301/302, Payal Tower II, Sayajigunj, Vadodara-390020Gujarat

Date:

To ,

Compliance Department

Jhaveri Securities Limited

301/302, Payal Tower II, Sayajigunj, Vadodara-390020Gujarat

Sub: CTCL Terminal Request Form

Dear Sir/Madam,

I/We desire to activate/modify/deactivate new/existing CTCL Terminal as per the details mentioned below:

I/We hereby agree and bind myself/ourselves to be responsible for all acts, quotations made and transactions done, trades made, or effected by Mr. / Ms. ______as our Approved User on the Trading System on the Cash Market / Futures & Options / Currency Segment of the Sock Exchange. I confirm that I am aware for CTCL User charges are debited to My/Our Commission Account in Advance on Monthly basis.

I/We shall ensure that he/she will not execute any order on his/her own account or on account of anyone without such order having my/our prior approval in writing.

In case of Mr. /Ms. ______ceasing to be associated with us as ______, we shall

communicate to you and seek the disablement of the User Id so allotted against this application.

We are also aware that the NCFM certificate has a validity of ___ years and accordingly the

User Ids so allotted would be withdrawn by the Member on the expiry of such period unless the said certification is revalidated.

I / We certify that we have not applied for any other User Id in the name of Mr. / Ms. ______on the same segment for which this ID’s now being applied for.

The User Id so allotted would be utilized by Mr. / Ms. ______only to access the Odin/ Dion trading system.

Signature of the Approved User

Date:Location:

FOR OFFICE USE ONLY

Note: Please attached the certified copy of PAN/Certificate of the Approved User

Date:

To ,

Compliance Department

Jhaveri Credits and Capital Limited

301/302, Payal Tower II, Sayajigunj, Vadodara-390020 Gujarat

Sub: CTCL Terminal Request Form

Dear Sir/Madam,

I/We desire to activate/modify/deactivate new/existing CTCL Terminal as per the details mentioned below:

I/We hereby agree and bind myself/ourselves to be responsible for all acts, quotations made and transactions done, trades made, or effected by Mr. / Ms. ______as our Approved User on the Trading System on the Commodity Market of Commodity Exchange. I confirm that I am aware for CTCL User charges are debited to My/Our Commission Account in Advance on Monthly basis.

I/We shall ensure that he/she will not execute any order on his/her own account or on account of anyone without such order having my/our prior approval in writing.

In case of Mr. /Ms. ______ceasing to be associated with us as ______, we shall

communicate to you and seek the disablement of the User Id so allotted against this application.

I / We certify that we have not applied for any other User Id in the name of Mr. / Ms. ______on the same segment for which this ID’s now being applied for.

The User Id so allotted would be utilized by Mr. / Ms. ______only to access the Odin/ Dion trading system.

Signature of the Approved User

Signature (with Stamp if applicable) of the AP/Sub Broker/Branch

Date:Location: FOR OFFICE USE ONLY

Note: Please attached the certified copy of PAN/Certificate of the Approved User