Customer Registration

Basic Details

Salutation*	Select One Mr. Ms. Master. M/S. HUF. Jus. Col. Major. Prof. Dr. Captain.	First Name*		Middle Name
Last Name		Date of Birth / Incorporation*		Gender*	Select One Male Female Company
Occupation*	Select One Private Sector Public Sector Service Government Service Business Professional Doctor Student Housewife Others Retired	Annual Income*	Select One Below Rs. 5 Lac Rs. 5 - 25 Lac Rs. 25 - 50 Lac Rs. 50 - 100 Lac Rs. > 100 Lac	Relationship With First Applicant	Select One Brother Daughter Daughter-in-law Father Friend Mother Other Self Son Son-in-law Spouse Enter only if you have any family member registered with us
Status*	Select One AOP / BOI Banks / Financial Institutions Body Corporate Company FII HUF Individual NRI On Behalf Of Minor Others Partnership Private Limited Company Public Limited Company Sole Proprietorship Trust	KYC Compliant*	Select One Yes No If the KYC selected is No, Please send the filled KYC compliance document along with the registration form.	PAN No *	Please enter valid PAN No.It should be 5 characters followed by 4 numbers followed by 1 character. eg.AAAAA1234B
Residential Status*	Select One NRI Resident Individual	Guardian Name		Guardian Relationship	Select One Brother Daughter Daughter-in-law Father Friend Mother Other Self Son Son-in-law Spouse
Guardian KYC Compliant	Select One Yes No	Guardian PAN Number	Please enter valid PAN No.It should be 5 characters followed by 4 numbers followed by 1 character. eg.AAAAA1234B	Name of Contact Person
Designation

Permanent Address

Door No. / Flat no. / Building Name.*		Street	Area
City Name*	Please enter at least three characters to populate the values	State Name	Country Name
Pincode*	Please enter first three letters to populate the values

Alternate Address

Door No. / Flat no. / Building Name.		Street	Area
City Name	Please enter at least three characters to populate the values	State Name	Country Name
Pincode	Please enter first three letters to populate the values			`

Contact Details

Mobile No*		Tele. No Off		Tele. No Resi
Email ID*

Bank Account Details

	Bank Name *	Bank Account Type *	City *	Branch *	MICR Code	IFSC Code	Bank Account No *
No records found.

Nominee Details

	Nominee Name	Date of Birth	Relationship with Nominee	Guardian Name	Nominee %
Nominee1			Select One Brother Daughter Daughter-in-law Father Friend Mother Other Self Son Son-in-law Spouse
Nominee2			Select One Brother Daughter Daughter-in-law Father Friend Mother Other Self Son Son-in-law Spouse
Nominee3			Select One Brother Daughter Daughter-in-law Father Friend Mother Other Self Son Son-in-law Spouse

I do not want to Nominate

Want to convert my offline investments to ONLINE

Want to transfer my investments from other broker to CDSL

I / We would like to receive news, updates and research reports which may aid my / our investment decision.

Yes

I / We would like to receive calls to aid on my / our transactions or to receive relevant product related information.

Yes

I am / We are not politically exposed person(s).

Yes

* marked fields are mandatory