Central Back Office DP Operations, Baroda Sun Tower, Ground Floor, BKC, Bandra East, Mumbai-400051
Application Form for Opening a Demat Account

Individual
NRI
Foreign National
CDSL SOL ID________ / SR.No._________
(To be filled by the Depository Participant)
Application No.
DP Internal Reference No.
Date D D M M Y Y Y Y
DP ID
1 3 0 1 8 7 0 0 Client
ID
I / We request you to open a Demat Account in my / our name as per the following details: -
Type of Account (Please tick whichever is applicable)
Status Sub – Status

Individual
Individual Resident
Individual-Director
Individual Margin Trading A/C (MANTRA)

Individual Director’s Relative
Individual HUF / AOP
Individual Promoter
Others (specify)

NRI
NRI Repatriable
NRI Non-Repatriable
NRI – Depository Receipts

NRI Repatriable Promoter
NRI Non-Repatriable Promoter
Others (specify)

Foreign National
Foreign National
Foreign National - Depository Receipts
Others (specify)
Sole / First Holder’s Details (To be filled by the applicant in BLOCK LETTERS in English)
First Name
Middle Name
Last Name
Father / Husband Name
Title
Mr.
Mrs.
Ms.
Other Suffix
Correspondence
Address
(Please attach proof)
City State
Country
PIN
Telephone No.
Mobile No.
PAN
Fax No.
Permanent Address
(Attach proof if different from
Correspondence Address)
City State
Country PIN
Telephone No. Fax No.
Date of Birth D D M M Y Y Y Y E-mail ID
Qualification
High School
Graduate
Post Graduate
Doctorate
Professional Degree

Under High School
Illiterate
Others (please specify) ………………………………..
Nationality
Indian
Others (specify)
Sex
Male
Female
Occupation Service:
Central Govt.
State Govt.
Public / Private Sector
NGO
Statutory Body

Professional
Business
Student

Retired
Housewife
Others ( please specify) ----------------------------------
Nature of business:
(Products/services provided)
Financial Details:
Income Range per annum:

Up to Rs.1,00,000
Rs.1,00,001 to Rs.2,00,000

Rs.2,00,001 to Rs.5,00,000
More than Rs.5,00,000
Joint Holders – Second Holder’s Details
First Name
Middle Name
Last Name
Father / Husband Name
Title
Mr.
Mrs.
Ms.
Other Suffix
Permanent Address
(Please attach proof)
City State
Country PIN
PAN Tel. No.
Date of Birth D D M M Y Y Y Y E-mail ID
Qualification
High School
Graduate
Post Graduate
Doctorate
Professional Degree

Under High School
Illiterate
Others (please specify) ………………………………..
Nationality
Indian
Others (specify)
Sex
Male
Female
Occupation Service:
Central Govt.
State Govt.
Public / Private Sector
NGO
Statutory Body

Professional
Business
Student

Retired
Housewife
Others (please specify) -------------------------------
Nature of business:
(Products/services provided)
Financial Details:
Income Range per annum:

Up to Rs.1,00,000
Rs.1,00,001 to Rs.2,00,000

Rs.2,00,001 to Rs.5,00,000
More than Rs.5,00,000
Joint Holders – Third Holder’s Details
First Name
Middle Name
Last Name
Father / Husband Name
Title
Mr.
Mrs.
Ms.
Other Suffix
Permanent Address
(Please attach proof)
City State
Country PIN
PAN Tel. No.
Date of Birth D D M M Y Y Y Y E-mail ID
Qualification
High School
Graduate
Post Graduate
Doctorate
Professional Degree

Under High School
Illiterate
Others (please specify)……………………………….
Nationality
Indian
Others (specify)
Sex
Male
Female
Occupation Service:
Central Govt.
State Govt.
Public / Private Sector
NGO
Statutory Body

Professional
Business
Student

Retired
Housewife
Others (please specify) -------------------------------
Nature of business:
(Products/services provided)
Financial Details:
Income Range per annum:

Up to Rs.1,00,000
Rs.1,00,001 to Rs.2,00,000

Rs.2,00,001 to Rs.5,00,000
More than Rs.5,00,000
Additional Facility Details:
SMS Alert
Facility

YES. MOBILE NO. +91 __ __ __ __ __ __ __ __ __ __
If yes, please refer to Terms & Conditions given in Annexure-A (give us details
thereon duly signed by all account holder/s).

NO
easi
YES. If yes, please provide us your valid email ID or register yourself for “easi” facility
on CDSL’s website www.cdslindia.com and submit your registration form to Branch DP duly
signed by account holder/s or contact your Branch DP for details.
[Facility through CDSL’s website: www.cdslindia.com wherein a BO can view / print ISIN
balances, transactions and value of the portfolio online.]

NO
I / We instruct the DP to receive each and every credit in my / our account [Automatic Credit]
Yes
No
Account Statement Requirement
Daily
Weekly
Fortnightly
Monthly
Do you wish to receive dividend / interest directly in to your bank account given below through ECS?
Yes
No
Bank Details [Dividend Bank Details]
Bank Code
(9 digit MICR code)
IFS Code
(11 digit code)
Bank Name & Branch
Bank Address
City State Country PIN
Account number
Account type
Saving
Current
Cash Credit
Others (specify)
(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.
For NRIs :-
I / We hereby declare that we complied with and will continue to comply with the FEMA Regulations and
other applicable laws.
I / We also undertake that whenever there is/are change/s in the residential address and or any other
information same will be informed immediately to the DP.
Foreign Address
City State
Country PIN
Details of Guardian (If Sole Account Holder is a Minor)
First Name
Middle Name
Last / Search Name
Relationship with the
applicant
Correspondence Address
City State
Country PIN
Telephone No. Fax No. Mobile No.
PAN E-mail ID
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 me / 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
Signature
Passport size
Photograph
(Please sign across the
photograph)
(Please sign across the
photograph)
(Please sign across the
photograph)
Note: - Paste latest Colour Photograph/s of Account Holder/s and Sign across the Photograph.
(Signature should be preferably in black ink).
[In case of minor holder, photograph of guardian has to be affixed along with minor’s photograph.]
In-Person verification by Branch DP of Bank of Baroda.
Signature Verified
Identity of the applicant/s verified and signature/s obtained in my presence.
Name / Designation / Signature
under stamp of the Bank of Baroda
with Signature No. / EC No.
Place:- ……………….…………………..
Date:- ……………………………………
=============================================================================
Instructions for the Applicants/BOs for account opening
1. Signature can be in English or Hindi or any other languages contained in the 8th schedule of the Constitution of India.
Thumb impressions and signature other than the above mentioned languages must be attested by a Magistrate or a
Notary Public or a Special Executive Magistrate under his/her official seal.
2. Signature should be preferably in black ink.
3. Any alteration / correction should be authenticated with signature/s of the account holder/s.
4. Details of the Names, Address, and Tel Number(s), etc., of the Magistrate / Notary Public / Special Executive Magistrate
are to be provided in case of attestation done by them.
5. In case of applications under a Power of Attorney, the relevant Power of Attorney or the certified and duly notarized copy
thereof, must be lodged along with the application.
6. All correspondence / queries shall be addressed to the first / sole applicant.
7. NOMINATION is mandatory or dissent signified.
8. Strike off whichever is not applicable.
==================================== (Perforated Card) ================================
DPID 1 3 0 1 8 7 0 0 CLIENT ID
First/Sole Holder Second Holder Third Holder
Name
Specimen
Signature/s
- 1 -
Agreement Between A Participant And A Person Seeking To Open A Beneficial Owner’s Account
This Agreement made and entered into at ____________ this ______day of_____________ , between Bank of Baroda, (description of
the legal entity) having his/its office/registered office at Baroda, hereinafter called “the Participant” of the One Part; AND
Mr./Mrs./Miss/M/s.______________________________________________________________________________________________
______________________________________ , (description of the legal entity) having his/ its office/ registered office/ address at
_____________________________________________________________________________________________________________
_____________________________________________, hereinafter called “the Beneficial Owner” of the Other Part.
WHEREAS the Beneficial Owner is desirous of opening a beneficial owner’s account with the Participant and the Participant has agreed
to open an account in the name of the Beneficial Owner and render services to the Beneficial Owner as a participant, on the terms and
conditions recorded herein below:
NOW THIS AGREEMENT WITNESSETH AND IT IS HEREBY AGREED BY AND BETWEEN THE PARTIES HERETO AS FOLLOWS:
General Clause
1. The parties hereto agree to abide by the provisions of the Depositories Act, 1996, SEBI (Depositories and Participants) Regulations,
1996, Bye Laws and Operating Instructions issued by CDSL from time to time in the same manner and to the same extent as if the
same were set out herein and formed part of this Agreement.
Fees, Charges and deposits
2. The Participant shall be entitled to change or revise the fees, charges or deposits from time to time provided however that no
increase therein shall be effected by the Participant unless the Participant shall have given at least one month’s notice in writing to
the Beneficial Owner in that behalf. In case the Beneficial Owner committing a default in the payment of any such amount payable to
the Participant on their respective due dates or within fifteen days of the same being demanded (where no such due date is
specified), the Participant shall be entitled to charge interest on the amount remaining outstanding or unpaid 1[not exceeding 18%]
per annum or part thereof. On such continued default, the Participant after giving two days notice to the Beneficial Owner shall have
a right to stop processing of instructions of Beneficial Owners till such time he makes the payment along with interest if any.
3. Statement of Account
3.1. The Participant shall furnish to the Beneficial Owner a statement of his/its account at the end of every month if there has been
even a single entry or transaction during that month, and in any event once at the end of each quarter. The statement of
accounts to be provided to the Beneficial Owner under this Agreement shall be in the form specified in Operating Instructions
or as communicated by CDSL from time to time. The Participant shall furnish such statements at such shorter periods as may
be required by the Beneficial Owner on payment of such charges by the Beneficial Owner as may be specified by the
Participant.
3.2. It is agreed that if a Participant is providing the services of issuing the statement of accounts in an electronic mode and if
the Beneficial Owner is desirous of availing such services from the Participant, then the Participant will furnish to the
Beneficial Owner the statement of accounts under its digital signature , as governed under the Information Technology Act,
2000. Provided however that in event of the Beneficial Owner requiring a physical copy of the statement of accounts, despite
receiving the same in the electronic mode, then irrespective of having forwarded the same via electronic mode, the
participant shall be obliged to provide a physical copy thereof to the BO.
3.3. It is agreed and understood between the parties that if the Participant does not have the facility of providing the statement
of account in the electronics mode, then the Participant shall be obliged to forward the statement of account only in physical
form.
Beneficial Owner shall intimate change of particulars
4. The Participant shall not be liable or responsible for any loss that may be caused to the Beneficial Owner by reason of his/its failure
to intimate change in the particulars furnished to the Participant from time to time, unless notified by the Beneficial Owner.
Depository not liable for claims against Beneficial Owner
5. CDSL shall not be liable to the Beneficial Owner in any manner towards losses, liabilities and/or expenses arising from the claims of
third parties or for any fees, charges, taxes, duties, levies or penalties levied, imposed or demanded by any Central, State, statutory
or revenue authority in respect of securities credited to the Beneficial Owner’s account.
Authorised Representative
6. Where the Beneficial Owner is a body corporate or a legal entity, it shall, simultaneously with the execution of the Agreement furnish
to the Participant, a list of officials authorized by it, who shall represent and interact on its behalf with the Participant. Any change in
such list including additions, deletions or alterations thereto shall be forthwith communicated to the Participant.
Franking or Non-Judicial
Stamp Paper of Rs,100/-
Termination:
7. The parties may at any time terminate this agreement, provided that a notice of not less than thirty days is given in the manner and
on the terms and conditions and procedure set out in the Bye Laws and the operating Instructions. In the event of termination by
either party, the Participant shall deal with the securities lying in the account of a Beneficial Owner in accordance with the instruction
of such Beneficial Owner.
Stamp Duty
8. Any stamp duty (including interest or penalty levied thereon) payable on the Agreement and/or on any deed, document or writing
executed in pursuance hereof between the parties hereto shall be borne and paid by the Beneficial Owner.
Force Majeure
9. Notwithstanding anything contained herein or in the Bye Laws, neither party hereto shall be liable to indemnify or compensate the
other for any breach, non-performance or delay in performance of any obligations under the Agreement or for any harm, loss,
damage or injury caused to the other due to causes reasonably beyond its control including but not limited to tide, storm, cyclone,
flood, lightning, earthquake, fire, blast, explosion or any other act of God, war, rebellion, revolution, insurrection, embargo or
sanction, blockade, riot, civil commotion, labour action or unrest including strike, lock-out or boycott, interruption or failure of any
utility service, enemy action, criminal conspiracy, act of terrorism or vandalism, sabotage, or intrusion, or any other irresistible force
or compulsion.
Service of Notice
10. Any notice or communication required to be given under this Agreement shall be in writing and shall be legally effective only
when it is delivered to the addressee at the last known address in the manner prescribed in the operating instructions.
Arbitration
11. The parties hereto shall, in respect of all disputes and differences that may arise between them, abide by the provisions
relating to arbitration and conciliation specified under the Bye Laws.
Jurisdiction
12. The parties hereto agree to submit to the exclusive jurisdiction of the courts in Mumbai.
Governing Law
13. The Agreement shall be governed by and construed in accordance with the laws in force in India.
IN WITNESS WHEREOF the parties hereto have hereunto set and subscribed their respective hands/seals to this
Agreement in duplicate on the day, month, year and place first hereinabove mentioned.
SIGNED AND DELIVERED
by the within named the Participant BANK OF SIGNED AND DELIVERED
BARODA by the hand of its authorized representative by the within named the Beneficial Owner
For Bank of Baroda
1s t Holder ______________________________
2n d Holder _______________________________
Branch Manager 3rd Holder _______________________________
(Signature with stamp of DP Branch Official)
In the presence of In the presence of
(Signature of witness for Bank of Baroda)
(Signature of Witness for BO)
Annexure - A
<Reference Number>
Terms And Conditions-cum-Registration / Modification Form for receiving SMS Alerts from CDSL
Definitions:
In these Terms and Conditions the terms shall have following meaning unless indicated otherwise:
1. "Depository" means Central Depository Services (India) Limited a company incorporated in India under the Companies Act 1956 and having its
registered office at 17th Floor, P.J. Towers, Dalal Street, Fort, Mumbai 400001 and all its branch offices and includes its successors and assigns.
2. ‘DP’ means Depository Participant of CDSL. The term covers all types of DPs who are allowed to open demat accounts for investors.
3. ‘BO’ means an entity that has opened a demat account with the depository. The term covers all types of demat accounts, which can be opened with a
depository as specified by the depository from time to time.
4. SMS means “Short Messaging Service”
5. “Alerts” means a customized SMS sent to the BO over the said mobile phone number.
6. “Service Provider” means a cellular service provider(s) with whom the depository has entered / will be entering into an arrangement for providing the
SMS alerts to the BO.
7. “Service” means the service of providing SMS alerts to the BO on best effort basis as per these terms and conditions.
Availability:
1. The service will be provided to the BO at his / her request and at the discretion of the depository. The service will be available to those accountholders
who have provided their mobile numbers to the depository through their DP. The services may be discontinued for a specific period / indefinite period,
with or without issuing any prior notice for the purpose of security reasons or system maintenance or for such other reasons as may be warranted. The
depository may also discontinue the service at any time without giving prior notice for any reason whatsoever.
2. The service is currently available to the BOs who are residing in India.
3. The alerts will be provided to the BOs only if they remain within the range of the service provider’s service area or within the range forming part of the
roaming network of the service provider.
4. In case of joint accounts and non-individual accounts the service will be available, only to one mobile number i.e. to the mobile number as submitted at
the time of registration / modification.
5. The BO is responsible for promptly intimating to the depository in the prescribed manner any change in mobile number, or loss of handset, on which the
BO wants to receive the alerts from the depository. In case of change in mobile number not intimated to the depository, the SMS alerts will continue to
be sent to the last registered mobile phone number. The BO agrees to indemnify the depository for any loss or damage suffered by it on account of SMS
alerts sent on such mobile number.
Receiving Alerts:
1. The depository shall send the alerts to the mobile phone number provided by the BO while registering for the service or to any such number replaced
and informed by the BO from time to time. Upon such registration / change, the depository shall make every effort to update the change in mobile
number within a reasonable period of time. The depository shall not be responsible for any event of delay or loss of message in this regard.
2. The BO acknowledges that the alerts will be received only if the mobile phone is in ‘ON’ and in a mode to receive the SMS. If the mobile phone is in ‘Off’’
mode i.e. unable to receive the alerts then the BO may not get / get after delay any alerts sent during such period.
3. The BO also acknowledges that the readability, accuracy and timeliness of providing the service depend on many factors including the infrastructure,
connectivity of the service provider. The depository shall not be responsible for any non-delivery, delayed delivery or distortion of the alert in any way
whatsoever.
4. The BO further acknowledges that the service provided to him is an additional facility provided for his convenience and is susceptible to error, omission
and/ or inaccuracy. In case the BO observes any error in the information provided in the alert, the BO shall inform the depository and/ or the DP
immediately in writing and the depository will make best possible efforts to rectify the error as early as possible. The BO shall not hold the depository
liable for any loss, damages, etc. that may be incurred/ suffered by the BO on account of opting to avail SMS alerts facility.
5. The BO authorizes the depository to send any message such as promotional, greeting or any other message that the depository may consider
appropriate, to the BO. The BO agrees to an ongoing confirmation for use of name, email address and mobile number for marketing offers between
CDSL and any other entity.
6. The BO agrees to inform the depository and DP in writing of any unauthorized debit to his BO account/ unauthorized transfer of
securities from his BO account, immediately, which may come to his knowledge on receiving SMS alerts. The BO may send an email
to CDSL at complaints [at] cdslindia [dot] com. The BO is advised not to inform the service provider about any such unauthorized debit to/
transfer of securities from his BO account by sending a SMS back to the service provider as there is no reverse communication
between the service provider and the depository.
7. The information sent as an alert on the mobile phone number shall be deemed to have been received by the BO and the depository shall not be under
any obligation to confirm the authenticity of the person(s) receiving the alert.
8. The depository will make best efforts to provide the service. The BO cannot hold the depository liable for non-availability of the service in any manner
whatsoever.
9. If the BO finds that the information such as mobile number etc., has been changed with out proper authorization, the BO should immediately inform the
DP in writing.
Cont……..
Annexure - A
Fees:
Depository reserves the right to charge such fees from time to time as it deems fit for providing this service to the BO.
Disclaimer:
The depository shall make reasonable efforts to ensure that the BO’s personal information is kept confidential. The depository does not warranty the confidentiality
or security of the SMS alerts transmitted through a service provider. Further, the depository makes no warranty or representation of any kind in relation to the
system and the network or their function or their performance or for any loss or damage whenever and howsoever suffered or incurred by the BO or by any person
resulting from or in connection with availing of SMS alerts facility. The Depository gives no warranty with respect to the quality of the service provided by the
service provider. The Depository will not be liable for any unauthorized use or access to the information and/ or SMS alert sent on the mobile phone number of the
BO or for fraudulent, duplicate or erroneous use/ misuse of such information by any third person.
Liability and Indemnity:
The Depository shall not be liable for any breach of confidentiality by the service provider or by any third person due to unauthorized access to the information
meant for the BO. In consideration of the depository providing the service, the BO agrees to indemnify and keep safe, harmless and indemnified the depository and
its officials from any damages, claims, demands, proceedings, loss, cost, charges and expenses whatsoever which a depository may at any time incur, sustain,
suffer or be put to as a consequence of or arising out of interference with or misuse, improper or fraudulent use of the service by the BO.
Amendments:
The depository may amend the terms and conditions at any time with or without giving any prior notice to the BOs. Any such amendments shall be binding on the
BOs who are already registered as user of this service.
Governing Law and Jurisdiction:
Providing the Service as outlined above shall be governed by the laws of India and will be subject to the exclusive jurisdiction of the courts in Mumbai.
I/We wish to avail the SMS Alerts facility provided by the depository on my/our mobile number provided in the registration form subject to the terms and conditions
mentioned below. I/ We consent to CDSL providing to the service provider such information pertaining to account/transactions in my/our
account as is necessary for the purposes of generating SMS Alerts by service provider, to be sent to the said mobile number.
I/We have read and understood the terms and conditions mentioned above and agree to abide by them and any amendments thereto made by the depository from
time to time. I/ we further undertake to pay fee/ charges as may be levied by the depository from time to time.
I / We further understand that the SMS alerts would be sent for a maximum four ISINs at a time. If more than four debits take place, the BOs would be required to
take up the matter with their DP.
I/We am/ are aware that mere acceptance of the registration form does not imply in any way that the request has been accepted by the depository for providing
the service.
I/We provide the following information for the purpose of REGISTRATION / MODIFICATION (Please cancel out what is not applicable).
BOID 1 3 0 1 8 7 0 0
(Please write your 8 digit Client ID)
Sole / First Holder’s Name : ______________________________________________________________________________________________________
Second Holder’s Name : ______________________________________________________________________________________________________
Third Holder’s Name : ______________________________________________________________________________________________________
Mobile Number on which
messages are to be sent
+91
(Please write only the mobile number without prefixing country code or zero)
The mobile number is registered in the name of: ___________________________________________________________________________________________
Email ID: ___________________________________________________________________________________________________________________________
(Please write only ONE valid email ID on which communication; if any, is to be sent)
_______________________ ___________________________ __________________________
Signatures Sole / First Holder Second holder Third Holder
Place: _______________ Date: _______________
Nomination Form CDSL
Dear Sir/ Madam,
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.
[Strike out what is not applicable.] [Signature of all account holders should be obtained on this form].
□ 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.
BO Account Details
DP ID 1 3 0 1 8 7 0 0 Client ID
Name of the Sole / First Holder
Name of Second Holder
Name of Third Holder
Nominee details
First Name Middle Name Last Name
Address
City State
Country PIN
Telephone No. E-mail ID
Relationship with BO (If any) Date of birth (If nominee is a minor)
As the nominee is a minor as on date, I/We appoint following person to act as guardian:
First name Middle name Last name
Address
Age of
guardian
City State
Country PIN
To receive the securities in this account on behalf of the nominee in the event of the death of the Sole holder / all Joint holders.
This nomination is in accordance with the section 109 A of the companies act, 1956, and shall supersede any prior
nomination made by me / us and also any testamentary document executed by me / us.
Place: ___________________________ Date: ____________________________
First/Sole Holder Second Holder Third Holder
Name
Signature
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
(To be filled by DP)
Nomination Form accepted and registered vide Registration No. ____________________________dated _____________________
For Bank of Baroda
DP Seal (Authorized Signatory)
==============================(Please Tear Here)==============================
Acknowledgement
Received Account Opening form with Nomination details given below:
DP ID 1 3 0 1 8 7 0 0 Client ID
Name/s of the Account Holder/s
Name of Nominee /
Does not wish to nominate
Date: (Branch) Participant Seal For Bank of Baroda
LETTER OF AUTHORITY FOR RECOVERY OF BANK CHARGES & ADDITIONAL INFORMATION
The Asstt. General /Chief /Sr. Branch /Manager, Date:
Bank of Baroda,
---------------------------------------- Branch
--------------------------------------------------
Dear Sir/Madam,
[1] Re: Authority for recovery of Bank’s charges in respect of Demat Account.
I / we hereby irrevocably authorize you to recover various Bank charges such as Commission / Fee / Postage / Annual
Maintenance charges / Transaction charges etc. (subject to change from time to time) incidental to maintenance and
operations of my / our Demat account from my / our following account:
SB / Current account No.:_______________________________ MICR No.:_________________________
maintained with you / maintained with Bank’s __________________________________________________branch.
Further, I / We undertake to maintain sufficient balance at all times to meet the recovery of bank’s charges in
connection with my/our Demat account. Failure on my/our part to maintain sufficient balance in above savings/current
account shall not, however, impair in any way the right of Bank of Baroda from recovery of due charges. In case debit
balance is created in my/our above savings/current account due to recovery of bank’s charges, I/we authorize the bank
to charge interest on debit balance created at the rate prescribed by the bank from time to time.
[2] Re: Additional Information to be submitted with Demat Account Opening Application Form
1.
Do you have any other Demat account with
any Branch/Branches of Bank of Baroda?
If so please give details:
Name and address of DP:………………………………….
…………………………………………………………………
DP ID : ………………………..Client Id………………….
2.
Do you have any Demat account with any
other Bank’s DP or any other Depository
Participant (DP) ?
If so, please give details.
Name and address of DP:………………………………….
…………………………………………………………………
DP ID : ………………………..Client Id………………….
Yours faithfully,
S.No. Name/s of Account Holder/s Signature Account Holder/s
1
2
3
Verification by Branch DP of Bank of Baroda.
Signature/s Verified & Instructions Noted.
Name / Designation / Signature
under stamp of the Bank of Baroda
with Signature No. / EC No.
Place:- ……………….………
Date:- ……………………………
SERVICE CHARGES :
1. Statutory Charges at the time of
Account Opening
RS. 100/- FRANKING/STAMP CHARGES FOR AGREEMENT
2. Advance / Deposit NIL
3.
Annual Maintenance Charges. General Customer :
For Individuals
- First year free (for new accounts)
- From second year onwards Rs.250/-p.a. plus Service Tax (S.T.)
For Non-individual - Rs.550/- plus S.T.
BSDA customers :
For Individuals
- First year free (for new accounts)
- Thereafter no AMC to be levied if the value of holding is up to
Rs 50,000/- during financial year.
AMC will be charged at Rs 100/- plus S.T. only for the value of holding
from Rs 50,001/- up to Rs 2,00,000/- during financial year.
4. Demat Rs.3.00 per certificate with minimum of Rs.34/- plus actual postage.
5. Remat NSDL Demat account :
Rs 10/- plus actual postage for every hundred securities or part
thereof subject to maximum fee of Rs 5,00,000/- or a flat fee of Rs
10/- per certificate whichever is higher for NSDL Demat accounts.
CDSL Demat account :
Rs.30/- plus S.T. per actual postage per ISIN
6. Transaction Charges General customers :
0.03% of market value subject to minimum Rs.20/-+ S.T. per
transaction. For Debt instruments and commercial papers 0.03% of
market value subject to minimum Rs.20/- plus S.T.per transaction.
BCML customers :
Transaction charges at Rs 15/- plus service tax per debit instruction.
7.
KYC registering
Agency Charges
(KRA charges)
KRA charges @Rs 40/- plus service tax plus actual postage for new
KYC data to be uploaded.
KRA charges @Rs.40/- plus service tax per download will be applied.
For modifications in KRA of the existing clients KRA charges @Rs 30/-
plus service tax plus actual postage
8. Pledge Creation Rs.100/- + S.T. per ISIN per request
9. Pledge Creation confirmation Rs.100/- + S.T. per ISIN per request
10. Pledge Closure Free
11. Pledge Closure confirmation Free
12. Pledge Invocation Rs.100/- + S.T. per ISIN per request
13. Failed instruction charges NIL
14. Other Charges Additional A/c statement Rs.20/- plus S.T.per request
Sign verification or any other certificate & freeze / unfreeze
Rs.50/- plus S.T.per request.
One DIS booklet of 10 leaves free of cost at the time of a/c
opening and thereafter subsequent DIS will be issued @Rs.
20/- +S.T. per booklet of 10 leaves for General Customer.
Two DIS slips only will be issued at the time of account
opening to BSDA customer.
Change of Address/ECS Rs. 30/- plus S.T. per request.
15.
Overdue Charges
Interest @18% p.a. will be payable for payment of service charges
after due date
16.
Transfer of Securities
from one DP to
another DP
consequent to
account closure
Consequent to closure of account, no charges to be levied , when
Beneficiary Owner (BO) transfers all the securities lying in this
account to another Branch of the same DP or to DP of the same
depository or another depository , provided the BO Accounts at
transferee DP and at transferor DP are one and the same i.e.
Identical in all respects.
17.
Other Terms &
Conditions
a. Refund of AMC on closure of Demat account will be on quarterly basis( e.g.
if account is closed in the month of July,
refund of AMC will be applicable for remaining two quarters
i.e. December & March of the financial year.
b. The service’s not listed above will be charged separately.
c. Cost of Non-Judicial paper or franking is to be borne by the
client.
d. All the above charges are applicable uniformly to individuals,
non-individual except that AMC are different for individuals
and Non –Individuals.
e. The charges are subject to revision from time to time at
Bank’s discretion.
Only for HUF Demat Account:
Dear Sirs,
We, the undersigned, hereby declare that we are the adult members of the Joint Hindu Undivided Family
of ___________________________________________ and that ______________________________
is the Karta of our joint family and as such Karta he is entitled to deal in connection with the said Joint
Hindu Undivided Family without any authority from other members of the family.
We further declare that the business of the said Joint Hindu Undivided Family is carried on mainly by the
said Karta ________________________________________ as also by other members, in the interest and
benefit of the said Joint Family.
We also undertake that any claim due to the Bank from the said Joint Hindu Undivided Family shall be
recoverable personally from us including the shares of the minors, if any.
Yours faithfully,
Name/s and signature/s of all Adult members of the Hindu Undivided Family:
1. ------------------------------------------------------- -----------------------------------
2-------------------------------------------------------- -----------------------------------
3-------------------------------------------------------- -----------------------------------
4-------------------------------------------------------- ------------------------------------
Name/s of the Minor Member/s
-------------------------------------------------
-------------------------------------------------
------------------------------------------------ (Signature of Karta with Rubber stamp)
MANDATORY DOCUMENTS REQUIRED FOR OPENING AN INDIVIDUAL DEMAT ACCOUNT
All Copies should be self attested by the A/c holder and duly verified with the original under stamp and signature of the DP/ Branch
a) Account Opening Form (INDIVIDUAL )
b) Agreement ( Rs.100/- Non-Judicial Stamped paper or franking )
c) Self attested PAN card copy of all account holders (must be verified with the original under stamp and signature of the
DP/Branch Official and validated from Income Tax web site:- http://incometaxindiaefiling.gov.in)
d) Additional Photo identity proof if photograph is not matched with PAN card copy.
e) Self attested Address Proof of all holders (must be verified with the original under stamp and signature of Branch Official)
f) Self attested copy of MICR cheque or MICR cheque with latest statement of account or pass book copy
g) Paste latest passport size photograph of all account holders on Account Opening Form and sign across the photograph/s.
NRI: All mandatory documents as above

FEMA Declaration, Indian Correspondence Address & Foreign Address proof and Bank a/c indicating type of a/c as NRE / NRO.
MINOR: All mandatory documents as above (The minor should be the first and sole holder in the account)

Copy of Minor’s Birth Certificate along with copies of Pan Card of Minor and Guardian with self attestation by the guardian.

One passport size photograph of Minor and the Guardian with signature of the Guardian across the photographs.
HUF: All mandatory documents as above

Pan Card of Karta and declaration giving details of the family members of the HUF with their names.
Declaration for availing of Basic Services Demat Account (BSDA) facility
To,
Dear Sir /,
I / We wish to avail the BSDA facility for the new account for which we have submitted my / our account
opening form
I / We wish to avail the BSDA facility for my / our below mentioned demat account number
DP ID Client ID
Name PAN
Sole/First Holder
Second Holder
Third Holder
I/We have read and understood the regulatory (SEBI) guidelines for opening a Basic Services Demat Account
and undertake to comply with the aforesaid guidelines from time to time. I/we also undertake to comply with the
guidelines issued by any such authority for BSDA facility from time to time. I/We also agree that in case our demat
account opened under BSDA facility does not meet the eligibility for BSDA facility as per guideline issued by SEBI or
any such authority at any point of time, my / our BSDA account will be converted to regular demat account without
further reference to me/us and will be levied charges as applicable to regular accounts as informed by the DP.
I, the first / Sole holder also hereby declare that I do not have / propose to have any other demat account
across depositories as a first / sole holder.
Signature
Sole/First Holder
Second Holder
Third Holder
----------------------------------------------------------------------------------------------------------------------------- -----------------------
Acknowledgement Receipt
Received BSDA declaration form from:
Name
Date : Depository Participant Seal and Signature