Paste Paasport size

Photograph
Sign across

SHAREKHAN LIMITED.,
The Ruby,
18th Floor, Ruby Mill compound,
Senapati Bapat Marg,
Dadar (W)
Mumbai 400028
TRAINEE APPLICATION FORM
Branch/Region Use :
Branch Name:
AMs Name & Sign:
AMs Code:

H.O. Use:
Recd on :
Entered on:
Entered by:

Appointed on:
Branch Code:

Dear Sir,
I/We the undersigned hereby apply for grant of a Trainee code to me/us for acquisition of
sharekhan.com accounts. The necessary information, as required, is furnished below:
Name of the Applicant: Mr. / Ms/ M/s
First Name
Middle Name

Last Name

Name of the key person (If other than the Applicant)

Contact Details:
Address:
City:
Telephone: (Office)
(Fax)
(Mobile)

State:

PIN Code:
(Residence)

(E-mail)
mandatory

Income Tax Details:

PAN No. * ___________________________
*(Attach a copy of PAN card. If PAN applied for, please attach photocopy of duly
acknowledged Form 49A)
Mode of Payment Details: (attach copy of cancel cheque leaf & recent bank statement or
pass book) Mandatory
Bank name:
Account No:
Type of account:
Saving/Current
RTGS Code
NEFT Code
Bank Address (branch Name):

Status of Applicant:

Individual

Sole Proprietorship

Company

Any Other (Please specify_______________________)

Age# (years):

Partnership

Educational Qualifications #:

# Please specify in case of individual/sole proprietorship/ and in case of partnership for all
partners
Mode of Operation:

Direct

Sub-Agents

If sub-Agents, please mention number of sub-Agents ______

Code requirement: Single Code______ Sub-Agent Codes (No. of codes)_______
(Please attach state-wise / district- wise list of sub-Agents)
I/We confirm that all the information given by me/us in this Trainee Application Form is true
and correct.
I/We also understand that empanelment, as a Trainee cannot be construed as employment
with the company. Empanelment as a Trainee does not result into employer-employee
relationship between the company and the Trainee.
I/We also understand that the company reserves the right to reject any Trainee Application
at its sole discretion, without assigning any reason thereof.
I/We also understand that the company reserves the right to terminate this relationship
without assigning any reason thereof at its sole discretion, without granting any notice
period.
I/We agree to abide by all the terms and conditions, rules, regulations, guidelines, other
instructions issued by the company from time to time in relation to the Trainee code
allotted to me/us pursuant to my application.
Date :
__________________
Place:

Applicants Signature:

2 (TWO) REFERENCES (MANDATORY):

1)
Name:

2)
Name:

Address:

Address:

Tel No:

Tel No:

Checklist of Documents to be attached:

1 Detailed Resume (please send type copies only and it should be in English and not in regional
language). MANDATORY
2 Permanent Address proof as true copy verified and duly stamped and signed by the AM/TM or the
Branch Incharge MANDATORY
3 1 Passport size photographs to be pasted in the space provided.
4 RTGS Format Mandatory (form given on next page)
5 Cancelled cheque leaf & Xerox copy of Bank passbook or statement Mandatory
6 PAN Card self attested and proof as true copy verified and duly stamped and signed by the AM/TM or
the Branch Incharge. MANDATORY

RTGS FORMAT

Particulars

Kindly Fill-up

1) Trainee Name
2) ADDRESS of Trainee
3) Branch Group Code
3) Beneficiary Name in BANK (Title of bank account)
4) Branch Location (Address of the bank)
5) Account Type
6) Bank Account No.
7) Bank Name
8) RTGS Code (Real Time Gross Settlement)
9) NEFT Code (National Electronic Funds Transfer)
10) Trainee Code

&

Scan image of cheque leaf and Bank statement of the trainee

mentioned on the form.