Depository Participant Services
2nd Floor, SyndicateBank Building, 26A, Sir P M Road, Fort, Mumbai - 400 001
Application Form for Opening a Demat Account

Individual
NRI
Foreign National
CHECK LIST FOR BRANCHES
Tick Particulars to be checked
Customer has signed on all pages (6 signs / holder in application form (Page No 2 to 8
and 3 signatures on KYC form (Page No 9 and 10) – i.e. 2 signs on the 1st page of KYC
form and 3rd on KYC Instructions page)
2 Witness has signed on Nomination Form (Page No 3)
Self attested proof of Correspondence Address of all Holders – 2 Set
Self attested proof of Permanent Address (If different from Correspondence address) of
All Holders – 2 Set
Self attested proof of PAN Card – 2 Set
One KYC Form is obtained from all holders separately as per format in Page No 9 and
instructions in Page No 10
In Person Verification Seal is put on application and KYC form, both to be Signed by
Bank Official (Application Form Page No 3 & KYC Form Page No 9)
In Person Verification Seal is affixed on copy of PAN Card and Signed by Bank Official
– Both Sets
Verified with original seal affixed and signed by DP official on all other KYC
Documents – Both sets
Introduction is done by Bank official in Application form (Page No 4)
DP Agreement is signed by all holders (6 Signs / Holder) and witnessed by 2
Photocopy of PAN Card and KYC proof are submitted on regular A4 paper
Form is completely filled
SyndicateBank Current / Savings Account Number is compulsorily mentioned
(Overdraft Account is not allowed for Demat / Synd e-Trade accoutns)
Signature of Bank Official
2
Demat 1.1
Depository Participant Services
2nd Floor, SyndicateBank Building, 26A, Sir P M Road, Fort, Mumbai - 400 001
Application Form for Opening a Demat Account

Individual
NRI
Foreign National
(To be filled by the Depository Participant)
Application No. Date D D M M Y Y Y Y
DP Internal Reference No.
DP ID 1 3 0 5 0 6 0 0 Client ID
(To be filled by the applicant in BLOCK LETTERS in English)
I / We request you to open a Demat Account in my / our name as per the following details at your ________________________(DP Enabled) Branch
Holder Details
Sole / First
Holders Name
PAN
Second Holders
Name
PAN
Third Holders
Name
PAN
Name *
* In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is
opened in the name of the natural persons, the name of the Firm, Association of Persons (AOP), Partnership Firm,
Unregistered Trust, etc., should be mentioned above
Type of Account (Please tick whichever is applicable)
Status Sub – Status

Individual
Individual Resident

Individual Director’s Relative

Individual Promoter

Individual Margin Trading A/c (MANTRA)

Individual-Director

Individual HUF / AOP

Minor

Others (specify)

NRI
NRI Repatriable

NRI Repatriable Promoter

NRI – Depository Receipts

NRI Non – Repatriable

NRI Non – Repatriable Promoter

Others (specify)

Foreign National
Foreign National
Foreign National - Depository Receipts
Others (specify)
Details of Guardian (in case the account holder is minor)
Guardians Name
PAN
Relationship with Applicant
I / We instruct the DP to receive each and every credit in my / our account
(If not marked, the default option would be ‘Yes’)
[Automatic Credit]
8 Yes 8 No
Account Statement
Requirement
as per SEBI regulation
Daily
Weekly
Fortnightly
Monthly
I / We request you to send Electronic Transaction-cum-Holding Statement at Sole / First Holders
Email ID stated in the Account Opening Form or at
8 Yes 8 No
Do you wish to receive dividend / interest directly in to your bank
account given below through ECS? (If not marked default option
would be ‘Yes’) ECS is mandatory for locations notified by SEBi from
time to time

Yes
No
Account to be operated through Power of Attorney (POA)
Yes
No
3
Bank Details
Bank Code
(9 digit MICR code)
Bank Name
Branch Name
Bank Branch Address
City State PIN
Account number
Account type
Saving
Current
Cash Credit
Others (specify)
IFSC Code
i) Photocopy of the cancelled cheque having the name of the account holder where the cheque book is issued, (or)
ii) Photocopy of the Bank statement having name and address of the BO and not more than 4 months old, (or)
iii) Photocopy of the Passbook having name and address of the BO, (or)
iv) Letter from the Bank.
> In case of options (ii), (iii) and (iv) above, MICR code of the branch should be present / mentioned on the
document and it should be self-certified by the BO.
To
SyndicateBank
Depository Participant Cell (CDSL), SyndicateBank Building
2nd Floor, 26A, Sir P M Road, Fort, Mumbai – 400 001
Dear Sir,
I/We irrevocably authorize you to debit my/our Savings Bank / Current Account number_______________________ in the name of
____________________________________________maintained with your ___________________________Branch, towards
Franking Fee/ Custody Fee/ Transaction Fee/ Other Charges arising out of my Demat Account with you. I also undertake to
maintain sufficient balance in Bank Account towards such fees / charges.
I/We agree with the above terms and conditions.
1. ____________________ 2. _____________________ 3.________________________
Signatures of the Account holders / Authorized signatories.
Nomination Details
Nomination Registration No: Dated:
I/We the sole holder / Joint holders / Guardian (in case of minor) hereby declare that:

I/We do not wish to nominate any one for this demat account

I/We nominate the following person who is entitled to receive security balances lying in my / our account,
particulars whereof are given below, in the event of the death of the Sole holder or the death of all the Joint
Holders.
Nominee details
First Name of the Nominee
Address
City State
Country PIN
Telephone No. Fax No.
E-mail ID
Relationship with BO (If any)
Date of birth (If nominee is a minor)
(TO BE FILLED BY DP)
4
As the nominee is a minor as on date, I/We appoint following person to act as Guardian:
Full Name of Guardian of Nominee
Address
City State
Country PIN
Telephone No. Fax No.
E-mail ID
Relationship of Guardian with Nominee
This nomination shall supersede any prior nomination made by me / us and also any testamentary document executed by me / us.
Note: Two witnesses shall attest signature(s) / Thumb impression(s).
Details of the Witness
First Witness Second Witness
Names of Witness
Address of witness
Signature of Witness
------------------------------------------------------------------------------------------------------------------------------------------------------------------
I/We have read the terms & conditions DP-BO agreement and agree to abide by and be bound by the same and by the Bye Laws as are in
force from time to time. I/We declare that the particulars given by me/us above are true and to the best of my/our knowledge as on the
date of making this application. I/We agree and undertake to intimate the DP any change(s) in the details / Particulars mentioned by / us
in this form. I/We further agree that any false / misleading information given by me / us or suppression of any material information will
render my account liable for termination and suitable action.
First/Sole Holder Second Joint Holder Third Joint Holder
Name
Signatures
Passport size
Photograph
(Please sign across the
photograph)
(Please sign across the
photograph)
(Please sign across the
photograph)
(Signatures should be preferably in black ink)
[In case of minor holder, photograph of guardian has to be affixed along with minor’s photograph.]
SMS Alert
Facility

Yes MOBILE NO. +91 __ __ __ __ __ __ __ __ __ __
Refer to Terms & Conditions given as Annexure-A

No
easi

Yes. If yes, please contact your DP for details
[Facility through CDSL’s website: www.cdslindia.com wherein a BO can view his
ISIN balances, transactions and value of the portfolio online.]

No
In Person Verification Seal
5
For NRIs
Foreign Address
City State
Country PIN
Details of introduction by an Bank Official
Name / Designation
Bank Name / Branch
Signature under stamp of the bank
Employee Code
Instructions for the Applicants/BOs for account opening
1. Signatures can be in English or Hindi or any of the other languages contained in the 8th schedule of the Constitution of India.
Thumb impressions and signatures other than the above mentioned languages must be attested by a Magistrate or a Notary
Public or a Special Executive Magistrate / Special Executive Officer under his/her official seal.
2. Signatures should be preferably in black ink.
3. Details of the Names, Address, and Telephone Number(s), etc., of the Magistrate / Notary Public / Special Executive
Magistrate / Special Executive Officer are to be provided in case of attestation done by them.
4. In case of additional signatures (for accounts other than individuals), separate annexures should be attached to the
application form.
5. In case of applications containing a Power of Attorney, the relevant Power of Attorney or the self-certified copy thereof, must
be lodged along with the application.
6. All correspondence / queries shall be addressed to the first / sole applicant.
7. Strike off whichever option, in the account opening form, is not applicable
6
Communiqué no. CDSL/DP/OPS/989 dated November 13, 2007
Terms IDn tehTeTfsi1nenee. ririTtmeiorr"mesDsngs e isAsaptn:o:en dsr idtCdo oroCynf"fdi ocimteinoe anadts n1 itst7hiteoCoh tenFenlrsotmro-asrcl, sDPuh.eaJmpl.l oTh-soaRiwtvoeeer ryfsgo ,Sl ilDosewartvliraniacalg eS tmstiroee(Ieanntnd, iFin/a og)Mr utL,n ioMmledudistmesif dbiin acadi ai4cc0oati0imtoe0dp0n a1o n taFhyne oidrnw rcaimolsl eritp:s of boroararten rdceh i noc fIefenicdievisai anunngdd einSrc tlMuhdeeS Cs oitAsm slpeuacrnctieesss s fAorrcost am1n9d5 Ca6s aDsnigdSn shL.a v ing its 2.
‘
DP
’
3. means Depository Participant of CDSL. The term covers al types of DPs who are alowed to open demat acounts for investors.
‘
BO
’
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(All Holders)
7
TDhieis dcelpaoismitorey rs:h a l make reasonable eforts to ensure thathe BO
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Second Holder s Name
’
Third Holders Name
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Mmeosbsilaeg eNsu marbse e Ntro a bomnee s wehnitc h
::: ________________________(__P____le___a___s___e___ ___w___r__ i_t___y___o___u___8___ __d___i_g___i__t_ D____P___I__D____)_ ____________________________________________ __________________________(_P___l___e___ a___s___w_____r_i__t_e___ __y___o___u___r_ ___8___ d___i___g___it___ C_____l_i_e____n___t_ __I_D___)___ ________________________________________________ The mobile number is registered in th+e 9na1m e of: _(P_l_e_a_s_w_r_ite_ o_n_l_y_ t_h_e_ m_o_b_il_e_ n_u_m_b_e_r_ w_ it_h_o_u_t _p_r_e_fi_x_in_g_c_o_u_n_tr _y_ c_o_d_e_ r_ z_o_)_ EmailID:_(_P__l__e__ a__s__w____ri__te__ __o__n__ly__ O__N__E____ v__a__l__id__ _ e_m_a_i_l _ID_o_n_w_h_ic_c__o__m__m____u__n__ic__a__t__io__n__;__ _i_f __a__n__y__,_ _is__ __to__ b__e__ s_n _t)____________________________________ S PSlaigcen: ature_s_S_o_le / First Holder Second holder Date: _T_h_ir_d_ H_o_ld_e_r_
1 3 0 5 0 6 0 0
8
DEMAT SERVICE CHARGES *
1 Account Opening Free; Stamp duty applicable to be paid
2 Account Maintenance Charges
Free during first year. Thereafter
Rs.200/-p.a. for individuals
Rs.500/- p.a. for non-individuals
Rs.100/- p.a. for staff members
3 Custody charges Nil
4 Debit of securities Rs.25/- per transaction
5 Credit of securities Nil
6 Dematerialisation Rs.2/- per cert. with minimum Rs.15/-
7 Rematerialisation Rs.20/- per cert. with minimum Rs.20/-
8 Pledge
0.03% of market value ; minimum Rs.40/-
per transaction, maximum Rs.100/-
9 Closure of pledge
0.03% of market value; minimum Rs.40/-
per transaction, maximum Rs.100/-
10 Invocation of pledge
0.03% of market value; minimum Rs.40/-
Per transaction, maximum Rs.100/-
11 Freezing/Refreezing Rs.25/- per transaction
12 Delivery Instruction Slip Free
13 Account closing Nil
14 Failed Debit transaction Rs.25/- per transaction
NOTE: 1) Any charges, which is not mentioned above, will be charged separately as per the rate applicable from time to time.
2) Mailing charges and Service Taxes at applicable rates will be charged extra.
3) * Subject to change from time to time.
I/We agree with the above terms and conditions.
1)____________________, 2)_____________________, 3)_____________________
Signature of the All Applicants / Authorized Signatories
--------------------------------------------------------------------(please tear here)-------------------------------------------------------------------------
(To be filled by the Depository Participant)
Acknowledgement Receipt
We hereby acknowledge the receipt of following forms : Date:
1) Account Opening Form
Name of the Sole / First Holder
Name of Second joint Holder
Name of Third joint Holder
2) Nomination Request Form
DP ID 1 3 0 5 0 6 0 0 Client ID
Name
Address
Nomination in favour of
No Nomination
Does not wish to nominate
Registration No.
Registered on D D M M Y Y Y Y
Depository Participant Seal and Signature