Investor Registration Form
First Holder
Second Holder
Third Holder
Personal Information
Name Of Subscriber
Date Of Birth
Country Of Birth
City Of Birth
Nationality
PAN (if applicable)
Relationship with Second holder
Relationship with Third holder
Address for Communication
Address Line 1
Address Line 2
City
Country
State
Pincode
Permanent Address if different from communication address
Contact Information
Email ID
This email is already registered.
Mobile No.
Phone No (with country code)
Bank Details
Bank Account No
Type Of Account
Select
Savings
Current
NRE
NRO
Beneficiary Name
Bank Name
Bank Full Address
SWIFT Code
IBAN Number
Correspondent Bank Name
Correspondent Bank Account No.
Correspondent Bank Address
Correspondent Swift Code
Correspondent IBAN Number
Mode of Payment
Date Of Payment
Drawn on Bank
Drawn on Bank Branch
Drawn on Bank City
Investment Details
Commitment Amount USD
Initial Contribution Amount USD
USD in Words
Date to be filled
Income & Wealth Details
Gross Annual Income
Select
Below 100K USD
100-500K USD
500K-1 Million USD
1M-2.5M USD
2.5M-10M USD
>10M USD
Net Worth in USD
As on Date
Class of units subscribed
PEP Declaration form (Applicable for all holders)
*
I am a Politically Exposed Person ("PEP") or have been PEP during the last year
An immediate family member or a close associate is a PEP or has been a PEP during the last year
I am not a PEP
My PEP status previously advised remains unchanged
Investor Status
Investor Status
Select Investor Status
Individual
HUF
Partnership
L.L.P
Society
Trust
Corporate
AOP/BOI
Proprietorship
If Individual-
Select
Single
Joint
Is Sole of First Holder is Minor
FATCA / CRS Details
Country of Tax Residence
US Citizens and Green Card Holders
Select
Yes
No
Identification Type3 (TIN or Other , please specify)
Father's Name
Spouse's Name
Gender
Select
Male
Female
Other
Tax Identification Number
Declaration of U.S. citizenship or U.S. Residence for Tax purposes
*
I confirm that I am a U.S citizen and/or resident in U.S for tax purposes(green card holder or resident under the substantial presence test) and my U.S federal taxpayer identifying number (U.S. TIN) is as follows
I confirm that I was born in the U.S. (or a U.S. territory) but am no longer a U.S. citizen as I have voluntarily
I confirm that I am not a U.S. citizen or resident in the U.S for tax purposes
Personal Information
Name Of Subscriber
Date Of Birth
Country Of Birth
City Of Birth
Nationality
PAN (if applicable)
Relationship with Second holder
Relationship with Third holder
Address for Communication
Address Line 1
Address Line 2
City
Country
State
Pincode
Permanent Address if different from communication address
Contact Information
Email ID
Mobile No.
Phone No (with country code)
Bank Details
Bank Account No
Type Of Account
Select
Savings
Current
NRE
NRO
Beneficiary Name
Bank Name
Bank Full Address
SWIFT Code
IBAN Number
Correspondent Bank Name
Correspondent Bank Account No.
Correspondent Bank Address
Correspondent Swift Code
Correspondent IBAN Number
Mode of Payment
Date Of Payment
Drawn on Bank
Drawn on Bank Branch
Drawn on Bank City
Investment Details
Commitment Amount USD
Initial Contribution Amount USD
USD in Words
Date to be filled
Income & Wealth Details
Gross Annual Income
Select
Below 100K USD
100-500K USD
500K-1 Million USD
1M-2.5M USD
2.5M-10M USD
>10M USD
Net Worth in USD
As on Date
Class of units subscribed
PEP Declaration form (Applicable for all holders)
*
I am a Politically Exposed Person ("PEP") or have been PEP during the last year
An immediate family member or a close associate is a PEP or has been a PEP during the last year
I am not a PEP
My PEP status previously advised remains unchanged
Investor Status
Investor Status
Select Investor Status
Individual
HUF
Partnership
L.L.P
Society
Trust
Corporate
AOP/BOI
Proprietorship
If Individual-
Select
Single
Joint
Is Sole of First Holder is Minor
FATCA / CRS Details
Country of Tax Residence
US Citizens and Green Card Holders
Select
Yes
No
Identification Type3 (TIN or Other , please specify)
Father's Name
Spouse's Name
Gender
Select
Male
Female
Other
Tax Identification Number
Declaration of U.S. citizenship or U.S. Residence for Tax purposes
*
I confirm that I am a U.S citizen and/or resident in U.S for tax purposes(green card holder or resident under the substantial presence test) and my U.S federal taxpayer identifying number (U.S. TIN) is as follows
I confirm that I was born in the U.S. (or a U.S. territory) but am no longer a U.S. citizen as I have voluntarily
I confirm that I am not a U.S. citizen or resident in the U.S for tax purposes
Personal Information
Name Of Subscriber
Date Of Birth
Country Of Birth
City Of Birth
Nationality
PAN (if applicable)
Relationship with Second holder
Relationship with Third holder
Address for Communication
Address Line 1
Address Line 2
City
Country
State
Pincode
Permanent Address if different from communication address
Contact Information
Email ID
Mobile No.
Phone No (with country code)
Bank Details
Bank Account No
Type Of Account
Select
Savings
Current
NRE
NRO
Beneficiary Name
Bank Name
Bank Full Address
SWIFT Code
IBAN Number
Correspondent Bank Name
Correspondent Bank Account No.
Correspondent Bank Address
Correspondent Swift Code
Correspondent IBAN Number
Mode of Payment
Date Of Payment
Drawn on Bank
Drawn on Bank Branch
Drawn on Bank City
Investment Details
Commitment Amount USD
Initial Contribution Amount USD
USD in Words
Date to be filled
Income & Wealth Details
Gross Annual Income
Select
Below 100K USD
100-500K USD
500K-1 Million USD
1M-2.5M USD
2.5M-10M USD
>10M USD
Net Worth in USD
As on Date
Class of units subscribed
PEP Declaration form (Applicable for all holders)
*
I am a Politically Exposed Person ("PEP") or have been PEP during the last year
An immediate family member or a close associate is a PEP or has been a PEP during the last year
I am not a PEP
My PEP status previously advised remains unchanged
Investor Status
Investor Status
Select Investor Status
Individual
HUF
Partnership
L.L.P
Society
Trust
Corporate
AOP/BOI
Proprietorship
If Individual-
Select
Single
Joint
Is Sole of First Holder is Minor
FATCA / CRS Details
Country of Tax Residence
US Citizens and Green Card Holders
Select
Yes
No
Identification Type 3 (TIN or Other , please specify)
Father's Name
Spouse's Name
Gender
Select
Male
Female
Other
Tax Identification Number
Declaration of U.S. citizenship or U.S. Residence for Tax purposes
*
I confirm that I am a U.S citizen and/or resident in U.S for tax purposes(green card holder or resident under the substantial presence test) and my U.S federal taxpayer identifying number (U.S. TIN) is as follows
I confirm that I was born in the U.S. (or a U.S. territory) but am no longer a U.S. citizen as I have voluntarily
I confirm that I am not a U.S. citizen or resident in the U.S for tax purposes