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Format of Debit Instruction to debit processing fees towards ... - MCX

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<strong>Format</strong> <strong>of</strong> <strong>Debit</strong> <strong>Instruction</strong> <strong>to</strong> <strong>debit</strong> <strong>processing</strong> <strong>fees</strong> <strong>to</strong>wards cancellation <strong>of</strong>Authorized Persons (AP)To be printed on letter head <strong>of</strong> member for each AP application.Date:To,Membership DepartmentMulti Commodity Exchange <strong>of</strong> India Ltd.,Exchange Square,Suren Road, Chakala,Andheri (East),Mumbai- 400 093.Dear Sir,Sub: <strong>Debit</strong> instruction <strong>to</strong> <strong>debit</strong> <strong>processing</strong> <strong>fees</strong> <strong>to</strong>wards cancellation <strong>of</strong> Authorized Personapplication submitted <strong>to</strong> the Exchange by us.Members ID:_______________I / We authorized the Exchange <strong>to</strong> <strong>debit</strong> the <strong>processing</strong> <strong>fees</strong> along with service tax <strong>to</strong>wardscancellation <strong>of</strong> the Authorised Person application mentioned below from my/ our settlementaccount no. ___________________ in______________ (Name <strong>of</strong> the Bank).Sr.No.1ApplicantName <strong>of</strong>AuthorisedPersonTrade Name<strong>of</strong> AuthorisedPersonAmount <strong>of</strong><strong>processing</strong><strong>fees</strong> <strong>to</strong> be<strong>debit</strong>edAuthorisedPersoncodeAmount <strong>of</strong>Service tax<strong>to</strong> be<strong>debit</strong>ed.TotalAmount <strong>to</strong>be <strong>debit</strong>edFor ____________ (Name <strong>of</strong> Member)________________ (Signature <strong>of</strong> Authorised Signa<strong>to</strong>ry )Name <strong>of</strong> the Signa<strong>to</strong>ry:-Rubber StampNote:-1. Please submit separate <strong>debit</strong> instruction for each Authorised Person application.


<strong>Format</strong> <strong>of</strong> authorization letter from clearing member <strong>to</strong> <strong>debit</strong> <strong>processing</strong> <strong>fees</strong> <strong>to</strong>wards cancellation<strong>of</strong> Authorized Persons (AP)Date:To be printed on letter head <strong>of</strong> the clearing member for each AP applicationTo,Membership DepartmentMulti Commodity Exchange <strong>of</strong> India Ltd.,Exchange Square,Suren Road, Chakala,Andheri (East),Mumbai- 400 093.Dear Sir,Sub: Authorisation letter <strong>to</strong> <strong>debit</strong> <strong>processing</strong> <strong>fees</strong> <strong>to</strong>wards cancellation <strong>of</strong> Authorized Personapplication submitted <strong>to</strong> the Exchange.This is with reference <strong>to</strong> the above; we would like <strong>to</strong> inform you that M/s ___________ (name <strong>of</strong> themember) having Member ID ___________ is affiliated with us. Therefore, we authorize theExchange <strong>to</strong> <strong>debit</strong> our settlement account <strong>to</strong>wards <strong>processing</strong> <strong>fees</strong> alongwith the service tax for thefollowing applicant.Sr. No.Applicant Name <strong>of</strong>Authorised PersonTrade Name <strong>of</strong>AuthorisedPersonAmount <strong>of</strong><strong>processing</strong> <strong>fees</strong><strong>to</strong> be <strong>debit</strong>edAmount <strong>of</strong>Service tax <strong>to</strong>be <strong>debit</strong>ed.Total Amount<strong>to</strong> be <strong>debit</strong>ed1For ____________ (Name <strong>of</strong> clearing member)________________ (Signature <strong>of</strong> Authorised Signa<strong>to</strong>ry)Name <strong>of</strong> the Signa<strong>to</strong>ry:-Clearing Member ID:-Rubber StampNote:-1. Please submit separate Authorisation letter for each Authorised Person application.

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