Cash & Derivatives Segment
(Clearing cum Trading Member)
37-38, ‘B’ Block, 2nd Floor, Ajanta
Comm. Centre,
Income Tax, Ashram Road,
Ahmedabad-14. India.
Phone : (079) 27540518, 0444, 3645
Fax : (079) 2754 4137
Email : info@investmentoronline.com
Client Registration Form For Online Trading
Client Code:
This information is the sole property of the trading member / brokerage house and would not be disclosed to
anyone unless required by law or except with the express permission of clients. In case of joint Account, each
Client has to use one Registration Form. In case of joint names / Family Members, please submit form for each
person.
Account : Individual
HUF
Partnership Firm
CO
Fll
Fl
NBFC
Residential Status : Resident Individual
NRI
Photograph
Please sign
across the
photograph
Name of the Individual
Name of the Constituent:
(In case of Non-Individual)
Date of Birth /
Incorporation :
Date of Commencement :
Sex : Male
Female
Marital Status : Married
Single
Occupation : Employed
Self – Employed
Business Professional
House-Wife
Others
UIN (MAPIN ID):
PAN/GIR NO.:
(A) Residence / Registered Office Address
(B) Office Address
Pin code:
(To be filled compulsorily)
Phone(R)_______________________Mobile______________________
(To be filled compulsorily)
Pin code:
(To be filled compulsorily)
If employed, Employer’s Name
:________________________________
working since : ___________ Designation :
_______________________
Phone: ________________________ Fax :
_______________________
(To be filled compulsorily)
Email :
(To be filled compulsorily)
Correspondence Address : A
B
(HDFC Bank Proof Compulsory)
Bank Name: HDFC Bank
Branch &Address :
A/c No:
Customer ID:
Date of opening :
A/c Type : Savings
Current
NRI
(Demat Proof Compulsory)
DP Name: Investmentor Securities Ltd.
DP ID : IN301233
Client ID :
I/We hereby declare that the details furnished above are true and correct to the best of my knowledge
and belief and I/We undertake to inform you of any changes therein immediately. In cash any of th