NOMINEE DETAILS FOR TRADING AND DEMAT ACCOUNT
Date DD / MM / YYYY UCC DP ID/Client ID
I/We wish to nominate (As per details given below)
I/We wish to make a nomination and do hereby nominate the following person(s) who shall receive all the assets held in my / our
account in the event of my / our death.
Details of 1st Nominee Details of 2nd Nominee Details of 3rd Nominee
Name of the Nominee(s)
Share of each Equally % % %
(If not equally,
Nominee please specify %) Any odd lot after division shall be transferred to the first nominee mentioned in the form.
Relationship with Applicant (if any)
Address of Nominee(s)
City / Place
Pin Code
Mobile / Tel
Nominee Email ID
Nominee Identification Details
(Please tick any one of following and
provide details of same]
Photograph & Signature
PAN Aadhar
Bank Account No
Proof of Identity
Demat Account ID
Below details should be filled only if nominee(s) is a minor
Date of Birth (in case of minor nominee(s)) DD / MM / YYYY DD / MM / YYYY DD / MM / YYYY
Name of Guardian
(in case of minor nominee(s))
Relationship with Nominee
Address of Guardian(s)
City / Place
Pin Code
Mobile / Tel
Guardian Email ID
Guardian Identification Details
(Please tick any one of following and
provide details of same]
Photograph & Signature
PAN Aadhar
Bank Account No
Proof of Identity
Demat Account ID
10/18 Signature of 1st Holder
3/11 Signature of 2nd Holder
3/11 Signature of 3rd Holder
Name: 1st Holder Name: 2nd Holder Name: 3rd Holder
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature
Note: This nomination shall supersede any prior nomination made by the account holder(s), if any | The Trading Member / Depository Participant shall provide acknowledgement of the
nomination form to the account holder(s)
DECLARATION FORM FOR OPTING OUT OF NOMINATION
Date:
To,
Tradebulls Securities (P) Limited
Tradebulls House, Sindhubhavan Road, Bodakdev, Ahmedabad - 380 054.
Tel: 91 79 4000 1000
UCC
DP ID/Client ID (only for Demat Account)
Sole/First Holder Name
Second Holder Name
Third Holder Name
I/We hereby confirm that I/We do not wish to appoint any nominee(s) in my/our trading/demat account & understand the issues involved
in non-appointment of nominee(s) and further are aware that in case of death of all the account holder(s), my/our legal heirs would need
to submit all the requisite documents/information for claiming of assets held in my/our trading/demat account, which may also include
documents issued by court or other such competent authority, based on the value of assets held in the trading/demat account.
11/18 Signature of 1st Holder
4/11 Signature of 2nd Holder
4/11 Signature of 3rd Holder
Name: 1st Holder Name: 2nd Holder Name: 3rd Holder
* Signature of witness, along with name and address are required, if the account holder affixes thumb impression, instead of signature
WITNESSES (ONLY APPLICABLE IN CASE THE ACCOUNT HOLDER HAS MADE NOMINATION)
Name Name
Address Address
Signature of 1st Witness Signature of 2nd Witness
Note: 1. Where the holder is minor, person law fully entitled to act on behalf of the minor should sign the nomination.
2. Birth Certificate is required incase of minor.
Disclosure: Tradebulls Securities (P) Limited discloses herewith that it is undertaking Proprietary trading in addition to trades done for its clients
OFFICE USE ONLY
Nomination form accepted and registered vide Registration No.:
I / We undertake that we have made the client aware of ‘Policy and Procedures’, tariff sheet and all the non-mandatory documents. I/We
have also made the client aware of ‘Rights and Obligations’ document (s), RDD and Guidance Note. I/We have given/sent him a copy of
all the KYC documents. I/We undertake that any change in the ‘Policy and Procedures’, tariff sheet and all the non-mandatory
documents would be duly intimated to the clients. I/We also undertake that any change in the ‘Rights and Obligations’ and RDD would be
made available on my/our website, if any, for the information of the clients.
Details of Tradebulls Securities (P) Limited
Employee/AP Documents verified with Originals & In-Person Verification done by
Tradebulls Securities (P) Limited
Name & E Code
Authorised Signatory
Designation (Attest with seal)
Date / Place DD / MM / YYYY PLACE
Signature
