ETI-2534819

EQUITY TRADING AND DEMAT ACCOUNT FORM

SAMCO SECURITIES LIMITED

A-302, 3rd Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Tel:022-22227777,Fax:022-24391810,Website:www.samco.in
SET OF ACCOUNT OPENING DOCUMENT
INDEX OF THE DOCUMENTS
S. No. Name of the Document Brief Significance of the Document Page No

MANDATORY DOCUMENTS AS PRESCRIBED BY SEBI & EXCHANGES

1 Account Opening Form A. KYC form - Document captures the basic information about the constituent 3
and an instruction/check list.
B. Document captures the additional information about the Constituent 4–5
relevant to trading account and an instruction /check list.
2 Tariff sheet Document detailing the rate/amount of brokerage and other charges levied 6
on the client for trading on the stock exchange(s).
3 Demat Account Opening Form KYC Form for Demat Account Opening 8
4 A. Nomination Form Nomination form details 10-11
B. Rights and Obligations Document stating the Rights & Obligations of stock broker /trading member Annexure A2
and client for trading on exchanges (including additional rights & obligations
in case of internet/wireless technology based trading).
5 Risk Disclosure Document Document detailing risks associated with dealing in the securities market. Annexure B
(RDD)
6 Guidance note Document detailing dos and don’ts for trading on exchange, for the education Annexure C
of the investors.
7 Policies and Procedures Document describing significant policies and procedures of Stock Broker. Annexure D

VOLUNTARY AND OPTIONAL DOCUMENTS AS PROVIDED BY THE STOCK BROKER

8 Voluntary Authorization Letter Client consent letter for receiving the contract notes statement of account and 7
(Trading) other documents by Email. Letter of Authorization for maintaining a Running
Account with SAMCO. Non Settlement Consent Letter.
9 Voluntary Authorization Letter Voluntary Authorization Letter. Authorisation of debit trading account for the 9
(Demat) demat account charges.Option form for issue of DIS Booklet (Voluntary).
Request for bill/transaction/holding statement through email.
10 DDPI Demat Debit and Pledge Instruction’ (DDPI) for transfer of securities towards 12
deliveries / settlement obligations and pledging / re-pledging of securities.

Checklist while submitting the Trading Application Form

1 Passport Size Photograph – On Page 3. Signature has to be affixed across the Photograph
PAN Card - Self Attested Photocopy
Permanent Address Proof : Aadhar card - Self Attested Photocopy
Bank Proof - Self Attested Cancelled Cheque with your name printed OR Bank Statement stating IFSC & MICR
Income Proof - Self Attested Photocopy of 6 months Bank Statement or Income Tax Return or Salary Slip or Any other
Income Proof
Signatures on 10 areas on the application form
Signatures on Trading Preference Segments Selected on Page 4 of the Form
Demat Proof - Self Attested Photocopy of Client Master Copy or DP Statement or Welcome Letter or Transaction cum
Holding Statement of your DP

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

1
 Name of the Trading Member: SAMCO SECURITIES LIMITED
Exchange SEBI REGISTRATION NO.& DATE Trading Member ID
Cash F&O CDS
NSE INZ000002535 INZ000002535 INZ000002535 12135
9 AUG 2012 9 AUG 2012 9 AUG 2012
BSE INZ000002535 INZ000002535 25 NOV 2013 935
15 OCT 2004 30 AUG 2007
BSE Star MF ARN120121
MSEI INZ000002535 INZ000002535 INZ000002535 31600
3 JAN 2013 3 JAN 2013 6 OCT 2008
DP-CDSL IN-DP-CDSL-443-2008 17 DEC 2012 CDSL DP ID:54200
Clearing Member Details:
In Cash- BSE, NSE, MSEI: SAMCO SECURITIES LIMITED
In F&O- BSE, NSE, MSEI & In CDS- BSE, NSE, MSEI: IL&FS SECURITIES SERVICES LIMITED
Compliance Officer Details CEO Details
Name Manashvi Thakur Mahesh P Morbia
Tel No. 022-22227777 022-22227777
Email Id [email protected] [email protected]
REGISTERED & CORRESPONDENCE OFFICE:
A-1004, 10th Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
For any grievance/dispute please contact to the above address or
Email at [email protected] and Tel:022-22227777
In case not satisfied with the response, please contact the concerned exchange(s) at:
Exchange BSE NSE MSEI
Address Regional Office –West Investor Grievance Cell/Arbitration Vibgyor Towers,5th floor, Plot No C 62,
Dept. of Investor Services Exchange Plaza,5th Floor, Plot No.C/1, G - Block, Opp. Trident Hotel, Bandra
P.J.Towers,1st Floor,Dalal Street, G Block, Bandra Kurla Complex, Kurla Complex, Bandra (E) Mumbai –
Fort,Mumbai-400001 Bandra(E), Mumbai-400051 400098
IG Email Id [email protected] [email protected] [email protected]
Tel No. 022-22728097 022-26598190(IGC) 022-61129028
022-26598192(Arbitration)

To,
SAMCO SECURITIES LIMITED
A-1004, 10th Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Sub: Acknowledgement
I state confirm and declare that I have received the below documents in Electronic / Physical Mode and have read, understood,
acknowledged and agreed to the contents of all the clauses of the below mentioned documents.
I also confirm that I have received the relevant clarifications, if any, wherever required from the officials of SAMCO.
Sl. Brief significance of the Document
No
1. Duly Executed Copy of KYC
2. Rights and Obligations
3. Risk Disclosure document (RDD) for Capital, Derivatives, and Currencies Segments
4. Guidance Note - Do's and Dont's for trading on the Exchange(s) for investors
5. SAMCO Tariff Sheet
6. Policies and Procedures Document pursuant to the SEBI circular dated December 03, 2009
7. General Terms & Conditions governing securities trading and broking services of SAMCO
8. Demat Account opening form (if any)
9. Authorisation of documents for DDPI, Running Account Authorisation and electronic receipt of statements and documents
10. Read SAMCO RMS Policy, Privacy Policy, Legal terms of use and Dislaimer on samco.in/policies
Yours faithfully,
Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
1. Aadhaar no: **** **** 7369
Client Signature
Date: 15/01/2025 SANGEETA VIJAY RAJOLE
Name of the Applicant

2
Know Your Client (KYC) Application Form – For Individuals
KYC Mode: Online KYC Normal EKYC OTP Offline E-kyc Digilocker
New Change Request (Please fill this form in ENGLISH and in BLOCK LETTERS)
(Please tick the box on left margin of appropriate row where the CHANGE/CORRECTION is required and provide the details in the
corresponding row)
A. IDENTITY DETAILS
1. Name of the Applicant: SANGEETA VIJAY RAJOLE
2. Father’s/Spouse’s Name: GOVINDRAO TATYARAO JADHAV
3. Mother’s Name: KASTURBAI
4. Maiden Name:
5. A. Gender: Male Female B. Marital Status : Single Married
Transgender
C. Date of Birth : 01 / 04 / 1979
6. Nationality Indian Other (Please Specify)
Status Resident Individual Non Resident
Foreign National (Passport Copy Mandatory) Location : 21.1959, 72.8302

7. A. PAN : ANFPR9765H B. (UID)/Aadhaar, if any: Timestamp: 2025-01-15 21:17:09

8. Proof of Identity Submitted PAN Card

B. ADDRESS DETAILS
1.Correspondence Address :
Address Line 1 : E213 SHYONA CITY 4 RC
Address Line 2 : TECHNICAL RD GHATLODIA
Address Line 3 : AHMEDABAD
City/Town/Village: AHMEDABAD PIN Code: 380061
State: GUJARAT Country: INDIA
2. Specify Proof of Address submitted for Residence/Correspondence Address :
3. Permanent Address if different from above or overseas address, (mandatory for Non-Resident Applicant)
Address Line 1 : E213 SHYONA CITY 4 RC
Address Line 2 : TECHNICAL RD GHATLODIA
Address Line 3 : AHMEDABAD
City/Town/Village: AHMEDABAD PIN Code: 380061
State: GUJARAT Country: INDIA
4. Specify Proof of Address submitted for Permanent Address :

5. Contact Details
a. Mobile Number 9227227333 b. EMAIL ID: [email protected]
c. Tel. (Office): d. Tel. (Residence):
6. Any other Information : ____________________
7. Are you a Tax Resident of any country other than India? Yes No
(if yes , please indicate all countries in which you are resident for tax purposes and the associated Tax ID Numbers below)
Country Tax Identification Number % Identification Type(TIN or Other , Please specify)

C. DECLARATION
I/We hereby declare that the KYC details furnished by me 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 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.
FOR OFFICE USE ONLY
In Person Verification (IPV) Details:
Name of the person who has done the IPV: FARHAN NAIK
Designation: SENIOR EXECUTIVE
Employee ID: E0118
Name of the Organization : SAMCO SECURITIES LIMITED
Date of IPV : 15/01/2025
POS Code:1200000935

Seal & Signature of Authorized Signatory

Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
4. Aadhaar no: **** **** 7369
Date : 15/01/2025 Place AHMEDABAD
3
 TRADING ACCOUNT & DEMAT ACCOUNT (if any) RELATED DETAILS
A. BANK ACCOUNT DETAILS: [for Trading & Dividend Bank Details]
Priamry Bank Details
(i) Bank Name: INDIAN OVERSEAS BANK (ii) Branch Name: AHMEDABAD VASTRAPUR
(iii) Bank Account No. 104201000010191 (iv) IFSC Code: IOBA0001042
(v) Account Type: Savings Current (vi) In case of NRI Account: NRE NRO
Others
(vii) Bank Branch Address: , AHMEDABAD VASTRAPUR

Secondary Bank Details

(i) Bank Name: (ii) Branch Name:
(iii) Bank Account No. (iv) IFSC Code:
(v) Account Type: Savings Current (vi) In case of NRI Account: NRE NRO
Others ()
(vii) Bank Branch Address:
B. DEPOSITORY ACCOUNT DETAILS:
(i) Depository (i) Depository SAMCO SECURITIES LTD.
Participant Name: Participant Name:
(ii) Depository Name: NSDL CDSL (ii) Depository Name: CDSL
(iii) Beneficiary (iii) Beneficiary _________________
Name: Name:
(iv) DP ID: (iv) DP ID: 12054200
BO ID: BO ID: As per client master attached
C. PAST ACTIONS:
Details of any action/proceedings initiated/pending/taken by SEBI/Stock Exchange/any other authority against the applicant/constituent or its
partners/promoters/whole time directors/authorized persons in charge of dealing in securities during the last 3 years.
D. TRADING EXPERIENCE:
No Prior Experience Years in Equities:
Years in Derivatives: Years in Other Investment
related Field:
E. DEALING THROUGH SUB-BROKERS/A.P AND OTHER STOCK BROKERS:
If client is dealing through the sub-broker, provide the following details:
Broker/Sub-Broker Name: __________________________ SEBI Registration Number: __________________________
Registered Office Address: _______________________________________________________________________________________
Phone No. __________________________ Website: _________________________________
Whether dealing with any other stock broker/sub broker(in case dealing with multiple stock brokers/sub brokers, provide detail of all)
Name of Stock Broker: __________________________ Name of Sub Broker: __________________________
Client Code: __________________________ Exchange: __________________________
Details of disputes/dues ending from/to such __________________________
stock broker/Sub Broker:
F. ADDITIONAL DETAILS:
(i)Whether you wish to receive (a) Physical contract note (b) Electronic Contract Note (ECN)
If ECN Specify your Email ID: [email protected]
(ii)Whether you wish to avail of the facility of internet trading/wireless technology/mobile trading: Yes No
G. INTRODUCER DETAILS:
Name of Introducer:
Address: ____________________________________________________ Phone No:
Status of the Introducer: Sub-broker/Remiser/Authorised Person/Existing Client: Client ID : /others (please specify)
H. TRADING PREFERENCES:
Please sign in the relevant boxes where you wish to trade.The segment not chosen should be struck off by the client.If,in future the client wants
to trade on new segment/new exchange, segment addition mail from client's registered mail ID will suffice.
4. Please sign in all highlighted boxes as selected by you.
Signed with Aadhaar: Signed withF&O
Aadhaar: Signed with Aadhaar:
Exchange Segment Cash
Sangeeta Vijay Rajole Currency Derivatives
Sangeeta Vijay Rajole Sangeeta Vijay Rajole
NSE 15/01/2025@21:37:24 IST 15/01/2025@21:37:24 IST 15/01/2025@21:37:24 IST
Aadhaar
Signed no:Aadhaar:
with **** **** 7369 Aadhaar
Signed no:
with **** **** 7369
Aadhaar: Aadhaar
Signed withno: **** **** 7369
Aadhaar:
Sangeeta Vijay Rajole Sangeeta Vijay Rajole Sangeeta Vijay Rajole
BSE 15/01/2025@21:37:24 IST 15/01/2025@21:37:24 IST 15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369 Aadhaar no: **** **** 7369 Aadhaar no: **** **** 7369
Signed with Aadhaar:
BSE Star MF (Mutual Funds) Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369
Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
5. Aadhaar no: **** **** 7369

4
I. OTHER DETAILS (for Trading & Demat (if any))
1. Gross Annual Income range(In Lakh Rs.): Below 1 1-5 5-10 10-25 Above 25 AND/OR
Net-Worth in RS. _____________ (Net Worth should not be older than 1 year) as on ___/___/_____
2. Occupation: SERVICES
Name of the Employer/Establishment: Nature of Business:
Address: Mobile No.:
Designation: Phone No.
3. Qualification Details
4. Please tick, if applicable Politicaly Exposed Person(PEP) Related to a Politicaly Exposed Person
DECLARATION for details provided above :
I / We have received and read the Rights and Obligations document and terms & conditions and agree to abide by and be bound by the
same and by the Bye Laws as are in force from time to time. I / We declare that the particulars given by me/us above are true and to the
best of my/our knowledge as on the date of making this application. I/We agree and undertake to intimate the DP and Stock Broker any
change(s) in the details / Particulars mentioned by me / us in this form. I/We further agree that any false / misleading information given
Signed
by me / us or suppression of any material information will render my account liable for termination and suitable with Aadhaar:
action.
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Client Signature: 6. Aadhaar no: **** **** 7369
Place: AHMEDABAD Date: 15/01/2025
FOR OFFICE USE ONLY
UCC Code allotted to the client:____________
Documents Verified with originals Client Interviewed by In-Person Verification done by
Name of the Employee FARHAN NAIK
Employee Code E0118
Designation of the SENIOR EXECUTIVE
employee
Date 15/01/2025
Seal & Signature of Authorized
Signature
Signatory
I/We undertake that we have made the client aware of :Policy & Procedures”, tariff sheet and all the non-mandatory documents.I/We
have also made the client aware of “Right and Obligations” document(s),RDD and Guidance note. I/We have given /sent him a copy of all
the KYC documents would be duly intimated to the clients. I/we also undertake that any change in the “Rights and Obligations” and
RDD would be made available on my/our website, if any, for the information to the clients.
Signature of the Authorised Signatory:___________________
Date:___________ Place : ___________ Seal/Stamp of the Stock Broker

5
 SAMCO TARIFF SHEET
To,
SAMCO SECURITIES LIMITED
A-1004, 10th Floor, Naman Midtown-A Wing,
Senapati Bapat Marg, Prabhadevi, Mumbai-400 013

Charges for SAMCO Trading Services

I/ We agree to pay the charges as per following charges structure for our Trading account with SAMCO effective ________________
Client Name SANGEETA VIJAY RAJOLE Client PAN ANFPR9765H

Equity Intraday Futures Options* Currency Futures Currency Options*

Rs 20 per executed order or 0.05% of Turnover whichever is lower

Charge Head Brokerage / Charges

Equity Delivery Rs 20 per executed order or 0.5% of Turnover whichever is lower
*Turnover for Options is calculated as (Strike + Premium) *Lot Size
In addition to the brokerage charge the following charges will also be levied
Schedule of Charges:
No Schedule of charges
1 Exchange turnover charges (These are charges are paid to the exchanges like NSE, BSE, MCX)
2 Securities transaction tax (Government tax for transacting in Securities Market)
3 GST (Government tax charged on Brokerage and Exchange Turnover Charge)
4 Stamp Duty:State wise stamp duty as applicable will be levied (State Government tax)
5 Clearing Member charges (These charges are paid to the clearing members for Clearing the trades)
6 SEBI turnover fees (These charges are paid to SEBI)
7 Call N Trade charges (For broker assisted trades, including RMS Square off)
8 Demat Charges (As per Schedule Below)
9 Payment Gateway Charges will be applicable at actual cost (Payable to affiliated Payment Gateway)
Detailed explanation of the Schedule of Charges is available online at https://www.samco.in/charge-list-equities-and-equity-derivatives
DEMAT CHARGES
Sr Services Individual
No.
1 Annual Account Maintenance Charges - AMC Rs.400/- plus GST
2 Deliveries/Debit (Market & Off Market)
1. Within SAMCO DP Rs.15/- plus GST per transaction
2. Outside SAMCO DP 0.02% on transaction value subject to min. Rs.25/- per transaction plus
(Charges are inclusive of CDSL tariff) GST
3 Pledge (Creation/Closure/Invocation) Rs.30/- per ISIN plus GST (Instant Rs.60/-)
4 Dematerialisation Rs.10/- per certification plus Rs.50/- per request towards postal charges
(Coversion of physical certificate to Demat) plus GST
5 Rematerialization Actual CDSL charges plus Rs.50/- per request towards postal charges
(Conversion of demat shares to physical certificate) plus GST
• All charges mentioned above are inclusive of CDSL Charges.
• Any service, which is not mentioned above, will be charged separately as per the rates applicable from time to time.
• SAMCO reserves the right to revise the tariff structure from time to time with a notice of 30 days.
• Billing will be made on monthly basis.
• In addition to the above, all other statutory / regulatory levies such as GST etc. are recovered at the applicable rates from time to
time.
• All instruction for transfer must be received at the DP at least 3.30 p.m. for the same day execution date & 5.00 p.m. for next day
execution date on the pay in date accepted only at client’s risk.
• Operation instruction for the joint account must be signed by all the holders.
• AMC for the first year is absolutely free, However from the second financial year onwards AMC will be auto debited up-
frontly into clients ledger account, subject to credit balance available in ledger, which is Rs.400 plus GST.

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
7. Aadhaar no: **** **** 7369
Client Signature
SANGEETA VIJAY RAJOLE
Date: 15/01/2025
Name of the Applicant

6
 VOLUNTARY AUTHORIZATION LETTER
To,
SAMCO SECURITIES LIMITED
A-1004, 10th Floor, Naman Midtown-A Wing,
Senapati Bapat Marg, Prabhadevi, Mumbai-400 013

Dear Sir,
Sub: Voluntary Authorization Letter
1) Authorization for Electronic Contract Notes (ECN)
I/We have been/shall be dealing through you as may/our broker on the Capital Market and/or Futures & Options and/or Currency
Derivatives and or Interest Rate Futures Segments. As my/our broker i.e. agent I/We direct and authorize you to carry out
trading/dealings on my/our behalf as per instructions given below.
I/We understand that, I/We have the option to receive the contract notes in physical form or electronic form. In pursuance of the same,
I/We hereby opt to receive contract notes in electronic form. I/We understand that for the above purpose, you are required to take from
the client “an appropriate email account” for you to send the electronic contract notes. Accordingly, please take the following email
account /email id on your record for sending the contract notes to me/us: Email: [email protected]
I/We also agree that non-receipt of bounced mail notification by you shall amount to delivery at my/our email account / email id.
I/We agree not to hold you responsible for late/non-receipt of contract notes sent in electronic form and any other communication for
any reason including but not limited to failure of email services, loss of connectivity, email in transit etc.
I/We agree that the log reports of your dispatching software shall be a conclusive proof of dispatch of contract notes to me/us and such
dispatch shall be deemed to mean receipt by me/us and shall not be disputed by me/us on account of any non-receipt/delayed receipt for
any reason whatsoever.
I/We understand that I am required to intimate any change in the email id/email account mentioned herein above needs to be
communicated by me through a physical letter to you, provided however that if I/We am/are an internet client then in that event the
request for change in email id/email account can be made by me/us through a secured access using client specific user id and password.
Please treat this authorization as written ratification of my/our verbal directions/authorizations given and carried out by you earlier.
I/We shall be liable for all losses, damages and actions which may arise as a consequence of your adhering to and carrying out my/our
directions given above.
2) Authorization for Non settlement of Accounts for the Quarters
I / we am / are doing continuous trading and delivery based business in securities with you. I / We am / are aware that Settlement of
Accounts is mandatory. However, as per Exchange circulars no NSE/INSP/24849 dated October 29, 2013 and BSE circular no
20131029-15 dated October 29, 2013.
I we give my / our consent for not to settle my / our account if the balance is less than 10,000/-.
This undertaking will be valid in all quarter when my/our balance is less than Rs.10000/- till my/our revocation in writing .
3) Running Account Authorization
I/We are dealing through you as a client in Capital Market and/or Future & Option segment and/or Currency segment and/or Interest
Rate future Segment & in order to facilitate ease of operations and upfront requirement of margin for trade. I/We authorize you as
under:
1. I/We request you to maintain running balance in my account & retain the credit balance in any of my/our account and to use the
unused funds towards my/our margin/pay-in/other future obligation(s) at any segment(s) of any or all the Exchange(s)/Clearing
corporation unless I/We instruct you otherwise.
2. I/We request you to retain securities with you for my/our margin/pay-in/other future obligation(s) at any segment(s) of any or all the
Exchange(s)/Clearing Corporation, unless I/We instruct you to transfer the same to my/our account.
3. I/We request you to settle my funds and securities as per Circulars issued by SEBI/Exchanges from time to time.
• Once in a calendar Month
• Once in every calendar Quarter except the funds given towards collaterals / margin in form of Bank Guarantee and /or Fixed Deposit
Receipt
4. In case I/We have an outstanding obligation on the settlement date, you may retain the towards such obligations and may also retain
the funds expected to be required to meet margin obligation for next 5 trading days, calculated in the manner specified by the
exchanges.
5. I/We confirm you that I will bring to your notice any dispute arising from the statement of account or settlement so made in writing
within 7 working days from the date of receipt of funds/securities or statement of account or statement related to it, as the case may be
at your registered office.
6. I/We confirm you that I can revoke the above mentioned authority at any time.
4) Authorization for Account Modification
If I/we were to add/modify/remove any of my detail including brokerage plans and segments addition with SAMCO Securities Ltd, I/we
authorize you to carry it out based on my request sent through an email to [email protected] from my registered email address or
intimation through an interface provided by you, whereto I have been allowed secured access.
If you feel the need to do so, then at your own discretion, you may put in place appropriate mechanism to confirm the request before or
after its execution by way of a call from a recorded line, or otherwise, personal meeting, SMS or other such other mode as you may
deem fit.
5) Subscription for Margin Against Shares / Margin Trading Facility
I/We undertake that we have read all the terms and conditions available on the Samco Website (www.samco.in) of Margin Against
Shares (Stock Plus) and agree & give my consent to subscribe for the said product. Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
8. Aadhaar no: **** **** 7369
Client Signature
Name of the Applicant
SANGEETA VIJAY RAJOLE
Date: 15/01/2025
7
 Additional KYC Form for Opening a Demat Account
For Individuals
SAMCO SECURITIES LIMITED
DEPOSITORY PARTICIPANT – CENTRAL DEPOSITORY SERVICES LTD
DP ID: 12054200 SEBI REGN NO. IN-DP-CDSL-443-2008
A-1004, 10th Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013,
Email: [email protected]
(To be filled by the Depository Participant)
DP ID 1 2 0 5 4 2 0 0 Client ID As per client master attached

(To be filled by the applicant in BLOCK LETTERS in English)

I/We request you to open a demat account in my/ our name as per following details:-
Holders Details
Sole / First SANGEETA VIJAY RAJOLE PAN A N F P R 9 7 6 5 H
Holder’s Name
UID 0
UCC
Exchange Name & ID
Name * ______________________________________________
*In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the name of
the natural persons, the name of the Firm, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be mentioned
above.
Type of Account (Please tick whichever is applicable)
Status Sub – Status
Individual Individual Resident Individual-Director
Individual Director’s Relative Individual HUF / AOP
Individual Promoter Minor
Individual Margin Trading A/C (MANTRA) Others(specify)___________
NRI NRI Repatriable NRI Non-Repatriable
NRI Repatriable Promoter NRI Non-Repatriable Promoter
NRI - Depository Receipts Others (specify)____________
Foreign National Foreign National
Foreign National - Depository Receipts
Others (specify) _____________

Details of Guardian (in case the account holder is minor)

Guardian’s Name : _____________________________________ PAN : _____________________________________
Relationship with the applicant : _____________________________________
Standing Instructions
I / We instruct the DP to receive each and every credit in my / our account [Automatic Credit]
(If not marked, the default option would be ‘Yes’) Yes No
I / We would like to instruct the DP to accept all the pledge instructions in my /our account without any other further Yes No
instruction from my/our end
(If not marked, the default option would be ‘No’)
Account Statement Requirement As per SEBI Regulation Daily Weekly Fortnightly Monthly
I / We request you to send Electronic Transaction-cum-Holding Statement at the email ID Yes No
[email protected]
I / We would like to share the email ID with the RTA Yes No
I / We would like to receive the Annual Report Physical / Electronic / Both Physical and Electronic
(Tick the applicable box. If not marked the default option would be in Physical)
I / We wish to receive dividend / interest directly in to my bank account as given below through ECS. (If not marked, the Yes No
default option would be ‘Yes’) [ECS is mandatory for locations notified by SEBI from time to time ]
Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
9. Aadhaar no: **** **** 7369
Client Signature
SANGEETA VIJAY RAJOLE
Name of the Applicant
Date: 15/01/2025

8
 Voluntary Authorization Letter
To,
SAMCO SECURITIES LIMITED
A-1004, 10th Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013

Dear Sir,
Sub: Voluntary Authorization Letter
BO ID: 12054200 Client code :
SMS Alert Facility MOBILE NO. +91 9227227333
Refer to Terms & Conditions given as [(Mandatory , if you are giving Power of Attorney / Demat Debit and Pledge Instruction
Annexure - 2.4 ( POA / DDPI)]
(if DDPI is not granted & you do not wish to avail of this facility, cancel this option).
Transactions Using Secured Texting Facility I wish to avail the TRUST facility using the Mobile number registered for SMS Alert
(TRUST). Facility. I have read and understood the Terms and Conditions prescribed by CDSL for
Refer to Terms and Conditions the same.
Annexure – 2.6 Yes No
I/We wish to register the following clearing member IDs under my/our below
mentioned BO ID registered for TRUST
Stock Exchange Name/ID Clearing Member Name Clearing Member Id (Optional)

Easi To register for easi, please visit our website www.cdslindia.com. Easi allows a BO to
view his ISIN balances, transactions and value of the portfolio online.

2) Authorisation to debit trading account for the demat account charges

I/We have opened/have a beneficiary account with your CDSL depository along with a trading account for investment and trading
purpose. It would be difficult for me/us to keep issuing separate cheques against your depository bills. I/We therefore authorise you to
debit the charges payable towards operations of the above account. I/We are aware of the charges for operating the said account. Any
such sum debited to my trading account shall be binding on me/us.

3) Option form for issue of DIS Booklet (Voluntary)

I/We hereby state that: [select one of the option given below]
OPTION 1: I / We require you to issue Delivery Instruction Slip (DIS) booklet to me / us immediately on opening my / our CDSL account
though I/ We have issued a Demat Debit and Pledge Instruction (DDPI) in favour of SAMCO Securities Limited for executing delivery
instructions for settling stock exchange trades [Settlement related transactions] effected through such Clearing Member. OR
OPTION 2: I / We do not require the delivery Instruction Slip(DIS)for the time being, Since samco provides an OTP based online
instruction service & we will issue a DDPI in favour of SAMCO Securities Limited for executing the delivery instructions for settling
stock exchange trades [settlement related transaction]effected through such Clearing Member. However, the Delivery Instruction Slip
(DIS)booklet should be issued to me / us immediately on my / our request at any later date.
I We here by select OPTION 1 OPTION 2

4) Request for bill/transaction/holding statement through email.

I/We request you to send me/us bill, transaction and holding statement of my CDSL Demat account at following email address:
[email protected]
I/We fully agree and are aware of following Terms and Conditions mentioned below.
(a) that I/We will not receive the bill, transaction and holding statements in paper form.
(b) that I/We will take all the necessary steps to ensure confidentiality and secrecy of the login name and password of the internet/email
account.
(c) that I/We am/are aware that the bill, transaction and holding statements may be accessed by other entities in case the confidentiality
/ secrecy of the login name and password is compromised.
(d) that I/We in case bill, transaction and holding statements are sent by email, I/We will immediately inform the SAMCO SECURITIES
LIMITED. about change in email address, if any.
In case, the SAMCO Securities Limited is not able to provide bill/transaction statement to its Clients by email or on website due to any
reason (including bounced emails), SAMCO Securities Limited will ensure that the transaction statement is provided to me/us in paper
form as per the time schedule stipulated in the Bye Laws & Business Rules of CDSL.
I/We hereby request you to sent the statements: daily fortnightly weekly monthly
5) I am aware of the Basic Services Demat Account and I would still like to go for normal Demat account Yes No
I do not wish to nominate, incase I wish to nominate, I would submit the nomination form received by Signed
me separately.
with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
10. Aadhaar no: **** **** 7369
Sole Holder or Guardian (in case of minor)
Date: 15/01/2025

9
 Nomination Form
[Annexure A to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601dated July 23, 2021on Mandatory Nomination for Eligible Trading and Demat Accounts]

TM / DP FORM FOR NOMINATION

Name and Address (To be filled in by individual applying singly or jointly)

Date 1 5 0 1 2 0 2 5 UCC/ DP ID: 1 2 0 5 4 2 0 0 Client ID : As per client master attached

I/We wish to make a nomination. [As per details given below]

Nomination Details

I/We wish to make a nomination and do hereby nominate the following person(s) who shall receive all the assets held in my / our account in the event of my / our death.

Nomination can be made upto three Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee1
nominees in the account.

1 Name of the nominee(s) (Mr./Ms. VIJAY KASHINATHRAO RAJOLE

2 Share of each Equally 100% % %

Nominee [If not equally,
please specify
percentage]

3 Relationship With the Applicant ( SPOUSE

If Any)

4 Address of Nominee(s)

City / Place:
State & Country:

PINCODE SAME AS APPLICANT

5 Mobile/Telephone No. of
nominee(s)

6 Email ID of nominee(s)

7 Nominee Identification details

–[Please tick any one of following and
provide details of same]
Photograph & Signature
PAN Aadhaar
Saving Bank account no.
Proof of Identity
Demat Account ID

Sr. Nos. 8-14 should be filled only if nominee(s) is a minor

8 Date of Birth {in case of minor 30-10-1980

nominee(s)}

9 Name of Guardian (Mr./Ms.) {in

case of minor nominee(s)}

10 Address of Guardian(s)

City / Place:
State & Country:

PINCODE

11 Mobile/Telephone no. of
Guardian

12 Email ID of Guardian

13 Relationship of Guardian with

nominee

14 Guardian Identification details

–[Please tick any one of following and
provide details of same]
Photograph & Signature
PAN Aadhaar
Saving Bank account no.
Proof of Identity
Demat Account ID

Name(s) of holder(s) Signature(s) of holder*

Sole / First Holder (Mr./Ms.) SANGEETA VIJAY RAJOLE

Second Holder (Mr./Ms.)

Third Holder (Mr./Ms.)

Signed with Aadhaar:
* Signature of witness, along with name and address are required, if the account We Accept Sangeeta Vijay Rajole
holder affixes thumb impression, instead of signature 15/01/2025@21:37:24 IST
For SAMCO SECURITIES LTD Aadhaar no: **** **** 7369
Note:
This nomination shall supersede any prior nomination made by the account holder(s),
if any.The Trading Member / Depository Participant shall provide acknowledgement Authorized Signatories
of the nomination form to the account holder(s) REGD. OFFICE: A-1004, 10th Floor, Naman Midtown-A Wing,
Senapati Bapat Marg, Prabhadevi, Mumbai-400 013

10
 Declaration Form for opting out of nomination
[Annexure B to SEBI circular No. SEBI/HO/MIRSD/RTAMB/CIR/P/2021/601 dated July 23, 2021 on Mandatory Nomination for Eligible Trading and Demat Accounts]

To
Date 1 5 0 1 2 0 2 5

Trading Member/Participant’s Name

Trading Member/Participant’s Address

UCC/DP ID

Client ID (only for Demat account)

Sole/First Holder Name SANGEETA VIJAY RAJOLE

Second Holder Name

Third Holder Name

I / We hereby confirm that I / We do not wish to appoint any nominee(s) in my / our trading / demat account and
understand the issues involved in non-appointment of nominee(s) and further are aware that in case of death of all
the account holder(s), my / our legal heirs would need to submit all the requisite documents / information for
claiming of assets held in my / our trading / demat account, which may also include documents issued by Court or
other such competent authority, based on the value of assets held in the trading / demat account.

Name and Signature of Holder(s)*

1.SANGEETA VIJAY RAJOLE 2.___________________________________ 3.___________________________________

* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

11
 Demat Debit and Pledge Instruction

S.No. Purpose Signature of Client*

Signed with Aadhaar:
Sangeeta Vijay Rajole
1. Transfer of securities held in the beneficial owner accounts of the client towards Stock 15/01/2025@21:37:24 IST
Exchange related deliveries / settlement obligations arising out of trades executed by clients on Aadhaar no: **** **** 7369
the Stock Exchange through the same stock broker Signed with Aadhaar:
Sangeeta Vijay Rajole
2. Pledging / re-pledging of securities in favour of trading member (TM) / clearing member (CM) 15/01/2025@21:37:24 IST
for the purpose of meeting margin requirements of the clients in connection with the trades Aadhaar no: **** **** 7369
executed by the clients on the Stock Exchange. Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
3. Mutual Fund transactions being executed on Stock Exchange order entry platforms. Aadhaarwith
no:Aadhaar:
**** **** 7369
Signed
Sangeeta Vijay Rajole
4. Tendering shares in open offers through Stock Exchange platforms. 15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

Demat Account Details-Samco Securities Limited

EXCHANGE & SEGMENTS TYPE OF A/C NSDL CDSL

BSE CASH PRINCIPLE A/C IN609351 1205420000001278

BSE CASH EARLY PAYIN A/C 1100001000018570

NSE CASH EARLY PAYIN A/C 1100001100018602

NSE CASH POOL A/C IN560708 1205420000002691

NSE CASH TM/CM CMPA A/C 1205420001505078

NSE CASH SLB POOL A/C 1205420001834205

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

12
 Most Important Terms and Conditions (MITC)
(For non-custodial settled trading accounts)
1. Your trading account has a “Unique Client Code” (UCC), different from your demat account number. Do not allow anyone (including
your own stock broker, their representatives and dealers) to trade in your trading account on their own without taking specific
instruction from you for your trades. Do not share your internet/ mobile trading login credentials with anyone else.

2. You are required to place collaterals as margins with the stock broker before you trade. The collateral can either be in the form of
funds transfer into specified stock broker bank accounts or margin pledge of securities from your demat account. The bank accounts
are listed on the stock broker website. Please do not transfer funds into any other account. The stock broker is not permitted to accept
any cash from you.

3. The stock broker’s Risk Management Policy provides details about how the trading limits will be given to you, and the tariff sheet
provides the charges that the stock broker will levy on you.

4. All securities purchased by you will be transferred to your demat account within one working day of the payout. In case of securities
purchased but not fully paid by you, the transfer of the same may be subject to limited period pledge i.e. seven trading days after the
pay-out (CUSPA pledge) created in favor of the stock broker. You can view your demat account balances directly at the website of the
Depositories after creating a login.

5. The stock broker is obligated to deposit all funds received from you with any of the Clearing Corporations duly allocated in your
name. The stock broker is further mandated to return excess funds as per applicable norms to you at the time of quarterly/ monthly
settlement. You can view the amounts allocated to you directly at the website of the Clearing Corporation(s).

6. You will get a contract note from the stock broker within 24 hours of the trade.

7. You may give a one-time Demat Debit and Pledge Instruction (DDPI) authority to your stock broker for limited access to your demat
account, including transferring securities, which are sold in your account for pay-in.

8. The stock broker is expected to know your financial status and monitor your accounts accordingly. Do share all financial information
(e.g. income, networth, etc.) with the stock broker as and when requested for. Kindly also keep your email Id and mobile phone details
with the stock broker always updated.

9. In case of disputes with the stock broker, you can raise a grievance on the dedicated investor grievance ID of the stock broker. You
can also approach the stock exchanges and/or SEBI directly.

10. Any assured/guaranteed/fixed returns schemes or any other schemes of similar nature are prohibited by law. You will not have any
protection/recourse from SEBI/stock exchanges for participation in such schemes.

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

13
 Good Till Triggered (GTT) Policy
1. Purpose
The purpose of this Goods Till Triggered (GTT) Order Policy is to define the procedures and conditions under which GTT orders are
placed, managed, and executed. This policy aims to provide clarity on how GTT orders work and ensure that they are handled in a
transparent and efficient manner.
2. Definition
A GTT order is a type of conditional order that remains valid until a predefined trigger condition is met. Once the trigger condition is
satisfied, the GTT order is activated and executed according to the specified instructions.
3. Scope
This policy applies to all GTT orders placed by clients for the purchase or sale of securities, or other financial instruments through our
trading platform.
4. Order Placement
Trigger Condition: The client must specify the conditions under which the GTT order will be activated. This could include price levels,
quantity, or other relevant criteria. Further on trigger of price, the GTT order will then be executed with exchange.
Order Details: The client must provide complete details of the GTT order, including the trigger condition, order type (buy/sell),
quantity, price, and any additional instructions.
5. Validity
Duration: GTT orders are valid until the trigger condition is met or until the order is canceled by the client. GTT orders do not expire
until activated or explicitly canceled. The validity of GTT orders is till 31st Dec 2099, after placing the request if they are not triggered
according to the specified conditions.
Trigger Satisfaction: Once the trigger condition is met, the GTT order is activated and treated as a standard order, subject to market
conditions and execution practices.
6. Order Execution
Activation: Upon activation, the GTT order will be executed based on the prevailing market conditions and the instructions provided by
the client.
Partial Execution: If only part of the order can be filled, the remaining quantity may remain open or be canceled based on client
instructions.
Market Conditions: Execution is subject to market liquidity and other factors. The company does not guarantee that the order will be
executed at the specified price.
7. Modification and Cancellation
Modification: Clients may modify the trigger condition, order details, or other relevant parameters of a GTT order before it is activated.
Cancellation: Clients can cancel a GTT order at any time before it is triggered. Once activated, the order can only be canceled or
modified according to standard order management procedures. In the event of corporate actions, all existing GTT orders are canceled
one day before the ex-date of the corporate action and clients will be intimated on the same day.
8. Risk Disclosure
Market Risk: Clients should be aware of market risks, including price volatility and liquidity issues, which may impact the execution of
GTT orders.
System Risk: There may be technical issues or system limitations that affect the activation and execution of GTT orders. The company
does not guarantee that the order will be triggered and executed during market volatility.
9. Compliance and Reporting
Regulatory Compliance: GTT orders and their execution are subject to relevant regulatory requirements and compliance standards. The
GTT orders are subject to certain terms and conditions which are listed on our official website www.samco.in
Reporting: Clients will receive reports and confirmations regarding the status and execution of their GTT orders as per standard
practices.

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

14
 Policy on facility of voluntary freezing/blocking the online access of the trading account
1. SCOPE AND APPLICABILITY
Samco Securities Limited, being a Trading Member providing Internet Based Trading/ Mobile Trading/ other online access for trading,
is required to make available to the clients at least two modes as prescribed by the exchanges through which the client may request for
voluntary freezing/ blocking the online access of trading account if any suspicious activity is observed in the trading account.
2. Mode of receipt of request for freezing/blocking the trading A/c:
Following modes shall be provided by the Company for receipt of request for freezing/blocking the clients trading A/c:
1. Client can raise voluntary freeze request through his own Back-office login under Profile section and complete 2FA authentication.
2. A dedicated land Line No.: 022-69080514 is provided to clients to place request for voluntary freezing/ blocking of the online access
of the clients’ trading account.
3. Procedure to be followed on receipt of request for freezing/blocking the trading A/c.:
n receipt of request from clients through any of the prescribed modes of communications; for freezing/blocking of the online access of
the trading account from the client:
1. Company shall validate that the request is received from a registered client and issue an acknowledgement for the same.
2. Company shall freeze/block the online access of the client's trading account and simultaneously cancel all the pending orders of the
said client.
To validate that the request for freezing/blocking of the online access of the trading account is received from the respective client;
company shall verify, whether request is received from the registered e-mail Id / mobile number of the client
3. The timelines for freezing/ blocking of the online access of the clients’ trading account is as under:
Scenario Timelines for issuing acknowledgement as well as freezing/ blocking
of the online access of the trading account
Request received during the trading hours and within 15 Within 15 Minutes
minutes before the start of trading
Request received after the trading hours and 15 minutes before Before the start of next trading session
the start of trading
4. Post freezing/blocking the client’s trading account, company shall send a communication on the registered e-mail ID of the client,
stating that the online access to the trading account has been frozen/blocked and all the pending orders in the client’s trading account,
if any, have been cancelled along with the process of re-enablement for getting the online access to the trading account.
5. Company shall also communicate / provide the details of open positions of client (if any) along-with contract expiry information
within one hour from the freezing/blocking of the trading account.
6. Company shall maintain the appropriate records/logs including, but not limited to, request received to freeze/block the online access
of trading account, confirmation given for freezing/blocking of the online access of the trading account and cancellation of pending
orders, if any, sent to the clients.
4. Re-enabling the client for online access of the trading account: -
Company shall re-enable the online access of trading account after carrying out necessary due diligence including validating the client
request received on [email protected] and unfreezing / unblocking the online access of the trading account.
5. Clarification
Freezing/blocking is only for the online access to the client’s trading account, and there shall be no restrictions on the Risk
Management activities of company.
The request for freezing/ blocking does not constitute request for marking client Unique Client Code (UCC) as inactive in the records of
respective Exchanges.

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

15
 Self-declaration with relevant supporting documents for Income proof

To Samco securities ltd,

I am writing this self-declaration to provide income proof for the purpose of Demat & Trading Account opening. As on date my income
sources is follows:

Occupation: - SERVICES

My total annual income range is 1-5 Lakh. Also, I am providing Self declaration with relevant supporting documents as below.
• Balance sheet
• Latest salary slips
• Form 16 (A & B)
• ITR copy
• Holding Statement
• Bank Passbook with transaction
• Bank statement
I hereby declare that the above information is true and accurate to the best of my knowledge. If any further documentation or verification
is required, please do not hesitate to contact me.

Thank you for your attention to this matter.

Sincerely,
Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

SANGEETA VIJAY RAJOLE

16
 ECI-1609097

COMMODITY ACCOUNT FORM

SAMCO SECURITIES LTD

A-302, 3rd Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Tel:022-22227777,Fax:022-24391810,Email:[email protected],Website:www.samco.in
SET OF ACCOUNT OPENING DOCUMENT
S. Name of the Document Brief Significance of the Document Page
No. No
MANDATORY DOCUMENTS AS PERSCRIBED BY SEBI / EXCHANGES
1 KYC (Account Opening) KYC form - Document captures the basic information about the constituent and an 2
Application Form instruction/check list
2 Tariff Sheet Document detailing the rate/amount of brokerage and other charges levied on the client 5
for trading on the commodity exchange(s)
3 Uniform Risk Disclosure Provided to Client (Consent declaration on P-5) Document Detailing risks associated with Annexur
Document (RDD) dealing in the commodity market including options trading. e-A
4 Rights and Obligations of Provided to Client (Consent declaration on P-5) Document stating the rights & obligations Annexur
Member/ Authorized of member, authorized person and client for trading on exchanges (including additional e-B
Persons/Clients rights & obligations in case of internet / wireless technology based trading)
5 Do’s and Dont's of the Investors Provided to Client (Consent declaration on P-5) Document detailing do’s and dont’s for Annexur
trading on exchanges, for the education of the investors e-C
VOLUNTARY DOCUMENTS AS PROVIDED BY THE MEMBER
6 ECN Declaration Receipt of contract notes / statements electronically 6
7 Request Letter Request for trading in commodity forward contracts / commodity derivatives 6

SAMCO SECURITIES LIMITED

SEBI Reg. No: INZ000013932: MCX Member Code: 55190
NCDEX/TM/CORP/1123:NCDEX Member Code:1148
Registered & Correspondence Office Address
A-1004, 10th Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Compliance Officer Details: Name: Manashvi Thakur Phone No: 022-22227777 Email:[email protected]
CEO Details: Name: Pratik Adani Phone No.:022-22227777 Email:[email protected]
For any grievance/dispute please contact SAMCO Securities Limited at the above address or email id:[email protected] and phone no.
022-22227777. In case not satisfied with the response, please contact the concerned exchange(s) at MCX: [email protected] and
phone no. 022-67318888 ,
NCDEX:[email protected] Tel: 022-66406789

Checklist while submitting the Commodity Application Form

1 Passport Size Photograph – On Page 2. Signature has to be affixed across the Photograph
PAN Card Self Attested Photocopy
Permanent Address Proof:Aadhar card – Self Attested Photocopy
Bank Proof - Self Attested Cancelled Cheque with your name printed OR Bank Statement stating IFSC & MICR
Income Proof - Self Attested Photocopy of 6 months Bank Statement or Income Tax Return or Salary Slip or Any other Income Proof
Signatures on 9 areas on the application form
Signatures on Trading Preference Segments Selected on Page 3 of the Form
Demat Proof - Self Attested Photocopy of Client Master Copy/ DP Statement/ Welcome Letter/Transaction cum Holding Statement of
your DP

1
Know Your Client (KYC) Application Form – For Individuals
KYC Mode: Online KYC Normal EKYC OTP Offline E-kyc Digilocker
New Change Request (Please fill this form in ENGLISH and in BLOCK LETTERS)
(Please tick the box on left margin of appropriate row where the CHANGE/CORRECTION is required and provide the details in the
corresponding row)
A. IDENTITY DETAILS
1. Name of the Applicant: SANGEETA VIJAY RAJOLE
2. Father’s/Spouse’s Name: GOVINDRAO TATYARAO JADHAV
3. Mother’s Name: KASTURBAI
4. Maiden Name:
5. A. Gender: Male Female B. Marital Status : Single Married
Transgender
C. Date of Birth : 01 / 04 / 1979
6. Nationality Indian Other (Please Specify)
Status Resident Individual Non Resident
Foreign National (Passport Copy Mandatory)
Location : 21.1959, 72.8302
7. A. PAN : ANFPR9765H B. (UID)/Aadhaar, if any: Timestamp: 2025-01-15 21:17:09
8. Proof of Identity Submitted PAN Card

B. ADDRESS DETAILS
1.Correspondence Address :
Address Line 1 : E213 SHYONA CITY 4 RC
Address Line 2 : TECHNICAL RD GHATLODIA
Address Line 3 : AHMEDABAD
City/Town/Village: AHMEDABAD PIN Code: 380061
State: GUJARAT Country: INDIA
2. Specify Proof of Address submitted for Residence/Correspondence Address :
3. Permanent Address if different from above or overseas address, (mandatory for Non-Resident Applicant)
Address Line 1 : E213 SHYONA CITY 4 RC
Address Line 2 : TECHNICAL RD GHATLODIA
Address Line 3 : AHMEDABAD
City/Town/Village: AHMEDABAD PIN Code: 380061
State: GUJARAT Country: INDIA
4. Specify Proof of Address submitted for Permanent Address :

5. Contact Details
a. Mobile Number 9227227333 b. EMAIL ID: [email protected]
c. Tel. (Office): d. Tel. (Residence):
6. Any other Information : ____________________
7. Are you a Tax Resident of any country other than India? Yes No
(if yes , please indicate all countries in which you are resident for tax purposes and the associated Tax ID Numbers below)
Country Tax Identification Number % Identification Type(TIN or Other , Please specify)

C. DECLARATION
I/We hereby declare that the KYC details furnished by me 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 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.
FOR OFFICE USE ONLY
In Person Verification (IPV) Details:
Name of the person who has done the Farhan Naik
IPV:
Designation: Senior executive
Employee ID: E0118
Name of the Organization : Samco Securities Limited
Date of IPV : 15/01/2025
POS Code:1200000935

Seal & Signature of Authorized

Signed Signatory
with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
4. Aadhaar no: **** **** 7369
Date : 15/01/2025 Place AHMEDABAD

2
 D. Other Details
1. Gross Annual Income range(In Rs.Lakhs): Below 1 1-5 1-10 10-25 Above 25
Net - Worth in Rs. _____________
(Net Worth should not be older than 1 year) as
on
(date) ___/___/_____
2. Occupation: SERVICES
3. Qualification Details: _______________________________
4. (Please Write YES/NO):
(a) Politically Exposed Person (PEP): _________________
(b) Related to a Politically Exposed Person (PEP): _________________

E. BANK ACCOUNT DETAILS: [for Trading & Dividend Bank Details]

Priamry Bank Details
(i) Bank Name: INDIAN OVERSEAS (ii) Branch Name: AHMEDABAD VASTRAPUR
BANK
(iii) Bank Account No. 104201000010191 (iv) IFSC Code: IOBA0001042
(v) Account Type: Savings Current (vi) In case of NRI NRE NRO
Others Account:
(vii) Bank Branch , AHMEDABAD VASTRAPUR
Address:

Secondary Bank Details

(i) Bank Name: (ii) Branch Name:
(iii) Bank Account No. (iv) IFSC Code:
(v) Account Type: Savings Current (vi) In case of NRI NRE NRO
Others () Account:
(vii) Bank Branch
Address:
Note: Provide a copy of cancelled cheque leaf/ pass book/bank statement specifying name of the client, MICR Code or/and IFSC Code of
the bank
F. DEPOSITORY ACCOUNT(S) DETAILS
Depository Participant Name
Depository Name
Beneficiary Name
DP ID
Beneficiary ID (BO ID)
Note: Provide a copy of either Demat Master or a recent holding statment issued by DP bearing name of the client
G. TRADING PREFERENCES (For Derivatives Trading including Options)
Note: Please sign in the relevant boxes against the Exchange(s) with which you wish to trade. The Exchange(s) not chosen should be
struck off by the client
S.No Name of The National Commodity Date of Consent for trading on concerned SIGNATURE OF
Signed with APPLICANT
Aadhaar:
Exchanges Exchanges Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
1. MCX ________________ Aadhaar no: **** **** 7369
5.
H. INVESTMENT/TRADING EXPERIENCE
Prior Experience (Write YES/NO)
No.of Years Experience in commodities 0
No.of Years Experience in other investment related fields _________________
I. GST REGISTRATION DETAILS
(As applicable, State wise)
GST Registration No. : ___________________ Other GST Registration No. : ___________________
Validity Date : ___________________ Validity Date : ___________________
Name of the State : ___________________ Name of the State : ___________________
J. PAST REGULATORY ACTIONS
Details of any action/proceedings initiated/pending/ taken by SEBI / Stock Exchange / Commodity Exchange/any other authority
against the client during the last 3 years :
K. DEALINGS THROUGH OTHER MEMBERS
If client is dealing through any other Member, provide the following details (in case dealing with
multiple members, provide details of all in a separate sheet containing all the information as
mentioned below)
Member’s / Authorized Person (AP)’s Name ___________________ Exchange ___________________
Exchange’s Registration Number
Concerned Member’s Name with whom the AP is ___________________
registered
Registered Office Address : _____________________________________________________________________
Phone No. _________________ Fax No. _____________________ Client Code :___________________
Website :_____________________________ Details of disputes/dues pending from/to such ___________________
member/AP:
3
L. INTRODUCER DETAILS (Optional)
Name of the Introducer
Status of the Introducer Write (YES / NO) Authorized Person Existing Client Others
Address of the Introducer ________________________________________________
Phone No. of the Introducer Signature of the ___________________
Introducer
M. ADDITIONAL DETAILS
Whether you wish to receive communication from member in electronic form on your e-mail id Yes No (If yes then please fill in
Appendix-A) __________
N. NOMINATION DETAILS
Nominee Option Name of the Nominee VIJAY KASHINATHRAO RAJOLE
Relationship with SPOUSE PAN of Nominee
Nominee
Date of Birth of Nominee 30-10-1980 Phone no.
Address of the Nominee
O. If Nominee is a Minor, Details of Guardian
Name of Guardian Phone No. of Guardian
Address of Guardian Signature of Guardian __________________________
WITNESSES (Only applicable in case the account holder has made
nomination)
Witness 1 Witness 2
Name: ______________________________________________ ______________________________________________
Address: ______________________________________________ ______________________________________________
Signature:

DECLARATION
1. 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 change 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.
2. I/We confirm having read/been explained and understood the contents of the tariff sheet and all voluntary/non-mandatory
documents.
3. I/We further confirm have recived the following documents in Electronic / Physical Mode read and understood the contents of
the ‘Rights and Obligations’ document(s) (including addtional rights and obligations in case of internet/wireless technology based
trading),‘Risk Disclosure Document’ and ‘Do’s and Don’t, Duly Executed Copy of KYC, General Terms & Conditions governing securities
trading and broking services of SAMCO, Risk policies available on our samco website. I/We do hereby agree to be bound by such
provisions as outlined in these documents. Signed with Aadhaar:
Place AHMEDABAD Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
6. Aadhaar no: **** **** 7369
Date 15/01/2025 SIGNATURE OF APPLICANT
FOR OFFICE USE ONLY
UCC Code allotted to the Client : ______________________________________________________
Documents Verified with originals In-Person Verification done by
Name of the Employee Farhan Naik
Employee Code E0118
Designation of the Senior executive
employee
Date 15/01/2025
Signature Seal & Signature of Authorized
Signatory
I/We undertake that we have made the client aware of tariff sheet and all the voluntary/non-mandatory documents. I/We have also
made the client aware of ‘Rights and Obligations’ document(s) (including addtional rights and obligations in case of internet/wireless
technology based trading), RDD, ‘Do’s and Dont’s’ and ‘Guidance Note’.I/We have given/sent him a copy of all the KYC documents. I/We
undertake that any change in the tariff sheet and all the voluntary/non mandatory documents would be duly intimated to the clients
I/We also undertake that any change in the ‘Rights and Obligations’ and ‘RDD’ would be made available on my/our website, if any, for
the information of the clients.
Place ____________________ For Samco Securities Limited
Date ____________________ Authorised Signatory

4
 SAMCO ONLINE TARIFF SHEET
To
SAMCO SECURITIES LIMITED
A-1004, 10th Floor, Naman Midtown-A Wing,
Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Charges for SAMCO SECURITIES LIMITED’s online trading Services
I/We agree to pay the charges as per following charges structure for our Trading account with SAMCO Securities Limited
Client PAN : ANFPR9765H Client Name :SANGEETA VIJAY RAJOLE
Charge Head Brokerage / Charges
Commodity Futures & Rs 20 per executed order or 0.05% of Turnover whichever is lower
Options*
*Turnover for Options is calculated as (Strike + Premium) *Lot Size
In addition to the brokerage charge the following charges will also be levied.
No Schedule of charges
1 Exchange turnover charges (These are charges are paid to
the exchanges like MCX, NCDEX)
2 GST (Government tax charged on Brokerage and Exchange
Turnover Charge)
3 Stamp Duty:State wise stamp duty as applicable will be levied
(State Government tax)
4 Clearing Member charges - on actual basis (These charges
are paid to the clearing members for Clearing the trades)
5 Commodity Transaction Tax - CTT (Government Tax for
trading in Commodities Market)
6 Call N Trade charges (Charges for broker assisted trades,
including RMS Square off)
7 Payment Gateway Charges will be applicable at actual cost
(Payable to affiliated Payment Gateway)
Detailed explanation of the Schedule of Charges is available online
at https://www.samco.in/charge-list-equities-and-equity-derivatives Signed with Aadhaar:
Date 15/01/2025 Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
7. Aadhaar no: **** **** 7369
Place AHMEDABAD SIGNATURE OF APPLICANT

To,
SAMCO SECURITIES LIMITED
A-1004, 10th Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Sub: Acknowledgement
I state and confirm that I have received ,read, acknowledged and agreed to the contents of all the clauses of the below mentioned
documents.
I also confirm that i have received the relevant clarifications, if any, wherever required from the officials of SAMCO.
Sl. No Brief Significance of the Document
1. Duly Executed Copy of KYC
2. Rights and Obligations, Risk Disclosure document (RDD) for Commodities Segment
3. Guidance Note – Do’s and Dont’s for trading of the Exchange for investors.
4. SAMCO Tariff Sheet
5. General Terms and Conditions governing commodities trading and broking services of SAMCO.
6. Authorisation of documents for running Account Authorisation and electronic receipt of statements and documents.
7. Read SAMCO RMS policy, Privacy policy, Legal Terms of use & Disclaimer on samco.in/policies
Date: 15/01/2025
Yours faithfully,
Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
8. Aadhaar no: **** **** 7369
Client Signature
SANGEETA VIJAY RAJOLE
Name of the Applicant

5
 Appendix A
Electronic Contract Note [ECN] Declaration
(Voluntary)
To,
SAMCO SECURITIES LIMITED A-1004, 10th Floor, Naman Midtown-A Wing, Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Dear Sir,
I SANGEETA VIJAY RAJOLE a client with member SAMCO Securities Limited of MCX NCDEX Exchange(s) undertake as
follows :
1. I am aware that the member has to provide physical contract note in respect of all the trades placed by me unless I myself want
the same in the electronic form.
2. I am aware that the member has to provide electronic contract note for my convenience on my request only.
3. Though the member is required to deliver physical contract note, I find that it is inconvenient for me to receive physical contract
notes. Therefore, I am voluntarily requesting for delivery of electronic contract note pertaining to all the trades carried out / ordered
by me.
4. I have access to a computer and am a regular internet user, having sufficient knowledge of handling the email operations.
5. My email id is [email protected]. This has been created by me and not by someone else.
6. I am aware that this declaration form should be in English or in any other Indian language known to me.
[The above declaration has been read and understood by me. I am aware of the risk involved in dispensing with the physical Contract
note, and to hereby take full responsibility for the same]
(The above lines must be reproduced in own handwriting of the client.)
PAN Number : ANFPR9765H Client Name : SANGEETA Unique
VIJAY RAJOLE Client
Code :
Address : E213 SHYONA CITY 4 RCTECHNICAL RD GHATLODIA, City/Town/Village: AHMEDABAD PIN 380061
AHMEDABAD Code:
State: GUJARAT Country: INDIA
Place AHMEDABAD
Verification of the client signature done by ______________________________
Name of the designated
officer of the SAMCO
SECURITIES LIMITED
Date 15/01/2025
9. Signed with Aadhaar:
Sangeeta Vijay Rajole
Place AHMEDABAD SIGNATURE OF APPLICANT
15/01/2025@21:37:24 IST
REQUEST FOR TRADING IN COMMODITY Aadhaar no: ****FORWARD
**** 7369 CONTRACTS / COMMODITY DERIVATIVES
To
I/We, the undersigned, undertake to comply with the guidelines for calculation of net open positions permitted in any commodity.
I/We hereby declare and undertake that we will not exceed the position limits prescribed from time to time by Exchange(s) /
SEBI and such position limits will be calculated in accordance with the circulars of exchanges as modified from time to time.
I/We undertake to inform you and keep you informed if any of our partners/directors/karta/trustee or any of the partnership
firms/companies/HUF’s/trusts in which I or any of above such person is a partner/director/karta /trustee, takes or holds any position in
any commodity forward contract/commodity derivative on exchanges through you or through any other member(s) of exchanges to
enable you to restrict our position/ limit as prescribed by the exchanges as modified from time to time.
I/We confirm that you have agreed to enter orders in commodity forward contracts/commodity derivatives for me/us as your clients on
exchanges only on the basis of our above assurances and undertaking.
I/We also am/are authorized to trade in Commodity option and hereby given my/our consent for Trading in Commodity Options subject
to the regulatory requirements of the Exchange and SEBI from time to time.
Date 15/01/2025
10. Signed with Aadhaar:
Place AHMEDABAD Sangeeta Vijay
SIGNATURE OFRajole
APPLICANT
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

6
 LETTER OF AUTHORITY (Voluntary)
To,
SAMCO SECURITIES LIMITED
A-1004, 10th Floor, Naman Midtown-A Wing,
Senapati Bapat Marg, Prabhadevi, Mumbai-400 013
Client Name :SANGEETA VIJAY RAJOLE Client PAN : ANFPR9765H
Dear Sir,
I/We am/are dealing in commodites with you and in order to facilitate ease of operations; I/We authorize you as under:
1. I/We authorise you to setoff outstanding in any of my accounts against credits available or arising in any other accounts maintained
with you irrespective of the fact that such credits in the accounts may pertain to transactions in any segment of the Exchange(s) and/or
against the value of cash margin or other collateral provided to you by me/us.
2. I/We hereby authorise you not be provide order confirmation/modification/cancellation slips and trade confirmation slips to
avoid unnecessary paper work. I/We shall get the required details from contracts issued by you.
3. I/We hereby authorize you to keep all the commodity which we give you in margin including the payout of commodity received, to
use the commodity for meeting margin/other obligation in SEBI in whatever manner which may include pledging of commodity in
favour of bank and/or taking loan against the same of meeting margin/pay-in obligation on our behalf or for giving the same as margin
to the SEBI or otherwise.
4. I/We am/are desirous of regularly dealing in commodity market on commodity Exchanges and request you to maintain a running
account for funds and commodity on/our behalf without settling the account on settlement of each transaction on my /our behalf. I/We
further request you to retain all amounts payable and commodity receivable by me/us until specifically requested by me/us in writing to
be settled or to be dealt with in any other manner .I/We understand and agree that no interest will be payable to me/us on the amounts
or commodity so retained with you pending periodical settlement.
5. I/We request you to retain credit balance in any of my account and to use the idle fund towards our margin/future obligation of both
the Exchange(s) unless I/We instruct you otherwise.
6. I/We request you to retain/commodity/securities/warehouse receipt in your demat account for my/our margin/future obligations at
both the Exchanges, unless I/We instruct you to transfer the same to my/our account.
7. I/We request you to consider my/our telephonic instructions for order placing/order modification/order cancellation as a written
instruction and give me/us all the confirmation on telephone unless instructed otherwise in writing. I/We am/are getting required
details from contracts issued by you.
8. I/We request that you may send/ despatch my/our contract notes other documents through e-mail on my designated e-mail address:
[email protected] I/We stress that I will not hold you responsible under any circumstances in the event of an e-mail
which you send gets bounced due to any reason such as mail box being full, inactive account or due to any technical reason beyond
your control.
9. I/We will completely rely on the log reports of your dispatching software as a conclusive proof of dispatch of e-mail to me and will
not dispute the same.
10. I/We will inform you the change in my/our e-mail, if any, in future .
11. Authorization for Communication of Financial Products: I/We have opened an account with you and am/are interested in knowing
about other financial products. I/We authorize you, your group companies and associates to keep me/us informed with any financial
product which SAMCO Securities Limited, its group companies and associates presently issue, deal in, or distribute or may, from time
to time, launch, issue, deal in or distribute; through E-mail, SMS, telephone, print media or otherwise. This is without legal obligation
on you, your group companies and associates to so inform and you or they may, in their discretion, discontinue sending such
information.
12. Authorization for Providing Financial Ledger in Digital Form: I/we hereby authorize you to send me/us the financial ledger in the
digital form in the prescribed format at my/our E-mail ID / Address.
13. Trading of commodity is in electronic mode, based on VSAT, leased line, ISDN, modem and VPN, combination of technologies and
computer systems to place and route orders. I/We understand that there exists a possibility of communication failure or system
problems or slow or delayed response from system or trading halt, of any such other problem/glitch whereby not being able to establish
access to the trading system/network, which may be beyond the control and may result in delay in processing or not processing buy or
sell Orders either in part or in full. I/We shall bear all consequences of such problems/ glitch and shall not hold the Member
responsible for it.
14 .I/We agrees that if I/we fail to meet our funds pay-in obligation in respect of any one or more commodity purchased by me before
the scheduled pay-in date, the Member shall be at liberty to sell the commodity received in pay-out, in proportion to the amount not
received, after taking into account any amount lying to my/our credit, by selling equivalent commodity at any time after the scheduled
Pay-in time on the Exchange. If the Member does not sell the commodity within five trading days after the date of Pay-in for any reason
whatsoever, such commodity shall be deemed to have been closed out at closing price declared by the exchange for the fifth trading
day. I/We agrees that the loss, if any, on account of the close out shall be to my account.
15. I/We further agree that if I/We fail to deliver any one or more commodity to the Member's pool account in respect of the commodity
sold by me before the pay-in date notified by the Exchange from time to time, such undischarged obligation(s) in relation to delivering
any one or more commodity shall be deemed to have been closed out at the auction price or closing price, as may be debited to me in
respect of the commodity for the respective settlement, to the extent traceable to me on my failure to deliver; otherwise the closing
price on the date of pay-out in respect of the relevant commodity, declared by the Exchange. I/We acknowledge that the loss, if any, on
account of the close out shall be debited to my account. I/We further agrees that if for any reason, schedule of pay-out is modified, the
aforesaid shall be made applicable reckoning the actual date of pay-in and /or pay-out, as the case may be.
16. I/We agree that if I/we fail to meet my/our funds pay-in obligation in respect of any one or more contracts purchased by me/us
before the scheduled pay-in date, the Member shall be at liberty to square off any open position in my/our account in proportion to the
amount not received, after taking into account any amount lying to my credit, at any time after the scheduled Pay-in time on the
Exchange. I/We agree that the loss, if any, on account of the said squaring off shall be to the my/our account. I/We acknowledge that
the Member will make available the delivery against my purchases only if there are no dues against me/us.
17. I/We can revoke any or all of the above authorizations at any time in writing. Any change in any of the above voluntary/non-
mandatory clauses will have to be preceded by a notice . The Member and the Client understand that none of the above voluntary/non-
mandatory clause is in contravention with the Rules/Business Rules/Notices/Circulars of Exchanges / SEBI. If any of the above clauses
or part thereof is found to be or becomes in such contravention, it shall be of no effect to the extent of contravention.
Signed with Aadhaar:
Date 15/01/2025 Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
11. Aadhaar no: **** **** 7369
Place AHMEDABAD SIGNATURE OF APPLICANT
7
 MOBILE DECLARATION
Declaration for Mobile No. : 9227227333
I SANGEETA VIJAY RAJOLE having PAN ANFPR9765H do hereby declare that My mobile number is 9227227333 .Further I
authorize SAMCO that the same may be used for giving me any information/alert/SMS.
I hereby also confirm that my aforesaid contact no. is not included in the NDNC Registry or in future if I would have activated the said
contact number in NDNC Registry, SAMCO shall continue aforesaid facilities without any disturbance.
I hereby indemnify SAMCO against any legal implications in case of "Do Not Disturb" feature being activated by me.
I further declare the above mentioned statement is true & correct. Signed with Aadhaar:
Date 15/01/2025 Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
12. Aadhaar no: **** **** 7369
Place AHMEDABAD SIGNATURE OF APPLICANT
Authorization for Running Account & Non Settlement of Accounts
1) Running Account Authorization
I/We are dealing through you as a client in Commodity market on Commodity Exchanges and in order to facilitate ease of operations
and upfront requirement of margin for trade. I/We authorize you as under:
1. I/We request you to maintain running balance in my account & retain the credit balance in any of my/our account and to use the
unused funds towards my/our margin/pay-in/other future obligation(s) at any segment(s) of any or all the Exchange(s)/Clearing
corporation unless I/We instruct you otherwise.
2. I/We request you to retain securities with you for my/our margin/pay-in/other future obligation(s) at any segment(s) of any or all the
Exchange(s)/Clearing Corporation, unless I/We instruct you to transfer the same to my/our account.
3. I/We request you to settle my fund and securities account
• Once in a calendar Month
• Once in every calendar Quarter except the funds given towards collaterals / margin in form of Bank Guarantee and /or Fixed
Deposit Receipt
4. In case I/We have an outstanding obligation on the settlement date, you may retain the towards such obligations and may also
retain the funds expected to be required to meet margin obligation for next 5 trading days, calculated in the manner specified by the
exchanges.
5. I/We confirm you that I will bring to your notice any dispute arising from the statement of account or settlement so made in writing
within 7 working days from the date of receipt of funds/securities or statement of account or statement related to it, as the case may be
at your registered office.
6. I/We confirm you that I can revoke the above mentioned authority at any time.
2) Authorization for Non settlement of Accounts for the Quarters
I / we am / are doing continuous trading in commodities with you. I / We am / are aware that Settlement of Accounts is mandatory.
However, as per SEBI/Exchanges circulars. I we give my / our consent for not to settle my / our account if the balance is less than
Signed
50,000/-. /This undertaking will be valid in all quarter when my/our balance is less than Rs.50000/- till my/our with Aadhaar:
revocation in writing.
Sangeeta Vijay Rajole
Date 15/01/2025 15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369
13.
Place AHMEDABAD SIGNATURE OF APPLICANT

8
 Signed with Aadhaar:
Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

1
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

PROFILE
Name DoB Mobile Landline Email PAN Address Holding Nature Nominee CKYC
E213 SHAYONA CITY PART4 R C
TECHNIC RD CH ANKYAPURI
SANGEETA VIJAY RAJOLE 1979-04-01 9227227333 [email protected] ANFPR9765H SINGLE REGISTERED false
BRIGE GHATLODIYA AHMEDABAD
AHMAD 24 380061

SUMMARY
Pending
Current Balance Date Exchange Current OD Pending
Opening Date Type Branch IFSC MICR Code Facility Currency Drawing Limit Status Transaction
Balance Time Rate Limit Amount
Type
15/01/2025
08/08/2008 SAVINGS VASTRAPUR IOBA0001042 380020013 INR 51245.59 0 0 ACTIVE 0.0
3:54:03Z pm

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
15/01/2025 3:54:03 UPI/100055971822/CR/Samc
S78086280 2025-01-15 FT CREDIT 1.0 52246.59
pm o Securities /IND/CAMSPay
15/01/2025 3:53:58 UPI/100055971766/DR/Samc
S78085500 2025-01-15 FT DEBIT 1.0 52244.59
pm o Securities /IND/Bank Ve
UPI/501545332173/DR/SEEM
UPI/501545332173/DR/SEEM
15/01/2025 0:20:08 UPI/501545332173/DR/SEEM
UPI/501545332173/DR/SEEM
UPI/501545332173/DR/SEEM
UPI/501545332173/DR/SEEM
UPI/501545332173/DR/SEEM
S73678077 2025-01-15 FT DEBIT 1000.0 51245.59
A/MAH/UPI A/MAH/UPI
pm A/MAH/UPI A/MAH/UPI A/MAH/UPI A/MAH/UPI A/MAH/UPI
UPI/793021560135/CR/GOO
UPI/793021560135/CR/GOO
13/01/2025 10:31:22 UPI/793021560135/CR/GOO
UPI/793021560135/CR/GOO
UPI/793021560135/CR/GOO
UPI/793021560135/CR/GOO
UPI/793021560135/CR/GOO
S40555728 2025-01-13 FT CREDIT 5.0 52245.59
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
am GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
UPI/501236630008/DR/ANKI
UPI/501236630008/DR/ANKI
11/01/2025 6:36:37 UPI/501236630008/DR/ANKI
UPI/501236630008/DR/ANKI
UPI/501236630008/DR/ANKI
UPI/501236630008/DR/ANKI
UPI/501236630008/DR/ANKI
S15460147 2025-01-12 FT DEBIT 230.0 52240.59
T CHANDRA/SBI/UPIpm
T CHANDRA/SBI/UPI T CHANDRA/SBI/UPI T CHANDRA/SBI/UPI T CHANDRA/SBI/UPI
T CHANDRA/SBI/UPI T CHANDRA/SBI/UPI
UPI/537782114653/DR/Patel
UPI/537782114653/DR/Patel
11/01/2025 2:13:26 UPI/537782114653/DR/Patel
UPI/537782114653/DR/Patel
UPI/537782114653/DR/Patel
UPI/537782114653/DR/Patel
UPI/537782114653/DR/Patel
S12213573 2025-01-11 FT DEBIT 935.0 52470.59
mukundkumar/YES/UPI
mukundkumar/YES/UPImukundkumar/YES/UPI
pm mukundkumar/YES/UPI
mukundkumar/YES/UPI
mukundkumar/YES/UPImukundkumar/YES/UPI
UPI/537777312553/DR/JAY
UPI/537777312553/DR/JAY
11/01/2025 1:37:27 UPI/537777312553/DR/JAY
UPI/537777312553/DR/JAY
UPI/537777312553/DR/JAY
UPI/537777312553/DR/JAY
UPI/537777312553/DR/JAY
S11198023 2025-01-11 FT DEBIT 140.0 53405.59
BHAVANI FAST /HDF/UPI
BHAVANI FAST /HDF/UPI
pm BHAVANI FAST /HDF/UPI
BHAVANI FAST /HDF/UPI
BHAVANI FAST /HDF/UPI
BHAVANI FAST /HDF/UPI
BHAVANI FAST /HDF/UPI
UPI/501105396532/DR/MEHU
UPI/501105396532/DR/MEHU
11/01/2025 10:44:01 UPI/501105396532/DR/MEHU
UPI/501105396532/DR/MEHU
UPI/501105396532/DR/MEHU
UPI/501105396532/DR/MEHU
UPI/501105396532/DR/MEHU
S96901730 2025-01-11 FT DEBIT 1440.0 53545.59
L JAYANTIBHAI/YES/UPI
L JAYANTIBHAI/YES/UPI
am L JAYANTIBHAI/YES/UPI
L JAYANTIBHAI/YES/UPI
L JAYANTIBHAI/YES/UPI
L JAYANTIBHAI/YES/UPI
L JAYANTIBHAI/YES/UPI
S91282832 UPI/537729887371/DR/ST
2025-01-11 UPI/537729887371/DR/ST
11/01/2025 05:03:01 FT
UPI/537729887371/DR/ST
UPI/537729887371/DR/ST
UPI/537729887371/DR/ST
DEBIT UPI/537729887371/DR/ST
9980.0 UPI/537729887371/DR/ST
54985.59

Powered by CAMSfinserv Page 1 of 14

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

2
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
am MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
MARYS PRIMARY MARYS
/bki/UPI PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
09/01/2025 1:50:12
S65297721 2025-01-09 FT BY SALARY CREDIT 59305.0 64965.59
pm
04/01/2025 3:38:28 UPI/500460228253/DR/SHRE
S70015954 2025-01-04 FT DEBIT 896.0 5660.59
pm E VARUDI KHOD/YES/UPI
04/01/2025 09:17:07 UPI/537028404730/DR/CHIR
S61860261 2025-01-04 FT DEBIT 450.0 6556.59
am AGBHAI MAFATL/SBI/UPI
04/01/2025 09:15:28 UPI/537096892972/DR/VIJAY
S61836913 2025-01-04 FT DEBIT 50000.0 7006.59
am KASHINATHRA/SBI/UPI
04/01/2025 03:41:06 UPI/716822400045/CR/GOO
S56562194 2025-01-04 FT CREDIT 6.0 57006.59
am GLE INDIA DIGI/uti/UPI
02/01/2025 1:46:15 UPI/500225899660/DR/Googl
S33855677 2025-01-02 FT DEBIT 3600.9 57000.59
pm e India Serv/ICI/UPI
UPI/473112090075/DR/Nares
UPI/473112090075/DR/Nares
30/12/2024 04:56:37 UPI/473112090075/DR/Nares
UPI/473112090075/DR/Nares
UPI/473112090075/DR/Nares
UPI/473112090075/DR/Nares
UPI/473112090075/DR/Nares
S63894591 2024-12-30 FT DEBIT 60.0 60601.49
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI
UPI/184396133644/CR/GOO
UPI/184396133644/CR/GOO
29/12/2024 3:17:12 UPI/184396133644/CR/GOO
UPI/184396133644/CR/GOO
UPI/184396133644/CR/GOO
UPI/184396133644/CR/GOO
UPI/184396133644/CR/GOO
S59682979 2024-12-29 FT CREDIT 6.0 60661.49
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
pm GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
UPI/473084085209/DR/VIJAY
UPI/473084085209/DR/VIJAY
29/12/2024 3:16:12 UPI/473084085209/DR/VIJAY
UPI/473084085209/DR/VIJAY
UPI/473084085209/DR/VIJAY
UPI/473084085209/DR/VIJAY
UPI/473084085209/DR/VIJAY
S59667328 2024-12-29 FT DEBIT 500.0 60655.49
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
pm KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPIKASHINATHRA/SBI/UPI
UPI/436052307686/DR/DUM
UPI/436052307686/DR/DUM
25/12/2024 4:52:50 UPI/436052307686/DR/DUM
UPI/436052307686/DR/DUM
UPI/436052307686/DR/DUM
UPI/436052307686/DR/DUM
UPI/436052307686/DR/DUM
S92406804 2024-12-25 FT DEBIT 65000.0 61155.49
MY NAME/uti/UPI MY NAME/uti/UPI
pm MY NAME/uti/UPI MY NAME/uti/UPI MY NAME/uti/UPI MY NAME/uti/UPI MY NAME/uti/UPI
UPI/472642393665/DR/DUM
UPI/472642393665/DR/DUM
25/12/2024 4:48:40 UPI/472642393665/DR/DUM
UPI/472642393665/DR/DUM
UPI/472642393665/DR/DUM
UPI/472642393665/DR/DUM
UPI/472642393665/DR/DUM
S92378546 2024-12-25 FT DEBIT 100.0 126155.49
MY NAME/uti/UPI MY NAME/uti/UPI
pm MY NAME/uti/UPI MY NAME/uti/UPI MY NAME/uti/UPI MY NAME/uti/UPI MY NAME/uti/UPI
UPI/436046584611/DR/TAYAL
UPI/436046584611/DR/TAYAL
25/12/2024 1:12:56 UPI/436046584611/DR/TAYAL
UPI/436046584611/DR/TAYAL
UPI/436046584611/DR/TAYAL
UPI/436046584611/DR/TAYAL
UPI/436046584611/DR/TAYAL
S88964240 2024-12-25 FT DEBIT 900.0 126255.49
SUNITA/YES/UPI SUNITA/YES/UPI
pm SUNITA/YES/UPI SUNITA/YES/UPI SUNITA/YES/UPI SUNITA/YES/UPI SUNITA/YES/UPI
UPI/472616458108/DR/VIJAY
UPI/472616458108/DR/VIJAY
25/12/2024 08:23:42 UPI/472616458108/DR/VIJAY
UPI/472616458108/DR/VIJAY
UPI/472616458108/DR/VIJAY
UPI/472616458108/DR/VIJAY
UPI/472616458108/DR/VIJAY
S84219377 2024-12-25 FT DEBIT 500.0 127155.49
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
am KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPIKASHINATHRA/SBI/UPI
435819501197-ATM-IOB
435819501197-ATM-IOB
435819501197-ATM-IOB
435819501197-ATM-IOB
435819501197-ATM-IOB
435819501197-ATM-IOB
435819501197-ATM-IOB
23/12/2024 1:36:43
S58341566 GOTA AHMEDABAD GOTA AHMEDABAD FT
2024-12-23 GOTA AHMEDABADGOTA AHMEDABADGOTA AHMEDABADDEBIT GOTA AHMEDABAD
10000.0 GOTA AHMEDABAD
127655.49
pm
AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

3
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
UPI/472496271820/DR/Nares
UPI/472496271820/DR/Nares
23/12/2024 09:08:36 UPI/472496271820/DR/Nares
UPI/472496271820/DR/Nares
UPI/472496271820/DR/Nares
UPI/472496271820/DR/Nares
UPI/472496271820/DR/Nares
S53744892 2024-12-23 FT DEBIT 80.0 137655.49
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI
22/12/2024 5:09:26 UPI/311990163574/CR/GOO
S46640633 2024-12-22 FT CREDIT 6.0 137735.49
pm GLE INDIA DIGI/uti/UPI
22/12/2024 3:13:01 UPI/435778247692/DR/AVEN
S45389816 2024-12-22 FT DEBIT 5793.05 137729.49
pm UE SUPERMARTS/ICI/UPI
19/12/2024 09:30:21 UPI/472020743808/DR/Nares
S82655354 2024-12-19 FT DEBIT 40.0 143522.54
am h kalal/YES/UPI
18/12/2024 3:03:58 UPI/435380113540/DR/VIJAY
S73386737 2024-12-18 FT DEBIT 1000.0 143562.54
pm KASHINATHRA/SBI/UPI
18/12/2024 2:35:21 UPI/471914913224/DR/Navde
S72753034 2024-12-18 FT DEBIT 5100.0 144562.54
pm ep Sales And/UTI/UPI
14/12/2024 06:37:46 UPI/471593074821/DR/desaik
S90304646 2024-12-14 FT DEBIT 75.0 149662.54
am aushaljayna/IOB/UPI
BY SALARY 13/12/2024
BY SALARY09:54:00 BY SALARY BY SALARY BY SALARY BY SALARY
S78035932 2024-12-13 FT BY SALARY CREDIT 137405.0 149737.54
am
UPI/471427921271/DR/Googl
UPI/471427921271/DR/Googl
13/12/2024 05:06:31 UPI/471427921271/DR/Googl
UPI/471427921271/DR/Googl
UPI/471427921271/DR/Googl
UPI/471427921271/DR/Googl
UPI/471427921271/DR/Googl
S73637865 2024-12-13 FT DEBIT 2720.0 12332.54
e India Digi/UTI/UPI am
e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPIe India Digi/UTI/UPI e India Digi/UTI/UPI
UPI/471267542174/DR/SURE
UPI/471267542174/DR/SURE
11/12/2024 2:42:19 UPI/471267542174/DR/SURE
UPI/471267542174/DR/SURE
UPI/471267542174/DR/SURE
UPI/471267542174/DR/SURE
UPI/471267542174/DR/SURE
S53009832 2024-12-11 FT DEBIT 2972.0 15052.54
SH B/KKB/UPI SH B/KKB/UPI
pm SH B/KKB/UPI SH B/KKB/UPI SH B/KKB/UPI SH B/KKB/UPI SH B/KKB/UPI
UPI/434698437125/DR/R
UPI/434698437125/DR/R
11/12/2024
K 2:27:43 UPI/434698437125/DR/R
K UPI/434698437125/DR/R
K UPI/434698437125/DR/R
K UPI/434698437125/DR/R
K UPI/434698437125/DR/R
K K
S52606034 2024-12-11 FT DEBIT 2500.0 18024.54
FASHION/HDF/UPI pmFASHION/HDF/UPI FASHION/HDF/UPI FASHION/HDF/UPI FASHION/HDF/UPIFASHION/HDF/UPI FASHION/HDF/UPI
UPI/434550474769/DR/HONE
UPI/434550474769/DR/HONE
10/12/2024 08:57:14 UPI/434550474769/DR/HONE
UPI/434550474769/DR/HONE
UPI/434550474769/DR/HONE
UPI/434550474769/DR/HONE
UPI/434550474769/DR/HONE
S29456448 2024-12-10 FT DEBIT 63.0 20524.54
Y PARTH PATEL/IOB/UPI
Y PARTH PATEL/IOB/UPI
am Y PARTH PATEL/IOB/UPI
Y PARTH PATEL/IOB/UPI
Y PARTH PATEL/IOB/UPI
Y PARTH PATEL/IOB/UPI
Y PARTH PATEL/IOB/UPI
UPI/471142174920/DR/gadan
UPI/471142174920/DR/gadan
10/12/2024 08:56:24 UPI/471142174920/DR/gadan
UPI/471142174920/DR/gadan
UPI/471142174920/DR/gadan
UPI/471142174920/DR/gadan
UPI/471142174920/DR/gadan
S29444922 2024-12-10 FT DEBIT 181.0 20587.54
isona@okicic/ICI/UPI am
isona@okicic/ICI/UPI isona@okicic/ICI/UPIisona@okicic/ICI/UPIisona@okicic/ICI/UPI
isona@okicic/ICI/UPI isona@okicic/ICI/UPI
UPI/470315089707/DR/Nares
UPI/470315089707/DR/Nares
02/12/2024 04:50:55 UPI/470315089707/DR/Nares
UPI/470315089707/DR/Nares
UPI/470315089707/DR/Nares
UPI/470315089707/DR/Nares
UPI/470315089707/DR/Nares
S71643536 2024-12-02 FT DEBIT 80.0 20768.54
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI
UPI/470239772258/DR/Rajan
UPI/470239772258/DR/Rajan
01/12/2024 0:26:22 UPI/470239772258/DR/Rajan
UPI/470239772258/DR/Rajan
UPI/470239772258/DR/Rajan
UPI/470239772258/DR/Rajan
UPI/470239772258/DR/Rajan
S63214655 2024-12-01 FT DEBIT 1000.0 20848.54
Cycle And A/UTI/UPI pm
Cycle And A/UTI/UPI Cycle And A/UTI/UPICycle And A/UTI/UPICycle And A/UTI/UPI
Cycle And A/UTI/UPI Cycle And A/UTI/UPI

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

4
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
UPI/470114722703/DR/AHD
UPI/470114722703/DR/AHD
30/11/2024 1:09:04 UPI/470114722703/DR/AHD
UPI/470114722703/DR/AHD
UPI/470114722703/DR/AHD
UPI/470114722703/DR/AHD
UPI/470114722703/DR/AHD
S49155520 2024-11-30 FT DEBIT 650.0 21848.54
Shayona City/YES/UPIpm
Shayona City/YES/UPIShayona City/YES/UPI
Shayona City/YES/UPI
Shayona City/YES/UPI
Shayona City/YES/UPIShayona City/YES/UPI
29/11/2024 05:33:36 UPI/433441552268/DR/Nares
S27227501 2024-11-29 FT DEBIT 50.0 22498.54
am h kalal/YES/UPI
28/11/2024 05:25:40 UPI/469993487076/DR/Nares
S12594451 2024-11-28 FT DEBIT 70.0 22548.54
am h kalal/YES/UPI
27/11/2024 02:43:32 UPI/452740913324/CR/GOO
S85680776 2024-11-27 FT CREDIT 6.0 22618.54
am GLE INDIA DIGI/uti/UPI
24/11/2024 10:58:47 UPI/432951208587/DR/MAST
S48866325 2024-11-24 FT DEBIT 999.0 22612.54
am ERKRAFT/KKB/UPI
23/11/2024 09:41:09 UPI/432880143121/DR/desaik
S33991325 2024-11-23 FT DEBIT 50.0 23611.54
am aushaljayna/IOB/UPI
23/11/2024 05:10:10 UPI/432837441654/DR/PALL
S30347491 2024-11-23 FT DEBIT 15000.0 23661.54
am AVI BASAVRAJ /PUN/UPI
UPI/432845936260/DR/PALL
UPI/432845936260/DR/PALL
23/11/2024 05:08:19 UPI/432845936260/DR/PALL
UPI/432845936260/DR/PALL
UPI/432845936260/DR/PALL
UPI/432845936260/DR/PALL
UPI/432845936260/DR/PALL
S30323879 2024-11-23 FT DEBIT 1.0 38661.54
AVI BASAVRAJ /PUN/UPI
AVI BASAVRAJ /PUN/UPI
am AVI BASAVRAJ /PUN/UPI
AVI BASAVRAJ /PUN/UPI
AVI BASAVRAJ /PUN/UPI
AVI BASAVRAJ /PUN/UPI
AVI BASAVRAJ /PUN/UPI
UPI/432870724894/DR/ST
UPI/432870724894/DR/ST
23/11/2024 02:42:23 UPI/432870724894/DR/ST
UPI/432870724894/DR/ST
UPI/432870724894/DR/ST
UPI/432870724894/DR/ST
UPI/432870724894/DR/ST
S28780410 2024-11-23 FT DEBIT 12800.0 38662.54
MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
am MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
MARYS PRIMARY MARYS
/bki/UPI PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
UPI/469399609341/DR/Googl
UPI/469399609341/DR/Googl
22/11/2024 11:25:46 UPI/469399609341/DR/Googl
UPI/469399609341/DR/Googl
UPI/469399609341/DR/Googl
UPI/469399609341/DR/Googl
UPI/469399609341/DR/Googl
S21254430 2024-11-22 FT DEBIT 891.0 51462.54
e India Digi/UTI/UPI am
e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPIe India Digi/UTI/UPI e India Digi/UTI/UPI
UPI/432572777403/DR/JAYE
UPI/432572777403/DR/JAYE
20/11/2024 05:10:04 UPI/432572777403/DR/JAYE
UPI/432572777403/DR/JAYE
UPI/432572777403/DR/JAYE
UPI/432572777403/DR/JAYE
UPI/432572777403/DR/JAYE
S76511233 2024-11-20 FT DEBIT 120.0 52353.54
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
am SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPISH R PARMAR/IOB/UPI
UPI/432563179616/DR/RITIS
UPI/432563179616/DR/RITIS
20/11/2024 04:21:03 UPI/432563179616/DR/RITIS
UPI/432563179616/DR/RITIS
UPI/432563179616/DR/RITIS
UPI/432563179616/DR/RITIS
UPI/432563179616/DR/RITIS
S75895115 2024-11-20 FT DEBIT 1000.0 52473.54
HA S PARMAR/IOB/UPI
HA S PARMAR/IOB/UPI
am HA S PARMAR/IOB/UPI
HA S PARMAR/IOB/UPI
HA S PARMAR/IOB/UPI
HA S PARMAR/IOB/UPIHA S PARMAR/IOB/UPI
UPI/432450031467/DR/JAYE
UPI/432450031467/DR/JAYE
19/11/2024 04:18:47 UPI/432450031467/DR/JAYE
UPI/432450031467/DR/JAYE
UPI/432450031467/DR/JAYE
UPI/432450031467/DR/JAYE
UPI/432450031467/DR/JAYE
S61031975 2024-11-19 FT DEBIT 45.0 53473.54
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
am SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPISH R PARMAR/IOB/UPI
UPI/432156175698/DR/Nares
UPI/432156175698/DR/Nares
16/11/2024 06:12:00 UPI/432156175698/DR/Nares
UPI/432156175698/DR/Nares
UPI/432156175698/DR/Nares
UPI/432156175698/DR/Nares
UPI/432156175698/DR/Nares
S18351395 2024-11-16 FT DEBIT 70.0 53518.54
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI
UPI/432042069730/DR/NIKHI
UPI/432042069730/DR/NIKHI
15/11/2024 1:13:41 UPI/432042069730/DR/NIKHI
UPI/432042069730/DR/NIKHI
UPI/432042069730/DR/NIKHI
UPI/432042069730/DR/NIKHI
UPI/432042069730/DR/NIKHI
S99994001 2024-11-15 FT DEBIT 1340.0 53588.54
L SELECTION/YES/UPI
L SELECTION/YES/UPI
pm L SELECTION/YES/UPI
L SELECTION/YES/UPI
L SELECTION/YES/UPI
L SELECTION/YES/UPIL SELECTION/YES/UPI

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

5
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
432018690088-ATM-IOB
432018690088-ATM-IOB
432018690088-ATM-IOB
432018690088-ATM-IOB
432018690088-ATM-IOB
432018690088-ATM-IOB
432018690088-ATM-IOB
15/11/2024 0:46:09
S99307325 2024-11-15
GOTA AHMEDABAD GOTA AHMEDABAD FT GOTA AHMEDABADGOTA AHMEDABADGOTA AHMEDABAD 10000.0 GOTA AHMEDABAD
DEBIT GOTA AHMEDABAD 54928.54
pm
AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI
14/11/2024 0:45:30 UPI/431979496275/DR/SHIV
S81879124 2024-11-14 FT DEBIT 40.0 64928.54
pm CHAVANA MART/YES/UPI
13/11/2024 1:34:59 UPI/468495067544/DR/TARKI
S67800560 2024-11-13 FT DEBIT 800.0 64968.54
pm TPARESHBHAIP/YES/UPI
12/11/2024 08:27:33 UPI/468305373516/DR/Nares
S47259481 2024-11-12 FT DEBIT 80.0 65768.54
am h kalal/YES/UPI
12/11/2024 04:12:57 UPI/468322460131/DR/Kantib
S43357914 2024-11-12 FT DEBIT 100.0 65848.54
am hai Dishan/YES/UPI
10/11/2024 2:00:37 UPI/468184592152/DR/AKSH
S21785998 2024-11-10 FT DEBIT 1155.0 65948.54
pm AR FOODS/YES/UPI
10/11/2024 0:52:37 UPI/468110576830/DR/GO
S20269582 2024-11-10 FT DEBIT 799.0 67103.54
pm COLORS/HDF/UPI
UPI/468170161564/DR/PRIT
UPI/468170161564/DR/PRIT
10/11/2024 03:53:54 UPI/468170161564/DR/PRIT
UPI/468170161564/DR/PRIT
UPI/468170161564/DR/PRIT
UPI/468170161564/DR/PRIT
UPI/468170161564/DR/PRIT
S12473002 2024-11-10 FT DEBIT 190.0 67902.54
EN PATEL/YES/UPI am
EN PATEL/YES/UPI EN PATEL/YES/UPI EN PATEL/YES/UPI EN PATEL/YES/UPIEN PATEL/YES/UPI EN PATEL/YES/UPI
UPI/467867729617/DR/AMAZ
UPI/467867729617/DR/AMAZ
07/11/2024 11:26:22 UPI/467867729617/DR/AMAZ
UPI/467867729617/DR/AMAZ
UPI/467867729617/DR/AMAZ
UPI/467867729617/DR/AMAZ
UPI/467867729617/DR/AMAZ
S62327039 2024-11-07 FT DEBIT 615.05 68092.54
ON SELLER SER/HDF/UPI
ON SELLER SER/HDF/UPI
am ON SELLER SER/HDF/UPI
ON SELLER SER/HDF/UPI
ON SELLER SER/HDF/UPI
ON SELLER SER/HDF/UPI
ON SELLER SER/HDF/UPI
UPI/467693518146/DR/RUPE
UPI/467693518146/DR/RUPE
05/11/2024 10:37:29 UPI/467693518146/DR/RUPE
UPI/467693518146/DR/RUPE
UPI/467693518146/DR/RUPE
UPI/467693518146/DR/RUPE
UPI/467693518146/DR/RUPE
S30007456 2024-11-05 FT DEBIT 170.0 68707.59
SH VINODBHAI /YES/UPI
SH VINODBHAI /YES/UPI
am SH VINODBHAI /YES/UPI
SH VINODBHAI /YES/UPI
SH VINODBHAI /YES/UPI
SH VINODBHAI /YES/UPI
SH VINODBHAI /YES/UPI
UPI/431026526541/DR/ROHI
UPI/431026526541/DR/ROHI
05/11/2024 10:33:55 UPI/431026526541/DR/ROHI
UPI/431026526541/DR/ROHI
UPI/431026526541/DR/ROHI
UPI/431026526541/DR/ROHI
UPI/431026526541/DR/ROHI
S29956300 2024-11-05 FT DEBIT 300.0 68877.59
T JAYANTIBHAI/YES/UPI
T JAYANTIBHAI/YES/UPI
am T JAYANTIBHAI/YES/UPI
T JAYANTIBHAI/YES/UPI
T JAYANTIBHAI/YES/UPI
T JAYANTIBHAI/YES/UPI
T JAYANTIBHAI/YES/UPI
Int.Pd:01-08-2024 to Int.Pd:01-08-2024 to Int.Pd:01-08-2024 to Int.Pd:01-08-2024 to Int.Pd:01-08-2024 to
Int.Pd:01-08-2024 to Int.Pd:01-08-2024 to
05/11/2024 02:15:38
S22435025 31-10-2024:10420100001019
2024-11-01 31-10-2024:10420100001019
31-10-2024:10420100001019
FT 31-10-2024:10420100001019 CREDIT 31-10-2024:10420100001019
31-10-2024:10420100001019 283.0 31-10-2024:10420100001019
69177.59
am
1 1 1 1 1 1 1
UPI/430892604485/DR/Hari
UPI/430892604485/DR/Hari
03/11/2024 00:36:47 UPI/430892604485/DR/Hari
UPI/430892604485/DR/Hari
UPI/430892604485/DR/Hari
UPI/430892604485/DR/Hari
UPI/430892604485/DR/Hari
S83156853 2024-11-03 FT DEBIT 5243.0 68894.59
Om Super Mar/UTI/UPI
Om Super Mar/UTI/UPIOm Super Mar/UTI/UPI
am Om Super Mar/UTI/UPI
Om Super Mar/UTI/UPI
Om Super Mar/UTI/UPIOm Super Mar/UTI/UPI
UPI/430587237980/DR/Shivsi
UPI/430587237980/DR/Shivsi
31/10/2024 02:18:45 UPI/430587237980/DR/Shivsi
UPI/430587237980/DR/Shivsi
UPI/430587237980/DR/Shivsi
UPI/430587237980/DR/Shivsi
UPI/430587237980/DR/Shivsi
S41821563 2024-10-31 FT DEBIT 200.0 74137.59
ngh Dishan/YES/UPI am
ngh Dishan/YES/UPI ngh Dishan/YES/UPIngh Dishan/YES/UPIngh Dishan/YES/UPI
ngh Dishan/YES/UPI ngh Dishan/YES/UPI

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

6
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
UPI/467131282059/CR/SEEM
UPI/467131282059/CR/SEEM
31/10/2024 00:19:29 UPI/467131282059/CR/SEEM
UPI/467131282059/CR/SEEM
UPI/467131282059/CR/SEEM
UPI/467131282059/CR/SEEM
UPI/467131282059/CR/SEEM
S41206128 2024-10-31 FT CREDIT 1000.0 74337.59
A/MAH/UPI A/MAH/UPI
am A/MAH/UPI A/MAH/UPI A/MAH/UPI A/MAH/UPI A/MAH/UPI
29/10/2024 10:33:58 UPI/466959243675/DR/LALIT
S14360727 2024-10-29 FT DEBIT 200.0 73337.59
am REBARI/YES/UPI
29/10/2024 10:32:41 UPI/466942741996/DR/LALIT
S14336474 2024-10-29 FT DEBIT 850.0 73537.59
am REBARI/YES/UPI
29/10/2024 09:15:04 UPI/430387856722/CR/MEEN
S13205296 2024-10-29 FT CREDIT 1860.0 74387.59
am ABEN TRIVEDI/UTI/UPI
29/10/2024 08:32:14 UPI/466951543294/DR/Mr
S12579213 2024-10-29 FT DEBIT 550.0 72527.59
am MODILAVRKHAN /CBI/UPI
29/10/2024 07:30:48 UPI/430382544896/DR/M S
S11591503 2024-10-29 FT DEBIT 24600.0 73077.59
am ANGUTHI JEWEL/ICI/UPI
28/10/2024 2:52:19 UPI/430230712890/DR/ARVI
S93787067 2024-10-28 FT DEBIT 1500.0 97677.59
pm NDBHAISARDARB/YES/UPI
UPI/430039601233/DR/JUST
UPI/430039601233/DR/JUST
26/10/2024 2:47:42 UPI/430039601233/DR/JUST
UPI/430039601233/DR/JUST
UPI/430039601233/DR/JUST
UPI/430039601233/DR/JUST
UPI/430039601233/DR/JUST
S65471559 2024-10-26 FT DEBIT 284.05 99177.59
HERBS/HDF/UPI HERBS/HDF/UPI
pm HERBS/HDF/UPI HERBS/HDF/UPI HERBS/HDF/UPI HERBS/HDF/UPI HERBS/HDF/UPI
UPI/466606392534/DR/RAVI
UPI/466606392534/DR/RAVI
26/10/2024 0:10:24 UPI/466606392534/DR/RAVI
UPI/466606392534/DR/RAVI
UPI/466606392534/DR/RAVI
UPI/466606392534/DR/RAVI
UPI/466606392534/DR/RAVI
S62435854 2024-10-26 FT DEBIT 570.0 99461.64
NDRA BABUBHAI/YES/UPI
NDRA BABUBHAI/YES/UPI
pm NDRA BABUBHAI/YES/UPI
NDRA BABUBHAI/YES/UPI
NDRA BABUBHAI/YES/UPI
NDRA BABUBHAI/YES/UPI
NDRA BABUBHAI/YES/UPI
UPI/430088879668/DR/MONI
UPI/430088879668/DR/MONI
26/10/2024 06:32:37 UPI/430088879668/DR/MONI
UPI/430088879668/DR/MONI
UPI/430088879668/DR/MONI
UPI/430088879668/DR/MONI
UPI/430088879668/DR/MONI
S57768762 2024-10-26 FT DEBIT 500.0 100031.64
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
am CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPICA GAHLAWAT/UTI/UPI
UPI/859129413004/CR/GOO
UPI/859129413004/CR/GOO
26/10/2024 01:13:20 UPI/859129413004/CR/GOO
UPI/859129413004/CR/GOO
UPI/859129413004/CR/GOO
UPI/859129413004/CR/GOO
UPI/859129413004/CR/GOO
S54363580 2024-10-26 FT CREDIT 6.0 100531.64
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
am GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
UPI/429903963464/DR/CHIR
UPI/429903963464/DR/CHIR
25/10/2024 2:31:14 UPI/429903963464/DR/CHIR
UPI/429903963464/DR/CHIR
UPI/429903963464/DR/CHIR
UPI/429903963464/DR/CHIR
UPI/429903963464/DR/CHIR
S51050210 2024-10-25 FT DEBIT 580.0 100525.64
AGBHAI MAFATL/SBI/UPI
AGBHAI MAFATL/SBI/UPI
pm AGBHAI MAFATL/SBI/UPI
AGBHAI MAFATL/SBI/UPI
AGBHAI MAFATL/SBI/UPI
AGBHAI MAFATL/SBI/UPI
AGBHAI MAFATL/SBI/UPI
BY SALARY 25/10/2024
BY SALARY10:50:11 BY SALARY BY SALARY BY SALARY BY SALARY
S46573994 2024-10-25 FT BY SALARY CREDIT 73905.0 101105.64
am
UPI/429876993599/DR/MONI
UPI/429876993599/DR/MONI
24/10/2024 08:22:04 UPI/429876993599/DR/MONI
UPI/429876993599/DR/MONI
UPI/429876993599/DR/MONI
UPI/429876993599/DR/MONI
UPI/429876993599/DR/MONI
S30798082 2024-10-24 FT DEBIT 250.0 27200.64
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
am CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPICA GAHLAWAT/UTI/UPI
UPI/429892584046/DR/MONI
UPI/429892584046/DR/MONI
24/10/2024 08:21:42 UPI/429892584046/DR/MONI
UPI/429892584046/DR/MONI
UPI/429892584046/DR/MONI
UPI/429892584046/DR/MONI
UPI/429892584046/DR/MONI
S30793317 2024-10-24 FT DEBIT 180.0 27450.64
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
am CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPI
CA GAHLAWAT/UTI/UPICA GAHLAWAT/UTI/UPI

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

7
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
UPI/429640920119/CR/SEEM
UPI/429640920119/CR/SEEM
22/10/2024 07:26:58 UPI/429640920119/CR/SEEM
UPI/429640920119/CR/SEEM
UPI/429640920119/CR/SEEM
UPI/429640920119/CR/SEEM
UPI/429640920119/CR/SEEM
S91323516 2024-10-22 FT CREDIT 100.0 27630.64
A/MAH/UPI A/MAH/UPI
am A/MAH/UPI A/MAH/UPI A/MAH/UPI A/MAH/UPI A/MAH/UPI
19/10/2024 3:39:31 UPI/285479782934/CR/GOO
S60188484 2024-10-19 FT CREDIT 6.0 27530.64
pm GLE INDIA DIGI/uti/UPI
19/10/2024 3:38:37 UPI/429334050531/DR/VIJAY
S60174155 2024-10-19 FT DEBIT 20000.0 27524.64
pm KASHINATHRA/UTI/UPI
19/10/2024 1:20:32 UPI/465925832842/DR/Googl
S57302100 2024-10-19 FT DEBIT 900.9 47524.64
pm e India Digi/UTI/UPI
15/10/2024 1:12:27 UPI/428940078787/DR/Jio
S89251114 2024-10-15 FT DEBIT 2824.92 48425.54
pm Prepaid Recha/YES/OidTB00
15/10/2024 09:01:38 UPI/465587891908/CR/SEEM
S84646473 2024-10-15 FT CREDIT 100.0 51250.46
am A/MAH/UPI
15/10/2024 05:45:42 UPI/465566923798/DR/Nares
S81505685 2024-10-15 FT DEBIT 30.0 51150.46
am h kalal/YES/UPI
428818269498-ATM-IOB
428818269498-ATM-IOB
428818269498-ATM-IOB
428818269498-ATM-IOB
428818269498-ATM-IOB
428818269498-ATM-IOB
428818269498-ATM-IOB
14/10/2024 1:19:56
S74030766 2024-10-14
GOTA AHMEDABAD GOTA AHMEDABAD FT GOTA AHMEDABADGOTA AHMEDABADGOTA AHMEDABAD 10000.0 GOTA AHMEDABAD
DEBIT GOTA AHMEDABAD 51180.46
pm
AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI
UPI/428894479470/DR/DISH
UPI/428894479470/DR/DISH
14/10/2024 1:14:03 UPI/428894479470/DR/DISH
UPI/428894479470/DR/DISH
UPI/428894479470/DR/DISH
UPI/428894479470/DR/DISH
UPI/428894479470/DR/DISH
S73915444 2024-10-14 FT DEBIT 200.0 61180.46
ANT PETROLEUM/YES/UPI
ANT PETROLEUM/YES/UPI
pm ANT PETROLEUM/YES/UPI
ANT PETROLEUM/YES/UPI
ANT PETROLEUM/YES/UPI
ANT PETROLEUM/YES/UPI
ANT PETROLEUM/YES/UPI
UPI/465449982796/DR/PATE
UPI/465449982796/DR/PATE
14/10/2024 1:01:29 UPI/465449982796/DR/PATE
UPI/465449982796/DR/PATE
UPI/465449982796/DR/PATE
UPI/465449982796/DR/PATE
UPI/465449982796/DR/PATE
S73644110 2024-10-14 FT DEBIT 10.0 61380.46
L JIMISH/YES/UPI L JIMISH/YES/UPI
pm L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI
UPI/465462684782/DR/PATE
UPI/465462684782/DR/PATE
14/10/2024 0:58:03 UPI/465462684782/DR/PATE
UPI/465462684782/DR/PATE
UPI/465462684782/DR/PATE
UPI/465462684782/DR/PATE
UPI/465462684782/DR/PATE
S73573644 2024-10-14 FT DEBIT 370.0 61390.46
L JIMISH/YES/UPI L JIMISH/YES/UPI
pm L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI
UPI/465435781610/DR/NARE
UPI/465435781610/DR/NARE
14/10/2024 0:46:02 UPI/465435781610/DR/NARE
UPI/465435781610/DR/NARE
UPI/465435781610/DR/NARE
UPI/465435781610/DR/NARE
UPI/465435781610/DR/NARE
S73329107 2024-10-14 FT DEBIT 280.0 61760.46
NDRA NAI/KKB/UPI pm
NDRA NAI/KKB/UPI NDRA NAI/KKB/UPINDRA NAI/KKB/UPI NDRA NAI/KKB/UPI NDRA NAI/KKB/UPI NDRA NAI/KKB/UPI
UPI/428885355158/DR/ST
UPI/428885355158/DR/ST
13/10/2024 11:45:19 UPI/428885355158/DR/ST
UPI/428885355158/DR/ST
UPI/428885355158/DR/ST
UPI/428885355158/DR/ST
UPI/428885355158/DR/ST
S64332497 2024-10-14 FT DEBIT 6050.0 62040.46
MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
pm MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
MARYS PRIMARY MARYS
/bki/UPI PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
UPI/465338728206/DR/ST
UPI/465338728206/DR/ST
13/10/2024 0:01:57 UPI/465338728206/DR/ST
UPI/465338728206/DR/ST
UPI/465338728206/DR/ST
UPI/465338728206/DR/ST
UPI/465338728206/DR/ST
S59120158 2024-10-13 FT DEBIT 9980.0 68090.46
MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
pm MARYS PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
MARYS PRIMARY MARYS
/bki/UPI PRIMARY /bki/UPI
MARYS PRIMARY /bki/UPI
S38010859 UPI/465107495757/CR/MEEN
2024-10-11 UPI/465107495757/CR/MEEN
11/10/2024 4:41:00 UPI/465107495757/CR/MEEN
FT UPI/465107495757/CR/MEEN
UPI/465107495757/CR/MEEN
CREDIT UPI/465107495757/CR/MEEN
3000.0 UPI/465107495757/CR/MEEN
78070.46

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

8
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
ABEN TRIVEDI/UTI/UPI
ABEN TRIVEDI/UTI/UPI
pm ABEN TRIVEDI/UTI/UPI
ABEN TRIVEDI/UTI/UPI
ABEN TRIVEDI/UTI/UPI
ABEN TRIVEDI/UTI/UPI
ABEN TRIVEDI/UTI/UPI
11/10/2024 3:02:38 UPI/465193845433/DR/Lavku
S36767789 2024-10-11 FT DEBIT 90.0 75070.46
pm sh Vegetable/UTI/UPI
11/10/2024 2:32:40 UPI/465104430470/DR/M S
S36312042 2024-10-11 FT DEBIT 142.0 75160.46
pm RATIONAL HAND/ICI/UPI
11/10/2024 2:25:36 UPI/465125528594/DR/M S
S36188442 2024-10-11 FT DEBIT 1320.0 75302.46
pm RATIONAL HAND/ICI/UPI
11/10/2024 2:25:06 UPI/428536633802/DR/M S
S36180128 2024-10-11 FT DEBIT 175.0 76622.46
pm RATIONAL HAND/ICI/UPI
11/10/2024 1:38:00 UPI/428555048364/DR/AN02
S35363005 2024-10-11 FT DEBIT 660.0 76797.46
pm 8 - Rational /YES/UPI
11/10/2024 1:36:56 UPI/465131126309/DR/AN02
S35335587 2024-10-11 FT DEBIT 1215.0 77457.46
pm 8 - Rational /YES/UPI
BY SALARY 11/10/2024
BY SALARY11:32:47 BY SALARY BY SALARY BY SALARY BY SALARY
S32356377 2024-10-11 FT BY SALARY CREDIT 73305.0 78672.46
am
UPI/465143723568/DR/JAYE
UPI/465143723568/DR/JAYE
11/10/2024 10:21:59 UPI/465143723568/DR/JAYE
UPI/465143723568/DR/JAYE
UPI/465143723568/DR/JAYE
UPI/465143723568/DR/JAYE
UPI/465143723568/DR/JAYE
S31862784 2024-10-11 FT DEBIT 30.0 5367.46
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
am SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPISH R PARMAR/IOB/UPI
UPI/465069770809/DR/Googl
UPI/465069770809/DR/Googl
10/10/2024 0:13:03 UPI/465069770809/DR/Googl
UPI/465069770809/DR/Googl
UPI/465069770809/DR/Googl
UPI/465069770809/DR/Googl
UPI/465069770809/DR/Googl
S18658892 2024-10-10 FT DEBIT 3160.0 5397.46
e India Digi/UTI/UPI pm
e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPIe India Digi/UTI/UPI e India Digi/UTI/UPI
UPI/428381212942/DR/KHUS
UPI/428381212942/DR/KHUS
09/10/2024 0:07:09 UPI/428381212942/DR/KHUS
UPI/428381212942/DR/KHUS
UPI/428381212942/DR/KHUS
UPI/428381212942/DR/KHUS
UPI/428381212942/DR/KHUS
S92694470 2024-10-09 FT DEBIT 230.0 8557.46
HI BAKERY/YES/UPI pm
HI BAKERY/YES/UPI HI BAKERY/YES/UPIHI BAKERY/YES/UPIHI BAKERY/YES/UPI HI BAKERY/YES/UPI HI BAKERY/YES/UPI
UPI/428243661986/DR/trivedi
UPI/428243661986/DR/trivedi
08/10/2024 0:17:26 UPI/428243661986/DR/trivedi
UPI/428243661986/DR/trivedi
UPI/428243661986/DR/trivedi
UPI/428243661986/DR/trivedi
UPI/428243661986/DR/trivedi
S77278135 2024-10-08 FT DEBIT 2250.0 8787.46
dhara510@o/ICI/UPI pm
dhara510@o/ICI/UPI dhara510@o/ICI/UPIdhara510@o/ICI/UPI dhara510@o/ICI/UPI
dhara510@o/ICI/UPI dhara510@o/ICI/UPI
UPI/464721509517/DR/YOGI
UPI/464721509517/DR/YOGI
07/10/2024 11:37:27 UPI/464721509517/DR/YOGI
UPI/464721509517/DR/YOGI
UPI/464721509517/DR/YOGI
UPI/464721509517/DR/YOGI
UPI/464721509517/DR/YOGI
S60876908 2024-10-07 FT DEBIT 300.0 11037.46
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
am SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
UPI/464755293008/DR/YOGI
UPI/464755293008/DR/YOGI
07/10/2024 11:35:16 UPI/464755293008/DR/YOGI
UPI/464755293008/DR/YOGI
UPI/464755293008/DR/YOGI
UPI/464755293008/DR/YOGI
UPI/464755293008/DR/YOGI
S60834684 2024-10-07 FT DEBIT 280.0 11337.46
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
am SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
SAREE CENTRE/YES/UPI
UPI/464750795217/DR/GAND
UPI/464750795217/DR/GAND
07/10/2024 10:56:58 UPI/464750795217/DR/GAND
UPI/464750795217/DR/GAND
UPI/464750795217/DR/GAND
UPI/464750795217/DR/GAND
UPI/464750795217/DR/GAND
S60214003 2024-10-07 FT DEBIT 340.0 11617.46
HI GULSHAN DE/BAR/UPI
HI GULSHAN DE/BAR/UPI
am HI GULSHAN DE/BAR/UPI
HI GULSHAN DE/BAR/UPI
HI GULSHAN DE/BAR/UPI
HI GULSHAN DE/BAR/UPI
HI GULSHAN DE/BAR/UPI
S10780375 UPI/427851018704/DR/Nares
2024-10-04 UPI/427851018704/DR/Nares
04/10/2024 07:15:59 FT
UPI/427851018704/DR/Nares
UPI/427851018704/DR/Nares
UPI/427851018704/DR/Nares
DEBIT UPI/427851018704/DR/Nares
50.0 UPI/427851018704/DR/Nares
11957.46

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

9
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI
01/10/2024 4:34:51 UPI/427581573158/DR/PRAV
S64440924 2024-10-01 FT DEBIT 130.0 12007.46
pm IN VIRCHANDBH/KKB/UPI
30/09/2024 08:54:57 UPI/427466801129/DR/Nares
S40494992 2024-09-30 FT DEBIT 40.0 12137.46
am h kalal/YES/UPI
30/09/2024 06:26:16 UPI/464097890934/DR/Nares
S38284322 2024-09-30 FT DEBIT 90.0 12177.46
am h kalal/YES/UPI
26/09/2024 08:01:36 NEFT-SBIN-SBIN2242701496
S76972003 2024-09-26 FT CREDIT 135.0 12267.46
am 10-GTU SBI II-/URGENT/GT
25/09/2024 2:54:36 UPI/426946464947/DR/MAHE
S70160992 2024-09-25 FT DEBIT 130.0 12132.46
pm NDRA LAHERCHA/BAR/UPI
25/09/2024 1:40:13 UPI/426902865230/DR/BAJA
S68614246 2024-09-25 FT DEBIT 20.0 12262.46
pm RANG DAIRY PA/UTI/UPI
UPI/426561982245/DR/DEEP
UPI/426561982245/DR/DEEP
21/09/2024 3:29:22 UPI/426561982245/DR/DEEP
UPI/426561982245/DR/DEEP
UPI/426561982245/DR/DEEP
UPI/426561982245/DR/DEEP
UPI/426561982245/DR/DEEP
S19229283 2024-09-21 FT DEBIT 400.0 12282.46
ATULKUMAR PA/YES/UPI
ATULKUMAR PA/YES/UPI
pm ATULKUMAR PA/YES/UPI
ATULKUMAR PA/YES/UPI
ATULKUMAR PA/YES/UPI
ATULKUMAR PA/YES/UPI
ATULKUMAR PA/YES/UPI
UPI/463102663664/DR/NIKHI
UPI/463102663664/DR/NIKHI
21/09/2024 1:17:30 UPI/463102663664/DR/NIKHI
UPI/463102663664/DR/NIKHI
UPI/463102663664/DR/NIKHI
UPI/463102663664/DR/NIKHI
UPI/463102663664/DR/NIKHI
S16445903 2024-09-21 FT DEBIT 70.0 12682.46
L SELECTION/YES/UPI
L SELECTION/YES/UPI
pm L SELECTION/YES/UPI
L SELECTION/YES/UPI
L SELECTION/YES/UPI
L SELECTION/YES/UPIL SELECTION/YES/UPI
UPI/463110348846/DR/Ishwar
UPI/463110348846/DR/Ishwar
21/09/2024 0:39:50 UPI/463110348846/DR/Ishwar
UPI/463110348846/DR/Ishwar
UPI/463110348846/DR/Ishwar
UPI/463110348846/DR/Ishwar
UPI/463110348846/DR/Ishwar
S15637591 2024-09-21 FT DEBIT 2400.0 12752.46
krupa Cotto/UTI/UPI pm
krupa Cotto/UTI/UPI krupa Cotto/UTI/UPI krupa Cotto/UTI/UPI krupa Cotto/UTI/UPI
krupa Cotto/UTI/UPI krupa Cotto/UTI/UPI
UPI/426514942642/DR/Nares
UPI/426514942642/DR/Nares
21/09/2024 09:23:52 UPI/426514942642/DR/Nares
UPI/426514942642/DR/Nares
UPI/426514942642/DR/Nares
UPI/426514942642/DR/Nares
UPI/426514942642/DR/Nares
S13072368 2024-09-21 FT DEBIT 40.0 15152.46
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI
UPI/426443125312/DR/Land
UPI/426443125312/DR/Land
20/09/2024 4:40:27 UPI/426443125312/DR/Land
UPI/426443125312/DR/Land
UPI/426443125312/DR/Land
UPI/426443125312/DR/Land
UPI/426443125312/DR/Land
S96835742 2024-09-20 FT DEBIT 100.0 15192.46
Records Govt/SBI/Land
Records
pmRe Govt/SBI/LandRecords
Re Govt/SBI/Land
Records
Re Govt/SBI/Land
Records
Re Govt/SBI/Land
Records
Re Govt/SBI/LandRecords
Re Govt/SBI/Land Re
UPI/463079322739/DR/B
UPI/463079322739/DR/B
20/09/2024
P 3:58:59 UPI/463079322739/DR/B
P UPI/463079322739/DR/B
P UPI/463079322739/DR/B
P UPI/463079322739/DR/B
P UPI/463079322739/DR/B
P P
S96277567 2024-09-20 FT DEBIT 200.0 15292.46
SHASTRI NAGAR/YES/UPI
SHASTRI NAGAR/YES/UPI
pm SHASTRI NAGAR/YES/UPI
SHASTRI NAGAR/YES/UPI
SHASTRI NAGAR/YES/UPI
SHASTRI NAGAR/YES/UPI
SHASTRI NAGAR/YES/UPI
UPI/463035123720/DR/SWA
UPI/463035123720/DR/SWA
20/09/2024 3:51:20 UPI/463035123720/DR/SWA
UPI/463035123720/DR/SWA
UPI/463035123720/DR/SWA
UPI/463035123720/DR/SWA
UPI/463035123720/DR/SWA
S96169067 2024-09-20 FT DEBIT 1256.0 15492.46
GAT ENTERPRISE/YES/UPI
GAT ENTERPRISE/YES/UPI
pm GAT ENTERPRISE/YES/UPI
GAT ENTERPRISE/YES/UPI
GAT ENTERPRISE/YES/UPI
GAT ENTERPRISE/YES/UPI
GAT ENTERPRISE/YES/UPI
UPI/462914567578/DR/PATE
UPI/462914567578/DR/PATE
19/09/2024 4:14:59 UPI/462914567578/DR/PATE
UPI/462914567578/DR/PATE
UPI/462914567578/DR/PATE
UPI/462914567578/DR/PATE
UPI/462914567578/DR/PATE
S83323370 2024-09-19 FT DEBIT 1200.0 16748.46
L PALAK DINES/HDF/Navratr
L PALAK DINES/HDF/Navratr
pm L PALAK DINES/HDF/Navratr
L PALAK DINES/HDF/Navratr
L PALAK DINES/HDF/Navratr
L PALAK DINES/HDF/Navratr
L PALAK DINES/HDF/Navratr
S81809867 UPI/462954869678/DR/Googl
2024-09-19 UPI/462954869678/DR/Googl
19/09/2024 2:47:51 UPI/462954869678/DR/Googl
FT UPI/462954869678/DR/Googl
UPI/462954869678/DR/Googl
DEBIT UPI/462954869678/DR/Googl
431.0 UPI/462954869678/DR/Googl
17948.46

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

10
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
e India Digi/UTI/UPI pm
e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPIe India Digi/UTI/UPI e India Digi/UTI/UPI
18/09/2024 0:27:21 UPI/462842018152/DR/MEEN
S65492663 2024-09-18 FT DEBIT 101.0 18379.46
pm ABEN P TRIVED/SBI/kedarna
18/09/2024 08:50:16 UPI/462857200539/DR/Nares
S62742221 2024-09-18 FT DEBIT 40.0 18480.46
am h kalal/YES/UPI
17/09/2024 4:15:21 UPI/426180067634/DR/DUM
S56204950 2024-09-17 FT DEBIT 15000.0 18520.46
pm MY NAME/iob/UPI
UPI/426109773105/DR/SAND
17/09/2024 4:14:08
S56192468 2024-09-17 FT IP PATEL DEBIT 12000.0 33520.46
pm
GROU/YES/mousami
17/09/2024 11:48:40 UPI/462777651777/DR/SHRE
S51848116 2024-09-17 FT DEBIT 600.0 45520.46
am E BHAGWATI FA/YES/UPI
17/09/2024 04:43:44 UPI/426168233778/DR/Nares
S46512261 2024-09-17 FT DEBIT 30.0 46120.46
am h kalal/YES/UPI
UPI/425835683838/DR/Nares
UPI/425835683838/DR/Nares
14/09/2024 05:32:23 UPI/425835683838/DR/Nares
UPI/425835683838/DR/Nares
UPI/425835683838/DR/Nares
UPI/425835683838/DR/Nares
UPI/425835683838/DR/Nares
S96163257 2024-09-14 FT DEBIT 70.0 46150.46
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI
UPI/425897980684/DR/MEEN
UPI/425897980684/DR/MEEN
14/09/2024 02:01:41 UPI/425897980684/DR/MEEN
UPI/425897980684/DR/MEEN
UPI/425897980684/DR/MEEN
UPI/425897980684/DR/MEEN
UPI/425897980684/DR/MEEN
S94116730 2024-09-14 FT DEBIT 30000.0 46220.46
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
am ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
BY SALARY 13/09/2024
BY SALARY2:05:53 BY SALARY BY SALARY BY SALARY BY SALARY
S86954111 2024-09-13 FT BY SALARY CREDIT 72948.0 76220.46
pm
UPI/425701562991/DR/ombk.
UPI/425701562991/DR/ombk.
13/09/2024 0:36:43 UPI/425701562991/DR/ombk.
UPI/425701562991/DR/ombk.
UPI/425701562991/DR/ombk.
UPI/425701562991/DR/ombk.
UPI/425701562991/DR/ombk.
S88508326 2024-09-13 FT DEBIT 200.0 3272.46
aaej86368r2g/PPI/UPIpm
aaej86368r2g/PPI/UPI aaej86368r2g/PPI/UPI
aaej86368r2g/PPI/UPI
aaej86368r2g/PPI/UPI
aaej86368r2g/PPI/UPI aaej86368r2g/PPI/UPI
UPI/425751958338/DR/PATE
UPI/425751958338/DR/PATE
13/09/2024 0:27:44 UPI/425751958338/DR/PATE
UPI/425751958338/DR/PATE
UPI/425751958338/DR/PATE
UPI/425751958338/DR/PATE
UPI/425751958338/DR/PATE
S88345125 2024-09-13 FT DEBIT 120.0 3472.46
L JIMISH/YES/UPI L JIMISH/YES/UPI
pm L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI L JIMISH/YES/UPI
UPI/425706140598/DR/JAYE
UPI/425706140598/DR/JAYE
13/09/2024 08:54:13 UPI/425706140598/DR/JAYE
UPI/425706140598/DR/JAYE
UPI/425706140598/DR/JAYE
UPI/425706140598/DR/JAYE
UPI/425706140598/DR/JAYE
S85283562 2024-09-13 FT DEBIT 300.0 3592.46
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
am SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPISH R PARMAR/IOB/UPI
UPI/425751425623/DR/vijayra
UPI/425751425623/DR/vijayra
13/09/2024 07:11:10 UPI/425751425623/DR/vijayra
UPI/425751425623/DR/vijayra
UPI/425751425623/DR/vijayra
UPI/425751425623/DR/vijayra
UPI/425751425623/DR/vijayra
S83830032 2024-09-13 FT DEBIT 30000.0 3892.46
jole@okici/SBI/UPI am
jole@okici/SBI/UPI jole@okici/SBI/UPI jole@okici/SBI/UPI jole@okici/SBI/UPIjole@okici/SBI/UPI jole@okici/SBI/UPI
UPI/425716403494/CR/MEEN
UPI/425716403494/CR/MEEN
13/09/2024 04:27:50 UPI/425716403494/CR/MEEN
UPI/425716403494/CR/MEEN
UPI/425716403494/CR/MEEN
UPI/425716403494/CR/MEEN
UPI/425716403494/CR/MEEN
S81626954 2024-09-13 FT CREDIT 30000.0 33892.46
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
am ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI

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Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

11
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
UPI/425684554357/CR/MEEN
UPI/425684554357/CR/MEEN
12/09/2024 11:08:26 UPI/425684554357/CR/MEEN
UPI/425684554357/CR/MEEN
UPI/425684554357/CR/MEEN
UPI/425684554357/CR/MEEN
UPI/425684554357/CR/MEEN
S72933963 2024-09-12 FT CREDIT 3070.0 3892.46
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
am ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
ABEN P TRIVED/SBI/UPI
02/09/2024 09:59:35 UPI/461236451641/DR/Nares
S23411511 2024-09-02 FT DEBIT 40.0 822.46
am h kalal/YES/UPI
31/08/2024 3:38:43 UPI/461010465715/DR/SHAK
S91324203 2024-08-31 FT DEBIT 7450.0 862.46
pm TI FASHION HO/YES/UPI
30/08/2024 05:29:42 UPI/460979083100/DR/Nares
S69227603 2024-08-30 FT DEBIT 30.0 8312.46
am h kalal/YES/UPI
30/08/2024 05:24:00 UPI/460967281165/DR/Nares
S69161171 2024-08-30 FT DEBIT 60.0 8342.46
am h kalal/YES/UPI
29/08/2024 03:09:17 UPI/424207325031/CR/Bhaya
S55443430 2024-08-29 FT CREDIT 1000.0 8402.46
am ni Juned Yus/SBI/UPI
28/08/2024 05:00:06 UPI/460737988079/DR/Nares
S44265739 2024-08-28 FT DEBIT 45.0 7402.46
am h kalal/YES/UPI
UPI/424047026842/CR/GOO
UPI/424047026842/CR/GOO
27/08/2024 07:42:25 UPI/424047026842/CR/GOO
UPI/424047026842/CR/GOO
UPI/424047026842/CR/GOO
UPI/424047026842/CR/GOO
UPI/424047026842/CR/GOO
S34170273 2024-08-27 FT CREDIT 6.0 7447.46
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
am GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
UPI/423928192023/DR/HDFC
UPI/423928192023/DR/HDFC
UPI/423928192023/DR/HDFC
UPI/423928192023/DR/HDFC
UPI/423928192023/DR/HDFC
UPI/423928192023/DR/HDFC
UPI/423928192023/DR/HDFC
26/08/2024 07:11:44
S22040344 2024-08-26
LIMITED LIMITED FT
LIMITED LIMITED LIMITED DEBIT LIMITED 1770.0 LIMITED7441.46
am
BILL/HDF/HDFCBAN BILL/HDF/HDFCBAN BILL/HDF/HDFCBANBILL/HDF/HDFCBANBILL/HDF/HDFCBAN BILL/HDF/HDFCBAN BILL/HDF/HDFCBAN
UPI/423815054925/DR/RAJE
UPI/423815054925/DR/RAJE
25/08/2024 1:33:11 UPI/423815054925/DR/RAJE
UPI/423815054925/DR/RAJE
UPI/423815054925/DR/RAJE
UPI/423815054925/DR/RAJE
UPI/423815054925/DR/RAJE
S15224482 2024-08-25 FT DEBIT 2667.0 9211.46
SHWAREE SAREE/KKB/UPI
SHWAREE SAREE/KKB/UPI
pm SHWAREE SAREE/KKB/UPI
SHWAREE SAREE/KKB/UPI
SHWAREE SAREE/KKB/UPI
SHWAREE SAREE/KKB/UPI
SHWAREE SAREE/KKB/UPI
UPI/423843767893/DR/INDR
UPI/423843767893/DR/INDR
25/08/2024 1:19:51 UPI/423843767893/DR/INDR
UPI/423843767893/DR/INDR
UPI/423843767893/DR/INDR
UPI/423843767893/DR/INDR
UPI/423843767893/DR/INDR
S14991772 2024-08-25 FT DEBIT 2500.0 11878.46
ANI/KKB/UPI ANI/KKB/UPI
pm ANI/KKB/UPI ANI/KKB/UPI ANI/KKB/UPI ANI/KKB/UPI ANI/KKB/UPI
UPI/423854435464/CR/VIJAY
UPI/423854435464/CR/VIJAY
25/08/2024 10:21:32 UPI/423854435464/CR/VIJAY
UPI/423854435464/CR/VIJAY
UPI/423854435464/CR/VIJAY
UPI/423854435464/CR/VIJAY
UPI/423854435464/CR/VIJAY
S12619804 2024-08-25 FT CREDIT 5000.0 14378.46
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
am KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPIKASHINATHRA/SBI/UPI
UPI/423706008557/DR/Googl
UPI/423706008557/DR/Googl
24/08/2024 0:18:10 UPI/423706008557/DR/Googl
UPI/423706008557/DR/Googl
UPI/423706008557/DR/Googl
UPI/423706008557/DR/Googl
UPI/423706008557/DR/Googl
S92326933 2024-08-24 FT DEBIT 96189.64 9378.46
e India Digi/UTI/UPI pm
e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPIe India Digi/UTI/UPI e India Digi/UTI/UPI
UPI/460312095210/DR/Googl
UPI/460312095210/DR/Googl
24/08/2024 0:16:07 UPI/460312095210/DR/Googl
UPI/460312095210/DR/Googl
UPI/460312095210/DR/Googl
UPI/460312095210/DR/Googl
UPI/460312095210/DR/Googl
S92288928 2024-08-24 FT DEBIT 26579.5 105568.1
e India Digi/UTI/UPI pm
e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPIe India Digi/UTI/UPI e India Digi/UTI/UPI
S84431675 UPI/460253178077/DR/chatur
2024-08-23 UPI/460253178077/DR/chatur
23/08/2024 4:18:50 UPI/460253178077/DR/chatur
FT UPI/460253178077/DR/chatur
UPI/460253178077/DR/chatur
DEBIT UPI/460253178077/DR/chatur
500.0 UPI/460253178077/DR/chatur
132147.6

Powered by CAMSfinserv Page 11 of 14

Signed with Aadhaar:

Sangeeta Vijay Rajole
15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

12
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
vedichandre/BAR/UPI pm
vedichandre/BAR/UPI vedichandre/BAR/UPI
vedichandre/BAR/UPIvedichandre/BAR/UPI
vedichandre/BAR/UPI vedichandre/BAR/UPI
21/08/2024 3:47:01 UPI/423475446223/CR/RITIS
S59374180 2024-08-21 FT CREDIT 200.0 132647.6
pm HA S PARMAR/IOB/UPI
21/08/2024 2:25:25 UPI/423440169896/DR/RITIS
S57925055 2024-08-21 FT DEBIT 1000.0 132447.6
pm HA S PARMAR/IOB/UPI
20/08/2024 5:06:28 UPI/459931794006/CR/MEET
S47685838 2024-08-20 FT CREDIT 1000.0 133447.6
pm U JOSHI/IOB/Sent from
17/08/2024 0:00:51
S95587741 2024-08-17 FT BY SALARY CREDIT 87980.0 132447.6
pm
17/08/2024 05:44:04 UPI/423031749763/DR/Nares
S91010684 2024-08-17 FT DEBIT 50.0 44467.6
am h kalal/YES/UPI
16/08/2024 11:43:26 UPI/459568313492/DR/Dines
S82852681 2024-08-16 FT DEBIT 200.0 44517.6
am h Yadav Dis/YES/UPI
UPI/422992801427/DR/RAO
UPI/422992801427/DR/RAO
16/08/2024 07:35:56 UPI/422992801427/DR/RAO
UPI/422992801427/DR/RAO
UPI/422992801427/DR/RAO
UPI/422992801427/DR/RAO
UPI/422992801427/DR/RAO
S79739449 2024-08-16 FT DEBIT 75.0 44717.6
RANJITA VIJAY/FDR/UPI
RANJITA VIJAY/FDR/UPI
am RANJITA VIJAY/FDR/UPI
RANJITA VIJAY/FDR/UPI
RANJITA VIJAY/FDR/UPI
RANJITA VIJAY/FDR/UPI
RANJITA VIJAY/FDR/UPI
UPI/459559494234/DR/VIJAY
UPI/459559494234/DR/VIJAY
16/08/2024 03:04:33 UPI/459559494234/DR/VIJAY
UPI/459559494234/DR/VIJAY
UPI/459559494234/DR/VIJAY
UPI/459559494234/DR/VIJAY
UPI/459559494234/DR/VIJAY
S76469956 2024-08-16 FT DEBIT 5000.0 44792.6
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
am KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPIKASHINATHRA/SBI/UPI
UPI/422800984749/DR/AVEN
UPI/422800984749/DR/AVEN
15/08/2024 3:18:34 UPI/422800984749/DR/AVEN
UPI/422800984749/DR/AVEN
UPI/422800984749/DR/AVEN
UPI/422800984749/DR/AVEN
UPI/422800984749/DR/AVEN
S73912390 2024-08-15 FT DEBIT 7254.23 49792.6
UE SUPERMARTS/ICI/UPI
UE SUPERMARTS/ICI/UPI
pm UE SUPERMARTS/ICI/UPI
UE SUPERMARTS/ICI/UPI
UE SUPERMARTS/ICI/UPI
UE SUPERMARTS/ICI/UPI
UE SUPERMARTS/ICI/UPI
UPI/422898164796/DR/AN03
UPI/422898164796/DR/AN03
15/08/2024 1:23:32 UPI/422898164796/DR/AN03
UPI/422898164796/DR/AN03
UPI/422898164796/DR/AN03
UPI/422898164796/DR/AN03
UPI/422898164796/DR/AN03
S71943758 2024-08-15 FT DEBIT 210.0 57046.83
3 - Rational /YES/UPI pm
3 - Rational /YES/UPI 3 - Rational /YES/UPI3 - Rational /YES/UPI3 - Rational /YES/UPI
3 - Rational /YES/UPI 3 - Rational /YES/UPI
NEFT-SBIN-SBIN2242271058
NEFT-SBIN-SBIN2242271058
14/08/2024 07:34:53 NEFT-SBIN-SBIN2242271058
NEFT-SBIN-SBIN2242271058
NEFT-SBIN-SBIN2242271058
NEFT-SBIN-SBIN2242271058
NEFT-SBIN-SBIN2242271058
S52385575 2024-08-14 FT CREDIT 12060.0 57256.83
62-ITDTAX REF-/ATTN//INB
62-ITDTAX REF-/ATTN//INB
am 62-ITDTAX REF-/ATTN//INB
62-ITDTAX REF-/ATTN//INB
62-ITDTAX REF-/ATTN//INB
62-ITDTAX REF-/ATTN//INB
62-ITDTAX REF-/ATTN//INB
UPI/422715575908/CR/GOO
UPI/422715575908/CR/GOO
13/08/2024 6:35:35 UPI/422715575908/CR/GOO
UPI/422715575908/CR/GOO
UPI/422715575908/CR/GOO
UPI/422715575908/CR/GOO
UPI/422715575908/CR/GOO
S47813687 2024-08-14 FT CREDIT 6.0 45196.83
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
pm GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPI
GLE INDIA DIGI/uti/UPIGLE INDIA DIGI/uti/UPI
UPI/422657053824/DR/JAY
UPI/422657053824/DR/JAY
13/08/2024 2:49:05 UPI/422657053824/DR/JAY
UPI/422657053824/DR/JAY
UPI/422657053824/DR/JAY
UPI/422657053824/DR/JAY
UPI/422657053824/DR/JAY
S45619160 2024-08-13 FT DEBIT 65.0 45190.83
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
pm AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPIAMBE EATERY/YES/UPI
UPI/422612861836/DR/JAY
UPI/422612861836/DR/JAY
13/08/2024 2:46:52 UPI/422612861836/DR/JAY
UPI/422612861836/DR/JAY
UPI/422612861836/DR/JAY
UPI/422612861836/DR/JAY
UPI/422612861836/DR/JAY
S45575826 2024-08-13 FT DEBIT 195.0 45255.83
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
pm AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPIAMBE EATERY/YES/UPI
S45194218 UPI/422664760332/DR/JAY
2024-08-13 UPI/422664760332/DR/JAY
13/08/2024 2:28:56 UPI/422664760332/DR/JAY
FT UPI/422664760332/DR/JAY
UPI/422664760332/DR/JAY
DEBIT UPI/422664760332/DR/JAY
240.0 UPI/422664760332/DR/JAY
45450.83

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15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

13
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
pm AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
AMBE EATERY/YES/UPI
13/08/2024 0:28:58 UPI/422664750933/DR/AKSH
S42942386 2024-08-13 FT DEBIT 1500.0 45690.83
pm AR HOSPITAL/BKI/Merchant
10/08/2024 09:25:22 UPI/458945035993/CR/SEEM
S90610925 2024-08-10 FT CREDIT 100.0 47190.83
am A/MAH/UPI
10/08/2024 07:22:52 IMPS/422312432772/INSTAN
S88996046 2024-08-10 FT CREDIT 1.0 47090.83
am T/UTIB/XXXX852361/-
09/08/2024 1:50:44 UPI/422268034318/CR/MEEN
S80895191 2024-08-09 FT CREDIT 2000.0 47089.83
pm ABEN P TRIVED/SBI/UPI
UPI/422271961512/DR/HDFC
09/08/2024 0:17:10
S79240925 2024-08-09 FT LIMITED DEBIT 3540.0 45089.83
pm
BILL/HDF/HDFCBAN
08/08/2024 02:11:57 UPI/458782260960/DR/Googl
S58379986 2024-08-08 FT DEBIT 3290.0 48629.83
am e India Digi/UTI/UPI
UPI/422189964743/DR/VIJAY
UPI/422189964743/DR/VIJAY
08/08/2024 02:09:57 UPI/422189964743/DR/VIJAY
UPI/422189964743/DR/VIJAY
UPI/422189964743/DR/VIJAY
UPI/422189964743/DR/VIJAY
UPI/422189964743/DR/VIJAY
S58365543 2024-08-08 FT DEBIT 28000.0 51919.83
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
am KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPI
KASHINATHRA/SBI/UPIKASHINATHRA/SBI/UPI
Int.Pd:01-05-2024 to Int.Pd:01-05-2024 to Int.Pd:01-05-2024 to Int.Pd:01-05-2024 to Int.Pd:01-05-2024 to
Int.Pd:01-05-2024 to Int.Pd:01-05-2024 to
07/08/2024 02:29:35
S48377061 2024-08-01
31-07-2024:10420100001019 FT
31-07-2024:10420100001019
31-07-2024:10420100001019
31-07-2024:10420100001019
31-07-2024:10420100001019 396.0
CREDIT 31-07-2024:10420100001019 79919.83
31-07-2024:10420100001019
am
1 1 1 1 1 1 1
UPI/421401506509/DR/JAYE
UPI/421401506509/DR/JAYE
01/08/2024 04:49:03 UPI/421401506509/DR/JAYE
UPI/421401506509/DR/JAYE
UPI/421401506509/DR/JAYE
UPI/421401506509/DR/JAYE
UPI/421401506509/DR/JAYE
S57155576 2024-08-01 FT DEBIT 60.0 79523.83
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
am SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPI
SH R PARMAR/IOB/UPISH R PARMAR/IOB/UPI
UPI/457975881818/DR/PRAV
UPI/457975881818/DR/PRAV
31/07/2024 2:45:26 UPI/457975881818/DR/PRAV
UPI/457975881818/DR/PRAV
UPI/457975881818/DR/PRAV
UPI/457975881818/DR/PRAV
UPI/457975881818/DR/PRAV
S51996910 2024-07-31 FT DEBIT 370.0 79583.83
INBHAI S PATE/YES/UPI
INBHAI S PATE/YES/UPI
pm INBHAI S PATE/YES/UPI
INBHAI S PATE/YES/UPI
INBHAI S PATE/YES/UPI
INBHAI S PATE/YES/UPI
INBHAI S PATE/YES/UPI
UPI/457806614854/DR/URJA
UPI/457806614854/DR/URJA
30/07/2024 11:49:49 UPI/457806614854/DR/URJA
UPI/457806614854/DR/URJA
UPI/457806614854/DR/URJA
UPI/457806614854/DR/URJA
UPI/457806614854/DR/URJA
S35873600 2024-07-30 FT DEBIT 438.0 79953.83
H MANKAD/IOB/UPI am
H MANKAD/IOB/UPI H MANKAD/IOB/UPIH MANKAD/IOB/UPI H MANKAD/IOB/UPI H MANKAD/IOB/UPI H MANKAD/IOB/UPI
420818066118-ATM-IOB
420818066118-ATM-IOB
420818066118-ATM-IOB
420818066118-ATM-IOB
420818066118-ATM-IOB
420818066118-ATM-IOB
420818066118-ATM-IOB
26/07/2024 0:42:41
S79048865 GOTA AHMEDABAD GOTA AHMEDABAD FT
2024-07-26 GOTA AHMEDABADGOTA AHMEDABADGOTA AHMEDABADDEBIT GOTA AHMEDABAD
10000.0 GOTA AHMEDABAD
80391.83
pm
AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI AHMEDABAD GJI
UPI/457480434156/DR/Googl
UPI/457480434156/DR/Googl
26/07/2024 11:31:26 UPI/457480434156/DR/Googl
UPI/457480434156/DR/Googl
UPI/457480434156/DR/Googl
UPI/457480434156/DR/Googl
UPI/457480434156/DR/Googl
S78074174 2024-07-26 FT DEBIT 214.0 90391.83
e India Digi/UTI/UPI am
e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPI e India Digi/UTI/UPIe India Digi/UTI/UPI e India Digi/UTI/UPI

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15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

14
 Statement From : 19 Jul 2024 Statement To : 15 Jan 2025

Bank : Indian Overseas Bank

Account Number : XXXXXXXXXXX0191
FI Type : deposit

TRANSACTIONS
Trxn ID Value Date Transaction Time Mode Narration Type Amount Current Balance Reference
UPI/420692708131/DR/PAND
UPI/420692708131/DR/PAND
24/07/2024 05:07:08 UPI/420692708131/DR/PAND
UPI/420692708131/DR/PAND
UPI/420692708131/DR/PAND
UPI/420692708131/DR/PAND
UPI/420692708131/DR/PAND
S49373987 2024-07-24 FT DEBIT 160.0 90605.83
YA MAYA ASHIS/IOB/UPI
YA MAYA ASHIS/IOB/UPI
am YA MAYA ASHIS/IOB/UPI
YA MAYA ASHIS/IOB/UPI
YA MAYA ASHIS/IOB/UPI
YA MAYA ASHIS/IOB/UPI
YA MAYA ASHIS/IOB/UPI
21/07/2024 09:45:00 UPI/456998180994/DR/AVEN
S16712510 2024-07-21 FT DEBIT 1098.0 90765.83
am UE SUPERMARTS/ICI/UPI
20/07/2024 2:35:04 UPI/456839538642/DR/VINA
S98535906 2024-07-20 FT DEBIT 200.0 91863.83
pm YAK PETROLEUM/YES/UPI
20/07/2024 0:57:41 UPI/420260530919/DR/VEEN
S97148477 2024-07-20 FT DEBIT 798.0 92063.83
pm A FOODS INFIN/UTI/OnlineT
20/07/2024 03:44:06 UPI/456871691131/DR/Nares
S90510129 2024-07-20 FT DEBIT 30.0 92861.83
am h kalal/YES/UPI
UPI/420232616036/DR/DAXA
20/07/2024 03:41:45
S90487122 2024-07-20 FT BEN RAMESHBHA/FDR/Pay DEBIT 20.0 92891.83
am
to
19/07/2024 4:13:05 UPI/420145938148/CR/Bhaya
S88164788 2024-07-19 FT CREDIT 3000.0 92911.83
pm ni Juned Yus/SBI/UPI
UPI/420124750174/DR/Nares
UPI/420124750174/DR/Nares
19/07/2024 03:51:21 UPI/420124750174/DR/Nares
UPI/420124750174/DR/Nares
UPI/420124750174/DR/Nares
UPI/420124750174/DR/Nares
UPI/420124750174/DR/Nares
S78291021 2024-07-19 FT DEBIT 70.0 89911.83
h kalal/YES/UPI h kalal/YES/UPI
am h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI h kalal/YES/UPI

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15/01/2025@21:37:24 IST
Aadhaar no: **** **** 7369

15