ZUARI INVESTMENTS LIMITED
[Regd Office:Jaikisaan Bhawan, Zuarinagar,Goa-403726.(India)]
Corporate Office: F-Block, IInd Floor, International Trade Tower, Nehru Place, New Delhi - 110019. (India)
Tel.: 91-11-26413376/86 Fax: 91-11-26413391

DEPOSITORY
ACCOUNT
OPENING FORM

DP ID : IN 301055                                CORPORATE/CLEARING MEMBER

Date: Client -Id
(To be filled by DP) 		               
I/We request you to open a depository account in my/our name as per the following details:
(Please tick the appropriate box & fill all the details in CAPITAL LETTERS only)
Type of Account:
Body Corporate    FI         FII         ODB        Bank        Trust      Others (Please specify)
Cliet Details:
Name of Corporate (Sole/First Holder)  
Registered Office Address  
Short Name  

Pin Code

            
Correspondence Address
(if different)		  
   

Pin Code

            
Telephone No.   Fax No.
E-mail Address :
Second Holder's Details: Third Holder's Details:
Name   Name
Name of Father/
Husband		 Name of Father/
Husband
Correspondence Address Correspondence Address

Pin Code

            

Pin Code

            
Occupation Occupation
E-mail Address E-mail Address
Bank Details: In Case of FIIs/OCBs/Others (as may be applicable)
Account No.
  
   RBI Referece No.  
Bank Name   RBI Approval Date  
Branch Address   Foreign Address  

Pin Code

            

Pin Code

            
MICR of Cheque* SEBI Registration No. (for FIIs)  
*9 Digit Code number of the bank and branch appearing on the cheque
Financial Details:
  PAN/GIR NO. IT Circle/Ward/Disrict No.
Sole/First Holder    
Second Holder    
Third Holder    
Standing Instructions
I/We Authorities you to receive credits automatically into my/our account Yes No
Acknowledgement
Zuari Investments Limited, New Delhi		 DP ID: IN 301055

Accepted/Rejected the application from M/s ............................................ as the sole/first holder along with .................. and .................. as the second and third holders respectively for opening of a depository account, Your client ID will be intimated to you shortly on acceptance. Please quote the Client ID allotted to you in all your future correspondence.

Date : ........................... Participant Stamp & Signature
.................................."...................................................".............................................

Clearing Member Details (to be filled up by Clearing Members Only)
Name of Stock Exchange  
Name of Clearing Corporation  
Clearing memberId  
SEBI Registration No.  
Trade Name  
CM-BP-Id
(to befilled up by Participant)		  
In case of emergency, person to contact Name   Phone No.   Mobile  

Declaration

The rules and regulation of the Depository and Depository Participants pertaining to an account which are in force now have been read by use and we have understood the same and we agree to abide by and to be bound by the rules as are in force from time to time for such accounts. We also declare that the particulars given by us are true to the best of my/our knowledge as on the date of making such application. 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.

Authorised Signatory
  Name(s) of Holder(s) Signature(s)
Sole/First Signatory    
Second Signatory    
Third Signatory    
Other Holders Second Holder    
Third Holder    
Mode of Operation for Sole/First Holder(In case of joint holdings, all the holders must sign)
Any one Single
Jointly by
As per Resolution
Others(Please specify)
Document for Depository Account Opening
  Corporates
Application Form Corporate A/c Opening Form
Agreement* alongwith Schedule A signed on all the pages  
  1. Certified copy of Memorandum and Articles of Association
  2. Certified copy of Board Resolution (in prescribed format)
  3. As and when the authorised signatories of the corporate change thena fresh board resolution needs to be submitted to the DP along with specimen signatures of the authorised signatory.
Notes:
  1. The names and signatures of the account holders shyould be exactly inthe same order as mentioned on the certificates to dematerialised.
  2. In case of additional signatures, separate annexures should be attached to the application form.
  3. Thumb impressions and signatures other than English or Hindi or any of the other languages not contained in the 8th Schedule of the Constitution of India must be attested by a Magistrate or a Notary Public or a Special Executive Magistrate.
  4. Strike off whichever is not applicable.