Scribd Logo
Upload

Welcome to Scribd!

  • 43 views

    Bseform - El10005385

    Uploaded by

    Nagaraju Zenmoney
    This document contains an investor registration form for Ashwini Hajare to open an account with BSE Star MF. It provides her personal details like name, DOB, address, bank account information, and nomination details. She is registering as an individual investor residing in Belgaum, Karnataka. The form requires her signature to confirm the provided information is true and that she agrees to the terms and conditions of KYC and communication preferences for transaction alerts and correspondence by email and SMS.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Bseform - El10005385

    Uploaded by

    Nagaraju Zenmoney
    43 views1 page
    This document contains an investor registration form for Ashwini Hajare to open an account with BSE Star MF. It provides her personal details like name, DOB, address, bank account information, and nomination details. She is registering as an individual investor residing in Belgaum, Karnataka. The form requires her signature to confirm the provided information is true and that she agrees to the terms and conditions of KYC and communication preferences for transaction alerts and correspondence by email and SMS.

    Original Description:

    BSE form for mutual funds

    Original Title

    BSEFORM - EL10005385

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains an investor registration form for Ashwini Hajare to open an account with BSE Star MF. It provides her personal details like name, DOB, address, bank account information, and nomination details. She is registering as an individual investor residing in Belgaum, Karnataka. The form requires her signature to confirm the provided information is true and that she agrees to the terms and conditions of KYC and communication preferences for transaction alerts and correspondence by email and SMS.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    43 views1 page

    Bseform - El10005385

    Uploaded by

    Nagaraju Zenmoney
    This document contains an investor registration form for Ashwini Hajare to open an account with BSE Star MF. It provides her personal details like name, DOB, address, bank account information, and nomination details. She is registering as an individual investor residing in Belgaum, Karnataka. The form requires her signature to confirm the provided information is true and that she agrees to the terms and conditions of KYC and communication preferences for transaction alerts and correspondence by email and SMS.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    UCC

    EL10005385 Investor Form


    Broker/Agent Code 0507 EUIN - E029149

    UnitHolder Information
    Name of the First Applicant : ASHWINI HAJARE
    PAN/Exempt No.: ADEPH5025K Date of Birth : 15-04-1984 Tax Status* : INDIVIDUAL
    Name of Guardian : PAN/Exempt No.:
    Contact Address : 3357 Kokare Galli,Near Prabhat Theater,Nipani
    City : Belgaum Pincode : 591237 State : KARNATAKA Country : India
    Tel.(Off) : Tel.(Res) : Email : [email protected]
    Fax.(Off) : Fax.(Res) : Mobile : 8886360202
    Mode of Holding : SINGLE Occupation : HOUSEWIFE DP ID :
    Name of Second Applicant : PAN/Exempt No.:
    Name of Third Applicant : PAN/Exempt No.:
    Other Details
    Overseas Address
    (If investor is NRI) :
    City : Pincode : Country :
    Bank Mandate Details
    Name of Bank : HDFC BANK Branch : HYDERABAD - SECUNDERABAD
    A/c No. : 00421050517162 A/c Type : SAVINGS IFSC Code : HDFC0000042
    Bank Address :
    City : Pincode : Country :
    Nomination Details
    Nominee Name 1 : Prashant Rajaram Hajare NOM1 DOB : NOM1 Relationship : Husband
    Gaurdian Name(If nominee 1 is minor) : NOM1 Guardian PAN :
    Nominee Address :
    City : Pincode : State :

    Declaration and Signature


    I/We confirm that the information provided by me/us is true and correct. I/We acknowledge that the responsibility of the information provided in the registration form solely rests with me/us and that BSE Star
    MF will not be responsible or liable for any loss, claim, liability that may arise on account of any incorrect and/or erroneous data/information provided by me/us. I/We hereby confirm that I/we will comply with the
    terms and conditions for Know Your Customer (KYC).
    I am aware that system generated User ID and password will be sent on the registered mail id. All correspondence/communication in respect of the transactions including the payment link for online fund transfer will
    be sent to the registered email address and SMS alerts will be sent to the registered mobile number provided at the time of registration on BSE Star MF. I/we also hereby confirm that the email id and the mobile
    no. provided at the time of registration by the distributor in the BSE Star MF is pertaining to me/us and all communication/correspondence/transactions related alerts shall be sent to same email id/mobile no.
    I/We confirm that for existing investments, I/we had gone through, understood the contents of the Scheme Information Document and Key Information Memorandum, addenda issued from time to time
    regarding each Mutual Fund Scheme, in which I/We had choosen to subscribe / redeem. I/We will also ensure that I/we shall go through, understand the contents of the Scheme Information Document and
    Key Information Memorandum, issued from time to time regarding each Mutual Fund Scheme, in which I/We will choose to subscribe to / redeem.

    Date : 26-03-2021 Place : Belgaum

    Signature Ist Applicant Signature 2nd Applicant Signature 3rd Applicant

    * Documents Required:
    Trust : Trust Deed and Authorised Signatory List
    Partnership Firm : Partnership Deed and Authorised Signatory List.
    Societies : Bye-Laws and Authorised Signatory List
    FII & LLP : Overseas Auditors Certificate,Authorised Signatory List ,Board Resolution/Authorisation to Invest
    Corporate : Board Resolution and Authorised signatory List
    Minor : Proof of Date of Birth
    For all investors, a Cancelled cheque should also be mandatorily submitted as proof of bank account.

    You might also like