CDSL

DEMAT ACCOUNT OPENING FORM

INDIVIDUAL / NRI / FOREIGN NATIONAL
IN PERSON VERIFICATION
Pace Stock Broking Services Private Ltd.
EMP Name ..................................................
EMP Code ...................................................
Sign .............................................................
Date ............................................................
Place............................................................

PAN IS MANDATORY

PACE STOCK BROKING SERVICES PRIVATE LIMITED

(DEPOSITORY PARTICIPANT - CDSL)
DP ID No. : 12049800
SEBI REGN. NO.: IN-DP-CDSL-399-2007

Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002

Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029
Phone : 011-41650800 Fax : 011-26105823
E-mail : pacefin@del3.vsnl.net.in
Website : www.pacefin.com

Client ID : 1 2 0 4 9 8 0 0 _____________________________________________________
Internal Ref. No._________________________________________________________________
Holders Name__________________________________________________________________
Branch Code and Name__________________________________________________________

General Information for filling Application

1.
Read the application form properly before filling it.
2.
Application form should be filled in CAPITAL letters.
3.
All required documents should be submitted for all the account holders.
4.
Form should be complete in all respect.
5.
Strike off whichever is not applicable.
6.
All communication shall be sent at the address of the sole/first holder only.
7.
Thumb impression and signature other than English or Hindi or any of the other language not contained in the 8th schedule of the Constitution
of India must be attested by a Magistrate of Notary Public or a Special Executive Magistrate.
8.
Nomination is optional but advisable.

Documents valid for Proof of Identity and Proof of Address (submit & Tick any one)

Proof of Address (POA)

Proof of Identity (POI)

List of documents admissible as Proof of Identity :

List of documents admissible as Proof of Address:

(*Documents having an expiry date should be valid on the date of submission)

Unique Identification Number (UID) / Passport

Passport / Voter Identity Card / Ration Card /

Voter ID Card / Driving License /

PAN Card with photograph

Registered Lease or Sale Agreement of Residence /

Driving License / Flat Maintenance bill / Insurance copy

Identity Card/Document with applicants Photo, issued by

any of the following :

Utility bills like Telephone Bill (only land line),

Electricity Bill or Gas Bill (not more than 2 months old)

a) Central/State Government and its Departments,

Bank Account Statement / Passbook

(not more than 3 months old)

b) Statutory/Regulatory Authorities,

Self Declaration by High Court and Supreme Court Judges,

giving the new address in respect of their own accounts.

c) Public Sector Undertakings,

d) Scheduled Commercial Banks,

Proof of address issued by the following : Bank Managers of

Scheduled Commercial Banks/Scheduled Co-Operative Bank /
Multinational Foreign Banks / Gazatted Officer / Notary Public /
Elected representatives to the Legislative Assembly / Parliament /
Documents issued by any Govt. or Statutory Authority.

e) Public Financial Institutions,

f) Colleges affiliated to Universities
g) Professional Bodies such as ICAI, ICWAI, ICSI, Bar
Council etc., To their Members, and

Identity Card/Documents with address, issued by any of the

following : Central/State Government and its Departments,
Statutory/Regulatory Authorities, Public Sector Undertakings,
Scheduled Commercial Banks, Public Financial Institutions,
Colleges affiliated to Universities and Professional Bodies
such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members.

h) Credit cards/Debit cards issued by Banks.

For FII/sub account, Powre of Attorney given by FII/sub-account

to the Custodians (which are duly notarized and/or apostiled or
consularised) that gives the registered address should betaken.

* On Rs. 50/- Stamp Paper

THIS NON-JUDICAL STAMP PAPER OF RS. 50/- FORMS PART & PARCEL OF THE AGREEMENT BETWEEN PACE
STOCK BROKING SERVICES PRIVATE LIMITED (THE PARTICIPANT) AND THE PERSON SEEKING TO OPEN A
BENEFICIAL OWNER'S ACCOUNT.
Fax Indemnity on Rs. 100/- Stamp Paper
CHECKLIST
INDIVIDUALS
1. Copy of PAN Card.
2. Copy of Valid Identity Proof and Address Proof. (Address proof is
to be submitted for permanent as well as correspondence
address.)
3. Passport size Photograph.
4. Cancel Cheque together with latest Bank Statement/Pass book.
5. NRIs are required to submit address proof for Indian as well as
Foreign address.
HUF
1. Copy of PAN Card of HUF / Karta.

2.
3.
4.
5.

Copy of Valid Identity Proof and Address Proof of Karta.

Passport size Photograph of Karta.
Declaration by HUF is desired format.
Cancel Cheque of HUFS bank account together with latest Bank
Statement/Passbook.
MINOR
1. Copy of PAN Card of Minor.
2. Date of Birth certificate of Minor.
3. Copy of Valid Identity Proof and Address Proof of Guardian.
4. Passport size Photograph of Minor & Guardian.
5. Cancel cheque of Minors Bank Account together with latest Bank
Statement/Pass book.

Separate KYC form is required for each joint holder.

(To be filled in by PACE STOCK BROKING SERVICES PVT. LTD.)
NAME

DATE

Received by
Checked by
Entered by

(2)

INITIALS

Mandatory

PACE STOCK BROKING SERVICES PRIVATE LIMITED

DPID : 12049800 DP SEBI Regn. No. IN-DP-CDSL-399-2007
Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002
Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029
Phone : 011-41650800 Fax : 011-26105823, E-mail : pacefin@del3.vsnl.net.in

ADDITIONAL KYC FORM FOR OPENING A DEMAT ACCOUNT

(To be filled by the Depository Participant)
Date

Application No.
DP Internal Reference No.

1 2 0 4 9 8 0 0

DP ID

Client ID

(To be filled by the applicant in BLOCK LETTERS in English)

I/We request you to open a demat account in my/our name as per following details :
TYPE OF ACCOUNT (Please tick whichever is applicable)
Individual

Individual Resident
Individual Director
Individual HUF/AOP
Individual Promoter
Individual Margin Trading A/c (Mantra)

Individual Director's Relative

Minor
Others (Specify)_________________

NRI

NRI Repatriable
NRI Non-Repatriable Promoter

NRI Repatriable Promoter

Others (Specify)_________________

Foreign National

Foreign National

NRI Non-Repatriable
NRI - Depository Receipts

Foreign National-Depository Receipts

Others (Specify)_________________

HOLDERS DETAILS
Sole/First Holder's Name

PAN

Second Holder's Name

PAN

Third Holder's Name

PAN

Name*
* In case of Firms, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., although the account is opened in the name of the

natural persons, the name of the Firm, Association of Persons (AOP), Partnership Firm, Unregistered Trust, etc., should be mentioned above.
DETAILS OF GUARDIAN (in case the account holder is minor)
Guardian's Name

PAN

Relationship with the applicant

BANK DETAILS (Dividend Bank Details)
Bank Code (9 digit MICR Code)
IFS Code (11 Character)
Account Number
Account Type

Saving

Current

Others (specify)___________________________

Bank Name
Branch Name
Bank Branch Address
City
(i)
(ii)
(iii)
(iv)

State

PIN

Country

Photocopy of the cancelled cheque having the name of the account holder where the cheque books is issued, (or)
Photocopy of the Bank Statement having name and address of the BO.
Photocopy of the Passbook having name and address of the BO, (or)
Letter from the Bank.
In case of option (ii), (iii) and (iv) above, MICR Code of the branch should be present/mentioned on the document.

[Automatic Credit]
Yes
No

I/We instruct the DP to receive each and every credit in my/our account
(if not marked, the default option would be 'Yes')
Account Statement Requirement

As per SEBI Regulation

Daily

I/We request you to send Electronic Transaction-cum-Holding Statement

at the email Id______________________________________________
Do you wish to receive dividend/interest directly in to your bank account given
below through ECS? (If not marked, the default option would be 'Yes')
[ECS is mandatory for locations notified by SEBI from time to time]
SMS Alert Facility
Refer to Terms & Conditions
given as Annexure 2.4

Easi

Weekly
Yes

Yes

Fortnightly

Monthly

No

No

MOBILE No.: +91-........................................................

[Mandatory, if you are giving Power of Attorney (POA)]
(if POA is not granted & you do not wish to avail of this facility, cancel this option).

Yes

To register for easi, please visit our website www.cdslindia.com.

Easi allows a BO to view his ISIN balances, transactions and value of the portfolio online.

Yes
No

(3)

No

Mandatory
NOMINATION DETAILS
Date

Nomination Registration No.

I/We the Sole Holder/ Joint Holder / Guardian (in case of minor) hereby declare that :
I/We do not wish to nominate any one for this demat account.
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 my/our death.
Full Name of the
Nominee
Address

City

State

Country

PIN

Telephone No.

Fax No.

E-mail ID
Relationship with BO (if any)
Date of Birth (Mandatory if nominee is a minor)
As the nominee is a minor as on date, 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, I/We appoint following person to act as Guardian :
Full Name of
Guardian of Nominee
Address

City

State

Country

PIN

Telephone No.

Fax No.

E-mail ID
Relationship of
Guardian with Nominee
This nomination shall supersede any prior nomination made by me/us and also any testamentary document executed by me/us.
Note : Two witnesses shall attest signature(s) / thumb impression(s).
Details of the Witness
First Witness

Second Witness

Name of Witness
Address of Witness
Signature of Witness
I/We have read the terms & conditions DP-BO agreement and agree to abide by and be bound by the same and by the Bye Laws as are in force from time
to time. I / We declare that the particulars given by me/us above are true and to the best of my/our knowledge as on the date of making this application.
I/We agree and undertake to intimate the DP any change(s) in the details / Particulars mentioned by me / us in this form. I/We further agree that any false /
misleading information given by me / us or suppression of any material information will render my account liable for termination and suitable action.
First / Sole Holder or
Guardian (in case of Minor)

Second Holder

Third Holder

Name

Signatures

(Signatures should be preferably in black ink)

(4)

Mandatory

Agreement Between A Participant and A Person Seeking to Open a Beneficial Owners Account
This Agreement made and entered into at _____________ this ________day of ______________ , between Pace Stock Broking
Services Pvt. Ltd., having its Regd. Office at J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002, hereinafter called the
Participant of the One Part; AND _______________________________________________________ , (description of the legal
entity) having his/ its office/ registered office/ address at ________________________________________________________
____________________________________________________________________________________________________,
hereinafter called the Beneficial Owner of the Other Part.
WHEREAS the Beneficial Owner is desirous of opening a beneficial owner's account with the Participant and the Participant has agreed to
open an account in the name of the Beneficial Owner and render services to the Beneficial Owner as a participant, on the terms and
conditions recorded herein below:
NOW THIS AGREEMENT WITNESSETH AND IT IS HEREBY AGREED BY AND BETWEEN THE PARTIES HERETO AS FOLLOWS :
1.

General Clause
The parties hereto agree to abide by the provisions of the Depositories Act, 1996, SEBI (Depositories and Participants) Regulations,
1996, Bye Laws and Operating Instructions issued by CDSL from time to time in the same manner and to the same extent as if the
same were set out herein and formed part of this Agreement.

2.

Fees, Charges and deposits

The Participant shall be entitled to change or revise the fees, charges or deposits from time to time provided however that no increase
therein shall be effected by the Participant unless the Participant shall have given at least one month's notice in writing to the
Beneficial Owner in that behalf. In case the Beneficial Owner committing a default in the payment of any such amount payable to the
Participant on their respective due dates or within fifteen days of the same being demanded (where no such due date is specified), the
Participant shall be entitled to charge interest on the amount remaining outstanding or unpaid18 % per annum or part thereof. On such
continued default, the Participant after giving two days notice to the Beneficial Owner shall have a right to stop processing of
instructions of Beneficial Owners till such time he makes the payment along with interest if any.

3.

Statement of Account
3.1 The Participant shall furnish to the Beneficial Owner a statement of his/its account at the end of every month if there has been
even a single entry or transaction during that month, and in any event once at the end of each quarter. The statement of accounts
to be provided to the Beneficial Owner under this Agreement shall be in the form specified in Operating Instructions or as
communicated by CDSL from time to time. The Participant shall furnish such statement at such shorter periods as may be
required by the Beneficial Owner on payment of such charges by the Beneficial Owner as may be specified by the Participant.
3.2 It is agreed that if a Participant is providing the services of issuing the statement of accounts in an electronic mode and if the
Beneficial Owner is desirous of availing such services from the Participant, then the Participant will furnish to the Beneficial
Owner the statement of accounts under its digital signature, as governed under the Information Technology Act, 2000.
Provided however that in the event of the Beneficial Owner requiring a physical copy of the statement of accounts, despite
receiving the same in the electronic mode, then irrespective of having forwarded the same via electronic mode, the Participant
shall be obliged to provide a physical copy thereof to the BO.
3.3 It is agreed and understood between the parties that if the Participant does not have the facility of providing the statement of
account in the electronic mode, then the Participant shall be obliged to forward the statement of account only in physical form.

4.

Beneficial Owner shall intimate change of particulars

The Participant shall not be liable or responsible for any loss that may be caused to the Beneficial Owner by reason of his/its failure to
intimate change in the particulars furnished to the Participant from time to time, unless notified by the Beneficial Owner.

5.

Depository not liable for claims against Beneficial Owner

CDSL shall not be liable to the Beneficial Owner in any manner towards losses, liabilities and/or expenses arising from the claims of
third parties or for any fees, charges, taxes, duties, levies or penalties levied, imposed or demanded by any Central, State, statutory or
revenue authority in respect of securities credited to the Beneficial Owner's account.

(5)

Mandatory
6.

Authorised Representative
Where the Beneficial Owner is a body corporate or a legal entity, it shall, simultaneously with the execution of the Agreement furnish
to the Participant, a list of officials authorized by it, who shall represent and interact on its behalf with the Participant. Any change in
such list including additions, deletions or alterations thereto shall be forthwith communicated to the Participant.

7.

Termination
The parties may at any time terminate this agreement, provided that a notice of not less than thirty days is given in the manner and on
the terms and conditions and procedure set out in the Bye Laws and the Operating Instructions. In the event of termination by either
party, the Participant shall deal with the securities lying in the account of a Beneficial Owner in accordance with the instructions of
such Beneficial Owner.

8.

Stamp Duty
Any stamp duty (including interest or penalty levied thereon) payable on the Agreement and/or on any deed, document or writing
executed in pursuance hereof between the parties hereto shall be borne and paid by the Beneficial Owner.

9.

Force Majeure
Notwithstanding anything contained herein or in the Bye Laws, neither party hereto shall be liable to indemnify or compensate the
other for any breach, non-performance or delay in performance of any obligations under the Agreement or for any harm, loss,
damage or injury caused to the other due to causes reasonably beyond its control including but not limited to tide, storm, cyclone,
flood, lightning, earthquake, fire, blast, explosion or any other act of God, war, rebellion, revolution, insurrection, embargo or
sanction, blockade, riot, civil commotion, labour action or unrest including strike, lock-out or boycott, interruption or failure of any
utility service, enemy action, criminal conspiracy, act of terrorism or vandalism, sabotage, or intrusion, or any other irresistible force
or compulsion.

10.

Service of Notice
Any notice or communication required to be given under the Agreement shall not be binding unless the same is in writing and shall
have been served by delivering the same at the address set out hereinabove against a written acknowledgement of receipt thereof or
by sending the same by pre-paid registered post at the aforesaid address or transmitting the same by facsimile transmission,
electronic mail or electronic data transfer at number or address that shall have been previously specified by the party to be notified.
Notice given by personal delivery shall be deemed to be given at the time of delivery. Notice given by post in accordance with this
clause shall be deemed to be given at the commencement of business of the recipient of the notice on the third working day next
following its posing. Notice sent by facsimile transmission, electronic mail or electronic data transfer shall be deemed to be given at
the time of its actual transmission.

11.

Arbitration
The parties hereto shall, in respect of all disputes and differences that may arise between them, abide by the provisions relating to
arbitration and conciliation specified under the Bye Laws.

12.

Jurisdiction

13.

Governing Law

The parties hereto agree to submit to the exclusive jurisdiction of the courts in New Delhi.
The Agreement shall be governed by and construed in accordance with the laws in force in India.
IN WITNESS WHEREOF the parties hereto have hereunto set and subscribed their respective hands/seals to this Agreement in duplicate
on the day, month, year and place first hereinabove mentioned.
IN CASE OF JOINT HOLDING, ALL JOINT HOLDERS MUST SIGN.

Ist Witness
______________________________________________

Sign._________________________________________________

First Holder

Name_________________________________________________
______________________________________________

Address ______________________________________________

Second Holder
______________________________________________
______________________________________________

IInd Witness

Third Holder
SIGNED AND DELIVERED BY

Sign._________________________________________________
Name_________________________________________________

_________________________________________________

(For and on behalf of

Pace Stock Broking Services Pvt. Ltd., the DP)
J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002

Address ______________________________________________
______________________________________________

(6)

Voluntary

UNDERTAKING CUM INDEMNITY - IN RESPECT OF FACSIMILE INSTRUCTION FOR

OPERATION OF DEPOSITORY ACCOUNT
To,

Pace Stock Broking Services Pvt. Ltd.

A-1/291, Safdarjung Enclave,
New Delhi-110029

Sr. No.

Names of Holder(s)

BO IDs

First Holder
Second Holder
Third Holder
I/We 1. .......................................................................................................................................................................
residing at...................................................................................................................................................................
execute the UNDERTAKING CUM INDEMNITY in favour of Pace Stock Broking Services Pvt. Ltd. (a company
incorporated and registed under the Companies Act, 1956) and having its Regd. Office at J-10/30, DLF City PhaseII, Gurgaon, Haryana-122002 hereinafter called "The DP" (which expression shall unless it be repugnant to the
context or meaning thereof mean and include its successors in title) as follows :
WHEREAS I/We maintain a Beneficial Owner Account (s) ("the said Account") mentioned above, with the DP at its
...............................................main/branch office, located at............................................................................ As per
the instructions for operation of the said Accounts, the same is allowed to be operated by us or the persons
authorised, in that behalf (hereinafter referred to as "Authorised Person/s").
AND WHEREAS in the day to day business, I am/we are required to give urgent instructions to the DP for operation of
the said/account :
WHEREAS the DP has agreed to accept, the original instruction slip, a fax submission thereof signed by the
authorised persons to operate the said account under their signatures, subject to the indemnity herein offered by
me/us to the DP on the terms and conditions herein mentioned.
NOW IN CONSIDERATION OF THE ABOVE, I/We hereby irrevocably agree, confirm and undertake to the DP as
follows :
1.

I/We shall transmit the Fax instructions only to the fax number informed/provided to us by the DP.

2.

The Fax submission shall be signed by the Authorised Person/s mentioned in the List of Authorised Signatories
submitted by me/us in the account opening form on behalf of me/us and their signatures shall be in the same manner
and way has been informed to the DP by me/us and the DP is hereby requested and authorised, (but is not obliged to)
rely upon and act, in accordance with such Fax Submission which in signed or bonafide belived by the DP to have
signed, by the Authorised Person/s.

3.

The DP is requested by me/us and shall be entitled to treat any fax Submission as fully and dully authorised by and
binding upon me/us and further be entitled (but no bound) to take any steps relying upon the same, believing the Fax
Submission, in good faith as appropriate, regardless, of the amount of money involved and notwithstanding any error
in transmission or reception of such Fax Submission or any misunderstanding or ambiguity or lack of clarity in the
terms of such fax Submission.

4.

I/We shall upon making any Telefax Submission hereunder, deliver to the DP without any delay within two working
days, the original hard copy of the Fax Submission (the Hardcopy) signed by the Authorised Person's as aforesaid.
Each Hardcopy shall bear the following words on the top of the Instruction slip "This is a Hardcopy Each of Fax Submission to you, transmitted on.............................................................day
of................................month,..............................year.

5.

The DP may, but shall not be obliged to, await receipt of the Hard copy prior to taking any action in connection with the
Fax Submission and shall not be obliged to follow-up with me/us for the originals. Further the storage of a photocopy
of the Fax transmission sent by me/us shall be conclusive evidence of instruction to the DP for having acted on such
instructions and I/We hereby agree and acknowledge the same.

(7)

Voluntary
6.

7.

8.
9.

10.

11.

12.

13.

14.

I/We hereby agree that in case the DP does not receive the hard copy of the instruction within 2 working days, the DP
may discontinue the said facility. In such cases the DP will do so with immediate effect after informing me orally / in
writing / by fax. I/We undertake that I/We shall not hold the DP liable for any loss to me/us in case the DP does not act
on fax instruction received by the DP in such a case.
The DP shall not be required to confirm (whether orally, in writing or otherwise) any fax submission or (verify the
Identify of the Authorised person/s or his/her/their signature/s making or giving the fax submission or purporting to do
so.
The DP shall be under no duty to set and/or adopt any procedure for the purpose of such confirmation or verification
and if at all there is any, the DP shall not be obliged to strictly adopt or comply with the same in any or every instance.
The DP shall not be liable for any losses or damages which I/We may suffer as a consequence of the DP acting in
accordance with or in reliance upon, any Fax Submission or otherwise pursuant to the authority conferred herein,
upon the DP.
I/We shall indemnify the DP and CDSL and keep them indemnified and save harmless, at all times against any and all
claims, losses, damages, costs, liabilities and expenses incurred, suffered or paid or incurred by the DP or required to
be incurred, suffered or paid by the DP and also against all demands, actions, suit proceedings made, filed/instituted
against the DP, in connection with or arising out of or in relation to or as a consequence of :
i. The DP acting pursuant to, in accordance with or relaying upon, any Fax submission or otherwise pursuant to the
request and authority conferred herein and/or;
ii. The DP acting pursuant to in accordance with or relaying upon any Fax submission received by the DP which it
believes in good faith to be such a fax Submission; and/or;
iii. Any unauthorised or fraudulent Fax Submission to the DP. PROVIDED that this indemnity shall not be available to
the DP, if the liabilities for which the DP seeks indemnification hereunder, arises directly and completely from its
own negligence or willful default.
iv. The DP not having acted on the Fax submission due to non-receipt of the transmission or receipt of incomplete or
partly/fully unreadable transmission.
v. The DP not having acted on any Fax submission sent by me/us on a number other than the number mentioned by
the DP for the purpose of fax transmission.
The DP shall not be under any obligation at any time to maintain any facility for the receipt of any Fax Submission or to
ensure the continued operations or availability or any such facsimile facilities or equipment, and I/We shall not hold the
DP liable for any loss consequent to non-availability of the said family.
I/We acknowledge and confirm that I am/are aware that by the very nature of telecommunications services, the Fax
transmission may not be received properly and may be clearly legible. I/We agree to assume and bear all the risks
involved in respect of such errors and misunderstanding and the DP shall not be responsible in any manner for the
same or breach of confidentially thereto and shall also not be liable for any claims, loss, damage, cost or expense and
liability arising therefrom :
This indemnify is without prejudice to the DP's other rights, privileges, powers, and remedies in law and the DP may
delay enforcing its right without at any time losing them and any waiver of a right by the DP hereunder or available to it
by law, shall not be deemed bo be a waiver or any other rights or of the same right at another time.
The DP may stop/terminate this facility given to me/us giving seven day prior written notice to me/us. However, any
such termination shall not affect anything done or any rights or liabilities accured prior to the termination and all the
above indemnities given by me/us to the DP hereunder shall survive any such termination. However in case of
termination as mentioned in point 6 above, no such notice need to be given by the DP.
The Provisions relating to arbitration contained in the agreement executed by us in favour of the DP shall be applicable
to any dispute or difference that may arise in respect of such fax transmission including all disputes with regard to the
receipt of any fax Transmission by the DP.
I/We specifically agree and confirm that the regardless of the place from which the fax transmission in question may
have been transmitted to the DP 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 exclusive jurisdiction of the Courts of Mumbai (India)
alone.

Dated..............................this..........................day of.......................
Given by

First Holder Signature

Second Holder Signature

Third Holder Signature

Witness - I

Witness - II

Witness - III

(8)

Voluntary

POWER OF ATTORNEY
TO ALL TO WHOM THESE PRESENTS SHALL COME I/WE.........................................................................................................
...............................................................................................................................India, Indian Inhabitant SEND GREETINGS.
Whereas I/WE hold a Beneficiary A/C No.________________________________ with Central Depository Services (India)
Limited, through Pace Stock Broking Services Pvt. Ltd. Bearing DP-ID 12049800.
And Whereas I/We am/are an investor engaged in buying and selling of securities through Pace Stock Broking Services Pvt.
Ltd. a member of Bombay stock Exchange Ltd., bearing SEBI registration No. INB011137834 and member of National Stock
Exchange of India Ltd., bearing SEBI registration No. INB 231137838
And Whereas due to exigency and paucity if time, I/We am/are desirous of appointing an agent/attorney to operate the aforesaid
beneficiary account on my/our behalf for a limited purpose in the manner hereinafter appearing:
NOW KNOW WE ALL AND THESE PRESENTS WITNESSTH THAT I THE ABOVE NAMED DO HEREBY NOMINATE,
CONSTITUTE/ AND APPOINT Pace Stock Broking Services Private Limited as my true and lawful attorney (hereinafter referred to
as the attorney) for me and on my behalf and in my name and at my/ our cost and expense to do the following acts, deeds or things:
1. To do instruct the aforesaid Depository Participant to debit securities and/or to transfer securities from the aforesaid
beneficiary account for the purpose of meeting margin/ delivery obligations of the recognized stock exchange toward any
segment arising out of the trades executed by me/ us through them.
2. To instruct DP to transfer the shares of Pace Stock Broking Services Private Limited margin account number
1204980000072806 &/or .....................................................&/or.......................................................................& pledge/
unpledge the same with the NSE/BSE or clearing member as margin deposit in connection with the trades executed by me\us
through Pace Stock Broking Services Private Limited.
3. To instruct the DP to debit securities to the said BO account and/or to Pace Stock Broking Services Private Limited NSE pool
account number 1204980000072825, CM ID-50517, and/or to Pace Stock Broking Services Private Limited BSE pool
account number 1204980000047925, CM ID-3013 to the extent of shares sold by me \us for pay-in obligations towards any
stock exchange.
4. Unless specifically instructed by me/ us within the reasonable time, to apply for various products like Public Issues (shares as
well as debentures), subscription to rights, offers of shares, tendering shares in open offers, etc.
5. To send me/ us consolidated scrip-wise position summary with average rates on daily basis by the way of SMS/ Email on my
mobile or on my email id (details of which has already been provided to Pace Stock Broking Services Private Limited or as
updated by me from time to time).
6. To transfer charges levied in my BO account to my-trading ledger account of NSE & BSE
7. To do all such thing and give all such instructions as mentioned above concerning the said account as I\we myself/ourselves
could give if I/we was/were personally present.
That the Pace Stock Broking Services Private Limited would liable to return back all the securities that may have been transferred
erroneously.
This authority is restricted to the margin/ delivery obligations arising out of the transactions of trades executed by me/ us through
Pace Stock Broking Services Private Limited and I/We ratify the instructions given by the aforesaid Clearing Member to the
Depository Participant named hereinabove in the manner specified herein.
That powers and authorities conferred by this Power of Attorney can be revoked at any point of time, without any notice.
Witness whereof I/ we have executed this Power of Attorney on this ____________________ day of ______________, 20_____
SIGNED AND DELIVERED BY:

SIGNED AND DELIVERED

By the withinnamed Beneficial Owner

IN THE PRESENCE OF

)
)

First Witness
Name :
Address :

______________________________________

Sign :

______________________________________

______________________________________

Second Witness
Name :
Address :

______________________________________

______________________________________

Sign :

______________________________________
)
I/We Accept
Pace Stock Broking Services Private Limited
J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002

(9)

Voluntary
Date___________________
The Manager

Pace Stock Broking Services Pvt. Ltd.

Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002
Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029

Subject : Consent / Authority Letter

Dear Sir,
I/We, hereby authorize and give the consent to debit the DP account charges incurred in the Demat account(s)
maintained with your depository participant (DP ID : 12049800) on monthly basis to my/our financial (trading)
account maintained with you.
The details are as follows.
Name of Demat Account Holders
Demat Client ID

Signature

Name of Ist Holder

Name of IInd Holder
Name of IIIrd Holder

Trading Client ID

Trading Client Name

Thanking You
Yours Faithfully,

Sole/First Holder

Second Holder

Voluntary

To,

Third Holder
Date :...........................................

Pace Stock Broking Services Pvt. Ltd.

Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002
Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029

Re: Beneficial Owner (BO) Account No.

1 2 0 4 9 8 0 0

I/We........................................................................................................................................................................................
[name(s) of the BO(s)] had entered into agreement with you. I/We confirm having opted to receive the statement of accounts
pertaining to the above mentioned BO account in electronic mode in lieu of physical copy of the statement of account.
I/We confirm that the dispatch of statement of account to me\us at the following email address shall constitute full and absolute
discharge of your obligation under the above agreement to provide me/us with statement my/our BO account. But, I/We reserve
my/our right to receive the physical copy of statement of accounts despite receiving the same in electronic mode, if such a
demand is made in writing on you.
[Email address:.......... ]
I/We confirm that any change in the aforesaid email address or any other instructions with regard to dispatch/ service of my/our
statement of account of me/us shall not be binding upon you unless you are intimated in writing by me/us by acknowledged
delivery.
Yours faithfully,
First Holder

Second Holder

Name

Specimen
Signature

(10)

Third Holder

Mandatory

Declaration by HUF

(For HUF A/cs Only)

Please fill in for a HUF

As our HUF firm wishes to open an account with you DP in the said name
________________________________________________________ we beg to say that the first
signatory to this letter, i.e., _________________________ is the Karta of the Joint Family and other
signatories are the adult co-parceners of the said family.
We further confirm that the business of the said joint family is carried on mainly by the said Karta as also by
the other signatories hereto in the interest and for the benefit of the entire body of co-parceners of the joint
family. We all undertake that claims due to the DP from the said family shall be recoverable personally from
all or any of us and also for the entire family properties of which the first signatory is the Karta, including the
share of minor co-parceners.
In view of the fact that ours is not a firm governed by the Indian Partnership Act of 1952, we have not got our
said firm registered under the said Act.
We hereby undertake to inform the DP of the death or birth of a co-parcener of any change occurring at any
time in the membership of our joint family during the currency of the account.

Name & signature of Karta

Name of the Co-Parceners

Sex

Relationship with the Karta Signature of the Co-Parceners

Date of Birth

(11)

Voluntary

ANNEXURE - A
Terms And Conditions-cum-Registration / Modification Form for receiving SMS Alerts from CDSL
Definitions:
In these Terms and Conditions the terms shall have following meaning unless indicated otherwise:
1.

Depository means Central Depository Services (India) Limited a company incorporated in India under the Companies Act 1956 and having its
registered office at 17th Floor, P.J. Towers, Dalal Street, Fort, Mumbai 400001 and all its branch offices and includes its successors and assigns.

2.

DP means Depository Participant of CDSL. The term covers all types of DPs who are allowed to open demat accounts for investors.

3.

BO means an entity that has opened a demat account with the depository. The term covers all types of demat accounts, which can be opened with
a depository as specified by the depository from time to time.

4.

SMS means Short Messaging Service

5.

Alerts means a customized SMS sent to the BO over the said mobile phone number.

6.

Service Provider means a cellular service provider(s) with whom the depository has entered / will be entering into an arrangement for providing
the SMS alerts to the BO.

7.

Service means the service of providing SMS alerts to the BO on best effort basis as per these terms and conditions.

Availability:
1.

The service will be provided to the BO at his / her request and at the discretion of the depository. The service will be available to those
accountholders who have provided their mobile numbers to the depository through their DP. The services may be discontinued for a specific period
/ indefinite period, with or without issuing any prior notice for the purpose of security reasons or system maintenance or for such other reasons as
may be warranted. The depository may also discontinue the service at any time without giving prior notice for any reason whatsoever.

2.

The service is currently available to the BOs who are residing in India.

3.

The alerts will be provided to the BOs only if they remain within the range of the service providers service area or within the range forming part of
the roaming network of the service provider.

4.

In case of joint accounts and non-individual accounts the service will be available, only to one mobile number i.e. to the mobile number as
submitted at the time of registration / modification.

5.

The BO is responsible for promptly intimating to the depository in the prescribed manner any change in mobile number, or loss of handset, on which
the BO wants to receive the alerts from the depository. In case of change in mobile number not intimated to the depository, the SMS alerts will
continue to be sent to the last registered mobile phone number. The BO agrees to indemnify the depository for any loss or damage suffered by it on
account of SMS alerts sent on such mobile number.

Receiving Alerts:
1.

The depository shall send the alerts to the mobile phone number provided by the BO while registering for the service or to any such number
replaced and informed by the BO from time to time. Upon such registration / change, the depository shall make every effort to update the change in
mobile number within a reasonable period of time. The depository shall not be responsible for any event of delay or loss of message in this regard.

2.

The BO acknowledges that the alerts will be received only if the mobile phone is in ON and in a mode to receive the SMS. If the mobile phone is in
Off mode i.e. unable to receive the alerts then the BO may not get / get after delay any alerts sent during such period.

3.

The BO also acknowledges that the readability, accuracy and timeliness of providing the service depend on many factors including the
infrastructure, connectivity of the service provider. The depository shall not be responsible for any non-delivery, delayed delivery or distortion of the
alert in any way whatsoever.

4.

The BO further acknowledges that the service provided to him is an additional facility provided for his convenience and is susceptible to error,
omission and/ or inaccuracy. In case the BO observes any error in the information provided in the alert, the BO shall inform the depository and/ or
the DP immediately in writing and the depository will make best possible efforts to rectify the error as early as possible. The BO shall not hold the
depository liable for any loss, damages, etc. that may be incurred/ suffered by the BO on account of opting to avail SMS alerts facility.

5.

The BO authorizes the depository to send any message such as promotional, greeting or any other message that the depository may consider
appropriate, to the BO. The BO agrees to an ongoing confirmation for use of name, email address and mobile number for marketing offers between
CDSL and any other entity.

6.

The BO agrees to inform the depository and DP in writing of any unauthorized debit to his BO account/ unauthorized transfer of
securities from his BO account, immediately, which may come to his knowledge on receiving SMS alerts. The BO may send an
email to CDSL at complaints@cdslindia.com. The BO is advised not to inform the service provider about any such unauthorized
debit to/ transfer of securities from his BO account by sending a SMS back to the service provider as there is no reverse
communication between the service provider and the depository.

7.

The information sent as an alert on the mobile phone number shall be deemed to have been received by the BO and the depository shall not be
under any obligation to confirm the authenticity of the person(s) receiving the alert.

8.

The depository will make best efforts to provide the service. The BO cannot hold the depository liable for non-availability of the service in any
manner whatsoever.

9.

If the BO finds that the information such as mobile number etc., has been changed with out proper authorization, the BO should immediately inform
the DP in writing.

(12)

Voluntary
Fees:
Depository reserves the right to charge such fees from time to time as it deems fit for providing this service to the BO.
Disclaimer:
The depository shall make reasonable efforts to ensure that the BOs personal information is kept confidential. The depository does not warranty the
confidentiality or security of the SMS alerts transmitted through a service provider. Further, the depository makes no warranty or representation of any kind in
relation to the system and the network or their function or their performance or for any loss or damage whenever and howsoever suffered or incurred by the
BO or by any person resulting from or in connection with availing of SMS alerts facility. The Depository gives no warranty with respect to the quality of the
service provided by the service provider. The Depository will not be liable for any unauthorized use or access to the information and/ or SMS alert sent on the
mobile phone number of the BO or for fraudulent, duplicate or erroneous use/ misuse of such information by any third person.
Liability and Indemnity:
The Depository shall not be liable for any breach of confidentiality by the service provider or by any third person due to unauthorized access to the information
meant for the BO. In consideration of the depository providing the service, the BO agrees to indemnify and keep safe, harmless and indemnified the depository
and its officials from any damages, claims, demands, proceedings, loss, cost, charges and expenses whatsoever which a depository may at any time incur,
sustain, suffer or be put to as a consequence of or arising out of interference with or misuse, improper or fraudulent use of the service by the BO.
Amendments:
The depository may amend the terms and conditions at any time with or without giving any prior notice to the BOs. Any such amendments shall be binding on
the BOs who are already registered as user of this service.
Governing Law and Jurisdiction:
Providing the Service as outlined above shall be governed by the laws of India and will be subject to the exclusive jurisdiction of the courts in Mumbai.
I/We wish to avail the SMS Alerts facility provided by the depository on my/our mobile number provided in the registration form subject to the terms and
conditions mentioned below. I/ We consent to CDSL providing to the service provider such information pertaining to account/transactions in
my/our account as is necessary for the purposes of generating SMS Alerts by service provider, to be sent to the said mobile number.
I/We have read and understood the terms and conditions mentioned above and agree to abide by them and any amendments thereto made by the depository
from time to time. I/ we further undertake to pay fee/ charges as may be levied by the depository from time to time.
I / We further understand that the SMS alerts would be sent for a maximum four ISINs at a time. If more than four debits take place, the BOs would be required
to take up the matter with their DP.
I/We am/ are aware that mere acceptance of the registration form does not imply in any way that the request has been accepted by the depository for
providing the service.
I/We provide the following information for the purpose of REGISTRATION / MODIFICATION (Please cancel out what is not applicable).

BOID

(Please write your 8 digit DPID)

(Please write your 8 digit Client ID)

Sole / First Holder's Name

:____________________________________________________________________________________

Second Holder's Name

:____________________________________________________________________________________

Third Holder's Name

:____________________________________________________________________________________

Mobile Number on which

+91

messages are to be sent

(Please write only ONE valid email ID on which communication; if any, is to be sent)
The mobile number is registered in the name of :_________________________________________________________________________
Email ID :________________________________________________________________________________________________________
(Please write only ONE valid email ID on which communication; if any, is to be sent)

Signatures

Sole/First Holder

Second Holder

Place :__________________

Third Holder

Date :___________________

(13)

(14)

Voluntary
(To be submitted in Duplicate)

PACE STOCK BROKING SERVICES PRIVATE LIMITED

DEPOSITORY DIVISION
ELECTRONIC CLEARING SERVICE (DEBIT CLEARING) MANDATE FORM
: 1 2 0 4 9 8 0 0

1.

D.P. A/c. No.

2.

Name (1st holder) : .........................................................................

3.

AUTHORISATION TO BANK FOR DEBITING THE ACCOUNT

The Branch Manager
......................................................................
......................................................................

(2nd holder) : .........................................................................

Dear Sir,

(3rd holder)

I/We

Bank Name

: .........................................................................

residing at

: ..........................................................................

A) Branch Name

: .........................................................................
maintain a
with your branch.

B) 9-Digit MICR Code * :

C) Account Type

S.B.A/c (Code 10)

D) Ledger No./ Folio No.

Cash Credit (Code 13)

Account No.

Current A/c (Code 11)

* Appearing on the MICR Cheque Issued by the Bank (Please attach the Photocopy of a
Cheque or a Blank Cancelled Cheque Issued by your Bank for verifying the accuracy of
the Code Number)
I, hereby declare that the particulars given above are correct and complete. If the transactions is
delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold
the user institution responsible. I hereby agree to discharge the responsibility expected of me
as a participant under the scheme.

Account No.

I/We hereby authorise the Bank to debit all types of commission / fees (Service
Charges) payable by me / us and charged by PACE STOCK BROKING
SERVICES PRIVATE LTD. Through the ECS (Debit clearing) facility to my bank
account with you. I/We undertake the sufficient balances shall be maintained by
me/us, so that the right of the Bank to debit the Service Charges is not impaired.
I/We hereby undertake not to revoke this authority without the written approval
from the Bank.

SIGNED at

(place), this

(day),

of

(month),

(Year)

Signature

Name

Signature

Name

Signature

Name

Signature of the All applicant (s)

Date :

BANK CERTIFICATION (Not required if photocopy of the cheque is

enclosed).
Certified that the particulars furnished above are correct as per our records.
Banks Stamp :
Date :

Signature of the authorised bank official

(A/c holders Signature should be the same as in bank A/c. In case of

joint account both the holder must sign the mandate form)
(To be submitted in Duplicate)

PACE STOCK BROKING SERVICES PRIVATE LIMITED

DEPOSITORY DIVISION
ELECTRONIC CLEARING SERVICE (DEBIT CLEARING) MANDATE FORM
: 1 2 0 4 9 8 0 0

1.

D.P. A/c. No.

2.

Name (1st holder) : .........................................................................

3.

AUTHORISATION TO BANK FOR DEBITING THE ACCOUNT

The Branch Manager
......................................................................
......................................................................

(2nd holder) : .........................................................................

Dear Sir,

(3rd holder)

I/We

Bank Name

A) Branch Name

: .........................................................................

: .........................................................................
maintain a
with your branch.

B) 9-Digit MICR Code * :

C) Account Type

S.B.A/c (Code 10)

D) Ledger No./ Folio No.

Cash Credit (Code 13)

Account No.

Current A/c (Code 11)

* Appearing on the MICR Cheque Issued by the Bank (Please attach the Photocopy of a
Cheque or a Blank Cancelled Cheque Issued by your Bank for verifying the accuracy of
the Code Number)
I, hereby declare that the particulars given above are correct and complete. If the transactions is
delayed or not effected at all for reasons of incomplete or incorrect information, I would not hold
the user institution responsible. I hereby agree to discharge the responsibility expected of me
as a participant under the scheme.

Date :

residing at

: ..........................................................................
Account No.

I/We hereby authorise the Bank to debit all types of commission / fees (Service
Charges) payable by me / us and charged by PACE STOCK BROKING
SERVICES PRIVATE LTD. Through the ECS (Debit clearing) facility to my bank
account with you. I/We undertake the sufficient balances shall be maintained by
me/us, so that the right of the Bank to debit the Service Charges is not impaired.
I/We hereby undertake not to revoke this authority without the written approval
from the Bank.

SIGNED at

(place), this

(day),

of

(month),

(Year)

Signature of the All applicant (s)

BANK CERTIFICATION (Not required if photocopy of the cheque is

enclosed).
Certified that the particulars furnished above are correct as per our records.

Signature

Name

Signature

Name

Banks Stamp :

Signature

Name

Date :

Signature of the authorised bank official

(A/c holders Signature should be the same as in bank A/c. In case of

joint account both the holder must sign the mandate form)

(15)

(16)

PACE STOCK BROKING SERVICES PRIVATE LIMITED

(Depository Participant - CDSL) DPID : 12049800, DP SEBI Regn. No. IN-DP-CDSL-399-2007

Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002

Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029 Phone : 011-41650800 Fax : 011-26105823
E-mail : pacefin@del3.vsnl.net.in Website : www.pacefin.com

ACKNOWLEDGEMENT RECEIPT
We hereby acknowledge the receipt of the Account opening application form :-

Name of the Sole/First Holder

Name of the Second Holder
Name of the Third Holder

(Depository Participant Seal and Signature)

ACKNOWLEDGEMENT RECEIPT
(To be returned to the BO)

PACE STOCK BROKING SERVICES PRIVATE LIMITED

(Depository Participant - CDSL) DPID : 12049800, DP SEBI Regn. No. IN-DP-CDSL-399-2007
Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002
Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029 Phone : 011-41650800 Fax : 011-26105823
E-mail : pacefin@del3.vsnl.net.in Website : www.pacefin.com

ACKNOWLEDGEMENT RECEIPT
We hereby acknowledge the receipt of the Nomination form :-

DP ID

Client Id

Name
Address
Nomination in favour of
No Nomination

Does not wish to nominate

Registration No.

Registration on

(Depository Participant Seal and Signature)

PACE STOCK BROKING SERVICES PRIVATE LIMITED

(Depository Participant - CDSL) DPID : 12049800, DP SEBI Regn. No. IN-DP-CDSL-399-2007
Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002
Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029 Phone : 011-41650800 Fax : 011-26105823
E-mail : pacefin@del3.vsnl.net.in Website : www.pacefin.com

Requisition Slip (For Beneficial Owner Account)

Please issue me instruction book by self/bearer / Shri/Smt._______________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
(Specimen Signature of bearer)

Signature :

Ist Holder

IInd Holder

IIIrd Holder

FOR OFFICE USE ONLY

1.

Instruction No. issued from :_______________________________To_________________________________

Signature of Issuing Authority___________________________ Signature of Bearer______________________
Date of Issue_____________________________
(17)

(18)

Mandatory

PACE STOCK BROKING SERVICES PRIVATE LIMITED

DEPOSITORY PARTICIPANT - CDSL
Regd. Office : J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002
Delhi Office : A-1/291, Safdarjung Enclave, New Delhi-110029 Phone : 011-41650800 Fax : 011-26105823
E-mail : pacefin@del3.vsnl.net.in Website : www.pacefin.com

SCHEDULE OF DEMAT CHARGES

Beneficiary Account - CDSL
S. NO.

ACTIVITY

FEES

1.

Account Opening Fee

Nil

2.

Dematerialisation

Rs. 2/- certificate*

3.

Rematerialisation

Rs. 15/- certificate*

4.

Transaction Fee

Buy

Nil

Sell

0.02% subject to Min. Rs. 15/Per Debit Instruction

5.

Custody Charges

Nil

6.

Pledge Creation/Closure/Invocation

0.03% subject to Min. Rs. 50/-

7.

Annual Maintenance Charges

Rs. 250/- Annual Maintenance Charges

Rs. 800/- Life Time AMC
Per Financial year (from 1st April to 31st March) 2000/annual account maintenance charges for clients availing
easiest facility of CDSL for debit instruction through internet
using e-token.

8.

Stamp Paper Charges

As Actual

9.

Instruction Book

Rs. 25/- for 20 Leafs

10.

AMC for Easiest Service

Rs. 250/-

11.

Internet Charges for Easiest Services

Rs. 25/- per month

12.

Other Charges

Courier Charges & Out of Pocket Expenses

on actual basis.

*
*
1.
2.
3.
4.
5.
6.
7.
8.

Dematerialisation of shares mailing charges Rs. 15/- per mail (local)

Dematerialisation of shares mailing charges Rs. 35/- per mail (out station)
This structure will be effected from 1st June 2005. If CDSL further revises the company will again revise its charges.
Rejection charges on failure of deliver
Rs. 20/- per instruction.
Modification of Client Master
Rs. 25/- per instance.
Delivery instruction accepted within 24 hours of execution date will be at clients sole risks.
For weekly and fortnightly statement charges Rs. 5/- per page + Postage / Courier Charges.
Taxes and other Govt. levies will be charged extra as applicable for time to time.
Incase Bank mandate for debit through ECS is not given. Minimum credit balance of Rs. 300/- shall be maintained as advance.
In case of any upward revision in schedule of charges, 30 days notice would be given by publishing in newspaper/post shall treated
as sufficient notice.
9.
In case of non payment of bill/dues within 15 days of due date, the depository services are liable to be discontinued within a period of
30 days from the date of demand, The renewal charges for resuming the services will be Rs. 100/10. Any services not mentioned above will charged extra.

For Pace Stock Broking Services Pvt. Ltd.

(Auth. Signatory)

____________________________
1st Holder

____________________________
2nd Holder
(19)

____________________________
3rd Holder

February 2011 / 2000

PRINT WAVES # 9810484111

rajeev.printwaves@gmail.com

To ,

PACE STOCK BROKING SERVICES PRIVATE LIMITED

Regd. Office: J-10/30, DLF City Phase-II, Gurgaon, Haryana-122002
Delhi Office: A-1/291, Safdarjung Enclave, New Delhi-110029

Dear Sir,
I/We hereby acknowledge the receipt of duly executed copy of DP-BO Agreement, POA and all other documents
as executed by me/us. I acknowledge that the other details related my accounts are as under :
BO Name :....................................................................................................................................................
BO ID: 12049800..................................................... E-Mail ID :....................................................................

1st Holder

2nd Holder

3rd Holder