PART I - KNOW YOUR CLIENT (KYC) APPLICATION FORM (For Non-Individuals)

ABHIK FINANCE PVT. LTD.

UPPAL’S PLAZA M6, 5G 5TH FLOOR, JASOLA DISTRICT CENTRE, NEW DELHI – 110 025

Please fill this form in ENGLISH and in BLOCK LETTERS

  1. IDENTITY DETAILS

1 / Name of the Applicant
2 / Date of incorporation / Place of incorporation
3 / Date of commencement of business
4 / a)PAN / b) Registration No. (e.g. CIN)
5 / Status (please tick any one):
Private Limited Co.
Public Ltd. Co.
Body Corporate
Trust
Charities
NGO’s
Others (please specify) / Bank
Government Body
Non Government Organization
Defense Establishment
Society
LLP / Partnership
FI
FII
HUF
AOP
BOI
  1. ADDRESS DETAILS

1 / Correspondence Address / ______
______
City/town/village / PIN Code
State / Country
2 / Specify the proof of address submitted for correspondence address
3 / Contact Details / Tel. (Off.) / Tel. (Res.)
Fax No. / Mobile No.
Email ID
4 / Registered Address (if different from above): / ______
______
City/town/village / PIN Code
State / Country
5 / Specify the proof of address submitted for registered address
  1. OTHER DETAILS

1 / Gross Annual Income Details (please specify): Income Range perannum
Below ` 1 lac
` 1- 5 lac
` 5- 10 lac / ` 10- 25 lac
` 25 lac- 1 crore
More than ` 1 crore
2 / Networth
Amount (`) ______
As on (date)
D / D / M / M / Y / Y / Y / Y
(Networth should not be older than 1 year)
3 / Name, PAN, residential address and photographs of Promoters/Partners/Karta/Trustees and whole time directors: / If space is insufficient, enclose these details separately[Illustrative format enclosed]
4 / DIN/UID of Promoters/Partners/Karta and whole time directors:
5 / Please tick, if applicable, for any of your authorized signatories/Promoters/Partners/Karta/Trustees/whole time directors: / Politically Exposed Person (PEP)
Related to a Politically Exposed Person (PEP)
6 / Any other information
  1. DECLARATION

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. 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/we may be held liable for it.
Name & Signature of the Authorised Signatory(ies) / ______/ Date / D / D / M / M / Y / Y / Y / Y
TRADING ACCOUNT RELATED DETIALS
  1. BANK ACCOUNT(S) DETAILS (through which transactions generally be routed)

Bank Name / Branch Address / Account Number / Account Type / MICR Number / IFSC Code
Saving
Current
Others – in case of NRI / NRE / NRO
Saving
Current
Others – in case of NRI / NRE / NRO
  1. DEPOSITORY ACCOUNT(S) DETAILS (through which transactions generally be routed)

Depository Participant Name / Name of Depository / Beneficiary Name / DP ID / Beneficiary ID (BO ID)
NSDL
CDSL
NSDL
CDSL
  1. TRADING REFERENCES (please sign in the relevant boxes where you wish to trade)


NSE /
Cash F & O

Currency
Derivatives

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FOR OFFICE USE ONLY
(Originals verified) True copies of documents received
(Self-Attested) Self Certified Document copies received
Signature of the Authorised Signatory / ______/ Seal/Stamp of the intermediary
Date / D / D / M / M / Y / Y / Y / Y

Annexure (A)

Details of Promoters/ Partners/ Karta / Trustees and whole time directors forming a part of Know Your Client (KYC) Application Form for Non-Individuals

Sr. No. / Name / Relationship with Applicant (i.e. promoters, whole time directors etc.) / PAN / Residential / Registered Address / DIN/UID / Photograph
1
2
3
4
5
Name & Signature of the Authorised Signatory(ies)
Date / D / D / M / M / Y / Y / Y / Y

Annexure (B)

  1. Name of Authorised Signatory(ies) of the Company

S. No. / Name / Relationship with Applicant Company (i.e.) promoters, whole time directors etc) / Proof of Address as per Annexure “D” / DIN (if Applicable) / Photograph (Signed across) not applicable if photo affixed in form)
1.
2.
3.
4.
5.
Name & Signature of the Authorised Signatory(ies)
Date / D / D / M / M / Y / Y / Y / Y

Annexure (C)

  1. Latest share holding pattern inclurding list of all those holding control, either directly of indirectly, in the company in terms SEBI takeover Regulations, duly certified by the company secretary / whole time director / MD (to be submitted every year)

S. No. / Name of Share Holder / Address of Holder / No. of Shares
1
2
3
4
5
Name & Signature of the Authorised Signatory(ies) Date

INSTRUCTIONS/CHECK LIST FORFILLING KYC FORM

IncaseofNon-Individuals,additionaldocumentstobeobtainedfromnon-individuals,overabove the POIPOA,asmentionedbelow:

Typesof entity / Documentaryrequirements
Corporate /
  • Copyofthebalancesheetsfor thelast 2financial years(tobesubmittedeveryyear).
  • Copyoflatestshareholdingpatternincludinglistofallthoseholdingcontrol,either directlyorindirectly,inthecompanyintermsofSEBItakeoverRegulations, dulycertified by thecompany secretary/Wholetimedirector/MD(tobe submittedeveryyear).
  • Photograph,POI,POA,PANandDINnumbersofwholetimedirectors/twodirectorsin chargeofdaytodayoperations.
  • Photograph,POI,POA,PANofindividualpromotersholdingcontrol-eitherdirectlyor indirectly.
  • Copies oftheMemorandumandArticles of Associationandcertificateofincorporation.
  • Copy ofthe BoardResolutionfor investmentinsecurities market.
  • Authorisedsignatories list withspecimensignatures.

Partnership firm /
  • Copyofthebalance sheetsfor thelast 2financial years(tobesubmittedeveryyear).
  • Certificateofregistration (forregisteredpartnership firmsonly).
  • Copy ofpartnershipdeed.
  • Authorisedsignatories list withspecimensignatures.
  • Photograph, POI, POA,PANof Partners.

Trust /
  • Copyof thebalance sheetsfor thelast 2financial years(tobesubmittedeveryyear).
  • Certificateofregistration (forregisteredtrust only).
  • Copy ofTrustdeed.
  • List of trustees certifiedbymanagingtrustees/CA.
  • Photograph, POI, POA,PANofTrustees.

HUF /
  • PANof HUF.
  • Deedofdeclarationof HUF/List of coparceners.
  • Bankpass-book/bank statement in thenameofHUF.
  • Photograph, POI, POA,PANof Karta.

Unincorporated
associationora bodyof individuals /
  • Proofof Existence/Constitutiondocument.
  • Resolutionofthe managingbody & Power of Attorney grantedtotransact businessonits behalf.
  • Authorizedsignatories list withspecimensignatures.

Banks/Institutional
Investors /
  • Copyoftheconstitution/registrationorannualreport/balancesheetforthelast2financial years.
  • Authorizedsignatories list withspecimensignatures.

Foreign
Institutional
Investors (FII) /
  • Copy ofSEBIregistrationcertificate.
  • Authorizedsignatories list withspecimenignatures.

Army/Government
Bodies /
  • Self-certificationonletterhead.
  • Authorizedsignatories list withspecimensignatures.

RegisteredSociety /
  • Copy ofRegistration Certificateunder Societies Registration Act.
  • List of ManagingCommitteemembers.
  • Committee resolution for persons authorised to act as authorised signatories with specimensignatures.
  • Truecopy ofSocietyRules and ByeLaws certifiedbytheChairman/Secretary.