POWER OF ATTORNEY (VOLUNTARY)

KNOW ALL MEN BY THESE PRESENTS THAT I/WE Mr. / Mrs. / M/s (rst holder)
(Second Holder)
(Third Holder)
an Individual/ a sole proprietary concern/ a partnership rm /a body Corporate/trust, registered/incorporated, under the
provisions of the Indian Partnership Act, 1932/the companies Act 1956 or any relevant Act, having his/her/its residence/
registered office/place of business at

(hereinafter referred to as Benecial Owner ) wish to avail / have availed the broking/ E-broking facilities and other services
offered (hereinafter referred to as Services), by RKSV Securities India Private Limited (hereinafter referred to asRKSV)
company incorporated under the companies Act 1956 and having its Corporate office at 30th Floor, Sunshine Tower, Senapati
Bapat Marg, Dadar(W), Mumbai-400013 and is a Member (Trading Member) of The National Stock Exchange of India
Limited (NSE),Bombay Stock Exchange limited (BSE) and Metropolitan Stock Exchange of India Limited (MSEI) Respectively
(hereinafter referred to as the Exchange) and is also a Depository Participant registered with Central Depository Services
(India) Ltd (CDSL).
Whereas in the course of availing the services and for meeting the settlement Obligation thereof on the Exchanges, I/We do
hereby nominate, Constitute and appoint M/s. RKSV Securities India Private Limited (Member Broker), Hereinafter referred to
as RKSV acting through their Directors and/or duly authorised staff for the purpose, as my/our true and lawful attorneys for
my depository account with RKSV Securities India Private Limited (Depository Participant) DP ID 12081800
Client ID __ __ __ __ __ __ __ __ to execute and perform severally the following acts,deeds, matters and things, provided the
attorney complies with all applicable conditions of all or any of their services offered by them in their capacity as stock Brokers
1. To have and exercise the powers and /or authority, to do and/or execute the acts, deeds matters and things specied
in agreements between RKSV and the Benecial Owner as may be applicable in relation to the transactions executed by
the client.
2. To operate depository account/(s)for the purpose of transferring any collateral to the margin account and honouring
delivery obligations for any transaction executed with RKSV which is registered as a Depository Participant and a stock
broker registered with Securities and Exchange Board of India(SEBI).
3. To Sign instruction on my behalf with respect to debit / credit the depository account/(s) for the credit or benet of my/
our account with RKSV, for the transactions carried by me/us with RKSV.
4. To issue instructions relating, executing delivery/receipt instructions, pledge creation instructions, pledge closure
instructions, lending and borrowing instructions, to operate the depository account by issue and receipt of instructions
for the above mentioned purpose and such other authorization given by me/us severally on behalf of all of us, or all/
any of us jointly, in any electronic form, in any format and at any time either through the portal of RKSV or through the
internet will be validly constituted attorney to intimate the same to the Depository participant for the purposes of
debiting or crediting my account opened with the Depository Participant.
5. To validate on my/our behalf any such instruction so given to the Depository Participant(S), in written/physical or other
form as may be required by the concerned depository participant.
6. For these purposes and to this extent, RKSV is empowered by me/us, to affix their signatures to any document, form or
any other record, being a delivery participant, as required by the concerned depository.
7. I/We also undertake to pay such demat charges/fees and such other charges incurred by RKSV under this Power of
Attorney and that I/We further authorize RKSV to debit my/our account with RKSV with the said charges as and when
the same becomes due for payment and I/we hereby undertake to pay the same immediately on demand made by
RKSV.
8. To register this Power of Attorney with the Depository Participant and / or with any other party concerned as is required
within the parameters of this Power of Attorney.

First/Sole Holder Signature [1]

Second Holder Signature

Third Holder Signature

PAGE

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ADD/CHANGE LINKED BANK ACCOUNT

To, RKSV,

30th Floor, Sunshine Tower,

Senapati Bapat Marg,

Dadar (W),

Mumbai 400 013
Sub

Request to change my linked bank account

Dear Sir/Madam,
I currently have an account with RKSV Securities and/or RKSV Commodities. I wish to change one of my linked bank accounts
or add a new bank account with my trading account.
I WOULD LIKE TO ADD A SECONDARY BANK ACCOUNT
I WOULD LIKE TO CHANGE A LINKED BANK ACCOUNT
NEW BANK ACCOUNT INFORMATION
BANK NAME
BRANCH ADDRESS
CITY/TOWN/VILLAGE

ACCOUNT NUMBER
ACCOUNT TYPE

STATE

PIN CODE

COUNTRY

MICR NUMBER
CURRENT

SAVINGS

IFSC CODE

OTHERS (Please Specify)

OLD BANK ACCOUNT INFORMATION (IF CHANGING)

BANK NAME
BRANCH ADDRESS
ACCOUNT NUMBER
I/We am/are enclosing herewith copy of either one months bank statement and an original cancelled copy of cheque leaf.
Yours faithfully,

CLIENTS NAME
CLIENTS SIGNATURE

DATE (DD/MM/YYYY)

CLIENT ID

RKSV Securities/Commodities: NSE CM: INB231394231 | NSE F&O: INF231394231 | NSE CDS: INE231394231| CDSL: IN-DP-CDSL- 00282534 | NSDL: INDP-NSDL-11496819 | BSE CM:
INB011394237 | BSE F&O: INF 011394237 | CDSL: IN-DP-CDSL- 00283831 | NSDL: IN- DP-NSDL-11497282 | MCX: MCX/TM/ CORP/2034 |MCX Clearing Code: 46510 | Registered
Address: 802 New Delhi House, New Delhi, 110001 | Corporate Office: 30th Floor, Sunshine Tower, Senapati Bapat Marg, Dadar (W), Mumbai 400 013 |Phone: 022-6130-9999

2.0.2

Registered Office: 807, New Delhi House, Barakhamba Road, Connaught Place, New Delhi, 110 011
Correspondence Office: RKSV Securities India Private Limited, Salasar Business Park, Off 150 Feet Flyover Road, Bhayander West, Thane, Maharashtra 401101
Telephone: +91-22-6130-9999 | Fax: +91-22-6710-7492 | Email: vidya.jadhav@rksv.net / harishchandra.sawant@rksv.net, www.rksv.in

REQUEST LETTER FOR ISSUE OF NEW DIS

Date (dd/mm/yyyy)
DP ID

Client ID

Name of First / Sole Holder

Name of Second Holder
Name of Third Holder
Dear Sir / Madam,
OPTION 1
I/We hereby request you to issue me/us a new Delivery Instruction Book for my/our Demat Account with above mentioned Client Id.
OR
OPTION 2
I/We hereby request you to issue me/us a new Delivery Instruction Book for my/our Demat Account with above mentioned Client
Id since we have misplaced the one which was issued. Book No. ________ was issued to I/We which contained slip number from
___________ to ___________.
Yours faithfully,
First / Sole Holder

Second Holder

Third Holder

Name
Signature

NOTE : Kindly note that the DIS would be dispatched on the BOs correspondence address registered in our records. Incase of NonIndividual account (HUF/Corporate/Partnership/Company) stamp along with signature is mandatory.
(Please Tear Here)
Acknowledgement Receipt
Received REQUEST LETTER FOR ISSUE OF NEW DIS from:
DP ID

Client ID

Name of First / Sole Holder

Name of Second Holder
Name of Third Holder

For RKSV Securities India Private Limited

Annexure 3.1

Registered Office: 807, New Delhi House, Barakhamba Road, Connaught Place, New Delhi, 110 011
Correspondence Office: RKSV Securities India Private Limited, Salasar Business Park, Off 150 Feet Flyover Road, Bhayander West, Thane, Maharashtra 401101
Telephone: +91-22-6130-9999 | Fax: +91-22-6710-7492 | Email: vidya.jadhav@rksv.net / harishchandra.sawant@rksv.net, www.upstox.com

ACCOUNT DETAILS ADDITION / MODIFICATION / DELETION REQUEST FORM

Application No.

Date (dd/mm/yyyy)

Please fill all the details in Block Letters in English

DP ID

Client ID

Account Holders details

Name of First / Sole Holder
Name of Second Holder
Name of Third Holder
I / We request to carry out the change of address / signature in the demat account
I/We request to carry out the change of address / signature in the KRA and demat account
I / We request you to make the following additions / modifications / deletions to my / our account in your records.
Details

(Please specify change of address,

bank details, telephone number, etc.)

Addition / Modification /
Deletion

Existing Details

New Details

(Please Specify)

Attach an Annexure (with signature(s)) if the space above is found insufficient.

First / Sole Holder

Second Holder

Third Holder

Name
Signature

Powered by RKSV Securities India Private Limited

SEBI REG NO.IN-DP-118-2015

(Please Tear Here)

Acknowledgement Receipt
Received Account Details Addition / Modification / Deletions request as per details given below:
Application No.
DP ID

Date (dd/mm/yyyy)
2

Client ID

Name of First / Sole Holder

Name of Second Holder
Name of Third Holder
Modification requested for:
(Specify reason)

For RKSV Securities India Private Limited

Annexure 3.2
Registered Office: 807, New Delhi House, Barakhamba Road, Connaught Place, New Delhi, 110 011
Correspondence Office: RKSV Securities India Private Limited, Salasar Business Park, Off 150 Feet Flyover Road, Bhayander West, Thane, Maharashtra 401101
Telephone: +91-22-6130-9999 | Fax: +91-22-6710-7492 | Email: vidya.jadhav@rksv.net / harishchandra.sawant@rksv.net, www.rksv.in

NOMINATION FORM
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.] [Signatures 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

Client ID

Name of First / Sole Holder

Name of Second Holder
Name of Third Holder
Nominee Details
First Name

Middle Name

Last Name

Address
City

State

PIN Code

Country
Telephone

Fax No.

PAN

UID

Email 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 the following person to act as Guardian:
First Name

Middle Name

Last Name

Address
City

State

PIN Code

Country
Age

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 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

Name of the Witness

Address of the Witness
Signature of the Witness
(To be filled by DP)

Nomination Form accepted and registered wide

Registration No. _______________________

For Depository Participant

(Authorised Signatory)

Dated _______________
(Please Tear Here)
Acknowledgement Receipt
Received Account Details Addition / Modification / Deletions request as per details given below:
Application No.
DP ID

Date (dd/mm/yyyy)
2

Client ID

Name of First / Sole Holder

Name of Second Holder
Name of Third Holder
Modification requested for:
(Specify reason)

For RKSV Securities India Private Limited