Know Your Client (KYC)

Intermediary
Application Form (For Individuals Only) CDSL VENTURES LIMITED
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Please fill the form in ENGLISH and in BLOCK letters

Fields marked * are mandatory Application Number:

 New KYC  Modification KYC
Fields marked + are pertaining to CKYC and mandatory only if processing CKYC
also Application Type*:
KYC Mode*: Please Tick ()
Normal EKYC OTP EKYC Biometric Online KYC Offline EKYC Digilocker

1. Identity Details (please refer guidelines overleaf)

PAN* Please enclose a duly attested copy of your PAN Card

Name* (same as ID proof)

Maiden Name+ (if any)
Fathers/Spouse’s Name*
Date of Birth*
Gender* Male Female Transgender
Marital Status* Single Married Recent passport size
Nationality* Indian Other Applicant Photo

Residential Status* Resident Individual Non Resident Indian

Please Tick ()
Foreign National Person of Indian Origin+
Cross Signature across photograph
(Passport mandatory for NRIs and Foreign Nationals. PIO selection is only for CKYC and not for KRA KYC.
Select NRI or Foreign National based on Nationality of the individual)

Proof of Identity (POI) submitted for PAN exempted cases (Please tick)
A — Aadhaar Card XXXX XXXX
(Expiry Date)
B — Passport Number
C — Voter ID Card
(Expiry Date)
D —Driving License
E —NREGA Job Card
F — NPR
Z —Others (any document notified by Central Government)

Identification Number
2. Address Details* (please refer guidelines overleaf)
A. Correspondence/ Local Address*
Line 1*
Line 2
Line3
City/Town/Village* District+ Pin Code*
State* Country*
Address Type* Residential/Business Residential Business Registered Office Unspecified

Applicant e-SIGN

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B. Permanent residence address of applicant, if different from above A / Overseas Address* (Mandatory for NRI Applicant)
Line 1*
Line 2
Line3
City/
Town/Village* District+ Pin Code*
State* Country*
Address Type* Residential/Business Residential Business Registered Office Unspecified
Proof of Address* (attested copy of any 1 POA for correspondence and permanent address each to be submitted)
A — Aadhaar Card XXXX XXXX
B — Passport Number (Expiry Date)

C — Voter ID Card
(Expiry Date)
D —Driving License
E —NREGA Job Card
F — NPR Letter
Z—Others (any document notified by Central Government)

Identification Number

3. Contact Details (in CAPITAL)

Email ID*

Mobile No. *

Tel (Off) Tel (Res)

4. Applicant Declaration
I/We hereby declare that the KYC details furnished by me are true and correct to Applicant e-SIGN Applicant Wet Signature
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 am/We are aware that I/We
may be held liable for it.
I/We hereby consent to receiving information from CVL KRA through SMS/Email on
the above registered number/Email address.
I am/We are also aware that for Aadhaar OVD based KYC, my KYC request shall be
validated against Aadhaar details. I/We hereby consent to sharing my/our masked
Aadhaar card with readable QR code or my Aadhaar XML/Digilocker XML file, along
with passcode and as applicable, with KRA and other Intermediaries with whom I
have a business relationship for KYC purposes only.

DATE: (DD-MM-YYYY)
PLACE:

5. For Office Use Only

In-Person Verification (IPV) carried out by* Intermediary Details*

IPV Date Self certified document copies received (OVD)

Emp. Name True Copies of documents received (Attested)

AMC / Intermediary Name :
Emp. Code

Emp. Designation

Employee Signature and Stamp Institution Name and Stamp

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 Instructions/Guidelines for filling Individual KYC Application Form
A. General Instructions:
1. Self-attestation of documents is mandatory.
2. Copies of all documents that are submitted need to be compulsorily self-attested by the applicant 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 below list 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 addresses 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/PIOCard/
OCI Card and overseas address proof is mandatory.
8. For foreign entities, CIN is optional; and in 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 Certifi-
cate/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 func-
tions in a foreign country e.g., Head of State or of Government, senior politician, senior government/judiciary/military
officer, senior executive of state owned corporation, important political party official, etc.
B. Proof of Identity (POI):
1. PAN card with photograph is mandatory for all applicants except those who are specifically exempt from obtaining PAN
(listed in Section D).
2. Original Verified Documents (OVD) are acceptable: Unique Identification Number (UID) (Aadhaar) / Passport / Voter ID
card / Driving License / Letter issued by NPR / NREGA job card
3. If driving license number or passport is provided as proof of identity then expiry date is to be mandatorily furnished.
4. Mention identification / reference number if ‘Z – Others (any document notified by the central government)’ is ticked.
5. Others – Identity card with applicant’s photograph issued by any of the following: Central/ State Government Depart-
ments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Insti-
tutions, 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):

1. 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.
2. Others includes – Utility bill which is not more than 3 months old of any service provider (electricity, landline telephone,
piped gas, water bill); Bank account or Post Office savings bank account statement; Documents issued by Government de-
partments of foreign jurisdictions and letter issued by Foreign Embassy or Mission in India
3. Identity card/document with address issued by any of the following: Central/ State Government 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.
4. Self declaration of High courts/Supreme court judges, giving the new address in respect of their own accounts.
5. For FII/Sub account, Power of attorney given by FII/Sub account to the custodians (which are duly notarized and/or apos-
tilled or consularized) that gives registered address should be taken.
6. Proof of address in name of spouse may be accepted.
7. Registered lease or Sale agreement/ Flat maintenance bill / Insurance copy / Ration card / Latest Property tax
8. Original Verified Documents (OVD) are acceptable: Unique Identification Number (UID) (Aadhaar) / Passport / Voter ID
card / Driving License / Letter issued by NPR / NREGA job card

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D. Exemptions/Clarifications to PAN (*Sufficient documentary evidence in support of such claims to be collected)
1. Investments (including SIPs), in Mutual Fund schemes up to INR 50,000/- per investor per year per Mutual Fund.
2. Transactions undertaken on behalf of Central/State Government, by officials appointed by Courts, e.g., Official liquidator,
Court receiver, etc.
3. Investors residing in the state of Sikkim.
4. UN entities/multilateral agencies exempt from paying taxes/filing tax returns in India.
5. In case of institutional clients, namely FIIs, MFs, VCFs, FVCIs, Scheduled commercial bank, Multilateral and Bilateral devel-
opment financial institutions, State Industrial development corporations, insurance companies registered with IRDA and
public financial institutions as defined under section 4A of the Company Act 1956, custodians shall verify the PAN card de-
tails with the original PANs and provide duly certified copies of such verified PAN details to the intermediary.

E. List of people authorized to attest the documents:

1. Authorized officials of Asset Management Companies (AMCs).
2. Authorized officials of Registrar & Transfer Agent (RTA) acting on behalf of the AMC.
3. KYC compliant mutual fund distributors affiliated to Association of Mutual Funds (AMFI) and have undergone the process
of ‘Know Your Distributor (KYD)’.
4. Notary Public, Gazette Officer, Manager of a Scheduled Commercial/Co-operative Bank or Multinational Foreign Banks
(Name, Designation & Seal should be affixed on the copy).
5. 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. Online Mode Processing of KYC:

1. EKYC BIOMETRIC

 Applicant may directly upload their documents (OVD) as scanned images on intermediary’s portal.
 The documents should be e-signed.
 Applicant details are verified using UIDAI Biometric details.
 Original Seen Verification (OSV) of documents as well as IPV / VIPV is exempted.
 Intermediary attestation on documents is exempted.
2. EKYC OTP

 Applicant may directly upload their documents (OVD) as scanned images on intermediary’s portal.
 The documents should be e-signed.
 Applicant details are verified using UIDAI details using OTP.
 Original Seen Verification (OSV) of documents as well as IPV / VIPV is exempted.
 Intermediary attestation on documents is exempted.
3. ONLINE KYC

 Applicant may directly upload their documents (OVD) as scanned images on intermediary’s portal.
 The documents should be e-signed.
 Virtual In Person Verification (VIPV) is mandatory as per SEBI guidelines.
 Intermediary attestation on documents (OSV) is exempted.
4. OFFLINE EKYC

 Applicant may directly upload their document (PAN copy) as scanned images on intermediary’s portal.
 The documents should be e-signed.
 Digital KYC performed through Offline Aadhaar e-KYC. OVD sourced from Offline Aadhaar e-KYC.
 Original Seen Verification (OSV) of documents as well as IPV / VIPV is exempted.
5. DIGILOCKER

 Digital KYC performed through the documents (OVD) sourced from Digilocker.
 Original Seen Verification (OSV) of documents as well as IPV / VIPV is exempted.
 Intermediary attestation on documents is exempted.

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Proof of Identity / PAN (mandatory)

5
Proof of Address (mandatory)

6
Applicant Wet Signature Page (mandatory)

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 Annexure 3.1
Account Details Addition / Modification / Deletion Request Form

Paytm Money Limited

The Hub, 8/2, Sarjapur Main Road, Ambulipura Village, Varthur Hobli,
Bengaluru – 560103.
Tel No. 080-46253716. Email:[email protected],
www:paytmmoney.com

Application No. Date D D M M Y Y Y Y

Please fill all the details in Block Letters in English

DP ID 1 2 0 8 8 8 0 0 Client ID

Account Holder’s Details

Name of First / Sole Holder
Name of Second Holder
Name of Third Holder


 I/We request to carry out the change of correspondence/permanent address / signature in the demat account

 I/We request to carry out the change of address / signature in the KRA and demat account

I/We request you to make the following additions / modifications / deletions to my/our account in your records.

DETAILS
(Please specify change of Addition /
correspondence Modification /
Existing Details New Details
/Permanent address, Deletion
bank details, telephone (Please specify)
number, sub-status etc.)

Attach an Annexure (with signature(s)) if the space above is found insufficient.

First/Sole Holder Second Holder Third Holder

Name

Signature

==========================(Please Tear Here)===========================

Acknowledgement Receipt

Received Account Details Addition / Modification / Deletions request as per details given below:
Application No. Date D D M M Y Y Y Y
DP ID Client ID
Name of the Sole / First Holder
Name of Second joint Holder
Name of Third joint Holder
Modification requested for:
[Specify reason]

Depository Participant Seal and Signature

 Annexure B
Correction in the name of Individual Demat Account Holder

Paytm Money Limited

The Hub, 8/2, Sarjapur Main Road, Ambulipura Village, Varthur Hobli,
Bengaluru – 560103.
Tel No. 080-46253716. Email:[email protected],
www:paytmmoney.com

Application No. Date D D M M Y Y Y Y

Dear Sir/Madam,

I/We hereby request you to carry out the correction in my/our name in the following demat
account no:

Please fill all the details in Block Letters in English

DP ID 1 2 0 8 8 8 0 0 Client ID

Account Holder’s Details

Name of First / Sole Holder
Name of Second Holder
Name of Third Holder

Correction in name of the _[1st /2nd /3rd] holder.

Name as recorded in demat account

Correction in name to be updated in
demat account

 Reason for minor correction (please tick any one)

Expansion of initials Addition of middle name

Abbreviation to initials Correction of spelling mistakes

I hereby state that the above specified reason is for correction in name of my/our demat account and the same is not on
account of change in name due to marriage, divorce, court order, numerology or any other reasons.

 Specify the proof of identity submitted in support of correction in name.

PAN card AADHAAR card Passport Driving Licence

Voter’s identity card issued by the Election Commission of India

First/Sole Holder Second Holder Third Holder

Name

Signature

Note: To be signed by the demat account holder whose name is to be corrected in the CDSL system.

Page 1 of 2
 Annexure B

==========================(Please Tear Here)===========================

Acknowledgement Receipt

Received Account Details Addition / Modification / Deletions request as per details given below:
Application No. Date D D M M Y Y Y Y
DP ID Client ID
Name of the Sole / First Holder
Name of Second joint Holder
Name of Third joint Holder
Modification requested for:
[Specify reason]

Depository Participant Seal and Signature

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