(On the letter head of the trading member)

Application for surrender of TAP IP Scenario

Date: ______

To

Membership Department,

National Stock Exchange of India Limited,

Exchange Plaza,

Bandra-Kurla Complex,

Bandra (East), Mumbai – 400 051

Dear Sir/Madam,

Sub: Application for surrender of TAP IP Scenario

I/We hereby apply for surrender of the TAP IP Scenario availed by me/us as per details given below:

TAP IP / Location (please enter the full address and telephone numbers)
Tel:

I/We request you to disable the user ids allotted on above mentioned TAP IP. I/We confirm that there are no outstanding orders on the user ids allotted on above mentioned TAP IP.

I/We confirm no activity is pending against this scenario. Further if any activity is pending the same should be cancelled and any charges in this regard would be borne by us.

I/We are surrendering this Scenario to shift to Rajkot, Cochin or Jaipur POP.
If YES, kindly mention Scenario Ref Id allotted on Rajkot, Cochin or Jaipur POP. / YES
No
Scenario Ref Id- ______
I/We are surrendering this scenario due to application of connectivity on Co-location facility. / YES
No
Details of Colocation IP against which this Scenario is being surrendered.

Name & Contact Number of the Person at Site:

Mr. / Ms…………

Tel. No.: ------

Fax No.: ------

Mobile No.: ------

Email ID: ------

Further, the processing fees as applicable (tick) in the below table can be debited from our Exchange Dues Account towards processing fees for surrender of each VSAT / leased line. (W.e.f July 1, 2009 a processing fee of Rs. 1140 /- inclusive of service tax @

14.00 % is payable towards shifting of each connectivity i.e. VSAT / Leased Line.,)

Sr. No. / Scenario Type / Amount to be debited
1 / A1 / Rs. 1140.00
2 / A2 / Rs. 1140.00
3 / A3 / Rs. 2280.00
4 / A4 / Rs. 2280.00
5 / A5 / Rs. 3420.00
6 / B1 / Rs. 1140.00
7 / B2 / Rs. 2280.00
8 / C1 / Rs. 1140.00
9 / C2 / Rs. 2280.00
10 / S1 / Rs. 1140.00
11 / S2 / Rs. 2280.00
12 / T1 / Rs. 1140.00
13 / T2 / Rs. 2280.00

Yours Faithfully,

For

Sd/-

Director/Authorised Signatory