Love Your Money

Conserve and Grow

your hard-earned money by investing in bonds

JOINING DOCKET

Online
Serial No:
UCC No: AAR897
Account Opening Date: 08-06-2024
INSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM
A. IMPORTANT POINTS:
1. Self- attested copy of PAN card is mandatory for all clients, including Promoters/Partners/Karta/Trustees and whole- t i m e directors and persons authorized to
deal in securities on behalf of company/firm/others.
2. 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.
3. If any proof of identity or address is in a foreign language, then translation into English is required.
4. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted.
5. If correspondence & permanent address are different, then proofs for both have to be submitted.
6. Sole proprietor must make the application in his individual name & capacity.
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.
8. For foreign entities, CIN is optional; and in the absence of DIN no. for the directors, their passport copy should be given.
9. In case of Merchant Navy NRI’s, Mariner’s declaration or certified copy of CDC (Continuous Discharge Certificate) is to be submitted.
10. 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.
11. 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:

1. Unique Identification Number (UID) (Aadhaar) / Passport / Voter ID card / Driving license.
2. PAN card with photograph.
3. 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.)

1. Passport / Voters Identity Card / Ration Card / Registered Lease or Sale Agreement of Residence / Driving License.
2. Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill - Not more than 3 months old.
3. Bank Account Statement / Passbook -- Not more than 3 months old.
4. Self-declaration by High Court and Supreme Court judges, giving the new address in respect of their own accounts.
5. 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.
6. 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.
7. 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.
8. The 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.)
1. 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.
2. Investors residing in the state of Sikkim.
3. UN entities / multilateral agencies exempt from paying taxes/filing tax returns in India.
4. SIP of Mutual Funds up to Rs 50,000/- p.a.
5. 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:

1. 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).
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 in the country where the client resides are permitted to attest the documents.

F. Additional documents as per the 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. - Not more than 3 months old.
For Individuals:
a. Stock broker has an option of doing 'in-person' verification through web camera at the office of the stock broker / Authorized Person's Office.
b. In 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.
 Most Important Terms and Conditions (MITC)
(For non-custodial settled trading accounts)

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

Signed by: TAPAS KUMAR SHAW

eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
✍ 1st HOLDER’S SIGNATURE ✍ 2ND HOLDER’S SIGNATURE ✍ 3RD HOLDER’S SIGNATURE
 1

INDEX OF DOCUMENTS
MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI AND EXCHANGE(S)

Sl No. Name of the Document Significance of the Document Page No.

A. KYC form - Document captures the basic

information about the constituent and
instruction / checklist.
1 Account Opening Form
4-8

B. Document captures the additional information

about the constituent relevant to Trading
account and an instruction / checklist.

Document detailing the rate/amount of

2 Tariff Sheet brokerage and other charges levied on the 9-10
client for trading on the stock exchange(s).

3 Policies and Procedures Document describing significant policies and

procedures of the stock broker.

Document stating the Rights and Obligations of

Stock Broker / Trading Member, Sub-Broker /
Authorized Person and client for trading on
4 Rights and Obligations exchange(s).
(Including additional rights and obligations in
case of internet / wireless technology-based
trading).

5 Risk Disclosure Document Document detailing risks associated with

(RDD) dealing in the securities market.

Document detailing dos and don’ts for trading

6 Guidance notes on exchange for the education of investors.
 2

MANDATORY DOCUMENTS FOR OPENING OF DEMAT ACCOUNT

Sl No. Name of the Document Significance of the Document Page No.

Document captures the additional information

1 Account Opening Form about the constituent relevant to Demat account 11-13
and an instruction / checklist.

Document detailing the rate / amount of

2 Tariff Sheet brokerage and other charges levied on the client 14
for DP Service charges / Fee Structure.

Client’s Self Declaration on holding of overseas

3 FATCA CRS Declaration assets, if any. 15

Document stating the Rights and Obligations of Separate

4 Policies and Procedures Beneficial Owners and Depository Participants. Copy for
Client
MANDATORY DOCUMENTS FOR OTC / RFQ

Sl No. Name of the Document Significance of the Document Page No.

1 KYC form for OTC / RFQ Basic KYC details of the Client 16-17

VOLUNTARY DOCUMENTS PROVIDED BY THE STOCK BROKER

Sl No. Name of the Document Significance of the Document Page No.

Letter of Authorization Letter of authorization for maintaining a

1 for Electronic Contract running account with Bondbazaar and Client 18
Notes and Authorization consent letter for receiving the contract note by
for Running Account email.

Separate
2 Voluntary Terms and Additional Terms and Conditions specific to Copy for
clients for the purpose of operational efficiency. Client
Conditions

3 Nomination Details and Collects detail of any nomination made for the 19-20
opt out facility accounts.

4 Client Acknowledgement Client’s acknowledgement that they have read 21-23

all the rules and regulations.
 3

Name of the Trading and Clearing Member: Bondbazaar Securities Private Limited (herein after
referred to as "Bondbazaar”)

Cash and Debt Segment: NSE, BSE: Bondbazaar Securities Private Limited
New Debt Segment - Reporting Settlement and Trading NDS-RST of BSE and CBRICS of NSE-
Bondbazaar Securities Private Limited

SEBI Registration Number and date: Bondbazaar Securities Private Limited Member of NSE and
BSE- INZ000303236 | 31 December, 2021 |NSE (Capital Market and Debt Segment): Trading
Membership No.90247 | NSE Clearing Member ID: M70039 |BSE: Trading Membership No. (Capital
Market and New Debt Segment): 6768 | BSE New Debt Segment ICCL Clearing Member ID: 6768 |
DP SEBI Registration Number and date: CDSL: IN-DP-700-2022 | 7th July, 2022

Bondbazaar's Registered Office: 204 - 205, Balarama Co-Op Housing Society Ltd. Bandra Kurla
Complex, Bandra East, Mumbai-400051
Phone: 022-35121163/64
Website: www.bondbazaar.com

Correspondence Address: 206, Balarama Co-Op Housing Society Ltd., Bandra Kurla Complex,Bandra
East, Mumbai-400051
Phone: 022-35121163/64
Website: www.bondbazaar.com

Compliance Officer:
Name: Mr Akshay Narkar
Contact No.: 022-35121163/64
Email id: [email protected]

Designated Director:
Name: Mr. Suresh Kumar Darak
Contact No.: 022-35121163/64
Email id: [email protected]

In case not satisfied with the response, please contact the concerned exchange at:
NSE: [email protected] or contact at 022-26598100
BSE: [email protected] or contact at 022-22728097
CDSL: [email protected] or contact at 1800 200 5533
For any grievance/dispute please contact BONDBAZAAR at the above address or email id:
[email protected] and phone +91 7400401010
"You may also lodge grievances with SEBI at http:/www.scores.gov.in. For any queries, feedback or
assistance, please contact SEBI office on Toll Free Helpline at 1800227575/18002667575"
 4

KNOW YOUR CLIENT (KYC) APPLICATION FORM - FOR INDIVIDUALS

Please fill this form in English and in BLOCK Letters
(Please tick the box on the left margin of the appropriate row where CHANGE/CORRECTION is
required and provide the details in the corresponding window)
For Office Use Only (To be filled by the financial Institution)
Application Type* □ ✔ New □ Update □ KYC Number* 20045668005157

A. IDENTITY DETAILS
□ 1. "Name (same as ID proof) TAPAS KUMAR SHAW
PHOTOGRAPH
2. Maiden Name (if any) Pease affix you
recent passport
□ 3. "Father's/Spouse's Name Sanjay Shaw size photograph
and sign across
4. Mother's Name SHAKUNTALA SHAW it. @ F1
□ 5. Gender ✔
□ Male □ Female □ Others
□ 6. Marital Status □
✔ Single □ Married □ Others 7. DOB D D M M Y Y Y Y
02-01-2005
□ 8. Citizenship ✔
□ Indian □ Others (ISO 3166 Country Code □□)
□ 9. Residential Status: ✔
□ Resident Individual □ Non Resident Indian
□ Person of Indian Origin □ Foreign National
Tick if applicable □ Residence for tax purposes in jurisdic on(s) outside India
ISO 3166 Country Code of Jurisdiction of residence Place of Birth
Tax Identification No or Equivalent ISO 3166 Country Code of Birth

10. PAN R Q N P S 6 6 0 6 G

11. Unique Identification No. (UID)/AADHAR x x x x x x x x 3 5 1 3

12. Proof of Identity submitted □

✔ Pan Card □ Other (Please Specify)

B. ADDRESS DETAILS

□ 1. *Contact Details

Telephone (Office)

Telephone (Residence)

*Mobile No 6 3 7 2 8 0 2 1 0 9 Email ID* [email protected]

 5

□ 2. *Residence/ Correspondence Address

Address Type “Residential “Business “Unspecified
Address NUASAHI,BALIA,Balia,Balia,Baleshwar,Odisha,756056

City/Town Baleshwar District Pin Code 7 5 6 0 5 6

State/U.T.Code Odisha Country/ISO Code + 9 1
Specify the Proof of Address Submitted for Residence / Correspondence
aadhaar
Address
□ 3. *Permanent Address
Address NUASAHI,BALIA,Balia,Balia,Baleshwar,Odisha,756056

City/Town Baleshwar District Pin Code 7 5 6 0 5 6

State/U.T.Code Odisha Country/ISO Code + 9 1
Specify the Proof of Address Submitted for Residence / Correspondence
aadhaar
Address
□ 4. Address in the jurisdiction details where applicant is resident outside India for Tax Purpose (if
applicable)
Address

City/Town District Pin Code

State/U.T.Code Country/ISO Code

C. 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 &
Bondbazaar through SMS/Email on the above registered number/email ClientKUMAR
Signed by: TAPAS Signature
SHAW
eSigned using Aadhaar (digio.in)
address. Date: 2024-06-08 20:30:30 IST

Date D D M M Y Y Y Y
08-06-2024

FOR OFFICE USE ONLY

In Person Verification (IPV) Details:
Name of the Person who has done the IPV:
Designation Employee ID.
Name of the Organization: Bondbazaar Securities Private Limited
Date of the IPV: D D M M Y Y Y Y

Signature of the Person who has done IPV Seal/Stamp of the intermediary

□ Originals Verified and Self-Attested Document Copies Received

08-06-2024
Date Signature of the Authorized Signatory
 6
D. DETAILS OF RELATED PERSON (in case of additional related persons, please fill below details)
□ Addi on of Related Person □ Deletion of Related Person
KYC Number of Related Person (if available)

Related Person Type □ Guardian or Minor □ Assignee □ Authorized Representative

Name
(If KYC Number and name are provided, below details are optional)
Proof of Identity of Related Person
Identity Proof Submitted Number

Expiry Date: D D M M Y Y Y Y

Others (Any document notified by the Central Govt.) Identification No

Simplified Measured Account - Document Type Code Identification No

CONTINUED ON NEXT PAGE

 7

E. TRADING ACCOUNT RELATED DETAILS

1. *Bank Account Details
Account Type: Savings ✔
□ Current □ Others □ | In Case of NRI Account: NRE □ NRO □
Bank Name UCO BANK
Branch Address GANESWARPUR INDL ESTATE
Account No. 12910110097434
MICR Code 0 0 0 U C O 0 0 0 IFSC Code U C B A 0 0 0 1 2 9 1

2. Other Details
*Gross Annual Income Details (please specify): Income Range per annum
Below Rs. 1 Lakh □ 1-5 Lakh □
✔ 5-10 Lakh □ 10-25 Lakh □ 25 Lakh to 1 Cr □ >1 Cr □
Or Net-worth as on (date) (Net worth should not be older than 1 year)

3. Occupation
Private Sector ✔
□ Public Sector □ Government Services □ Business □ Professional □ Agriculturist □
Retired □ House wife □ Student □ Self Employed □
Others (Please Specify):
Mode in which you wish to receive the RDD, Right and Obligations, and Guidance Note: Physical □
Electronic □
✔

Please tick if applicable: Politically Exposed Person (PEP) ✔

□
Related to politically Exposed Person (RPEP) □

4. 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 person in
charge of dealing in securities during the last 3 years

F. DEPOSITORY ACCOUNT DETAILS

Depository Name: NSDL □ CDSL □
✔
Depository Participant Name BONDBAZAAR SECURITIES PVT LTD
Beneficiary Name TAPAS KUMAR SHAW
Depository ID 12096100 Beneficiary ID 0 0 3 6 3 9 7 9

G. DEALINGS THROUGH OTHER STOCK BROKERS

Whether dealing with other stock broker / sub-broker (In case dealing with multiple stock brokers / sub-
brokers provide details of all)

Name of the stock broker Sub-broker if any

Client Code Exchange(s)
Website
Details of disputes/dues pending from/to such stock broker
 8

H. INTRODUCER DETAILS (Optional)

AP Code PAR04
Name of the Introducer WISHBANC TECHNOLOGIES PRIVATE LIMITED
Status of the Introducer - Sub-broker / Remiser / Authorized Person / Existing
Client
Address of the Introducer
Phone Number Signature (Optional)

I. TRADING PREFERENCE / EXPERIENCE

No Prior Experience □
Years in Equities Years in other investment Related Field
Please sign in the relevant boxes where you wish to trade. The segment not chosen should be struck off by the
client. *If, in future, the client wants to trade on any new segment, a separate authorization/letter should
be taken from the client by the broker.
Exchange Cash Segment Debt Segment
NSE eSigned using Aadhaar (digio.in) Client Signature
✍ ✍ Client Signature
Signed by: TAPAS KUMAR SHAW Signed by: TAPAS KUMAR SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST Date: 2024-06-08 20:30:30 IST

BSE ✍
Signed by: TAPAS KUMAR SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
Client Signature ✍
Signed by: TAPAS KUMAR SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
Client Signature

J. ADDITIONAL DETAILS
Whether you wish to receive (a) Physical Contract Note □ (b) Electronic Contract Note □
✔
(I) Whether you wish to avail the facility of internet trading/wireless technology/mobile
trading

K. NOMINATION DETAIL (Please tick the appropriate options)

Yes □✔ No □
✔ I/We do wish to nominate (Fill Annexure 1A)
□
□ I/We do not wish to nominate (Fill Annexure 1B)
L. DECLARATION
1. I/we hereby declare that the details furnished above are true and correct to the best of my knowledge
and belief and I/we undertake to inform you of any changes therein, immediately. In case of the above
information is found to be false or untrue or misleading or misrepresenting, am/are aware that I/we may
be held liable for it.
2. I/we confirm having read/been explained and understood the contents of the document on policy and
procedures of the stock broker and the tariff sheet.
3. I/we further confirm having read, and understood the content of 'Rights and Obligations' document(s)
and 'Risk Disclosure Document'. I/we do hereby agree to be bound by such provisions as outlined in these
documents. I/we have also been informed that the standard set of the documents has been displayed
for information on stock broker's designated website, if any.
Client Name: TAPAS KUMAR SHAW
Place: Sundargarh,India,Odisha

Signed
✍ by: TAPAS KUMAR SHAW
Client Signature
eSigned using Aadhaar (digio.in)
Date: D DMM Y Y Y Y
08-06-2024 Date: 2024-06-08 20:30:30 IST
*Bondbazaar may carry out proprietary trades in addition to cliental trades.
 9

TARIFF SHEET-TRADING ACCOUNT

To
Bondbazaar Securities Private Limited
204 - 205, Balarama Co-Op Housing Society Ltd.,
Bandra Kurla Complex, Bandra East.
Mumbai-400051.

Charges for Bond bazaar Trading Services

I/We agree to pay the charges as per following charge structure for our trading account with Bond bazaar
effective 08-06-2024 Client ID: AAR897
Charge Head Brokerage / Charges (Per Trade)

Exchange
Intraday Trading 0
Delivery 0
Call and Trade Services 0
OTC / RFQ

Delivery
0

Intraday Trading 0
Reporting Charges 0
Trade Reporting Charges 0
Settlement Failure Charges 1500.00 Per transaction
Disclaimer: For Delivery based trades, minimum of R. 0.01 will be charged per contract note.
Clients who opt to receive physical contract notes will be charged .100.00 per contract note including courier
charges.

In addition to the brokerage charge the following charges will also be levied.
Schedule of Charges for NSE BSE and NDS-RST, CBRICS:

1. Exchange Transaction Charges | 2. Clearing Charges | 3. Securities Transactions Tax | 4. Goods and
Services Tax
| 5. SEBI Turnover fees (Inclusive of GST) | 6. Stamp Duty: State-wise stamp duty as applicable |
7. Any other statutory/ regulatory charges as maybe applicable, will be levied.

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. The above
tariff is subject to change. Changes if any will be intimated 30 days in advance.
Charges for other value-added services will be applicable at the time of availing such service, upon your
consent. Signed by: TAPAS KUMAR SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST

CLIENT SIGNATURE
 10

FOR OFFICE USE ONLY

UCC allotted to the client

AAR897

Documents Verified with Client Interviewed By In-person Verification

Originals Done by
Name of the Employee

Employee Code

Designation of Employee
Date
Signature

I/We undertake that we have made the client aware of the 'Policy and Procedures, tariff sheet, and all the
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 non-mandatory documents would be duly
intimated to the clients and, 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.

SIGNATURE OF THE AUTHORISED SIGNATORY

08-06-2024
DATE
 BONDBAZAAR SECURITIES PRIVATE LIMITED 11
Registered Office: 204 - 205, Balarama Co-Op Housing Society Ltd, Bandra
Kurla Complex, Bandra East, Mumbai 400051
ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT FOR INDIVIDUALS
(To be filled by the Depository Participant)
Application No. Date 08-06-2024 DP Internal Ref. No.
DP ID 12096100 Exchange NSE/BSE UCC AAR897 Client ID 00363979
(To be filled by the applicant in BLOCK LETTERS in English)
I/We request you to open a demat account in my/our name as per following details:
A. HOLDER DETAILS
Sole/First Holder's Name TAPAS KUMAR SHAW
PAN R Q N P S 6 6 0 6 G DOB 02-01-2005
D D MM Y Y Y Y UID
Second Holder's Name
PAN DOB D D MM Y Y Y Y UID
Third Holder's Name
PAN DOB D D MM Y Y Y Y UID
* In case of Firms, Association of Person (AOP), Partnership Firm, Unregistered Trust, etc., although the account is
opened in the name of the natural persons, the name of the Firm, Association of Persons (AOP), Partnership
Firm, Unregistered Trust, etc., should be mentioned above.
B. MODE OF OPERATION
FOR EXECUTION OF TRANSACTIONS (Transfer, Pledge, Freeze)
❑ Jointly ❑ Anyone of the Holder
Consent for Communication to be received by first account holder/ all Account holder: (Tick the
applicable box. If not marked the default option would be first holder.)
❑ First Holder ❑ All Holder Email
❑ Second Holder
❑ Third Holder
C. ADDRESS DETAILS
□ 1. *Contact Details
Telephone (Office)
Telephone (Residence)
*Mobile No 6 3 7 2 8 0 2 1 0 9 Email ID* [email protected]
□ 2. *Residence /Correspondence Address
Address Type ✔
□ Residential □ Business □ Unspecified

Address NUASAHI,BALIA,Balia,Balia,Baleshwar,Odisha,756056

City/Town Baleshwar District Pin Code 7 5 6 0 5 6

State/U.T.Code Odisha Country/ISO Code
Specify the Proof of Address Submitted for Residence /
aadhaar
Correspondence Address
□ 3. *Permanent Address
Address NUASAHI,BALIA,Balia,Balia,Baleshwar,Odisha,756056

City/Town Baleshwar District Pin Code 7 5 6 0 5 6

State/U.T.Code Odisha Country/ISO Code
Specify the Proof of Address Submitted for Permanent Residence aadhaar
 12

D. TYPE OF ACCOUNT (Please tick whichever is applicable)

Status Sub-status
✔ Individual
□ ✔ Individual Resident
□ □ Individual Director
□ Individual Director's Relative □ Individual HUF / AOP
□ Individual Promoter □ Minor
□ Individual Margin Trading A/c □ Others (Specify)
(MANTRA)
□ NRI □ NRI Repatriable □ NRI Non-Repatriable
□ NRI Repatriable Partner □ NRI Non-Repatriable Promoter
□ NRI - Depository Receipts □ Others (Specify)
□ Foreign National □ Foreign National □ Foreign National - Depository Receipts
□ Others (Specify)

E. DETAILS OF GUARDIAN (In case the account holder is minor)

Guardian's Name PAN
Relationship with the Applicant
I / We instruct the DP to receive each and every credit in my / our account [Auto Credit] □
✔ Yes □
No (If not marked, the default option would be 'yes')

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. (If not marked, the default option
would be 'No') □ Yes □ ✔ No

Account Statement Requirement: ✔

□ As per SEBI Regulation □ Daily □ Weekly □ Monthly □ Fortnightly

I / We request you to send electronic transaction-cum-holding statement at following □

✔ Yes □ No
*Email ID [email protected] *Mobile No. 6372802109
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 (Tick the applicable box. If not marked, the default option will be 'Physical')

I/We would wish to avail the following facility.

Basic Service Demat Account Facility (BSDA) □ Yes □
✔ No

F. NOMINATION DETAILS (Please tick appropriate choices from options)

✔ I / We do wish to nominate (Fill Annexure-A)

□
□ I / We do not wish to nominate (Fill Annexure-1B)

I / We wish to receive dividend/interest directly in to my bank account as given below through ECS
□
✔ Yes □ No
(If not marked, the default option would be 'yes') [ECS is mandatory for locations notified by SEBI from time to time]
 13

G. BANK DETAILS (Dividend bank details)

Account Type: Saving ✔ □ Current □ Others (specify) □
Bank Code (9-digit MICR Code) 0 0 0 U C O 0 0 0
IFSC Code (11 Character) U C B A 0 0 0 1 2 9 1
Account No. 12910110097434
Bank Name UCO BANK
Branch Name
Branch Address GANESWARPUR INDL ESTATE
City BALASORE State ORISSA
Country INDIA Pin Code 7 5 6 0 1 9
a. Photocopy of the cancelled cheque having the name of the account holder where the cheque book is
issued, (or)
b. Photocopy of Bank Statement having name and address of the BO
c. Photocopy of the pass book having name and address of the BO, or (iv) Letter from Bank.
* In case of options (ii), (iii) and (iv) above, MICR code of the branch should be present/mentioned on the
document.
H. OTHER DETAILS
* Gross Annual Income Details (please specify): Income Range Per Annum
Below Rs 1 Lakh □ 1-5 Lakh ✔
□ 5-10 Lakh □ 10-25 Lakh □ >25 Lakhs □ >1 Crore □
Or Net-worth as on (date) (Net worth should not be older than 1 year)
Occupation: Private Sector
Please tick if applicable: Politically Exposed Person (PEP) ✔ □
Related to Politically Exposed Person (RPEP) □
Any other information:
SMS Alert Facility Mobile No. +91 6372802109
Refer to Terms
and Conditions [Mandatory, if you are giving Power of Attorney (POA)] (If POA is not granted
given in Annexure & you do not wish to avail of this facility, cancel this option)
- 2.4

Transactions I wish to avail TRUST facility using the Mobile Number registered for
using Secured SMS Alert Facility. I have read and understood the Terms and Conditions
Texting Facility prescribed by CDSL for the same.
(TRUST). Refer I/We wish to register the following clearing member IDs under
to Terms and my/our below mentioned BO ID registered for TRUST. □
✔ Yes □ No
Conditions
given in Stock Exchange Name/ID Clearing Member Name Clearing Member ID
Annexure - 2.6 (Optional)

To register for easiest, please visit our website www.cdslindia.com.

Easiest allows a BO to view ISIN balances, transactions and value of the
Portfolio online.
st
1 HOLDER’S SIGNATURE 2nd HOLDER’S SIGNATURE 3rd HOLDER’S SIGNATURE
✍ ✍ ✍
Signed by: TAPAS KUMAR SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
 14

TARIFF SHEET – DP ACCOUNT

To Bondbazaar Securities Private Limited
204 - 205, Balarama Co-Op Housing Society Ltd.,
Bandra Kurla Complex, Bandra East.Mumbai-400051.
Charges for Bondbazaar Trading Services
I/We agree to pay the charges as per following charge structure for our Demat account with Bondbazaar effective 08-06-2024
Client ID: 00363979

Schedule-A Tariff Sheet

Details Charges
Demat Account Opening Charges 0

Stamp charges payable upfront 0

Annual Maintenance Charges

a) Individuals 0
b) Non- Individual 500.00 500.00 p.a.

Transaction Charges (Market Trades) - Charges Per Trade

Buy (Receive) 0
Sell (Debit) 5.50
Transaction Charges (Off Market Trades)
Buy (Receive) 0
Sell (Debit) 5.50
Demat (As per Certificate) 0
Remat (As per Certificate) 25.00 per certificate
Courier Charges per Demat/Remat/Demat Rejection/CMR 100.00
Margin Pledge / Unpledge 25.00
Pledge Invocation
25.00
Periodic Statement
By Email 0
including courier
Physical 100.00
Adhoc / Non-Periodic Statement
By Email 0
Physical 100.00 including courier

Delivery Instruction
First Delivery Instruction Book (10 Leaves) 0
Every Additional Booklet (10 leaves)
100.00
Failed transaction 50.00
Modification in CML 25.00

KRA Upload / Download 0

NOTE: For all purposes the bill date shall be construed as the date demand and the bills will be considered as the bill cum notice for payment and Bondbazaar Securities Private Limited reserves the right to freeze
depository account for debit transaction in case of nonpayment of charges after two days from the bill date. Charges quoted above are for the services listed only and any service not forming part of the above list shall
be charged separately upon intimation and approval. The above tariff is subject to change. Changes if any will be intimated 30 days in advance. Annual Maintenance Charges (AMC) is nonrefundable. GST is applicable on
all above charges except stamp charges.

I/We understand that any instruction provided by me to Bondbazaar to transfer securities from my account shall be rejected by Bondbazaar, if there is any debit balance or any update amounts due as per this tariff
sheet to Bondbazaar

✍ 1st HOLDER’S SIGNATURE ✍ 2ND HOLDER’S SIGNATURE ✍ 3RD HOLDER’S SIGNATURE

Signed by: TAPAS KUMAR SHAW

eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
 15

A. FATCA
A. FAT//CA
FATCA CRS
C R /S DECLARATION DE/CLARA
CRSDECLARATION SELF /CERTIFICATION
TION FOR/INDIVIDUAL
S ELF CERTIFICATION SELF CER TIFCFO
R
A
Please fill the information below as requested FIRST ACCOUNT HOLDER SECOND ACCOUNT HOLDER THIRD ACCOUNT HOLDER

Name of the Account Holder TAPAS KUMAR SHAW

Indicate ( ) your Tax Residency /

✔ India U.S.A Others India U.S.A Others India U.S.A Others
Citizenship / Nationality

If ticked on "Others" and/or "U.S.A", please provide all details as required below:

Specify City and Country of Birth

Specify Country(ies) of Tax Residency/
Citizenship / Nationality /
Green card holder, other than India

Tax Identification Number (for

U.S.A.) or its functional equivalent
(other than U.S.A.)

Source of Wealth
Salary Business Salary Business Salary Business
Gift Rental Income Gift Rental Income Gift Rental Income

Royalty Ancestral Royalty Ancestral Property Royalty Ancestral Property

Prize Money Property Others Prize Money Others Prize Money Others

B. DECLARATION
DECLARATION
I / We hereby declare, agree and confirm the following:
a) The details furnished above are true to the best of my knowledge and belief and shall undertake to inform Bondbazaar Securities Private Limited
within 30 days, in case of any change in the above given status on a future date;
b) If I /we am/are U.S. person or tax resident of a reportable foreign jurisdiction (other than U.S.), my account details, would be reported by
Bondbazaar Securities Private Limited to the relevant tax authority or information may be shared with concerned Asset Management Companies
(AMCs) or to any of the Government Agencies / Tax authorities / Regulators / Exchanges / Depositories of India or of any country other than
India;

Signed by: TAPAS KUMAR SHAW

✍ CLIENT
eSigned SIGNATURE
using Aadhaar (digio.in) ✍ CLIENT SIGNATURE ✍ CLIENT SIGNATURE
Date: 2024-06-08 20:30:30 IST

What is FATCA / CRS?

The U.S. government introduced the Foreign Account Tax Compliance Act, 2010 (FATCA) for obtaining information on accounts held by U.S. taxpayers in
other countries. Further, Organization for Economic Co-operation & Development (OECD) and G20 countries agreed for automatic exchange on information
through Common Reporting Standards (CRS). The Government of India has signed an Inter-Government Agreement (IGA) with US and has also joined
the Multilateral Competent Authority agreement (MCAA) for automatic sharing of information with member countries of OECD and G20. By virtue of
India signing an IGA with US and joining MCAA, Indian financial institutions will have to provide the required financial information to Indian tax
authorities which in turn would forward reportable information to US IRS and member countries of OECD and G20 countries. US Person means: In
case of individuals, U.S. person means a citizen or resident of the United States. Persons who would qualify as U.S. persons could be born in United States,
born outside the United States of a US parent, Naturalized citizens, Green Card Holders, tax residents. Who is Reportable Person (Non US) under Common
Reportable Standards (CRS)? Under Common Reportable Standards (CRS), reportable person means Tax residents of a reportable foreign jurisdiction other
than U.S. (Please note the above information is provided only for quick reference to customers. You are requested to consult a legal/ tax advisor if in doubt.)
Documents to be collected if Customer's Country of birth is U.S. but declare that he/ she are not a U.S. person

1. Certificate of relinquishment of citizenship (Loss of nationality certificate); OR

2. Self-certification for stating reasons for not having such a certificate despite relinquishment U.S. citizenship; OR
3. Self-certification for stating reasons for not obtaining U.S. citizenship at birth.
 16

KNOW YOUR CLIENT (KYC) APPLICATION FORM - FOR INDIVIDUALS (OTC/RFQ)

Please fill this form in English and in BLOCK Letters
(Please tick the box on the left margin of the appropriate row where CHANGE/CORRECTION is required and provide the details in
the corresponding window)

A.A.IDENTITY
IDENTITYDETAILS
DETAILS

□ 1. *Name (same as ID proof) TAPAS KUMAR SHAW

□ 2. *Father's / Spouse's Name Sanjay Shaw
□ 3. *Mother's Name SHAKUNTALA SHAW
□ 4. Gender ✔
□ Male □ Female □ Others
□ 5. DOB D D M M Y Y Y Y
02-01-2005 □ 6. UCC Number AAR897

□ 7. Citizenship □
✔ Indian □ Others (ISO 3166 Country Code □□)
□ 8. Residential Status □
✔ Resident Individual □ Non-Resident Indian
□ Person of Indian Origin □ Foreign National
9. PAN R Q N P S 6 6 0 6 G

10. Unique Identification No. (UID) / AADHAR x x x x x x x x 3 5 1 3

11. Proof of Identity submitted □

✔ Pan Card □ Other (Please Specify)

B. ADDRESS DETAILS

12. Marital Status: □

✔ Single □ Married □ Others

1. *Contact Details
Telephone (Office)
Telephone (Residence)
*Mobile No 6 3 7 2 8 0 2 1 0 9 *Email ID [email protected]

□ 2. *Residence / Correspondence Address

Address Type ✔
□ Residential □ Business □ Unspecified
Address NUASAHI,BALIA,Balia,Balia,Baleshwar,Odisha,756056

City/Town Baleshwar District Pin Code

756056
State/U.T.Code Odisha Country/ISO Code + 9 1
Specify the Proof of Address Submitted for Residence / Correspondence Address aadhaar
 17

□ 3. *Permanent Address
Address NUASAHI,BALIA,Balia,Balia,Baleshwar,Odisha,756056

City/Town Baleshwar District Pin Code 756056

State/U.T.Code Odisha Country/ISO Code + 9 1
Specify the Proof of Address Submitted for Permanent Residence aadhaar

C. BANK ACCOUNT DETAILS

1. *Bank Account Details

Account Type: Savings ✔□ Current □ Others □ | In Case of NRI Account: NRE □ NRO □
Bank Name UCO BANK
Branch Address GANESWARPUR INDL ESTATE
Account No. 12910110097434
MICR Code 0 0 0 U C O 0 0 0 IFSC Code UCBA 0 0 0 1 2 9 1

D. DEPOSITORY ACCOUNTS(S) DETAILS (In case of linking existing demat A/C.)

Depository Name NSDL □ CDSL □

✔
Depository Participant Name BONDBAZAAR SECURITIES PVT LTD
Beneficiary Name TAPAS KUMAR SHAW
Depository ID 12096100 Beneficiary ID 0 0 3 6 3 9 7 9

E. ADDITIONAL DETAILS

(I) Whether you wish to receive (a) Physical Contract Note □ (b) Electronic Contract Note □
✔
(II) Whether you wish to avail the facility of internet trading/wireless technology/mobile trading
Yes □
✔ No □

NOTE:
*Bondbazaar may carry out proprietory trades in addition to cliental trades.
*The trades will be reported to NDS-RST / CBRICS.

F. DECLARATION
I hereby give consent to Bondbazaar Securities Pvt. Ltd. to submit / report my trades and confirmations, as
applicable to RFQ / Reporting platforms on my behalf from time to time.

TAPAS KUMAR SHAW

Client Name:

✍ Client's
Signed Signature
by: TAPAS KUMAR SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST

DATE D D M M Y Y
08-06-2024 Y Y
 18

LETTER OF AUTHORISATION FOR ELECTRONIC CONTRACT NOTES & AUTHORISATION FOR RUNNING ACCOUNT
To,

BONDBAZAAR SECURITIES PRIVATE LIMITED,

204 - 205, Balarama Co-Op Housing Society Ltd., Bandra Kurla Complex, Bandra East, Mumbai -400051
SUB: Authorization for Electronic Contract Notes & Authorization for Running Account
I have been/shall be dealing through you as my broker on the Capital Market & Debt Market segments. As my broker i.e. agent I direct and authorize you to
carry out trading/dealings on my behalf as per instructions given below.

I understand that I have an option to receive the contract notes in physical form or electronic form. In pursuance of the same, I hereby opt to receive contract
notes in electronic form. I understand that for the above purpose, you are required to take from the client "an appropriate email account" for you to send the
electronic contract notes. Accordingly, please take the following email account /email id on your record for sending the contract notes to me:

*EMAIL ADDRESS: [email protected]

1. I also agree that non-receipt of bounced mail notification by you shall amount to delivery at my email account/email id.

2. I agree not to hold you responsible for late/non-receipt of contract notes sent in electronic form and any other communication for any
reason including but not limited to failure of email services, loss of connectivity, email in transit etc.

3. I agree that the log reports of your dispatching software shall be a proof of dispatch of contract notes to me and such dispatch shall
be deemed to mean receipt by me and shall not be disputed by me on account of any non-receipt/delayed receipt for any reason
whatsoever.

4. I understand that I am required to intimate any change in the email id/email account mentioned herein above needs to be
communicated by me through a physical letter to you, provided however that if I am an internet client then in that event the request
for change in email id/email account can be made by me through a secured access using client specific user id and password. Please
treat this authorization as written ratification of my verbal directions/authorizations given and carried out by you earlier. I shall be
liable for all losses, damages and actions which may arise as a consequence of your adhering to and carrying out my directions given
above.

5. I understand that, you shall send physical copy of the contract note within 24 hours if you received a bounced email.

6. I am a registered client with you, and am dealing in Capital market & Debt Market segments and have a Bondbazaar Securities Pvt. Ltd.
client code as mentioned herein AAR897 .

7. I am aware that payout/dividend received/ credited from the exchange(s) against settlement of transaction as per settlement cycle is
available within 1 working day of the payout from the Exchange. It is difficult for me to make available the required funds of every pay-
in of funds obligation/ margin obligation, hence I request you to maintain my account on a running basis and retain the payout received/
credit balance in my account for my future obligation/ margin obligation or other liabilities unless I instruct otherwise.

8. I hereby further authorize you to debit/ credit/ transfer the amounts between the various segments either on the same Exchange and/
or Exchanges to meet my/our obligation or various dues payable to you/ Exchange(s).

9. If payment of funds is required, I shall request you in writing or through the web option for funds withdrawal on the web login. Further
it may be noted that if required I may revoke this authorization at any time after giving a request in writing.

10. This running account authorization would continue until it is revoked by me. The actual settlement of funds shall be done at least once
□ QUARTERLY □ MONTHLY
in the preference period selected below: ✔

11. While settling the account having outstanding obligations on the settlement date, you may retain the requisite funds towards such
obligations and may also retain the funds expected to be required to meet margin obligations for next 5 trading days, calculated in the
manner specified by the exchanges. You may further retain sum of Rs. 10,0000/.

12. I shall bring any dispute arising from the statement of account or settlement so made to your notice within 30 working days from the
date of receipt of funds or statement, as the case may be else it will be final.
Yours faithfully,

Client Name: TAPAS KUMAR SHAW

✍ by: TAPAS
Signed Client'sKUMAR
Signature
SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST

DATE 08-06-2024
D D M M Y Y Y Y
 19

Date 08-06-2024
D D M M Y Y Y Y

NOMINATION DETAILS -ANNEXURE 1 A

I/We wish to make a nomination and do hereby nominate the following person(s) who shall receive all the assets held
in my/our account in the event of my/our death.

Name TAPAS KUMAR SHAW UCC AAR897 Demat ID 1209610000363979

NOMINATIONDETAILS
NOMINATION DETAILS

Up to 3 nominations can be Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
made
Name of the nominee(s) Sanjay shaw
Share □ Distribute 100.00%
of each equally
[If not equally shared,
Any odd lot after division shall be transferred to the first nominee mentioned
nominee
please specify
in the form.
percentage] PAN PAN PAN

Relationship with the Applicant

Father
(If any)
Address of nominee(s) NUASAHI,BALIA,Balia,Balia,
Baleshwar,Odisha,756056
Odisha 756056

Mobile/Telephone no. of
nominee(s)
Email ID of nominee(s)
Proof of identity submitted
PAN
Fill below details only If the nominee is a minor

Date of birth
Name of the guardian(s)
PAN

Address of guardian(s)

Mobile/Telephone no. of
guardian(s)
Email ID of guardian(s)
Relationship of guardian with
nominee
Proof of identity submitted

✍ by: TAPAS KUMAR

Signed First Sole
SHAWHolder or ✍ Second Holder ✍ Third Holder
eSigned using Aadhaar
Guardian(digio.in)
(in case of minor)
Date: 2024-06-08 20:30:30 IST
Please Note:
• This nomination shall supersede any prior nomination made by the account holder{s), if any.
• The Trading Member/ Depository Participant shall provide acknowledgment of the nomination form to the account holder(s).
 20

DECLARATION FORM FOR OPTING OUT OF NOMINATION (ANNEXURE 1 B)

Date: D D M M Y Y Y Y

To,
Bondbazaar Securities Private Limited, 204 - 205,
Balarama Co-Op Housing Society Ltd.,
Bandra Kurla Complex, Bandra East, Mumbai- 400051.

DP ID Client ID

First Holder Name

Second Holder Name
Third Holder Name

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

First Sole Holder

✍ F1 or Guardian ✍ F3 Second Holder ✍ F3 Third Holder
(in case of Minor)

Note:
You can add a nominee to your

Note:
You can add a nominee to your account online on www.bondbazaar.com after account is opened.
 21

TO,
BONDBAZAAR SECURITIES PRIVATE LIMITED
204 - 205, Balarama Co-Op Housing Society Ltd, Bandra Kurla Complex, Bandra East, Mumbai -400051

SUB: ACKNOWLEDGEMENT
This is to acknowledge the receipt of following documents. I further state and confirm that I have read and
understood all the clauses of aforesaid documents.

Sl No. Significance of the Document

1 Duly Executed Copy of KYC Forms
2 Rights and Obligations
3 Risk Disclosure document (RDD) for Capital and Debt Market Segments
4 Guidance Note - Dos and Don’ts for trading on the Exchange(s)
5 Bondbazaar Tariff Sheet
6 Policies and Procedures Document pursuant to the SEBI circular dated December 03, 2009
7 General Terms & Conditions governing securities trading and broking services of Bondbazaar
8 Running account authorization, Mobile declaration & Client defaulter declaration

I also confirm that I have received the relevant clarifications, if any, wherever required from the officials of
Bondbazaar.
Yours faithfully,

TAPAS KUMAR SHAW

Client Name

Signed by: TAPAS KUMAR SHAW

eSigned✍ Client's
using Signature
Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST

DATE 08-06-2024
D D M M Y Y Y Y
 22

Date: D D M M
08-06-2024 Y Y Y Y
To,
Bondbazaar Securities Pvt. Ltd.
204 - 205, Balarama Co-Op Housing Society Ltd, Bandra Kurla Complex, Bandra East, Mumbai -400051.

Dear Sir,
Sub : Requesting for bill/transaction/holding statement through email.

I/We request you to send me/us bill, transaction and holding statement of my CDSL Demat account no.
1209610000363979 at following email address:
[email protected]
I/We fully agree and are aware of following Terms and Conditions mentioned below.

(a) that I/We will not receive the bill, transaction and holding statements in paper form.
(b) that I/We will take all the necessary steps to ensure confidentiality and secrecy of the login name and password of
the internet/email account.

(c) that I/We am/are aware that the bill, transaction and holding statements may be accessed by other entities in case the
confidentiality /secrecy of the login name and password is compromised.
(d) that I/We in case bill, transaction and holding statements are sent by email, I/We will immediately inform the Bondbazaar.
about change in email address, if any.
In case, the Bondbazaar is not able to provide bill/transaction statement to its Clients by email or on website due to any reason
(including bounced emails), Bondbazaar Pvt. Ltd. will ensure that the transaction statement is provided to me/us in paper form as
per the time schedule stipulated in the Bye Laws & Business Rules of CDSL.
I/We hereby request you to send the statements:
Daily □ Fortnightly □ Weekly □ Monthly ✔ Yours
faithfully,

Signed by: First/Sole

TAPAS KUMARHolder
SHAW or Guardian
(in case
eSigned using of Minor)
Aadhaar (digio.in) Second Holder Third Holder
Date: 2024-06-08 20:30:30 IST

e-DIS Facility and Declaration

I, the sole holder, or we, the Joint Holders confirm that we would like to designate the First Demat Account Holder (who is a
Resident Indian Individual) of our account to receive the CDSL TPIN (or any such other similar PIN as required by any or all
Depositories to transact as per the e-DIS facility offered by such Depository) on his/her mobile/email address for execution/
permission of all such transactions & ancillary facilities to be availed via such mechanism from any or all Depositories.
I/We have received and read the Rights and Obligations documents and terms & conditions and agree to abide by and be bound
by the same and the Bye Laws as are in force from time to time. I/We declare that the particulars given by me/us above are true
to the best of my/our knowledge as on the date of making this application.
I/We agree and undertake to intimate the DP of 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
Signed by: TAPAS KUMAR SHAW
or Guardian
eSigned using Aadhaar (digio.in)
(in case
Date: 2024-06-08 of Minor)
20:30:30 IST Second Holder Third Holder

Sign wherever you see

 23

Annexure E

Option form for issue of DIS booklet Voluntary

Date : 08-06-2024
D D M M Y Y Y Y

DP ID 1 2 0 9 6 1 0 0 Client ID 00363979
First Holder Name TAPAS KUMAR SHAW
Second Holder Name
Third Holder Name

To,
Bondbazaar Securities Pvt. Ltd.
204 - 205, Balarama Co-Op Housing Society Ltd, Bandra Kurla Complex, Bandra East, Mumbai - 400051.
Dear Sir,
I/We hereby state that: [select one of the option given below]
Option 1:
I/We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening my / our CDSL
account for executing delivery instructions for settling stock exchange trades (Settlement related transactions)
effected through such Clearing Member.

Option 2: OR

I/We do not require the Delivery Instruction Slip (DIS) for the time being. However, the Delivery Instruction Slip (DIS)
booklet should be issued to me / us immediately on my / our request at any later date.

I/We hereby select Option 1 □ □

Option 2 ✔

First/Sole
Signed by: TAPAS Holder SHAW
KUMAR
eSigned using or Guardian
Aadhaar (digio.in)
(in case20:30:30
Date: 2024-06-08 of Minor)IST Second Holder Third Holder

Client E-mail ID Client Optional

[email protected]
Mobile Number
6372802109

Declaration
I hereby declare that the mobile no./email ID mentioned in the Account opening form/ request for change in
mobile no./email ID is my own
Request letter for registration of mobile no./email ID of person belonging to the client's family
Please note that the mobile no./email id/both mentioned in the Account opening form/ request for change in
mobile no./email ID belongs to Mr/Mrs. Ms. who is my
[relationship with the client]

First/Sole
Signed by: TAPAS Holder
KUMAR
SHAW or Guardian
(in Aadhaar
eSigned using case of Minor)
(digio.in)
Date: 2024-06-08 20:30:30 IST

[Only the mobile no./email id of your spouse, dependent children and dependent parents can be registered in your demat account]

Sign wherever you see

 BONDBAZAAR SECURITIES PRIVATE LIMITED
Registered Office: 204 - 205, Balarama Co-Op Housing Society Ltd, Bandra Kurla Complex, Bandra East,
Mumbai -400051
Corporate Office: 206, Balarama Co-Op Housing Society Ltd, Bandra Kurla Complex, Bandra
East,Mumbai -400051 CIN Number: U67100MH2021PTC364337 I SESI Registration Number:
INZ000303236 - 31st Dec 2021 I
NSE Membership No. 90247 I BSE Membership No. 6768 I CDSL DP No. IN-DP-700-2022 7th July
2022
Email Address: [email protected] I Telephone Number: 022-35121163/64 I
Website: www.bondbazaar.com
Signed by: TAPAS KUMAR SHAW
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
 DigiLocker verified e-Aadhaar
This document is generated from verified Aadhaar XML obtained from DigiLocker with due user consent and authentication

Document type e-Aadhaar generated from DigiLocker verified Aadhaar XML

XML verified

Generation date 2024-06-08T20:21:20.056+05:30 Download date 2024-06-08T20:21:20.056+05:30

Masked Aadhaar number

xxxxxxxx3513
Name Tapas Kumar Shaw

Date of Birth 02-01-2005

Gender Male

c/o , s/o

Address NUASAHI,BALIA,Balia,Balia,Baleshwar,Odisha
,756056

Landmark BALIA Locality

City / District Baleshwar

Pin Code 756056 State Odisha

www.digio.in
Signed| For
by:Limited
TAPASCirculation
KUMAR SHAW| CONFIDENTIAL
eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
 PAN VERIFICATION RECORD
Permanent Account Number

RQNPS6606G
Name TAPAS KUMAR SHAW

Gender MALE

Date of birth 02-01-2005

Verified On 08/06/2024 20:21:53

Digitally signed on
Date: 08/06/2024 20:21:53 IST

Note:

1. This PAN data is verified by DigiLocker (https://digilocker.gov.in) as per data provided by

the issuing authority, Income Tax Department, Govt. of India.
2. This digitally signed verification document is valid as per the IT Act 2000 when used
electronically.

Signed by: TAPAS KUMAR SHAW

eSigned using Aadhaar (digio.in)
Date: 2024-06-08 20:30:30 IST
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