CVL-Accredited Investor

INVESTMENT PROVIDER REGISTRATION

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BASIC DETAILS

ENTITY NAME

ENTITY PAN

ENTITY CIN

ENTITY GSTIN

GOVERNMENT GAZETTE

ADDRESS LINE1

ADDRESS LINE2

CITY

ENTITY PINCODE

PASSWORD

CONFIRM PASSWORD

SEBI REGISTRATION NUMBER

VALIDITY DATE

TAN NUMBER

INCORPORATION CERTIFICATE

GSTIN REGISTRATION CERTIFICATE

SEBI REGISTRATION CERTIFICATE

ENTITY PAN

INVESTMENT MANAGEMENT COMPANY DETAILS

NAME

PAN

CIN

GSTIN

ADDRESS LINE1

ADDRESS LINE2

CITY

PINCODE

INVESTMENT MANAGER IS SAME AS AIF

ADMIN DETAILS

NAME

PAN

NATIONAL ID

EMPLOYMENT ID

EMAIL ADDRESS

MOBILE NUMBER

OTP

LANDLINE NUMBER

ADDRESS LINE1

ADDRESS LINE2

PASSWORD

CONFIRM PASSWORD

AUTH. LETTER NO

AUTH. LETTER DATE

ENTITY AUTHORISATION LETTER FOR INVESTMENT PROVIDER SAMPLE DRAFT

ID PROOF OF ADMIN

AUTHORISER DETAILS

NAME

PAN

EMPLOYMENT ID/DIN

EMAIL ADDRESS

MOBILE NUMBER

OTP

LANDLINE NUMBER

ID PROOF OF AUTHORISER

PAYMENT DETAILS

GSTIN

IFSC

ISSUING BANK

ISSUING BRANCH

DATE OF PAYMENT

TOTAL PAYMENT

INST/TXN/REF NUMBER

Bank Details:

Bank-Branch - ICICI – Mumbai
IFSC code - ICIC0000106
Recipient Name - CDSL Ventures Limited
Account Number(Virtual ID) - CVLECO

Virtual ID Is a unique code, assigned to transfer funds without bank account number

Proccesing Details:

Proccesing Fee: ₹ 5000
Within Maharashtra
CGST: 9 %
SGST: 9 %
Other than Maharashtra
IGST: 18 %

Calculated Fee: ₹ 5900

I hereby declare that the details submitted by me are correct. I have read the Terms& Conditions and shall abide to the policy.