Application No.

: WB305647

Type of Account:

Online Branch

Client Name: ANUP KUMAR MANJHI

SSL Branch Code: [CENP] Name: CENTRAL PRIME BRANCHES [CENP]

SBI Bank Branch Code: Branch Name:

Employee Code:

Employee Name:

Scheme Code: DIGIFREE

Corporate Name:

SEBI / IRDA Registration NO.:

Stock Broker NSE/BSE/NCDEX/MCX INZ000200032 Dt. 12/09/2018
CDSL & NSDL Depository Participant IN-DP-314-2017 Dt. 13/02/2017
NDML Approved Person IRDA/RW/IR1/2016/041 Dt. 27/01/2016

Registered Office Address:

SBICAP Securities Limited
Corporate Identity Number (CIN): U65999MH2005PLC155485
Marathon Futurex, Unit No.1201, 12th Floor, B Wing, Mafatlal Mill Compound, N.M. Joshi Marg, Lower Parel East, Mumbai -400013
Phone: 022-42273300/301 | Fax: 022-42273301
E-mail: [email protected] | Website: www.sbismart.com
Dear Customer,
Welcome to SBICap Securities Limited (SSL)
We look forward to your business and to the pleasure of serving you. To start with, we request you to complete the account
opening forms, and submit the required documents. We have designed the forms for ease of completion with simple
instructions at relevant places to guide you along. Should you face any difficulty in understanding the requirements, please do
not hesitate to contact our staff who will be willing to assist you.
SBICAP Securities Limited (SSL) in association with State Bank of India offers Demat Trading and Bank accounts, integrated fully
to offer you a Delightful trading experience which allows you to seamlessly invest online in Equity, Derivatives, Mutual Funds
and Equity and MF Systematic Investment Plan (SIP). You can also invest in these products through our pan India branch net
work.
Some of the facilities on offer are,
- Instant Funds/ Share transfer facility
- Review of Margin Status, Holding Report, Order and Trade Book on a real time basis
- Placing of After Market Orders at your convenience
- Online real time advice/ recommendations
- Incisive research reports & well-timed advisory services
- Convenient online facility for investment in Mutual Funds, SIPs
- Telephonic Assistance through centralised Helpdesk
It shall be our endeavour, as always, to provide you a truly satisfying service.
Regards
SBICAP Securities Limited
Form No.: Q

Account Opening Information and Choice of Accounts Voluntary
A . Types of Account
Broking: For investing in equities, derivatives & commodities / IPOs / Bonds market.
Demat: Demat account is an account wherein you can hold shares / Bonds / MF units in the dematerialised{electronic}form.
Mutual Fund SIP: Systematic Investment Plan in Mutual Fund.
You may open and operate these accounts in the following manner:
3 in 1: (Tick All) 2 in 1: (Tick any two)
Broking Demat Broking & Mutual Fund SIP Demat & Mutual Fund SIP
Mutual Fund SIP Others
B . Access to your account:
You can access your account with ease and convenience through:
Internet at www.sbismart.com or Call & Trade through (022) 6854 5555.
Branches of SBICAP Securities Limited.

Client Profile Sheet
1. Where do you invest your excess savings / income? (Please specify)
Savings A/c Equity Market Fixed Deposits Mutual Funds Gold Property Insurance Others
2. Do you Trade in
Cash Market A/c Derivatives Commoditiy All
3. Please specify your profile
Specatcular Long Term Investor Short Term Investor Other (please specify)
4. Please specify amount you plan/prefer to set aside for investment every year (INR)
Less than 1,00,000 1,00,001 - 5,00,000 Term Investor 5,00,001 - 10,00,000 10,00,001 and above
5. Approximate average monthly turnover in Capital Markets
Less than 5 Lac 5 to 10 Lac 10 to 20 Lac More than 20 Lac
6. Please classify yourself as an Investor specifying your risk appetite
Very conservative Fairly conservative Willing to take moderate risks Willing to take high risks
I/We understand that in the capacity of Stockbroker you have taken above specification for my/our client profiling. 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. I/We have read and understood Risk Disclosure Document for Capital Market and Derivatives
Segment. In light of the risk involved, I/we will undertake transactions only if I/we understand the nature of transaction and the extent of exposure to the risk for an investment.
Even though I/we have given my/our profiling above, the same may vary from time to time depending on the financial and other conditions at that point of time. I/We also may choose to make an
investment that may expose me to higher risk than the risk profile given above. The transactions should be executed in such circumstances and my profi ling given above should not come in a way
for any such execution.

FH01

Note: Please Sign within the box in BLACK INK.

ACKNOWLEDGEMENT

Application No.: PAN/UID No.:

We acknowledge the receipt of Broking, Demat (Nomination Form*) Account Opening Form
SOLE / FIRST Holder’s Name:
Address:
SECOND HOLDER Name:
THIRD HOLDER Name: For SBICAP Securities Limited

Date: Authorised Signatory

Contact No.: (022) 6854 5555 • Website: www.sbismart.com • E-mail: [email protected]

* Details of the nomination will be furnished on registration with the depository.

1
 INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM

A. IMPORTANT POINTS:
2 . Utility bills like Telephone Bill (Only land line), Electricity bill or Gas bill - Not more than 3
1 . Self attested copy of PAN card is mandatory for clients. months old.

2 . Copies of all the documents submitted by the applicant should be self-attested and 3 . Self-declaration by High Court and Supreme Court judges, giving the new address in
accompanied by originals for verification. In case the original of any document is not produced for respect of their own accounts
verification, then the copies should be properly attested by entities authorized for attesting the 4 . Proof of address issued by any of the following: Bank Manager of Scheduled Commercial
documents, as per the below mentioned list. Bank/Scheduled Co-Operative Bank/Multinational Foreign Bank/ Gazetted Officer/Notary
3 . If any proof of identity or address is in a foreign language, then translation into English is public/Elected representative to the Legislative Assembly/Parliament/Documents issued by any
required. Govt. or Statutory Authority.

4 . Name & address of the applicant mentioned on the KYC form, should match with the 5 . Identity card/document with address, issued by any of the following: Central/ State
documentary proof submitted. Government and its Departments, Statutory/Regulatory Authorities, Public Sector Undertakings,
Scheduled Commercial Banks Public Financial Institutions, Colleges affiliated to Universities and
5 . If correspondence & permanent address are different, then proofs for both have to be Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members.
submitted.
6 . For FII/sub account, Power of Attorney given by FII/sub-account to the Custodians (which
6 . Sole proprietor must make the application in his individual name & capacity. are duly notarized and/or apostiled or consularised) that gives the registered address should be
taken.
7 . 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 7 . The proof of address in the name of the spouse may be accepted.
8 . For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their D Exemptions/clarifications to PAN: N (*Sufficient documentary evidence in support of
passport copy should be given such claims to be collected.)
9 . In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC 1 . In case of transactions undertaken on behalf of Central Government and/or State
(Continuous Discharge Certificate) is to be submitted. Government and by official appointed by Courts e.g. Official Liquidator, Court receiver etc.
10. For opening an account with Depository participant or Mutual Fund, for amin or, photocopy 2 . Investors residing in the state of Sikkim.
of the School Leaving Certificate/Mark sheet issued by Higher Secondary Board/Passport of
Minor/Birth Certificate must be provided. 3 . UN entities/multilateral agencies exempt from paying taxes/filing tax returns in India.
11. Politically Exposed Persons (PEP) are defined as individuals who are or have been 4 . SIP of Mutual Funds upto Rs. 50,000/- p.a.
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 5 . In case of institutional clients, namely, FIIs, MFs, VCFs, FVCIs, Scheduled Commercial
of state owned corporations important political party officials, etc. Banks, Multilateral and Bilateral Development Financial Institutions, State Industrial Development
Corporations Insurance Companies registered with IRDA and Public Financial Institution as
B Proof of Identity (POI): List of documents admissible as Proof of Identity: 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
1 . Unique Identification Number (UID)(Aadhaar)/Passport/Voter ID card/Driving license. the intermediary

2 . Identity card/ document with applicant’s Photo, issued by any of the following: Central/State E List of people authorized to attest the documents:
Government and its Departments, Statutory/Regulatory Authorities, Public Sector Undertakings,
Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities, 1 . Notary Public, Gazetted Officer, Manager of a Scheduled Commercial/Cooperative Bank or
Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members; and Credit Multinational Foreign Banks (Name, Designation & Seal should be affixed on the copy).
cards/Debit cards issued by Banks. 2 . 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
C Proof of Address (POA): List of documents admissible as Proof of Address:
in the country where the client resides are permitted to attest the documents.
(*Documents having an expiry date should be valid on the date of submission).

1 . Passport/Voter Identity Card/Ration Card/Registered Lease or Sale Agreement of

Residence/Driving/Flat Maintenance bill/Insurance Copy

2
Application No.:WB305647
Know Your Client (KYC)
Application Form (For Individuals Only)
Please fill in ENGLISH and in BLOCK LETTERS with black ink
For office use only Application Type Normal Minor Aadhaar OTP based E-KYC (in non-face to face mode) Application Type New Update
(To be filled by financial institution) KYC Number : (Mandatory for KYC update request)
1. PERSONAL DETAILS
Prefix Client Name
Name (Same as ID proof): MR ANUP KUMAR MANJHI
Father/Mother/Spouse Name: MR CHHOTU MANJHI
Mother Name:
Date of Birth: 1 0 0 5 1 9 9 8
Place of Birth Country of Birth
Gender: M - Male F - Female T - Transgender Martial status Married Unmarried Others
PAN E Q D P M 4 6 8 8 D Form 60 Furnished Nationality: IN-Indian Others
Residential Status: Resident Individual Non Resident Indian Foreign National Person of Indian Origin
Occupation Type: S-Service ( Private Sector Public Sector Government Sector ) Agriculture Business
O-Others (Professional Self Employed Retired Housewife Student) X-Not Categorised
Please tick, if applicable: Politically Exposed Person Related to a Politically Exposed Person (For definition of PEP, please refer guideline)
Certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC process needs to be submitted (any one of the following OVDs)
2. PROOF OF IDENTITY(PoI)
Passport Number Voter ID Card Driving Licence NREGA Job Card National Population Register Letter
Proof of Possession Aadhaar E-KYC Authentication Offline Verification of Aadhaar
FH02
3. PROOF OF ADDRESS (PoA)
3.1 CORRESPONDENCE / LOCAL ADDRESS DETAILS (In case of multiple Correspondence / Local addresses, please fill Annexure A)
Correspondence Residence
Proof of Passport Driving License Voter Identity Card NREGA Job Card National Population Register Letter Utility Bill* (Tel. / Electricity / Gas bill)
Address:
Proof of Possession Aadhaar E-KYC Authentication Offline Verification of Aadhaar Deemed Proof of Address - Document Type Code Allotment Letter
Address:
Line 1: B A L D I H J A L A L P U R S I W A N
Line 2:
City / Town /
S I W A N District: S I W A N
Village:
State: B I H A R Pin / Post Code: 8 4 1 2 3 3
3.2 CURRENT / PERMANENT / OVERSEAS ADDRESS DETAILS Same as Correspondence / Local Address Details
Proof of Passport Driving License Voter Identity Card NREGA Job Card National Population Register Letter Utility Bill* (Tel. / Electricity / Gas bill)
Address:
Proof of Possession Aadhaar E-KYC Authentication Offline Verification of Aadhaar Deemed Proof of Address - Document Type Code Allotment Letter
Address:
Line 1: B A L D I H J A L A L P U R S I W A N
Line 2:
City / Town / S I W A N District: S I W A N
Village:
State: B I H A R Pin / Post Code: 8 4 1 2 3 3
*Not more than 2 months old. Validity / Expiry date of proof of address submitted
4. CONTACT DETAILS
Tel.(Off): Tel.(Res): Mobile: 8 2 2 9 8 4 3 1 6 9
Fax: Email ID: [email protected]

5. DETAILS OF RELATED PERSON (In case of related person please fill Annexure B)
6. APPLICANT DECLARATION
* 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.
* I hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address.
FH03
Date: 0 7 0 7 2 0 2 1 Place: S I W A N
Signature / Thumb Impression of Applicant
FOR OFFICE USE ONLY
DOCUMENT VERIFIED WITH ORIGINALS AND IN-PERSON VERIFICATION DONE BY
Document Received: Certified Copies E-KYC data received from UIDAI Data received from offline verification Digital KYC Process Equivalent e-document
For SBICAP Securities Ltd.
Name & Code of the Employee: Prashant Kembhavi

Designation: Agent
IPV Done on Date: 0 1 0 8 2 0 2 1 Signature of Verifier

3
 FOR DEMAT ACCOUNT
I/We request you to open a Demat Account in my name as per the details furnished in the KYC Application Form and following additional details:
CDSL NSDL
Type of Account (Please tick whichever is applicable)
Individual / Ordinary Resident Individual Director Individual Director’s Relative Individual HUF/AOP Minor
Individual Promoter Individual Margin Trading A/C (MANTRA) / Margin Account Others (Specify)
ANUP KUMAR MANJHI PAN NO E Q D P M 4 6 8 8 D

Name of the Second Holder PAN NO

Name of the Third Holder PAN NO

Guardian Details* (Where sole holder is a minor)
[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 signed by guardian)]
Name of the Guardian:
PAN No. Relationship of guardian with minor
*Incase of minor please fill seperate KYC page for Guardian

Automatic Credit I/We authorise you to receive credit in my / our account without any instruction from me/ us. YES NO

Pledge
I / We would like to instruct the DP to accept all the pledge instructions in my / our account without any other YES NO
further instruction from my / our end (If not marked, the default option would be ‘No’)
DIS I/We require Delivery Instruction Slip (DIS) YES NO

POA Operation Account to be operated through Power of Attorney YES NO

Mandatory if you are giving Power Of Attorney (PoA). Ensure that the mobile number is provided in the KYC Application
Form.
SMS Alert Facility First Holder YES NO
Second Holder YES NO
Third Holder YES NO

Do you wish to receive dividend / interest directly in to your Designated Bank Account through ECS? (If not YES NO
ECS Mandate marked, the default option would be ‘Yes’) [ECS is mandatory for locations notified by SEBI from time to
time]
BSDA Facility I / We wish to avail the BSDA facility^ YES NO

Account
Statement
As per SEBI Regulation Daily Weekly Fortnightly Monthly

RTA I / We would like to share the email ID with the RTA YES NO

Standard Electronic Physical Both Physical and Electronic

Documents /
Annual Report (If not markted the default option would be in Physical)

If yes, please complete registration through depository website.

easi / Ideas
[BO can view his/her ISIN balances, transactions and value of the portfolio online through Depository website])

I / We request you to send Electronic Transaction-cum-Holding Statement at Sole / First Holders Email ID stated in the AoF YES NO
SD - Annual Report Form RTA Statement of Account from Depository Participant & Depository.
^ I/We also agree that in case our demat account opened under BSDA facility does not meet the eligibility for BSDA facility as per guidelines issued by
SEBI or any such authority at any point of time, my / our BSDA account will be converted to regular demat account without further reference to me/us
and will be levied charges as applicable to regular accounts as informed by the DP.

NOMINATION
I wish to appoint nominee I do not wish to appoint nominee.
Note: Please fill seperate nomination form to appoint / update nominee details.

4
 TRADING ACCOUNT RELATED DETAILS

I/We request you to open a Trading Account in my name as per the details furnished in the KYC Application Form and following additional details:
DESIGNATED DEMAT ACCOUNT DETAILS

DP Name CDSL DP ID: 1 2 0 4 7 2 0 0

Beneficiary Name BO ID:

TRADING PREFERENCES (please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the client)
CASH (BSE & NSE) F&O / Currency (BSE & NSE) BSE Star MF Commodity (BSE, NSE, MCX & NCDEX)
I have knowledge of trading in Commodity
I have knowledge of trading in derivatives segment and am aware of risks associated
Derivatives Currency Derivatives segment therein
and am aware of risks associated therein

FH04 FH05 FH06 FH07

Date of consent: Date of consent: Date of consent: Date of consent:

Participant Category* (Commodity Segment only):
Commercial Participant: Value Chain Participant Exporter Importer Hedger
Non Commercial Participant: Financial Participant Trader Jobber Arbitrager
PAST ACTIONS PLEASE (✔) AS APPLICABLE
I hereby declare and confirm that I have not been prohibited / debarred from dealing in securities and no penalty has been imposed on me for violation of security laws/other economic offences by SEBI or any other
regulatory authorities.
I also declare that no financial / criminal penalties or proceedings are pending against me. I hereby undertake to notify you forthwith of changes in this regard and shall not do anything in violation of such orders, if
any at a later date.
I give hereunder details of action taken by SEBI / Stock Exchanges / any other authority for violation of Securities laws / other economic offences during last three years.
DEALING THROUGH SUB-BROKERS / AUTHORISED PERSONS AND OTHER STOCK BROKERS Yes No
If client is dealing through the SB / AP with any Other Stock Broker provide the following details (If registered with multiple members, provide details of all)
Sub-Broker/AP/Stock Broker SEBI / AP Registration No.

Registred office address:

Phone: Fax: Website:

Name of Exchange (if yes) Client Code: (as given by the other broker)

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

GST Registration Details : (If applicable)
GST Registration No.: State:
Validity: IEC Code:
Income Details - Gross Annual Income Details (Please tick):
First Holder : Below 1 Lac Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs (Specify)
Second Holder : Below 1 Lac Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs (Specify)
Third Holder : Below 1 Lac Lac 1-5 Lacs 5-10 Lacs 10-25 Lacs >25 Lacs (Specify)
BANK DETAILS (FOR TRADING & DEPOSITORY)
DESIGNATED BANK ACCOUNT DETAILS
Bank Name: STATE BANK OF INDIA Branch Code: SBIN0012704 Branch Name: STATE BANK OF INDIA

Branch Address: WADKHAL BRANCH,AT AND POST WAD KHAL,TALUKA PEN,DIST RAIGAD,MA .

Account Type: Saving Current Others (Specify in case of NRI / NRE / NRO)

Account No. 38147415940 MICR Code: 400002550 IFSC Code: SBIN0012704

Please fill multiple bank accounts registration form for additional bank accounts

ADDITIONAL DETAILS
(a) eContract Whether you wish to receive Physical Contract Note (PCN) OR Electronic Contract Note (ECN) PCN ECN
Specify E-mail Id: Incase of ECN [email protected]
(b) eBroking Whether you wish to avail internet/wireless trading facility YES NO
(c) Investment/Trading Experience No prior investment experience Years of Experience
((d) Do you wish to receive trade confirmation SMS/email directly from the exchanges? Yes No
5
 ACCOUNT OPENING, TRADING & DEPOSITORY CHARGES
Trading Account Charges: Account Opening Charges
SCHEDULE OF BROKERAGE / CHARGES AND TAXES
SCHEDULE OF BROKERAGE / CHARGES
Intra-day
Segment Delivery Minimum
First Leg Second Leg
Cash Market 0.50% 0.075% 0.075% ₹0.05
Future 0.05% 0.03% 0.03% 0.01
Derivatives
Option* ₹100/- ₹50/- ₹50/-
Future 0.03% 0.015% 0.015% 0.01
Currency Derivatives
Option* ₹30/- ₹20/- ₹20/-
Future 0.05% 0.03% 0.03% 0.01
Commodity Derivatives
Option* ₹100/- ₹50/- ₹50/-
*Per lot #The above charges are exclusive of applicable GST and other taxes / statutory charges levied by Government bodies / statutory authorities from time to time, which will be charged as applicable. • Any concession
in card rates is subject to approval from the competent authority.
DEPOSITORY SERVICE CHARGES
HEAD CHARGES
Account Maintenance Charge Individual ₹750/- (₹500/- for e-statement)
Account Maintenance Charge Non Individual ₹1000/-
Closure of Account Nil
On-Market (Sell Market) / Off Market (% of transaction value of each ISIN)
with POA (applicable for On Market Instructions only) 0.01% (Min. ₹21/- Max. ₹300/- )
For instruction submitted through internet 0.01% (Min. ₹21/- Max. ₹300/- )
For instruction submitted through Branches 0.04% (Min. ₹30/- Max. ₹50,000/-) Extra Charges ₹10/- per ISIN for Late submission
Buy- market and off-market(Credit) Nil
Rejection / Failed instruction ₹ 10/- per failed instruction
Dematerialisation / Rematerialisation
For each request form - Dematerialisation ₹35/-
For each certificate - Dematerialisation ₹5/-
₹35/- plus ₹10/- for every hundred securities or part thereof, or a flat fee of ₹10/-per certifi cate whichever
Rematerialisation (For each request form)
is higher
Pledge Creation/Closure/Confirmation/Invocation (% of value for each ISIN in each request)
For each ISIN Request 0.02% of Value or Min ₹25/- whichever is higher (Plus CDSL/NSDL Charges)
Margin Pledge Flat Rate Rs 21/- per ISIN per transaction
Non Disposal Undertaking (NDU) 0.02% of Value or Min Rs 50/- whichever is higher
Additional Accounts Statements
By Courier ₹30/-
By Email Nil
*The above charges are exclusive of applicable GST and other taxes / statutory charges levied by Government bodies / statutory authorities from time to time, which will be charged as applicable. • Any concession in card
rates is subject to approval from the competent authority.
INTRODUCERS DETAILS (OPTIONAL)
Name
Status of the Introducer Sub-broker Remisier Authorised Person Existing Client Employee of A & S Other (Specify)
Address

Mobile:
Contact Details
Signature of Introducer

OFFICE USE ONLY

UCC Code allotted to the Client: Client Interviewed By
Name of the Employee : Employee Code : Designation : Customer Service
Date Signature of the interviewer

I / We undertake that we have made the client aware of ‘Policy and Procedures’, tariff sheet and all the For SBICAP Securities Limited
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 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. Authorised Signatory

6
 FATCA DECLARATION
FIRST HOLDER
Yes No (If Yes, please specify)
Is your Tax Residency/
Country of Birth/
Country of Birth:
Citizenship/Nationality Citizenship: Indian
other than India?
Nationality: Indian
If yes, please indication all countries in which you are resident for tax purpose and the associated Tax ID number below:

Country of Tax
Residency# Tax
Identification
Number*
Identification Type

Country of Tax
Residency# Tax
Identification
Number*
Identification Type

#To include all countries other than India, where investor is Citizen/Resident/Green Card Holder/Tax Resident in those respective countries especially of USA, India & Canada.
*Incase tax identification number is not available, kindly provide its functional equivalent.
DECLARATION
1. I hereby declare that the details furnished in the account opening form 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/we are aware that i may be held liable for it
2. I confirm having read/being explained and understood the contents of the document on policy and procedure of the stock broker and the tariff sheet.
3. I further confirm having read and understood the contents of the Schedule of Charges, Rights and Obligations document, Risk Disclosure Documents, Policies and Procedures and Guidance Note. I do hereby agree to
be bound by such provisions as outlined in this documents. I have also been informed that the standard set of documents has been displayed on www.sbismart.com.
4. The rules and regulations of the Depository Participants pertaining to an account which are in force now have been read by me/us and I have understood the same and I agree to abide by and to be bound by the
rules are in force from time to time for such accounts. I/We acknowledge the receipt of copy of the document, “Rights and Obligation of the Beneficial Owner and Depository Participant”

TERMS AND CONDITIONS

a) The client will be charged brokerage, commission, fees, depository charges, delay payment charges, charges for short messaging alerts, mailing and courier charge for handling share in connection with
Dematerialisation / Rematerialisation, mailing physical statements and applicable statutory levies/taxes including GST, securities transaction tax, other taxes, and transaction expenses as they exist from time to
time. The charges are exclusive of applicable statutory levies/ taxes including GST and will be recovered in actual basis. There will be a charge of Rs.100/- for dishonour of any cheque or unsuccessful attempt to
recover payment through direct debit or ECS
b) SBICAP securities Ltd. (SSL) shall from time to time subject to Exchange/Depository provisions and restrictions imposed in this behalf by SEBI, determine and modify the amount of brokerage, charges, commission,
fees, and other charges plus applicable taxes payable per transaction by the client. Such changes will be intimated to the Client by ordinary post and published on the SSL website in writing and as mutual agreed
upon.
c) The depository/Broking services are liable to discontinuation if SSL is unable to recover charge from the customer for any reason whatsoever. In such cases there will be a charge Rs. 250/- for resumption of services
and the services will be resumed after a minimum of three working days from the date of receipt of request at Centralised Processing Cell of SSL at Mumbai.
d) Any service that is not indicated above will be charged separately as per the rates applicable from time to time. The client shall abide by the above terms and conditions and pay applicable charges as levied by SSL
to subscribe for any product/scheme(s). SSL reserves the right to revise the tariff structure from time to time, any change in tariff will be communicated to the BO with 30 days prior notice by email/ ordinary post/
courier. The said revised tariff will also be displayed on SSL website www.sbismart.com for BO’s information/communication. BO is requested to take note of applicable tariff displayed on the SSL’s website from
time to time.

FH01

Name: ANUP KUMAR MANJHI

Date:

7
Left Intentionally Blank

8
A. AUTHORITY FOR MAINTENANCE OF RUNNING ACCOUNT VOLUNTARY

I hereby authorize SBICAP Securities Limited (SSL) to maintain a running account instead of an account on ‘settlement to settlement basis’ for
payout of funds due to me unless specifically requested by me otherwise. All the funds kept to my credit by SSL may be treated as upfront
margins deposit, at SSL’s discretion, for allowing exposure to me. Under this arrangement I shall not claim any interest on the funds kept in the
running account with SSL.
I also declare that I have been duly informed, that I reserve the right to revoke the authorization by giving notice in writing to you, and also
understand that the revocation made by me shall not be applicable against the outstanding obligations across exchanges and that yo u shall
retain such funds expected to be required for meeting the obligations / margin obligations for next 5 trading days, as calculated in the manner
specified by the member/exchanges.
I Further authorise SSL to retain such amount of funds payable to me, not exceeding Rs. 10,000/- (Rupees ten thousand only) or such other
permissible amount as directed by regulatory authorities from time to time during any monthly/quarterly settlement of my account. I,further
agree that my account shall be deemed to have been settled as per SEBI/Exchange guidelines for respective quarter notwithstanding the said
retention by SSL.
I further agree and confirm that such periodic settlement of running account may not be necessary, either on a monthly or quarterly basis, if
i. I am availing margin trading facility as per SEBI circulars.
ii. I have provided funds received towards margins in the form of Bank Guarantee (BG)/ Fixed Deposit Receipts (FDR).Please note that I would
like the mandatory settlement of the funds (if applicable) as indicated below. (tick against your preference)
Monthly Basis Quarterly Basis
Note: : This authorization shall be valid if signed by the client only and not by any authorized person on his behalf or any holder of Power of
Attorney.

B. AUTHORITY FOR DIGITAL DOCUMENTS VOLUNTARY

I/ We hereby authorize SBICAP Securities Limited (SSL) and consent to send the documents / communications at my / our designated email
address, as mentioned in Account Opening Form instead of physical copies and the delivery of documents so made shall be effective and
deemed delivery to meet the requirement of providing the said information.
I agree to adhere with the terms and conditions laid down in Rights and Obligation Document (s) and same will be binding on me until revocation
of this authorisation. I also declare that I have been duly informed, that I reserve the right to revoke the authorization by giving notice in writing
to SSL.
I/ We undertake to inform you of any change in my email id in writing immediately.

C. CONSENT FORM FOR SHARING KYC DETAILS VOLUNTARY

I hereby authorize do not authorize (tick whichever applicable) SBICAP Securities Limited (SSL) for sharing of any of my information for
the purpose of operation of the trading & demat account or for marketing and offering of various products and services of SSL and / or any of the
product(s) of its group companies, subsidiaries and affiliates.
I hereby authorise SSL or its relevant group companies, subsidiaries and affiliates as the case may be to contact me through any mode including
making calls/sending SMS alerts on my registered mobile phone number or sending e-mails to my registered e-mail id for marketing related
information.
I hereby confirm that this declaration/consent shall supersede, substitute and replace any other consent/confirmation issued by me in this regard
previously and shall apply whether or not my registered mobile number has been registered on “Do not Call” registry.
Note: I hereby authorize SSL for above part A, B, C.

Date: FH09

9
Left Intentionally Blank

10
 DEBIT AUTHORISATION
Client Name : ANUP KUMAR MANJHI

Address : BALDIH JALALPUR SIWAN

SIWAN, SIWAN, BIHAR, 841233

To,

(Banker Name)

Reference: Saving /Current A/c 38147415940

:
Dear Sir,

Subject: Debit Authorisation

I/We entered into an understanding to open a beneficial owner’s account / Trading Account with SBICAP Securities Limited (SSL) for availing
Depository,Trading facilities and other services offered by SSL.
And for the purpose of providing seamless Depository and Trading facility by SSL, I / We have executed a Power of Attorney in favour of SSL
authorizing them to operate my/our Bank Account by way of putting a hold, marking of lien, blocking of funds and debiting my/our Bank Account
towards Account Opening Charges, Depository Services Charges as per Tariff sheet, trading loss, Mark to market loss, margin obligation(s) or any
other outstanding dues arising out of the trades executed by me/us on any of the stock exchanges through SSL, Delay Payment Charges,
subscription/investment amount in public offerings application/third party financial product and Other Charges applicable from the time to time as
mentioned in the table below or as will be intimated to me / us by SSL from time to time and payable by me/ us.
I/We, the undersigned, hereby authorize THE BANK to honour the instructions given by SSL to hold /mark a lien / transfer all or any funds from my /
our above mentioned account to SSL as may be requested for by SSL for the above mentioned charges/dues/subscription/ investment amount. I/We
confirm that any such requests and / or instructions given by SSL shall be completely binding on me / us.
I/ We undertake that I /we shall always maintain sufficient balances to enable SSL to recover / debit the aforesaid mentioned charges/dues/
subscription/investment amount from the account and I/we shall not act in any manner to impair the rights of SSL to recover the same.
Head Frequency
Account Opening Charges Once
Annual Maintenance Charges As Applicable
DP Charges Monthly
Other Products / Services As Applicable
Delay Payment Charges As Applicable
Trading loss/ Mark to market loss/ margin obligation(s) As Applicable
Any other outstanding dues As Applicable
Subscription/Investment amount As Applicable
Other charges As Applicable

Details of Account Holder(s) in Bank

FH10

First Holder Name ANUP KUMAR MANJHI

11
Left Intentionally Blank

12
 POWER OF ATTORNEY

Whereas I/We ANUP KUMAR MANJHI having

Residence / office at BALDIH JALALPUR SIWAN
SIWAN, SIWAN, BIHAR, 841233
have executed Account Opening Form alongwith Mandatory documents as prescribed by SEBI & Exchanges [Bombay Stock Exchange (BSE), National Stock
Exchange (NSE)] hereinafter called “THE DOCUMENTS” with SBICAP Securities Limited, a company registered under the Companies Act, 1956 having its
Registered and Corporate office at Marathon Futurex, Unit No.1201, 12th Floor, B Wing,Mafatlal Mill Compound, N.M. Joshi Marg, Lower Parel East, Mumbai
-400013 and Branch Office at 51, S. M. Arcade, 2nd Floor, Gayathri Nagar, 100 Feet Road, Mudaliarpet, Pondicherry - 605004, hereinafter referred to as “SSL”,
(which expression shall, unless repugnant to the context mean and include its successors) for availing their trading facilities to invest and / or trade in shares
and / or securities, make investments and enter into various transactions as mentioned in THE DOCUMENTS.
This involves operation of my / our accounts including BANK ACCOUNT maintained with STATE BANK OF INDIA
(hereinafter called as “THE BANK”) and DEMAT ACCOUNT maintained with Depository Participant SBI CAP SECURITIES LTD
. (hereinafter called as “DP”) as detailed in Schedule I and to facilitate trading
through my/our account with SSL, it is desirable for me / us (hereinafter collectively referred to as “the Joint Account Holders” as detailed in Schedule I) to give
certain authorizations / standing instructions in favour of THE BANK and DP so as to enable me / us to utilize the facility made available by SSL. Now therefore,
I/We, the undersigned, hereby authorize THE BANK and DP, acting through any of its officers or employees, to be my / our true lawful attorney and agent for the
following purposes:-
(a) to block, hold all or any of the funds and / or securities or to mark a lien either on the funds and / or the securities in my / our designated accounts (as
detailed in Schedule I hereunder which forms a part and parcel of this authorization) in favour of and for the benefit of SSL for the purpose of margin/
delivery obligation(s) for funds and securities arising out of the trades executed by me/us on any of the stock exchanges through SSL. SSL may also
debit/ transfer funds from my/our BANK ACCOUNT towards payment of amounts towards Account Opening Charges, Depository Transaction, Annual
Maintenance Charges and/or any fees/charges towards any SSL’s products and/or services availed by me/us from time to time and/or Other Charges
as may be intimated to me/us by SSL from time to time and payable by me/us in respect of the above mentioned DP and/or any other outstanding
amount due from me/us arising out of my/our trading activities on the stock exchanges, including the amounts towards aforesaid margin/delivery
obligation(s). I/We authorize and instruct THE BANK/DP not to release the abovesaid lien on funds and / or securities created in favour of SSL, until
instructed by SSL.
(b) without any further instructions from me / us and irrespective of any instructions given by me / us, to transfer all or any funds and / or securities from my /
our designated accounts (as detailed in Schedule I) or any other accounts that would be informed by me/us from time to time to the BANK ACCOUNTS
and/or DEMAT ACCOUNTS of SSL as may be requested for by SSL. For this purpose, THE BANK/DP may do and carry out all acts and deeds, as may
be necessary for transfer of such funds and / or securities to SSL. I/We confirm that requests and / or instructions given by SSL for transfer of such funds
and / or securities shall be completely binding on me / us.
(c) To do all the necessary things, acts and deeds in connection with the aforesaid purposes.
(d) THE BANK/DP shall not be liable for any loss that may result from failure / inability of electronic connectivity or otherwise. And I/ We hereby agree to
ratify all the acts, and things done by THE BANK/DP through any of its officers / employees pursuant to the powers herein above contained, which shall
be binding on me/us.
(e) Further, to facilitate proper execution of my /our obligations for:
i) purchase or redemption or sale of shares, securities , stocks, bonds, debentures, mutual fund units, units of any collective investment scheme; and
ii) applying for any offer or public issue of shares, securities, stocks, bonds, debentures, mutual fund units, units of any collective investment scheme;
any other financial instuments.
NOW KNOW YOU ALL AND THIS POWER OF ATTORNEY WITNESSTH that I/we do hereby nominate, appoint and constitute SSL
acting through any of its directors, officers and / or agents, as my / our true and lawful Constituted attorney (herein after referred to as the said Attorney) in my /
our name and on my / our behalf and at my / our risk and costs to do, exercise and perform all / any of the following acts, deeds and things:
1. To operate, block and/or debit the BANK ACCOUNT and the DEMAT ACCOUNT (as detailed in Schedule I ) in terms of the document executed for
transactions between me / us and SSL, done on the National Stock Exchange of India Limited ( NSE), the Bombay Stock Exchange Limited (BSE) or other
Stock Exchanges, in India or abroad, to meet all margin/delivery/fund/ securities obligations arising out of trades executed on behalf of me/us through SSL.
2. To give other instructions relating to the BANK ACCOUNT and the DEMAT ACCOUNT for any matter concerning the purpose including debiting the BANK and
DEMAT ACCOUNT for charges for account opening, transfer of funds and securities for meeting the settlement obligations/ margin requirements in relation to
the trades executed by me/us and for meeting obligations arising out of subscribing to various facilities / services/products offered by SSL and giving
instructions regarding the prioritizing of instructions received by the said BANK/DP with respect to the BANK & DEMAT ACCOUNT.
3. To credit the respective BANK ACCOUNT and the DEMAT ACCOUNT with monies and securities respectively due to me/us.
4. To issue instructions to debit my/our BANK & DP ACCOUNT, towards monies/ fees/ charges etc due to SSL and to discharge all funds & securities
obligations in this regards on my/our behalf by virtue of I/we using/subscribing to any of the facilities/services/products provided by SSL.
5. To make applications, issue instructions for creation of lien and/or charge on funds and or to create lien or pledge on the securities owned or bought by
me/us and or to re-pledge such securities to the clearing member / clearing corporation as the case may be for the limited purpose of meeting margin
requirements for the trades executed or to be executed by me/us through SSL.
6. To make applications for such investment products including but not limited to initial public offers, new fund offers, mutual funds, insurance policies, non
convertible debentures, etc. as may be instructed by me/us in terms of the DOCUMENT executed and to do all things necessary for and incidental to
availing such investment products on my/our behalf through SSL.

FH11

13
 WB305647

7. To execute indemnities and any other documentation and to fill in forms etc as and when required by THE BANK for any matter relating to the purpose or any
of the powers granted hereby.
8. To do all such acts, deeds and things as may be necessary for or incidental to the powers hereby and/or the above mentioned purpose including adjusting
balances/ amounts. (Note: Inter client adjustments are not allowed.)
9. To return to me/us securities or funds that may have been received by SSL erroneously or that it was not entitled to receive.
10.To send consolidated summary of my/our scrip-wise buy and sell positions taken with average rates by way of short messaging services or email on a daily
basis.
11.To retain all originals of documents executed by me/us or by the constituted attorney on my/our behalf;
12.I/We the joint holders (First, second third holders) of demat account hereby agree and confirm that we joint holders have ourself mapped our joint demat
account to the trading account held by the first holder of the demat account. Further, I/We the joint holders of demat account agree, ratify and confirm to bind
ourselves to any and every instruction given by the trading account holder/first holder of the demat account towards settlement of his trade/transaction
through this joint demat account.
And I/we hereby agree to confirm and ratify all acts, matters, things or deeds done by the said attorney (SSL) on my/our behalf in my/our name pursuant to the
powers and authority granted thereto as if the same were done by me/us;
And I/we hereby agree and confirm that any instructions issued by the said Attorney (SSL) in my/our name or on my/ our behalf to THE BANK/DP shall be
binding on THE BANK/DP as the case may be, who shall be fully entitled to act on the same.
This Power of Attorney and authorisation shall not be affected by lapse of time. It shall continue in full force and effect until the attorney shall receive intimation of
such revocation, or in the event of the termination thereof by my/our death until the attorney shall have received actual intimation thereof, and such revocation or
termination shall in no way affect the validity of this power of attorney, with reference to any transaction initiated by me/us or my/our attorney pursuance to this
power of attorney, prior to the actual receipt by the attorney of intimation of such revocation or termination, as above provided. The attorney shall not act on any
instructions received subsequent to the intimation of such revocation; however, such revocation shall not be applicable for any outstanding settlement obligation
arising out of the transaction carried out prior to receiving request for revocation of power of attorney.
In case of revocation of this power of attorney, SSL, may terminate the on-line trading facility, if any, offered to me/us and I/We undertake to pay all the charges,
expenses, etc. consequent to such termination.
The said Power of Attorney may be revoked at any time without notice.
IN WITNESS WHEREOF I /We have hereunto set and subscribed our respective hands at this Day of 20
.

List of SBICAP Securities Limited Bank & Demat Accounts where Funds & Securities can be moved / pledge.

DP Name DP ID BO ID Remarks DP Name DP ID BO ID Remarks

SBICAP Securities Ltd 12047200 000100383 BSE PAYIN POOL A/c SBICAP Securities Ltd 12047200 000100419 NSE POOL A/c
SBICAP Securities Ltd IN306114 10000045 BSE POOL A/c SBICAP Securities Ltd IN306114 10000037 NSE POOL A/c
SBICAP Securities Ltd IN306114 11924631 NSDL Margin Pledge A/c SBICAP Securities Ltd 11000011 00014437 NSE EPI Pool A/c
SBICAP Securities Ltd 12047200 19284653 CDSL Margin Pledge A/c SBICAP Securities Ltd 11000010 00017938 BSE POOL A/c
Bank Name Account No.
State Bank of India 30230175497

FH12
Witness of the Client Witness of the Client
Name Name
Address Address

I/We, hereby agree to exercise the powers conferred upon us in terms of the clauses mentioned herein above. For and on behalf of SBICAP Securities Ltd

Authorised Signatory
Witness to SBICAP Securities Ltd. Witness to SBICAP Securities Ltd.

Name Name

14
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E-mail:[email protected] | www.sbismart.com
Product Offerings:Equity | Derivatives | Mutal Funds | Fixed Income | Insurance | IPO

Registered & Corporate Office:-

Marathon Futurex, Unit No.1201, 12th Floor, B Wing, Mafatlal Mill Compound, N.M. Joshi Marg, Lower Parel East, Mumbai -400013
Tel: 91-22-4227 3300 • Fax: 91-22-4227 3331 • E-mail: [email protected] • www.sbismart.com
Compliance Officer:- Mr. Dhirendra Rautela • Phone: 022-42273301 • E-mail: [email protected]
Managing Director:-Mr. Naresh Yadav • Phone: 022-42273301 • E-mail: [email protected]

For any grievance/dispute please contact at the above addresses or

SSL at [email protected] or Call us: (022) 6854 5555
Customers can send in their DP related grievances to : [email protected]
In case not satisfi ed with the response please contact: NSE at [email protected] or on (022) 2659 81 90 / 1800 22 0058
BSE at [email protected] or on (022) 2272 80 97; MCX: [email protected] or on (022) 67318888
NCDEX: [email protected] or on (022) 66406789 | CDSL: [email protected] or Toll Free: 1800-22-5533
NSDL: [email protected] or on (022) 24994200 | SEBI: [email protected] or Toll Free:1800-266-7575
 FOR OFFICE USE ONLY

BRANCH CODE BRANCH NAME

ACCOUNT TYPE ONLINE OFFLINE

Only Trading Only Demat Trading & Demat

F&O ACTIVATION(PMLA) YES NO

STAFF YES NO
STAFF Member YES NO
REMARKS YES NO
IF ANY YES NO

IT SITE VERIFIED WATCHOUT INVESTORS VERIFIED

Name : Name :

Date : Date :

1st VERIFICATION 2nd VERIFICATION

ACCEPT REJECT ACCEPT REJECT
Name : Name :
Date : Date :

3rd VERIFICATION 4th VERIFICATION

ACCEPT REJECT ACCEPT REJECT
Name : Name :
Date : Date :

5th VERIFICATION 6th VERIFICATION

ACCEPT REJECT ACCEPT REJECT
Name : Name :
Date : Date :

TRADING DATA ENTRY DETAILS DP DATA ENTRY DETAILS

Name : Name :

Date : Date :

DP AUTHORIZATION DETAILS SPECIAL APPROVEL

Name : Name :

Date : Date :

If Rejcted return to
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Client Signature
Client photo