CENTRAL BANK OF INDIA
_____________ Branch

Application Form for Opening a Demat Account

Individual NRI Foreign National

Depository Participant Name/Address

(To be filled by the Depository Participant)
Application No. Date D D M M Y Y Y Y
DP Internal Reference No.
DP ID 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:

Sole/First Holders Details
First Name
Middle Name
Last Name
Father/Husband Name
Title Mr. Mrs. Ms. Other Suffix
Correspondence Address

City State
Country PIN
Telephone NO. Fax No.
PAN/GIR No.
IT Circle Ward/District
E-mail ED
MAPIN Code

Joint Holders – Second Holder’s Details
First Name
Middle Name
Last Name
Father/Husband Name
Title Mr. Mrs. Ms. Other Suffix
PAN/GIR No.
IT Circle Ward/District
Date of Birth D D M M Y Y Y Y
E-mail ID
MAPIN Code

Joint Holders –Third Holder’s Details
First Name
Middle Name
Last Name
Father/Husband Name
Title Mr. Mrs. Ms. Other Suffix
PAN/GIR No.
IT Circle Ward/District
Date of Birth D D M M Y Y Y Y
E-mail ID
MAPIN Code

Type of Account (Please tick)

Status
Individual Individual Resident
Individual Director’s Relative
Individual Promoter
Individual Margin Trading A/c.(MANTRA) Individual
Individual HUF/AOP
NRI NRI Repatriable
NRI – Depository Receipts NRI Non-Repatriable
Foreign National Foreign National Foreign National – Depository Receipts

Details For First Holder
Date of Birth D D M M Y Y Y Y
Nationality Indian Others (Specify)
Sex Male Female
Occupation Service
Retired Professional
Housewife Business Student
Others (Specify)

I/We authorize you to receive credits in my/our account
Without any instruction from me/us.
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:
Bank Code (9 digit MICR Code)
Bank Name
Branch
Bank Address

City State PIN
Account Number
Account Type Savings Current Cash Credit

I/We have read the DP-BO agreement including the schedules thereto and the terms and conditions 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 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 blank ink)

Details of introduction by an existing demat account holder
Introducer’s name
DP ID Client ID
Signature of the Introducer

Verified

Signature of the DP Official

Details of introduction by an Bank Official
Name/Designation
Bank Name/Branch
Signature
Additional Details
Permanent Address (If Different from correspondence Address)
City State
Country PIN
Telephone No. Fax No.

Details of Guardian (If First Holder or Second Holder or Third 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.
E-mail ID

For NRIs

City State
Country PIN
RBI Ref No. RBI Approval Date D D M M Y Y Y Y

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = == = = = ==
(Perforated Card)

(To be filled by the Depository Participant)
DP ID Client ID

First/Sole Holder Second Holder Third Holder
Name
Specimen Signatures

= = = = = == == == = = = = = = = = = (Please Tear Here) == = = = = = = = = = = = = =
Acknowledgement Receipt
Application No.: Date:

We hereby acknowledge the receipt of the Account Opening Application Form:

Name of the Sole/First Holder
Name of Second Joint Holder
Name of Third Joint Holder

Depository Participant Seal and Signature

Instructions for the Applicants 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 a Magistrate or a Notary Public or a Special Executive Magistrate under his/her official seal must attest languages.
2. Signatures should be preferably in blank ink.
3. Details of the Names, Address, and Tel No. etc. of the Magistrate/ Notary Public/Special Executive Magistrate are to be provided in case of any attestation done by them.
4. In case of additional signatures (for accounts other than individuals), separate annexure should be attached to the application form.
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 alongwtih the application.
6. All correspondence/queries shall be addressed to the first/sole applicant.
7. Fields marked with are compulsory.
8. Strike off whichever is not applicable.

Application Form for Opening a Demat Account
(For entities other than Individuals)

Central Bank Of India
_________________ Branch

Depository Participant Name/Address/ DP ID

(To be filled by the Depository Participant)
Application No. Date D D M M Y Y Y Y
DP Internal Reference No.
DP ID Client ID

(To be filled by the applicant in BLOCK LETTERS in English)

We request you to open a Demat Account in our name as per the following details:

Name
Search Name
Correspondence Address

City State
Country PIN
Telephone No. Fax No.
PAN/GIR No.
IT Circle Ward/District
E-mail ID
MAPIN Code

Other Holders – Second Holder’s Details
First Name
Middle Name
Last Name
Father/Husband Name
Title Mr. Mrs. Ms. Other Suffix
PAN/GIR No.
IT Circle Ward/District
Date of Birth D D M M Y Y Y Y
E-mail ID
MAPIN Code

Other Holders –Third Holder’s Details
First Name
Middle Name
Last Name
Father/Husband Name
Title Mr. Mrs. Ms. Other Suffix
PAN/GIR No.
IT Circle Ward/District
Date of Birth D D M M Y Y Y Y
E-mail ID
MAPIN Code

Type of Account (please tick whichever is applicable)
Status Sub-status
Body Corporate Banks Trust Mutual Fund OCB FII
CM FI Clearing House Other (Specify) To be filled by the DP
Date of Incorporation D D M M Y Y Y Y
SEBI Registration No.
(If Applicable) SEBI Registration Date D D M M Y Y Y Y
ROC Registration No.
(If Applicable) ROC Registration Date D D M M Y Y Y Y
RBI Registration No.
(If Applicable) RBI Approval Date D D M M Y Y Y Y
Nationality Indian Others (specify)
I/We authorize you to receive credits in my/our account without any instruction from me/us. Yes No
Account Statement Requirement Daily Weekly Fortnightly Monthly

Do you wish to receive dividend/interest directly into your Bank Account given below through ECS? Yes No

Bank Details
Bank Code (9 digit MICR Code)
Bank Name
Branch
Bank Address

City State PIN
Account Number
Account type Savings Current Cash Credit

For OCBs
Foreign Address

City State
Country PIN
Telephone No. Fax No.
E-mail ID

Indian Address

City State
Country PIN
Telephone No. Fax No.
E-mail ID
Currency
RBI Reference No. RBI Approval Date D D M M Y Y Y Y

Clearing Members Details (To be filled by CMs only)
Name of the Stock Exchange
Name of the CC/CH
Trading Id
Clearing Member ID

I/We have read the DP-BO agreement including the schedules thereto and the terms and conditions 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 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 Authorised Signatory Second Authorised Signatory Third Authorised Signatory
Name
Designation
Signature

= = = = = == = = = = = = = = = = = = = = = = Please Tear Here = = = = = = = = = = = =
Acknowledgement Receipt

Application NO. Date:

We hereby acknowledge the receipt of the Account Opening Application Form from:

Name of the Sole/First Holder
Name of Second Joint Holder
Name of Third Joint Holder

Depository Participant Seal and Signature

(Perforated Card)

(To be filled by the Depository Participant)
DP ID Client ID

First/Sole Holder Second Holder Third Holder
Name
Specimen Signature

Instructions for the Applicants 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 a Magistrate or a Notary Public or a Special Executive Magistrate under his/her official seal must attest languages.
2. Signatures should be preferably in blank ink.
3. Details of the Names, Address, and Tel No. Etc. of the Magistrate/ Notary Public/Special Executive Magistrate are to be provided in case of any attestation done by them.
4. In case of additional signatures (for accounts other than individuals), separate annexure should be attached to the application form.
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 alongwtih the application.
6. All correspondence/queries shall be addressed to the first/sole applicant.
7. Fields marked with are compulsory.
8. Strike off whichever is not applicable.

AGREEMENT BETWEEN THE DEPOSITORY PARTICIPANT (CENTRAL BANK OF INDIA) AND THE PERSON SEEKING TO OPEN AN ACCOUNT WITH THE DEPOSITORY PARTICIPANT

This agreement made and entered into this ___________ day of _______________ between ____________________________________________________ situated/resident of ________________________________________________ (hereinafter called ‘the client’) and Central Bank of India having its Head/Central Office at ‘Chandermukhi’ Nariman Point, Mumbai – 400 021 (hereinafter called ‘the Depository Participant’) having their branch office situated at _____________________________________.

Witnessed

WHEREAS the client has furnished to the Depository Participant the duly filled in application form requesting therein to open an account with the Depository Participant. NOW THEREFORE in consideration of the Depository Participant having agreed to open an account for the client, both the parties to the agreement hereby covenant and agree as follows:

1. The client shall pay such charges to the Depository Participant for the purpose of opening and maintaining his/her account, for carrying out the instructions of the client and for rendering such other services as may be agreed from time to time between the Depository Participant and the client as set out in Schedule ‘A’. The Depository Participant shall reserve the right to revise the charges by giving not less than thirty days notice in writing to the Client or for this purpose notice will be displayed in the office.
2. The client shall have the right to get the securities which have been admitted on the Depository dematerialized in the form and manner laid down under the Bye Laws and Business Rules. The Depository Participant further undertakes that it shall not create or permit to subsist any mortgage, charge or other encumbrance over all or any of such securities submitted for dematerialized except on the instructions of the client.
3. The Depository Participant hereby undertakes that it shall maintain a separate account of the client of its own securities held in dematerialized form with the Depository and shall not commingle the same with the securities held in dematerialized form on behalf of the client.
4. The Depository Participant undertakes that a transfer to and from the accounts of the client shall be made only on the basis of an order, instruction, direction or mandate duly authorized by client and that the Depository Participant shall maintain adequate audit trail of such authorization.
5. The Depository Participant agrees that the client may give standing instructions with regard to the crediting of securities in his/her account and the Depository Participant shall act according to such instructions.
6. The Depository Participant undertakes to provide a transaction statement including statement of accounts, if any, to the client at monthly intervals unless at the Depository Participant and the client have agreed for provision of such statements at shorter intervals. However, if there is not transaction in the account, then the Depository Participant shall provide such statement to the client atleast once in a quarter.
7. The Depository Participant shall have the right to terminate this agreement, for any reason whatsoever, provided the Depository Participant had given a notice on writing of not less than thirty days to the client as well as to the Depository. Similarly, the client shall have the right to terminate this agreement and close his/her account held with the Depository Participant, provided no charges are payable by him/her to the Depository Participant. In such an event, the client shall specify whether the balances in its account should be transferred to another account of the client held with another Depository Participant or to rematerialize the security balances held. Based on the instructions of the client, the Depository Participant shall initiate the procedure for transferring such security balances or rematerializes such security balances within a period of thirty days, as per the procedure laid down in the Bye Laws and Business Rules. Provided further, termination of this agreement shall not affect the rights, liabilities and obligations of either party and shall continue to bind the parties to their satisfactory completion.
8. On the failure of the client to pay the charges as laid down in clause (1) of this agreement within a period of thirty days from the date of demand, Depository Participant may terminate this agreement and close the account of the Client by requiring it to specify whether the balances in its account be transferred to the account of the Client held with another Participant or be rematerialized in the manner specified in the Bye Laws and Business Rules.
9. The Client further agrees that in the event of the Client committing a default in the payment of any of the amounts provided in clause (1) within a period of thirty days from the date of demand, without prejudice to the right of the Depository Participant to close the account of the client, the Depository Participant may charge interest @ not more than 24% p.a. or such other rate as may be specified by the Depository Participant from time for the period of such default. In case the Client has failed to make the payment of any of the amounts provided in clauses (1) of this agreement, the Depository Participant shall have the right to discontinue the Depository Services till such time he/she makes the payment along with interest, if any after giving two days notice to the Client.
10. The Depository Participant shall have a right to provide such information related to the Client’s account as may be requested by the Depository from time to time.
11. The Client shall have the right to create a pledge of the securities held in the dematerialized form with the Depository Participant only in accordance with the procedure and subject to the restrictions laid down under the Bye Laws and Business Rules.
12. The Depository Participant shall not be liable to Client in any manner towards losses, liabilities and expenses arising from the claims of third parties and from taxes and other governmental charges in respect of securities credited to the Client’s account.
13. The Client may exercise the right to freeze his/her account maintained with the Depository Participant so as to lock the securities held with the Depository Participant in accordance with the procedure prescribed in the Bye Laws and Business Rules.
14. The Client may exercise the right to defreeze his/her account maintained with the Depository Participant in accordance with the procedure prescribed in the Bye Laws and Business Rules.
15. The Client shall notify the Depository Participant, within seven days, of any change in the details set out in the application form submitted to the Depository Participant at the time of opening of the account or furnish to the Depository Participant from time to time.
16. The Depository Participant undertakes to resolve all legitimate grievances of the Client against the Depository Participant within a period of thirty days.
17. The Depository Participant and the Client shall abide by the arbitrator and conciliation procedure prescribed under the Bye Laws of the Depository and that such procedure shall be applicable to any disputes between the Depository Participant and the Clients.
18. The Depository Participant and the Client further agree that all claims differences and Disputes, arising out of or in relation to dealings on the Depository including any transaction made subject to the Bye Laws or Business Rules of the Depository or with reference to any incidental thereto or in pursuance thereof or relating to their validity, construction, interpretation, fulfillment or the right, obligations and liabilities to the parties thereto and including any question of whether such dealings, transactions have been entered into or not shall be subject to the exclusive jurisdiction of the courts at MUMBAI only.

IN WITNESS WHEREOF the Client and the Depository Participant has caused these presents to be executed as of the day and year first above written.

Signed and delivered by Witness

----------------------------- (1) Signature
Name
(For and on behalf of the Client) Address

Signed and delivered by Witness

---------------------------- (2) Signature
Name
(For and on behalf of the Client) Address

For Central Bank of India
Manager (Depository Services)
___________________ Branch
_________________________

Schedule ‘A’

Account Maintenance Charges Transaction Charges Rematerialisation Charges
Other Applicable Related Charges as per Free Schedule of the DP informed to Client from time to time.

CENTRAL BANK OF INDIA

DPID 1 3 0 3 8 7 0 0

FEES SCHEDULE FOR INVESTERS
(Beneficial Owner’s Account on CDSL)

Sr No PARTICULARS INVESTORS
1 Account Opening Charges NIL
2 Account Maintenance Charges Rs .200/- (For Corporate A/Cs Rs. 700/-
3 Documentation Charges Actual Stamp Cost
4 Custody Charges NIL
5 Purchares (Market/Off Market) NIL
6 Sale ((Market/Off Market) 0.20%of the transaction Value (Mini. Rs.20/- per transaction)
7 Dematerialization Rs. 2/- Per Certificate
8 Postage per Demat Request Rs. 25/-
9 Rematerialization Rs.25/- Per Certificate
10 Postage for Remat Request Rs.25/-
11 Creation /Confirmation of Creation of Pledge 0.02% of the transaction value (Minimum Rs 25/- per transaction.)
12 Closure / Confirmation of Closure of Pledge 0.02% of the transaction value (Minimum Rs 25/- per transaction.)
13 Pledge Invocation 0.02% of the transaction value (Minimum Rs 25/- per transaction.)
14 Account Closing Charges NIL
15 Securities Leanding NIL
16 Securities Borrowing Rs.50/-
17 Late Transaction Charges Rs. 10/- per Transaction
18 Failed Transaction/Rejulition Rs. 25/-
19 Other Charges All Taxes/Services Tax/Levies/cess as applicable

Notes:
All the percentage in the fee schedule would be applied on the value of the transaction as
Computed by CDSL.
Annual Maintenance Charges are non-refundable and are levied upfront for a one year at
the beginning of the year.
Late Charges would be collected for all instructions received after 4 .P.M for same day
execution or execution date as pay in date.
Transaction cum billing statement will be sent once in a month. Provided there is transaction at least once in a quarter.
Any extra statement would be charged @Rs .15/- per statement for first 10pages, thereafter it
would be charged @Rs. 2/- per page
The rates depend on the existing CDSL charges and will be revised if these are revised by CDSL. The charges are also subject to revision from time to time by the Bank.
The scheme once selected will be valid for one year and will be automatically renewed at the end of the year unless a written communication in the prescribed format is received.
Please note that incase we are unable to recover charges due to non- maintenance of adequate balance in the specified bank account with us. Depository services for the concerned account holder will be temporarily discontinued.
Any request for the resume of the services shall be initiated on the payment of charges of Rs.200/-.

Date______________
In charge. Depository Services.
Central Bank Of India
__________________ Branch
_______________- PIN__________

Dear Sir,

I/we agree to pay abovementioned charges as well as charges revised by the Bank from time to time. I/We irrevocably authorize to debit my Saving Bank/ Current deposit Account Number__________ maintained at your ____________________ branch.

Thanking you,

Yours faithfully,

Signature
(Name-_________________________ )
(Name-__________________________ )
(Name __________________________ )