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Name*
Mobile Number*
Email Address*
PAN Number*
Aadhar Number*
Address*
Age Range?*
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18-25
26-35
36-45
46-55
56-60
Trading Experience*
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Below 1 Year
1-2 Years
2-5 Years
Above 5 Years
Where do you find yourself in knowledge in Financial Market?*
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Beginner
Fair
Good
Expert
Occupation*
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Salaried Private
Salaried Public
Business
Other
Any Debt or Liability*
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Yes
No
Income*
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1-3Lacp.a
3-5 lac p.a
5-7 lac p.a.
Above Lac p.a 7
Investment Objective*
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Long term investment
Short term investment
Intraday
Proposed Investment Amount*
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Below 1 Lac
1-2 Lac
2-5 Lac
Above 5 Lac
What is the first thought comes to your mind, when you invest your Money?*
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I should not lose my money
It should not turn out to be a bad investment
It should turn out to be a good investment
I know this is a good decision
To what extent would you expose your investment to risk, to earn higher returns?*
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Not at all
About 20%
About 40%
More than 50%
How would you feel if the performance of your recent investment is below expectation?*
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Very Upset
Moderate Experience
Uneasy but willing to take it in mystride
Not upset because I know that all investment carry risk
Would you invest in a company that under performed in the past and caused you losses?*
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Definitely not
May be, but I am not sure
Perhaps I will
Definitely yes
Your Signature *