Client Registration Form : Individual Constituents (Business Rule : 27 ) To (Name of Member ) Membership Registration Number Address of Member PHOTOGRAPH Sign across the Photograph Dear Sir We request you to register us as your client. The Details of Registration is as under : (01) Full Name : (02) Date of Birth /Age : DD/MM/YY (03) Gender : Male / Female (04) Occupation : (05) Nationality : (06) Permanent Account Number (PAN) : (06A) If PAN is not available, the reasons thereof : (06B) Whether declaration as per the format prescribed by the Income Tax : YES/NO department given? (07) Correspondence Address: City : Pincode : State : Country : Telephone Number : Mobile Number : Fax Number : (including STD code) Email ID : (08) Residential Address: City : ----------------------------------------------- Corporate office -------------------------------------------- 102 A, Landmark, Suren Road, Chakala, Andheri (East), Mumbai 400 093 Tel.: 022 5649 4000 Fax: 022 5649 4151 www.mcxindia.com email: customersupport@mcxindia.com
Pin code : State : Country : Telephone Number : (09) Name of Introducer : (10) Address of Introducer : (11) Details of Bank Account: Name & Address of Bank : Account Number of the Bank : & Account Type (12) Sales Tax Registration Details: Local Sales Tax : State Registration No. Validity Date : Central Sales Tax: Registration No: Validity Date : (13) Depository Account Details: Depository ID : DP ID : Client ID : (14) Details of Registration with other Exchanges: Name of Exchange : Name of Broker : The information furnished above is true to the best of my knowledge and belief. I undertake to inform changes in any of the above points in writing immediately to the Exchange. I enter into agreement to abide by all the terms and conditions of the Exchange. Authorized Signature Place: Date: Client Code: For office Purpose: Verified by: Authorized by : ( Name) (Name) Note : Each client will have to use separate form. In case of Joint names / family members, each client will have to use separate form for each person separately.
Documents to be submitted along with Client Registration Form : Address Proof Proof of Bank Account Number Copy of latest Income Tax Return Self certified photo copy of the PAN Card Declaration, if the client does not have PAN, in the form prescribed by the Income tax Department.
Client Registration Form : Non - Individual Constituents (Business Rule : 27 ) To (Name of Member ) Membership Registration Number Address of Member PHOTOGRAPH of any one of the Authorised signatory Sign across the Photograph Dear Sir We request you to register us as your client. The Details of Registration is as under : (01) Name of the Company / Firm : (02) Constituent Profile : (Producer / Trader / Consumer) (03) Details of Registered Office: Correspondence Address : City : Pincode : State : Country : Telephone Number : Mobile Number : Fax Number (including STD code) : Email ID : (04) Date of Incorporation : DD/MM/YY (05) Date of Commencement of Business : (06) Details of Promoters / partners : Key Managerial Personnel of the company / firm (07) Networth as on (DD /MM/YY) : (08) Permanent Account Number (PAN) : (08A) If PAN is not available, the reasons thereof : (08B) Whether declaration as per the format
Prescribed by the Income Tax : YES/NO Department given? (09) Details of Bank Account: Name & Address of Bank : Account Number of the Bank : & Account Type (10) Sales Tax Registration Details: Local Sales Tax : State Registration No. Validity Date : Central Sales Tax: Registration No : Validity Date : (11) Depository Account Details: Depository ID : DP ID : Client ID : (12) Details of Registration with other Exchanges: Name of Exchange : Name of Broker : The information furnished above is true to the best of my knowledge and belief. I undertake to inform changes in any of the above points in writing immediately to the Exchange. I enter into agreement to abide by all the terms and conditions of the Exchange. Authorized Signature Authorized Signature Place: Place: Date: Date: For office Purpose ( To be completed, signed and authorized by member ) Client Code: Verified by: Authorized by : (Name) (Name) Documents to be submitted along with Client Registration Form : (I) Address Proof, (II) Proof of Bank Account Number, (III) Copy of latest Annual Report, (IV) Proof of date of incorporation, (V) Copy of Memorandum of Association & Articles of Association. ( Applicable to Corporate Entity ), (VI) Copy of Partnership Deed ( Applicable to Partnership Firm ),
(VII) Board Resolution authorizing the company officials to execute all the deeds/ operations with the Exchange on behalf of the company, (VIII) Letter of Partnership firm (letterhead) authorizing partners to execute all the deeds / operations with the Exchange on behalf of firm. (IX) Self certified photo copy of the PAN Card (X) Declaration, if the client does not have PAN, in the form prescribed by the Income Tax Department.