csRr` 1 - Educationgujarat.com

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csRr` 1 - Educationgujarat.com
csRr' 1
.
FORM
INSTRUCTIONS
FOR FILLINGTHE SUBSCRIBERREGISTRATION
GenoralGuldelinea
(a)ieaserlhetomnreqiblehandwrfting60*toarcid€rc6inyourappeio.prcc*sinsPleasdonotowNite.conectonsshouldberud€byenc6lhqandeuiitinq
ard suchoordion$shoutd beounr€ctsned by$eappri€nl. Eaohbox.whe€verp6vid.d,shoud @nralnonlyonechadd&(alphab€t/nlmb€r/punclu.tonmalk)leavn0
(b) Appredons iicomp .ls d 3ny Espe.t and/or not a@mpanied by relui€d documonrs are | ab e ro be rejeoied. The appll€lion is liab e io be Eie.Gd if ma.dalory fi.lds a€
eft b aik or th€ appreijon lorm is ff nted back 1oback
(c) lhe subscibershouldnorsisnac6sslh6pholoq€ph.The photograph
shoud nor be slapledorcipp€dlo inerom.lfih.E is any mad<oi ihe pholog€phsuchthal thindcB
ihe clear vis bil ty or rhe face or d1.
(d) cdpiasof ar $e documenresubmified
by lhc 6pp €nishouLdb. s.[€t srEdand.ccompaniedbyodsinalsforGff*ion by lh€ nod.lofic
(e) Nam€andAddressof nre applenrreniionad on lhefom, shouldmalchv in $e docufr.nbry pbof submtted.
(n rh€ sub*rrbers $umb impE.sion should b€ vefiliad by itu DDo/PAo/oToldeslgnaled off er of PoP-sP/Agg€gdlrcf
(s) Oovemmentemdoyes(frandaiodLy
6v€€d unddNPS) m.y submitiherappl€toi rorTErllio any POP-SPol [email protected]€dng$frices und.r
NPSisava ableonCRAwobsiLhttp/rw.npscEnsdl€m
Prease€FuE lhai rhe dab or b .d, maLhasas indicaiedin the dooum
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Falh€rs nam€ i3 mandalDry.Horcrc( it appicant do* not w.nl lo pDvide fahefs n6me. hdsh€ ha6 an option to provide
mo$er! nam.onAnndure llandlhe mothefsnanewl b€ prinGnon PRANard
rrt16 aoo i*ntsanrg morheasnameio b. onntd iigt€adof Falholsnameon PRANca'n, hersh.mu flnAnnoxu€ll
Pbor or Addr... (copy or.ny on.)
Frcotot ldondvGopyor,ny on.
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Raijon ed wilh phorosaph aid bsid€nlia dd€ss
Bank Pass book or €nin*G wth phobqEph 8nd
Bank Pass book or cedir eb with Phololr.ph.
cenilicar.of rhePoP banklor an€
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or lhe POP bank for an ex
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vot€F
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wiih photoseph and Gsid.niial
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Vaid Drvins icen* yiin phobo€ph
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ot Gaened oJficarrrk6 Dishcr M.sisrr.F, oivsloial
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of Pai ament or Member ot Leoislari@As*mbly
Job €rds issu€dby NREOAdulysigdedby an on€r or
cedti€le of addra* wiih phorog€ph signed by a fii.mber
ofParliade or M€mbaror L€sisl.tivotusembly
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Aulhorityofndiacl.any showino$eadd€ss
Job eds issuedby NREGAduLyelgnedby .n offr@rof
dedily 6rd issuad by c.nfa/star6 govemnent and rts
R€surabry Aulhodl.s, Public
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FinancialInsiibrions
CAI CWAI CST'Bar
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any or rh€ fo owins: cenrEl/srat Gowmmeni rnd its
oepai.denls sraluary/Ragul&ry
seer undenaknsssch€du€dcommeEal Banks.
PubrcFinancr.r
ndnulonslof then.mDlov..s.
Phoio ld€ntityCad issuedby oeten@ PaEdiliraryand
LaraerE 4lricltviraler bill in lhe nahe ol lhe subsribBr
showins
lh€addEss(lesslhan3 mnlhs old)
F*-SaM€ Man Cald issu€d by Mlnlsr.y ot Def.ne ro dret
L.iasiT€r€Dhonebiinlhenamcotlh.Sub*dbqshMins
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PANCad issuedbv Indhek
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Ex rlns va d Gs sFGd lea* aseeni.nl or th€ ho0s. on
st mo Frr ( ln ase of rcnEd4ea*d adnnodar on)
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rh6 accdunt op€nhg iom, iriE documenr m.y b€ a@pEd as a va1d proor of bolh ld€nli9 3nd add€$.
r Ihs add€ss indicalEd on lhe d@ument submin d ror idenr v o,et difi€B Ircm $€ curent add6ss meniionen n $e a@unr
oFning rom, a sapaEle pDof of addE$ should b€ obhin€d Al ruru€ communL*tions wi I be senl lo @n€spondene
add6ss. rf €r€spond6n€ a P€manenraddress
aE difieGnt.hei 0
$€ KYC d@uments may be submlt ed wirhin a pedod of 30 days after
AiNR subsdiberMddn€edrorumishanrndi.naddrc$for@mmuni€lionandbankdebllswirhinlndiaFundtEnsf€rsbyNRls
wourd b€ subl€ct ro Egur.ircry BquiEmenls .5 pG*db.d by RBi frcn rifre ro lin€ and FEr{a EquiEm€nts
in a toreign
Polili€lyExpo3€d
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isnotequal!r100.enftenonnatonw lb€r6i6.i6d.
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byrhe.odal ofiicerslr the orficiasearaddslanp. L.ft ThumblmpEssionin @scot maleaid RighrThunb lmprcsson in caseot
Gen€rallnformationf or Subscribers
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The Sub*iber @n obia n the slalus ot h gher app ioal on trom C
SubscibeB are advlsed lo rciain lhe acknowl€dqcmcnl sl p siqned/ slamped by 01edesignated iodal omcff where ihey subm | $e applialion
For moe nfomalion / cladfi@dons. @ni?ol CFA
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CSRF 1
NATIONAL PENSION SYSTEM (NPS)
REGISTRATION
FORM
SUBSCRIBER
yourcateqory
Please
serecr
[ Pleaetick(i]|
" Govemment
sector
corporatesector
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a . .ERSONALD!TAII3:
NameotApplicanl
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prooll
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byreevantdocumeflary
G e n d e aI P r € a sl e
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2. IDEN1TYO
(Any one dr ihe docunenis ne€6 io be pDvided)
PAN
Aadhaar
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3. CORRESPONDENCE
FlarRoofr/D00r7Bl0ck
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PERMANENTADDRESS DEIAILS
'fick (\rJ
in the boxin €se the addr* is sameas.bove.
F al/Room/OootBock no
Pfemises/Buld.gA/ llage
o \ Lode
PrcofolAddress(Corespondence/Permanent)
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Aadharcard !
Passporl!
Voler D card I DrivingLcense
LatestGas Bii: _l
E eclrictyB rr"
Te ephonelLandnel Bi .
sereterSr No 2 orihe nsruclons
RalionCard
RegisteredLease !
Saeagreemenlorrcsdence
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La.d ine Phone(w th sTD code)
Mobe + 9
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Doyou want to subscribe to SIMSAlerts :
Yes
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yourNPsaccounr
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rcgading
No
6, OTHaR DITAILS ( Pleas €ter to S! no 3 or die nslrucions)
,
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O c c l p a l oO
n e r a i sl p i e a s e r l c kI( ! )
P vateSeclof I Govemmenl
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Fomemaker I
Srudenr
Peasenck lApplicabie
'.com-Falqe p" d1lr.r
E a ' . o ' o r aO b r , . ai o l ,
Pubc Sector
NR
Poilicaly exposedpeEon
Lp o aB"ro{c(
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7. SUBSCRIBERBANK DETAIIS ( Frease
cte.10srno.4 orrheinstucro.s)
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A ( . o r , . l l p e l p e a s e l c ( Lt l
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Nameoflhe Nomineeffouen nomnaGupioa mdimomor3 nohn*s andil youdet€$p€asfr
Nomne Na-e
nanndu€ lll (Addibon.L
Nomin.bon
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Dareo, B,nh(1.caseorMinor,
Relationship
wilh the Nominee
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Nomine'sGuardian
Oetails
., ,;:1.:.ui]Nominees
Guardian
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l!9q,4'!!.{1)!. 9eF!{!!!alxtxrit
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lwould likelo sul'scribeforTier llAccountalso YES[]
NO:l
I wouldlikemyPRANrobe prlnted
ln Hindi
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r1..: ii. ,lrrrrrrlt rln
tn
t t rr*irxrrrrrrrrrrrrrrrrrrlrS
(IierL a@untB nor.wirausrorNPsLir€/
fiyes poaseeubmdet rrshAnn€xuGr
Svavaambansub*r be6)
YES [:
fycs p]easesubmirderaisonAnnetuErl
pageandareavallablB
FUNDSELECTION
to lha all s.ctor
{i) PENSION
{Tlerl) : tho namssof lh€ all PFsaB h.ntloned Inlh6Instructlons
sub6criber3
wlth followingcondirbns:
(D Gov.mm.ntS..trForGoEmmentSubedib€G.rheroMinsFFsadasd.rautPFsaspst'esuiderine.issu.dbytr.Gorcnm€nr:
(a) L c PemionFund Limited (b) sBr P€rcionFundsPvr limt€d (cl LrrrR€ii€m.nt60utons Lrd
(ii) NPSLh./Swv.l.mb.n: NPS LiteSwawlambanb. gDup chol6 mod€lwh€E 3ub*r bd has a cho6 ol PF.nd lnwstn€nt opiionas.v.irabrswithAggrcgaror
(iio All citizen Modol: Sub&dber6 u.ds A I Citizen mod.l has r.1r.oDrionro choo* tE awilab e PFs as Nr rheir choi4 in lh. Eb e b.|ry.
( v) colpoEra Modol: s ubsiboE Errrrrhav€rh6 oplionro choos. rh. .€ira br. PF336 p€r u16bdw iabi€ n @nsut.iron wl1nih.rr r€sp€clrw Emproy€r
N!m.ofth.P.nllonFund
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ol lh. P€n.lon Fund.
sB P€nsionFundsPrivarELimir.d
uTr Rerirem€nt
so urionELimit d
lclclPtudeita PeisioiFuidsManao.m.nrcompany
Limitedi
-
ReLianeCapitl Peftion FundLimiFd
I_IOFCPlnsion Manas.mcnl Company LimlGd
F.p|dsenole$atil19deemedlhaly
. cumn y, SBI P€Blon FundsPdvde
(Avallrbl€lor All ciiian Mod6landCorportGttodelSubc.ibeB)
OPTION
flD INVESTMENT
( PleaseTick(J) in lhe boxgivenbelowshowingyow inveslmentoptlon).
AcliveChoice E
Auto Choice E
Fdrdei2lsonAuloChoie.Dlca$r.t
f 1olhcOferooamenrPleasenot6:
yourfu^dswirrbe
I rn€3€youdonotindhar€any
n*srr 6ntopljo^.
nrcsEdnAulochoi*
2lneseyouhareopredloraurochoi€,DoNoTrrrups.crionb.e€rarinqroastArroerion.nes.youdo,rh€assatAMrioninstrudioiswirb.io
aid rnwstnenrritbemadeasperAul!Chote
(iiD ASSET ALLOCATION {to be flled up only ln cass you hev. s€leci6d th€ 'Actlve Cholc€' hv6Elrn€ht optlon)
E
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NorB:TheroiararlGtjon acrc$ E c andG .ss.r crass.sd ust b€€qur to
.ppridron sh.n b6€j6d€n.
D.cl.r.lion A Authorlz.|lon by .ll 8!b€cnb.a
I have @d a.d undercl@d the Gms €nd condiijons or lh. Nalional PgnsionSyslefr a nd h.reby as €e ro rhe samc and dcclac that lh. ntomar on 6nd docum€ slumish€d
by me aG lrue .nd @rec( lo lh€ b6st or ny kn6{l€d0e and belief. I undeleke 10 intom immcd ably lh. CenlEl R@rd Keeping Aqency/N.ion.l F€nsion Sysl.m Tru3t
ol..y chang€in lh€.b.w inl6mati0nrumi6hedby fre. l do nolhod any p|ensfts a@unrunder NPs lund€Er€ndlh.r r3ha b6lullyri.br€lorsubmissioiof.ny13r.6
fudheragElob6boundbyth.igm3andcondroneorpovisioiors.ruiFbycRA
frcmrimeiolimeandany€mendme $eEof $.ppored by PFRDA wh€in€r
@mplec or panid wilhoutany ne decla€ilonbeiig rumishedby me. Isha bc boundbythet m3 €.d @ndtiois forrh€usg€ ol r-pin(!0.@$ cRAJNPScat,r.ndvi€w
d6r.irg) & T-pin on $. cRAw.bsile
Addhlon.ld.cl.r.||on by Swv.l.mb.n sob.cdber
hav6€ad/€xplalnad
lo f,e and undeGlrodthe swavalambai9udelinesandI mcetihe pEsib€d e igit ity qie a lor 633bEnG underr,\
[email protected]@nbibulonlimrofminimuhRs1000/-.ndmdinumofRs12000/-,failingwhichrh6c.ntaGovomm.nrconrfblfonc.edited!cmya@unt
be rodeiredalonqwithsuchint E3tEGs ae m6y b€
O.clrEUonund.rth. Pr.wndonof Mon.yL.und.dngAct2002
herebydedaE lhatlhe @ntribulionpaidby me/onmyb8h.lrhasb4n d€fivanrom .!any dada€d andas*ed sou@s ot [email protected] u.de6i*nd har NPSTrusrh€slhe
dshtlo perusemylinancalprcile or shaE rhe iniom.ijd, wi$ orh€rgdEmm€ntaorhoriiies tudherag€e lh3t NPs Ttusthast e ichr lo doF my PliAN in cas. I am
rdundvioal ns lh. rovisions of anylawrcl€iinglo p€wnl on ol mon6ylaund€dng
Slgnatul€lThumb
lmpr€€!lon'of Sub3cribe.
in blackhk
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ACKNOWLEDGEIIIENT
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3 m6nlonedonlhe oiqina Aadhaaf@rdae rolching wilhtEl monlion.don NPSappli*l onfom
sigiaiuG oraufiod2€dsignaiory
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adhon!.don by Agg6grtor'3 ofii4 {NL . AO}
cedif€d that rhe subsqiber is €oisb€d w h in. agg€g.i.f and h€/sh€ has opcd io join NPs. I h.Eby deda@ thal ife .ubsib€r ls €ligiblo io join NPs and $6 .bove
dedadfoi has beei .igned /t|udb mp€s€d b€roF mo by ... ... ... ... .. ... ... ... ... ... ... .. ..afs (s)he has ead tF eitiev 6ntles h* bsn Ed oEr lo hBfihlmby me
ol tho AutFtu€d DeEn lln lhe box
NPSL reAccoudrOtre (NL-AO)R.li3rr.rionNumb€r
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CRA-FCR.gisFaionNunber
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3 of 3

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