my knowledge as on the date of making
this application. I agree and undertake to intimate the DP any change(s) in the details / particulars
mentioned by me in this form. I further agree that any false / misleading information given by me or
suppression of any material information will render my account liable for termination and suitable action.

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01JKWTRFWSBT6SQMBYV2WHAPGD) 13
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

• The rules and regulations of the Depository and Depository Participants pertaining to an account which are
in force now have been read by me and I have understood the same and I agree to abide by and to be
bound by the rules as are in force from time to time for such account.

• I hereby consent to receive from INDmoney Pvt Ltd the digital contract notes, bills, ledgers, statement
of accounts of funds, securities, demat transaction statement/holding statement, notices, circulars,
amendments and such other correspondences including the standard documents which form part of
the account opening kit. I further agree that INDmoney Pvt Ltd shall fulfill their legal obligations if the above
documents are sent electronically. Accordingly, I request you to issue all the correspondence to my
registered email id as per the records of INDmoney Pvt Ltd. I shall ensure confidentiality and secrecy of my
login credentials. INDmoney Pvt Ltd shall not be responsible for any breach of secrecy. Emails sent to my
registered email id, which have not bounced back, shall be deemed to be duly delivered to me. I agree
that INDmoney Pvt Ltd will not be obligated to take cognizance of any auto replies such as “out-of- office/out
of station” etc. and such electronic mails shall be deemed to have been received by me. I undertake to
immediately inform INDmoney Pvt Ltd about the change in my email address, if any.

• 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.

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Signature of applicant & Date

Date: Wed Feb 12 15:50:45 IST 2025

Place: Bikaner

14
 Mandatory
Tariff Sheet (Charges Applicable on Trading Transactions)
A. Brokerage Amount (excludes GST)
Delivery - Equity Cash Segment 0.05% of the executed order value or up to ₹20 whichever
Intraday - Equity Cash Segment* is lower, minimum ₹ 2
Futures ₹20 per Order
Options** ₹20 per Order
B. Other Charges
Call & Trade Order ₹500/-per Executed Order
Charges for OFS / Buyback ₹10/-per Executed Order
Payment Gateway Charges (Net Banking) ₹10/-for each fund addition
Payment Gateway Charges (UPI) NIL
Interest Charges 0.05% per day on outstanding MTF borrowing &
0.049% per day on Non MTF Debit Balance

Additional Charges Applicable on Trading transaction

Other Charges Applicable In Description of the Charges
Exchange transactions
Exchange Turnover Charges Charged by the respective exchanges
Security Transaction Charges (STT) Direct tax levied under STT Act
Stamp Duty Charged by respective State where the investor resides
SEBI Turnover Fee Charge levied by SEBI on each transaction
GST Goods and Service Tax as applicable over and above tariff
Note: Brokerage will not exceed the rates specified by SEBI and the Exchanges. All Statutory and
Regulatory charges will be levied as per exchange, SEBI, and depository circulars published from
time to time.
Brokerage is also charged on expired, exercised, and assigned Options contracts.
Charges for other value-added services will be applicable at the time of availing such service, upon
your consent. Detailed explanation of all charges is available online at:
https://www.indstocks.com/pricing?type=indian-stocks
*Additional ₹50/- + GST will be charged per order for square off done by broker
**Turnover for Options is calculated as (Strike + Premium) *Lot Size
Delayed payment charges @1.5% per month, will be charged on the outstanding bill amount if
not paid within the due date
Inter Settlement, transfer of shares from INDmoney Pvt Ltd for Margin trade finance
account on behalf of you would be charged @ ₹10/- + GST per ISIN

Tariff Sheet Charges Applicable on Depository Related Transactions

Type Of Charge Amount (Excluding GST)
For receiving Securities in Demat account (BUY) NIL
DP charges for Delivery Sell orders ₹18.5/- per ISIN + GST
Male - ₹3.50 (CDSL) + ₹15.00 (INDmoney)
Female - ₹3.25 (CDSL) + ₹15.25 (INDmoney)
Remat Charges ₹250/- per certificate (Including the
depository transaction charges)

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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 Demat- Dematerialisation Charges ₹250/-per certificate (Including the
depository transaction charges)
Physical Statement ₹300/- per request. For BSDA ₹25/- per request
Modification in Client Master ₹25/- per request
Off market transfer from Demat account ₹10/-per ISIN (Including the
depository transaction charges)
DDPI charges ₹ 100 + GST

Pledge Tariff

Pledge / Unpledge charges ₹20 + GST per ISIN per pledge transaction

Pledge Invocation charges Rs. 50 + GST per ISIN + DP Charges Delivery Sell (₹13.5 + GST
per ISIN)

• The charges for physical statement quoted above are exclusive of courier charges and applicable
taxes. The charges quoted above are for the services listed. In addition to this, INDmoney Pvt Ltd
may also offer additional paid services. INDmoney Pvt Ltd will be informing the customers with
regards to such additional services and charges associated with the same on an upfront basis and
will be charged separately. The authorization for subscription of such services will be taken from the
client.

• The above tariff is subject to change. Changes if any will be intimated 30 days in advance. The changes will
be updated in the app and website of INDmoney Pvt Ltd and the client is requested to check the same
and stay updated from time to time on charges.

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

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

Signature of Applicant

16
 For office use only

UCC Code allotted to the Client.

Documents verified with In-Person Verification

originals Client interviewed by done by
Name of the Employee
Employee Code
Designation of employee
Date

Signature

Stamp and Seal of INDmoney Pvt Ltd

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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

17
 Most Important Terms and Conditions (MITC)

1. Your trading account has a “Unique Client Code” (UCC), different from your demat account number. Do not allow
anyone (including your own stockbroker, 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 stockbroker 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.

User agrees to have Understood & Acknowledged the Most Important Terms and Conditions (MITC).

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01JKWTRFWSBT6SQMBYV2WHAPGD) 18
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 Mandatory
Annexure:7. Nomination Form

Nomination Registration No. Dated

I/We hereby confirm that I/We do not wish to appoint any nominee in my 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 demat account, which may also include
documents issued by Court or other such competent authority, based on the value of assets held in the
demat account.

First/Sole Holder or Guardian

(in case of Minor) Second Holder Third Holder
Name
Signatures

Note: Signature of witness, along with name and address are required, if the account holder
affixes thumb impression, instead of signature [in both the cases i.e. nomination / / opt out
nomination -

I/We nominate the following persons who is/are entitled to receive security balances lying in my/our
account, particulars where of are given below, in the event of my / our death.

Nomination Details Nominee 1 Nominee 2 Nominee 3

Nominee Name

First Name

Middle Name
Last Name
*Percentage of allocation of
securities
Equally (If not equally please % % %
specify percentage)
Share of each nominee
Any odd lot after division shall be transferred to the first nominee mentioned in the form
Nomination Identification Details –
[Please tick any one of following Nominee 1 Nominee 2 Nominee 3
and provide details of same]

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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh 19
Date: Wed Feb 12 15:50:45 IST 2025
 Photograph & Signature
PAN
Aadhaar
Saving Bank a/c no.
Proof of Identity
Demat a/c ID
(Optional Field)
*Address:
*City
*State
*Pin
*Country
Mobile no/ Telephone No.
(Optional Field)
Email ID (Optional
Field):
FAX No. (Optional Field)
*Relationship with the BO:
To be filled only if nominee(s) is a minor:
Date of birth (mandatory if
Nominee is a minor)
dd-mm-yyyy
Name of the Guardian of Nominee (if nominee is a minor)
First Name

Middle Name
Last Name
Address of guardian of nominee:
*City
*State
*Country
*PIN
Age
Mobile /Telephone no [Optional
Fields]
Email ID: [Optional Fields]
Fax No.[Optional Fields]
*Relationship of the Guardian
with the Nominee
Guardian Identification Details –
[Please tick any one of following Nominee 1 Nominee 2 Nominee 3
and provide details of same]

20
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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 Photograph & Signature
PAN
Aadhaar
Saving Bank a/c no.
Proof of Identity
Demat a/c ID
(Optional Field)

Note : Residual securities: in case of multiple nominees remaining after distribution of securities as per
percentage of allocation shall be transferred to the first nominee .

*Marked is Mandatory field

Note: Signature of witness, along with name and address are required, if the account holder affixes
thumb impression, instead of signature [in both the cases i.e. nomination /negative nomination
Details of the Witness
Witness Details
Name of
witness
Address of witness
Signature of witness

The Depository Participant shall provide acknowledgement of the nomination form to the account
holder(s)

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 (in case of Second Holder Third Holder
Minor)
Name Devender Singh

Signatures
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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

21
 Non-Mandatory

Running account authorization and terms and conditions cum registration for receiving SMS alerts
from depository and exchanges

I/We are dealing through you as a client in the Capital Market & in order to facilitate ease of operations and
upfront requirement of margin for trade. I/We authorize you as under:

• I/We request you to maintain my/our accounts for funds on a running accounts basis instead of ‘bill to bill’
settlement basis unless I/we specifically request you for a payout of available free funds in the account.
• I/We further authorize you to retain funds as may be permitted by Stock Exchanges/ SEBI from time to
time or towards any outstanding obligation which is not billed/charged in my account.
• I/We understand and agree that no interest will be payable on the amount of funds retained by you as
above.
• I/We agree that INDmoney Pvt Ltd shall not be liable for any claim for loss or loss of profit or for any
consequential, incidental, special or exemplary damages, or otherwise, caused by retention of such
securities/funds.
• I/We further authorize you to also retain a sum as may be permitted by SEBI/Stock Exchanges SEBI
circular SEBI/HO/MIRSD/DOP/P/CIR/2021/577 & Exchange Circular Nos. NSE/INSP/49458, BSE Notice
No. 20210831-40 from time to time, while settling my/our account.
• I/We confirm that I will bring to your notice any dispute arising from the statement of account or settlement
so made in writing within 7 working days from the date of receipt of funds/securities or statement of
account.
• Standing instruction/authorization for maintaining my/our account as running account shall remain valid
until revoked in writing, addressed to you.
• I further agree and confirm that such periodic settlement of running account may not be necessary, either
on a monthly or quarterly basis, if
a. I am availing margin trading facility as per SEBI circulars.
b. I have provided funds received towards collaterals / margins in the form of Bank Guarantee (BG)/
Fixed Deposit Receipts (FDR).
• I would like mandatory settlement of the funds and securities(if applicable) as indicated below.
30 days 90 days

Signature of applicant & Date

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01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

22
Voluntary Terms & Conditions; Additional terms & conditions specific to clients for the purpose of
operational efficiency
1. AUTHORISATION TO MAINTAIN BASIC SERVICE DEPOSITORYPARTICIPANT (BSDA)
• I elect to open a BSDA account, subject to meeting the eligibility criteria outlined in the relevant SEBI
and/or Depository circulars, directions, or notifications issued from time to time.
• I hereby confirm that I have read and understood the key features of a BSDA account.
• I acknowledge and agree that my Demat account will be treated and charged as a BSDA account until I
notify INDmoney Pvt Ltd otherwise through specific communication.
• I understand and agree that INDmoney may periodically reassess my eligibility for a BSDA account and, if
applicable, convert my BSDA account to a Regular Demat Account (NON-BSDA). In the event of such a
conversion, I agree to the applicable tariff for a Regular Demat Account (NON-BSDA).

2. ERRORS ANDOMMISSIONS

• I/We understand and agree that inadvertent errors may occur, while executing orders placed by me. In
such circumstances INDmoney Pvt Ltd shall make all reasonable efforts to rectify the same and ensure
that I/We am not put to any monetary loss.
• I understand and agree that I shall not hold INDmoney Pvt Ltd responsible for damages/ loss.
• I/We understand and agree that my request to modify or cancel the order shall not be deemed to have
been executed unless and until the same is confirmed by INDmoney Pvt Ltd.

3. SUSPICIOUS TRADING AND MARKET MANIPULATION

• I/We undertake not to execute transactions, either singly or in concert with other clients/Market
Participants, which may be viewed as manipulative trades as defined by SEBI/Exchanges.
• In case I/We am/are found to be indulging in such activities, INDmoney Pvt Ltd has the right to inform the
Exchange/SEBI/other regulatory authorities of the same without any intimation to me/ us and
suspend/close my trading account.
4. DECLARATIONOF RESIDENCY STATUS
• I understand that if the sole/first applicant has or attains NRI Status, investments can be made only upon
providing Foreign Inward Remittance Certificate (FIRC) to INDmoney Pvt Ltd every time the investment is
made. I/We here by agree to intimate any changes in my/our residency status and will abide by all prevailing
rules mandated for NRI Investments.
5. REGULATORY ACTION
• I/We hereby confirm that I/We have not been prohibited from participating in the securities market directly
or indirectly by SEBI/Exchanges or any other regulator or Statutory authority. I/We agree to inform
INDmoney Pvt Ltd, in writing, of any regulatory action taken by any Exchange or Regulatory/ Statutory
authority on me in future.
• I/We also acknowledge that, in any such event in the future or INDmoney Pvt Ltd comes to know of any
such prevailing action, INDmoney Pvt Ltd has the right to suspend/Close the trading account maintained
by me/us in INDmoney Pvt Ltd with immediate effect. INDmoney Pvt Ltd can, at its sole discretion, close all
the open positions and liquidate collaterals to the extent of debit balances, without any notice to me.

23
eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

6. PMLA DECLARATION
• I declare that I have read and understood the contents and provisions of the PMLA Act, 2002
available on website. I further declare that I shall adhere to all the provisions of the PMLA Act, 2002. I
further undertake and confirm that: a. I do not have any links with any known criminals.
• I am a genuine person and not involved or indulge knowingly or assisted, directly or indirectly, in any
process or activity connected with the proceeds of crime nor am I party to it. The investment money is
derived from proper means and does not involve any black or Hawala money in any manner.

7. INDEMNIFICATION
• I hereby indemnify and hold INDmoney Pvt Ltd , its Directors and employees and any representative acting
on behalf of INDmoney Pvt Ltd harmless from and against all claims, demands, actions, proceedings,
losses, damages, liabilities, charges and/or expenses that are occasioned or may be occasioned to the
INDmoney Pvt Ltd directly or indirectly, relating to bad delivery of shares/ securities and/ or third party
delivery, whether authorized or unauthorized and fake/forged/stolen shares/ securities/transfer documents
introduced or that may be introduced by or through me during the course of my dealings/ operations on
the Exchange(s) and/ or proof of address, identity and other supporting/ documents provided by me at the
time of registration and/ or subsequently.

8. AUTHORIZATION BYCLIENT FOR DEPOSITORY PARTICIPANT

• I/We hereby authorize you to use the above-furnished details for registration KRA, CERSAI (CKYC),
Exchanges and other parties involved for the purpose of KYC registration.
• I/We hereby authorize you to receive credits automatically into my/ our Depository participant maintained
with INDmoney Pvt Ltd.
• I/We hereby authorize INDmoney Pvt Ltd to debit my depository participant account based on 2-factor
authentication or e-dis or authorization given by me.
• I declare that is my registered mobile no. and I/we hereby authorize INDmoney Pvt Ltd and depository to
be provide SMS/E-mail alert facility on my registered mobile number.
• I/We hereby authorize you to credit interest / dividend, directly to my bank account details provided above
through ECS.
• I/We authorize INDmoney Pvt Ltd to debit all charges pertaining to my/our depository participant to my/our
trading account and vice versa. All such transfers will be at the discretion of INDmoney Pvt Ltd and I/we hereby
agree to abide by the same and make payment promptly when requested to do so.
• I wish to receive an account statement as per SEBI regulation.
• I would like to share my email id with RTA.
• I wish to receive annual report - ‘Electronically’.
• I/We request you to send Electronic Transaction-cum-Holding Statement at the registered email ID

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Signature
Devender Singh of applicant & Date
Date: Wed Feb 12 15:50:45 IST 2025

24
 Non-Mandatory

Avail Mutual Funds Schemes permitted to dealt with on the Exchange Platforms including BSE StAR
Mutual Fund Platform of BSE

I authorize INDmoney Pvt Ltd and agree to the General Terms and Conditions as under:

• I request you to register me as your client for participating in the mutual fund transaction facilities, provided
by Exchange Platforms. I shall ensure compliance with the requirements as may be specified from time to
time by Exchanges, SEBI and AMFI. For the said purpose of availing the facilities, I state that the KYC details
as submitted by me for the stock broking may be considered for the purpose and I further confirm that the
details contained in the above remain unchanged as of date.
• I understand and agree that INDmoney Pvt Ltd would only offer schemes that are available or permitted to
be dealt with on the BSE StAR MF.
• I understand that the services as availed on INDmoney Pvt Ltd shall comprise of purchase and redemption
of direct Mutual Funds on the Platform and switch and redemption from regular Mutual Funds to direct Mutual
Funds. Such Services are facilitated by INDmoney Pvt Ltd to its Users through BSE STAR MF Platform.
• I understand and agree that Mutual Fund investments are subject to market risks and shall be solely
responsible for the same.
• I shall be liable in case of loss (including opportunity/notional loss) charges, costs, expenses etc. caused
to me including but not limited to loss for Net Asset Value (NAV) related issues due to any interruption,
malfunction, error, non-availability, technical glitch of for any other reason of whatsoever nature in the internet
/mobile trading platform or any other order routing platform of INDmoney Pvt Ltd and shall not have any
claim/complaint of whatsoever nature against of INDmoney Pvt Ltd and/ or its employees, directors,
associates, affiliates, subsidiary, group companies etc. in this regard.
• I understand and agree that the role of INDmoney Pvt Ltd is limited to the extent of providing the Platform to
clients and the services are offered and provided by the respective AMCs to me. The information in relation
to mutual fund products including the Net Asset Value (NAV) is received from the respective
AMC/RTA/Exchange/third party and is displayed on an “AS IS” basis on INDmoney Pvt Ltd.’s Platform.
• I understand and agree that INDmoney Pvt Ltd shall not be liable in any manner whatsoever for any
differences in such price data due to any delay/connectivity or system issues.
• I understand and agree that INDmoney Pvt Ltd offers only an execution platform and no advisory is provided
to me by INDmoney Pvt Ltd and/or any of its associates, affiliates and group do not provide any
recommendation, advisory, solicitation etc. for transacting in mutual funds.
• I understand and agree that INDmoney Pvt Ltd shall share the information and documents received from
me for the Mutual Fund Products with the respective AMC/RTA/Stock Exchanges through secure
channels.
• I agree that INDmoney Pvt Ltd will not be responsible for disclosure of my information due to errors in
transmission, unauthorized third-party access, or other causes beyond its reasonable control.
• I understand and agree that INDmoney Pvt Ltd shall not be liable in case of loss or damages, caused to
me on account of any interruption, malfunction, error, delay, downtime, non-availability, technical glitch of the
Platform, or failure or error of any transaction on the Platform including but not limited to loss related to
Net Asset Value (NAV).
• I agree to the cut off timings specified by INDmoney Pvt Ltd on its website and as amended from time to
time with respect to NAV and will be bound by the same.
• I agree to forthwith return/reimburse the amount gained/received by me to INDmoney Pvt Ltd and/ or fulfil

25
eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

 my obligation(s) due to any technical glitch/error in the platform of INDmoney Pvt Ltd and INDmoney Pvt
Ltd is also entitled to take necessary action to recover the said amount.
• The Payment Gateway available on the Platform for investing in Mutual Funds is also provided by BSE
Star MF Platform. INDmoney Pvt Ltd is acting as a facilitator for the Mutual Fund transactions on the Platform.
INDmoney Pvt Ltd does not warranty or guarantee the performance of any Mutual Fund schemes that they
offer. The User details like PAN, Address Details, Bank Details and Documents, Signature, etc. would be
shared with BSE Star MF Platform to facilitate the Mutual Fund order and Payment process sing to be
passed to relevant AMC’s. Such records may be used for authorizing the transactions that have been submitted
by the User. INDmoney Pvt Ltd and BSE Star MF Platform would be communicating messages on the
Mobile Number and email address provided by the User to inform the status of the orders/
Investments/Portfolio/New schemes etc. The money debited from the User’s registered bank account in case
of transactions in Mutual Funds shall be collected and it will be credited / transferred to the respective Mutual
Funds either on the same day or the next working day. Hence, the User agrees, understand and acknowledge
that there would be an interim time lag in transferring / crediting the money to the respective Mutual Fund
account. The units of the schemes shall be allotted, redeemed or switched, as the case may be, at the Net
Asset Value prevalent on the date of the transaction request. The User agrees that any transaction request
falling due on a holiday or after the cut off time mentioned on the Platform would be processed on the next
working day and respective NAV would be applicable as per the Mutual Fund’s scheme information document.
The cut-off timings will be prior to the statutory cut-off timing specified under the SEBI Regulations and
the scheme information document for operational convenience. The User can refer to the Platform for updated
status with respect to the order at all times. There may be a possibility of variances in values arising out of
delayed data feeds, transmission losses in electronic data, electronic fund transfer etc. for which INDmoney
Pvt Ltd and its authorised representatives shall not be liable. The User agrees to maintain a clear balance in
its bank account at all times to cover the purchase price and other costs and charges / quantity of units.
• INDmoney Pvt Ltd will have no role in failed or pending transactions and fraudulent use of card / net
banking / payment in any manner. Users are advised to use their own Net Banking, UPI, Mandates only
for making investments / payments / transactions. Users will be solely responsible for using Net Banking and
other modes for payments on INDmoney Pvt Ltd. Any fraudulent transaction / attempt will attract action
including being suspended from usage of platform. Transactions once completed cannot be cancelled.
User should not use the bank account of someone else to make the payment or investments for Mutual Funds
and such transactions are liable to be rejected.
• Although all reasonable care has been taken towards guarding against unauthorized use of any
information transmitted by the User, INDmoney Pvt Ltd does not represent or guarantee that the use of
the Services provided by/ through it will not result in theft and/or unauthorized use of data over the Internet.
User expressly agrees that his/ her use of the aforesaid online payment Service is entirely at own risk and
responsibility of the User.
• I understand that these terms and conditions may be subject to change and that updated terms and conditions
as and when made available by INDmoney Pvt Ltd on its Platform or website, I shall keep myself updated
of such change and shall ensure to remain compliant with updated terms and conditions.

Signature of applicant & Date

eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

26
 Proof of Address (PoA)

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Signature of Applicant
Devender Singh Stamp and Seal of INDmoney Pvt Ltd
Date: Wed Feb 12 15:50:45 IST 2025

27
 Proof of Bank Account

Bank Account is penny drop verified with utr

Proof of Income Details

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Signature of Applicant
Devender Singh
Stamp and Seal of INDmoney Pvt Ltd
Date: Wed Feb 12 15:50:45 IST 2025

28
 Non-Mandatory
Name Mismatch Declaration

Name asper opening Account Form Devender Singh

Name as per Income Tax (PAN) Devender Singh
Name as per Bank Proof DEVENDER SINGH
Name as per Address Proof Devender Singh
I hereby undertake that all the proof has been provided by me and all the said names belong to me. I hereby
state and confirm that what is stated above is true and correct information.
I agree to indemnify and keep INDmoney Pvt Ltd indemnified at all times from and against all costs, charges,
damages, penalties (including reasonable attorney fees) suffered and/or incurred by INDmoney Pvt Ltd for
any act done or omitted to be done on the above declaration.

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

Signature of Applicant Stamp and Seal of INDmoney Pvt Ltd

Non-Mandatory
Declaration for Confirmation of Signature
To,
INDmoney Pvt Ltd

616, 6th floor, Suncity Success Tower, Sector 65, Gurugram, Haryana, 122005

Subject: Declaration for Confirmation of Signature

Sir/Madam,
This letter is to confirm that all signatures placed on the account opening forms, and all such other documents
to INDmoney Pvt Ltd, are done solely by me with complete knowledge of all such terms and clauses
contained therein.
I, the undersigned, would like to request INDmoney Pvt Ltd to accept the signed account opening forms
and documents, even in case there may be slight variations on a few pages/areas of the document.
I, the undersigned, further would like to represent and warrant that in case of any misrepresentation with
respect to the signatures placed on the account opening forms or all such documents towards INDmoney Pvt
Ltd by me, I will indemnify INDmoney Pvt Ltd and its directors/employees/agents for all such actions.

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

Signature of Applicant Stamp and Seal of INDmoney Pvt Ltd

29
 OPTION FORM FOR ISSUE OF DIS BOOKLET

OPTION 1:
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
eDIS / executed PMS agreement in favour 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 eDIS.

First/Sole Holder Second Joint Holder Third Joint Holder

Name
Signatures

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 eDIS / executed PMS agreement in favour of / with
INDmoney Private Limited (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 or for executing delivery instructions through
eDIS. However, the Delivery Instruction Slip (DIS) booklet should be issued to me / us
immediately on my / our request at any later date.

First/Sole Holder Second Joint Holder Third Joint Holder

Name
Devender Singh
Signatures

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

30
 Policy for Handling Good Till Cancelled Orders

1. Background :

Exchanges vide it’s circular NSE/INSP/62528 dated June 21, 2024, NSE/INSP/63789 dated
September 06, 2024, 20240622-2 dated June 22, 2024 and 20240906-42 dated September 06,
2024 pertaining to ‘Policy on Handling of Good Till Cancelled Orders offered by Members to
Clients’ mandated trading members to formulate a policy in case they offer “Good Till Cancelled”
/ “Good Till Triggered” orders or orders of similar type.

2. Scope:

The Exchanges have stated that the policy shall include –

• Details of Good Till Cancelled/Good Till Triggered orders of similar type provided by
member including its validity.

• Manner of handling of such orders in case of corporate actions (e.g. cancellation, price
reset, retaining, etc. for the unexecuted orders).

• Provide timeline within which the member shall intimate their clients about details of
upcoming corporate actions applicable for such unexecuted orders of clients, which shall
not be later than one day prior to the ex-date of the corporate action.

3. Details of Good Till Cancelled/Good Till Triggered orders –

a. INDmoney Private Limited (“INDmoney”) enables its clients to place “Good Till
Cancelled/Good Till Triggered” (GTC/GTT) orders.

b. GTT is an order facility through which a client can place buy and sell limit orders in shares,
index futures & index options specifying the period for which the order instruction is valid. The
period selected by the client shall be within the maximum validity date defined by INDmoney.
Since client has the right to define validity date (“order validity date”).

c. All existing and new clients of INDmoney who are eligible to trade in Equity Cash product &
Derivatives can avail GTT facility for order placement.

d. The facility of placing a GTT order is available in Equity Cash product, Index futures, and
Index Options product only. As and when, GTT orders are introduced in new segments the
same shall be displayed through the INDmoney website and subsequently updated in the
policy.

e. Client can specify disclosed quantity while placing cash orders with GTT order validity.
f. GTT orders can only be placed by specifying a limit price. GTT orders cannot be placed at
market price.

g. If a GTT order is not executed for the entire quantity, INDmoney is authorized to place fresh
orders for the unexecuted quantity for the client on the subsequent trading days till

31
 the entire quantity is executed or till the validity expires, whichever is earlier. This feature
permits the client to specify the number of days during which the client intends to place the
orders.

h. GTT orders can be placed during the pre-open session for all scrips, however only orders in
scrips that are pre-open enabled would be sent to exchange during the pre-open session.
Orders in all other scrips not enabled for pre-open session would be treated as overnight
orders and sent to exchange during normal trading session.

i. Client shall ensure that necessary funds/margins are available to place GTT orders in their
trading account for the unexecuted quantity of the order.

j. “Order Validity Date” means the date entered by the client while placing GTT orders. This
date shall be equal to or less than the maximum validity date defined by INDmoney which
would appear as the default “Order Validity Date”. Client can choose the GTT order validity
date as less than or equal to the maximum validity date defined by INDmoney. Client shall
not be allowed to place orders with GTT validity beyond maximum defined validity date.

k. In case the GTT order validity date falls on a non- trading day, the order is expired by
INDmoney on the last trading day which falls prior to such order valid date which is a non-
trading day. Post the expiry, the status of GTT order is updated as Expired (Closed).

l. Once a client has placed a GTT order, INDmoney will place orders for the unexecuted
quantity of the GTT order for all the days during the validity period or till the quantity is fully
executed or cancelled or rejected due to any reason.

m. For the unexecuted quantity orders shall be placed daily as overnight orders during the
validity period, i.e. until the order validity date is less than or equal to the next trade date
provided such GTT order remains unexecuted and is not cancelled, nor rejected due to any
reason. The orders would be placed on these dates provided it is falling on trading days.

n. Orders with GTT validity can be placed both during the market hours as well as post market
hours.

o. Client can place a maximum quantity of 1000 GTT orders across all eligible scrips.

p. Clients can modify the quantity or limit price of a GTT orders Clients can modify the order
only when the order is in 'Ordered status' (during market hours) or 'Requested status' (after
market hours). “GTT Blocked” orders cannot be modified but can only be cancelled.

q. All GTT orders can be cancelled.

r. The Brokerage rates and applicable charges are the same for normal transactions and GTT
orders. Further, GTT orders shall be settled in the same manner as normal equity / derivative
market transactions.

s. Stoploss orders can also be placed with GTT validity.

32
 4. Handling of GTT orders in case of corporate actions:

Based on corporate actions GTT orders will be reviewed and cancelled except for dividend and
buy back.

Communication will be sent to the clients upon cancellation of GTT orders after ex-date.

Clients shall review their GTT orders pro-actively whenever there may be impact of corporate
action on their order/s. It would be the onus of the client to take appropriate action and place new
orders accordingly.

5. Policy Communication:

The said policy shall be made part of the Account Opening Form/Kit under heading “Policy on
Handling of Good Till Cancelled Orders of Client” of Policy and Procedures document and shall
also be displayed on the INDmoney website.

The GTT Order Terms and conditions is also displayed on the INDstocks website
- https://www.indstocks.com/page/gtt-tnc

eSigned using Aadhaar (Leegality.com -

01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

Signature of Applicant Stamp and Seal of INDmoney Pvt Ltd

33
 Signature Details

Name of the Customer Devender Singh

PAN Number CRHPS1883D

Signature as per INDmoney Pvt Ltd records

E Signature
eSigned using Aadhaar (Leegality.com -
01JKWTRFWSBT6SQMBYV2WHAPGD)
Devender Singh

Date: Wed Feb 12 15:50:45 IST 2025

34