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

Format of authorization letter from clearing member to debit processing fees towards cancellationof Authorized Persons (AP)Date:To be printed on letter head of the clearing member for each AP applicationTo,Membership DepartmentMulti Commodity Exchange of India Ltd.,Exchange Square,Suren Road, Chakala,Andheri (East),Mumbai- 400 093.Dear Sir,Sub: Authorisation letter to debit processing fees towards cancellation of Authorized Personapplication submitted to the Exchange.This is with reference to the above; we would like to inform you that M/s ___________ (name of themember) having Member ID ___________ is affiliated with us. Therefore, we authorize theExchange to debit our settlement account towards processing fees alongwith the service tax for thefollowing applicant.Sr. No.Applicant Name ofAuthorised PersonTrade Name ofAuthorisedPersonAmount ofprocessing feesto be debitedAmount ofService tax tobe debited.Total Amountto be debited1For ____________ (Name of clearing member)________________ (Signature of Authorised Signatory)Name of the Signatory:-Clearing Member ID:-Rubber StampNote:-1. Please submit separate Authorisation letter for each Authorised Person application.