CKYC & KRA KYC Form

1 ckyc & KRA KYC FormA- Passport Number Passport Expiry Date B- Voter ID Card D- Driving Licence Driving Licence Expiry Date E- Aadhaar Card F- NREGA Job Card Z- Others (any document notified by the central government) Identification Number (Certified copy of any one of the following Proof of Identity [PoI] needs to be submitted) Y Y Y Y 2. Proof of Identity (PoI )* (for PAN exempt Investor or if PAN card copy not provided) (Please refer instruction C & K at the end) M M D D Y Y Y Y M M D D 1. Identity Details (Please refer instruction A at the end) Name* (same as ID proof) Maiden Name (If any* ) Father / Spouse Name* Mother Name* Middle Name Last Name First Name Prefix PAN Please enclose a duly attested copy of your PAN Card Date of Birth* D D M M Y Y Y Y Gender* M- Male F- Female T-Transgender Marital Status* Married Unmarried Others Citizenship* IN- Indian Others Country Country Code Residential Status* Resident Indiv idual Non Resident Indian Foreign National Person of Indian Or igin Occupation Ty pe* S-Servic e Priv ate Sector Publi c Sector Government Sector O-Others Professional Self Employed Retire d Housewif e Student B-Business X-Not Categoris ed Photo Signatu re/ Thumb Im pression Correspondence / Local

2 Address Detail s* (Please see instruction E at the end) Same as Current / Permanent / Overseas Address details ( In case of mul ti pl e cor r espondence / l ocal addr esses, pl ease Annexur e A1 , Submi t r el evant documentar y pr oof) Line 1* Line 2 Line 3 City / Town / Village* District* Zip / Post Code* State/UT* Country* Country Code as per ISO 3166 State/UT Code as per Indian Motor Vehicle Act , 1988 Line 1* Line 2 Line 3 City / Town / Village* District* Zip / Post Code* State/UT* Country* Address Type* Residential / Business Residential Business Registered Office Unspecified (Certified copy of any one of the following Proof of Address [PoA] needs to be submitted) Proof of Address* Current / Permanent / Overseas Address Detail s (Please see instruction D at the end) 3.

3 Proof of Address (PoA)* Country Code as per ISO 3166 State/UT Code as per Indian Motor Vehicle Act , 1988 Address Passport Number Passport Expiry Date Voter ID Card Driving Licence Driving Licence Expiry Date Aadhaar Card NREGA Job Card Others (any document notified by the central government) Identification Number Y Y Y Y M M D D Y Y Y Y M M D D Know Your Client Applic ation form (For Indiv iduals only ) (Please fill th e fo rm in Engli sh a nd in BLOCK Lett ers) Fields marked with * are mandatory fie lds New Application Type* Update KYC Number* KYC Type* Normal (PAN is mandatory) PAN Exempt Investors (Refer instruction K) Page 1 Version Relat ed Person Type* Name* (If KYC number a nd name are provided, below detail s of se ction 6 are optional) Guardian of Minor Assignee Prefix First Name Authoriz ed Representative Middle Name Last Name 8.

4 Applicant Declaration 9. Attestation / For Of fice Use Only Date: Place : I hereby declare th at th e deta il s fu rnished above are tr ue and co rrect to th e best of my kn owl edge and belief and I underta ke to info rm yo u of any changes th erein, immediate ly. In ca se any of th e above info rmati on is fo und to be fa lse or untrue or misl eading or misr epresenting, I am aware th at I may be held liable fo r it. I hereby declare th at I am not maki ng th is application fo r th e purpose of contravention of any Act, Rules, Regulations or any sta tu te of legisl ati on or any notifi ca ti ons/dir ections issued by any governmental or statu to ry authority fr om ti me to ti me.

5 I hereby consent to rece ivi ng info rmati on fr om Centr al KYC Registry th rough SMS/E mail on th e above registered number/e mail address. Signature / Thumb Im pression of Applicant [S ignature / Thumb Im pression] Documents Received Certif ied Copies D D M M Y Y Y Y 6. Details of Related Pers on (Optional) (please refer instruction G at the end) (in case of additional related persons, please l l A nnexure B1 ) Relat ed Person Delet ion of Relat ed Person KYC Number of Relat ed Person (if avail able*) A- Passport Number Passport Expiry Date B- Voter ID Card C- PAN Card D- Driving Licence Driving Licence Expiry Date E- Aadhaar Card F- NREGA Job Card Z- Others (any document notified by the central government) Identification Number (Certified copy of any one of the follo wing Proof of Identity[PoI] needs to be submitted) Y Y Y Y Proof of Identit y [PoI] of Relat ed Person* (Please see instruction (H) at the end)

6 M M D D Y Y Y Y M M D D 7. Remark s (If any) KYC Verif ic atio n Carrie d Out by (Refer In str uction I) In stit ution Details Date Emp. Name Emp. Code Emp. Designation Name Code D D M M Y Y Y Y [I nsti tu ti on Sta mp] [E mployee Signature] In-Person Verif ic atio n (IP V) Carrie d Out by (Refer In str uction J) In stit ution Details 5. FATCA/CRS Inf ormation (Tick if Applicable) Residence for Tax Purposes in Juris dic tion(s) Outside India (Please refer instruction B at the end) Additional Details Required* (Mandatory only if above option (5) is ticked) Country of Jurisdiction of Residence* Country Code of Jurisdiction of Residence Tax Identification Number or equivalent (If issued by jurisdiction)* Place / City of Birth* Address Country of Birth* Country Code as per ISO 3166 as per ISO 3166 Line 1* Line 2 Line 3 City / Town / Village* District* Zip / Post Code* State/UT* Country* Country Code as per ISO 3166 State/UT Code as per Indian Motor Vehicle Act , 1988 Emp.

7 Branch Date Emp. Name Emp. Code Emp. Designation Name Code D D M M Y Y Y Y [I nsti tu ti on Sta mp] [E mployee Signature] Emp. Branch 4. Contact Details (All communic ations wil l be sent on provided Mobile no. / Email-ID) (Please refer instruction F at the end) Email ID Tel. (Of f) Mobile Tel. (Res) Page 2 Version Instructions/Guidelines for filling Individual KYC Application form General In structio ns: 1. Self-Certificatio n of documents is mandatory. 2. KYC number of applicant is mandatory fo r update/change of KYC detail s. 3. For particular se ction update, please tick ( ) in the box ava il able before the se ction number and str ik e off the se ctions not required to be updated.

8 4. Copies of all documents th at are submitted need to be co mpulso rily se lf-att ested by th e applicant and acco mpanied by originals fo r ve rif ication. In ca se th e orig inal of any document is not produced fo r ve rification, th en th e copies should be properly att ested by entities authoriz ed fo r att esting th e documents, as per th e li st mentioned under [I ]. 5. If any proof of identity or address is in a fo reign language, th en tr anslation int o English is required. 6. Name & address of th e applicant mentioned on th e KYC fo rm, should match with th e documentary proof submitted. 7. If co rrespondence & permanent addresses are different, th en proofs fo r both have to be submitted.

9 8. Sole propriet or must make th e applica tio n in his indivi dual name & capacity. 9. For non-residents and fo reign nationals, (all owed to tr ade subject to RBI and FEMA guideli nes), copy of passport/ PIOCard/O CI Card and ove rseas address proof is mandatory. 10. In ca se of Merchant Navy NRI s, Mariner s declaratio n or ce rtified copy of CDC (Continuous Di scharge certificate ) is to be submitted. opening an account with Deposito ry participant or Mutu al Fund, fo r a min or, photocopy of th e School Leaving certificate /M ark sheet issued by Hi gher Seco ndary Board/ Passport of Minor/B ir th certificate must be provided. catio n / Guid eli nes on l li ng I dentit y Detail s sectio n 1.

10 Name: Please sta te th e name with Prefi x (Mr/Mrs/Ms/Dr/e tc.). The name should match th e name as mentioned in th e Proof of Id enti ty submit te d fail ing which th e applica tio n is li able to be rejected. fa ther s name or spouse s name is to be mandatoril y fu rnished. In case PAN is not avail able fa ther s name is mandatory. B. Clarif ic atio n/Guidelines on fil li ng detail s if applicant residence for tax purposes in ju ris dic tio n(s) outsid e In dia 1. Tax identi ficatio n Number (TIN): TIN need not be reporte d if it has not been issued by the ju risdiction. However, if th e sa id ju risdiction has issued a hig h int egrity number with an equivalent level of identi ficatio n (a Functional equivalent ), the same may be reported.