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Application Form for Opening an Account Derivatives Segment

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StockHolding is a Custodian/Professional clearing member of derivative segment at the Bombay Stock Exchange. As a professional clearing member, StockHolding performs like clearing, settlement etc. For more details visit our website: http://www.stockholding.com/deri/derivative-services.aspx

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Application Form for Opening an Account Derivatives Segment

  1. 1. STOCK HOLDING CORPORATION OF INDIA LTD. Mittal Court, ‘B’ Wing, 2nd Floor, 224, Nariman Point, Mumbai - 400 021 CLEARING AND SETTLEMENT SERVICES APPLICATION FORM FOR OPENING AN ACCOUNT DERIVATIVES SEGMENT DATE : Client – Id (To be filled by SHCIL) We request you to clear trades on our behalf on the BSE/NSE Please fill all the details in CAPITAL LETTERS only. Type of Trading Member Individual Body Corporate Proprietory Firm Other (please specify) Partnership Firm Trading Member Details Name of Trading Member SEBI Registration Number Registered Office Address Correspondence Address (if different from above) Telephone No. Contact Person Fax No. Mobile No. Email_id Bank Details Proprietory Client Bank Account No. Bank Name Branch Address 9- Digit Code Number of the Bank and Branch appearing on the MICR cheque issued by the Bank
  2. 2. STOCK HOLDING CORPORATION OF INDIA LTD. Mittal Court, ‘B’ Wing, 2nd Floor, 224, Nariman Point, Mumbai - 400 021 Depository Account Details Proprietory Client Beneficiary Account No. Depository Participant Id. Depository Participant Name Depository Name (NSDL/CDSL) Declaration We declare that the above mentioned particulars given by us are true to the best of our knowledge as on the date of making such application. Authorised Signatories (Enclose a Board Resolution for Authorised Signatories) Signatory Name Designation Signature First Signatory Second Signatory Third Signatory The above signatures are to be attested by your bankers.

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