Letter for Activation of Currency Derivatives Segment

Indiabulls Securities Ltd.

F-60, 2nd Floor,
Malhotra Building,
Connaught Place
New Delhi 110001.

Sub: Request Letter for activation of trading facility in Currency Derivatives Segment

Dear Sir

I/We hereby request you to kindly process my application for activating Trading facility
in Currency Derivatives Segment for my/our trading account. Enclosed herewith is the
signed Member Client agreement & Risk Document Disclosure Document for your
perusal.

Yours Truly,
Clients Signature:

_______________________________________________

Client Code:

_______________________________________________

Name of the Client:

_______________________________________________

Email address

_______________________________________________

Mobile no.

_______________________________________________

Address

_______________________________________________
_______________________________________________
_________________________Pin Code_______________

Date:

__________________

Place:

__________________