FATCA INFORMATION FATCA is an acronym for the Foreign Account Tax Compliance Act, a set of US Tax Regulations brought in by the US government to prevent tax evasion by US Nationals and the same enacted through the Internal Revenue Service (IRS), which is similar to the Income Tax Department in India. (Please answer the questions as accurately as possible.)
Address Type
Please select your answer
Residential or Business
Residential
Business
Registered Office
Unspecified
What is your source of Wealth?
Please select your answer
Business Income
Gift
Ancestral Property
Rental Income
Prize Money
Royalty
Others
What is your Occupation?
Please select your answer
Agriculturist
Business
Business Manufacturing
Business Trading
Financial Institution
Forex Dealer
Government Body
Government Service
Housewife
Insurance Company
NPS TRUST
Non-Government Service
Not Specified
Others
PF Trust
Private Sector
Profession - Engineering
Profession - Finance
Profession - Legal
Profession - Medicine
Professional
Public Sector / Government Service
Retired
Service
Student
Income Slab
Please select your answer
Below 1 Lac
1 to 5 Lacs
5 to 10 Lacs
10 to 25 Lacs
25 Lacs to 1 Cr
more than 1 Cr
Political Connection?
Please select your answer
Not Applicable
Related to Politically Exposed Person
Politically Exposed Person
Do you have Tax Residency in any other country than India?
If the answer to the above Question is Yes, Please furnish Details.
Write the names and Tax Reference Numbers for each country.
2 out of 5
BANKING INFORMATION Kindly enter the banking information. This bank account will be linked to your investment folios with the AMC and will be used for payments for purchases and receiving proceeds of redemptions.
Bank Account Type
INR-denominated bank accounts are easier to process than others.
Bank Address/ Branch name (as per Cheque)
Upload image of cancelled cheque
The check should be canceled and signed and should display the primary account holder's name clearly along with the bank account number and IFSC code. Only PDF and JPG images can be uploaded. Maximum size 2 MB. In case you do not have this image, please email a copy at services@modulorcapital.com.
3 out of 5
Joint Holding If you wish to make this account a joint holding, please enter the information requested below. Alternatively, please skip this section.
How many Joint Holders do you wish to add?
A maximum of 2 joint holders are allowed.
Percentage Holding Total holdings must be 100% for the primary and all joint holders combined.
Details of the Second Holder.
Please enter the following information:
NAME (as on PAN CARD) PAN Card Number Date of Birth (as on PAN CARD) in DD-MM-YYYY format. Phone Number (as per existing KYC, if any) Address (as per existing KYC, if any) PIN Code
Details of the Third Holder.
Please enter the following information:
NAME (as on PAN CARD) PAN Card Number Date of Birth (as on PAN CARD) in DD-MM-YYYY format. Phone Number (as per existing KYC, if any) Address (as per existing KYC, if any) PIN Code
4 out of 5
Nominee Details Nomination is optional but highly recommended. Joint holders cannot be nominees. You can add up to 2 nominees.
How many Nominees do you wish to add?
Percentage Nomination Total holdings must be 100% for the first and second nominees combined.
Details of the First Nominee.
Please enter the following information:
NAME (as on PAN CARD if an adult). PAN Card Number, if an adult. Date of Birth (as on PAN CARD, if an adult) in DD-MM-YYYY format. Phone Number (as per existing KYC, if any), if the nominee is an adult. Email, if an adult.
Details of the Second Nominee.
Please enter the following information:
NAME (as on PAN CARD if an adult). PAN Card Number, if an adult. Date of Birth (as on PAN CARD, if an adult) in DD-MM-YYYY format. Phone Number (as per existing KYC, if any), if the nominee is an adult. Email, if an adult.
5 out of 5