(On the letterhead of the Trading Member)

Form IP- 1

Application for activation of Scenario under IP Connectivity

M/s………………. (name of the trading member) hereby apply for activation of scenario at our Main/ Branch/ Registered/ Corporate/ Sub-Brokers Office (Strike out whichever is not applicable), the details of which are given below:

1.  / Name of the trading member
2.  / Member code
3.  / Category (Please tick the required category in case the scenario applied contains Leased Line)
*For Category T (HBLL), please refer Exchange circular NSE/MEM/31097 dated - November 9, 2015 / 1.  Category A (40 interactive Messages with Market Data Broadcast)
2.  Category B (100 interactive Messages with Market Data Broadcast)
3.  Category C (200 interactive Messages with Market Data Broadcast)
4.  Category D (400 interactive Messages with Market Data Broadcast)
5.  *Category T (Tick by tick Market Data)
4.  / Segmentation of above messages (Please tick the required option)
Default for Category A (CM-15,F&O -15,CD-10)
Default for Category B (CM-40, F&O-40,CD-20)
Default for Category C (CM-80, F&O-80,CD-40)
Default for Category D (CM-160, F&O-160,CD-80) / 1.  Default
2.  All CM
3.  All F&O
4.  All CD
5.  / Scenario Applied (Please tick the required option) / Please refer below path on Exchange website for more information on connectivity offerings.
www.nseindia.com
Membership - Types -
“Read more about Connectivity Options at NSE ”
a / A1 - Single VSAT (Broadcast & 40 messages)
(A processing fee of Rs. 2000.00/- plus applicable taxes is payable towards application for A1 scenario)
b / A2 - Single Leased Line (Broadcast & 40 messages)
(A processing fee of Rs. 2000.00/- plus applicable taxes is payable towards application for A2 scenario) /
c / A3 -Single Leased Line with VSAT as Back Up
(Broadcast & 40 messages).
(A processing fee of Rs. 4000.00/- plus applicable taxes is payable towards application for A3 scenario) /
d / A4 - Dual Leased Line terminating at one POP or two
POP (Broadcast & 40 messages).
(A processing fee of Rs. 4000.00/- plus applicable taxes is payable towards application for A4 scenario) /
e / A5 – Dual Leased Line with VSAT as back up(Broadcast & 40 messages)
(A processing fee of Rs.6000.00/- plus applicable taxes is payable towards application for A5 scenario) /
f / B1 – Single Leased Line(Broadcast & 100 messages)
(A processing fee of Rs. 2000.00/- plus applicable taxes is payable towards application for B1 scenario) /
g / B2 – Dual Leased Line Broadcast & 100 messages)
(A processing fee of Rs. 4000.00/- plus applicable taxes is payable towards application for B2 scenario /
h / C1 - Single Leased Line( Broadcast & 200 messages)
(A processing fee of Rs. 2000.00/- plus applicable taxes is payable towards application for C1 scenario) /
i / C2 - Dual Leased Line(Broadcast & 200 messages)
(A processing fee of Rs. 4000.00/- plus applicable taxes is payable towards application for C2 scenario) /
j. / D1 - Single Leased Line( Broadcast & 400 messages)
(A processing fee of Rs. 2000.00/- plus applicable taxes is payable towards application for D1 scenario) /
k. / D2 - Dual Leased Line( Broadcast & 400 messages)
(A processing fee Rs. 4000.00/- plus applicable taxes is payable towards application for D2 scenario) /
l. / T1- Single Leased Line (Multi cast TBT market data )
(A processing fee of Rs. 2000.00/- plus applicable taxes is payable towards application for T1 scenario) / CM
F&O
CD
m. / T2- Dual Leased Line (Multi cast TBT market data)
(A processing fee of Rs. 4000.00/- plus applicable taxes is payable towards application for T2 scenario) / CM
F&O
CD
n. / S1- Single Leased Line
(A processing fee of Rs. 2000.00/- plus applicable taxes is payable towards application for S1 scenario) /
o. / S2- Dual Leased Line terminating at one POP or two POP
(A processing fee of Rs. 4000.00/- plus applicable taxes is payable towards application for S2 scenario) /
6 / Bandwidth (Mbps)
·  SBLL – 2.
·  HBLL - 4/6/8/10/20 / Please Specify any one –______
7 / Name of Leased Line Service Provider for 1st Leased Line / Specify 1. ______(Single scenario)
2. ______(Dual scenario)
Please refer below path on Exchange website
www.nseindia.com
Membership - Types -
“Availability of service providers on Various POPs”
8 / Point of Presence (POP) Location for 1st Leased Line
9. / Name of Leased Line Service Provider for 2nd Leased Line
10. / Point of Presence (POP) Location for 2nd Leased Line
11. / .
12. / Address, telephone number and fax number of the office where the Scenario is proposed to be activated
13. / Name, Contact Number, E-mail ID & Designation of the person in-charge of the office
14. / If the proposed scenario is to be activated for the operation of the trading member at the office of registered sub-broker,
Sub-broker Details
a. / Name of the registered sub-broker
b / SEBI registration no. / INS23______
c. / Address
Tel. No.
Fax No.
15. / If scenario A1 is selected, whether NOC for VSAT from the landlord/owner of the premises in the name of the trading member is enclosed / Yes/No

We hereby authorize National Stock Exchange of India Limited to debit the following amounts from our Exchange dues account:

·  Rs. 2.5 lakhs towards Interest Free Deposit for each Category B Leased Line application made by us.

·  Rs. 5 lakhs towards Interest Free Deposit for each Category C Leased Line application made by us.

·  Rs. 10 lakhs towards Interest Free Deposit for each Category D Leased Line application made by us

·  Processing fees for application for the following scenario applied (tick) by us:

Sr. No. / Scenario Particulars / Amount to be debited*
1. / A1 / Rs. 2000.00
2. / A2 / Rs. 2000.00
3. / A3 / Rs. 4000.00
4. / A4 / Rs. 4000.00
5. / A5 / Rs. 6000.00
6. / B1 / Rs. 2000.00
7.. / B2 / Rs. 4000.00
8. / C1 / Rs. 2000.00
9. / C2 / Rs. 4000.00
10. / D1 / Rs. 2000.00
11. / D2 / Rs. 4000.00
12. / T1 / Rs. 2000.00
13. / T1 / Rs. 4000.00
14. / S1 / Rs. 2000.00
15. / S2 / Rs. 4000.00

*Exclusive of applicable taxes and payable at par.

Date: ______

Signature & Stamp of the trading member

Note to Members:

1.  Processing fee can be paid through NEFT, Beneficiary account details are attached below

a) Beneficiary Name - NATIONAL STOCK EXCHANGE OF INDIA LIMITED

b) Name of the Bank - HDFC BANK LIMITED

c) Name of the Branch - FORT, MUMBAI

d) Nature of Account -CURRENT

e) Account number - 00990610000064

f) IFSC Code of the Bank/Branch - HDFC0000060

-  Post the transfer, kindly provide the Transection details UTR no. on along with application form.

2.  In case of leased line connectivity, on receipt of the application, a request would be forwarded to the network integrator i.e. HCL COMNET. The network integrator would then approach the members for completion of documentation, requirement relating to last mile connectivity and commissioning the leased line.

3.  In case of Scenario A,T & S Leased Lines, the member should make a payment of Rs. 1,00,000 per line to the network integrator by means of cheque /DD drawn in favour of “HCL Comnet Ltd’ payable at Mumbai towards Interest Free Deposit.