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Dormant Client Reactivation Form (Step 1 of 4)

Please Note that incomplete form shall be Rejected.
(Please Tick appropriate Box)
Client Code                    

Client Name   Marital Status  



Annual Income   






Occupation  



Mother’s Name   


Date of Birth            

If your age is 75 Year and above Please kindly fill form and send at : modification@idbicapital.com. To download sinior citizen form click here


Do you wish to activate F & O trading?  

Select Any One

Client Self Declaration of FATCA

SEBI vide its circular no. CIR/MIRSD/2/2014 dated June 30, 2014, has advised that Government of India and US Government have reached an agreement in substance on the terms of an Inter-Governmental Agreement (IGA) to implement Foreign Account Tax Compliance Act (FATCA) and India is now treated as having an IGA in effect from April 11, 2014. In order to comply with FATCA, IDBI capital is required to identify United States account holders, perform additional due diligence and report details of such accounts and Transactions details to the relevant tax authority identified in the intergovernmental agreement in respect of FATCA.


1. Is any one of the following applicable to you?
        a. Are you permanent Resident/Citizen of United States of America.
        b. Is United States of America your place of birth
        c. Is United States of America your country of Tax Residency
Select Any One  

3. Choose your Birth Country  



3. Choose your Nationality  



4. Choose your Citizenship  



5. Choose your country of Tax Residency  




6. Tax payer Identification  (PAN) 





 

I agree and confirm that the above declaration is correct and true to the best of my knowledge. I, hereby, provide my consent to IDBI capital to share this information and also account and transactions details to the various intermediaries in whose products I propose to invest or may have invested using IDBI capital Platform and to various authorities concerning FATCA requirements. I also confirm that the above information relating to FATCA will remain valid unless and until any change is communicated to you by me in writing. *Required  fields.


 

I hereby declare that the details provided above are correct. I authorize IDBI Capital to activate my account on the basis of One time verification password sent to my registered mobile number.