Investment Advisory Services Application Form (Individual)

Future Multibagger Stocks
Proprietor : Pritkumar Atulbhai Kalavadia
SEBI Registration Number : INA000010292
807 Rivera Wave, Near Macdonal, Kalawad Road, Rajkot – 360005
E ‐Mail : pritpatel7863@gmail.com, Call : 78 78 78 63 63, Website : www.multibaggerstock.in


























    FemaleMale







































    Same As Above
































    Business


    Professional


    Self-employed


    Student


    Housewife


    Retired


    Service (Pvt)


    Service (Govt)


    Ferming


    Other










    No action taken by SEBI/ Stock Exchange/ any other authority for violation of securities laws/ other economic offences as on date, If taken submit details with this form.
    I/ We hereby submit that I/We will immediately inform you in case I am/We are convicted under any grounds or any action is taken against me/us by any authority
    I/We hereby declare that the amount given/to be given by me/us to theInvesment Advisor for services is derived through legitimate sources and is not held or designed for the purpose of contravention of any act, rules, regulations or any statute or legislation including Prevention of Money Laundering Act, 2002 or any other applicable laws or any notifications, directions issued by any governmental or statutory authority from time to time
    I/We undertake to provide all the disclosures as required under SEBI (Insider Trading) Regulations, Prevention of Money Laundering Act 2002 as amended from time to time or any other Act/Regulation.
    I/We have disclosed all the details properly and correctly. I/We undertake to inform you in writing of any change in the particulars furnished above. I/We further agree that I/We shall be held liable for any false/misleading information given by me/us.
    I will Submit KYC and Risk Profilling Form Attached herewith along with Documents to you along with this form as per rules, Regulations and Guidelines of SEBI.
    I will cooperate with Investment Advisor from my Part to comply with the requirement of Rules, Regulation, Circulars, Notification issued under SECURITIES AND EXCHANGE BOARD OF INDIA ACT 1992 including SECURITIES AND EXCHANGE BOARD OF INDIA (INVESTMENT ADVISERS) (AMENDMENT) REGULATIONS, 2020.
    I have seen, read, and understand Privacy Policy, Standard Disclosures, Disclaimer, terms and conditions, Refund Policy and formal agreement of investment adviser. I agree to all that without any exception.


































































    60+Under 3555-6036-4546-55


    012-5 lacs23>5lacs1-2 lacs<1 lacs


    Long term PositionalIntradayShort term Positional


    5-10 lacs10-25 lacs>25 lacs1-5 lacsBelow 1 lacs


    No experienceExtensive experienceVery less experienceModerate experience


    No experienceExtensive experienceVery less experienceModerate experience


    No experienceExtensive experienceVery less experienceModerate experience


    No experienceExtensive experienceVery less experienceModerate experience


    No experienceExtensive experienceVery less experienceModerate experience


    Very BadBadModerateGoodVery Good


    SalaryHouse Rent IncomeWhat is your Primary Sources of Income?Capital Gains IncomeBusiness & Profession



    DividendRentalRoyaltiesOthers


    Capital AppreciationCapital Appreciation and Regular IncomeRegular Income


    2-5 lacs1-2 lacs5 lacs<1 lacs


    >5 years< 2 years


    < 2 years< 1 month income< 1 month income> 6 months incomeDo not have


    Strongly preferStrongly do not preferPreferIndifferentDo not prefer


    Strongly do not preferStrongly preferPreferDo not preferIndifferent


    HighLowMedium


    Between 35% - 50%Between 20% - 35%> 50%None


    Others> 50%Student, Housewife,Professional, Business,Government sector, Public sector,Private sector service,Retired, Agriculturist,


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