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Application Form
GoldRush - DOCUMENTS CHECKLIST
All information should be correctly provided and legibly stated
Existing Shcil demat client
The Client Master Report(CMR) to be certifed by the branch employee and same to be attach with the application form..
KYC Complied Client
Applicant who is a KYC complied client need not submit the KYC documents again.
For Non KYC Clients Proof
of Identity (Self attested)
PAN, UID(Aadhar ), Passport ,Voter ID.employee Id card(PSU / Govt.Cos.)
Proof of Address (Self
attested)
Passport, UID(Aadhar ),Ration Card ,Voter id card ,Letter from employer (PSU/Govt.Cos.) **Bank A/C Statement/Passbook,
**Telephone bill (Only Landline), **Electricity Bill.(**indicates not more than 2 months old)
Cheque
Initial purchase remittance should be made only by a single cheque and must be payable locally, in the city where the official point of
presence is located.
Out station cheques or cash will not be accepted.
NRI Applicant
Applicant Passport is mandatory.
Submit all documents to the nearest SHCIL branch (updated on the website www.shcil.com)
Instructions to fill the form
1. Please read the product terms & conditions of GoldRush carefully, before enrolling. All applicants are deemed to have read, understood and accepted the terms subject to
which this offer is being made and bind themselves to the terms and conditions upon signing the application form and tendering payment.
2. The application form must be filled in English, in Block letters using black or dark blue colored ink. Incomplete applications are liable to be rejected. Please tick in the
appropriate option for proof of identity and proof of address. Please do not overwrite . For any correction /changes ( if any ) made, the applicant is requested to
authenticate the same by cancelling and re writing the correct details and counter signing the same. * sign indicates mandatory field.
3. The KYC complied client has to select / mention the KRA with whom his/her KYC is registsred.
4. The applicant's name and address must be given in full ( P.O.Box No.alone is not sufficient) .This will be used for correspondence / contacting the customer.If the
applicant is a minor, the name of the guardian who will sign on behalf of the minor should be filled in the space provided. Please fill in your date of birth as this may be
required for validating your identity for certain transactions / comunication. Also, please provide Mobile No. and E-mail ID of the Applicant (mandatory) , to facilitate
faster and efficient communication.
5. PAN Requirements: PAN shall be mandatory in case the single purchase amount is Rs 50,000 or more.
6. Nomination is mandatory for all applicants except Minor. Nomination can be changed during the tenure of the plan.
7. Signatures should be in English or in any other Indian Language. Thumb Impressions must be attested by Judicial Magistrate/Notary Public under his/her official seal.
8. The applicant cannot be the Guardian in case a minor is being nominated.
In case the Applicant is a minor the relationship/status of the guardian as father, mother or legal guardian and Date of birth of the minor shall be specified in the application
form and following documents shall be submitted along with the application form as evidence:
A. Birth certificate of the minor, or School leaving certificate or
B. Passport of the minor, or
C. Any other suitable proof evidencing the date of birth of the minor
D. In case of court appointed legal guardian, supporting documentary evidence shall be provided
E. In case of natural guardian a document evidencing the relationship if the same is not available as part of the documents submitted
9. If you have invested through a distributor, kindly specify the BA Code of the distributor else for Direct Investment please mention “Direct” in the Column “BA Code”. In
case nothing is specified then by default Application will be treated as Direct.
10. NRI applicant has to provide Indian address as well as foreign address mandatorily.
CAMS Collection Centres:Ahmedabad:111- 113,1 st Floor r - Devpath Building,Off C G Road,Behind Lal Bungalow,Ellis Bridge,Pincode:380 006 Bangalore: Trade Centre,
1st Floor,45, Dikensen Road,( Next to Manipal Centre ),Pincode:560 042 Bhubaneswar:Plot No - 111, Varaha Complex Building,3rd Floor, Station Square,Kharvel Nagar,Unit
3,Pincode:751 001 Chandigarh: Deepak Tower,SCO 154-155,1st Floor,Sector 17-C,Pincode:160 017 Chennai:Ground Floor, No.178/10, Kodambakkam High Road,Opp. Hotel
Almgrove, Nungambakkam, Pincode:600 034 Cochin:1st Floor, K C Centre,Opp. North Town Police Station,Kacheripady,Pincode:682 018 Coimbatore:Old # 66 New # 86,
Lokamanya Street (West),Ground Floor,R.S.Puram,Pincode:641 002 Hyderabad:208, II Floor,Jade Arcade,Paradise Circle,Pincode:500 003 Indore:101, Shalimar Corporate
Centre,8-B, South tukogunj, Opp.Greenpark, Pincode:452 001 Jaipur:R-7, Yudhisthir Marg ,C-Scheme,Behind Ashok Nagar PoliceStation,Pincode: 302001 Kanpur: I Floor
106 to 108,City Centre Phase II,63/ 2, THE MALL,Pincode:208 001 Lucknow:Off # 4,1st Floor,Centre Court Building,3/c, 5 - Park Road, Hazratganj ,2nd Floor Ludhiana: U/
GF, Prince Market, Green Field,Near Traffic Lights, Sarabha Nagar Pulli,Pakhowal Road, Pincode:141 002, Madurai: Ist Floor,278, North Perumal Maistry street,Nadar Lane,
PinCode:625 001 Mangalore :No. G 4 & G 5, Inland Monarch,Opp. Karnataka Bank, Kadri Main Road, Kadri,Pincode:575 003 Mumbai – Fort :Rajabahdur Compound,
Ground Floor,Opp Allahabad Bank, Behind ICICI Bank,30, Mumbai Samachar Marg, Fort,Pincode:400 023 Andheri :CTS No 411,Citipoint, Gundivali, Teli Gali, Above C.T.
Chatwani Hall,PinCode:400069 Nagpur: 145 Lendra, New Ramdaspeth,Pincode:440 010 New Delhi : 7-E, 4th Floor, Swami Ram Tirath Nagar,Near Videocon Tower
Jhandewalan Extension,Pincode:110 055 Patna:G-3, Ground Floor,Om Vihar Complex,SP Verma Road, Pincode:800 001 Pune:Nirmiti Eminence, Off No. 6, I Floor,Opp
Abhishek Hotel Mehandale Garage Road, Erandawane,Pincode:411 004 Surat:Plot No.629,2 Floor, Office No.2-C/2-D,Mansukhlal Tower, Beside Seventh Day Hospital,
Opp.Dhiraj Sons, Athwalines,PinCode:395 001 Vadodara: 103 Aries Complex, BPC Road, Off R.C. Dutt Road,Alkapuri,Pincode:390 007 Vijayawada:40-1-68, Rao & Ratnam
Complex,Near Chennupati Petrol Pump,M.G Road, Labbipet,Pincode:520 010 Visakhapatnam: 47/ 9 / 17, 1st Floor,3rd Lane , Dwaraka Nagar,Pincode:530 016 Agra: No. 8,
II Floor,Maruti Tower,Sanjay Place, Pincode:282002 Ajmer:AMC No. 423/30,Near Church,Brahampuri,Opp T B Hospital,Jaipur Road,Pincode:305001 Amritsar:SCO - 18J,
'C' ,Block Ranjit Avenue, Pincode:140001 Belgaum:1st Floor, 221/2A/1B,Vaccine Depot Road,Near 2nd Railway gate, Tilakwadi,Pincode:590006 Bhavnagar:305-306,
Sterling Point,Waghawadi Road,OPP. HDFC BANK,364002 Bhilai:Shop No. 117,Ground Floor, Khicharia Complex, IDBI BaOppositenk,Nehru Nagar Square, Pincode:490020
Bhopal:Plot no 10, 2nd Floor,Alankar Complex,Near ICICI Bank,MP Nagar, Zone II,Pincode:462011 Davenegere:13, Ist Floor,Akkamahadevi Samaj Complex,Church Road,
P.J.Extension, Pincode:577002, Erode:197, Seshaiyer Complex,Agraharam Street, Pincode:638001 Guntur:Door No 5-38-44,5/1 Brodipet,Near Ravi Sankar Hotel,
Pincode:522002 Gurgaon:SCO - 16, Sector-14, First floor,Pincode:122001 Guwahati:A.K. Azad Road,Rehabari,Pincode:781008 Gwalior:G-6 Global Apartment,Kailash Vihar
Colony,Opp. Income Tax Office City Centre, Pincode:474002 Hubli:No.204 - 205, 1st Floor, 'B' Block, Kundagol Complex,Opp. Court, Club Road,Pincode:580029 Jabalpur:8,
Ground Floor, Datt Towers,Behind Commercial Automobiles,Napier Town,Pincode:482001 Jalandhar:367/8, Central Town,Opp. Gurudwara Diwan Asthan, Pincode:144001
Jamnagar:207, Manek Centre,P N Marg,361 001, Pincode:6540116, Mysore:No.1, 1st Floor,CH.26 7th Main, 5th Cross,(Above Trishakthi Medicals),Saraswati Puram,
Pincode:570009 Nasik:Ruturang Bungalow, 2 Godavari Colony,Behind Big Bazar, Near Boys Town School,Off College Road,Pincode: 422005 Patiala:35, New lal Bagh Colony,
Pincode:147001 Raipur:HIG,C-23,Sector – 1,Devendra Nagar,492004 Rajahmundry:Door No: 6-2-12, 1st Floor,Rajeswari Nilayam,Door No: 6-2-12, 1st Floor,Rajeswari
Nilayam,Nyapathi Vari Street, T Nagar,Pincode:533 101 Rajkot:Sadar Bazar Rajkot,Office 207 - 210, Everest Building,Harihar Chowk, Opp Shastri Maidan, Limda Chowk,
Pincode:36000 Salem:No.2, I Floor Vivekananda Street,New Fairlands,Pincode:636016, Siliguri:17B Swamiji Sarani,Pincode:734001 Tirupur:1(1), Binny Compound,II Street,
Kumaran Road,Pincode:641601, Trichy:No 8, I Floor, 8th Cross West Extn,Thillainagar,Pincode:620018, Udaipur:32 Ahinsapuri,Fatehpura Circle, Pincode:313004
Bellary:60/5, Mullangi Compound,Gandhinagar Main Road,Pindode:583101 Navsari:16, 1st Floor, Shivani Park,Opp. Shankheswar Complex,Kaliawadi,Pincode:396 445
Kurnool:H.No.43/8, Upstairs,Uppini Arcade, N R Peta, Pincode:518 004 Sriganganagar:18 L Block, Pincode:335001 Shimoga:Nethravathi,Near Gutti Nursing Home,
Kuvempu Road,Pincode:577 201 Ambala:Opp: Peer,Bal Bhavan Road,Pincode:134003 Thane:3rd Floor, Nalanda Chambers,"B" Wing,Gokhale Road,Near Hanuman Temple,
Naupada, Pincode:400 602