B.N.Rathi Client Re-Activation Form

1
Client Code* This field is required.Please enter your registered Client code with us.
If you don't know client code, please call on 040-40526278
2
Account StatusClient Code Activation Status.
If you don't know client code, please call on 040-40526278
3
Client Name* This field is required.Registered Client name with B.N.RATHI Securities LTD
4
PAN Number* This field is required.
5
Mobile Number* This field is required.
please don't use +91 or any country codes.
6
E-mail* This field is required.
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
7
Upload your ID Proof* This field is required.Please make sure images are clear and visible.
Drag and drop files here
Select files to upload
Min. file size0.1MB, Max. file size: 5.0MB
i.e.Upload Aadhar, PAN, Driving License & Voter ID Card.
Cancelof
8
Upload your Address Proof* This field is required.Please make sure images are clear and visible.
Drag and drop files here
Select files to upload
Min. file size0.1MB, Max. file size: 5.0MB
i.e.Upload Aadhar, Driving License, Ration & Voter ID Card.
Cancelof
9
Upload your Selfie Video for IPV Proof* This field is required.Please say this - My Name is ____ as i am not able to trade from past ___ Months. My account seems de-activated. Request you to activate my client code_______.
Drag and drop files here
Select files to upload
Min. file size1.0MB, Max. file size: 9.9MB
Select Only Video file formats.
Cancelof
Should be Empty: