CKYC Annexure for Legal Entity and Authorized Signatory

Application No./ Policy No.: ________________________

Important points:
• Fields marked with “*” are mandatory fields
• Certified copies of the documents, as applicable for POI and POA needs to be submitted. POA to be submitted only if the submitted
POI does not have an address or address as per POI is invalid or not in force
• Please fill the date in DD-MM-YYYY
• In case of Companies and Partnerships, PAN of the entity is mandatory. In case of other entities, Form 60 may be obtained if PAN is
not available
• KYC requirement for Foreign Portfolio Investors (FPIs) will be as specified by the concerned regulator from time to time
• Authorized signatory section needs to be filled for all shareholders for whom the shareholding is more than 15%

Entity details
*Name: ______________________________________________________________________________________________________
A - Sole Proprietorship M - Central/State Government Department or Agency
B - Partnership Firm N - Foreign Portfolio
C - HUF O - Section 8 Companies (Companies Act,2013)
D - Private Limited Company P - Artificial Jurisdical Person
E - Public Limited Company Q - International Oraganization or Agency /Foreign Embassy or
F - Society Consular Office etc.
G - Association of Persons (AOP) / Body of Individuals (BOI) R - FPI category I
H - Trust S - FPI category II
I - Liquidator T - FPI category III
J - Limited Liability Partnership X - Not Categorized
K - Artificial Liability Partnership Z - Others
L - Public Sector Banks
*Date of incorporation/ formation: D D MM Y Y Y Y *Date of commencement of business: D D MM Y Y Y Y
*Place of incorporation/ formation: __________________________*Country of incorporation/ formation: ______________________
*PAN/ Form 60: TIN/ GST Number: _________________________________________________
*Proof of identity (POI) – (Certified copy of any one of the following Proof of Identity needs to be submitted).
Please refer to the Annexure 1 for the complete list of documents that can be submitted for respective entities.
Certificate of Incorporation / Formation Registration Certificate
Resolution of Board / Managing Committee Memorandum and Article of Association / Partnership Deed / Trust Deed
Officially valid document(s) in respect of person authorized to transact Activity proof -1 (For Sole Proprietor only)
Activity proof -2 (For Sole Proprietor only)
*Proof of Address (Any one the following needs to be submitted).
State / U.T Code and Pin / Post Code will not be mandatory for Overseas addresses. In case of multiple correspondence / local addresses,
please fill the required details separately for each.
Certificate of incorporation/ formation Registration certificate
*Registered office address/ place of business

L A N D MA R K C I T Y / T O WN / V I L L A G E
D I ST R I C T P I N / POS T CODE S T AT E / UT CODE
*Local address in India (If different from the above)

L A N D MA R K C I T Y / T O WN / V I L L A G E
D I ST R I C T P I N / POS T CODE S T AT E / UT CODE
Contact details (Please mention two-digit country code and 10-digit mobile no. Do not add ‘0’ in the beginning of the mobile no.)
Landline (Off): ____________________________________________Fax: __________________________________________________
*Mobile No.: _______________________________________*Email id: ___________________________________________________

*Number of Related Persons ______________________________________________________________________________

Ver 1.0/Mar'21
*Details of related persons/ authorized signatory
Addition of related person/ authorized signatory

TO
Deletion of related persons/ authorized signatory

O
Update details of related persons/ authorized signatory

H
P
CKYC no. of the related person/ authorized signatory (if available): __________________________
If KYC number is available, only ‘Related Person/ authorized signatory Type’ and ‘Name’ is mandatory
*Related person/ authorized signatory type (Select from the list below)
Director Promotor Karta Trustee Partner Authorized signatory Court appointed official Beneficiary
*Personal details
Name (Mr./Mrs./Ms./Dr./Master/Other): F I RS T M I DDL E L AS T
(Same as ID Proof)
Maiden Name (Ms./Dr./Other): F I RS T MI DDL E L AS T
(Applicable only for Females)
Father’s Name (Mr./Dr./Other): F I RS T MI DDL E L AS T
Mother’s Name (Ms./Mrs./Dr./Other): F I R S T MI DDL E L AS T
Spouse Name (Mr./ Ms./ Dr./ Other) F I R S T MI DDL E L AS T
Date of Birth: D D MM Y Y Y Y Place of Birth: ___________________ Gender: M-Male F- Female T- Transgender
Citizenship: IN- Indian Others-ISO 3166 Country Code Marital Status: Married Unmarried Others (Specify) _________
Residential Status: Resident Individual Non Resident Indian Person of Indian Origin Foreign National ____________
*PAN/ Form 60:
*Proof of identity and address – A certified copy of OVD or equivalent e-document of OVD or OVD obtained through
digital KYC process needs to be submi�ed (Any one)
A- Passport Number B- Voter ID Card
C- Driving License D- NREGA Job Card
E- National Population Register Letter F- Proof of Possession of Aadhaar
Address

L A N D MA R K C I T Y / T O WN / V I L L A G E
D I ST R I C T P I N / POS T CODE S T AT E / UT CODE
*Current Address details - A certified copy of OVD or equivalent e-document of OVD or OVD obtained through digital KYC
process needs to be submi�ed (Any one)
Same as above mentioned address (In such cases address details as below need not to be provided)
A- Passport Number B- Voter ID Card
C- Driving License D- NREGA Job Card
E- National Population Register Letter F- Proof of Possession of Aadhaar
Address

L A N D MA R K C I T Y / T O WN / V I L L A G E
D I ST R I C T P I N / POS T CODE S T AT E / UT CODE
Contact details (Please mention two-digit country code and 10-digit mobile no. Do not add ‘0’ in the beginning of the mobile no.)
Landline (Off): ____________________________________________Fax: __________________________________________________
*Mobile No.: _______________________________________*Email id: ___________________________________________________
*Applicant 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 under-
take 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/we am/are aware that I/we may be held liable for it.
My/Our personal KYC details may be shared with Central KYC Registry
I/We hereby consent to receiving information from Central KYC Registry through SMS/Email on the above registered number/email
address.

Date D D MM Y Y Y Y Place________________________________________ Signature

Ver 1.0/Mar'21
 List of Documents for Entitles
S.No. Entity wise list of documents to be furnished as Proof of Identity
1 Company a) Certificate of Incorporation
b) Memorandum and Articles of Association
c) Permanent Account Number of the company
d) A resolution from the Board of Directors and power of attorney granted to
its managers, officers or employees to transact on its behalf
e) O
 ne copy of an officially valid document containing details of identity and
address, one recent photograph and Permanent Account Numbers or
Form No. 60 of the managers, officers or employees, as the case may be,
holding an attorney to transact on the company’s behalf

2 Partnership a) Registration certificate

b) Partnership deed
c) Permanent Account Number of the Partnership firm and
d) One copy of an officially valid document containing details of identity and
address, one recent photograph and Permanent Account Numbers or
Form No. 60 of the person holding an attorney to transact on its behalf
3 Trust a) Registration certificate
b) Trust deed
c) Permanent Account Number or Form No.60 of the trust
d) One copy of an officially valid document containing details of Identity and
address, one recent photograph and Permanent Account Numbers or
Form No. 60 of the person holding an attorney to transact on its behalf
4 Unincorporated association or a a) Resolution of the managing body of such association or body of individuals;
body of individuals b) Permanent Account Number or FormNo.60 of the unincorporated
association or a body of individuals
including unregistered trusts I
c) Power of Attorney granted to him to transact on its behalf
partnership firms
d) One copy of an officially valid document containing details of Identity and
address, one recent photograph and Permanent Account Numbers or
Form No. 60 of the person holding an attorney to transact on its behalf and
e) Such information as may be required by the reporting entity to collectively
establish the existence of such association or body of individuals
5 Sole Proprietary firms Documents for proof of Business/ Activity as prescribed by RBI
a) Registration certificate
b) Certificate/licence issued by the municipal authorities under Shop and
Establishment Act
c) Sales and income tax returns
d) CST / VAT / GST certificate (provisional/final)
e) Certificate/registration document issued by Sales Tax/Service Tax/
Professional Tax authorities
f) IEC (Importer Exporter Code) issued to the proprietary concern by the
office of DGFT/Licence/certificate of practice issued in the name of the
proprietary concern by any professional body incorporated under a statute
g) Complete Income Tax Return (not just the acknowledgement) in the name of
the sole proprietor where the firm’s income is reflected, duly authenticated/
acknowledged by the Income Tax authorities
h) Utility bills such as electricity, water and landline telephone bills
6 Foreign Portfolio Investors Documents as specified by the respective Regulator may be accepted
7 Juridical persons not specifically One certified copy of the following documents shall be obtained:
covered in the earlier part a) Document showing name of the person authorised to act on behalf of the
entity;
b) A certified copy of any OVD containing details of his identity and address,
one recent photograph, the Permanent Account Number or Form No. 60
as defined in Income-Tax Rules. 1962

c) Such documents as may be required by the RE to establish the legal

existence of such an entity/juridical person

Note: In case of entities which have Certificate of incorporation/ Registration certificate number, the same is to be provided as well, apart from the documents
listed above.

Ver 1.0/Mar'21