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Enrollment Form

1. Personal Details


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Service Type*
Residential Status*
Occupation Type*

2. Proof of identity


3. Proof of Address (PoA)*


3.1 PERMANENT ADDRESS DETAILS

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3.2 CORRESPONDENCE / LOCAL ADDRESS DETAILS

4. Remarks (If any)


5. Applicant Declaration


  • I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I under t a k e to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it.
  • Client Risk Profiling


    Important Notice to Clients

    In order for us to provide financial planning advice to you, we need to have a reasonable basis for that advice. The information requested in this Client Risk Profile Questionnaire is one of the tools we use to establish a basis for the advice we will provide. It is therefore important for you to complete this document as accurately and fully as possible. Failure to do so could result in advice being provided that is not appropriate to your individual needs, circumstances and objectives.

    THE INVESTMENT RISK AND INVESTMENT RETURN RELATIONSHIP
    THE RISK‐RETURN CHART

    The relationship between long term risk (volatility) and return in different asset classes is illustrated below.

    Your Investment Risk Profile Levels

    Investment risk refers to the level of volatility or fluctuation that a person is prepared to accept in investment returns – including the potential risk of loss of some capital in the short‐term, and the potential risk that retirement goals may not be met in the longer term. Volatility refers to the unpredictable upward and downward movements in investment values over a period of time.

    Please answer all the questions below by ticking () only ONE of the options for each question. Choose the option that BEST indicates how you feel about each question.

    1. What is your Investment horizon? How long can you keep your money invested in the market before needing access to it ?





    2. The age group you belong to:




    3. How well do you understand investing in the markets ?




    4. My current and future income sources(example: salary, business income,investment income etc)are:





    5. From the following 5 possible investment scenario, please select the option which defines your investment objective ?





    6. If your investment outlook is long‐term (more than five years), how long will you hold on to a poorly performing portfolio before cashing in ?






    7. Volatile investments usually provide higher returns and tax efficiency. What is your desired balance?





    8. If a few months after investing, the value of your investments declines by 20%, what would you do ?





    9. Which of these scenarios best describes your “Risk Range”? What level of losses and profits would be comfortable with ?





    Below is the score‐card that we will use to determine your risk profile, which in turn shall determine your asset allocation mix.

    Question No. A B C D E F Score
    1 1 2 3 4 5 -
    2 1 2 3 4 - -
    3 1 2 3 4 - -
    4 1 2 3 4 5 -
    5 1 2 3 4 5 -
    6 1 2 3 4 5 6
    7 1 2 3 4 5 -
    8 1 2 3 4 5 -
    9 1 2 3 4 5 6
    Total

    Conservative / Score grid 08-19

    You are an investor who is prepared to accept lower returns with lower levels of risk in order to preserve your capital. The negative effects of taxation and inflation will not be concern to you, provided your initial investment is protected. As a conservative investor, you might expect your portfolio to be allocated up to 15% in growth assets, with the remainder in defensive assets.

    Moderate / Score grid 20‐29

    You are an investor who would like to invest in both income and growth assets. You will be comfortable with calculated risks to achieve good returns; however, you require an investment strategy that adequately deals with the effects of inflation and tax. As a moderate investor, you might expect your portfolio to be allocated up to 35% in growth assets, with the remainder in defensive assets.

    Balanced / Score grid 30‐39

    You are an investor who is comfortable with a high volatility and high level of risk in order to achieve higher returns over long term. Your objective is to accumulate assets over long term by primarily investing in growth assets. As an aggressive investor you might expect your portfolio to be allocated up to 65% in growth assets.

    Aggressive / Score grid > 40

    You are an investor who is comfortable with a higher level of risk in order to achieve potentially higher returns. Capital security is secondary to potential wealth accumulation. As a high growth investor, you might expect your portfolio to be allocated < 65% in growth assets over long term.

    Confirmation of risk profile

    After having arrived at the ratings under “Investment Risk Profile Types” and in consideration of your investment objectives – Which profile you prefer the most and if you want to share any inputs on the same do enter in the Remarks column.

    Preferred Risk Profile
    Remarks

    I/We confirm that the details recorded in the “Risk Profile Determination Questionnaire” are correct and reflect my/our true financial position and understanding and investment risk profile.

    I/We confirm that I/we have read and understood our agreed Risk Profile selection and would like this profile applied to my/our funds available for investment.

    Advisory Agreement (terms & conditions)


    Priteshkumar Champaklal Shah is registered with the Securities and Exchange Board of India as an Investment Advisor under SEBI (Investment Advisers) Regulations, 2013 vide registration no. INA000015297 dated October 20, 2020 having its registered office at E-401, Vrajbhoomi, Nr. Ambe School, Manjalpur, Vadodara, Gujarat - 390011, India.

    Using our Services shall constitute a binding agreement (hereinafter referred to an "Advisory Agreement") between Priteshkumar Champaklal Shah (also referred as an “Investment Advisor”). And You (also referred to as "the client" which expression shall, unless repugnant to or inconsistent with the context or meaning thereof, be deemed to mean and include if the Client is an individual (his/her heirs, executors, administrators and legal representatives and permitted assigns/family members); if the Client is a Partnership Firm, (the partners for the time being of the said firm, the survivor or survivors of them and their respective heirs, executors, administrators and legal representatives/its successors and permitted assigns); if the Client is a company or a body corporate or limited liability partnership or sole proprietor (its successors and permitted assigns); if the Client is the Karta of a Hindu Undivided Family, (the members for the time being of the said Hindu Undivided Family and their respective heirs, executors, administrators and assigns); if the Client is a Trust, (the principal trustee or the board of trustees or the trustees or person authorised by the board of trustees for the time being and from time to time);

    Scope of Engagement

    1. The terms stated herein shall apply to the advisory services to be rendered by Investment Advisor.

    2. Client hereby appoints Priteshkumar Champaklal Shah as an Investment Advisor to perform the advisory services hereinafter described, and Investment Advisor accepts such appointment.

    3. The relationship between Client and Investment Advisor shall be on a principal-to-principal basis. The Client hereby acknowledges that it shall have no right whatsoever to bind or act on behalf of, Investment Advisor.

    The Services we provide

    1. We may, at your request, advice to you on a range of financial products including but not limited to equities and equity-related products, fixed income products, financial planning, tax planning, will drafting, succession planning, sovereign gold bond, and investment analysis (collectively termed as "Product(s)"). Unless specifically requested by you and explicitly agreed by us, we have no ongoing obligation to advise you on, or to monitor, any individual investment or portfolio of investments held with us or otherwise.

    2. When, at your request, we advise on Products , we shall provide such advice as per standards prescribed in the applicable Regulations, which may require us to have a reasonable basis to believe that such advice:

    a) Meets your investment objectives as may be recorded with us and confirmed by you including but not limited to risk assessment;

    b) That you are able to bear investment risk consistent with your investment objectives and risk tolerance; and

    c) That you have the necessary experience and knowledge to understand the risks involved in the investment(s). Please refer to Schedule 1 for risks disclosures that may be associated with your investments.

    3. Notwithstanding our advice, your decision, action or omission for financial plans, investment baskets to buy, sell, hold or otherwise deal in the Products shall be based on your own independent evaluation of the risks and rewards of the investments and your own verification of all the relevant facts, including financial and other circumstances and a proper evaluation thereof.

    Client Obligations

    You agree to provide any information we may reasonably request from time to time, in order to enable us to perform our Services or comply with any laws, regulations and policies (including, without limitation, "know your client (KYC)" requirements). You undertake to notify us promptly of any material change to the information provided by you to us in writing, including any change related to personal information. You understand and accept that failure to do so may adversely affect the quality of the advice or recommendations. An illustrative list of factors that may be important for us to render Services effectively are as follows:

    a) Circumstances that may lead to a change in your risk appetite or risk tolerance;

    b) Your investment objectives including time for which you wish to stay invested;

    c) The purposes of the investments;

    d) Any restrictions or preferences that you may wish to specify in respect of the nature or manner of Investments or on any particular security/sector;

    e) Your income details;

    f) Your liabilities details; and

    g) Your existing Investments and assets including those not advised by us.

    You shall not disclose any advice provided by us to you pertaining to the purchase and sale of Securities to any third party and we shall not be responsible for any Losses that may be suffered by such party as a result of the disclosure of such advice by you. No third party shall place any reliance on the information furnished or advice given to you. Any advice provided is exclusively for your knowledge and use, subject to the extent otherwise permitted herein.

    You confirm that you understand the risks involved in investing in products available on our Application. You are aware that the value of the investments could substantially depreciate to an unpredictable extent.

    Our Liability and Responsibilities to you

    We will attend your account with due care and diligence, but we will not be liable for the performance or profitability of investments we advise to you. All decisions in relation to investments are based on your own evaluation of your financial circumstances and investment objectives. Any decision, action or omission to buy, sell or hold Investments shall be based solely on your own verification and a proper evaluation of all the relevant facts, financials and other circumstances and neither we nor any of our employees, officers, directors, personnel, agents or representatives shall be responsible or held liable for the same for any reason whatsoever.

    We shall maintain an arms-length relationship between our activities as an Advisor and other activities.

    We will not act on our own account (on a principal to principal basis), to sell Securities or Investment products to, or purchase Securities or Investment product from, you in respect of which we are rendering Advisory Services envisaged under this Advisory Agreement.

    You confirm that you are aware that Securities are subject to a very wide variety of risks which include amongst others (and by way of illustration) an unpredictable loss in value which may extend to a total loss of value of the Securities due to, inter alia:

    a) Overall economic slowdown, unanticipated corporate performance, environmental or political problems, changes to monetary or fiscal policies, changes in government policies and regulations with regard to industry and exports;

    b) acts of force majeure including nationalisation, expropriation, currency restriction, measures taken by any government or agency of any country, state or territory in the world, industrial action or labour disturbances of any nature, boycotts, power failures or breakdowns in communication links or equipment (including but not limited to loss of electronic data) international conflicts, violent or armed actions, acts of terrorism, insurrection, revolution, nuclear fusion, fission or radiation, or acts of God, default of courier or delivery service or failure or disruption of any relevant stock exchange, depository, clearing house, clearing or settlement systems or market, or the delivery of fake or stolen securities;

    c) Volatility of the stock markets, stock market scams, circular trading of securities and price rigging;

    d) default or non-performance of a third party, company’s refusal to register a Security due to legal stay or otherwise and disputes raised by third parties; and

    e) Low possibilities of recovery of loss due to expensive and time-consuming legal process and any changes in the Securities and Exchange Board of India (SEBI) rules and regulations and other applicable laws governing the Terms.

    Fees

    You agree to pay fees to us at the rates and in the manner set out in the Schedule-2(attached separately) or as may be mutually agreed by and between us from time to time.

    Advisory Service Terms

    Your advisory service begins as soon as you sign this agreement.

    Investment Advisor may change advisory service fee at its sole discretion from time to time and notice regarding the same shall be intimated to you adequately in advance prior to such change in advisory service fee. Advisory service fee shall be exclusive of GST & any other tax. Advisory service fee shall be non-transferable.

    All payments shall be made by account payee crossed cheques / demand draft or by way of direct credit into our bank account through NEFT/ RTGS. You can also pay using via app which supports net banking and debit cards. It is clarified that Investment Advisor does not accept cash deposits. All payments should be through legitimate sources and should be in compliance with the policies and guidelines laid down by RBI, NPCI, SEBI, or any other regulatory body. Further, advisory service fee shall be made through your own Bank account and in case of a joint Bank Account you shall be one of the holders of such Bank Account.

    Cancellation Terms

    You can cancel your advisory services any time by contacting us.

    Authority of Personal Representatives

    In the event of the Client’s demise, Investment Advisor shall be absolutely protected in acting under these terms and conditions until Investment Advisor receives written notice of death from the legal representatives or executors of the Client. The legal representatives or executors will be recognized by Investment Advisor as having the sole authority to act under these terms and conditions on behalf of the deceased Client only upon the legal representatives or executors producing the appropriate and valid legal documents which establishes them as the legal representatives of the deceased Client. All acts performed by Investment Advisor prior to receiving written notice of the Client’s death, shall be valid and binding upon the Client and the Client’s successors in title.

    Indemnity

    Without prejudice to the other rights or remedies that Investment Advisor may have under the applicable laws, you hereby agrees to indemnify Investment Advisor, its directors, employees and representatives for all the liabilities (including claims, damages, suits or legal expenses in defending itself in relation to the foregoing) arising due to non-performance and/or non-observance of your duties and obligations under this Agreement or due to breach of terms and conditions provided herein;

    The provisions of this clause shall survive termination of this Agreement for any reason whatsoever.

    Termination

    Investment Advisor reserves the right to terminate this Agreement forthwith, upon the occurrence of any of the following events:

    1. If you commit a breach of any of the terms and conditions hereunder;

    2. If you become insolvent or enters into liquidation or receivership or suffers an administration receiver to be appointed in relation to the whole or any part of its assets, or suffers any judgment to be executed in relation to any of its property or assets, if any of these would adversely affect the performance of the obligation under these terms;

    3. Any of your representations, warranties or statements hereunder or in the Application Form or in any document delivered pursuant to these terms and conditions have not been complied with or is incorrect or incomplete in any respect;

    You can opt out of using our Services by writing to us.

    Execution Services

    Investment Advisor may, at your request, refer you to service providers, stock brokers or other intermediaries or distributors (collectively hereinafter referred to as "Intermediaries") who may facilitate or provide services to enable you to implement any advice or recommendation made by me in respect of Products. You confirm that you shall independently evaluate the services and capabilities of the Intermediaries and you shall enter into a contract for services at your sole discretion, judgment and opinion.

    You agree that the decision to execute such transactions, whether directly or through any Intermediary is at your sole discretion, judgment and opinion. You further undertake and confirm that you shall be responsible for all the investment decisions and trades executed through such Intermediaries. We shall not be held liable in respect of services rendered by the Intermediaries.

    Miscellaneous

    Compliance with applicable laws: Your relationship with Investment Advisor and rendering of the investment advisory services herein shall be subject, at all times, to the applicable laws. Investment Advisor may take or refrain from taking any action whatsoever, and you shall do all things required by Investment Advisor, in order to procure or ensure compliance with applicable laws.

    Acting upon the instructions: Any instructions (oral or otherwise) purported to be given by any person other than you, need not be acted on by Investment Advisor but Investment Advisor is authorized to act on any and all such instructions which Investment Advisor believes in good faith, or has reason to believe, is from you as soon as such instructions have been received by Investment Advisor in writing, fax, or email correspondence thereof. Investment Advisor shall not be liable for any loss, damage, cost, charge and expense incurred by you as a result of Investment Advisor so acting

    Security Measures: You shall be responsible for the systems used by yourself with respect to dealings with Investment Advisor and for various security measures which you have to take to prevent unauthorized access to details relating to the dealing with Investment Advisor and Investment Advisor shall not be liable for any such unauthorized access.

    Notification of error etc.: Whenever you receive any communication (including investment advice) pursuant to this Agreement from Investment Advisor that you agree it will inform Investment Advisor of any mistakes or omission or disagreements within seven (7) days from the date of the relevant information/documents. If you fail to do so, you shall be deemed to have agreed to the contents in such communications (including investment advice) and will no longer have the right to dispute the accuracy thereof. Accordingly, Investment Advisor has the right to treat your silence as your representation that such communication is accurate or/and to your satisfaction. Nothing in this Clause shall prevent Investment Advisor from unilaterally amending any such statement for any inaccuracy it detects.

    Amendments

    Investment Advisor reserves the right to amend, modify or vary any of the terms stated herein at any time in its sole and absolute discretion and any such amendment, modification or variation shall take into effect and bind you from such date as may be prescribed by Investment Advisor.

    Dispute Resolution

    1. If any dispute and/or difference that has arisen between the Parties hereto during the subsistence of this terms and conditions or thereafter, in connection with the validity, interpretation, implementation or alleged material breach of any provision of these terms and conditions or regarding any question arising out of this terms and conditions or otherwise, the Parties hereto shall endeavour to settle such dispute/difference amicably by negotiation.

    2. In case of failure to resolve the dispute and/or difference amicably, the dispute and/or difference shall be referred to Arbitration presided by a sole arbitrator.

    3. The Arbitration proceedings shall be governed by the Arbitration and Conciliation Act, 1996 or any amendment thereto.

    4. The Arbitration proceedings shall be held in Vadodara (Gujarat), India and the language shall be English/Hindi.

    5. The Parties hereto shall submit to the Arbitrator's award and the award shall be enforceable in any competent court of law.

    6. The provisions of this clause shall survive the termination of these terms and conditions for any reason whatsoever.

    Governing Law and Jurisdiction

    The laws of India shall govern this Agreement, and the courts of Vadodara (Gujarat) shall have the exclusive jurisdiction.

    Schedule 1

    Your investments can experience volatility or lack of liquidity or credit risk. The fluctuations are dependent upon various factors such as: macro-economics, geopolitical, sentiments, fundamentals, micro-economics, the performance of underlying companies and assets. These are not the only factors and there could be many other factors that can lead to such volatility, reduction, loss or increase in capital.

    All investments are subject to market risks. As an investor, you have satisfied yourself by reading the investment brochures.

    Any change in law and regulatory affairs may impact your investments. You understand the legal obligations and tax affairs including making any applicable filings and payments and complying with any applicable laws and regulations.

    Whilst every reasonable precaution has been taken to ensure the accuracy, security and confidentiality of data and information available in the website of Investment Advisor, Investment Advisor shall not be held responsible for any consequence due to the actions carried out by you or any unauthorized person.

    You acknowledge and agree that Investment Advisor may stop (permanently or temporarily) providing the Services (or any features within the Services) to you generally at its sole discretion, without prior notice to you. You may also at your own discretion stop using the Services at any time.

    If you are using the Services for other person(s) / entity (ies), you agree to do so after taking consent of such person(s) / entity (ies) and after fully understanding the implications of the same. Investment Advisor shall not be responsible if the same is done without the knowledge and consent of such person(s) / entity (ies).

    Place : Vadodara