Additional Segment Registration Form

Date: ____/____/_______
To,
VSE Stock Services Ltd.
3rd Floor, Fortune Tower,
Sayajigunj,Vadodara-390005.
Ref.: Trading Code: _____________
PAN No.: _________________________
Dear Sir / Madam,
Sub: Modification in the Common details/ additional details mentioned in the KYC/Exchange/Segment addition request
1. I / We, __________________________________________________ registered with you as a client and wish to
modify/add Trading Preference mentioned by me/us in the KYC forms submitted to you at the time of my enrolment or at
any time thereafter. I declare that I do not have other trading account(s) with any other Sub-Broker of VSSL.
2.
In addition to my/our existing segments/Exchange, I/we wish to trade in: (Sign against each Exchange/ segment as per
preference)
Exchange/Segment
Client Sign
BSE (Cash)
NSE (Cash)
NSE (F&O)
MSEI (Currency Derivatives)
3.
This letter is in addition to the authorization/preference given earlier by me/us to you modifying my/our trading
preferences.
4.
I/We understand that the brokerage charged to me/us for the above new segment(s)/ new exchange(s) respective
segment(s) will be same as per existing brokerage charges for existing segment(s) of respective exchange(s) or as
informed to me by the Sub broker.
5.
Updation of details
(a) E-mail Information & Mobile No:
I/We hereby give you consent for receiving contract notes in an electronic form (ECN) and other digitally
signed communication via email on my/our email ID as under:
E-mail ID _____________________ & Mobile No.
_______________________
I/We request you to update my/our above information.
(b) Financial Information for the year : _____________________
Gross Annual Income (Please tick  ) : i) Below 1 Lac
ii) 1-5 Lacs
iii) 5-10 Lacs
iv) 10-25 Lacs
v) >25 Lacs
OR
Net worth in Rs. _________________ as on (date) _________________
6. I/We further declare and undertake that in case I/we found violating the above, I/We shall be solely responsible and liable
to penal action as per rules, regulations and guidelines.
Please enable me/us to deal/trade on National Stock Exchange Ltd. and/or Bombay Stock Exchange Ltd. and/or Metropolitan
Stock Exchange Ltd. on aforesaid Segment(s).
Thanking you,
(Signature & Name of Client)
(Signature of Sub Broker with stamp)
(In case of Non-individual clients, affix relevant Company Stamp and Signed by authorized signatories. The Modification letter
should be signed in the same order as it has been signed in the original KYC)
Attachments:
1. For F&O and CD Segment, Income Proof.
2. KRA & CKYC Form duly completed and signed.
3. Self attested and verified with original copy of PAN and address proof (preferably Aadhar card).
Date:
Place:
1
Acknowledgement
To,
VSE Stock Services Ltd.
3rd Floor, Fortune Tower,
Sayajigunj,
Vadodara-390005.
Dear Sir / Madam,
-
I /We hereby confirm that I have requested VSSL for registration in _________________________ (Name of
Exchange and Segment) in addition to registration with __________________________ (Existing name of
Exchange & segment) and abide by the rules and regulations of SEBI, Stock Exchanges and the Company.
-
I/We hereby, acknowledge the receipt of
1.
2.
3.
4.
5.
6.
Rights and Obligations Rights and Obligations of Stock Brokers, Sub-brokers and Clients (including
additional rights & obligations in case of internet/wireless technology based trading).
Risk Disclosure Document for Capital Market and Derivatives Segments.
Guidance Note - Do's and Don'ts for Trading on the Exchange(s) for Investors.
Policies and Procedures Document pursuant to the SEBI circular dated December 03, 2009.
Tariff Sheet.
Account opening letter (Welcome Kit) and agree to bind by such provisions as outlined, which has also
been placed on www.vselindia.com .
-
I/We
have
a
Beneficiary
Account
(Demat)
with
VSSL
(DP)
having
No.
_____________________________________ and finding it extremely inconvenient to give cheques, I /We
authorize you to debit the trading account maintained for debit charges payable to VSSL as DP for providing
depository services. Any such amount debited to my account shall be binding on me/us.
-
I/We understand that the Voluntary documents executed by me/us are out of my/our own free will.
-
I/We hereby declare and confirm that my/our account is to be maintained in Running Account mode and request
you to settle my account for funds and/or securities at _____ Quarterly OR _____ Monthly settlement basis. (if
client do not select the check box, Default answer is QUARTERLY)
-
I/We further confirm that all the clauses of Power of Attorney executed by me for ______________ Segment
will also be applicable for additional segment registered by me. And I shall abide for the same.
-
I/We shall be bound to pay KRA Charges as may be levied upon by the CVL KRA and/or CKYC on KYC
updation/modification/fetch.
Thanking you,
(Name & Signature of Client)
For VSE Stock Services Ltd.
(Name & Signature of Sub Broker)
(Authorised Signatory)
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