ANNEXURE J
INFRASTRUCTURE LEASING AND FINANCIAL SERVICES LTD.

The IL&FS Financial Centre, 8th Flr., Plot C-22, G-Block, Bandra Kurla Complex, Bandra (E), Mumbai - 400 051.
Tel . : 26533083 / 26593016
Depository Services DP ID IN 302871
Demat Account Opening Form - INDIVIDUALS

 

Client - id No:
Form No.
Date:

 

(For Office Use Only)
I/We request you to open a depository acount in my/our name as per the following details:

TYPE OF ACCOUNT :

Ordinary Resident

HUF

NRI- Repatriable

NRI-Non-Repatriable

Others (please specify)

Proof of address submitted should match with the address mentioned below : (Please fill all the details in CAPITAL LETTERS only)

Sole/First Holder's Details

Name
Name of Father / Husband
Date of Birth

Local/Permanent Address

 

 

Pin Code

Correspondence Address (If you mention both addresses, proof is required for both addresses)

 

 

Pin Code
 
Telephone Mobile SMS Facility Yes No
  E-mail: Occupation:
 
MAPIN ID
Fax:
 
Address for communication/ Corporate Benefits (Default option is Local Address)
Local / Permanent Address
Correspondence Address/ Foreign Address

 

Second Holder's Details

Name
Name of Father / Husband
Date of birth
Male Female
Address
 
 
Pin
 
Telephone Mobile SMS Facility Yes No
  E-mail Occupation :
 
MAPIN ID
Fax:
 
Our Website : www.ilfsdp.com
Our Email ID : ilfs-dp@ilfsindia.com
Third Holder's Details
Name
Name of Father / Husband
Date of birth
Male Female
Address
 
 
Pin
 
Telephone Mobile SMS Facility Yes No
  E-mail Occupation :
 
MAPIN ID
Fax:

In case the Sole Holder is a minor : Guardian Details of the minor

Name And Relationship

Contact Address

 

Pin Code
Date of Birth of Minor:
 

Standing Instruction : I/We authorize you to receive credits automatically into my/our accounts
* In case of an NRI Account Standing Instruction will be "NO" if RBI Approval is not furnished.

Yes No

 

Account to be operated through Power of Attorney (PoA)

Yes No

 

In case of NRI's Overseas Address:


Contact Tel. (R) (O) Fax

Mandatory

Email: Mobile

RBI Ref. No. RBI Approval Date:

Sole/First Holder's Bank Account Details: (Mandatory) (Please give full address of Bank Branch)

Name of the Bank:

Bank A/C No. Bank Account Type

Branch Address:

 

Pin Code
 
9-digit code number of the bank and branch appearing on the MICR cheque issued by the Bank

 

Additional Details:

Holder P.A.N. No. IT Circle/ward/District No. Occupation
First
Second
Third
Guardian
(in case of minor)

 

Nomination :
For nomination, please fillup the enclosed nomination form (annexure JA) completely & submit to us. Please note that if you are a Sole Holder it is in your interest to nominate for smooth transfer of securities later.

Our Website : www.ilfsdp.com
Our Email ID : ilfs-dp@ilfsindia.com
 
Sole/First Holder

 

Signature across
photograph
required

 

Second Holder

 

Signature across
photograph
required

 

Third Holder

 

Signature across
photograph
required

 

 

Declaration: The rules and regulations of the Depository and Depository Participants pertaining to an account which are in force now have been read by me/us and I/we have understood the same and I/we agree to abide by and to be bound by the rules as are in force from time to time for such accounts. l/We also declare that the particulars given by me/us are true to the best of my/our knowledge as on the date of making such application. l/We further agree that any false/misleading information given by me or suppression of any material fact will render my account liable for termination and further action.

 

Name of Holder(s) Signature(s)
Sole/First Holder
Mr./Ms.
 
Second Holder
Mr./Ms.
 
Third Holder
Mr./Ms.
 
Guardian (In case of minor)
Mr./Ms.
 

 

Note:
In case of additional signature separate annexures should be attached to the application form. The names and signatures of the account holders should be written exactly in the same as mentioned on the certificates and should be in the same order. The thumb impression should be attested by Gazetted Officer.


Our Website : www.ilfsdp.com
Our Email ID : ilfs-dp@ilfsindia.com

---------------------------------------------------------------------------------------------------------------------------- ---------------------- ---------------

FOR ANY INFORMATION PLEASE CONTACT US AT

MUMBAI
Depository Section

Il&FS House, Plot Number 14, Raheja Vihar Chandivili,
Andheri (E), Mumbai 400 072.
Tel. : 28570965 /28571621

Kalaghoda Br., Sharadha Business Centre, Gr. Flr. 43,
V. B. Gandhi Marg, Fort,
Mumbai 400 023
Tel.: 22817678/79/80

Madhur Business Centre, 554, Shop No.4, Gr. Flr. Dr.
G. M. Bhosale Marg, Worli, Mumbai 400 018.
Tel.: 24961613

IL&FS Investsman ltd..
Kanaiya Shopping Centre, 250-B linking Rd.. Bandra (W), Mumbai 400 O5O
Tel. : 26558496 / 8172 .26558496 .26559259 / 60

AHMEDABAD
C/o. IL&FS Investsmart ltd.. 4th Floor, 403.404
Raindrops Bldg. Opp. Cargo Motors,
C. G. Road,204, Ahmedabad. 380006
Tel. : (079) 26440168/72

BANGALORE
HDFC House, Gr. Floor, Kasturba Road,
Bangalore -560 001. Tei.: (080) 2272950 / 51

Stock Exchange Towers, 51 1st Cross J. C. Road,
Bangalore -560 027. Tel. : 080-22995646 / 47 / 49


CHENNAI
Ramkoti, No.1 3/2, 2nd Floor, I st Main Road, Gandhi
Nagar, Adyar, Chennai .600 020.
Tel. : (044) 24405412 / 13 / 24410660

CHANDIGARH
5.C.O.-14/15, 1st Floor, 5ector9-D,
Madhya Marg, Chandigarh -160017
Tel. : 0172-2741483/2741636

COIMBATORE
I st Floor, South Wing, 683 / 686, Trichy Road,
Coimbatore Stock Exchange Bldg..Singannaiur,
Coimbatore -641 OO5
Tei.: (0422) 2322947/ 2321657

DELHI
10, Community Centre, 2nd Floor, East of Kailash, New Delhi -110065
Tel. : (011) 26433845 / 26433846 / 26433847

4 B, 4th Floor, lndia Habitat Centre, Lodhi Road, NewDelhi-110003
Tel. : (011) 24682082 / 24682060

G-39, Connaught Circus, Opp. Alka Hotel / Madras Hotel
New Delhi -110001.
Tel.: (011) 23351264/23351249

GOA
5andeep Apts.. Shop No. 3,4,5, Dr. Dada Vaidya Rd.
panaji, Goa 403001. Tel. : (0832) 2235191

HYDERABAD
6-3-907, 3rd Floor, Chalia Chambers, Abolle Mahallir Auto, Raj Bhallan Road, Somajiguda, Hyderabad .500082.
Tel.: (040) 23321472 / 55252242 / 43

JAIPUR
'0'. 19A, Ashok Marg, 3rd flr. 'C' Scheme, Jaipur. 302 001
Tel. : (0141)2371626 / 2371622/ 2371623

KOLKATA
Constantia Bldg.. Ground Floor, 11, Dr. U. N. Brahmachari Street,
Kolkata -700 017.Tel. : (033) 22807358 / 63

Sir R. N. M. HouIse,-3B lal Bazar-5treet, Room No. 17,
Kolkata-700001. Tel.: 22104227

KOCHI
39/4967 USNAZ Towers, 3rd Flr.
Medical Trust Hospital Junction, Pullimukku,
M. G. Rd. Kochi 682 016.
Tel. : (0484) 25028066/25028099

MANGALORE
#3rd Floor, Rama Bhavan Complex, Kodialbail,
Mangalore -575003.
Tel. : (0824) 2411426/2411428

 

In case you are an exising Account Holder, please mention your Client Account Number(s)

 

Payment Details:

In case you trade regularly, it will be in your interest to take the transaction statement by e-mail. Hence kindly furnish your e-mail ID.
Amount (Rs.)
Cheque No.: Cheque Date
Bank Details:
 
  Date Name Signature
Entered By  
Released By  

 

Break-up of payment:

1. Maintenance

2. Stamp charges

Total


Notes:

  1. All communication shall be sent at the adress of the Sole/First holder only.
  2. Thumb impressions and signatures other than English or Hindi or any of the other .language not contained in the 8th Schedule of the Constitution of India must be attested by a Magistrate or a Notary Public or a Special Executive Magistrate.
  3. As per NSDL Circular No. NSDL/PI/2004/1622 dated September 7, 2004 pursuant to SEBI Circular No. MRD/DoP/Dep/Cir-29/2004 dated August 24, 2004 a copy of anyone of the following documents may be accepted as proof of identity / proof of address (local/correspondence/foreign address as the case may be):
    Proof of Identity: Passport, Voter ID Card, Driving license, PAN card with photograph, MAPIN card, Identity card/document with applicant's Photo, issued by a) Central/State Government and its Departments, b) Statutory/Regulatory Authorities, c) Public Sector Undertakings, d) Scheduled Commercial Banks, e) Public Financial Institutions, f) Colleges affiliated to Universities, g) Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members; and h) Credit cards/Debit cards issued by Banks.
    Proof of Address: Ration card, Passport, Voter ID Card, Driving license, Bank passbook, verified copies of Electricity bills (not more than two months old)/ Residence Telephone bills (not more than two months old)/ Leave and License agreement / Agreement for sale, Self-declaration by High Court & Supreme Court judges, giving the new address in respect of their own accounts, Identity card/document with address, issued by a) Central/State Government and its Departments, b) Statutory/Regulatory Authorities, c) Public Sector Undertakings, d) Scheduled Commercial Banks, e) Public Financial Institutions, f) Colleges affiliated to universities; and g) Professional Bodies such as ICAI, ICWAI, Bar Council etc., to their Members.
    Participants must verify the copy of the document with the original.
  4. Instructions related to nomination, are as below:
    I. The nomination can be made only by individuals holding beneficiary owner accounts on their own behalf singly or jointly. Non- individuals including society, trust, body corporate, partnership firm, karta of Hindu Undivided Family, holder of power of attorney cannot nominate. If the account is held jointly all joint holders will sign the nomination form.
    II. A minor can be nominated. In that event, the name and address of the Guardian of the minor nominee shall be provided by the beneficial owner.
    III. The Nominee shall not be a trust, society, body corporate, partnership firm, karta of Hindu Undivided Family or a power of Attorney holder. A non-
    resident Indian can be a Nominee, subject to the exchange controls in force, from time to time.
    IV. Nomination in respect of the beneficiary owner account stands rescinded upon closure of the beneficiary owner account. Similarly, the nomination in respect of the securities shall stand terminated upon transfer of the securities.
    V. Transfer of securities in favour of a Nominee shall be valid discharge by the depository against the legal heir.
    VI. The cancellation of nomination can be made by individuals only holding beneficiary owner accounts on their own behalf singly or jointly by the same persons who made the original nomination. Non- individuals including society, trust, body corporate, partnership firm, karta of Hindu Undivided Family, holder of power of attorney cannot cancel the nomination. If the beneficiary owner account is held jointly, all joint holders will sign the cancellation form.
    VII. On cancellation of the nomination, the nomination shall stand rescinded and the depository shall not be under any obligation to transfer the securities in favour of the Nominee.
  5. Strike off whichever is not applicable.
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ACKNOWLEDGEMENT DP ID: IN 300095
INFRASTRUCTURE LEASING AND FINANCIAL SERVICES LTD.

DEMAT ACCOUNT OPENING FORM INDIVIDUALS

IL & FS Stamp

 

Authorised Signatory

Form No. 444801

Cheque No. Dawn on Amount (Rs.)

Received the application from Mr./Ms.

as the Sole / First holder alongwith

and as the second and third holder respectively for opening of depository account. Your Client ID will be intimated to you shortly. Please quote the DP Id and client ID alloted to you in all your future correspondence.