Commodity Participant Name, ID and Address

INSTRUCTIONS:

1.  Please fill in CAPITAL LETTERS only

2.  Holder / Joint Holder cannot be a minor

3.  Only Resident Indians can be Holder / Joint Holder

4.  In case of Joint account , the mode of operation will be “Jointly”

5.  Nomination is compulsory if second holder details are not provided. Nominee cannot be a minor

6.  Only beneficiary account shall be opened in the 2nd holders name

7.  Self-attested copy of Address proof and PAN Card needs to be submitted along with this form

8.  List of documents admissible as Address proof:

i.  Passport/ Voters Identity Card/ Ration Card/ Registered Lease or Sale Agreement of Residence/ Driving License/ Flat Maintenance bill/ Insurance Copy.

ii.  Utility bills like Telephone Bill (only land line), Electricity bill or Gas bill - Not more than 3 months old.

iii.  Bank Account Statement/Passbook -- Not more than 3 months old.

iv.  Proof of address issued by any of the following: Bank Managers of Scheduled Commercial Banks/Scheduled Co-Operative Bank/Multinational Foreign Banks/Gazetted Officer/Notary public/Elected representatives to the Legislative Assembly/Parliament/Documents issued by any Govt. or Statutory Authority.

v.  Identity card/document with address, issued by any of the following: Central/State Government and its Departments, Statutory/Regulatory Authorities, Public Sector Undertakings, Scheduled Commercial Banks, Public Financial Institutions, Colleges affiliated to Universities and Professional Bodies such as ICAI, ICWAI, ICSI, Bar Council etc., to their Members.

vi.  The proof of address in the name of the spouse may be accepted.

(Note: Documents having an expiry date should be valid on the date of submission.)

We request you to open an Account in my/our name as per the details.

Type of Account

Beneficiary Pool* Early Pay In* Exchange CM ID*______.

*To be opened only if you are a clearing member of Exchange, please provide your Exchange CM ID

First Holders Details

Title Mr. Mrs. Ms.

First Name
Father / Husband Name
Last Name
Date of Birth

Gender Male Female

Permanent Address
Pin
City
State
Correspondence Address
Pin
City
State
Tel No. / Fax No.
PAN / UID No
Mobile No.
Email

Occupations (Please tick any one and give brief details)

Producer/Farmer Processor Trader Exporter /Importer

Others: ______(please specify)

Gross Annual Income Details (Please Specify) Income Range per annum

Below Rs 1 Lac 1-5 Lac 5-10 Lac 10-25 Lac >25 Lacs

Bank Details:

Bank Name / Branch Address / Bank
Account No. / Account Type:
Saving/Current/Others / MICR Number / IFSC code

VAT DETAILS (As applicable, State wise)

Local VAT Registration No. / Validity Date
Name of the State
Other VAT Registration No. / Validity Date
Name of the State

Second Holder’s Details

Title Mr. Mrs. Ms.

First Name
Father / Husband Name
Last Name
Date of Birth

Gender Male Female

Permanent Address
Pin
City
State
Correspondence Address
Pin
City
State
Tel No. / Fax No.
PAN / UID No
Mobile No.
Email

Occupations (Please tick any one and give brief details)

Producer/Farmer Processor Trader Exporter /Importer

Others: ______(please specify)

Gross Annual Income Details (Please Specify) Income Range per annum

Below Rs 1 Lac 1-5 Lac 5-10 Lac 10-25 Lac >25 Lacs

Bank Details:

Bank Name / Branch Address / Bank
Account No. / Account Type:
Saving/Current/Others / MICR Number / IFSC code

NOMINATION DETAILS

I/We wish to nominate I/ we do not wish to nominate

Name of the Nominee
Relationship with the Nominee
PAN of Nominee / D.O.B
Address
Pin
City
State
Country
Phone no


DECLARATION:

·  I/We have read the Commodity Participant –Beneficiary agreement including the schedules thereto and the terms & conditions and agree to abide by and be bound by the same and by the Bye Laws, Rules and Business Rules of ACE as are in force from time to time.

·  I / We declare that the particulars given by me/us above are true and correct.

·  I/We further agree that any false / misleading information given by me / us or suppression of any material information will render my account liable for termination and suitable action.

·  I/We undertake that the goods delivered by me/us on the exchange platform would be as per the contract specifications defined by the Exchange and they are free from all encumbrances

·  I /We also undertake that goods delivered by me/us on Exchange platform are free from all adulteration even though not specifically specified in the contract.

First Holder / Second Holder
Name
PAN (attach self-attested copies)
Signature
Passport Photograph

FOR OFFICE USE ONLY

Application No. / CP ID No.
Client ID for Pool account
Client ID for Beneficiary account
Client ID for EPI account
Date

Documents verified with Originals

Name of the Employee
Employee Code / Designation of the employee
Date
Signature

Acknowledgement Receipt

We hereby acknowledge the receipt of the Account Opening Application Form from: -

Name of the Sole / First Holder
Name of the Second Holder

Signature

Commodity Participant Seal