PART I - KNOW YOUR CLIENT FORM ( DCM …

part I - know your CLIENT form (For Non-Individuals)Please fill this form in ENGLISH and in BLOCK LETTERS4 a) PANb) Registration No. ( CIN)5 Status (please tick any one):Private Limited Ltd. CorporateTrustCharitiesNGO'sOthers (please specify) _____BankGovernment BodyNon Government Organization Defense Establishment SocietyLLPP artnership FIFIIHUFAOPBOIA. IDENTITY DETAILS1 Name of the Applicant2 Date of incorporation 3 Date of commencement of businessDDMMYYYYP lace of incorporationDDMMYYYY1 Correspondence AddressCity/town/villagePIN CodeStateCountry2 Specify the proof of address submitted for correspondence address3 Contact DetailsTel. (Res.)Mobile (Off.)Fax IDB. ADDRESS DETAILSP lease affix the recent passport size photograph and sign across4 Registered Address (if different from above):City/town/villageStatePIN CodeCountry5 Specify the proof of address submitted for registered addressC. OTHER DETAILS , PAN, residential address and photographs ofPromoters/Partners/Karta/Trustees and whole time directors:(Please give the detail in the format inclosed)4 DIN/UID of Promoters/Partners/Karta and whole time directors:5P l e a s e t i c k , i f a p p l i c a b l e , f o r a n y o f y o u r a u t h o r i z e d signatories/Promoters/Partners/Karta/Tru stees/whole time directors:Politically Exposed Person (PEP)Related to a Politically Exposed Person (PEP)6 Any other

PART I - KNOW YOUR CLIENT FORM (For Non-Individuals) Please fill this form in ENGLISH and in BLOCK LETTERS 4 a) PAN b) Registration No. (e.g. CIN)

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