ARN / RIA SEBI REGN No
EUIN

Primary Holder Details
Name  
Date of Birth
PAN / PEKRN  
AADHAAR

Res. (ISD-STD-Phone)
Mobile (ISD-Mobile)
 
Email
Account Type
Tax Status
Holding Nature
Holders
Other Details
Primary Holder's City
Additional KYC Details
Gross Annual Income
Networth
As on date
Source of Wealth
Specify Other Sources
Occupation
Specify Other Occup.
Political Exposure
KRA Address Type
FATCA Details
Tax Residency in a country other than India?

Place of Birth
Country of Birth
Country of Citizenship
Country of Nationality

Countries of Tax Residency
Tax Identification Numbers
Tax Identification Types
Basic details
Name
Date of Birth
PAN / PEKRN
AADHAAR
Res. (ISD-STD-Phone)
Mobile (ISD-Mobile)
Email
Additional KYC Details
Gross Annual Income
Networth
As on date
Source of Wealth
Specify Other Sources
Occupation
Specify Other Occup.
Political Exposure
KRA Address Type
Residential Status
FATCA Details
Tax Residency in a country other than India?

Place of Birth
Country of Birth
Country of Citizenship
Country of Nationality

Countries of Tax Residency
Tax Identification Numbers
Tax Identification Types
Basic details
Name
Date of Birth
PAN / PEKRN
>
AADHAAR
Res. (ISD-STD-Phone)
Mobile (ISD-Mobile)
Email
Additional KYC Details
Gross Annual Income
Networth
As on date
Source of Wealth
Specify Other Sources
Occupation
Specify Other Occup.
Political Exposure
KRA Address Type
Residential Status
FATCA Details
Tax Residency in a country other than India?

Place of Birth
Country of Birth
Country of Citizenship
Country of Nationality

Countries of Tax Residency
Tax Identification Numbers
Tax Identification Types
Basic details
Name
Date of Birth
PAN / PEKRN
AADHAAR
Relationship with Minor
Proof of Relationship
Proof of DoB (of Primary Holder)
Res. (ISD-STD-Phone)
Mobile (ISD-Mobile)
Email
Additional KYC Details
Gross Annual Income
Networth
As on date
Source of Wealth
Specify Other Sources
Occupation
Specify Other Occup.
Political Exposure
KRA Address Type
Residential Status
FATCA details
Tax Residency in a country other than India?

Place of Birth
Country of Birth
Country of Citizenship
Country of Nationality

Countries of Tax Residency
Tax Identification Numbers
Tax Identification Types
Bank A/c No
Account Type
Specify Other Account Type
Bank
Branch
City
MICR
IFSC
Bank Proof
Bank A/c No
Account Type
Specify Other Account Type
Bank
Branch
City
MICR
IFSC
Bank Proof
Bank A/c No
Account Type
Specify Other Account Type
Bank
Branch
City
MICR
IFSC
Bank Proof
Nominee details
Nomination Option

First Nominee
Name of Nominee
Relationship
Percent(%)
Date of Birth
Guardian (If Nominee is Minor)
Second Nominee
Name of Nominee
Relationship
Percent(%)
Date of Birth
Guardian (If Nominee is Minor)
Third Nominee
Name of Nominee
Relationship
Percent(%)
Date of Birth
Guardian (If Nominee is Minor)