Application Form

Note:You are required to fill and submit this application form for your service to commence. Fields marked in asterisk (*) are mandatory. We respect your privacy and you can skip fields which violate your privacy.
Personal Details
Full Name *
Date Of Birth (DD-MM-YYYY)
Gender Male Female
Marital Status Married UnMarried Other
Physically Handicap (If Yes, attach proof) Yes No
Belong to Defence (If Yes, attach proof) Army Navy Airforce None
Communication Address
Flat No./ Bldg. Name/ Scty. Name
Street / Road & Area / Locality
City / District
State
Pin Code
Land line / Mobile No *
Email ID *(Will be used for sending recommendation emails)
Financial Profile
Highest Education
1. Company Name / Nature of Business
2. Company / Business Address
3. Designation
Annual Income (in Lakhs per annum) < 1 1-5 5-10 > 10
Portfolio Size (in lakhs) < 1 1-5 5-10 > 10
Trading in stock market since how many years < 1 1-5 5-10 > 10
Frequently Traded Segment Intra-day Delivery F&O Forex Commodities
Profit earned in the market till now (in lakhs) < 1 1-5 5-10 > 10 None
Loss incurred in the market till now (in lakhs) < 1 1-5 5-10 > 10 None
Subscription Plan
Subscription Period *
I accept theTerms and Conditions governing my subscription.