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MOHAMED Y SADIQ

S S D BALU COMPLEXNEAR BUS STAND, MUTHIYA THEATRE


(VIA)THIRUPAPULIYUR,CUDDALORE, 607001
=====================================================================

Annexure-2)
Letter for surrender/cancellation of AP registration from applicant on their letter head
Date: _____________
Designated Director,
Anand Rathi Share and Stock Brokers Ltd 949
Registration No INB011371557
4th Floor, Silver Metropolis, Jai Coach Compound,
Goregaon (E), Mumbai 400063
Sub : Termination of Agreement and surrender/cancellation of BSE registration

Dear Sir,
With reference to captioned subject I/We hereby request you to terminate the authorised
person agreement with you and surrender AP registration certificate to BSE for cancellation of
our authorised person registration.
We further confirm that:
There is no arbitration/disciplinary proceeding is pending against us by SEBI/Stock
Exchange/Any other Regulatory Authority or any Court of Law.
We undertake to honour all the liabilities/obligations of all actions till the cancellation of the
BSE registration including any action for violation of the provisions of the SEBI circular
MIRSD/ DR-1/ Cir- 16 /09 Dated November 06, 2009.
We are also enclosing herewith following documents for cancellation of AP registration:
1. Original Authorised Person Registration certificate issued by BSE Ltd.
You are requested to kindly do the needful.
Thanking you.
Yours truly,

Name and Signature of the Applicant


(Proprietor/Partner/Director/Authorized Signatory)

MOHAMED Y SADIQ
S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001
=====================================================================

Annexure-2)
Letter for surrender/cancellation of AP registration from applicant on their letter head
Date: _____________
Designated Director,
Anand Rathi Share and Stock Brokers Ltd 949
Registration No INB011371557
4th Floor, Silver Metropolis, Jai Coach Compound,
Goregaon (E), Mumbai 400063
Sub : Termination of Agreement and surrender/cancellation of BSE registration

Dear Sir,
With reference to captioned subject I/We hereby request you to terminate the authorised
person agreement with you and surrender AP registration certificate to BSE for cancellation of
our authorised person registration.AP-0109490123648
We further confirm that:
There is no arbitration/disciplinary proceeding is pending against us by SEBI/Stock
Exchange/Any other Regulatory Authority or any Court of Law.
We undertake to honour all the liabilities/obligations of all actions till the cancellation of the
BSE registration including any action for violation of the provisions of the SEBI circular
MIRSD/ DR-1/ Cir- 16 /09 Dated November 06, 2009.
We are also enclosing herewith following documents for cancellation of AP registration:
1. Original Authorised Person Registration certificate issued by BSE Ltd.
You are requested to kindly do the needful.
Thanking you.
Yours truly,

Name and Signature of the Applicant


(Proprietor/Partner/Director/Authorized Signatory)

MOHAMED Y SADIQ
S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001

============================================
CM & F&O
Date :
To,
The Director,
Anand Rathi Share and Stock Brokers Ltd.
4th Floor, Silver Metropolis, Jai Coach Compound,
Opp. Bimbisar Nagar, Goregaon (E), Mumbai 400063
Subject: Request letter for the cancellation / withdrawal of the Authorised Person of in the name
of MOHAMED Y SADIQ (Authorised Person) Registration No AP018274231

Dear Sir / Madam,


It is with reference to the subject stated above; we would like to state that we are registered as
your Authorised Person with Exchange in the name of MOHAMED Y SADIQ (Authorised
Person) holding Registration No. AP018274231
Further, we no longer wish to continue due to Personal Reason as your Authorised Person of
Anand Rathi Share and Stock Brokers Ltd., Member of NSE. Kindly undertake the
procedural aspect for the surrender of the Authorised Person registration and intimate the same to
National Stock Exchange of India Limited, Mumbai and Exchange.
For the same please do the needful and oblige.
Yours faithfully,
For MOHAMED Y SADIQ

x
Signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary
[ Reg. No. AP018274231 ]

MOHAMED Y SADIQ
S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001

===============================================================
Date :
To,
The Director,
Anand Rathi Share and Stock Brokers Ltd.
4th Floor, Silver Metropolis, Jai Coach Compound,
Opp. Bimbisar Nagar, Goregaon (E), Mumbai 400063
Subject: Request letter for the cancellation of the sub Broker ship /Authorised Person of in
the name of (Authorised person / Sub-broker) Registration No. AP018274231 in (NSE AP /
F&O/ CD)

Dear Sir / Madam,


It is with reference to the subject stated above, we would like to state that we are registered as
your sub broker/ Authorised Person in the name of (Authorised person / Sub-broker) holding
Registration No. AP018274231 in (NSE AP / F&O/ CD).
Further, we no longer wish to continue due to Personal Reason as your Authorised Person of
Anand Rathi Share and Stock Brokers Ltd., Member of NSE. Kindly undertake the procedural
aspect for the surrender of the Authorised Person registration and intimate the same to National
Stock Exchange of India Limited, Mumbai and SEBI (Securities Exchange Board of India)
For the same please do the needful and oblige.
Yours faithfully,
For

x
Signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary
[Reg. No. AP018274231 ]

MOHAMED Y SADIQ
S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001

=========================================
NCDEX

Date : ____________
To,
The Director,
Anand Rathi Commodities Ltd.
4th Floor, Silver Metropolis, Jai Coach Compound,
Opp. Bimbisar Nagar, Goregaon (E), Mumbai 400063

Subject: Request letter for the cancellation / withdrawal of the Authorised Person of in the name
of MOHAMED Y SADIQ (Authorised Person) Registration No 96099
Dear Sir / Madam,
It is with reference to the subject stated above, we would like to state that we are registered as
your Authorised Person with Exchange in the name of MOHAMED Y SADIQ (Authorised
Person) Registration No 96099
Further, we no longer wish to continue due to Personal Reason as your Authorised Person of
Anand Rathi Commodities Ltd., Member of NCDEX. Kindly undertake the procedural aspect
for the surrender of the Authorised Person registration and intimate the same to National
Commodity & Derivative Exchange, Mumbai and FMC.
For the same please do the needful and oblige.
Yours faithfully,
For MOHAMED Y SADIQ

x
Signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary
[Reg. No. 96099 ]

MOHAMED Y SADIQ
S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001

=========================================

Date : ____________
To,
The Director,
Anand Rathi Commodities Ltd.
4th Floor, Silver Metropolis, Jai Coach Compound,
Opp. Bimbisar Nagar, Goregaon (E), Mumbai 400063

Subject: Request letter for the cancellation / withdrawal of the Authorised Person in the
name of MOHAMED Y SADIQ (Authorised Person) Registration No. 96099 NCDEX
Segment.
Dear Sir / Madam,
It is with reference to the subject stated above, we would like to state that we are registered as
Authorised Person with National Commodity & Derivative Exchange, in the name of
MOHAMED Y SADIQ (Authorised Person) Registration No. 96099
Further, we no longer wish to continue due to Personal Reason as your Authorised Person of
Anand Rathi Commodities Ltd., Member of NCDEX. Kindly undertake the procedural aspect for
the surrender of the Authorised Person registration and intimate the same to National
Commodity & Derivative Exchange, Mumbai and FMC.
For the same please do the needful and oblige.
Yours faithfully,
For MOHAMED Y SADIQ

x
Signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary
[Reg. No. 96099 ]

MOHAMED Y SADIQ
S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001

===========================================
MCX
Date : ____________
To,
The Director,
Anand Rathi Commodities Ltd.
4th Floor, Silver Metropolis, Jai Coach Compound,
Opp. Bimbisar Nagar, Goregaon (E), Mumbai 400063

Subject: Request letter for the cancellation / withdrawal of the Authorised Person of in the name
of MOHAMED Y SADIQ (Authorised Person) Registration No. MCX/AP/40717
Dear Sir / Madam,
It is with reference to the subject stated above, we would like to state that we are registered as
your Authorised Person with Exchange in the name of MOHAMED Y SADIQ (Authorised
Person) Registration No. MCX/AP/40717
Further, we no longer wish to continue due to Personal Reason as your Authorised Person of
Anand Rathi Commodities Ltd., Member of MCX. Kindly undertake the procedural aspect
for the surrender of the Authorised Person registration and intimate the same to Multi
Commodity & Derivative Exchange, Mumbai and FMC.
For the same please do the needful and oblige.
Yours faithfully,
For MOHAMED Y SADIQ

x
Signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary
[Reg. No. MCX/AP/40717 ]

MOHAMED Y SADIQ
S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001

===========================================
Date : ____________
To,
The Director,
Anand Rathi Commodities Ltd.
4th Floor, Silver Metropolis, Jai Coach Compound,
Opp. Bimbisar Nagar, Goregaon (E), Mumbai 400063

Subject: Request letter for the cancellation / withdrawal of the Authorised Person in the name of
MOHAMED Y SADIQ (Authorised Person) Registration No MCX/AP/40717 in MCX
Segment.
Dear Sir / Madam,
It is with reference to the subject stated above, we would like to state that we are registered as
your Authorised Person with Exchange in the name of MOHAMED Y SADIQ (Authorised
Person) Registration No. MCX/AP/40717
Further, we no longer wish to continue due to Personal Reason as your Authorised Person of
Anand Rathi Commodities Ltd, Member of MCX. Kindly undertake the procedural aspect for
the surrender of the Authorised Person registration and intimate the same to Multi Commodity &
Derivative Exchange, Mumbai and FMC.
For the same please do the needful and oblige.
Yours faithfully,
For MOHAMED Y SADIQ

x
Signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary
[Reg. No. MCX/AP/40717]

To,
The Compliance Department
Anand Rathi Group
4th Floor , Silver Metropolis Jai Coach Compound,
Opposite Bimbisar Nagar, Goregaon (East)
Mumbai - 400063
Subject : No Objection Certificate for Surrender of Sub-broker / Authorised Person
[NSE / BSE / BSE AP] and / or AP [NSE / F&O/CD] and / or AP [ NCDEX / MCX ]
[MCX-SX ] & [ NSEL] registration.
Dear Sir,
It is with reference to the subject stated above, we certify that no dues has been pending against the
undermention person
SUB BROKER NAME : MOHAMED Y SADIQ
TRADE NAME : MOHAMED Y SADIQ
Address : S S D BALU COMPLEXNEAR BUS STAND,MUTHIYA THEATRE
(VIA)THIRUPAPULIYUR,CUDDALORE, 607001
BSE Sub broker Regn No.* :
BSE Authorised Person Regn No.* : AP-0109490123648
BSE Remiser Regn No.* :
NSE Sub broker Regn No.* :
NSE Authorised Person Regn No.* : AP018274231
NSE [ F&O ] AP* : Y / AP018274231
NSE [ CD ] AP* : Y /
MCX-SX AP* : Y /
MCX AP* : Y/N MCX/AP/40717
NCDEX AP* : Y / 96099
Applied for sub broker/Authorised Person registration but have not received reg. yet
[ pending at exchanges / SEBIs end :
Further, the aforesaid sub broker undertakes that
all the client reg. forms [ NSE / NSE-CD/ BSE / NCDEX / MCX /MCX-SX]
have been submitted to the compliance dept. The list of clients and details are attached in the
format specified.
no soft or hard data of the ARG has been retained by him/her/it.
he /she/it shall submit the original sebi registration and other documents
[for
surrender of certificate] to the Compliance department [Anand Rathi Group]
as and when asked for, in the formats attached.
the date of last trade is _______________________
the sub broker has paid SEBI fee and other relevant fees.
the sub broker shall pay the advertisment cost incurred for the purpose of cancellation of SEBI
registration certificates for both the exchanges viz. NSE & BSE seperately.
For Anand Rathi Group
For ( MOHAMED Y SADIQ)

Authorised Signatory

X
Individual / Proprietor / partner / directors

[ * strike off which ever is not applicable ]


For Anand Rathi Group, authorised signatory shall be the relevant BD head

UNDERTAKING
[ on the stamp paper of Rs. 100 ]
I/We, do hereby undertake that :
*I/We are registered with Anand Rathi Share and Stock Brokers Limited [Sebi reg no.
INB011371557] as a *sub broker /*Authorised Person *remiser , in the name of
MOHAMED Y SADIQ bearing registration no. AP-0109490123648 (BSE SB / BSEAP)
*I/We are registered with Anand Rathi Share and Stock Brokers Ltd. [Sebi reg no. INB
230676935] as a *sub broker and / or *Authorised Person , in the name of MOHAMED Y
SADIQ , bearing registration no. AP018274231 in (NSE SB / NSE AP).
*I/We are registered with Anand Rathi Share and Stock Brokers Ltd. [Sebi reg no. INB
230676935] as a *sub broker and / or *Authorised Person , in the name of MOHAMED Y
SADIQ bearing registration no. AP018274231 in F&O.
*I/We are registered with Anand Rathi Share and Stock Brokers Ltd. [Sebi reg no. INB
230676935] as a *sub broker and / or *Authorised Person , in the name of MOHAMED Y
SADIQ bearing registration no. in NSE CD.
*I/We are registered with Anand Rathi Commodities Ltd. as *Authorised person [MCX ]
Registration No
*I/We are registered with Anand Rathi Commodities Ltd. as *Authorised person NCDEX
Registration No 96099
*I/We are registered with Anand Rathi Share and Stock Brokers Ltd. [Sebi reg
no.INB260676938/INF206676938/INE260676935 for Cash/F&O/Currency as a Authorised
Person, in the name of MOHAMED Y SADIQ bearing registration no. AP018274231 in
Cash/F&O/Currency.
*I/We have applied for sub broker /Authorised person registration with NSE and BSE in the
name of MOHAMED Y SADIQ address S S D BALU COMPLEXNEAR BUS
STAND,MUTHIYA THEATRE (VIA)THIRUPAPULIYUR,CUDDALORE, 607001. The
papers have been processed at the members end and are pending at Exchange and / or SEBI
would like to withdraw from the Exchange.
that all my accounts balances are nil and no dues are pending against me in my individual
account bearing client code number ________________.
that all my/ our client account balances are nil and no dues are pending against any of the
clients.
that the settlement accounts of all my/our clients are clear and no securities are lying in any
of the account.
that I / we have issued to all our/my clients, the accounts ledger as on last date of trasaction
which is __________________ and have obtained the acknowledged copy of them, which
are attached herewith
that, if at a later stage [i.e after the surrender of SB registration ], any descripcency is found
in my and / or any of my client account, I shall oblige the same and / or be held responsible
for the same.
This undertaking is given on this ____ day of ________(month)200___ (year)
For MOHAMED Y SADIQ ( trade name of the sub broker )
x
Signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary
Witness :
[ * strike off which ever is not applicable]

FOR OFFICIAL USE ONLY [Annexure1 : to be attached to the Sub broker/Authorised


Person Undertaking ]

I / we certify that no dues has been pending against the aforementioned sub broker.

Department

Name of the Signing Authority

Signature

Accounts Dept

Narendra Taparia

_____________

EDP / Settlement Dept

Ketan Mistry/Sanjay Powar

_____________

** the departmental signing authority shall put initial on the undertaking.


CLIENTS AND CRF DETAILS
Sr. No

Name of the Client

Client Code

Whether
CRf
submitted to Head
office / P.doc [ Y/N ]

For MOHAMED Y SADIQ ( trade name of the sub broker )

x
signed by individual / proprietor / partners / directors
please put rubber stamp whereever necessary

FOR OFFICE USE ONLY:


I / We certify that the above mentioned details are true to the best of our knowledge.

Main Branch (Name and address of the branch )( ________________ Region )

x
To be signed by the Main Branch Head/Regional Head (Cluster Head/ RD )