COMPLIANCE FORMS

COMPLIANCE FORMS
Important Instructions

1] Open this Form on a Smart Phone with Working Camera

2] Keep following Documents Available with you:

a) Copy of PAN Card

b) Copy of AADHAAR Card/Any Address Proof

c) Copy of your Face PHOTO or Take a Selfie

d) Copy of your Signature on White Piece of Paper

3a] Take Clear & Focussed Photos to avoid Form Rejection

3b] Kindly click on "Allow" if your Phone browser Prompts for Permissions

3c] After Clicking Each Photo, dont forget to Click on Upload Icon to Complete Upload

4] Keep your Phone Vertical while taking all Photos

5] Post Completion of Form you will receive a Unique Compliance Reference Number on the Email Id Submitted. Kindly Quote the same in all your communications.

6] Please note that Incomplete Forms with Incorrect Documents will not be sent for Processing, thus delaying activation of services.
1) Full Name:*

Mr/MrsFirst NameLast Name
2) What is your Age*
3) Gender*

MaleFemale
4) Date of Birth as per PAN*
5) NA
6) Father/Spouse Name*
7) Marital Status*

SingleMarriedOthers
8) Citizenship*

IndianOther
9) Residential Status*

Resident IndividualNRI-Non Resident IndianForeign NationalPOI
10) PAN Number*
(Exactly as on Pan Card Ex BSXPS0XXXA, else From will be Rejected)
11) Aadhaar Number*
(Aadhaar/Address Proof Relevant Number)
12) Address (as stated on Address Proof or Aadhaar Card)*

Address

Address Line 2

CityState

Zip CodeCountry
Correspondence Address is Same as Correspondence Address

YesNo
13) Mobile to Activate Services (Primary)*
(Enter 10 Digit Mobile No Ex: 9892989898)
14) Alternate Mobile No 1*
15) Alternate Mobile No 2*
16) Email Id*
Send Correct Email Id as *Verification Email* will be sent
Remarks:
Declaration
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief. I undertake 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 the same.
Important:

After Clicking the Photo, Kindly Click on ICON on Top Left of your Image to Confirm Image Upload

(Note: Click on Upload ICON each time you Click a Photo for upload)
Click to take PAN Card Photo*
Click FRONT SIDE Photo of AADHAR CARD/Address Proof*
Click BACK SIDE Photo of AADHAR CARD/Address Proof*
Click to take Your Face Photo*
Sign on a White Piece of Paper & take Photo of the same*
AGREEMENT CUM CONSENT FORM
Name

First NameLast Name
Email
example@example.com
Mobile (Primary)
Mobile (Alternate1)
Mobile (Alternate2)
Disclosure: Are you Any of following or Related to any of Following
Today's Date

YearMonthDay
Date
Sign on a White Piece of Paper & take Photo of the same*
Package & Payment Details
Amount Paid (Rs)*
Date of Payment*

MonthDayYear
Date
Details of Payment:*
Select Package*
Details of Analyst
Details of Research Analyst

Research Analyst Name: Mohanish Sanghavi
Website: www.WittyTrades.com
Address: 302 Tibrewala House, Road No 3, JVPD Scheme, Vile Parle West, Mumbai 400056.
Contact Number: 9022257878
Direct Emails: Emails2MS@Gmail.com OR MohanishSanghavi@WittyTrades.com

S E B I Registration Number: I N H 0 0 0 0 8 1 7 2
Registration Type: Individual
Local S E B I Office: SEBI Bhavan BKC ; Address : Plot No.C4-A, 'G' Block Bandra-Kurla Complex, Bandra (East), Mumbai - 400051
Kindly Rectify above Highlighted Fields in Red, To Enable Form Submit
TEST
No Reply Email Id
example@example.com
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