Request for Prior approval for change in Shareholding pattern of the member entity /Dominant Promoter Group.

(On the Letterhead of the member)

Date:

To,

Membership Department

National Commodity & Derivatives Exchange Limited

Akruti Corporate Park

L.B.S. Marg, Kanjur Marg (W)

Mumbai – 400 078

Sub: Change in Shareholding pattern/DPG Pattern

Dear Sir/Madam,

We , …………………………………………………………TMID………………and SEBI registration no ……………….the member of the Exchange hereby seeking your approval for changes in our shareholding pattern /Dominant promoters Group of the member company /holding company as per the details given below.

Sr No / Particular of changes / Applicable Proposed changes (Yes/No) / Remarks If any
1. / Issue of Equity Shares
2. / Transfer of Equity shares among New/Existing shareholders
3. / Transmission of shares
(Transfer of shares is brought about by operation of law. The word 'transmission' means devolution of title to shares otherwise than by transfer, for example, devolution by death,succession, inheritance, bankruptcy, marriage, etc)
3. / Issue of Bonus Shares/Rights Shares/Esops/GDRs etc.
4. / Buy Back of Equity Shares
5. / Issue of Preference Shares/Debentures
6. / Redemption of preference shares/Debentures
7. / New relative or Corporate Support Added or Existing Support withdrawn
8. / Any other changes

The following documents are submitted by us in regards of this application

Sr No / Particulars of Documents / Submitted (YES/NO/NA)
1. / Existing and Proposed shareholding pattern (Format Attached)
2. / Existing and Proposed Dominant Promoter Group details (Format Attached )
3. / Certified copy of Board Resolution

Note: All documents should be signed & stamp by Authorized Signatory.

We hereby confirm /undertake that:

1. There is no change in the Dominant Promoter Group pattern due to change in shareholding pattern of the company.

2. There is no addition or deletion of constituents of Dominant Promoter Group due to change in shareholding pattern of the company.

3. There is no change in management or change in control due to change in shareholding pattern of the company.

In case of any such change in future we undertake to intimate the Exchange immediately.

For any further communication in this regard, please contact the undersigned or Mr./Ms______(Name of the contact person) on______(Contact Numbers) or Email______

Yours faithfully

For (Name of the Members)

(To be signed by two authorised Directors)

Existing and Proposed shareholding pattern

(On the letter Head of the member)

Shareholding pattern of …………………(Name of member entity) as on……………….(date)

Total Paid up capital :

Face Value of each equity share:

Sr No / Name of shareholder / PAN No. / Nationality / Present shareholding as on…………………… / Proposed shareholding as on…………………… / Change in shareholding
No of Shares / % of total paid up capital / No of Shares / % of total paid up capital
Others
Total / 100 / 100

Note:

1. Person holding 5% or more of the paid up capital should be shown separately and

not clubbed in others

2. Give shareholding pattern separately in case of holding company and corporate

shareholder holding more than 5% of paid up capital

3. Share holder/Person holding 10% or more shares should provide pan card copy & aadhar card copy.

Date :

Place :

For (Name of the Members)

(To be signed by two authorised Directors)

Existing and Proposed Dominant Promoter Group

(On the letter Head of the member)

Shareholding pattern of …………………(Name of member entity) as on……………….(date)

Total paid up capital:

Face Value of each equity share:

Sr No / Name of Dominant shareholder / Relation / Existing DPG pattern as on………… / Proposed DPG pattern as on…………
Amount Paid UP / % of Shareholding / Amount Paid UP / % of Shareholding / Total %
1. / Main DPG Name / Self / Self
Relative/Corporate / Relative/Corporate
2. / Main DPG Name / Self / Self
Relative/Corporate / Relative/Corporate
3. / Main DPG Name / Self / Self
Relative/Corporate / Relative/Corporate
4. / Main DPG Name / Self / Self
Relative/Corporate / Relative/Corporate

Note: 1.Give similar details therof separately in case of holding company.

2. Person holding 5% or more of the paid up capital should be shown separately and

not in clubbed in others

Date:

Place:

For (Name of the Members)

(To be signed by two authorised Directors)