KYC (Legal Entities) - 2
KYC (Legal Entities) - 2
Date of Incorporation/
D D / M M / Y Y Y Y Date of Commencement D D / M M / Y Y Y Y
Formation* of Business
City of Incorporation/ Country of Incorporation/
Formation* Formation*
PAN* CIN/Regn. No.*
Entity Type* (Please tick the appropriate): A-Sole Proprietorship B-Partnership Firm C-HUF D-Private Limited Company E-Public Limited Company F-Society
G-Association of Persons (AOP)/ Body of Individuals (BOI) H-Trust I-Liquidator J-Limited Liability Partnership K-Artificial Liability Partnership L-Public Sector Banks M-Central/State
Government Department or Agency N-Section 8 Companies (Companies Act, 2013) O-Artificial Juridical Person P-International Organisation or Agency/ Foreign Embassy or Consular office etc
Q-Not Categorized R-Others _______________________________________ S-Foreign Portfolio Investors
2. PROOF OF IDENTITY: (Refer list of Officially Valid Documents specified on page 6 of this application form.)
3. ADDRESS: (Refer list of Officially Valid Documents specified on page 6 of the application form.)
REGISTERED OFFICE ADDRESS/PLACE OF BUSINESS
Address*
Line 1
Line 2
Line 3
City* Pin Code*
State/U.T.* Country I N D I A
LOCAL ADDRESS (IF DIFFERENT FROM ABOVE)
Address*
Line 1
Line 2
Line 3
City* Pin Code*
State/U.T.* Country I N D I A
1. Name:
PAN* Designation:*
Mobile No.* E-mail ID:*
2. Name:
PAN* Designation:*
Mobile No.* E-mail ID:*
3. Name:
PAN* Designation:*
Mobile No.* E-mail ID:*
4. Name:
PAN* Designation:*
Mobile No.* E-mail ID:*
5. Name:
PAN* Designation:*
Mobile No.* E-mail ID:*
Fields marked with * are mandatory.
DETAILS OF CONTROLLING PERSON(S) AND BENEFICIAL OWNER(S)
The Customer/Company as stated above hereby confirms and declares that on the below date (Please tick the correct option - option 3 is applicable only for listed Company)
1. The following natural person(s) (listed in Table below) exercise control or ultimately have a controlling ownership interest i.e. having ownership/entitlement
of more than 25% (in case of Company) or more than 15% (in case of Non-Companies) of capital/profits/property or controlling through voting rights,
agreement, arrangement etc. Where the client is a trust, the financial institution shall identify the beneficial owners of the client and take reasonable
measures to verify the identity of such persons, through the identity of the settler of the trust, the trustee, the protector, all the beneficiaries in the trust
and any other natural person exercising ultimate effective control over the trust through a chain of control or ownership.
OR
2. There are no natural person(s) who exercise control or ultimately have a controlling ownership interest as stated above, therefore details of:
Partner(s)(for partnership)/senior managing officials (for unincorporated bodies) who are natural person(s) are stated in the below Table
Natural person(s) holding the position, of directors/senior management in the Company are given in the below Table.
(*If you have ticked either 1 or 2 above, please complete the Table below before signing the declaration)
OR
3. The Company is listed on _______________________________________________________________________ (Name of the Stock Exchange)
or is a majorly owned subsidiary of ___________________________________________________________________ (Name of the listed Company)
listed on ________________________________________________________________________________________ (Name of the Stock Exchange)
The Customer/Company undertakes that the facts stated above are true and correct. The Customer/Company also undertakes and agrees that it will notify HDFC Ltd. without
delay of any changes in the controlling persons / shareholders, person exercising control or having controlling ownership interst in the Company/Partnership/LLP/AOP/Society/
Trust/Institution, as declared in the table above.
Controlling Person/ % of
Relation type
Details Name PAN Beneficial owner Type DIN* beneficial Signature
with the Entity#
(Refer 3 (iv) A of Part D) interest
Controlling Person /
Beneficial Owner 1
Controlling Person /
Beneficial Owner 2
Controlling Person /
Beneficial Owner 3
Controlling Person /
Beneficial Owner 4
Controlling Person /
Beneficial Owner 5
Controlling Person /
Beneficial Owner 6
Relation type with the Entity: Director/Promoter/Karta/Trustee/Partner/Court Appointed Official/Proprietor/Beneficiary/Authorised Signatory/Beneficial Owner/
#
% In case Tax indentification number is not available, kindly provide functional equivalent.
In case the Entity’s country of Incorporation/Tax residence is U.S but Entity is not a specified U.S person, mention Entity’s exemption code here :________
(Refer 3 (viii) of part D)
PART A (to be filled by financial institutions or direct reporting NFEs)
We are a : GIIN: ____________________________ GIIN not available (please tick as applicable)
Financial institution Note: If you do not have a GIIN but you are Applied for
(Refer 1 of Part D) sponsored by another entity, please provide your
Following options are available only for Financial
Direct Reporting NFE sponsor’s GIIN above and indicate your sponsor’s institutions:
name below :
(Refer 3(vii) of Part D) Name of the sponsoring entity: Not required to apply for
(please tick as appropriate) ________________________________ (Please specify sub category. Refer 1A of Part D)
________________________________ Not obtained - Non Participating FI
PART B (to be filled by NFEs other than direct reporting NFEs – Please fill any one as appropriate)
1. Is the entity a publicly traded company (i.e, a company whose Yes (if Yes, please specify any one stock exchange on which the stock is regularly traded)
shares are regularly traded on an established securities
market) (Refer 2A of Part D) Name of the Stock Exchange:______________________________________________
2. Is the entity a related entity of a publicly traded company (a Yes (if Yes, please specify name of the listed company and one stock exchange on which
company whose shares are regularly traded on an established the stock is regularly traded)
securities market) (Refer 2B of Part D)
Name of Listed Co.:______________________________________________________
Nature of Relation:
Subsidiary of the listed company Controlled by a listed company
Name of the Stock Exchange:______________________________________________
3. Is the entity an active NFE (Refer 2C of Part D) Yes Name of Business:_________________________________________________
Please specify the sub-category of active NFE
(Mention code – Refer 2C of Part D)
4. Is the entity an passive NFE (Refer 3(ii) of Part D) Yes Name of Business:_________________________________________________
FATCA & CRS – TERMS AND CONDITIONS:
The Central Board of Direct Taxes has notified Rules 114F to 114H as part of the Income Tax Rules, 1962, which require Indian Financial Institutions to seek additional personal, tax and beneficial owner information and certain certifications and
documentation from all our depositors. In relevant cases, information will have to be reported to tax authorities / appointed agencies. Towards compliance, we may also be required to provide information to any institutions such as withholding agents
for the purpose of ensuring appropriate withholding from the account or any proceeds in relation thereto.
Should there be any change in any information provided by you, please ensure you advise us promptly i.e within 30 days. If you have any questions about your tax residency, please contact your tax advisor. If any controlling person of the entity is
a US citizen/ resident / Green Card Holder, please include United States in the foreign country information field alongwith the US Tax Identification Number.
It is mandatory to supply a TIN or functional equivalent if the country in which you are a tax resident issues such Identifiers. If no TIN is yet available or has not yet been issued, please provide an explanation and attach to this form.
DECLARATION:
I/We certify that the information provided above is in accordance with section 285BA of the Income Tax Act, 1961 read with Rules 114F to 114H of the Income Tax Rules, 1962. I/We have not withheld any material information that may affect the
assessment/categorization of the account as a Reportable account or otherwise. I/We permit/authorise HDFC Ltd. to collect, store, communicate and process information relating to the Account and all transactions therein, by HDFC Ltd. and any
of its affiliates wherever situated including sharing, transfer and disclosure between them and to the authorities in and/or outside India of any confidential information for compliance with any law or regulation whether domestic or foreign. It shall be
my/our responsibility to educate myself/ourselves and to comply at all times with all relevant laws relating to reporting under section 285BA of the Act read with the Rules thereunder.
I/We hereby authorise HDFC Ltd. to search, download and store my KYC details from CERSAI Registry for the purpose of KYC compliance. 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 any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I/We am/are aware that I/We may be held liable for it. I/We hereby
consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email address. I/We also agree to furnish such information and/or documents as HDFC Ltd. may require from time to time to comply
with regulations.
Name:
Signature:
PAN:
Name:
Signature:
PAN:
Name:
Signature:
PAN:
Date: Place:
G161/10/21/10
Employee signature
PART D: FATCA & CRS – INSTRUCTIONS AND DEFINITIONS: (Refer Rule 114F of Income Tax Rules, 1962)
1. Financial Institution (FI)
The term FI means any financial institution that is a Depository Institution, Custodial Institution, Investment Entity or Specified Insurance company, as defined.
• Depository institution: is an entity that accepts deposits in the ordinary course of banking or similar business.
• Custodial institution: is an entity that holds a substantial portion of its business, holds financial assets for the account of others and where it's income attributable to holding financial assets and related financial
services equals or exceeds 20 percent of the entity's gross income during the shorter of -
(i) The three financial years preceding the year in which determination is made; or
(ii) The period during which the entity has been in existence, whichever is less.
• Investment entity is any entity:
3 That primarily conducts a business or operates for or on behalf of a customer for any of the following activities or operations for or on behalf of a customer
(i) Trading in money market instruments (cheques, bills, certificates of deposit, derivatives, etc.); foreign exchange; exchange, interest rate and index instruments; transferable securities; or commodity
futures trading; or
(ii) Individual and collective portfolio management; or
(iii) Investing, administering or managing funds, money or financial asset or money on behalf of other persons;
or
3 The gross income of which is primarily attributable to investing, reinvesting, or trading in financial assets, if the entity is managed by another entity that is a depository institution, a custodial institution, a
specified insurance company, or an investment entity described above.
An entity is treated as primarily conducting a business one or more of the 3 activities described above, or an entity's gross income is primarily attributable to investing, reinvesting, or trading in financial
assets of the entity's gross income attributable to the relevant activities equals or exceeds 50 percent of the entity's gross income during the shorter of :
(i) The three-year period ending on 31st March of the year preceding the year in which the determination is made; or
(ii) The period during which the entity has been in existence.
The term “Investment Entity” does not include an entity that is an active non-financial entity as per codes 03, 04, 05 and 06 (refer point 2c.)
• Specified Insurance Company: Entity that is an insurance company (or the holding company of an insurance company) that issues, or is obligated to make payments with respect to, a Cash Value Insurance
Contract or an Annuity Contract.
1A FI's not required to apply for GIIN:
Code Sub-category
1 Governmental Entity, International Organization or Central Bank
2 Treaty Qualified Retirement Fund; a Broad Participation Retirement Fund; a Narrow Participation Retirement Fund; or a Pension Fund of a Governmental Entity,
International Organization or Central Bank
3 Non-public fund of the armed forces, an employees' state insurance fund, a gratuity fund or a provident fund
4 Entity is an Indian FI solely because it is an investment entity
Code Sub-category
5 Qualified credit card issuer
6 Investment Advisors, Investment Managers& Executing Brokers
7 Exempt collective investment vehicle
8 Indian Trust where the trustee is a reporting financial institution
9 FI with a local client base
10 Non-registering local banks
11 FFI with only Low-Value Accounts
12 Sponsored investment entity and controlled foreign corporation
13 Sponsored, Closely Held Investment Vehicle
14 Owner Documented FFI (Please provide FFI owner reporting statement and Auditors Letter with required details as mentioned in Form W8 BEN E)
2. Non-financial entity (NFE) - Entity that is not a financial institution
Types of NFEs that are regarded as excluded NFE are:
a. Publicly traded company (listed company)
A company is publicly traded if its stock are regularly traded on one or more established securities markets
(Established securities market means an exchange that is officially recognized and supervised by a governmental authority in which the securities
market is located and that has a meaningful annual value of shares traded on the exchange)
b. Related entity of a publicly traded company
The NFE is a related entity of an entity whose shares are regularly traded on an established securities market;