Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card /...

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Account Opening Form For Portfolio Investment Scheme (NRO) Non Resident Indians Instruction for filling Account Opening Form Please write your NAME as it appears in all your support documents Hint boxes give tips and highlight important points across the form Please fill the form preferably in ‘BLACK’ ink only Please counter sign in full against any overwriting / alteration Specify the addresses along with City, State and PIN Code Please tick the appropriate boxes Please fill the form in CAPITAL LETTERS only A B C ALL PHOTOCOPIES of documents to be SELF-ATTESTED by the applicant When filling the form please ensure that you fill Form DA-1 enclosed with this form to avail the nomination facility. While the nomination facility is optional, we recommend that you avail of it. A) Mandatory documents for all categories ¨ Photocopy of PAN Card ¨ Photocopy of the passport pages where your name, address, specimen-signature, photograph are recorded ¨ Copy of valid Visa / Work Permit / Residence Permit (the Visa could be either in the passport or issued separately) ¨ Proof of your mailing address. Please tick the documents submitted, from the table below ¨ Latest passport size photographs, duly affixed on the AOF and signed across ¨ Initial payment for each account or deposit selected on the account ¨ If you are a Person of Indian origin, please provide any of the following documents i. Person of Indian Origin (PIO) / Overseas Citizen of India (OCI) Card ii. Passport issued by a foreign country where nationality is mentioned as Indian, or Indian passport held by you at any point in time iii. Copy of the birth certificate or Indian passport held by parents or grandparents, along with proof of relationship iv. Copy of the Indian passport of spouse along with relationship proof Politically Exposed Persons are individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of Governments, senior politicians, senior government/judicial/military officers, senior executives of state-owned corporation, important political party officials, etc. In addition, a ‘Politically Exposed Person’ includes the immediate family members of a Politically Exposed Person such as spouses, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a Politically Exposed Person who conduct transactions on behalf of a Politically Exposed Person. Introduction Documents List of eligible documents for proof of communication address Copy of bank statement / passbook – overseas or Indian (not more than 3 months old – not downloaded from internet banking) if mailing address and statement of account provided is of India, the statement should be of an NRI account OR, the non resident status should appear / be certified by the bank on the statement of account. Overseas Indian Copy of utility bill for electricity / gas / telephone / water / rent receipt (not more than 3 months old) Copy of appointment letter from employer indicating the address (on organisation’s letterhead - with stamp, not more than 1 year old) Letter from warden of university hostel containing the address (for on-campus lodging) Copy of registered purchase / sale deed or agreement Copy of ration card Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the contact address Copy of credit card statement (not more than 3 months old) Certificate from employer confirming the address (on organisation’s letterhead - with stamp) Copy of driving license - for list of countries please refer to point B (i) Copy of passport B) If you have not met our Branch staff in person while submitting your forms & supporting documents, the following procedure needs to be followed: The photocopies of the (a) Passport, (b) Visa / Work Permit / Residence Permit and (c) Mailing Address must be attested by: (I) An overseas banker - (applicable only in Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Denmark, Finland, France, Germany, Greece, Bahrain, Qatar, Kuwait, Oman, Saudi Arabia, UAE, Hong Kong, Iceland, Ireland, Italy, Japan, Luxembourg, Mexico, the Netherlands, New Zealand, Norway, Portugal, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey, the UK and the United States of America) OR (ii) An overseas banker (other than in the countries listed above) - provided that, the account opening amount is through a cheque drawn on the same bank branch OR (iii) Any branch of an Indian bank abroad (in any country) OR (iv) Notary Public or equivalent authority OR (v) The Indian diplomatic mission in the country of residence OR If you are unable to get your documents attested as stated above, you will need to submit two self-attested proofs of your overseas address, among the list of eligible documents stated above. Note: PIS Permission shall be granted only to the first Applicant.

Transcript of Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card /...

Page 1: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Account Opening Form For Portfolio Investment Scheme (NRO)

Non Resident Indians

Instruction for filling Account Opening Form

Please write your NAME as it appears in all your support documents

Hint boxes give tips and highlight important points across the form

Please fill the form preferably in ‘BLACK’ ink only

Please counter sign in full against any overwriting / alteration

Specify the addresses along with City, State and PIN Code

Please tick the appropriate boxes

Please fill the form in CAPITAL LETTERS onlyABC

ALL PHOTOCOPIES of documents to be SELF-ATTESTED by the applicant

When filling the form please ensure that you fill Form DA-1 enclosed with this form to avail the nomination facility. While the nomination facility is optional, we recommend that you avail of it.

A) Mandatory documents for all categories

¨ Photocopy of PAN Card

¨ Photocopy of the passport pages where your name, address, specimen-signature, photograph are recorded

¨ Copy of valid Visa / Work Permit / Residence Permit (the Visa could be either in the passport or issued separately)

¨ Proof of your mailing address. Please tick the documents submitted, from the table below

¨ Latest passport size photographs, duly affixed on the AOF and signed across

¨ Initial payment for each account or deposit selected on the account

¨ If you are a Person of Indian origin, please provide any of the following documents

i. Person of Indian Origin (PIO) / Overseas Citizen of India (OCI) Card

ii. Passport issued by a foreign country where nationality is mentioned as Indian, or Indian passport held by you at any point in time

iii. Copy of the birth certificate or Indian passport held by parents or grandparents, along with proof of relationship

iv. Copy of the Indian passport of spouse along with relationship proof

Politically Exposed Persons are individuals who are or have been entrusted with prominent public functions in a foreign country, e.g., Heads of States or of Governments, senior politicians, senior government/judicial/military officers, senior executives of state-owned corporation, important political party officials, etc. In addition, a ‘Politically Exposed Person’ includes the immediate family members of a Politically Exposed Person such as spouses, children, parents and other relatives. Politically Exposed Person includes even close associates like advisors, secretaries and other associates of a Politically Exposed Person who conduct transactions on behalf of a Politically Exposed Person.

Introduction Documents

List of eligible documents for proof of communication address

Copy of bank statement / passbook – overseas or Indian (not more than 3 months old – not downloaded from internet banking) if mailing address and statement of account provided is of India, the statement should be of an NRI account OR, the non resident status should appear / be certified by the bank on the statement of account.

Overseas Indian

Copy of utility bill for electricity / gas / telephone / water / rent receipt(not more than 3 months old)

Copy of appointment letter from employer indicating the address (on organisation’s letterhead - with stamp, not more than 1 year old)

Letter from warden of university hostel containing the address (for on-campus lodging)

Copy of registered purchase / sale deed or agreement

Copy of ration card

Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card)

Certificate from Indian diplomatic mission containing the contact address

Copy of credit card statement (not more than 3 months old)

Certificate from employer confirming the address (on organisation’s letterhead - with stamp)

Copy of driving license - for list of countries please refer to point B (i)

Copy of passport

B) If you have not met our Branch staff in person while submitting your forms & supporting documents, the following procedure needs to be followed:

The photocopies of the (a) Passport, (b) Visa / Work Permit / Residence Permit and (c) Mailing Address must be attested by:

(I) An overseas banker - (applicable only in Argentina, Australia, Austria, Belgium, Brazil, Canada, China, Denmark, Finland, France, Germany, Greece, Bahrain, Qatar, Kuwait, Oman, Saudi Arabia, UAE, Hong Kong, Iceland, Ireland, Italy, Japan, Luxembourg, Mexico, the Netherlands, New Zealand, Norway, Portugal, Russian Federation, Singapore, South Africa, Spain, Sweden, Switzerland, Turkey, the UK and the United States of America) OR

(ii) An overseas banker (other than in the countries listed above) - provided that, the account opening amount is through a cheque drawn on the same bank branch OR

(iii) Any branch of an Indian bank abroad (in any country) OR

(iv) Notary Public or equivalent authority OR

(v) The Indian diplomatic mission in the country of residence

OR If you are unable to get your documents attested as stated above, you will need to submit two self-attested proofs of your overseas address, among the list of eligible documents stated above.

Note: PIS Permission shall be granted only to the first Applicant.

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Mailing Address: Overseas India (You must tick mark one option, proof of your mailing address is required)

Personal Details : Applicant 1 (* Fields are Mandatory)

State:

All communication regarding your

accounts will be through your

Preferred Mobile number and Preferred

Email ID

Maximum32 characters

Marital Status: Single Married*Mother’s Maiden Name:

*Overseas Address:

City: Pin:

State: Country:

*India Address:

City: Pin:

Landmark:

*Passport Details: Passport No. YYYYMMDD

Type of Visa:*Visa Details: YYYYMMDD

*Preferred Email:

*PAN:

*Are you a politically exposed person? NoYes

Customer Profile

*Education: Non Graduate Graduate Post Graduate Professionally Qualified Others

*Occupation: Self Employed Salaried Housewife Retired Others

Profession: Finance Art Legal Teaching Agriculture Medicine Engineer Management

Architect Information Technology Others

*Gross Annual Income (`): 3 Lakhs - < 5 LakhsLess than 50K

5 Lakhs - < 10 Lakhs

50K - < 1.5 Lakhs

10 Lakhs - < 50 Lakhs

1.5 Lakhs - < 3 Lakhs

50 Lakhs and above

Name of the Company:

Designation:

YYYYMMDDDate:

Please affixa recent

photograph.

Signature

Please affix

a recent

photograph

Sign across the photo

Name:

*Valid Until:

*Valid Until:

Please signin “Black Ink”

withinthe box.

“Signatureshall be

consideredfor any future

communicationwith the Bank”

I do not have any permanent address in India.OR

Please refer toPage No. 1

under Introduction Document

Weather the applicant holds any Indian securities / convertible debentures in Indian companies acquired through stock exchange with benefits of repatriation. If yes, kindly fill in the Annexure I, III and V (as applicable).

PIO (fill the declaration)Non Resident Indian

*Residential Status:

(First Name) (Middle Name) (Last Name)

*Short Name:

Existing Customer ID(If applicable):

*Date of Birth: YYYYMMDD

*Nationality: IndianOther (pl. specify)

*Preferred Mobile No.:

*Telephone (with ISD Code):

(Country Code) (Area Code) (Number)

(Country Code) (Number)

*Name: Mr. Mrs. Ms. Dr. Prof. Others

*Gender: Male Female Third Gender

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Mailing Address: Overseas India (You must tick mark one option, proof of your mailing address is required)

*Are you a politically exposed person? NoYes

Customer Profile

*Education: Non Graduate Graduate Post Graduate Professionally Qualified Others

*Occupation: Self Employed Salaried Housewife Retired Others

Profession: Finance Art Legal Teaching Agriculture Medicine Engineer Management

Architect Information Technology Others

*Gross Annual Income (`): 3 Lakhs - < 5 LakhsLess than 50K

5 Lakhs - < 10 Lakhs

50K - < 1.5 Lakhs

10 Lakhs - < 50 Lakhs

1.5 Lakhs - < 3 Lakhs

50 Lakhs and above

Name of the Company:

Designation:

YYYYMMDDDate:Signature

Please affix

a recent

photograph

Sign across the photo

Name:

State:

Maximum32 characters

Marital Status: Single Married*Mother’s Maiden Name:

*Overseas Address:

City: Pin:

State: Country:

*India Address:

City: Pin:

Landmark:

*Passport Details: Passport No. *Valid Until: YYYYMMDD

Type of Visa:*Visa Details: *Valid Until: YYYYMMDD

*Preferred Email:

*PAN:

I do not have any permanent address in India.

Joint Applicant (* Fields are Mandatory)

##(Guardian to fill a Minor Declaration Form separately) If applicable, please attach age proof * Fields are Mandatory

Please affixa recent

photograph.

OR

All communication regarding your

accounts will be through your

Preferred Mobile number and Preferred

Email ID

PAN card is mandatory for opening PIS

accounts

Please refer toPage No. 1

under Introduction Document

Please signin “Black Ink”

withinthe box.

“Signatureshall be

consideredfor any future

communicationwith the Bank”

Resident Indian

PIO (fill the declaration)

Non Resident Indian

*Residential Status:

(First Name) (Middle Name) (Last Name)

*Short Name:

Existing Customer ID(If applicable):

*Date of Birth: YYYYMMDD

*Nationality: IndianOther (pl. specify)

*Preferred Mobile No.:

*Telephone (with ISD Code):

(Country Code) (Area Code) (Number)

(Country Code) (Number)

*Name: Mr. Mrs. Ms. Dr. Prof. Others

*Gender: Male Female Third Gender

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Account Details

Savings Accounts: DCB NRO PIS Account (Classic)

Preferred City:

Preferred Branch:

Please visitwww.dcbbank.comfor complete listof our branches

This section is mandatory

Mode of Operation

Single Either or Survivor* Joint Mandate

* If the joint applicant is a resident Indian then the DCB NRO PIS Account will be opened on a Former / Survivor basis.

This section is mandatory

Source of Funds for Credits in the Account:

Other (please specify)

InvestmentsSavings Sale of PropertySalary

Inheritance

Business Proceeds

Professional Fee

Approximate Value `Foreign Inward Remittances in a year:

Account Usage

Expected Annual Turnover in the account: Less than ` 1 lakh Upto ` 1 lakh Upto ` 10 lakhs Upto ` 50 lakhs

Upto ` 1 crore Upto ` 5 crores Upto ` 10 crores Upto ` 25 crores More than ` 25 crores

Expected number of transactions in a month: Up to 20 21 to 50 More than 50

This section is mandatory

Note: No Cheque Book / Debit / ATM Card / Internet Banking shall be provided for Portfolio Investment Scheme Accounts

Access Channels

Preferable forSingle & Joint

Account holders

Nomination Details (Form DA 1)

Yes, then kindly fill the Nomination Form No, I do not want to nominate anyone on my behalf

This section is mandatory

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Annexure - II

(NON-REPATRIABLE BASIS NRO SHARES)

Customer Name:

RBI Approval Number:

Name of the PIS Branch:

FOR SHARES ACQUIRED THROUGH PRIMARY MARKET ON NON-REPATRIABLE BASIS (NRO SHARES) INCLUDING CORPORATE ACTION EFFECTS

Sr.No.

Name of Company / Security

Mode of Acquisition: Gift / Inheritance / IPO / FPO /

Conversion of ADR / GDR / FDI Scheme / Purchased from other NRI's / Private arrangement from

RI / NRI / Corporate action

Date of Acquisition

(DD/MM/YYYY)

Number Shares /Quantity(Quantity

in Figures)

AcquisitionPrice

(per share)

Face Value(per share)

Total Acquisition Cost / Amount

NOTES:Where the Shares are acquired other than by way of Purchase:1 Mode of Acquisition : Shares received by way of Bonus, Split, Amalgamation, Demerger, Merger, Consolidation, Rights etc.

Documents Required : In case of Demerger,Letter of Allotment for shares. Other Documents on "Cost" working intimated by the companyIf Letter of Allotment is not available, please furnish updated copy of Demat Account..

2 Mode of Acquisition : In case of shares acquired by way of Gift or Inheritance.Documents Required : Documents stated ABOVE, held by the Donor / Deceased & Gift Deed or Will or Court order.

I /We accept that the above holding is inclusive of the corporate action effects

Stamp of Branch

Name of First Holder _______________________________________________________________________________ Signature ______________________________

Name of Second Holder ____________________________________________________________________________ Signature ______________________________

Name of Third Holder _______________________________________________________________________________ Signature ______________________________

Note : Annexure - I is a part of NRE Account Opening Form

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Annexure - III

(SHARES ACQUIRED DURING THE RESIDENT STATUS)

Customer Name:

RBI Approval Number:

Name of the PIS Branch:

FOR SHARES ACQUIRED / HELD BY NRI AS RESIDENT INDIAN ON NON-REPATRIABLE BASIS INCLUDING CORPORATE ACTION EFFECTS

NOTES:Where the Shares are acquired other than by way of Purchase:1 Documents Required : In case of Demerger, Letter of Allotment for shares. Other Documents on "Cost" working intimated by the company.

If Letter of Allotment is not available, please furnish updated copy of Demat Account..

2 Mode of Acquisition : In case of shares acquired by way of Gift or Inheritance.Documents Required : Documents stated ABOVE, held by the Donor / Deceased & Gift Deed or Will or Court order.

I /We accept that the above holding is inclusive of the corporate action effects.

Stamp of Branch

Name of First Holder _____________________________________________________________________________________ Signature ___________________________

Name of Second Holder __________________________________________________________________________________ Signature ___________________________

Name of Third Holder ____________________________________________________________________________________ Signature ___________________________

Sr.No.

Name of Company / Security

Mode of Acquisition: Gift / Inheritance / IPO / FPO /

Conversion of ADR / GDR / FDI Scheme / Purchased from other NRI's / Private arrangement from

RI / NRI / Corporate action

Date of Acquisition

(DD/MM/YYYY)

Number Shares /Quantity

AcquisitionPrice

(per share)

Face Value(per share)

Total Acquisition Cost / Amount

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Annexure - V

(Transfer of NRO Shares)

Customer Name:

RBI Approval Number:

Name of the PIS Branch:

Customer Transfer its PIS Account from other Bank (Primary & Secondary Market Investment)

Sr.No.

Name of Company / Security

Transaction from Primary Market or Secondary

Market

Transaction Date of Purchase

(Date / Month / Year)

Number of Shares

(Quantity in Figures)

Acquisition Price

(Per Share) (`)

Amount (`)

NOTES: Along with the Declaration of Holdings Customer should furnish following Documents :1 Approved NOC From Previous PIS Bank.2 Copy of PIS Permission Letter from PIS Bank.3 Closing Holdings Statement.4 Copy of updated Demat Statement.

I /We accept that the above holding is inclusive of the corporate action effects.

Stamp of Branch

Name of First Holder ________________________________________________________________________________________ Signature _________________________

Name of Second Holder _____________________________________________________________________________________ Signature _________________________

Name of Third Holder _______________________________________________________________________________________ Signature _________________________

Whether Reported

to RBI Yes / No

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Note : Annexure - IV is a part of NRE Account Opening Form

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Declaration cum Undertaking

Application for permission to deal in securities in secondary market under PIS (NRO)

To,

The Manager,

NRI services, PIS services

DCB Bank Limited

____________________________________ Branch

Dear Sir / Madam,

Ref: Application for permission to deal in securities in secondary market under PIS (NRO)

I/We hereby appoint DCB Bank Limited (Formerly Development Credit Bank Limited) as a “Designated Bank”, (hereinafter referred to as the “Bank”) for the purpose of routing my/our transactions relating to purchase and sale of securities under Portfolio Investment Scheme (PIS). I/We have read and understood the terms and conditions as specified under Portfolio Investment Scheme and hereby declare that I/we agree to comply with all statutory / regulatory requirements under the PIS from time to time.

I/We do hereby solemnly declare and undertake as under:

1. I am/We are Non Resident Indian(s)/Person(s) of Indian Origin and not residents of any Jurisdiction where opening or maintaining of the Account is prohibited by the law and Regulatory requirement of such Jurisdiction and/or the applicable laws in India.

2. I/We agree to abide by the provisions of the NRE/NRO Accounts scheme and the Portfolio Investment Scheme as laid down by the Reserve Bank of India (RBI) and as per the relevant Acts and the Regulations as amended from time to time. I/We understand that the above account will be open on the basis of statement / declaration made by me/us and also that if any of the statements/declarations made herein are found to be incorrect, Bank is not bound to pay any interest on the deposits made by me/us and may also recover any interest credited earlier to the said account/s.

3. I/We hereby state that I/We shall not maintain any other PIS account (NRE/NRO) with any other bank/branch of our Bank. I/We understand that PIS accounts are permitted with any one designated bank branch in India, at any given point of time and that both NRE and NRO PIS accounts and PIS PERMISSION will be held with only one bank at any given point of time. I /We have no dealing/will not deal with any other designated bank/branch under PIS Scheme.

4. I/We understand that I/We have to maintain a separate Savings PIS Account (NRE/NRO) for purpose of investments in secondary markets on repatriation and non-repatriation basis respectively.

5. I/ We understand that the onus of giving contract notes to Bank is on me/us.

6. I/We understand that no ATM-cum-Debit card, Cheque Book shall be issued with PIS Savings Bank (SB) Accounts & no third party transactions will be made by me/us.

7. I/We hereby undertake to intimate you about my/our return to India for permanent residence immediately on arrival.

8. I/We hereby state that this account is solely for the purpose of my investments in the secondary markets and that no other transactions of any other nature will be routed through these accounts. I/We understand that all the funds transferred to this account shall be blocked and can be used only for the trading purpose. Such transferred amount shall continue to bear the interest prevalent for the savings bank account.

9. To report to the Bank all transactions done directly through stockbrokers within 48 hrs after trade, by submitting original broker contract notes to PIS designated branch only where PIS account is maintained. Details like PIS Permission number, PIS account, purchase payments (cheque no., date of cheque, gross amount of purchase) will be mentioned on purchase contract note. PIS permission number should be mentioned on sale contract note.

10. As an NRI/PIO, under PIS facility I/We will not invest in any Indian company which is engaged or proposes to engage in the activities such as business of chit fund, Nidhi company, Agricultural or plantation activities, Real estate business (does not include development of townships, construction of residential/commercial premises, roads or bridges, educational institutions, recreational facilities, city and regional level infrastructure, townships), construction of farm houses, manufacturing of cigars, cheroots, cigarillos and cigarettes, of tobacco or of tobacco substitutes and trading in Transferable Development Rights (TDRs).

11. In case I/We wish to avail Double Taxation Avoidance Agreement (DTAA) benefit; I/we will submit the required documents in the beginning of every financial year.

12. Any changes such as a change in the name/address/email ID/telephone numbers /contact person etc., in any of my/our Accounts, shall be intimated to the Bank immediately.

13. To submit the complete details of all securities held by me/us which were purchased from primary market as a non-resident or from the primary market / secondary market prior to becoming a non-resident in the format as specified by Bank.

14. I/We authorize the Bank to debit all types of bank charges/commission/fees payable by me/us specifically to my/our normal Savings Bank Accounts (NRE/NRO) (that can be maintained by me at any branch of Bank) that are linked to the respective PIS Accounts (NRE/NRO). I/We undertake that adequate balance shall be maintained by me/us in the respective Savings Bank Accounts to facilitate the debiting of interest and service charges. The failure on my/our part to maintain sufficient balances in the accounts shall not in any way impair the right of the Bank to claim/recover the entire amount due, including interest and services charges in full, by any means in whatsoever manner, including by debit to any other accounts maintained by me/us with Bank. The NRE / NRO PIS account will not be used for any other transactions other than transactions related to purchase and sale of securities in secondary market as specified by law. All routine transactions, demat charges, dividend, warrants etc. will be routed through the normal NRE/NRO savings account held with Bank.

15. I/We understand that Funds Transfer from normal SB NRE Accounts to PIS SB NRE Accounts and vice versa is only allowed. Similarly, Funds Transfer from normal SB NRO Accounts to PIS SB NRO Accounts and vice versa is allowed and from normal SB NRE Accounts to normal SB NRO Accounts is only allowed.

16. I/We undertake to provide all the necessary documents/clarifications whenever required by the Bank. I/We understand that the PIS Account will be used only for bonafide transactions relating to PIS that does not involve any violations of the provisions of any Government/Exchange Control Regulations and I/We shall be solely liable for any action initiated by any of the regulatory authorities concerned.

17. To send details to the Bank of all payments made to the stock broker on account of purchase of securities purchased in the format prescribed by the Bank from time to time.

18. To send all payment instruments (cheque/DD etc.) received from a stockbroker on account of sale of securities for crediting in appropriate account along with the complete details and the bills at PIS designated branch where PIS account is maintained.

19. In case I/we sell shares some of which belong to PIS and others to Non PIS account, all the sale proceeds after the deductions of TDS will be credited to the PIS account.

Name of First Applicant ________________________________________________________________________________________ Signature ____________________

Name of Second Applicant _____________________________________________________________________________________ Signature ____________________

Name of Third Applicant ________________________________________________________________________________________ Signature ____________________

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20. I/We also state that I/We am/are solely liable for any non-compliance of the Securities and Exchange Board of India (SEBI) / RBI Regulations as well as FEMA Regulations or any other relevant directives/guidelines that may be in force on account of my/our PIS accounts.

21. I/We agree and confirm to bear any losses or claims that may arise directly/indirectly on account of the Bank acting on any instructions received by it by fax or any electronic media given by me/us or on my/our behalf and agree to keep the Bank indemnified from any such losses and/or claims.

22. While opening PIS Account with Bank, I/we would ensure that all my/our shares would be held in dematerialized form and no shares would be held in physical form. I/We would also ensure that inter-Demat transfers would not be carried out by me/us under the PIS scheme within my/our other Demat accounts (PIS/Non-PIS) or to any third party through Delivery Instruction Slip (DIS) or otherwise.

23. I/We agree that if PIS account is transferred from any other bank to DCB Bank Limited, then I/We shall furnish a 'No Objection Certificate' from my/our present banker along with relevant Annexure as specified by the Bank with a latest copy of the Demat statement of securities.

24. My/our accounts shall be opened and I/we shall start trading on Recognized Stock Exchange only after closure of the existing PIS account with the previous bank and on receipt of intimation from DCB Bank Limited.

25. I/We agree to take delivery of securities purchased and make delivery of securities sold. I/We shall not transfer securities etc. held to my/our name by way of gift (except to my/our relatives as defined by section 6 of the companies Act 1956 or to the charitable trust duly registered under the laws in India) with prior approval of the Bank or sale under private arrangement without prior approval of Reserve Bank of India. I/We shall only do delivery based transactions.

26. Payment of securities / receipts from the broker on account of sale of securities will be made against the amount specified on the contract note/bill and no adjustment of purchase against sale will be done even if various sale and purchase transactions are done during the same period.

27. I/We agree that share etc. acquired under PIS will not be pledged for giving loan to a third party without obtaining prior permission from Reserve Bank of India.

28. I/We shall not undertake following transactions, either intentional or otherwise

a) Non delivery based transactions

b) Intra-day purchase & sale or vice versa

c) Speculative transactions

d) Short-selling transactions

e) Same day square-off

f) Auction transactions (purchase/sale auctions)

g) Off-market transfers

29. I/We hereby indemnify and hold the Bank harmless from any and all claims and state that the Bank shall not be liable for any loss actual or perceived caused directly or indirectly by equipment failure, communication line failure, system failure, internet failure, securities failure or internet unauthorized access or any other problem technical or otherwise that might prevent the client from entering or the Bank from executing an order or other conditions beyond Bank's control.

30. I/We shall not purchase Banned/Cautioned scrips that are prohibited by RBI. In case of default, I/We shall arrange to sell the same immediately and losses and applicable charges, if any, on account of such transactions will be borne by me/us and I/we shall be responsible for legal consequences, if any. Further, the First in First out (FIFO) method of Capital Gain computation shall be effected and accordingly Tax shall be deducted at source & TDS will not be on exchange rate adjustment.

31. To ensure before placing / conveying SALE orders that they actually hold free securities (securities pending for demat or locked/pledge are not free securities).

32. The Bank shall have a lien and right of set off on my/our PIS account for any amounts due by me/us to the Bank.

33. In case of delay, default, non-compliance, non-provision of details from me/us/ Broker within prescribed time, I/we shall be solely responsible for the following consequences:-

a. FIFO method of Capital Gains computation (period of holding) for such transactions and subsequent transactions shall be impacted.

b. Tax may be deducted on gross sale proceeds at the maximum marginal rate.

c. Any delayed credit to my respective accounts. Further, the sale proceeds shall be kept on hold by the Bank till I/we submit required details to the Bank.

d. Additional fee/charges, if any, charged by the Bank without holding the Bank responsible for the same.

e. Incorrect reporting to RBI and non-compliance with respect to other Legal entities like Company Law, FEMA, Income Tax.

f. Any legal consequences, be it tax-related, interest, penalty, prosecution or otherwise.

34. In case I/we wish to acquire Cautioned scrips as per the relevant statute, I/we would take specific permission from RBI for the same.

35. I/We understand that the purchase of equity shares/convertible debentures in each company with repatriation and non-repatriation benefits shall not exceed 5% (or as prescribed by Reserve bank of India from time to time) of the paid up capital of the company/total paid up value of the convertible debentures, subject to an overall ceiling of 10% (or as prescribed by Reserve Bank of India from time to time). All consequences of failure in such compliance, including any losses arising out of reversal of transactions shall be to my/our account.

36. Not to hold the Bank liable for any loss suffered on account of purchase/ sale of securities through my/our PIS account or otherwise.

37. I/We shall ensure that sufficient balances to cover full purchase consideration of securities are maintained in the PIS Accounts while placing purchase requests with my/our broker.

38. I/We authorise the Bank to debit my/our PIS Account for equivalent value of contract note for purchase transactions received from SEBI registered stock broker. I/We understand that debits to the PIS Accounts on account of payment to the brokers shall be made only on receipt of contract note in respect of the purchase.

39. I/We also state that I/We shall not involve or hold the Bank responsible for any dispute between me/us and my/our Broker.

40. I/We shall intimate the Bank about any change in the status of security holdings on account of Corporate Actions or otherwise (IPO/FPO, Rights, Buy Back, ESOP, Inheritance, Gift, etc.,) to facilitate proper reporting under NRE PIS to RBI and Capital Gain computations as per the Income Tax Act, 1961.

41. I/We shall advise the bank of the status of the shares purchased/sold with regard to repatriation or otherwise to facilitate proper reporting under NRE/NRO PIS to the RBI.

42. I/We acknowledge and give consent to the Bank to obtain/disclose/share any all information pertaining to me/us from/with any bank/financial institutions/credit bureaus/third parties for any purpose whatsoever. I/We further agree and grant consent to the Bank and or its affiliates/contractors/service providers to hold / process my/our personal information including my/our account(s) on computer or otherwise for analysis, credit scoring and marketing. For any such information obtained/disclosed, l/we agree and confirm that l/we will not hold the Bank responsible for the use/disclosure of such information.

43. I /We shall not hold the Bank responsible for any follow up for delivery of shares purchased neither the Bank will be held responsible to monitor the credit of shares due to corporate actions or otherwise.

44. I/We shall report all secondary market transactions done through SEBI registered Stock Broker on recognized stock exchange.

Name of First Applicant ________________________________________________________________________________________ Signature ____________________

Name of Second Applicant _____________________________________________________________________________________ Signature ____________________

Name of Third Applicant ________________________________________________________________________________________ Signature ____________________

Page 10: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

45. I/We hereby state that I/we shall not hold the Bank responsible for any loss on account of non-reporting of the purchase of shares (Rights/IPO/Secondary markets, etc.) before their sale. I/We agree that in case of late reporting by me, the date of reporting/date of dematerialization (whichever is later) be considered as the date of acquisition for the calculation of Capital Gains Tax.

46. I/We understand that no net credits/debits for the day's transactions shall be permitted i.e. gross settlement shall be done. All individual transactions in the PIS accounts shall be reflected at their full value.

47. I/We authorize the Bank to calculate the tax on First-in-First-Out (FIFO) basis and deduct tax at source wherever applicable, at the rates notified by the government from time to time. For the purpose of deduction of tax at source, losses arising through same securities on same day will only be set-off against gains from those securities.

48. I/We hereby declare that only permissible credits and debits, as mandate by relevant RBI guidelines and FEMA regulations, as amended from time to time, will be routed through my/our NRO account with Bank.

49. I/We understand that Bank can outsource the tax calculation and related activities (viz. calculation of capital gains tax, issue of CA Certificate, compiling data for RBI reporting, etc.) to a Chartered Accountancy firm specialised in PIS Services who may have access to my/our account/transaction details. I/We would not have any objection in the said agency knowing/referring my/our account details and would not hold Bank/Chartered Accountancy firm liable in any manner in this regard. I/we understand that if I/we want to submit the CA certificate so that tax is not deducted as directed by the bank, I/we have to submit the same on T+1 basis only.

51. I/We agree to adhere to the RBI guidelines and restrictions on purchase of shares (Banned / Caution) and shall refer the FII list on the RBI website as well the press releases which are on the caution / banned list, before dealing on recognised stock exchange (check site http://www.rbi.org.in) or any other website notified in future.

52. I/We understand that if I/we am/are unable to provide the proof of scrips held by me/us in my/our NRO PIS Accounts, then tax will be deducted on sale proceeds and funds will be credited in NRE Savings Account.

53. I/We understand that the Bank may at its absolute discretion, discontinue any of the services completely or partially without any notice to me/us.

54. I/We specifically agree and confirm that any matter or issue arising hereunder shall be governed by and construed exclusively in accordance with the Indian laws and shall be subject to the jurisdiction of the Courts of Mumbai in India.

55. I/We shall indemnify and hold the Bank harmless against any direct losses, costs or claims which Bank might incur/suffer as a result under PIS.

56. The Bank will set off the losses against gains only on transactions traded during the day on a daily basis against same securities. Set off is not permissible amongst different types of securities. Any unadjusted losses will not be carried forwarded the next day however; the short term losses can be set off against short term gains. The long term losses can be set off only against long term gains. The long term gains on equity transactions are exempt.

57. Bank does not allow the benefit of indexation to the customers on long term capital gain on any category of security / shares / funds.

58. Cost for bonus shares shall be nil. The cost for original shares cannot be taken into consideration while selling bonus shares.

59. I/We do hereby declare that the information furnished in this form is true to the best of my/our knowledge and belief.

60. I/We hereby confirm that I/We have read and understood the above declaration-cum undertaking pertaining to the PIS account mentioned in this form and signed as a token of my/our agreeing to comply with them.

Yours sincerely,

Name of First Applicant ________________________________________________________________________________________ Signature ____________________

Name of Second Applicant _____________________________________________________________________________________ Signature ____________________

Name of Third Applicant ________________________________________________________________________________________ Signature ____________________

Page 11: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Direct Debit Facility

To,

The Manager,

DCB Bank Limited

Dear Sir/ Madam,

With reference to my/our NRO PIS ACCOUNT No.________________ at your branch____________, I/We having registered with the following Stock Brokers with whom I /we deal for PIS Transactions.

Stock Broker Information:

_____________________________________________

_____________________________________________

_____________________________________________

Depository Participant information:

Email Id:

Name of the Depository Participant:

DP Address:

Telephone No.:

DP ID: Client Id NRO:

1. I/We hereby authorise you to honour all claims in the form of contract notes for purchases received from my Stock Broker M/s_____________ having SEBI

Registration no.__________ and its registered office at _________, who have been authorised by me/us to execute the sale and purchase transactions of shares on

my/our behalf.

2. I/We hereby authorise you to debit my NRO PIS Account No.___________________to the equivalent value of the purchase contract received from the aforesaid

Stock Broker and issue a banker 's cheque favoring my above mentioned Stock Broker / transfer to the above mentioned Stock Broker’s account for the purchase

value as and when such purchase contract are presented by the above Stock Broker to you.

3. I/We further authorise you to accept and credit to my/our account cheques / transfer received from the said Stock Broker representing sale proceeds of shares

sold on my/our behalf.

4. I/ We hereby authorise you to disclose or share the outstanding balance in my above account to my above mentioned Stock Broker whenever required by them.

5. I/ We hereby authorise you to debit my/our Savings Bank NRO Account no.__________and transfer the funds to my/our above NRO PIS Account as and when

funds are required on account of purchase of shares through the secondary market and for recovery of your charges on account of my/our PIS Accounts.

6. I/We hereby solemnly declare that I/We, our legal heirs, executors agree to indemnify and keep you indemnified against any loss damage, costs charges

(including reasonable legal fees) that may be suffered by you and against any claims, suits, proceedings or actions that may be initiated against you as a result of

your acting on this mandate.

7. I/We further confirm that I/We shall not raise any objection or a claim against you for acting on such instructions and in debiting and crediting my/our account.

8. I/We confirm that I/ We shall ratify all the credits and debits which you may carry out based on the instructions of this mandate and it shall be deemed as if the said

transactions have been earned out by me/us.

9. I/We confirm that this Mandate shall remain binding and irrevocable till such time this Mandate is revoked in writing by me/us. I/ We confirm that notwithstanding

the revocation, Bank shall continue to be indemnified for all the actions done prior to the said revocation.

Name of First Applicant __________________________________________________________________________________ Signature _________________________

Name of Second Applicant ______________________________________________________________________________ Signature _________________________

Name of Third Applicant ________________________________________________________________________________ Signature _________________________

Page 12: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Form NRI

(To be submitted to designated branch of an Authorised Dealer)

Application from non-resident Individuals of Indian nationality or origin (NRIs) for purchase of eligible securities @ through stock exchange/s in India without repatriation benefits

First Holder Second Holder Third Holder1. Particulars of the NRI

i) Full Name

ii) Overseas address*

iii) Nationality

iv) Details of current passport

(a) Passport number

(b) Place & date of issue

(c) Issued by

(d) Country of residence as stated in the passport

(e) Country of birth

v) If the applicant is not a citizen of India, the basis on which he/she claims to be a person of ‘Indian Origin’ (Please see footnote)

vi) Whether resident outside India permanently; if not, since when residing abroad

vii) Occupation (employment business, vocation etc.)

viii) Relationship with other joint holders

2. Source of funds from which payment for shares / debentures to be purchased will be made:

(i) By remittances from abroad

(ii) From non-resident bank account in India

(a) Nature of account viz. NRE / FCNRaccount / Ordinary Non-Resident Account

(b) Account number

(c) Address of the bank branch maintaining the account.

(i) I/we solemnly declare that the particulars given above are true and correct to the best of my/our knowledge and belief and that I/we am/are citizen/s of India/person/s of Indian origin.

(ii) I/we hereby undertake that I/we have no dealing/will not deal with any other designated branch/bank under PIS.

(iii) I/We also hereby agree and undertake that in the event of the designated bank permitting me/us to purchase shares/debentures in Indian companies.I/We, will not, at any time seek repatriation of the capital invested. This undertaking will also be binding on my/our heirs, executors, successors and assigns and they will not be entitled to seek repatriation of any capital so invested by me/us.

Place:

Date: Signature of First Applicant Signature of Second Applicant

@ The eligible securities will include shares / convertible debentures of Indian companies.

*Local address may be given if the second, third holder is resident in India.

Note: For the purpose of the facility of investment in shares and securities, a person (not being a citizen of Pakistan or Bangladesh) shall be deemed to be of ‘Indian origin’ if (a) he, at any time, held Indian passport, or (b) he or either of his parents or any of his grandparents was an Indian and a permanent resident in undivided India at any time. A spouse (not being a citizen of Pakistan or Bangladesh) of a citizen of India or of a person of India origin will so be deemed to be of Indian origin even though she may be of non-Indian origin.

Page 13: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Nomination Form (DA 1)

Nomination under Section 45 ZA of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules in respect of bank deposits.

I/We _______________________________________________________________ _______________________________________________________________

Address ____________________________________________________________ _______________________________________________________________

____________________________________________________________________ _______________________________________________________________

____________________________________________________________________ _______________________________________________________________

Nominate the following person to whom in the event of my/our/minors death, the amount held in NRO PIS having account number as _________________________

may be returned by DCB Bank Limited (Formerly Development Credit Bank Limited) ______________________________________________________ branch.

Address:

Nominee Name:

YRelationship with Applicant, if any YYYMMDDDate of Birth:YearsAge:

* As the nominee is a minor on this date, I / we appoint (Name & Address)

to receive the amount in the account on behalf of the nominee in the event of my / our / minor’s death during the minority of the nominee.

I / We do hereby declare that what is stated above is true to the best of my / our knowledge and belief.

Signature(s) / Thumb Impression(s) of the Account Holder(s)**Signature(s) / Thumb Impression of the Nominee

Thumb impression of

account holderor nominee isrequired to be

attested by2 witnesses.

In case of signature, no

witness isrequired.

* Strike out if nominee is not a minor. ** Where deposit is made / account is held in the name of the minor the nomination should be signed by a person lawfully entitled to act on behalf of the minor.

Witness(es):

Name :

Signature :

Address :

Place : Date:

Signature :

Name :

Signature :

Address :

Place : Date:

Signature :

Page 14: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Declaration for a Non-English Language Document

YYYYMMDDDate:

The Manager, Name of the team ___________________________________

DCB Bank Limited______________________________ Branch

Dear Sir / Madam

I / We request you to kindly open an NRO PIS a/c in my / our name on the basis of the documents submitted as a proof of my / our NRI Status (other than my / our passport).

The details as per the documents are:

Document Name and number

Issued By

Issues At (Place)

Issued On

Valid Till

Address in English:

I / We also confirm that I / We will inform DCB Bank in case my / our residential status changes from a Non-Resident Indian to a Resident Indian immediately and comply with the change in banking accounts as prescribed by Reserve Bank of India from time to time.

I / We hereby confirm the validity of the above document given that the same is/are in a Non-English language.

Yours Sincerely,

Signature of First Applicant Signature of Second Applicant Signature of Third Applicant

Page 15: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Person of Indian Origin (PIO) Declaration

To,

The Manager

DCB Bank Limited

_______________________________ Branch

Person of Indian Origin (PIO) Declaration

(Not to be used by citizens of Bangladesh or Pakistan)

Dear Sir / Madam,

I (Name) ____________________________________________________________________________ hereby declare that I am a Person of Indian Origin (PIO) because I

satisfy one of the following conditions: (Please select from the below)

a. I held an Indian Passport earlier

b. My father/mother /grandfather/grandmother (Name) is / was a citizen of India.

c. I am a spouse of (Name) _______________________________________________________ who is an Indian Citizen

d. I am a spouse of (Name) _______________________________________________________ person referred to in point (a) or (b).

I hereby submit the following documents in support of my declaration _________________________________________________________________________________

___________________________________________

I hereby declare that I do not possess any document in support of my declaration.

I confirm the above information is true and correct and that I may be required to prove my status as a PIO if I'm questioned by any authority.

Signature of Declarant: __________________________________________

Place: _____________________

Date: ______________________

Page 16: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Power of Attorney Letter

To,

The Manager,

DCB Bank Limited,

Branch address

___________________________________

___________________________________

___________________________________

Dear Sir/Madam,

Ref: NRO a/c number ___________________ of __________________

The undersigned is being NRO PIS Account holder in your esteemed Bank, having NRO (PIS) Account no. ______________________ have authorised Mr./Mrs.

______________________to operate my/our above mentioned account and for that purpose I/we have executed Power of Attorney dated __________. Kindly allow

the said constituted attorney Mr./Mrs.__________________________________________________ to operate my/our NRO (PIS) Account number __________________

in my /our names on my/our behalf .In case of revocation of POA by me/us, I/we shall inform the Bank immediately. Till that time, the Bank can continue to act as per

Power of Attorney and the instructions of the aforementioned Power of Attorney Holder.

Thanking you,

Yours faithfully,

_________________________________ ____________________________________Signature of the first account holder Signature of the second account holder

Encl: Original Power of Attorney

Details of POA Holder:

• Name: _________________________________________________________________________

• Address: ___________________________________________________________________________________________________________________________________

• Nature of business/occupation: ___________________________________________________

• Whether related to account holder: ________________________________________________

• Whether you are a POA holder in any other NRE Account in our Bank. If yes, please give details of account number, name etc.

____________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________

• Details of accounts maintained by the POA holder with our Bank __________________________________________________

Place: _____________________

Date: ______________________

Signature of POA Holder:

Photograph:

(Optional)

Page 17: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Power of Attorney

Know all men by these presents that I/we (name in full, designation and address, registered address in case of companies)_____________________________________

______________________________________________________________________________________________________________________________________________

do hereby send greetings:

Whereas I/We hereby constitute and appoint ______________________________________________________________ name, address ____________________________

________________________________________________________________________________________ hereinafter referred to as ”The Attorney” which expression

shall include his/her heirs/executors/legal representatives to be my /our true and lawful attorney for me/us and in my /our name and on my/our behalf to do and

execute all or any of the following acts, deeds and things that is to say:

1. To negotiate, sell, endorse, transfer and assign all government securities, shares, mutual funds, debentures , units of Unit Trust of India and other securities,

which do now or shall hereafter stand in my / our name (s) or to which I am / we are now or may at any time hereafter be entitled on such terms and on such price as

”the Attorney” considers best price under the circumstances and to execute all deeds, instruments, agreements, papers necessary or proper for effecting the

sale of the said shares stocks, funds, debentures, securities and units.

2. To tender, contract for purchase, acquire, accept and sign the transfer deeds and other applications and necessary papers for the purpose of purchasing

government securities, shares, debentures and securities of any description whatever and units of Unit Trust of India, in my / our name on such terms and at such

price as ”the Attorney” considers best price under the circumstances.

3. To apply for and accept allotments of shares debentures and additional shares in any such company or corporation as aforesaid and to receive, retain and hold

shares including bonus shares.

4. Subject to Exchange Control Regulations in India, to demand and receive all interests, bonuses and dividends due or to accrue due on all or any such securities,

shares, stocks, debentures, units or funds as aforesaid and give good and effectual receipts and discharges and sign and endorse warrants in respect thereof.

5. To sign application forms, contracts, agreements, transfers, acceptances, receipts, acquaintances, dividend mandates or other documents.

6. To open, operate and close accounts with DCB Bank Limited and to sign draw, make, accept, endorse, execute and negotiate all negotiable instruments for and

on my / our behalf.

7. To give instructions in writing involving debits to the bank accounts and transfers therefrom.

8. To avail all the facility provided by the DCB Bank Limited which the accountholder has.

9. To exercise all the powers in respect of the bank account as could be authorized by me/us.

10. To make necessary applications on my / our behalf to any authorities in India, particularly to Central Governments and / or the Reserve Bank of India in

connection with my / our purchase, transfer / Holding and continuing to hold shares / debentures / securities / units and to represent me / us in all respect before

such authority or authorities and establish without encumbrance the ownership of the said shares, securities, debentures or units in my / our name.

11. To pay all the charges, expenses, brokerage stamp duty remuneration commission, exchange or fees that may arise from time to time become payable by me /

us to the DCB Bank Limited to the debit of my / our account.

The Attorney while acting under this power of attorney ensure that the Attorney acts in accordance with the instructions and directions that may be issued from time to

time by Reserve Bank of India or any other body.

And I / We hereby ratify and confirm all acts that may be done by the Attorney and declare that this presents shall at all times be conclusively binding in favour of third

parties who have not received prior notice.

In Witness whereof I/We have set my/our hand and seal at _______ this ____________ day of _____ in the year __________________

Witness Signature Signed and delivered by the within

Named

1. ______________________________________________________________ (first applicant) _________________________________________________________

2. ______________________________________________________________ (second applicant) ______________________________________________________

Accepted by me

___________________

Before me

(Notary)

(Optional)

Page 18: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Schedule of Charges for Portfolio Investment Scheme

Terms & conditions:

1. Account maintenance fees are non -refundable and are levied on a financial year basis.

2. Fees issuing approvals and annual account maintenance fees will be debited annually, while the fees for processing the sale proceeds will be debited each

time the transaction is processed.

3. All applicable taxes will be levied on the above fees/charges

4. The above charges are independent of demat account charges, trading/transaction taxes, fees and /or charges.

5. Charges/service standards are subject to revision at the Bank’s sole discretion.

6. All fees will be debited to the designated Normal Savings Account.

I/We have accepted the above schedule of charges and terms & conditions.

Name of First Applicant __________________________________________________________________________________ Signature _________________________

Name of Second Applicant ______________________________________________________________________________ Signature _________________________

Name of Third Applicant ________________________________________________________________________________ Signature _________________________

Sr. No. Particulars Charges (INR)

1 PIS approval issuance fee (one time fee) ` 1000

2 Annual account maintenance fee ` 1000

3 PIS reporting charges:

Purchase ` 100 per contract note

Sale ` 120 per contract note

Purchase / Sale on same contract note ` 200 per contract note

4 Processing of sale proceeds purchased through secondary market under PIS - Transaction fees (cumulative sales transactions per day)

Transaction value upto ` 50000 ` 100

Transaction value between ` 50000 to ` 300000 ` 200

Transaction value above ` 300000 ` 300

5 Processing of sale proceeds purchased through Primary Market as a resident / nonresident / ` 500 Per Trade dateinherited (by a customer registered / not registered for PIS)

Page 19: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Self-Declaration - Double Tax Avoidance Agreement (DTAA)

Customer Id:

To,DCB Bank Limited (“DCB Bank”)India

Dear Sir / Madam,

I, _____________________________________________________________________________________________________________________________________________

______________________________________________________ <insert full name and address> having understood the provisions of the Indian Income-tax Act, 1961,

in particular those related to tax residence and the scope of income taxation, declare and confirm that:

I am / will be a non-resident within the meaning of the Indian Income-tax Act, 1961. I am a tax resident of the _____________________ (name of the DTAA Country)

within the meaning of the Agreement for Avoidance of Double Taxation between India and the ___________________ (name of the DTAA Country) (“the tax treaty” for

short) and therefore, entitled to the benefits of the tax treaty.

My PAN (Permanent Account Number) is ____________________. In case I do not provide my PAN details, I shall not be given the DTAA benefit.

I undertake to keep the Bank informed of any change in my residency. I also understand that on any change in my country of residency, I will be required to submit

revised documentation for benefiting from lower deduction of taxes under DTAA for the country I will be now residing in. Until such time, the Bank will withhold taxes at

the rate specified under the Indian Income Tax Act, 1961.

I currently hold Passport No. _________________ and Visa No. _________________ issued by the Government of _________________ , copies of which are attached

herewith.

I am the beneficial owner of the funds from which investment in Portfolio Investment Scheme (PIS) will be made and Article ________ (relevant article dealing with

investment) of the tax treaty will govern the Indian income tax liability on such investment.

I shall provide Tax Residency Certificate and Form No. 10F (if applicable) as prescribed under the Indian Income Tax provisions. I acknowledge that DTAA benefit

would be effective subject to the Tax Residency Certificate.

I undertake to promptly inform the Bank in writing should there be any change in the facts given above.

I also undertake that the benefit of DTAA is applicable for the current financial year and for the period commencing 1st April of the next financial year I will submit fresh

set of similar documents to avail the benefit.

I undertake to indemnify the Bank for any tax loss (including but not limited to tax, interest and penalty) suffered by the Bank as a result of either relying on this

declaration or my delay/default in confirming the change, if any, in the facts mentioned above. This obligation shall survive indefinitely.

I undertake to indemnify the Bank for any tax demand (including but not limited to tax, interest and penalty) suffered by the Bank as a result of either relying on this

declaration or my delay/default in confirming the change, if any, in the facts mentioned above. I also authorise DCB Bank to recover the said demand from any of my

bank accounts / fixed deposit placed with the Bank. I shall provide DCB Bank with all information/documents that may be necessary for any proceedings before

Income-tax / Appellate Authorities in India.

I confirm that, I have read and understood the applicable terms and conditions of this product/service and the relevant provisions of the Double Taxation Avoidance

Agreement between India and _______ (country of residence) and the relevant provisions of the Income Tax Act, 1961 which can also be referred on the website

www.incometaxindia.gov.in

I hereby declare that the contents above are correct, complete and truly stated.

Yours faithfully

Signature

Name: _________________________________________________________________

Address: _________________________________________________________________

_________________________________________________________________

Date: ___________________________

Place: __________________________

YYYYMMDDDate:

Page 20: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Application for Transfer of Portfolio Investment Scheme (PIS)

To,The Manager, NRI Services, ___________________________ Bank,Mumbai.

Dear Sir / Madam,

Re: Application for transfer of Account of Portfolio Investment Scheme (PIS) Permission for purchase and sale of shares and transfer of PIS Portfolio to

____________________________________ Bank.

1. I / we am/are having PIS permission with ________________________________ Bank having its Branch at _________________________________________________.

2. I / we had obtained the permission dated _______ /_______/____________ bearing No________________________.

3. I hereby intend to transfer my / our existing PIS permission for purchase and sale of shares and PIS Portfolio from ________________ Bank to _____________ Bank.

4. I/We understand that the above account will be opened on the basis of statements / declaration made by me/us and I/We also agree if any of the statements /

declaration made herein is found to be incorrect, you are not bound to pay me / us any interest on the deposits made by me/us.

5. My/our accounts shall be opened only after closure of the existing PIS account.

6. I/We are furnishing following:

a. Copy of Existing Valid PIS Permission.

b. No Objection Certificate from my/our present bankers along with original acquisition date, quantity, name and cost of acquisition of the shares held.

c. Declaration cum Undertaking.

d. Share holding Details in a format prescribed by you [indicating as to which transactions have been reported to RBI and which have not been reported].

e. Any Corporate Action correspondence received from the Investment Company.

f. Copy of my existing DMAT Account.

g. Proof of Residential Status.

h. Power Attorney.

i. DTAA documents(if required)

Kindly transfer my existing PIS Permission and PIS Portfolio to your Bank.

Yours Sincerely,

Name of First Applicant __________________________________________________________________________________ Signature _________________________

Name of Second Applicant ______________________________________________________________________________ Signature _________________________

Name of Third Applicant ________________________________________________________________________________ Signature _________________________

YYYYMMDDDate:

Page 21: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Mandate Letter

To,

The DCB Bank Limited,

The Branch Manager,

Dear Sir/Madam,

Reg: Mandate to operate NRE(PIS) / NRO PIS account number__________________________________

I/ We _________________________________________________________ (name) PIS account number ________________________________________ residing at ______

______________________________________________________________________________________________________________________________________________

having my/our NRE(PIS)/NRO(PIS) Account at your Bank, nd I/ We hereby authorise Mr/Ms _______________ on my/our behalf to make, draw, endorse, accept or

otherwise sign any bills of exchange or other negotiable instruments and to discount the same and also to make, draw, endorse or sign cheques or any other

negotiable instrument of any description for investment in securities and operate the aforesaid Account/s for making investment and grant viewing rights to my

aforesaid Account/s through E-Banking. I/We hereby ratify and bind myself/ourselves and confirm to all and whatever instructions the said person has given on

my/our behalf.

I/We request you to take this letter as Standing Instructions for :

honouring all cheques drawn on the aforesaid account and instruction for local disbursements only by _____________________________________________ resident

of ____________________________________________________________________________________________________________________________________________

with complete address, contact number, email id notwithstanding that such cheques may cause the said account to be overdrawn or any overdraft to be increased

thereby.

**______________________________________

Specimen signature of the Mandate Holder

X. ____________________________________________ X. ____________________________________________

Above signature verified by account holder(s) Above signature verified by account holder(s)

I hereby confirm that the purpose of adding a Mandate Holder is for operation of my/our account as I/WE Ireside outside India.

The Mandatee shall however, while acting under this mandate ensure that he /she acts in accordance with the instructions and directions that may be issued from

time to time by the Reserve Bank of lndia or the Government of India or any other body or authority.

I/I We agree to bear any losses, claims that may arise directly or indirectly on account of the Bank acting on this mandate and the instructions given thereof by the said

Mandate Holder.

This authority shall continue in force until I/ We shall have expressly revoked it.

Yours Faithfully,

X. ____________________________________________ X. ____________________________________________

Signature of the Account Holder (s) Signature of the Account Holder (s)

X. ____________________________________________

Signature of the Mandatee

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Joint Applicants Declaration

This declaration is to be signed by all the holders-Mandatory

Account opening form no: _________________________________

Address of the second applicant is the same as that of first applicant Yes / No

Address of the third applicant is the same as that of first applicant Yes / No

2nd applicant: Full name including middle name: ___________________________________________________________________________________

Mailing address: including contact number, email id, fax number etc.

______________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________

3rd applicant: Full name including middle name: ___________________________________________________________________________________

Mailing address: including contact number, email id, fax number etc.

______________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________

Name: _______________________________________________________________ Signature of Fist Applicant _______________________________________

Name: _______________________________________________________________ Signature of Second Applicant ____________________________________

Name: _______________________________________________________________ Signature of Third Applicant ______________________________________

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Letter of Indemnity

To,

DCB Bank Limited(Formerly Development Credit Bank Limited)

PIS NRO A/c no. : _____________________________________

PIS NRE A/c no. : _____________________________________

PAN : _____________________________________

I, __________________________________________________ residing at _______________________________________________________________________ having

understood the provisions of the Indian Income Tax Act, 1961(“the Act”) in particular those related to tax residency and the scope of taxable income declare and

confirm that I am a non-resident as per section 6 of the Act, and my capital gain on sale of shares and securities is liable to ________ rate of taxation at source u/s 195

of the Act read with Double Taxation Avoidance Agreement (DTAA) with _________________________________.

1. My PAN is ______________________________.

2. I further declare that I am resident of ____________________ (Country) as per Article 4 of the India _____ Tax treaty and the same status continues for the financial

year April 20 ____ to March 20___. I also do not have any permanent establishment in India.

3. I further declare that the NRO/NRE bank account stand in my name and are beneficially owned by me, and the income from sale of shares and securities is not

includible in the total income of any other person under section 60 to 64 of the Act.

4. I request you to make the deduction of tax at source at _______________________________ rate on my capital gain income from shares and securities.

5. In case it is found that the tax actually payable has either not been paid or has not been paid in full, I undertake to pay the said amount of tax along with interest

found due in accordance with the provision of the Act. I know and understand that I may be subject to the provisions of penalty and prosecution for the said

default as per the Act.

6. I also undertake to submit the requisite documents as and when required for enabling the Income-tax Department to determine the nature and amount of income

and tax, interest, penalty etc. payable thereon.

7. I acknowledge that at my request and on the basis of my above declaration, the Bank is deducting the tax at _________________ rate on the basis of information

provided by me.

8. I agree to indemnify and keep DCB Bank Limited saved and harmless against any claims, loss, damages, made or suffered, against/by the said DCB Bank

Limited due to deduction of tax at source on the basis of this declaration. If the DCB Bank Limited is required to pay the said tax or any interest / penalty, I agree to

reimburse the same and the liability in this regard will be borne by me.

9. I further declare that the above mentioned information is true and correct to the best of my knowledge.

Name: _____________________________________________________________

Address: ___________________________________________________________

___________________________________________________________________

___________________________________________________________________

Date: _________________________

Place: ________________________

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For Branch Use

Customer has been Met in Person Customer has opened the account through the Non-Face to Face process

Declaration if the customer has been met by the branch Staff:

I / We declare, that we have met the above prospective customer/s personally at _________________________________________________________) and that he / she /

they have signed the AOF and other forms in my / our presence. I / We have inspected the documents of proof of identity and address in original and that the copies

thereof enclosed to the AOF (and mentioned in Checklist) have been duly verified by us against the originals and are satisfied with the same.

Name of the Branch Staff

HRMS No.:

Signature of the Branch Staff

Declaration to be signed by the Branch Head/BOM certifying that the documents have been sourced per process (Met in Person/Non

Face to Face):

I hereby confirm that the above named Mr./ Ms. _____________________________________________________________ HRMS No.____________________ is a Branch

Staff / CBE and I am satisfied with the above declaration regarding the ISA documents and verification of other contents in this due diligence form.

Name of the Branch Head / BOM

HRMS No.:

Signature

Declaration if the customer has sent his documents through the Non-Face to Face process:

I/We declare that we have not met the customer in person and have not seen or verified any of the documents. The customer has been contacted through

phone/email and have submitted the documents as per the Non-Face to Face process. I have inspected the documents and noted that they are in order with the

process requirements.

Name of the Branch Staff

HRMS No.:

Signature of the Branch Staff

Bank Use only

Account No.:

Customer ID:

Branch: SOL Code: Date: YYYYMMDD

RM / CSE / RO / CBE (Code):Segment Code

NPC Funding

Txn. / ID No.: YYYYMMDDDate: YYYMMDDValue Date: Y

Application Number :

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Section II Tick this box, if any of the below mentioned address is same as Account Opening Form (Skip to Section III)

Permanent Residential Address

House / Flat No.:

Street:

City / Town:

Province / State:

Pincode:

Landmark:

Country:

Mailing Address (If different from the Permanent Residential Address)

House / Flat No.:

Street:

City / Town:

Province / State:

Pincode:

Landmark:

Country:

(Mandatory for each Account Holder including POA, Guardian, Mandate holder etc.)

Note - The information in this section is being collected in order to fully comply with Foreign Account Tax Compliance Act (FATCA) requirements and the Common Reporting Standards (CRS) requirements.

FATCA / Self / CRS Declarationfor Individual Accounts

Section III: Tax Resident / Citizenship Information

For the Purpose of taxation, I am resident in or a citizen of the following countries:

Country / Countries Tax Resident (please tick) Citizen (please tick) Local Tax Identification Number (TIN) TIN Type

If the country does not issue a TIN or if a TIN cannot be obtained please provide an explanation:

I hereby certify that I am not tax resident in, or citizen of, any other country besides those listed above. (Please tick)

I hereby certify that I am/am not a U.S. person, including a resident alien individual.

For more information refer:http://www.irs.gov/Businesses/Corporations/Foreign-Account-Tax-Compliance-Act-FATCAhttp://www.oecd.org/ctp/exchange-of-tax-information/automatic-exchange-nancial-account-information-common-reporting-standard.pdf(We are unable to provide advice about your tax residency. If you have any questions about your tax residency, please contact your tax advisor)

1. Customer ID

2. Name of Account Holder

3. Family Name or Surname(s)

4. Title

5. First Name

6. Middle Name / Father's Name

7. Date of Birth

8. Country of Birth

9. Place within the County of Birth

10. Country/ies of Citizenship

11. Country/ies of Tax Residency

12. Tax Identification Number (PAN equivalent of the foreign country)

13. POA or a mandate holder who has an address outside India

14. Telephone number outside India

Yes No

Part A (All fields are Mandatory)

Section I Details of Account Holder

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Declaration & Acknowledgement

1. I declare that all statements made in this Declaration are, to the best of my knowledge and belief, correct and complete. I undertake to advise DCB Bank Limited. promptly of any change in circumstances which causes the information contained herein to become incorrect and to provide DCB Bank Limited with a suitably updated Declaration within 30 days of such change in circumstances.

2. I authorize DCB Bank Limited to provide, directly or indirectly, to any relevant tax authorities/government authorities and/or other regulatory authorities locally/internationally or any party authorized to audit or conduct a similar control of DCB Bank Limited for tax purposes, the information contained in this Form and to disclose to such tax authorities or such party any additional information that DCB Bank Limited may have in its possession.

3. I certify that I am beneficial owner or am authorized to sign for the individual who is the beneficial owner of all the income to which this form relates and/or am using this form to document myself as an individual who is the Account Holder.

4. In the event if DCB Bank Limited is put to any hardships or claims from any authorities due to any false, untrue or misleading representation/information furnished by me as contained herein, I shall be solely liable and responsible for the same.

Customer Name: _______________________________________________________________________ Customer Signature: _______________________________________

Date: _______________________

If you have signed this Form on behalf of the beneficial owner, please indicate the capacity in which you are acting (and attach proof whereof, alongwith this Declaration):

________________________________________________________________________________________________________________________________________________________________

For Bank Use

Account Relation Type: ______________________________________

Form Type Submitted:

Name of Bank Official: ________________________________________________________________________

HRMS Number: ____________________________

Date: ________________________

Occupation Type:____________________________________________

W-8 BEN W-9

__________________________________________Signature of Bank Official

Note

1. The Income–Tax (11th Amendment) Rules, 2015 warrants DCB Bank Limited to collect certain tax related information about its clients.

2. This Form is designed to capture the citizenship and residency for tax purposes of the person entitled to the income and assets associated with an account (the beneficial owner).

3. Please complete, where applicable, the relevant sections in relation to all relevant accounts and provide any additional information as may be required. Please be advised that in certain circumstances we may be required to share this information with relevant tax authorities.

4. If the Account Holder is holding an account for the benefit of another individual, an agent, custodian, nominee or signatory, investment adviser, intermediary or in other similar capacity and is not the Beneficial Owner, please provide :

5. The Individual Self Certification Form with your details as Account Holder, duly completed and signed, and A separate duly completed and signed Individual Self Certification Form for each Beneficial Owner containing the Beneficial Owner’s details.

6. If you are a US citizen or resident of the US for tax purposes under US Internal Revenue Service (“IRS”) regulations you should also provide a completed, signed and dated IRS Form W-9.

7. If you have any questions about how to complete this form, please contact your tax advisor.

8. Please note that for accounts opened with a DCB Bank Limited, in order to be compliant with Income Tax Act, this Self-Certification Form is required in addition to any U.S. W-8 or W-9 form you may have provided for U.S. FATCA purposes.

Part B

Fill Form:1. W-9 - If you are a U.S.A. citizen or U.S.A. tax resident OR2. W-8 BEN - If you are a tax resident of any country (other than India or U.S.A)

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Form W-9(Rev. December 2014)Department of the Treasury Internal Revenue Service

Request for Taxpayer Identification Number and Certification

Give Form to the requester. Do not send to the IRS.

Pri

nt o

r ty

pe

See

Sp

ecifi

c In

stru

ctio

ns o

n p

age

2.

1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank.

2 Business name/disregarded entity name, if different from above

3 Check appropriate box for federal tax classification; check only one of the following seven boxes:

Individual/sole proprietor or single-member LLC

C Corporation S Corporation Partnership Trust/estate

▶Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) Note. For a single-member LLC that is disregarded, do not check LLC; check the appropriate box in the line above for the tax classification of the single-member owner.

▶Other (see instructions)

4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3):Exempt payee code (if any)

Exemption from FATCA reporting

code (if any)(Applies to accounts maintained outside the U.S.)

5 Address (number, street, and apt. or suite no.)

6 City, state, and ZIP code

Requester’s name and address (optional)

7 List account number(s) here (optional)

Part I Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.

Note. If the account is in more than one name, see the instructions for line 1 and the chart on page 4 for guidelines on whose number to enter.

Social security number

– –

orEmployer identification number

Part II CertificationUnder penalties of perjury, I certify that:

1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and

2. I am not subject to backup withholding because: (a) I am exempt f om backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and

3. I am a U.S. citizen or other U.S. person (defined below); and

4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3.

Sign Here

Signature of ▶U.S. person ▶Date

General InstructionsSection references are to the Internal Revenue Code unless otherwise noted.

Future developments. Information about developments affecting Form W-9 (such as legislation enacted after we release it) is at www.irs.gov/fw9.

Purpose of FormAn individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following:

• Form 1099-INT (interest earned or paid)

• Form 1099-DIV (dividends, including those from stocks or mutual funds)

• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)

• Form 1099-B (stock or mutual fund sales and certain other transactions by brokers)

• Form 1099-S (proceeds from real estate transactions)

• Form 1099-K (merchant card and third party network transactions)

• Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition)

• Form 1099-C (canceled debt)

• Form 1099-A (acquisition or abandonment of secured property)

Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN.

If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2.

By signing the filled-out form, you:

1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued),

2. Certify that you are not subject to backup withholding, or

3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and

4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information.

Cat. No. 10231X Form W-9 (Rev. 12-2014)

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Form W-9 (Rev. 12-2014)

Note. If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9.

Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are:

• An individual who is a U.S. citizen or U.S. resident alien;

• A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States;

• An estate (other than a foreign estate); or

• A domestic trust (as defined in Regulations section 301.7701-7).

Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners’ share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income.

In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States:

• In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity;

• In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and

• In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust.

Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Publication 515, Withholding of Tax on Nonresident Aliens and Foreign Entities).

Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a “saving clause.” Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes.

If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items:

1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien.

2. The treaty article addressing the income.

3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions.

4. The type and amount of income that qualifies for the exemption from tax.

5. Sufficient facts to justify the exemption from tax under the terms of the treaty article.

Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption.

If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233.

Backup WithholdingWhat is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 28% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding.

You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return.

Payments you receive will be subject to backup withholding if:

1. You do not furnish your TIN to the requester,

2. You do not certify your TIN when required (see the Part II instructions on page 3 for details),

3. The IRS tells the requester that you furnished an incorrect TIN,

4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or

5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only).

Certain payees and payments are exempt from backup withholding. See Exempt payee code on page 3 and the separate Instructions for the Requester of Form W-9 for more information.

Also see Special rules for partnerships above.

What is FATCA reporting?The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code on page 3 and the Instructions for the Requester of Form W-9 for more information.

Updating Your InformationYou must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies.

PenaltiesFailure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect.

Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty.

Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment.

Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties.

Specific InstructionsLine 1You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return.

If this Form W-9 is for a joint account, list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9.

a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name.

Note. ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application.

b. Sole proprietor or single-member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or “doing business as” (DBA) name on line 2.

c. Partnership, LLC that is not a single-member LLC, C Corporation, or S Corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2.

d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2.

e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a “disregarded entity.” See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, “Business name/disregarded entity name.” If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN.

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Form W-9 (Rev. 12-2014)

Line 2If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2.

Line 3Check the appropriate box in line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box in line 3.

Limited Liability Company (LLC). If the name on line 1 is an LLC treated as a partnership for U.S. federal tax purposes, check the “Limited Liability Company” box and enter “P” in the space provided. If the LLC has filed Form 8832 or 2553 to be taxed as a corporation, check the “Limited Liability Company” box and in the space provided enter “C” for C corporation or “S” for S corporation. If it is a single-member LLC that is a disregarded entity, do not check the “Limited Liability Company” box; instead check the first box in line 3 “Individual/sole proprietor or single-member LLC.”

Line 4, ExemptionsIf you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space in line 4 any code(s) that may apply to you.

Exempt payee code.• Generally, individuals (including sole proprietors) are not exempt from backup withholding.

• Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends.

• Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions.

• Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC.

The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4.

1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2)

2—The United States or any of its agencies or instrumentalities

3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

4—A foreign government or any of its political subdivisions, agencies, or instrumentalities

5—A corporation

6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession

7—A futures commission merchant registered with the Commodity Futures Trading Commission

8—A real estate investment trust

9—An entity registered at all times during the tax year under the Investment Company Act of 1940

10—A common trust fund operated by a bank under section 584(a)

11—A financial institution

12—A middleman known in the investment community as a nominee or custodian

13—A trust exempt from tax under section 664 or described in section 4947

The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13.

IF the payment is for . . . THEN the payment is exempt for . . .

Interest and dividend payments All exempt payees except for 7

Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012.

Barter exchange transactions and patronage dividends

Exempt payees 1 through 4

Payments over $600 required to be 1reported and direct sales over $5,000

Generally, exempt payees 21 through 5

Payments made in settlement of payment card or third party network transactions

2 However, the following payments made to a corporation and reportable on Form

Exempt payees 1 through 4

1 See Form 1099-MISC, Miscellaneous Income, and its instructions.

1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency.

Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) written or printed on the line for a FATCA exemption code.

A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37)

B—The United States or any of its agencies or instrumentalities

C—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities

D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i)

E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i)

F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state

G—A real estate investment trust

H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940

I—A common trust fund as defined in section 584(a)

J—A bank as defined in section 581

K—A broker

L—A trust exempt from tax under section 664 or described in section 4947(a)(1)

M—A tax exempt trust under a section 403(b) plan or section 457(g) plan

Note. You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed.

Line 5Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns.

Line 6Enter your city, state, and ZIP code.

Part I. Taxpayer Identification Number (TIN)Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below.

If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. However, the IRS prefers that you use your SSN.

If you are a single-member LLC that is disregarded as an entity separate from its owner (see Limited Liability Company (LLC) on this page), enter the owner’s SSN (or EIN, if the owner has one). Do not enter the disregarded entity’s EIN. If the LLC is classified as a corporation or partnership, enter the entity’s EIN.

Note. See the chart on page 4 for further clarification of name and TIN combinations.

How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.ssa.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/businesses and clicking on Employer Identification Number (EIN) under Starting a Business. You can get Forms W-7 and SS-4 from the IRS by visiting IRS.gov or by calling 1-800-TAX-FORM (1-800-829-3676).

If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester.

Note. Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon.

Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8.

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Form W-9 (Rev. 12-2014)

Part II. CertificationTo establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if items 1, 4, or 5 below indicate otherwise.

For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code earlier.

Signature requirements. Complete the certification as indicated in items 1 through 5 below.

1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification.

2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form.

3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification.

4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations).

5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification.

What Name and Number To Give the RequesterFor this type of account: Give name and SSN of:

1. Individual The individual2. Two or more individuals (joint

account)The actual owner of the account or, if combined funds, the first

1individual on the account

3. Custodian account of a minor (Uniform Gift to Minors Act)

2The minor

4. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law

1The grantor-trustee

1The actual owner

5. Sole proprietorship or disregarded entity owned by an individual

3The owner

6. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))

The grantor*

For this type of account: Give name and EIN of:

7. Disregarded entity not owned by an individual

The owner

8. A valid trust, estate, or pension trust 4Legal entity

9. Corporation or LLC electing corporate status on Form 8832 or Form 2553

The corporation

10. Association, club, religious, charitable, educational, or other tax-exempt organization

The organization

11. Partnership or multi-member LLC The partnership12. A broker or registered nominee The broker or nominee

13. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments

The public entity

14. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)(i)(B))

The trust

1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished.

2

3

Circle the minor’s name and furnish the minor’s SSN.

You must show your individual name and you may also enter your business or DBA name on the “Business name/disregarded entity” name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN.

4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships on page 2.

*Note. Grantor also must provide a Form W-9 to trustee of trust.

Note. If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed.

Secure Your Tax Records from Identity TheftIdentity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund.

To reduce your risk:

• Protect your SSN,

• Ensure your employer is protecting your SSN, and

• Be careful when choosing a tax preparer.

If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter.

If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039.

For more information, see Publication 4535, Identity Theft Prevention and Victim Assistance.

Victims of identity theft who are experiencing economic harm or a system problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059.

Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft.

The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts.

If you receive an unsolicited email claiming to be from the IRS, forward this message to [email protected]. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at: [email protected] or contact them at www.ftc.gov/idtheft or 1-877-IDTHEFT (1-877-438-4338).

Visit IRS.gov to learn more about identity theft and how to reduce your risk.

Privacy Act NoticeSection 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.

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Please call DCB 24-Hour Customer Care to enquire about your account application status

India Toll Free 1800 209 5363 < Website www.dcbbank.com

DCB 24-Hour Customer Care

Email [email protected] < Call 91 22 6127 1000

DCB Bank Limited(Formerly Development Credit Bank LImited)

th6 Floor, Tower A, Peninsula Business Park, Senapati Bapat Marg, Lower Parel, Mumbai - 400013Tel: +91 22 6618 7000; Fax: + 91 22 6658 9970

To,

DCB BANK LIMITED (Formerly Development Credit Bank Limited)

Notwithstanding anything to the contrary contained in any other document / agreement, I / We, the undersigned, hereby request and authorise you to rely and act on all instructions or communications for any purpose (including but not limited to the instructions / communication pertaining to the operation of all my / our accounts or to any other facilities or services that may be provided by you from time to time) which may from time to time be or purported to be given by telephone, facsimile, untested telexes and faxes, telegraph, cable, email or any other form of electronic communication by me / us (including such instructions / communication as may be or purported to be given by those authorised to operate my / our account(s) with you)

"Instructions" - I / We understand and acknowledge that there are inherent risks involved in sending the Instructions to you via telephone, facsimile, untested telexes and faxes, telegraph, cable, email or any other form of electronic communication and hereby agree and confirm that all risks shall be fully borne by me / us and I / We assume full responsibility for the same, and you will not be liable for any losses or damages including legal fees arising upon your acting, or your failure to act, wholly or in part in accordance with the instructions so received.

In consideration of you agreeing, subject to the terms and conditions hereunder, to act upon the instructions as aforesaid, I / We hereby irrevocably agree and undertake:

That you shall be entitled to act or refuse to act as you see fit, without incurring any liability whatsoever to me or to any other person, upon any Instructions for any purpose which may from time to time be or purported to be given by telephone, facsimile, untested telexes and faxes, telegraph, cable, email or any other form of electronic communication by me / us (including such instructions as may be or purported to be given by those authorised to operate my / our account(s) with you), even if such Instructions or communication are not followed up by written confirmation to you.;

That the Instructions shall be conclusively presumed for your benefit to be duly authorised by and legally binding on us, and we shall be fully responsible for the same. You shall not be responsible to ensure the authenticity, validity or source of any instructions and shall not be liable if any instructions turn out to be unauthorised, erroneous or fraudulent.

That you shall be entitled (but not obliged) to keep records of our instructions given or made by telephone, facsimile, untested telexes and faxes, telegraph, cable, email or any other form of electronic communication in such form, physical or electronic, as you may in your sole discretion deem fit, and your records shall be conclusive and binding on me / us. You shall be entitled to dispose of or destroy any such records at any time as determined by you at your sole discretion;

That you shall be authorised to disclose all instructions as you may deem fit, to your affiliates, counterparties, service providers, regulators and other authorities or where you are required by law to do so.

That you shall be entitled to require any instruction in any form to be authenticated by use of any password, identification code or test as may be specified by you from time to time and I / We shall ensure the secrecy and security of such password, code or test and I / We shall be solely responsible for any improper use of the same;

That, notwithstanding the above, you may, under circumstances determined by you in your absolute discretion, require from me / us confirmation of any instructions in such form as you may specify before acting on the same; and we shall submit such confirmation to you immediately upon receipt of your request. Pursuant to receipt of instructions, you shall have the right but not the obligation to act upon such instruction;

That you shall not be liable to us or any third party for, and that I / We (jointly and severally) agree to indemnify you and keep you indemnified from and against all claims either by me or any other, actions, demands, liabilities, costs, charges, damages, losses, expenses and consequences of whatever nature (including legal fees on a full indemnity basis) and howsoever arising, which may be brought or preferred against you or that you may suffer, incur or sustain by reason of or on account/s of your having so acted whether wrongly or mistakenly or not, or of your failing to act wholly or in part in accordance with the Instructions and the terms of this letter. In consideration of agreeing to accept instructions issued by me from time to time in respect of my non-resident account/s to be opened with ____________ Branch, in the form of email transmission from my email ID ________________________________ not bearing an original signature (“email instructions"). I confirm that:

• I am aware and understand the possible risks involved in connection with giving of any email instructions.

• is hereby irrevocably and unconditionally authorised to act on my email instructions, which in its sole discretion believes to have been sent from my email ID as has been registered with or otherwise appear to comply with the terms of the mandate for my non-resident account/s to be opened with

and shall not be liable and/or responsible for acting in good faith on email instructions which have been sent from my email ID referred to herein in any circumstances whatsoever.

• I undertake to keep , its officers, directors and any employees indemnified at all time from and against, all actions, proceedings, claims, loss, damage, cost and expenses which may be brought against you or suffered or incurred by you and which shall have arisen either directly or indirectly out of or in connection with your accepting email instructions from me and acting thereon, whether or not the same are confirmed in writing by me or not.

That I / We confirm that I / We have the capacity and authority to accept this document and that this document constitutes our valid, legal, effective and enforceable obligation.

That this declaration shall be governed and construed to be in accordance with the laws of India and I / We hereby irrevocably submit to the non-exclusive jurisdiction of the courts in Mumbai.

DCB Bank LimitedDCB Bank Limited

DCB Bank Limited DCB Bank LimitedDCB Bank Limited

DCB Bank Limited DCB Bank Limited

DCB Bank Limited

Terms & conditions for instructions to be given by Fax, Telephone and other means of Electronic Communication

Signature of Applicant Signature of Joint Applicant

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AcknowledgementPlease provide this number for future reference

Nomination Form Received: Yes No

Date: YYYYMMDD

Signature of Bank Official

Employee code:

1st Applicant’s Name:

Joint Applicant:

Name of the Nominee:

Name of the Bank Official:

Branch:

Application Number :

Page 33: Account Opening Form For Non Resident Indians Portfolio ...Copy of Govt. ID Card (SSN / Green Card / PIO Card / OCI Card) Certificate from Indian diplomatic mission containing the

Authorisation letter to be issued to NRI for PIS

DCB Bank Limited

Branch name _______________________________

Ref no:______________dated __________________

To,

Name of the client __________________________________________________________________________________

Address _______________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________

We are pleased to inform you that you have been authorised to undertake sale /purchase of securities through a registered broker on recognised Indian Stock

Exchange under Portfolio Investment Scheme (PIS) based on the application /other documents submitted by you. Your PIS permission number is ___________ and

the same is to be quoted in all the transactions/correspondence with our Bank.

The salient features of PIS are as under:

• You will deal with only ___________________________________________________________ branch of DCB Bank Limited at any given point of time.

• You should visit Foreign Institutional Investors (FII) list on the Reserve Bank of India (RBI) site and press releases issued by RBI which has the details of the shares

which are on caution/banned list , wherein the prescribed limits have been reached and which should not be purchased by yourself.

• You will be allowed to invest only upto 5 % of the paid up capital of the company. Further, RBI monitors that the overall ceiling of 10% on the acquisition of shares

and debentures by NRI’s on repatriation/non-repatriation basis under the PIS.

• You are not allowed to trade in any Indian company which is engaged or proposes to engage in the activities of business of chit fund, Nidhi company, Agricultural

or plantation activities, Real estate business (does not include development of townships, construction of residential/commercial premises ,roads or bridges,

educational institutions, recreational facilities, city and regional level infrastructure, townships), construction of farm houses, manufacturing of cigars, cheroots,

cigarillos and cigarettes, of tobacco or of tobacco substitutes and trading in Transferable Development Rights(TDRs).

• You have to take and give the delivery of shares/convertible debentures while purchasing and selling the same.

• You should submit the original contract notes to the designated branch within 48 hours of execution of trade.

• PIS Permission number, PIS account number, details of cheque are to be mentioned on the purchase contract note. On the sale contract note, PIS Permission

number is to be mentioned.

• In case of purchase and sale on the same trade date, net off is not allowed.

• The details of shares /debentures acquired in IPO, while being resident is provided by you.

• Details of the corporate action associated with the holdings are provided by yourself. Bank is not responsible for any wrong information provided by yourself. And

any further corporate actions shall also be intimated by yourself as and when the same takes place.

• Bank will deduct the capital gain tax on sale proceeds and credit the net sale proceeds in to your account.

• The Double Taxation Avoidance Agreement (DTAA) document shall be provided by yourself at the beginning of the financial year in order to avail the DTAA

benefits.

For this, purpose, Bank has opened NRO PIS ACCOUNT NUMBER_______________ in your name/s and all transactions relating to PIS will be routed through this

account. Bank will transfer funds from your saving bank account number ________________ opened under NRO whenever required for payment to be made to the

broker.

Please note that this permission is subject to the condition that all sale/purchase transactions of shares from secondary market will be undertaken strictly in terms of

the guidelines prescribed by RBI and you will be responsible for informing the Bank, details of such transactions undertaken for reporting to RBI.

Thanking you,

Yours sincerely,

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Permission Letter - (NRI – on Non-Repatriation Basis)

From,

The Manager,

DCB Bank Limited,

Branch address

___________________________________

___________________________________

___________________________________

Dear Sir/Madam,

Permission for purchase of shares/debentures through stock exchanges in India on non-repatriation basis in terms of AD (MA Series) Circular No.32 dated 1st November 1999

1. Please refer to your letter No. _______________ dated _____________________ enclosing the application in form NRI of the above named Non-resident Investor of

Indian nationality/origin (NRI) on the captioned subject.

2. We on behalf of Reserve Bank of India, in terms of AD (MA Series) Circular No.32 dated 1st November 1999 hereby grant you permission to purchase

shares/debentures of Indian Companies through stock exchanges in India at the ruling market price as determined on the floor of the stock exchanges on behalf

of _______________________________________________________ as first holder and _______________________________________________________ as the

second holder on non-repatriation basis subject to the following conditions:

a) The funds for investment shall be provided out of remittances received from abroad through normal banking channel and/or out of funds held in the

applicant’s Non-Resident External (NRE)/Foreign Currency Non-Resident (FCNR)/ Non-Resident Ordinary (NRO)/ Non-Resident Special Rupee (NRSR)

Account No. _______________________ maintained with us/our branch at ______________________________________________________________________.

b. The purchase of equity shares in each company shall be subject to an overall ceiling of 10% (ten percent) of the total paid-up capital of the company

concerned both on repatriation and non-repatriation basis taken together. Purchase of convertible debentures can also be made without repatriation

benefits subject to an overall ceiling of 10% (ten percent) of the total paid-up value of each series of the convertible debentures issued by the company

concerned both on repatriation and non-repatriation basis taken together. The purchase of non-convertible debentures/bonds of any company,

Government dated securities and Treasury Bills and units of domestic Mutual Fund may, however, be made without any limit on the quantum and value

thereof.

c. Shares etc. purchased shall be held and registered either in the name/s of the Non-Resident Investor/s with his/her/its permanent address outside India or

where necessary in the name of the Bank or investor’s nominee/s.

d. The shares etc. acquired by NRI under this permission, can be sold through stock exchange in India without any lock-in-period. However, NRI shall not

engage in short selling and shall take delivery of the shares etc. purchased and give delivery of the shares etc. sold.

e. The funds invested in shares etc. under this permission will not be allowed to be repatriated outside India at any time in future.

f. In case where the investment is made out of inward remittance or from funds held in NRE/FCNR/NRO account of the investor, the sale proceeds/dividend or

income earned will be credited to NRO or NRSR Account maintained with the bank. In case where the investment is made out of NRSR A/c, the Sale

Proceeds/dividend or income earned will be credited to NRSR A/c maintained with the bank.

g. Shares etc. acquired shall not be transferred out of the name or beneficial ownership of NRI, by way of gift (except by NRIs to their relatives as defined in

Section 6 of Companies Act, 1956 or to a Charitable Trust duly registered under the laws in India) or sale under private arrangement without prior approval of

Reserve Bank of India.

h. Shares etc. acquired may be kept in safe custody with the Bank or may be delivered to the local representative of the NRI subject to the condition that the

shares etc. are not pledged for giving loan to a third party without obtaining prior permission from Reserve Bank of India.

i. Both purchase and sale contracts in original shall be submitted to the Bank within 48 hours of the execution of the contract to enable us to report the same to

Reserve Bank of India.

3. The permission granted hereby may also be treated as Reserve Bank of India’s permission under Section 19 of FERA 1973 to the investee companies and Mutual

Funds for export of shares/debentures etc. and for registering transfer of such shares etc. in favour of NRIs.

4. Please ensure strict compliance of all the terms and conditions mentioned hereinabove as well as the extant General Exchange Control rules and regulations in

force.

5. Please acknowledge receipt.

Yours faithfully,

( ______________________________ )

Manager / Chief Manager

YYYYMMDDDate: