Total:

(Sign):
3-Others
Form No.

Client Id.:

Scanning:
Signatory:
DSA Auth.
DSA code:
Cheque Dt.
Cheque No.

Accepted by
Bank details.

Inward date:
Amount(Rs.):

Accepted by:
1-Maintenance:

Acceptance date

Branch Manager/

Kit dispatch date:

2-Stamp Charges:

Authorized official:

For HO use only:

Branch Stamp
_____________
DPID Stamp:

Break-up of payment:
Upfront Payment Details:
For Branch Use Only

HO Stamp
____________
IL&FS House, Plot No. 14, Raheja Vihar, Chandivili, Andheri (E), Mumbai - 400 072.
Tel . : 2857 0965 Fax 2857 0948 Email ilfs-dp@issl.co.in Website : www.ilfsdp.com

Group/sub group code:___________________________

1
Client Acknowledgment Copy
IL&FS Securities Services Limited
Form No.

Please pay by cheque only. Do not pay cash or by bearer cheque

We hereby acknowledge the receipt of the account opening application form:

Name of the sole/first holder ______________________________________________________________
DPID Stamp:

Name of second joint holder ______________________________________________________________

Name of third joint holder
Along with cheque No. dated______________ for amount of Rs________
drawn on

Depository participant seal and signature

NSDL Account Opening Form

Regd. Off. : IL&FS House, Plot No. 14, Raheja Vihar, Chandivili, Andheri (E), Mumbai - 400 072. Tel : 2857 0965 Fax 2857 0948 Email ilfs-dp@issl.co.in Website : www.ilfsdp.com
Form No.

HELP CHECKLIST FOR FILLING THE DP ACCOUNT OPENING FORM

Account opening form Tick here

Page 3
Type / Sub type of account ticked
Name in the Account Opening Form to be the same as name in the PAN card (all holders)
Address for communication to be ticked
In case the type of account is “NRI”, overseas address to be mandatory filled
Page 4
In case the sole holder is a Minor, guardian details to be mandatory filled
Bank details duly filled
Page 5
Signature on form to match with Signature on PAN card (all holders)
Standing Instruction ticked
Account to be operated through POA – option ticked
Nature of Business / Financial details duly filled (all holders)
Page 6
Photograph PASTED on the form (all holders)
General
Address to be in full and to match with the proof provided (all holders)
Occupation details duly filled (all holders)
Date of Birth to match with Date of Birth in PAN card
Pan details to be filled (all holders)
All blanks struck off
Cancellations, if any are authenticated by all the holders

Documents to be submitted for opening a Demat Account :

Account Opening Form – completed in all respects as mentioned in the checklist

* Valid Proof of address (all holders) – any one document as given in the list. In case both the correspondence
and permanent address are filled in the Account Opening Form, proof has to be provided for both
* Valid Proof of Identity (all holders) – any one document as given in the list
PAN card copy (all holders)
MICR Proof (photocopy of cheque) –should match with the Bank account details provided in the form
Rate sheet duly signed
DP Client agreement duly executed
Agreement for receiving Bill and Transaction Statements by email (optional)
POA duly signed and completed

Document type Acceptable as Acceptable as

Proof of address Proof of Identity
Ration card – should have the holders name in the list of members
Voter ID card
Passport – should be valid on the date of submission
Driving License – should be valid on the date of submission
Bank passbook
Bank statement – Original/Copy of bank statement on the stationery of the bank,
carries logo & name of the bank alongwith cancelled copy of cheque. OR
Original bank statement on a computer generated stationery duly attested by the
bank officials alongwith name and designation and signed by the client alongwith
cancelled original cheque
The bank statement should be of the latest quarter
Electricity Bills – the bill date should not be more than two months old on the
date of submission
Telephone Bills – the bill date should not be more than two months old on the date of
submission. This has to be a landline bill only and FWT / Mobile bills not accepted
Registered leave and license agreement –should be valid on the date of submission
Registered Agreement for sale
Identity card / document with address issued by Professional Bodies such as
ICAI, ICWAI, Bar Council to their Members along with proof of membership
Photo credit card / debit card issued by Banks
Identity card/document with applicants 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 affliliated to Universities (this can be treated as valid only
till the time the applicant is a student)

2
 Regd. Off. : IL&FS House, Plot No. 14, Raheja Vihar, Chandivili, Andheri (E), Mumbai - 400 072.
Tel . : 2857 0965 Fax 2857 0948
Email ilfs-dp@issl.co.in Website : www.ilfsdp.com

Form No.

Application for Opening a Demat Account for INDIVIDUALS - ANNEXURE J

INSTRUCTIONS :
1. Please fill all the details in CAPITAL LETTERS only. 2. Strike off whichever is not applicable. 3. Provide document evidence as per options on page 2

DATE Client ID

TYPE OF ACCOUNTS (Please specify type correctly, change in type not allowed)
Ordinary Resident HUF NRI Repatriable NRI Non-Repatriable Margin Promoter Others _____________

I/We request you to open a depository account in my/our name as per the following details.

PERSONAL DETAILS

SOLE/FIRST HOLDER DETAILS (The name mentioned here will be treated as valid & correct. No claims will be entertained later for any disputes arising out names specified wrongly)

FULL NAME (Mr./Ms.)

as per pan card

NAME OF FATHER/HUSBAND

LOCAL/PERMANENT ADDRESS
Provide proof of this address
(options listed on page 2)

City : State : PIN

CORRESPONDENCE ADDRESS
Provide proof of this address
(options listed on page 2)
City : State : PIN
TELEPHONE NO. (with STD code) Fax Number

MOBILE NO. SMS Facility Yes No

EMAIL

OCCUPATION
Service { Central Govt. State Govt. Public / Private Sector NGO Statutory Body }
Professional Business Student Housewife Retired Others (Specify)_____________

DATE OF BIRTH PAN No. (Mandatory)

MOTHER’S NAME

ADDRESS FOR
COMMUNICATION Local/Permanent Address Correspondence Address Foreign Address

IN CASE OF NON-RESIDENTS INDIANS :

FOREIGN ADDRESS
(Attestation Mandatory in proof)

RBI / AUTH DEALER REF. NO. RBI Approval Date

FOREIGN CONTACT DETAILS Tel(Res): Fax: Mobile:

Signature(s)

F1 S1 T1
Sole / First Holder Second Holder Third Holder

3
Form No.

GUARDIAN DETAILS (In case the Sole Holder is a Minor)

NAME(Mr./Ms.)
as per pan card

RELATIONSHIP Date of Birth (of minor)

Proof Mandatory

ADDRESS OF GUARDIAN
PIN

PAN No. (Mandatory) Tel: Mob:

SOLE/FIRST HOLDERS BANK ACCOUNT DETAILS (attach a cancelled / blank cheque leaf)

ACCOUNT TYPE Savings Current Cash Credit Others

ACCOUNT NUMBER (As per cheque leaf)

NAME OF BANK

BRANCH ADDRESS (Bank’s Branch)

PIN

NON - MICR LOCATION Yes No Cheque Leaf Attached Yes No

9-DIGIT CODE MICR NUMBER OF THE BANK

AS APPEARING ON M ICR CHEQUE LEAF.

SECOND HOLDER DETAILS (Joint holding not allowed in case any holder is (a) Minor or (b) if it is a HUF account )

FULL NAME (Mr./Ms.)

as per pan card

NAME OF FATHER/HUSBAND

ADDRESS
Provide proof of this address
(options listed on page 2)
City : State : PIN
TELEPHONE NO.(with STD code) Fax Number
MOBILE NO. SMS Facility Yes No

EMAIL

MOTHER’S NAME PAN No. (Mandatory)

Service { Central Govt. State Govt. Public / Private Sector NGO Statutory Body }
OCCUPATION
Professional Business Student Housewife Retired Others (Specify)_____________

THIRD HOLDER DETAILS (Joint holding not allowed in case any holder is (a) Minor or (b) if it is a HUF account )
FULL NAME (Mr./Ms.)
as per pan card

NAME OF FATHER/HUSBAND

ADDRESS
Provide proof of this address
(options listed on page 2)
City : State : PIN
TELEPHONE NO (with STD code) Fax Number
MOBILE NO. SMS Facility Yes No

EMAIL

MOTHER’S NAME PAN No. (Mandatory)

Service { Central Govt. State Govt. Public / Private Sector NGO Statutory Body }
OCCUPATION
Professional Business Student Housewife Retired Others (Specify)_____________

Signature(s)
F2 S2 T2
Sole / First Holder Second Holder Third Holder
4
Form No.

DECLARATIONS
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. I/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. I/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.

DECLARATIONS RE : PREVENTION OF MONEY LAUNDERING

Prevention of Money Laundering Act, 2002 (hereinafter referred to as “Act”) came into effect from July 1,2005 vide Notification No. GSR 436(E) dated July 1,2005 issued by
Department of Revenue, Ministry of Finance, Government of India. Further, SEBI vide its circular reference number ISD/CIR/RR/AML/1/06 datedJanuary 18, 2006
mandated that all intermediaries should formulate and implement a proper policy framework as per the guidelines on anti money laundering measures and also to adopt a
Know Your Customer (KYC) policy. The intermediaries may, according to their requirements specify additional disclosures to be made by clients for the purposes of
identifying, monitoring and reporting incidents of money laundering and suspicious transactions undertaken by clients. SEBI also issued another circular reference no.
ISD/CIR/RR/AML/2/06 dated March 20, 2006 advising all intermediaries to take necessary steps to ensure compliance with the requirement of section 12 of the Act, inter-
alia, maintenance and preservation of records and reporting of information relating to cash and suspicious transactions to Financial Intelligence Unit-India (FIU-IND), New
Delhi.
The investor(s) should ensure that the amount invested in the securities and represented as credit in their demat account is through legitimate sources only and does not
involve and is not designated for the purpose of any contravention or evasion of the provisions of the Income Tax Act, Prevention of Money Launder ing Act, Prevention of
Corruption Act and/or any other applicable law in force and also any laws enacted by the Government of India from time to time or any rules, regulations, notifications or
directions issued thereunder.
To ensure appropriate identification of the customer(s) under its KYC policy and with a view to monitor transactions , ISSL DP reserves the right to seek information, record
customer’s telephonic calls and/or obtain and retain documentation for establishing the identity of the customer, proof of residence, source of funds, etc. It may re- verify

NAME (S) OF HOLDER(S) SIGNATURE(S)

NAME AS IN PAN CARD / PAGE 3. (Use Black Ink only)

SOLE/FIRST HOLDER (Mr./Ms.) F3

SECOND HOLDER (Mr./Ms.) S3

THIRD HOLDER (Mr./Ms.) T3

GUARDIAN(in case of minor)

(Mr./Ms.)

STANDING INSTRUCTION

I/We authorize you to receive credits automatically into my/our Demat account. Yes (default) No
In case of a NRI account (RBI Approval)/Authorised Dealer Approval furnished Yes No

Account to be operated through Power of Attorney Yes No (default)

ADDITIONAL FINANCIAL DETAILS (Mandatory)

FIRST HOLDER Income Range per annum:

Financial Status Up to Rs.1 Lakh Rs.1 - 2 Lakh Rs. 2 - 3 Lakh Rs. 3 to 5 Lakh
(Annual Income) Rs.5 – 10 Lakh Rs.10 – 15 Lakh >Rs.15 Lakh

NATURE OF BUSINESS

SECOND HOLDER Income Range per annum:

Financial Status Up to Rs.1 Lakh Rs.1 - 2 Lakh Rs. 2 - 3 Lakh Rs. 3 to 5 Lakh
(Annual Income) Rs.5 – 10 Lakh Rs.10 – 15 Lakh >Rs.15 Lakh

NATURE OF BUSINESS

THIRD HOLDER Income Range per annum:

Financial Status Up to Rs.1 Lakh Rs.1 - 2 Lakh Rs. 2 - 3 Lakh Rs. 3 to 5 Lakh
(Annual Income) Rs.5 – 10 Lakh Rs.10 – 15 Lakh >Rs.15 Lakh

NATURE OF BUSINESS

Signature(s)

F4 S4 T4
Sole / First Holder Second Holder Third Holder

5
Form No.

PHOTOGRAPHS OF ALL HOLDERS (Sign as per illustration provided)

Sole/First Holder Second Holder Third Holder

F5 S5 T5
S
S SS OS
OS RO CR TO
Illustration A CR TO N AC OTO N A O
N
SIG E PH
O
SIG E PH SIG E PH
TH H TH
Please paste recent Please paste recent T Please paste recent
passport size passport size passport size
photograph photograph photograph
& Sign across & Sign across & Sign across
as illustrated as illustrated as illustrated

Do not Staple Do not Staple Do not Staple

IN-PERSON VERIFICATION

NAME/DETAILS OF BRANCH/SERVICE CENTRE

NAME OF THE DP STAFF

SIGNATURE OF THE DP STAFF

& EMPLOYEE CODE

DATE WHEN ‘INPERSON’

VERIFICATION WAS CARRIED OUT

PLACE WHERE ‘INPERSON’

VERIFICATION WAS CARRIED OUT

SIGNATURE OF THE APPLICANT(S) SIGNED IN THE PRESENCE OF THE DP STAFF

NAME(S) OF HOLDER(S) SIGNATURE(S)

SOLE/FIRST HOLDER (Mr./Ms.) F6

SECOND HOLDER(Mr./Ms.) S6

THIRD HOLDER (Mr./Ms.) T6

GUARDIAN (in case of minor)

(Mr./Ms.)

INSTRUCTION: Verify the photo with person; verify the originals of PAN card, other ID proofs and Address proof. Stamp the photocopies with Rubber stamps provided; sign & date

Signature(s)

F7 S7 T7
Sole / First Holder Second Holder Third Holder

6
Form No.

FORM FOR NOMINATION ANNEXURE JA

(To be Signed by the applicant only in case of nomination)
Nominees Photo Guardian’ s Photo
I/We wish to make a nomination and do hereby nominate the following
person in whom all rights of transfer and/or amount payable in respect of Please paste recent Please paste recent
securities held in the Depository by me/us in the said beneficiary owner passport size passport size
account bearing application no.as mentioned above shall vest in the event of photograph & photograph &
my/our death. Sign across the Sign across the
photo as illustrated photo as illustrated
in page 6 in page 6
Where a nomination is made please ensure that the following are present SS SS
RO RO
N AC OTO N AC OTO
SIG E PH SIG E PH
O Photograph of the nominee, signed as illustrated on page 6 TH TH
O Signature of the Nominee, Nominee PAN
O Signatures of two witnesses. (Don't Staple) (Only if Nominee is a minor)

DETAILS OF NOMINEE
NAME OF NOMINEE (Mr./Ms.)
(Cannot be one of the holders)

RELATIONSHIP WITH THE APPLICANT (if any)

ADDRESS

PIN PAN No.

IF NOMINEE IS MINOR
GUARDIAN ‘S NAME (Mr./Ms.)
(in case Nominee is a minor)

RELATIONSHIP WITH THE APPLICANT (if any)

ADDRESS OF GUARDIAN

PIN PAN No.

SIGNATURE OF GUARDIAN Date of Birth

DETAILS OF CLIENTS

NAME (S) OF HOLDER(S) SIGNATURE(S)

NAME AS IN PAN CARD / PAGE 3. (Use Black Ink only)

SOLE/FIRST HOLDER (Mr./Ms.) F8

SECOND HOLDER (Mr./Ms.) S8

THIRD HOLDER (Mr./Ms.) T8

WITNESSES TO NOMINATION (MANDATORY)

SR. NO. NAME & COMPLETE ADDRESS (address is mandatory) SIGNATURE DATE

1.

2.

7
8
Form No.

AGREEM ENT WI TH THE DEPOSI TORY PARTI CI PANT

AGREEMENT BETWEEN THE DEPOSITORY PARTICIPANT AND THE PERSON SEEKING TO OPEN AN ACCOUNT WITH THE DEPOSITORY PARTICIPANT
(APPLICANT)
Thi s Agreem ent made and ent ered int o thi s _______ _______ _______ ____day of _______ _______ _______ _( mont h) _______ _______ (year ) bet ween

residing at

(hereinafter called “client“) and IL &FS Securit ie s Servic es Limited situated at IL&FS house, Plot No. 14, Raheja Vihar, Chandivili, A ndheri (E), Mumbai - 400 072.
(“hereinafter called “the Depository Participant“)
WITNESSETH
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

Third Holder
whether the balances in its account be transferred to the account of the Client held with
NOW THEREFORE in consideration of the Depository Participant having agreed to open
another Participant or be rematerialised, in the manner specified in the Bye Laws and
account for the Client, both the parties to the agreement hereby convenant and agree
Business Rules.
as follows:-
9. The Client further agrees that in the event of the Client committing a default in the
1. The Client shall pay such charges to the Depository Participant for the purpose of
payment of any of the amounts provided in clause (1) within a period of thirty days from
opening and maintaining his account, for carrying out the instructions of the Client and
the date of demand, without prejudice to the right of the Depository Participant to close
for rendering such other services as may be agreed to from time to time between the
the account of the Client, the Depository Participant may charge interest @ not more
Depository Participant and the Client as set out in Schedule A. The Depository
than 24% p.a. or such other rate as may be specified by the Executive Committee from
Participant shall reserve the right to revise the charges by giving not less than thirty
time to time for the period of such default. In case the Client has failed to make the
days notice in writing to the client.
payment of any of the amounts as provided in clause ( 1 ) of this agreement, the

2. The Client shall have the right to get 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, charges or other encumbrances over all or any of such
10.
securities submitted for dematerialisation except on the instructions of the Client
3. The Depository Participant hereby undertakes that it shall maintain a separate account
of its own securities held in dematerialized form with the Depository and shall not co-
11.
mmingle 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
T9
Depository Participant shall have the right to discontinue the Depository services till
such time he makes the payment along with interest, if any, after giving two days notice
to the Client.
The Depository Participant shall have a right to provide such information related to the
Client’s account as may be requested by the National Securities Depository Ltd. from
time to time
The Client shall have the right to create a pledge of the securities held in the
dematerialised form with the Depository Participant only in accordance with the
procedure and subject to the restriction laid down under the Bye Laws and Business

Second Holder
Client shall be made only on the basis of an order, instruction, direction or mandate duly Rules.
authorised by the Client and that the Depository Participant shall maintain adequate
12. The Depository shall not be liable to the Client in any manner towards losses, liabilities
audit trail of such authorization.
and expenses arising from the claims of third parties and from taxes and other
5. The Depository Participant agrees that the Client may give standing instructions with governmental charges in respect of securities credited to the Client’s account.
regard to the crediting of securities in his account and the Depository Participant shall
13. The Client may exercise the right to freeze his account maintained with the Depository
act according to such instructions.
Participant so as to lock the securities held with the Depository Participant in
6. The Depository Participant undertakes to provide a transaction statement including accordance with the procedures prescribed in the Bye Laws and Business Rules.
statement of accounts , if any, to the Client at monthly intervals unless the Depository
14. The Client may exercise the right to defreeze his account maintained with the
Participant and the Client have agreed for provision of such statements at shorter
Depository Participant in accordance with the procedure and subject to the restrictions
intervals. However, if there is no transaction in the account, then the Depository
laid down under the Bye Laws and Business Rules.
Participant shall provide such statement to the Client atleast once a quarter.

7. The Depository Participant shall have the right to terminate this agreement, for any
reasons whatsoever, provided the Depository Participant has given a notice in 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 account held with the
Depository Participant, provided no charges are payable by him 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 rematerialise the security balances held. Based on the
S9
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 the account or furnished 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 arbitration and conciliation
procedure prescribed under the Bye Laws of National Securities Depository Ltd. and
that such procedure shall be applicable to any disputes between the Depository

Sole / First Holder

instructions of the Client, the Depository Participant shall initiate the procedure for Participant and the Client
transferring such security balances or rematerialise such security balances within a
18. The Depository Participant and the Client further agree that all claims, differences and
period of thirty days, as per the procedure laid down in the Bye Laws and Business
disputes, arising out of or in relation to dealings on the Depository including any
Rules. Provided further, termination of this agreement shall not affect the rights,
transaction made subject to the Bye Laws or Business Rules of the Depository or with
liabilities and obligations of either party and shall continue to bind the parties to their
reference to anything incidental thereto or in pursuance thereof or relating to their
satisfactory completion.
validity, construction, interpretation, fulfillment or the rights, obligations and liabilities of
8. On the failure of the Client to pay the charges as laid out in clause (1) of this agreement the parties thereto including any question of whether such dealings, transactions have
within a period of thirty days from the date of demand Depository Participant shall been entered into or not, shall be subject to the exclusive jurisdiction of the courts at
terminate this agreement and close the account of the Client by requiring it to specify 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 for & on behalf of client F9
On Behalf of
Witness
IL&FS Securities Services Limited
Signature:
Signature:
Name:
Name:
(Authorised Signatory)
Address:

Applicant Witness
Signature(1st Holder): F10
Signature:
Name:
Name:
Signature(2nd Holder): S10

Name: Address:
Signature(3rd Holder): T10

Name:

9
Form No.

RATE SHEET
SCHEDULE- A

CHARGES FOR THE DEPOSITORY SERVICES

I/We agree to pay the charges as per following charge structure for our Demat account with ISSL
Client ID : __________________________________
Effective : ________ / _______ / 20 ________
Charge head Regular Scheme Refundable AMC Scheme
Rs. 150 per quarter to be paid at the beginning An amount of Rs. 7000/- to be paid upfront.
of every quarter. At the time of new account There would be no AMC charged to the account
Annual Maintance opening AMC to be paid upfront for two quarters for the duration this scheme has been opted for.
Charges NON-REFUNDABLE If the demat account holder wishes to withdraw
this amount at any point of time during the
operation of the account or on closure, the
above amount would be refunded after deduct-
ing Rs. 600/- i.e AMC corresponding to 1 year.
Dematerialization Rs. 2.00 per certificate plus courier charges of Rs. 2.00 per certificate plus courier charges of
Charges Rs. 35 per demat request for every 500 gms. Rs. 35 per demat request for every 500 gms.

Transaction charges
Market/Off Market/
Interdepository Transactions
Same day execution
and payin.
SLB Charges
0.05% per debit instruction subject to a mini- 0.05% per debit instruction subject to minimum
mum of Rs. 25 plus depository charges at of Rs. 30 plus depository charges at actuals.
actuals.
Same day execution charges Rs.50 per Same day execution charges Rs.50 per
transaction or 0.05% which ever is higher.. transaction or 0.05% which ever is higher..
For Security Borrowing : Rs.25 plus For Security Borrowing : Rs.25 plus
Depositories charges Depositories charges
For Security Lending : Rs.25 plus For Security Lending : Rs.25 plus
Depositories charges Depositories charges

Pledge Charges 0.02% of the transaction charges subject to a 0.02% of the transaction charges subject to a
Creation/Closure and minimum of Rs.50 plus depository charges at minimum of Rs. 50 plus depository charges at
Confirmation of both actuals. actuals.
Pledge Charges for 0.05% of the transaction charges subject to 0.05% of the transaction charges subject to a
Invocation minimum of Rs. 50 minimum of Rs. 50
Rematerialization Rs. 25 per certificate or 0.05% of the value Rs. 25 per certificate or 0.05% of the value
Charges whichever is higher plus depository charges as whichever is higher plus depository charges as
actuals. actuals.
Failed / Rejected
Transactions Rs. 50 per transaction Rs. 50 per transaction
Demat Rejection
Rs. 35 per rejection for every 500 gms Rs. 35 per rejection for every 500 gms
Charges

Rs. 25(Rs 500 for Foreign address) per Rs. 25(Rs 500 for Foreign address) per
Adhoc / Non periodic request upto 10 pages. Every request upto 10 pages. Every
statement requests additional 5 pages or a portion thereof will be additional 5 pages or a portion thereof will be
charged at Rs. 5 PLUS courier charges. charged at Rs. 5 PLUS courier charges.

Cheque Bounce Charges Charges will be applied based on charges as Charges will be applied based on charges as
determined by our bankers determined by our bankers

Tick Appropriate Scheme : Regular Scheme Refundable AMC Scheme

In case scheme is not ticked, the default scheme selected would be ‘Regular Scheme’.
Note :
It is mandatory that the rate sheet is signed by the applicant(s); and in case of special rate sheets, it should be attached
to account opening form with signatures of applicants & DP executive

I/We understand that the above charges are subject to revision by ISSL after providing a notice period of 30 days. Such
revisions will be notified by ordinary post / courier.

Signature(s)

F11 S11 T11

Sole / First Holder & Date Second Holder & Date Third Holder & Date

(Pls. Sign on the Reverse too)

10
Form No.

CLIENT ID : __________________________________

OTHER POINTS :
z Annual Maintenance Charges are non-refundable
z All charges would attract the service tax/cess/levies and /other such taxes as applicable from time to time
z All payments have to be made favouring ISSL Ltd. You can pay by Cheques or Demand Drafts payable at the local
branch where the account is opened, outstation cheques will not be accepted.
z All the percentages in the above structure would be applied on the value of the transaction as computed by NSDL/
CDSL.
z Out of Pocket expenses incurred on the Dispatch of securities for Dematerialisation and communication charges
incurred on out-station calls/faxes made specifically on request of the client will be charged on actual.
z Charges quoted above are for the services listed. Any services not listed above will be charged separately.
z Any advance payments over and above the normal amount due can also be made. Any such higher amount paid than the
minimum amount payable at the time of account opening shall be adjusted against the bills raised from time to time.

IMPORTANT NOTE :
z DP bills should be paid on or before the due date. Interest shall be levied @2% per month on outstanding amount for
non payment from the bill due date. Pursuant to Clause 9 of the Client-DP Agreement, in case of non-payment of DP
Charges within the due date, DP reserves the right to discontinue operation of the demat account till such time that the
payment is received
z For all purposes the Bill date shall be construed as the date of demand and the bill will be considered as the Bill cum
Notice for payment and, ISSL reserves the right to “Freeze Depository account for debit transactions”, in case of non
payment of charges after two days from the Bill due date.
The renewal charges for resuming the depository operations will be Rs. 150 per Account and the services will be
resumed in minimum of two working days from the date of receipt of request at ISSL branch.

Signatures :

F12 S12 T12

Sole / First Holder & Date Second Holder & Date Third Holder & Date

11
Form No.

ELECTRONIC CLEARING SERVICE (DEBIT CLEARING) FORM

(This Form needs to be certified by Bank) ISSL Copy

Client ID :

Client Name :

Particulars of Bank Account S.B. Current Cash Credit

A/c Holder(s) Name(s) 1.

2.

3.

Name of the Bank

Name of the Branch

Address

9-Digit code number of the bank and branch

(Appearing on the MICR cheque issued by the bank)
(Please attach a photocopy of a cheque or a blank
cancelled cheque for verifying the code number

Ledger and Ledger folio number :

Account number (as appearing on the cheque book)

I hereby instruct you to debit my account on 25th day of every billing month.

I hereby declare that the particulars given above are correct and complete. If the transaction is delayed
or not effected at all for reasons of incomplete or incorrect information, I would not hold ISSL DP
responsible, I have read the option invitation letter and agree to discharge the responsibility expected of
me as a beneficiary under the scheme.

Signature of the 1st Sole Signature of the 2nd Signature of the 3rd
A/c Holder A/c Holder A/c Holder
(Mandatory)

Date : __________________ encl : cheque leaf

TO BE CERTIFIED BY CLIENT’S BANK

Certified that the particulars furnished above are correct as per our records.

Bank’s Stamp
(Mandatory)

Date : Name __________________________________

Signature : ______________________________

12
Form No.

ELECTRONIC CLEARING SERVICE (DEBIT CLEARING) FORM

(This Form needs to be certified by Bank) Bank Copy

Client ID :

Client Name :

Particulars of Bank Account S.B. Current Cash Credit

A/c Holder(s) Name(s) 1.

2.

3.

Name of the Bank

Name of the Branch

Address

9-Digit code number of the bank and branch

(Appearing on the MICR cheque issued by the bank)
(Please attach a photocopy of a cheque or a blank
cancelled cheque for verifying the code number

Ledger and Ledger folio number :

Account number (as appearing on the cheque book)

I hereby instruct you to debit my account on 25th day of every billing month.

I hereby declare that the particulars given above are correct and complete. If the transaction is delayed
or not effected at all for reasons of incomplete or incorrect information, I would not hold ISSL DP
responsible, I have read the option invitation letter and agree to discharge the responsibility expected of
me as a beneficiary under the scheme.

Signature of the 1st Sole Signature of the 2nd Signature of the 3rd
A/c Holder A/c Holder A/c Holder
(Mandatory)

Date : __________________ encl : cheque leaf

TO BE CERTIFIED BY CLIENT’S BANK

Certified that the particulars furnished above are correct as per our records.

Bank’s Stamp
(Mandatory)

Date : Name __________________________________

Signature : ______________________________

12
Form No.

Date :

The Manager
IL&FS Securities Services Limited
IL&FS House, Plot No.14
Raheja Vihar, Chandivali
Andheri (East)
Mumbai 400 072

Re : Demat Account no. / Form No.___________________________

DPID : IN300095 / IN302871

I/We refer to the DP-Client Agreement (“the Agreement”) entered into between me/us
and IL&FS Securities Services Limited (ISSL) for opening the abovementioned
Demat Account.

I/We are aware that the DP, in terms of the NSDL Circular, agreed to provide
monthly/quarterly Bills and Transaction Statements and other notices by email or on
website on the terms and conditions annexed hereto(overleaf).

I/We intend to avail the facility of receiving monthly / quarterly Bills and Transaction
statements and other intimations / notices by email or on website for the captioned
demat account on the terms and conditions annexed hereto. I / We request you to
register the following email ID(s) for the same :

_________________________________________________________________

All other terms and conditions of the Agreement remain the same. This letter shall
form part and parcel of the Agreement

________________
F13 ________________
S13 _________________
T13

First Holder Second Holder Third Holder

13
Form No.

Terms & Conditions for receiving Bills, Transaction Statements and other
intimations / notices by email or on website

1. The client agrees not to receive Bills and Transaction statements and any other intimations
/ notices in paper form from the DP. Provided however that, in case when the DP is not
able to provide such Bills and Transaction statements and intimations / notices to its clients
through website / email due to any unforeseen problems, the DP should ensure that the
same reaches me/us in physical form to the address as registered in the captioned demat
account

2. The client shall take all the necessary steps to ensure confidentiality and secrecy of the
login name and password of the internet/email account

3. The client is aware that the Bills and Transaction statement and any other intimation /
notices may be accessed by other entities in case the confidentiality / secrecy of the login
name and password is compromised

4. The client shall immediately inform the DP about change in email address, if any,

5. The client shall confirm the validity of the email address atleast once in a year

6. The client and the DP shall have the right to terminate this agreement after giving a notice of
at least 10 days in advance to the other party

Signed and delivered by

First Holder F14

Second Holder S14

Third Holder T14

Client Id:

Client email id/web-based id:

Signed and delivered by _____________________________________

(For and on behalf of Participant) Authorised Signatory

Name: IL&FS Securities Services Limited

Address: IL&FS House, Plot No.14, Raheja Vihar, Chandivali

Andheri East, Mumbai 400 072

14