NMF II Platform Investor Formgadecapital.com/downloads/NewClient/IIN_FORM.pdf · Bangladesh...

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This Investor Form was generated through NMF II platform. NMF II Platform Broker/Agent Code UnitHolder Information Name of the First Applicant : PAN/Exempt No.: Date of Birth : Father Name : Mother Name : Name of Guardian : PAN/Exempt No.: Contact Address : City : Pincode : State : Country : Tel.(Off) : Tel.(Res) : Email : Fax.(Off) : Fax.(Res) : Mobile : Occupation : Name of Second Applicant : PAN/Exempt No.: Name of Third Applicant : PAN/Exempt No.: Other Details Overseas Address (If investor is NRI) : City : Pincode : Country : Bank Mandate Details Name of Bank : Branch : A/c No. : A/c Type : Bank Address : City : Pincode : Country : Nomination Details Nominee Name 1 : NOM1 Relationship : Gaurdian Name(If nominee 1 is minor) : Nominee Address : City : Pincode : State : Declaration and Signature I/We confirm that the information provided by me/us is true and correct. I/We acknowledge that the responsibility of the information provided in the registration form solely rests with me/us and that NSE / NSCCL will not be responsible or liable for any loss, claim, liability that may arise on account of any incorrect and/or erroneous data/information provided by me/us. I/We hereby confirm that I/we will comply with the terms and conditions for Know Your Customer (KYC). I am aware that system generated User ID and password will be sent on the registered mail id. All correspondence/communication in respect of the transactions including the payment link for online fund transfer will be sent to the registered email address and SMS alerts will be sent to the registered mobile number provided at the time of registration on NMF II. I/we also hereby confirm that the email id and the mobile no. provided at the time of registration by the distributor in the NMF II is pertaining to me/us and all communication/correspondence/transactions related alerts shall be sent to same email id/mobile no. I/We confirm that for existing investments, I/we had gone through, understood the contents of the Scheme Information Document and Key Information Memorandum, addenda issued from time to time regarding each Mutual Fund Scheme, in which I/We had choosen to subscribe / redeem. I/We will also ensure that I/we shall go through, understand the contents of the Scheme Information Document and Key Information Memorandum, issued from time to time regarding each Mutual Fund Scheme, in which I/We will choose to subscribe to / redeem. I/We hereby authorize NSE to collect the following data/ information pertaining to my / our mutual fund investments from all Asset Management Companies (AMCs) and their respective Registrar and Transfer Agents with whom I/We transact: - 1. Distributor wise transaction data for historical, present and future transactions carried out through various transaction platforms including transaction request submitted at any point of acceptance of the AMCs subject to the condition that the Distributor is registered with NSE NMF II platform. 2. Scheme wise consolidated unit balance available in my account(s) as and when required. Mode of Holding : Date : Place : Signature 1st Applicant : Signature 2nd Applicant : Signature 3rd Applicant : Nominee Name 2 : NOM2 Relationship : Gaurdian Name(If nominee 2 is minor) : Nominee Name 3 : NOM3 Relationship : Gaurdian Name(If nominee 3 is minor) : NOM1 DOB : NOM1 Guardian PAN : NOM2 DOB : NOM2 Guardian PAN : NOM3 DOB : NOM2 Guardian PAN : NOM3 Guardian PAN : Tax Status* : *Documents Required: Trust Partnership Firm Societies FII & LLP Corporate : : : : : Trust Deed and Authorised Signatory List Partnership Deed and Authorised Signatory List. Bye-Laws and Authorised Signatory List Overseas Auditors Certificate,Authorised Signatory List ,Board Resolution/Authorisation to Invest Board Resolution and Authorised signatory List Investor Form Minor : Proof of Date of Birth DP ID : IFSC Code : For all investors, a Cancelled cheque should also be mandatorily submitted as proof of bank account. ARN 102683 GADE CAPITAL SERVICES PVT. LTD.

Transcript of NMF II Platform Investor Formgadecapital.com/downloads/NewClient/IIN_FORM.pdf · Bangladesh...

This Investor Form was generated through NMF II platform.

NMF II Platform

Broker/Agent Code

UnitHolder Information

Name of the First Applicant :

PAN/Exempt No.: Date of Birth :

Father Name : Mother Name :

Name of Guardian : PAN/Exempt No.:

Contact Address :

City : Pincode : State : Country :

Tel.(Off) : Tel.(Res) : Email :

Fax.(Off) : Fax.(Res) : Mobile :

Occupation :

Name of Second Applicant : PAN/Exempt No.:

Name of Third Applicant : PAN/Exempt No.:

Other Details

Overseas Address(If investor is NRI) :

City : Pincode : Country :

Bank Mandate Details

Name of Bank : Branch :

A/c No. : A/c Type :

Bank Address :

City : Pincode : Country :

Nomination Details

Nominee Name 1 : NOM1 Relationship :

Gaurdian Name(If nominee 1 is minor) :

Nominee Address :

City : Pincode : State :

Declaration and Signature

I/We confirm that the information provided by me/us is true and correct. I/We acknowledge that the responsibility of the information provided in the registration formsolely rests with me/us and that NSE / NSCCL will not be responsible or liable for any loss, claim, liability that may arise on account of any incorrect and/or erroneousdata/information provided by me/us. I/We hereby confirm that I/we will comply with the terms and conditions for Know Your Customer (KYC).I am aware that system generated User ID and password will be sent on the registered mail id. All correspondence/communication in respect of the transactions includingthe payment link for online fund transfer will be sent to the registered email address and SMS alerts will be sent to the registered mobile number provided at the time ofregistration on NMF II. I/we also hereby confirm that the email id and the mobile no. provided at the time of registration by the distributor in the NMF II is pertaining tome/us and all communication/correspondence/transactions related alerts shall be sent to same email id/mobile no.

I/We confirm that for existing investments, I/we had gone through, understood the contents of the Scheme Information Document and Key Information Memorandum,addenda issued from time to time regarding each Mutual Fund Scheme, in which I/We had choosen to subscribe / redeem. I/We will also ensure that I/we shall gothrough, understand the contents of the Scheme Information Document and Key Information Memorandum, issued from time to time regarding each Mutual FundScheme, in which I/We will choose to subscribe to / redeem.

I/We hereby authorize NSE to collect the following data/ information pertaining to my / our mutual fund investments from all Asset Management Companies (AMCs) andtheir respective Registrar and Transfer Agents with whom I/We transact: -1. Distributor wise transaction data for historical, present and future transactions carried out through various transaction platforms including transaction request submittedat any point of acceptance of the AMCs subject to the condition that the Distributor is registered with NSE NMF II platform.2. Scheme wise consolidated unit balance available in my account(s) as and when required.

Mode of Holding :

Date : Place :

Signature 1st Applicant :

Signature 2nd Applicant :

Signature 3rd Applicant :

Nominee Name 2 : NOM2 Relationship :

Gaurdian Name(If nominee 2 is minor) :

Nominee Name 3 : NOM3 Relationship :

Gaurdian Name(If nominee 3 is minor) :

NOM1 DOB :

NOM1 Guardian PAN :

NOM2 DOB :

NOM2 Guardian PAN :

NOM3 DOB :

NOM2 Guardian PAN :

NOM3 Guardian PAN :

Tax Status* :

*Documents Required:

Trust

Partnership Firm

Societies

FII & LLP

Corporate

:

:

:

:

:

Trust Deed and Authorised Signatory List

Partnership Deed and Authorised Signatory List.

Bye-Laws and Authorised Signatory List

Overseas Auditors Certificate,Authorised Signatory List ,Board Resolution/Authorisation to Invest

Board Resolution and Authorised signatory List

Investor Form

Minor : Proof of Date of Birth

DP ID :

IFSC Code :

For all investors, a Cancelled cheque should also be mandatorily submitted as proof of bank account.

ARN 102683 GADE CAPITAL SERVICES PVT. LTD.

Bangladesh

FATCA-CRS Declaration & Supplementary KYC Information

Declaration Form for IndividualsPlease seek appropriate advice from your professional tax professional on your tax residency and

related FATCA & CRS guidance

PAN*

Name

Address Type[for KYCaddress]

3

Residential

Business

Residential / Business Unspecified

Registered Office

Place of Birth Country ofBirth

Gross AnnualIncome Detailsin INR

Net Worth inINR. In Lacs

Net WorthDate

Below 1 Lakh

5-10 Lacs

25 Lacs - 1 Cr

1-5 Lacs

> 1 Crore

10-25 Lacs

dd-mmm-yyyy

OccupationDetails[Please tickany one (√)]

Student

Forex Dealer

Others [Please specify]

Business

Public Sector

Government Service

Agriculturist

Private Sector

Professional

Retired

Housewife

PoliticallyExposed Person[PEP]

Yes

Not Applicable

Related to PEP Any otherinformation

[if applicable]

[Please specify]

* If PAN is not available, please specify Folio No(s)

Is your Country of Tax Residency other than India – Yes No

S No Country of Tax Residency# Tax Payer Identification Number / FunctionalEquivalent

Identification Type

If 'Yes', please specify the details of all countries where you hold tax residency and its Tax Identification Number & type

# to include all countries other than India, where investor is Citizen / Resident / Green Card Holder / Tax Resident in those respectivecountries especially of USA

[TIN or other, please specify]

Declaration:

I acknowledge and confirm that the information provided above is true and correct to the best of my knowledge and belief. In case anyof the above specified information is found to be false or untrue or misleading or misrepresenting, I/ am aware that I may liable for it. Ihereby authorize you [Fund/AMC/RTA/NSE] to disclose, share, remit in any form, mode or manner, all / any of the informationprovided by me, including all changes, updates to such information as and when provided by me to Mutual Fund, its Sponsor, AssetManagement Company, trustees, their employees / RTAs ('the Authorized Parties') or any Indian or foreign governmental or statutoryor judicial authorities / agencies including but not limited to the Financial Intelligence Unit-India (FIU-IND), the tax / revenueauthorities in India or outside India wherever it is legally required and other investigation agencies without any obligation of advisingme of the same. Further, I authorize to share the given information to other SEBI Registered Intermediaries to facilitate singlesubmission / updation & for other relevant purposes. I also undertake to keep you informed in writing about any changes / modificationto the above information in future and also undertake to provide any other additional information as may be required at your / Fund‟send. As may be required by domestic or overseas regulators/ tax authorities, I authorize Fund/AMC/RTA/NSE to withhold and pay outany sums from your account or close or suspend your account(s) without any obligation of advising me of the same.

Date :

Place :

Signature:

First Applicant / Guardian

PAN*

Name

Address Type [for KYC address]

Residential Residential / Business Business Registered Office

Place of Birth Country of Birth

Gross Annual Income Details in INR Net Worth in INR. In Lacs [Optional] Net Worth Date [Optional]

Below 1 Lakh 1-5 Lacs 5-10 Lacs 10-25 Lacs 25 Lacs - 1 Cr > 1 Crore

____________ dd-mmm-yyyy

Occupation Details [Please tick any one (√)]

Business Professional Public Sector Private Sector Government Service Agriculturist Housewife Student Retired Forex Dealer Others [Please specify] ______

Politically Exposed Person [PEP]

Yes Related to PEP Not Applicable

Any other information [if applicable]

[Please specify]

* If PAN is not available, please specify Folio No(s) Is your Country of Tax Residency other than India – Yes No If ‘Yes’, please specify the details of all countries where you hold tax residency and its Tax Identification Number & type

S No Country of Tax Residency# Tax Payer Identification Number / Functional Equivalent

Identification Type [TIN or other, please specify]

1

2

3 # to include all countries other than India, where investor is Citizen / Resident / Green Card Holder / Tax Resident in those respective countries especially of USA Declaration: I acknowledge and confirm that the information provided above is true and correct to the best of my knowledge and belief. In case any of the above specified information is found to be false or untrue or misleading or misrepresenting, I/ am aware that I may liable for it. I hereby authorize you [CAMS/Fund/AMC] to disclose, share, rely, remit in any form, mode or manner, all / any of the information provided by me, including all changes, updates to such information as and when provided by me to / any of the Mutual Fund, its Sponsor, Asset Management Company, trustees, their employees / RTAs ('the Authorized Parties') or any Indian or foreign governmental or statutory or judicial authorities / agencies including but not limited to the Financial Intelligence Unit-India (FIU-IND), the tax / revenue authorities in India or outside India wherever it is legally required and other investigation agencies without any obligation of advising me of the same. Further, I authorize to share the given information to other SEBI Registered Intermediaries/or any regulated intermediaries registered with SEBI / RBI / IRDA / PFRDA to facilitate single submission / update & for other relevant purposes. I also undertake to keep you informed in writing about any changes / modification to the above information in future and also undertake to provide any other additional information as may be required at your / Fund’s end or by domestic or overseas regulators/ tax authorities. I/We authorize Fund/AMC/RTA to provide relevant information to upstream payors to enable withholding to occur and pay out any sums from my account or close or suspend my account(s) without any obligation of advising me of the same Date: Signature: Place:

FATCA-CRS Declaration & Supplementary KYC Information Declaration Form for Individuals

Please seek appropriate advice from your professional tax professional on your tax residency and related FATCA & CRS guidance

A CHECK LIST OF DOCUMENTS

1: Self Attested Copy of PAN CARD.2. Self Attested Copy of Address Proof. ( Driving Licence,Voters ID, Passport,Aadhaar Card Gas/ Electricity / Land line phone bill * ,Ration Card Bank Account statement/ Passbook copy*) * Not Older than 2 months

3: Original Cancel Cheque with preprinted name on it , if name not printed copy of passbook* or Latest bank Account Statement.4: Passport Size Photo for individuals not having Valid KYC.

Check KYC Status here by putting your PAN No .. https://camskra.com/

5: For multiple account holding option the co applicants has to fill their individual FATCA & KYC form. They also has to provide their respective copy of PAN & Address proof .

6: Fill the form in BLOCK Letters only, Use BLACK INK to fill the form .

7: After Filling the Form send a scan copy of application and attached documents to our email id [email protected]

8: Send the Original form and documents to our Bellow mentioned address ..

Gade Capital Services Pvt. Ltd. Account Processing Unit, Unit L3 - 07 No. 26, 2nd Floor, Splendid Plaza, Wheeler Road, Cox Town, Bangalore - 560 005 MOB: 951 33 55 662 Phone: (91) 080 2548 6423 / 24 / 25 / 26

9: Copy of updated CLIENT MASTER LIST is must for applicants who wish to hold units on DEMAT mode.

B: Terms & conditions:

1: Account opening is absolutely FREE2: The Currier Expenses will be borne by the investor. 3: There is no annual maintenance charges applicable .4: Account opening will take 2 days from the date of receipt of application, but the activation of account will be done by NSE on successful verification of the document and KYC.5: Investors who wish to hold mutual fund in DEMAT mode has to give sell request to the respective depository service provider. a) All the applicants , also need to be co-applicant in the DEMAT account.

6: Investor has also aware the they have not authorized GADE Capital Services Pvt. Ltd. and its employees to have access to his/her/their bank accounts in any, for doing any financial or

non financial transaction.7: “National Automated Clearing House (NACH)” form has been given to authorize National securities clearing corporation limited to do ECS or Purchases on your request .

I/we here by authorize Gade capital Services Pvt Ltd. to open the NSE NMF account for us to do mutual fund transactions, I/ We have also read,understood , agreed upon the terms and condition and the procedure of doing the transactions. Gade Capital services Pvt. Ltd. & its employees arenot liable for the losses incurred to me/us due to volatility in market or due to inability of the system or NSE NMF platform to execute a transaction .I/we also agree to be contacted by Gade capital & its employees for important product and information update along with sales promotion of various financial products via Phone Call or SMS or Email.

I/I/we here by authorize Gade capital Services Pvt Ltd. to open the NSE NMF account for us to do mutual fund transactions,

I/ We have also read,understood , agreed upon the terms and condition and the procedure of doing the transactions.

Gade Capital services Pvt. Ltd. & its employees are not liable for the losses incurred to me/us due to volatility in market ordue to inability of the system or NSE NMF platform to execute a transaction .

I/we also agree to be contacted by Gade capital & its employees for important product and information update along withsales promotion of various financial products via Phone Call or SMS or Email.

I/we also authorize Gade capital Services Pvt.Ltd, or its employees to do original verification of the documentsattached to this application by in person or by video chat on web or by any third party vendor .

I/we here y declare that all the information given by us are true and best of our knowledge. I / we will be liable for any different.

Signature 1____________________________ 2__________________________ 3 _____________________________

NAME _____________________________ __________________________ _______________________________

DATE: _ _ / _ _ / _ _ _ _ Place: ____________________