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REGISTRATION AS AGROYFRANCHISEE(NSE-BSE)

Check List of Documents to be submitted for FRANCHISEE

SNDocumentIndividuals / HUFPartnershipCompany

1PhotographPhoto of Individual / KartaPhoto of AuthorisedPartnerPhoto of Authorised Director2Franchisee ApplicationForm(Annex-A)To be filled and signed byindividual / KartaTo be filled and signed byauthorized partnerTo be filled and signed byauthorized director3Franchisee Agreement(Annex-B)along withSchedule IOn a stamp paper of Rs.50/-to be signed bythe individual / kartaOn a stamp paper of Rs.50/-to be signed bythe auth. partnerOn a stamp paper of Rs.50/-to be signed by the auth.director4Declaration Letter(Annex-C)To be given on theletterhead of theIndividual / HUF andsigned by individual / kartaTo be given on theletterhead of thePartnership Firm andsigned by auth. partnerTo be given on the letterheadof the Company and signedby auth. director5Authority Letter / BoardResolution(Annex-D / E)Authority letter signed byindividual/karta as perAnnex DAuthority letter signed byall partners as per AnnexDBoard Resolution signed byall Directors as per Annex E6Premises NOC +Receipt(Annex F)To be signed by theowner of premisesTo be signed by theowner of premisesTo be signed by the owner of premises7Letter of Authority(Annex G)From AuthorisedSignatoryFrom AuthorisedSignatoryFrom Authorised Signatory8PAN CardCertified True copy of PAN card of Individual / KartaCertified True copy of PAN card of Firm and

all

PartnersCertified true copy of Pancardof Company and

all

Directors9Proof of photo identityand residenceCertified true copy of either of:a) Passportb) Voter IDc) Driving Licenseof Individual / KartaCertified true copy of either of:a) Passportb) Voter IDc) Driving Licenseof

all

PartnersCertified true copy of eitherof:a) Passportb) Voter IDc) Driving Licenseof

all

Directors10Proof of Bank AccountAttach cancelled chequeof Individual / HUFAttach cancelledchequeof FirmAttach cancelled cheque of Company11Bio-dataOf Individual / KartaOf Branch HeadBranch Head12Financial ReportsCopy of Income TaxAcknowledgments for last2 years of Individual / KartaBalance Sheet for last 2years of the firm certifiedby auth. partnerBalance Sheet for last 2 yearsof the Company certified byauth. Director13Shareholding PatternList of Members of HUFwith names and date of birthsNAList of latest shareholderswith respective number of shares14MOA / AOA / Partnership deedNACertified true copy of Partnership DeedCertified true copy of Memorandum and Articles of Association15Client Registration Form From Individual / KartaFrom FirmFrom Company

Notes:



In case of HUF/Partnership firm / Company, please

affix rubber stamp

with all signatures.



Edit all the places highlighted in

grey



Sign at all the places marked by

‘X’

.Ver. 2009.2

Annex -A

For Office Use:

IntroducedBy:…………….Branch:..…Group:…………FI:…………SI:……………..

FRANCHISEEAPPLICATIONFORM

ToAGROY Finance & Investment Ltd, New Delhi.I request you to register me/usas your Franchisee. I have read the Rules, Bye Laws and Regulations of theStock Exchanges and agree to abide by them. In this regard, I furnish the following information:

Ind / HUF / Firm / CompanyNameDate of Formation/ Incorporation: / /

(dd/mm/yyyy)

Sex: Male / Female(if individual)Authorised SignatoryName

(First Name) (Middle Name) (Last Name)

RegisteredAddress………………………………………………………………………………….………………………………………………………………………………….City: ………………………… State: ……………………Pin:…………….Phone ( ……….)……………………Fax: ( ………..) ……………………Mobile: …………………… Email ID: ……………………………….….…Correspondence / Business Address………………………………………………………………………………….………………………………………………………………………………….City: ………………………… State: …………………… Pin: …………….Phone ( ………. ) …………………… Fax: ( ……….. ) ……………………Mobile: …………………… Email ID: ……………………………….….…Education Qualificationof Authorised SignatoryNCFM Certifications(Attach Certificates &Marksheets)For Authorised SignatoryModule Reg.No. Date of Issue Date of Expiry MarksI hereby declare that all the information and particulars given by me in this application are true to the best of myknowledge and belief. I agree to immediately inform you if there is any change in any of the information given inthis form or its annexures. I also declare and agree that if any of the above statements are found to be incorrect orfalse or any information or particulars have been suppressed or omitted there from, I am liable to be debarred fromdoing business on the stock exchange. I also agree to furnish such other information as you or the Exchange mayrequire from me from time to time and I agree that if I fail to give such information, you shall have the right tocancel my registration and you or the Exchange shall have the right to debar me/us from doing business on the Stock Exchange.(Signature)Date:__________

___Name: ……………………………………………..Place:_____________Affix Passport SizePhoto of AuthorisedSignatory here andSign Across

Annex -B

(Print this page on a stamp paper of Rs.50)This non-judicial Stamp Paper of Rs. 50/-form part and parcel of the Member-FranchiseeAgreement executed between M/s. AGROY FINANCE AND INVESTMENT LTD. and__________________________________________________.(Signature)