Employee Name :
Address :
Designation: Whether Karta / Family Member :

Name of Spouse :
Address :
Date of Birth : Ocupation :
PAN No.: Tel. No. : Mobile:

SEBI REGISTRATION (IF APLLICABLE) :
No. of Employees in the Treasury / Investment Dept. :
No. of Employees in Back Office : Net worth of the Company :
No. of Directors of the Entity :
Name and Address of the Directors of the Company :

Shareholders
Name of the Shareholders
% Held
Indian Institutional Investors
Foreign Institutional Investors
State Govt. / Central Govt.
Parent Holding Company
Retail Shareholders
Director's/Promoter's Stake