A filllservice investment boutique AUTHORISED

PERSON APPROVAL FORM (To be filled by the introducer/Franchisee coordinator in consultation with the prospective
business associate)
SEGMENTS NSE CASH NSE BSE CURRENCY MCX
Please tick
APPLECANT PARTICULARS
Name of Business Associate: AMARNATH UPADHYAY
Type of Entity: (Please tick) [ ] Individual [ ] Proprietor [ ] Partnership [ ] Company Contact Person AMARNATH
BHOLANATH UPADHYAY
Name Middle Name Last Name
Registered Office Address: SNO 37/A/4, MOHMADWADI, HADPSAR,
City: PUNE State: MAHARASTRA Pin codez411028 Land Tel No.: Mobile no.: 7276755805 Email id.:
AMAR.UPADHYAY57@GMML.COM
I. SECURITY DEPOSIT AND REGISTRATION FEES DETAILS
Registration Fees Chq (Amount) Initial Total Security Deposit *
2206/
DETAlLS OF SECURITIES (In case of collateral) 1 Script Quantity Current Market Value
NOTE :Applied for Remisership, Terms would start giving 20000l- KEYNOTE SHARE )brokerage from the 4th month.
tc KEYNOTE CAPITALS LTD if not the sharing would be done 60 40 in which 60% of Kevnote & 40% Franchisee.
2. BROKERAGE
OPTION 1 Keynote Capital % 50 ASSOCIATE % 50 REVENUE SHARING (Pls. mention base slab below) OPTION ll
KEYNOTE CAPITALS will charge the following brokerage to the business associate. FlXED BROKERAGE SHARING
Brokerage charged over and above the following slab would be passed on to the
business partner (Bis. mention base slab below)
nd . Segments (Minimum
Retention) Trading: 15‘ Leg Trading: 2 Leg Dellvery
Minimum Minimum Minimum
% Paisa % Paisa % Paise
Cash
Future 0.01 0.01 0.01 0.01 Terminal ID charges Option Per Lot 12/- 12/- 12/- 12/
MCX
Currency Rs 299 /m0nth/segment
hereby agree with the above brokerage sharing terms

My
Signature of Business Associate
APP R8 "V AL
PARTICULARS NAME SIGN
 E Keynote Capitals Representative w x L l I I I l hm
Asst. Vice President W A PIPPAL Rsmil Head MRAMNARESH WW3 A V