FORM (MR) - MCX in Marathi

ITCMC-20
(On the letter head of Member)
FORM (MR)
(Format of the Return to be sent by the Members of the Recognized/Registered
associations)
NAME OF THE COMMODITY EXCHANGE: MULTI COMMODITY EXCHANGE OF
INDIA LIMITED
S. No. Description Details
Name of the member with Code No.
1. given by the Exchange
2.
3.
Unique Member Code (to be assigned
by the Forward Markets Commission.)
Address of the Member with
telephone, Fax, telex, mobile
number(s) and E mail
4.
5.
6.
7.
8.
9.
10.
Trade Name of the Member
PAN Number
Type of Membership
A) Trading member B) Clearing
Member C) Trading cum Clearing
Member
If the member is only trading member,
give details of Clearing member
including address
Date of admission to Membership
Date of commencement of
Trading/activity.
Interested Commodities for trading

11.
12.
13.
Whether dealing in physical
commodities If so please specify the
dealing A) Farmer B)Commission
Agent C)Stockiest D)Traders
E)Exporter F)Bulk Consumer
Form of the Member: sole
proprietorship/ partnership/ corporate
body/ financial institution
Name and educational qualifications
of proprietor/ partners/ directors
14.
15.
16.
17.
18.
19.
20.
Whether member of any other
recognized / registered association
(Commodity Exchange). If so, give
the name(s) of the exchanges and code
of membership, date of admission of
other recognized/ registered
associations
Whether the director or its partners at
any time convicted of any offence. If
so, furnish the details if any
disciplinary and criminal history.
Whether the director or partners
declared insolvent/bankrupt or
declared defaulter by any exchange/
commodity/ stock market. If yes,
furnish details.
Net worth of the member. Please
furnish details and necessary
documents in support there of
Are member’s subsidiaries or
registered as trading/clearing member
of securities market
If yes, provide the details of
subsidiary, its registrations number etc
List of clients (with address and
telephone numbers.) and whether
individual/institutional /hedger.
In case there is any change in the status of any item as indicated above, the same may be
communicated to the Forward Markets Commission, Mumbai through respective exchanges.

I declare that the information given in this form is true to the best of my knowledge and belief.
Place:
Dated:
Signature:
Name of Member:
Confirmation of the Exchange
This is to certify that ________________________________ is a member of this recognized/
registered association (Exchange) and the above information is correct.
Place:
Dated:
Signature:
Name and designation: