KYC Details Change form ff: Application N em ase fill this update / modification form in ENGLISH and in BLOCK LETTERS (Please strike off Sections that are not used). "A Name of Applicant (Vandatory as per orginal KYE recor) Tle Cv Cys. Cote, ____adhaar Number i ay, Name ‘the new KYC detalls which should be updated in your KYC re 'B. Mandatory fields for KYCs done before 1” January 2012 1. Fathersspouse Name 2 Cament Maal status CSinge Caries 3. Curent Nationality Clndian Closer. Note “FOR OFFICE USE ONLY”: TheIPV Colum shuld be andar filed for ll KYCs registered befor st ancary 2012. Crignas Sen ad Vertes shuld Lae mandate files fr changes to deny and Aes deta Identity Details (please see guidelines overleaf) 1.New Name 8s appening in supporig ier eaton document, ane 2. New Status Pease ck (7) Csr nal C]Non Rese Passport Cony Nandi for NR & orgy Nationa pan Pease ens aly ated copy of our PAN Cad 4, Poof of Ident submited for PAN exempt cases Plas Tick) Liachaar Cad Passo Cote 0 Cdiung lcece Tlottes lease se guise over 1. Address Detalls (please sea guidelines overleaf) 1. Mew Adres fr ResdencelCorespondence Cay own age ‘a Carty 2. Contact Details ‘wot (30) | (7 Pes} 0) | (ST) wie | (50) | (sto Fax] 080) | 70) Submit ANY ONE ofthe elowing valid documents & tk () against the document attached rascort Cation Cart Regsteed eseSaeAayeret of Rssence CID License Clete ery Card Latest Bank Ac Saterenasoook [Distaest phone Bil ony Land Line) varest Gectvty | Cnet Gas al Cotes eect ‘mor in 3 Worst of prot fads subi / 7 4. New Permanent Address of Resident Individual OR Overseas Address (Mandatory) for Non-Resident Individual (ay age Pinca san) Coty Proof of address to be provided by Applicant Please submit ANY ONE of the following valid documents & tick () against the document attached. Passport Cokation Cand. Liters Leasale Agreement of Residence C1Drving Lense. Cote Kentiy Car CI*.ates Bank Ae SttemensPasbook [stacest Bephone 2 (ony Land tine) ates Bectcty Bil CI*Latest Gas Bll lochs ine oe ‘ot mare an 3 Maris Valter date of rt of adres submited / 7 6. Any other informatior D> SIGNATURE OF APPLICANT DECLARATION SIGNATURE OF APPLICANT ‘nereby declare thatthe detalsfurrished above are tue anccorectto ‘thebestof myfour knowledge and belie and | underake to nfo you of any changes therein, immeciately In case any of the above Informaton is found to be fase oF untue or maeacing ot ‘misrepresenting, amive ate aware tat Uwe may be heise or ace Date: FOR OFFICE USE ONLY PV Doneci on 1 Jf aulcntrediny name OR code Seaiiamp of he nears sols Seatstap ofthe interme sould conan staf Nae Sia Name (otras vet se Cert Docent cis esas Designate Desgnaion 1 tse Tur capes of documents eeved Name ofthe Organ ofthe Organization Nan inemedin, signatwe ateINSTRUCTIONS / CHECK LIST FOR FILLING KYC FORM, ‘A. IMPORTANTPOINTS: 1. Self attested copy of PAN card is mandatory oral clentsin cardiRagiered Lease or Sale Agreement of Residence/Diving Licensefat Maintenance bilinsurance Copy alltype of change request. Copies ofall the documents submited by the applicant should be safatesed and accompanied by ariginals for verification. In case ‘the orginal of ary document isnot produced for verfation, then the copies shoulé be propel atested by entes authorized for attesting the documents, asperthebelow mentioned. If any prof of identity or address is in a foreign language, then translation nto English is required, Name &addressof the applicant mentioned on the KYC form should match withthe documertary proof submited, Hfcorespondence& permanent address are citferen, then proofs for bothhaveto be submited Sole proprietor must make the application in his individual name & capacity, For nonresidents ad foreign nationals alowed to ade subject to Bl and FEMA guidlines), copy of passporvPlOCardiOCICard and overseas adstessprootismandatory. For foreign ents, IN is optional ann the absence of DIN no. fo ‘the directors, ther passpor copy should be given In case of Merchant Navy NR's, Maine’ declaration or ceried ‘copy of CDC (Continuous Discharge Ceticae is tobe submited 10.Foroperingan account with Depository partipant or Mutual Fund, for amincx photocopy ofthe School Leaving CrifcateMark sheet issued by Higher Seconda BoardPasspot. of MinoxBith Confcate mustbe provided Polticaly Exposed Persons (PEP) are defined as ncviuals who are “orhavebeen entrusted with prominent publicfunctionsinaforign county, eg, Heads of States or of Governments, senior poitians, senior Governmensjuccaimitary ofcrs, senior ‘executives of state owned corpratons, important politcal party officials ete Proof of Identity POH): List of documents admissible as Proof of Identity: 1. PAN card with photograph. Tis is a mandatory requtement forall applicants excep those who are spectically exempt rom obtaining PAN (lstedin Secon), ‘Aadhaar Number Passport Voter ID card rivig lense Identity card document with applicant’ Photo, sued by any of the following: CentalState Government and its Departments, StatuteyRegulatoy Authors, Public Sector Undertakings, Scheduled Commercial Banks, Pubic Francia Institutions, Colleges affliated to Univestes, Profesional Boies suchas ICAL, ICWAL, ICSI Ba Cound et, to thei Members and ret cardsDebit cards issuedbyBanks . Proof of Address (POA): List of documents admissible as Proof of Address: (*Documents having an expiry date should be valid on the date of submission.) 1. Aadhasr Number J Passport J Votess Identity Card/Ration| 2. Ul bis ike Telephone il (onl land ln}, Elec ler Gas ill Notmorethan3 months old Bank Account StatemertiPassbook -Not more than 3 months id Sef declaration b High Cour and Supreme Court judges, giving the new addressinrespecto ther own accounts. Proof of address issued by any ofthe following: Bank Managers of Scheduled Commercial Barks!Scheduled Co-Operative BanklMutinatonal Foreign BanksGazeted —OfceNoray publicFlected representatives tothe Legislative -AssembyPariamentDocuments issued by any Govt, or Statutory Autos Identity cardocament wth adress sued by any ofthe folowing CenvalState Government ands Departments, StatutoyReguatoy Autores, Public Sector Underakns, Scheduled Commer Banks, Publ Financial stuns, Coleges aflated to Unvestes and Professional Bodies such as IC, ICWA, CS, Bar Count othe Members For Flisub account, Power of Attoray given by ls account to the Custodians (which xe duly notarzed andlor aposted or consuaise) hat ives th registered adress shouldbe aon 1. The proof of adres inthe name ofthe spouse maybe accepted, >. Exerptions/clarifications to PAN (*Sufficient documentary evidence in support of such claims tobecollected,) 1. Incase of vansacions undertaken on behalf f Central Govemment nr State Goverment and by ofc apoinied by Cours eg ffl euidatr Cour rcivec ee. Investors resiingin the state of Sikkim. UNenttiesmultlateal agencies exemptirom paying taxesffling tax retumsinindia ‘i of Mutual Funds upto Rs $0,0001-pa In case of institutional clients, namely, Fis, Mis, VCE, FCs Scheduled Commercial Banks, Multlateral and Bltera Development Financial Insitutions, State Indus Development Corporation, Insurance Companies registered wth RDA and Public Financial Insttucion as defined under section 4A ofthe Companies ‘At, 1956, Custodians shall vey the PAN card detals with the ctginal PAN card end provide duly certified copes of such verified PAN decals tothe intermedia, . Listof people authorized to attest the documer 1. Notary Publ, Gazetted Office, Manager of = Scheduled ‘CommercallCo-operatve Bark or Multinational Foreign Banks (Wame, Designation & Seal shouldbe afixedonthe copy) 2. In case of NRIs, authorized officals of overseas branches of Scheduled Commercial Barks registered in Incia, Notary Pubic, Court Magistrate, Judge, Irian EmbassyiConslate General nthe county where the cient resides are permitted to allet the documents. ese Submit the KYC Documents on At Sze Paper On,