PIS Account Opening & Relationship Form

Company Name(s): 

Portfolio Investment Scheme

Serving the world
from India
for your Investments
RBI permits NRIs / PIOs to invest in the secondary market in Indian companies under the Portfolio Investment Scheme(PIS). The transactions should be through a registered broker on a recognized Stock Exchange - On repatriation and / or
non-repatriation basis.
The following is the list of services offered through our designated branches:
1. Issuance of authorization letter on behalf of RBI for investment under PIS
2. Easy transfer of funds for PIS operations
3. Computation & deduction of Capital Gains tax and effect payment of applicable taxes to Income-Tax Authorities
4. Handle mandatory reporting of PIS transactions to Reserve Bank of India
5. Demat services
6. Internet banking facility to access your PIS account from anywhere and anytime
ŸTransparent and fair dealings
ŸGood avenue for diversified investments
ŸNo minimum balance / Average quarterly balance required.
Advantages of PIS Account
PIS ACCOUNT
OPENING & RELATIONSHIP FORM
NRE – Repatriable NRO – Non-Repatriable
Form No.
IDBI Bank Limited, Regd. Office: IDBI Tower, WTC Complex, Cuffe Parade, Mumbai – 400 005.
Toll Free No.: 1800 - 22 - 1070 (MTNL / BSNL) and 1800 - 200 - 1947 (Others). www.idbi.com
INSTRUCTIONS FOR FILLING UP THE FORM
1 Application form to be filled in CAPITAL letters only
2 Self-attested copies of PAN Card to be furnished by all applicants. In case the photo on PAN copy is not clear, another self-attested photo identity proof should be submitted. Original PAN Card should be provided for verification in case of face-to-face account
opening.
3 In case of females, if PAN is in maiden name, then copy of Marriage Certificate or official Gazette to be submitted
4 In case customer is sending the Account Opening forms through post/courier all the documents and signature should be attested by an Indian Embassy or Notary or Banker abroad.
5 First applicant in PIS Account, Demat Account & Trading Account should be same. PIS permission shall be granted only to the First Applicant in the PIS Account.
6 Corrections, if any, are to be duly authenticated by all the applicants
7 Address mentioned on the form should exactly match as per the address proof document
provided.
8 Online trading is not offered to U.S.A. & Canada based NRIs.
Broker Label Code ________________________ Sol ID
Mr./Ms. ________________________ Cust Id 1 ________________________
Mr./Ms. ________________________ Cust Id 2 ________________________
Mr./Ms. ________________________ Cust Id 3 ________________________
Inward No. ________________________ Employee/DST Name & Code ________________________
Client Relationship : New Existing
________________________
Scheme Code: RNEPS RNOPS
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11. Format of details of shares acquired as resident Indian (as per Annexure III)
12. In case of transfer of PIS Account from other bank
a) Transfer of PIS Account from other bank
(i) NRE (Annexure IV)
(ii) NRO (Annexure V)
b) PIS Closing holding statement of previous bank
c) NOC for transfer of PIS Account to IDBI Bank
d) Demat Statement
9. Client Account details
10. Format of details of shares acquired on Repatriation/Non Repatriation basis (NRE/NRO shares)
from primary market
14. Visa/Work/ Resident Permit (Please specify) ____________________________
15. Overseas/Domestic Residence Proof
17. Latest passport size photograph of each applicant
16. PAN card
13. Passport
Documents to be submitted along with this PIS application:
(Please tick '3' the ones applicable to you)
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1. General Account opening checklist
2. PIS Relationship Form (NRE/ NRO)
5. RPI/NRI Form (PIS Application form - with Repatriation / without Repatriation) RPI NRI
6. Schedule of charges
8. Customer Profile Form
Part - A Yes No NA
Part - B Yes No NA
Yes No NA
3. Declaration
4. Letter of Authority
7. Nomination Form
Part - C (Self Attested)
To be filled by Home Branch
I hereby certify that I have done the verification and the above details are true and correct.
Signed by - Branch Head/SOM: __________________________________________________________________________
Name: __________________________________________________________________________
EIN: __________________________________________________________________________
b) NRO (Annexure II)
a) NRE (Annexure I)
(i) Demat Statement
(ii) Allotment Letter
(i) Demat Statement
(ii) Allotment Letter
(i) Demat Statement
(ii) Allotment Letter/Share Purchase Contract Note
Passport No. Date of Issue Date of Expiry Place of Issue Nationality
1st Applicant
2nd Applicant
3rd Applicant
Visa No. Date of Issue Date of Expiry Place of Issue
1st Applicant
2nd Applicant
3rd Applicant
Visa Details
Passport & Residence Visa/Work Permit duly attested by ¨ Banker Indian Embassy/High Commission Notary ¨ ¨Public ¨ Others
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Passport Details
In case address details of the 2nd & 3rd applicant are different from the 1st applicant, attach additional sheet and provide the same as per the above format.
Mailing Address: ¨ Overseas / ¨ Indian (please tick as applicable) Please note that all communications from bank will be
sent to the mailing address.
Overseas Address
Address:
Zip Code Country
Mobile No. Landline No.
Fax No.
Mobile No. Fax No.
Personal Details
Date of Birth
(dd/mm/yyyy)
Sex
M/F
Mother's Maiden
Name
Marital
Status PAN/GIR Relationship with
First Applicant
1st Applicant
2nd Applicant
3rd Applicant
Self
Title First Name Middle Name Surname
1st Applicant (Mr/Ms)
2nd Applicant (Mr/Ms)
3rd Applicant (Mr/Ms)
Occupation
PIS Relationship Form
Please open my/our PIS account at Designated
Branch
Date___________________
NRE NRO (dd/mm/yyyy)
(Part A)
Indian Address
Bldg./Flat No & Name
Road No. & Name Area
City
Landline No.
State
PIN Code
E-mail Id
Account Operation
Single Either or Survivor Former or Survivor Anyone or Survivor Jointly by all Others
Statement Frequency
Quarterly By post (Charges applicable)
Monthly e-mail
Nomination Yes No
(*Please complete the attached nomination form)
Instructions
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(applicant should also sign across the photograph)
Internet Banking facility Yes No
1st Applicant Photo
Name :
Signature I
Signature II
Signature III
Name :
2nd Applicant Photo
Name :
3rd Applicant Photo
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Declaration
I/We do hereby solemnly declare and undertake as under:
1. I am/We are Non Resident Indian(s)/Person(s) of Indian Origin and not residents of any Jurisdiction where opening or maintaining of the Account
is prohibited by the law and Regulatory requirement of such Jurisdiction and/or the applicable laws in India.
2. I/We agree to abide by the provisions of the NRE/NRO Accounts scheme and the Portfolio Investment Scheme as laid down by the RBI and as
per the relevant Act and the Regulations as amended from time to time. I/We also agree that if any of the statements/declarations made herein
are found to be incorrect, Bank is not bound to pay any interest on the deposits made by me/us and may also recover any interest credited earlier
to the said account/s
3. I/We hereby state that I/We shall not maintain any other PIS account (NRE/NRO) with any other bank. I/We understand that PIS accounts are
permitted with any one designated bank branch in India, at any given point of time
4. I/We understand that I/We have to maintain a separate Savings PIS A/c (NRE/NRO) for purpose of investments in secondary markets on
repatriation and non-repatriation basis respectively. No other transactions of any other nature will be routed through these accounts.
5. I/We understand that no. chequebooks and ATM-cum-Debit card shall be issued with PIS SB Accounts & no third party transactions will be made
by me/us.
(*Please complete the channel registration form if not opted earlier)
Name of SOM/BH Signature / EIN Code Date
I have verified the particulars of the applicant/s on the basis of Passport /VISA/Work permit and am satisfied with the Non Resident Indian
(NRI)/ Person of Indian origin (PIO)/ Overseas Citizen of India (OCI) status of the applicant/s. I hereby certify that the necessary KYC
documents have been obtained by me. I confirm that the documents are adequate to comply with KYC requirement of the Bank. I hereby
confirm that I have verified UN list of terrorist group and GOI and Bank's guidelines and confirm the applicant(s) are not included in caution
advices / black list.
I also certify that (Please tick which ever is applicable)
I have met the customer and spoken to him. I had verified the copies of KYC documents with the original document
We have received the Account opening form along with the KYC documents through post / courier. The Account Opening form and KYC
documents are attested by _________________________
Based on the above, the NRI PIS account may be opened.

To be filled by Home Branch
6. I/We authorize the bank to debit all types of bank charges/commission/fees payable by me/us to my/our PIS Savings Bank Accounts/ Normal Savings Bank Accounts (NRE/NRO) that are linked to the respective PIS Accounts (NRE/NRO). I/We undertake that adequate balance shall be maintained by me/us in the respective Savings Bank accounts to facilitate the debiting of interest and service charges. The failure on part of me/us to maintain sufficient balances in the accounts shall not in anyway impair the right of the Bank to claim/recover the entire amount
due, including interest and services charges in full, by any means in whatsoever manner, including by debit to any other accounts maintained by me/us with IDBI Bank.
7. I/We understand that Funds Transfer from normal SBNRE A/cs to PIS SBNRE A/cs and vice versa is only allowed. Similarly, Funds Transfer from normal SBNRO A/cs to PIS SBNRO A/cs and vice versa is allowed and from normal SBNRE A/cs to normal SBNRO A/cs is only allowed.
8. I/We undertake to provide all the necessary documents/clarifications whenever required by the bank. I/We understand that the PIS Account will be used only for bonafide transactions relating to PIS that does not involve any violations of the provisions of any Government/Exchange Control Regulations and I/We shall be solely liable for any action initiated by any of the regulatory authorities concerned.
9. I/We also state that I/We am/are solely liable for any non-compliance of the SEBI/RBI Regulations as well as FEMA Regulations or any other relevant directives/guidelines that may be in force on account of my/our PIS accounts.
10. I/We agree and confirm to bear any losses or claims that may arise directly/indirectly on account of the Bank acting on any instructions received
by it by fax or any electronic media given by me/us or on my/our behalf and agree to keep the Bank indemnified from any such losses and/or claims.
11. While opening PIS Account with IDBI Bank, I/we would ensure that all my/our shares would be held in dematerialized form and no shares would
be held in physical form. I/We would also ensure that inter-Demat transfers would not be carried out by me/us under the PIS scheme within my/our other Demat accounts (PIS/Non-PIS) or to any third party through Delivery Instruction Slip (DIS) or otherwise.
12. I/We agree that if PIS account is transferred from any other bank to IDBI bank, then I/We shall furnish a 'No Objection Certificate' from my/our present banker along with relevant Annexure as specified by the Bank with a latest copy of the Demat statement of securities.
13. My/our accounts shall be opened and I/we shall start trading on Recognized Stock Exchange only after closure of the existing PIS account with
the previous bank and on receipt of intimation from IDBI Bank.
14. I/We shall not undertake following transactions, either intentional or otherwise
a. Non delivery based transactions
b. Intra-day purchase & sale or vice versa
c. Speculative transactions
d. Short-selling transactions
e. Same day square-off
f. Auction transactions (purchase/sale auctions)
g. Off-market transfers
15. I/We shall not purchase Banned/Cautioned scrips that are prohibited by RBI. In case of default, I/We shall arrange to sell the same immediately and losses and applicable charges, if any, on account of such transactions will be borne by me/us and I/we shall be responsible for legal consequences, if any. Further, the First In First Out (FIFO) method of Capital Gain computation shall be effected and accordingly Tax shall be
deducted at source.
16. In case of delay, default, non-compliance, non-provision of details from Me/Us/ Broker within prescribed time, I/we shall be solely responsible for
the following consequences
a. FIFO method of Capital Gains computation (period of holding) for such transactions and subsequent transactions shall be impacted
b. Tax may be deducted on gross sale proceeds at the maximum marginal rate.
c. Any delayed credit to my respective accounts. Further, the sale proceeds may be credited to my Non-Repatriable Accounts or shall
be kept on hold by the Bank till I/we submit required details to the Bank
d. Additional fee/charges, if any, charged by the Bank without holding the Bank responsible for the same
e. Incorrect Reporting to RBI and non-compliance with respect to other Legal entities like Company Law, FEMA, Income Tax.
f. Any legal consequences, be it tax-related, interest, penalty, prosecution or otherwise
17. In case I/we wish to acquire Cautioned scrips or Gift shares as per the relevant statute, I/we would take specific permission from RBI for the same
18. I/We understand that the purchase of equity shares/convertible debentures in each company with repatriation and non-repatriation benefits shall not exceed 5% (or as prescribed by Reserve bank of India from time to time) of the paid up capital of the company, subject to an overall ceiling of 10% (or as prescribed by Reserve Bank of India from time to time) All consequences of failure in such compliance, including any losses arising out of reversal of transactions shall be to our account.
19. I/We shall ensure that sufficient balances to cover full purchase consideration of securities are maintained in the PIS Savings Bank Accounts
(NRE/NRO) while placing purchase requests with my/our broker.
20 I/We authorise the bank to debit my/our PIS A/C (NRE/NRO) for equivalent value of contract note for purchase transactions received from SEBI registered stock broker.
21. I/We shall ensure that my/our depository account (Demat account) contains free shares for delivery, prior to placing any sale order with my/our
broker.
22. I/We also state that I/We shall not involve or hold the bank responsible for any dispute between me/us and my/our Broker.
23. I/We shall intimate the bank about any change in the status of security holdings on account of Corporate Actions or otherwise (IPO/FPO, Rights,
Buy Back, ESOP, Inheritance, Gift, etc.,) to facilitate proper reporting under NRE/NRO PIS to RBI and Capital Gain computations as per the
Income Tax Act, 1961.
24. I/We shall report all secondary market transactions done through SEBI registered Stock Broker on recognized stock exchange and on the same
day arrange to submit the original contract note of the transactions to the Bank from such Stock Broker
25. I/We hereby state that I/we shall not hold the bank responsible for any loss on account of non-reporting of the purchase of shares
(Rights/IPO/Secondary markets, etc.,) before their sale. I/We agree that in case of late reporting by me, the date of reporting/date of
dematerialization (whichever is later) be considered as the date of acquision for the calculation of Capital Gains Tax.
26. I/We understand that no net credits/debits for the day's transactions shall be permitted i.e. gross settlement shall be done. All individual transactions in the PIS accounts shall be reflected at their full value.
(NRE/NRO)
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27. I/We authorize the Bank to calculate the tax on First in First Out (FIFO) basis and deduct tax at source wherever applicable, at the rates notified by the government from time to time. For the purpose of deduction of tax at source, losses arising through individual transaction on same day or otherwise will not be set-off against gains, if any arising from other transactions in the PIS on same day or otherwise.
28. I/We understand that IDBI Bank can outsource the tax calculation and related activities (viz., calculation of capital gains tax, issue of CA
Certificate, compiling data for RBI reporting, etc.) to a Chartered Accountancy firm specialised in PIS Services who may have access to my/our
account/transaction details. I/We would not have any objection in the said agency knowing/referring my/our account details and would not hold
IDBI Bank/CA firm liable in any manner in this regard.
29. I/We agree to adhere to the RBI guidelines and restrictions on purchase of shares (Banned / Caution) and shall refer RBI website before dealing
on recognised stock exchange (check site http://www.rbi.org.in) or any other website notified in future.
30. I/We understand that if I/we am/are unable to provide the proof of scrips held by me/us in my/our NRE PIS A/cs, then I/we would not be permitted
to repatriate such funds out of India or transfer to any other NRE Accounts.
31. Any changes such as residential status, name/address/email ID, telephone numbers, contact person, etc., in any of my Accounts shall be
intimated to the Bank immediately.
32. I/We understand that the Bank may at its absolute discretion, discontinue any of the services completely or partially without any notice to me/us.
33. I/We specifically agree and confirm that any matter or issue arising hereunder shall be governed by and construed exclusively in accordance with the Indian laws and shall be subject to the jurisdiction of the Courts within the Republic of India.
34. I/We shall indemnify and hold the bank harmless against any direct losses, costs or claims which bank might incur/suffer as a result under PIS.
35. I/We specifically agree to hold the bank harmless from any and all claims and agree that the bank shall not be liable for any loss, actual or
perceived, caused directly or indirectly by equipment failure, communication line failure, system failure, internet, unauthorized access or any
other problem technological or otherwise, that might prevent the client from entering or the bank from executing an order or other conditions
beyond bank's control.
36. I/We do hereby declare that the information furnished in this form is true to the best of my/our knowledge and belief.
37. I/We shall irrevocably and unconditionally authorize you to act on my faxed / scanned instructions/instructions received through my/our
registered e-mail id, which you in your sole discretion believe emanate from me/us or otherwise appear to comply with the terms of the mandate
for the account(s) viz., PIS Account No. NRE___________________________________ NRO__________________________________;
PIS Linked Savings Account No. NRE_______________________________ NRO______________________________________
maintained under the same Customer ID and you shall not be liable for acting in good faith on faxed / scanned instructions / instructions received
through registered e-mail id which emanate from unauthorized individuals or any circumstances whatsoever.
38. I/We am/are aware of possible risks involved in connection with the giving of any faxed/scanned instruction/instructions received through my/our
registered e-mail id.
39. I/We undertake to keep you indemnified at all time against, and to save your harmless from all actions, proceedings, claims, loss, damage, cost and expenses which may be brought against you or suffered or incurred by you and which shall have arisen either directly or indirectly out of or in connection with your accepting faxed/scanned instructions from me/us/accepting instructions received though my/our registered e-mail id, and acting thereon, whether or not the same are confirmed in writing by me/us. I/We undertake to submit / furnish the mandate letter bearing an original signature in due course for your records.
40.I/We confirm that I/We have read and understood the above declaration pertaining to the PIS account mentioned in this form and signed as a
token of my/our agreeing to comply with them.
Signature of 1st Applicant Signature of 2nd Applicant Signature of 3rd Applicant
Name: __________________________ Name: __________________________ Name: __________________________
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To be filled by Home Branch
Verified and Signed by Branch Head / SOM :
Name : ______________________________________________________________
EIN : _______________________________________________________________
_____________________________Signature_________________________
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I,_____________________________________We,__________________________________________, ____________________
_________________________________hold an NREPIS / NROPIS Account no. ___________________________________________________ with
IDBI Bank branch and in order to facilitate proper execution of my / our transactions including but not limited to transactions for purchase or redemption or sale
of shares, securities, stocks, bonds, debentures, mutual fund units, units of any collective investments scheme or any other security or financial instrument, I /
We do hereby authorise IDBI Bank to do all the following acts, deeds and things for and on my / our behalf namely:
(i) to operate, block and / or debit the PIS Account to meet all margin / settlement obligations in terms of the Master Client Agreement for
transactions between me/us and ________________________________
(SEBI Registration No. _________________________________________) herein after referred as the Broker
having its registered office at _____________________________________________________________________________
and to meet all funds obligations for transactions done on behalf of me/us and to give other instructions relating to the PIS Account.
(ii) to credit to the PIS Account with moneys due to me/us.
(iii) to debit / issue instructions to debit my / our Bank accounts maintained with IDBI Bank towards moneys / fees / charges, etc. due to the Broker or
IDBI Bank and to discharge all funds obligations in this regard on my /our behalf by virtue of I / We using / subscribing to any of the facilities / services provided by IDBI Bank / Broker.
(iv) if required for the purpose, to make applications, issue instructions for creation of lien and / or charge or funds for the purpose of margin or other monies payable by me / us for the trades/transactions done or to be done by me /us through the Broker
(v) to deal with my /our assessment to income tax, super tax, gift tax, expenditure tax, capital gains tax and any other tax on incomes, revenue or capital, to apply for refunds of any such tax or taxes, to engage on my / our behalf and at my / our cost, auditors, lawyers or tax consultants as may be necessary or expedient to file all returns and papers and to attend and represent me / us before any authority or tribunal concerned and for all such purpose to sign, execute and deliver all such documents and make all such declarations as may be necessary in the premises and to apply for certified copies of any documents or orders made by aforesaid authorities.
(vi) to allow or authorize the Broker to have a “View Only Access” to my / our PIS Account.
(vii) to do such acts, deeds, and things which may be necessary or incidental to the operation or maintenance of the PIS Account and/or settlement
of the transactions arising out of above referred the Master Client Agreement.
I / We confirm that this Letter of Authority shall remain binding on us / me and irrevocable till such time this Letter of Authority is revoked in writing with prior
intimation of 30 days to IDBI Bank.
Broker Name
PIS Account No.
Signature of 3rd Applicant
Name: __________________________ Name To: be filled by
Home Branch Name: __________________________
Verified and Signed by Branch Head / SOM : ______________________________________________________________
Name : ______________________________________________________________
EIN : _______________________________________________________________
Signature
Letter of Authority
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Signature of 2nd Applicant
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Signature of 1st Applicant
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IDBI Bank Limited,
______________________
______________________
______________________
Dear Sir,
Operation of PIS Account
Yours faithfully,
1. Particulars of the applicant
(i) Full Name
(ii) Overseas address
(iii) Nationality
(iv) Details of current Passport
a Passport No.
b. Place and date of issue
c. Issued by
d. Country of residence as stated in the passport
e. Country of birth
(v) If the applicant is not a citizen of India, the basis on which he/she claims to be a person of 'Indian origin' (Please see instruction 4)
(vi) Whether resident outside India permanently; if not, since when residing abroad
(vii) Occupation (employment, business vocation etc.)
(viii) Relationship with other joint holders
PIS Permission
NRI - REPATRIABLE
RPI
REGULATION 5 (3) (i)
Application from NRIs of Indian nationality or origin for permission under Foreign Exchange Management Act, to purchase shares of
Indian companies through stock exchange/s in India with benefits of repatriation of capital invested and income earned thereon.
Instruction:
1. The application should be completed in duplicate and submitted to the Chief General Manager, Exchange Control Department (Foreign Investment Division - NRI Cell). Reserve Bank of India, Central Office, Mumbai - 400001 through a designated branch of a bank authorized to deal in foreign exchange in India. Under the Portfolio Investment Scheme, only certain branches have been designated to undertake the work relating to investments. In order to facilitate such investments, it would be advisable if the applicant's account is maintained with the same branch of the bank through which this application is submitted.
2. This form may be used for permission to purchase debentures also.
3. Applicants wishing to purchase shares/debentures without repatriation benefits should submit a separate application on Form NRI to the above office of RBI, through the same designated branch
4. For the purpose of the facility of investment in shares and securities, a person (not being a citizen of Pakistan or Bangladesh) shall be deemed to
be of Indian origin, if (i) he, at any time, held Indian passport or (ii). he or either of his parents or any of his grand parents was a citizen of India by
virtue of the Constitution of India or Citizenship Act, 1955 (57 of 1955). A spouse (not being citizen of Pakistan or Bangladesh) of an Indian citizen
or of a Person of Indian Origin is also deemed to be a person of Indian origin.
NRI
REGULATION 5 (3) (i)
Application from NRIs of Indian nationality or origin for permission under of Foreign Exchange Management Act, to purchase shares of Indian companies through stock exchange/s in India without benefits of repatriation of capital invested and income earned thereon.
Instruction:
1. The application should be completed in duplicate and submitted to the Chief General Manager, Exchange Control Department (Foreign
Investment Division - NRI Cell). Reserve Bank of India, Central Office, Mumbai - 400001 through a designated branch of a bank authorized to
deal in foreign exchange in India. Under the Portfolio Investment Scheme, only certain branches have been designated to undertake the work
relating to investments. In order to facilitate such investments, it would be advisable if the applicant's account is maintained with the same branch
of the bank through which this application is submitted.
2. This form may be used for permission to purchase debentures also.
3. Applicants wishing to purchase shares/debentures with repatriation benefits should submit a separate application on Form RPI to the above
office of RBI, through the same designated branch.
4. For the purpose of the facility of investment in shares and securities, a person (not being a citizen of Pakistan or Bangladesh) shall be deemed to
be of Indian origin, if (i) he, at any time, held Indian passport or (ii). he or either of his parents or any of his grand parents was a citizen of India by
virtue of the Constitution of India or Citizenship Act, 1955 (57 of 1955). A spouse (not being citizen of Pakistan or Bangladesh) of an Indian citizen
or of a Person of Indian Origin is also deemed to be a person of Indian origin.
1st holder 2nd holder 3rd holder
2. Source of funds from which payment for shares/ debentures to
be purchased will be made
(i) By remittances from abroad
(ii) From non-resident bank account in India
a. Nature of account viz., NRE/NRO/FCNR a/c
b. Account number
c. Address of the bank branch maintaining the a/c
3. Whether the applicant already holds any shares/ convertible
debentures in Indian companies with/without benefits of repatriation. If so, please furnish complete list of such shares/convertible debentures in the Annexure provided indicating the name and address of the company, total number and face value of the shares/ convertible debentures held.
NRI – NON-REPATRIABLE
NRE - REPATRIABLE NRO - NON-REPATRIABLE
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I/We solemnly declare that the particulars given above are true and correct to the best of my/our knowledge and belief and that I/we am/are citizen (s)
of India/person(s) of Indian origin.
I/We hereby agree and undertake that I/We, will not, at any time, seek repatriation of the capital invested. This undertaking will also be binding on
my/our heirs, executors, successors and assigns and they will not be entitled to seek repatriation of any capitals so invested by me/us.
I/We agree and undertake to ensure that my/our total holding of equity/preference shares/convertible debentures in any one Indian company that
may be allowed to be purchased through stock exchange/s (including the equity/preference shares/convertible debentures already held, if any, in
that company) with or without repatriation benefits shall, at no time, exceed Five per cent of the paid-up equity capital/paid-up preference
capital/paid-up value of each series of convertible debentures of that company.
Place: __________________ Date : __________________
For Bank use (to be filled by Home Branch)
I/We hereby certify that the applicant(s) is/are non-resident(s) of Indian nationality/origin and that he/she/they is/are our bonafide constituent(s). We
also undertake to ensure that shares/debentures will be purchased through recognized stock exchange/s in India in conformity with the relevant
Exchange Control regulations and we shall comply with the terms and conditions as may be stipulated by the Reserve Bank while granting its
permission to purchase shares on behalf of the applicant(s).
Date : ___________________
Name : _______________________________________________
Designation : _______________________________________________
Name and Address of Bank Branch : _______________________________________________
Signature of 3rd Applicant
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Signature of 2nd Applicant
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Signature of 1st Applicant
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To be filled by Home Branch
Verified and Signed by Branch Head / SOM : ______________________________________________________________
Name : ______________________________________________________________
EIN : _______________________________________________________________
Signature
Signature of 3rd Applicant
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Signature of 2nd Applicant
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Signature of 1st Applicant
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1 PIS approval issuance fee Nil
2 Annual account maintenance fee 1000
3 PIS Reporting charges
Purchase 100 per trade date
Sale 100 per trade date
Sr.
No.
Terms & Conditions:
1. Charges / service standards are subject to revision at the bank's sole discretion.
2. Account maintenance fees are non refundable.
3. Annual account maintenance fee will be debited annually upfront, while reporting charges will be debited each time the transaction is processed.
4. All fees will be debited to the designated PIS / Normal Savings Account.
5. All applicable taxes will be levied on the above fees/charges.
6. The above charges are independent of the Demat Account charges, trading / transaction taxes, fees and / or charges.
Schedule of Charges for Portfolio Investment Scheme
Particulars Charges (INR)
10
(Signature of Branch Head / SOM)
Nomination Form DA1
Nomination under Section 45 ZA of the Banking Regulation Act, 1949 and Rule 2(1) of the Banking Companies (Nomination) Rules in respect of bank deposits.
I/We ____________________________________________ ____________________________________________
Name(s) and Address(es) of depositors Name(s) and Address(es) of depositors
____________________________________________ ____________________________________________
____________________________________________ ____________________________________________
Nominate the following person to whom in the event of my/our/minors death, the amount of deposit in the account(s), particulars whereof are given below, may
be returned by IDBI Bank Limited _______________________________________ branch.
Name :
Mailing Address :
City : State : PIN Code :
Country :
Relationship with depositor (if any) : Age (yrs):
Date of Birth (if nominee is minor) :
*As the nominee is a minor on this date, I/We appoint Shri/Smt./Kum.
Mailing Address :
(dd/mm/yyyy)
Nominee
to receive the amount of the deposit in the account on behalf of the nominee in the event of my/our/minor's death during the minority of the nominee.
___________________________________________________
** Signature(s) / Thumb impression(s) of the Account Holder(s)
Nature of Deposit Account No. Additional details, if any
Address :
Name :
Place :
Date :
Witness(es)***
Address :
Name :
Place :
Date :
* Strike out if nominee is not a minor. ** Where the deposit is made in the name of minor, the nomination should be signed by a person lawfully entitled
to act on behalf of the minor . *** Thumb impression(s) shall be attested by two witnesses.
Registration No. (To be filled in by the bank)
Signature *** ___________________________________ Signature *** ___________________________________
11
(X7,Y7,Z7)
Cust id
Account No.
Name
Residential status Resident
Non resident
Occupation Service Retired Self employed Housewife Others
Please specify
Purpose of opening account
If in service
Name of organization
If self employed-nature of
business Since when in
business specify Year
Trading
Manufacturing
Services
Agriculture
Real estate
Other please specify
If self employed professional CA
Doctor
Lawyer
Stock broker
Consultant
Others please specify
Sources of Income Salary
Business
Agriculture
Others please specify
Annual Income (Please attach copy of
latest IT return / form16 / salary slip)
Transaction profile i.e. value of
transactions likely to be routed through the
account in a month/quarter/half year
In case of new firm sales tax return of the
previous quarter or projected sales may be
accepted.
Details of branch offices/allied associate
concerns and nature of their business
Details of foreign collaboration if any.
Residence
Signature of customer
Owned Leased Others Please specify
Level
Signature of Branch Head/SOM
For Bank's use
Level 1 Level 2 Level 3
Note: In case you are opening a joint account, please take separate print out for the use of each account holder.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Customer Profile Format (Individuals/Self employed)
12
X8
7
X9
7
Y9
7
Z9
To be filled by designated branch
Client Name : _________________________________ Branch ______________________ PIS Form No.:___________________
PIS NRE A/c No. ______________________________________ PIS NRO A/c No. ______________________________________
RBI Approval No. ______________________________________ RBI Approval No. ______________________________________
Approval Date: ________________________________________ Approval Date: ________________________________________
Name : ______________________________ Name : ______________________________ Name : ____________________________
Signature of 1st Applicant Signature of 2nd Applicant Signature of 3rd Applicant
Client Account Details(This sheet to be retained at designated branch)
Note: Do not strike off any field. Leave blank if not applicable.
Stock Broker Information
Broker Name __________________________________________________________________________________________________
Address ______________________________________________________________________________________________________
SEBI Registration No .NSE _______________________________ SEBI Registration No .BSE __________________________________
Contact Person ________________________________________ Email: ________________________________________________
Tel: ______________________________________ Fax: __________________________ Mobile: ___________________________
NRE Savings Bank Account no.:
NRO Savings Bank Account no.:
Customer Id :
PAN No.:
Non PIS Savings Bank Account Details
(To be linked to PIS Account)
Depository Participant Information
DP Name ________________________________________________ DP Id
Client Id NRE Client Id NRO
DP Address __________________________________________________________________________________________________
Contact Person ______________________________________ Email: __________________________________________________
Tel: _____________________________________ Fax: ______________________ Mobile: ______________________________
(Part B)
NRE NRO
13
First Holder Signature Second Holder Signature Third Holder Signature
Client Name: ____________________________
Annexure I
(REPATRIABLE BASIS NRE SHARES)
(This sheet to be retained at designated branch)
Note : If this annexure is not applicable to you, please sign in the signature box and write "Not Applicable" across the annexure. In case of any holding ensure that all the columns are mandatorily filled.
To be filled by Home Branch
Verified and Signed ______________________________________________________________
Name : ______________________________________________________________
EIN : _______________________________________________________________
by Branch Head / SOM : Signature
FOR SHARES ACQUIRED THROUGH PRIMARY MARKET ON REPATRIABLE BASIS (NRE SHARES) & HELD IN DEMATERIALIZED FORM
Name of Company
Date of Acquisition
(Date/Month/Year)
No. of Shares
(Quantity in Figures)Face Value
(per share) (`)
Acquisition Price(per share) (`)
Total Cost Sr. (`)
No.
Mode of
Acquisition
IPO/Bonus/Split
Amalgamation/
Demerger
14
X10 Y10 Z10
First Holder Signature Second Holder Signature Third Holder Signature
Client Name: ____________________________
(This sheet to be retained at designated branch)
Note : If this annexure is not applicable to you, please sign in the signature box and write "Not Applicable" across the annexure. In case of any holding ensure that all the columns are mandatorily filled.
Annexure II
(NON-REPATRIABLE BASIS NRO SHARES)
To be filled by Home Branch
Verified and Signed ______________________________________________________________
Name : ______________________________________________________________
EIN : _______________________________________________________________
by Branch Head / SOM : Signature
Name of Company
Date of
Acquisition
(Date/
Month/Year)
No. of
Shares
(Quantity
in Figures)
Face Value
(per share) (`)
Acquisition Price (per share)
(`)
Total Cost
Sr. (`)
No.
Mode of Acquisition
IPO/Bonus/Split
Amalgamation/
Demerger
15
X11 Y11 Z11
FOR SHARES ACQUIRED THROUGH PRIMARY MARKET ON NON - REPATRIABLE BASIS (NRO SHARES) & HELD IN DEMATERIALIZED FORM
First Holder Signature Second Holder Signature Third Holder Signature
Annexure III
(SHARES ACQUIRED DURING THE RESIDENT STATUS)
To be filled by Home Branch
Verified and Signed ______________________________________________________________
Name : ______________________________________________________________
EIN : _______________________________________________________________
by Branch Head / SOM : Signature
FOR SHARES ACQUIRED / HELD BY NRI AS RESIDENT INDIAN & HELD IN DEMATERIALIZED FORM
Name of Company
Date of Acquisition
(Date/Month/Year)
No. of
Shares
(Quantity
in Figures)
Face Value
(per share)
(`)
Acquisition Price
(per share)
(`)
Total Cost
Sr. (`)
No.
Mode of Acquisition
IPO/Secondary Market
Bonus/Split
Amalgamation/Gift
Demerger
16
Client Name: ____________________________
(This sheet to be retained at designated branch)
Note : If this annexure is not applicable to you, please sign in the signature box and write "Not Applicable" across the annexure. In case of any holding ensure that all the columns are mandatorily filled.
X12 Y12 Z12
ANNEXURE IV
(TRANSFER OF NRE SHARES)
To be filled by Home Branch
Verified and Signed ______________________________________________________________
Name : ______________________________________________________________
EIN : _______________________________________________________________
by Branch Head / SOM : Signature
17
Customer Transfer of PIS Account from other Bank (Primary & Secondary Market Investment)
Name of Scrip
Transaction from
Primary OR Secondary
Transaction Date of purchase (Date/Month/Year)
No. of shares (Quantity in Figures)
Acquisition Price(per share)
(`)
Amount Sr. (`)
No.
Whether
Reported
to RBI Yes/No
Client Name: ____________________________
(This sheet to be retained at designated branch)
Note : If this annexure is not applicable to you, please sign in the signature box and write "Not Applicable" across the annexure. In case of any holding ensure that all the columns are mandatorily filled.
First Holder Signature Second Holder Signature Third Holder Signature
X13 Y13 Z13
18
ANNEXURE V
(TRANSFER OF NRO SHARES)
To be filled by Home Branch
Verified and Signed ______________________________________________________________
Name : ______________________________________________________________
EIN : _______________________________________________________________
by Branch Head / SOM : Signature
Customer Transfer of PIS Account from other Bank (Primary & Secondary Market Investment)
Name of Scrip
Transaction from
Primary OR
Secondary
Transaction Date
of purchase
(Date/Month/Year)
No. of shares
(Quantity in
Figures)
Acquisition Price(per share)
(`)
Amount
Sr. (`)
No.
Whether
Reported
to RBI Yes/No
Client Name: ____________________________
(This sheet to be retained at designated branch)
Note : If this annexure is not applicable to you, please sign in the signature box and write "Not Applicable" across the annexure. In case of any holding ensure that all the columns are mandatorily filled.
First Holder Signature Second Holder Signature Third Holder Signature
X14 Y14 Z14
19
IDBI Bank Limited, Regd. Office: IDBI Tower, WTC Complex, Cuffe Parade, Mumbai – 400 005.