Annexure-III. We hereby confirm that the installation address mentioned above is (please tick the option as applicable)
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1 T, Indian Cmmdity Exchange f India Ltd 4 th Flr, Thane-Belapur Rad, Airli, Annexure-III On cmpany s letterhead Sub: Applicatin fr New MPLS leased circuits This has reference t yur circular n. dated. fr the purpse f Natinwide MPLS cnnectivity. We wuld like t apply fr Kbps/ Mbps (In case f BSNL please mentin Gld r Silver scheme) MPLS circuit frm (Airtel / TCL / BSNL) service prvider. Fr Installatin f MPLS circuit please find the details as mentined belw:- Name f Trading Member Member ID Permanent Address Installatin Address City State Pin Cde Cntact Number (Landline) Cntact Number (Cell Phne) Fax number Cntact persn name ID Feasibility f the lcatin checked with YES / NO the Exchange Cnnectivity Interface mde (Please n apprpriate chice) Ethernet V.35 G.703 We hereby cnfirm that the installatin address mentined abve is (please tick the ptin as applicable) Registered Office Address f the Member Branch Office address f the Member Address f ur Registered Authrised Persn (AP) with the Exchange The Authrised Persn cde alltted by the Exchange is (In case the address is f registered Authrised Persn) We agree t the terms and cnditin fr installatin f MPLS circuit. Fr any further cmmunicatin in this regard, please cntact Mr./Ms./Mrs. (Name f the cntact persn) n (cntact numbers) r at. Thanking yu. Yurs faithfully Fr (Name and signature f the authrized signatry) Cmpany Stamp If applicatin exceeds mre than ne page please prvide the signature and stamp n all the pages
2 Annexure - IV (On Nn-judiciary stamp paper f Rs 300/-) UNDERTAKING I/we (Member Name) d hereby undertake the fllwing: I/We agree that the leased Circuit (Circuit) will be used purely fr the purpse f trading n ICEX nly. I/We agree that this circuit will nt be intercnnected t any f the Leased Line/ Data Circuit/ Netwrk/ PSTN/EPABX etc. f any ther service prviders which are nt permitted by the terms and cnditins f Telegraph/DOT Authrity. I/We further agree t extend facility t the Telegraph authrity in rder t enable (view nly) mnitring f the purpse, perfrmance and peratin f the circuit, as and when required. I/we hereby agree t abide by the prvisins f Indian Telegraph Rules/DOT Rules in frce and as mdified frm time t time and such ther terms and cnditins prescribed by the cncerned Authrities. I/We agree that necessary charges fr registratin/installatin/advance annual rental/arrears, if any will be paid t the cntrlling/billing authrity f service prvider & ICEX, as and when we receive demand nte/advice frm service prvider/icex and when such charges becme due. I/We agree that I/We shall pay the cancellatin charges and ther expenses incurred t establish the circuit as requested by me/us that may becme payable, in the event f cancellatin f the applicatin/clsure f the circuit at a later date. I/We d hereby agree t indemnify the Gvt. f India/ DOT/ service prvider and keep them indemnified against any lss damage claim, cst, charges, expenditure incurred by r made against them in respect f lss f rent/ call charges, vilatin f C.U.G. nrms due t misuse f the circuit r therwise whatsever in the matter. In case service prvider prvides us mdems, it will be ur respnsibility t maintain the same safely. In case f any physical damage r theft we will bear the charges specified by Service Prvider. I/We undertake t ensure that access shall be given nly t the individuals authrised and als a methd shall be established t ensure that nn authrised persns cannt access the system. (i) ICEX shall have the right and privilege f inspecting and testing at my/ur site withut any prir ntice. I / We shall keep full security f ICEX's databases and recrds in accrdance with best cmputing practice. I / We hereby undertake t duly infrm ICEX in case f any cause, resulting in any change t my/ur entity, r any change in any f the eligibility criteria. Fr (Name and signature f the authrized signatry) Rubber Stamp f the entity
3 I / We shall render all pssible assistance and c-peratin t ICEX by prviding access t any kind f infrmatin in any frm as it may require and I/we hereby undertake t prduce such dcuments, recrds, accunts, bks, data hwsever stred including data stred in magnetic tapes, flppy diskettes, etc. and any ther infrmatin as may be required by ICEX at its discretin. I / We agree and undertake that ICEX shall nt be liable fr any direct r indirect lss, damage, csts, claims and expenses whatsever caused r cntributed by any event f frce majeure. Fr the purpses f this Clause, "Frce Majeure" means and includes wars, insurrectins, revlutin, fires, flds, epidemic, quarantine restrictins, declared general strikes in relevant industries, act f Gd, act f the Gvernment f India and any cncerned State Gvernment and such ther acts r events beynd ICEX's cntrl and further the abve is withut prejudice t the rights already accrued t ICEX due t my/ur failure t perfrm either in full r in part, my/ur bligatins prir t the ccurrence f events f Frce Majeure. I / We shall nt hld ICEX respnsible fr delay, disturbance r nn-availability f cnnectivity r delay in respnse frm server during trading sessin r nn-trading sessin, any delay in refund after surrender f cnnectivity r due t any reasn at any time including the reasns stated in Frce Majeure clause hereinabve. I / We shall indemnify and keep indemnified ICEX harmless against every and all claims, demand, damages, liabilities, lsses and expenses suffered by it directly by reasn f my / ur nn-cmpliance, cntraventin with any f the prvisins f this Undertaking r any penalty impsed by Service Prvider r DOT due t my nn-cmpliances f any prvisins f the applicable Act Rules and Regulatins. I / We agree that n frbearance, delay r indulgence by ICEX in enfrcing the prvisins f this Undertaking shall prejudice r restrict the rights f ICEX nr shall any waiver f its rights perate as a waiver f any subsequent breach and n rights, pwers, remedies herein cnferred upn r reserved fr ICEX is exclusive f any ther right, pwer r remedy available t ICEX and each right, pwer r remedy shall be cumulative. I / We undertake that any declaratin r ther ntice t be given by me/us t ICEX shall be sent by registered letter r telex/cable r facsimile transmissin t the address first mentined abve. That I / we shall execute, sign and subscribe t such ther dcuments, papers, agreement, cvenants, bnds, and/r undertakings as may be prescribed r required by ICEX frm time t time. I/We als agree that in the event f my/ur nn-cmpliance with any f the prvisins as mentined abve, ICEX shall take such actin against us as it may deem fit in this regard. IN WITNESS WHEREOF this Undertaking is executed by the undersigned n the day, mnth, year and the place mentined hereunder. Stamp & Signature f the Authrized Signatry Place:
4 Annexure VI Frmat fr Trading Member (Authrizatin letter frm PCM/ITCM in favr f the Exchange t debit Annual Recurring Charges T Indian Cmmdity Exchange f India Ltd 4th Flr, Thane-Belapur Rad, Airli, Fax N.: T be printed n letter head f the respective PCM / ITCM Sub: MPLS leased circuit annual recurring charges debit facility fr ur Trading Member, (Name f the Trading Member) having Member ID. This has reference t Exchange circular n. dated. I / we authrize Exchange t debit ur settlement accunt n. in (Name f the bank) fr Rs. (plus Taxes as applicable) twards the annual recurring charges f MPLS leased circuit. Fr (Name f ITCM / PCM) Authrized Signatry Name Member ID Rubber Stamp: Place:
5 Frmat f Authrizatin letter frm PCM /ITCM in favur f Exchange t Debit cnnectivity charges. T, Indian Cmmdity Exchange f India Ltd 4th Flr, Thane-Belapur Rad, Airli, Fax N.: T be printed n letter head f the respective PCM/ITCM Sub: Cnnectivity charges with respect t Leased Line / VSAT This is with reference t the abve we wuld like t infrm yu that M/s (Name f the member) having Member ID is affiliated with us. Therefre, we authrised the Exchange t debit ur settlement accunt twards the applicable cnnectivity charges (alng with service tax if any) with respect t the leased line / VSAT. Fr (Name f ITCM / PCM) (Signature) Name f the Signatry:- PCM/ITCM Member ID:- Rubber Stamp
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