SGB Request

1
Are you an existing client of PM Securities?* This field is required.
YESNO
2
What form of payment method do you prefer for this investment?* This field is required.For investment greater than 98 grams (units) electronic fund transfer mode is not supported.
Electronic ( Net-banking, UPI)
Manual (Debit to ledger, Cheque deposit, Manual RTGS/NEFT)
3
Referencer
4
Referencer Mobile
5
Referencer mail
example@example.com
6
Price of Gold* This field is required.
7
Number of grams of gold (SGB Units) you wish purchase.* This field is required.Price of 1 gram of gold (1 unit of SGB) for the current issue is Rs. {price}
Grams
8
You've opted to purchase {grams} grams of gold (SGB units) at a price of Rs. {price} / Gram. The total investment value is:* This field is required.
Amount Rs.
9
Your PM Securities Client Code:
10
You've opted to purchase {grams} grams of gold (SGB units) at a price of Rs. {price} / Gram. The total investment value is: Rs. {youveOpted}* This field is required.
Please click next if this is correct or go back if you wish to modify this request.
11
Your name
Mr.
Mr.
Mrs.
Ms.
Prefix
First Name
Last Name
12
Your PAN
13
Name of the depository where you hold your Demat A/c* This field is required.Please fill the details of your demat A/c where you'd wish to receive SGB units
CDSL
NSDL
14
CDSL DP-Client ID (16 digit code of the demat a/c held with your DP)Please fill the details of your demat A/c where you'd wish to receive SGB units
15
NSDL DP-Client ID (16 digit code of the demat a/c held with your DP)
16
Mobile number* This field is required.
17
Email ID* This field is required.Verification code shall be sent from the sender "JotForm"
example@example.com
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!
18
Your mobile number
19
Your E-mail ID
example@example.com
20
* This field is required.
21
Terms & Conditions* This field is required.Submission of this investment request has to be backed by cleared payment towards the investment before the stipulated time period & as per the regulations prescribed by RBI, SEBI , Clearing corporations & the stock exchanges from time to time. PM Securities reserves full right to reject your investment request without intimating you. However, PM Securities shall NOT retain your payment towards the investment should the investment not go through. In case of failure / rejection / disqualification of investment on any grounds PM Securities shall refund the money transferred by you to PM Securities towards the investment. I permit the usage of the information provided by me towards effecting the investment.
I agree to the terms & conditions.
Should be Empty: