Application for Cancellation of Non-Commissioned Scenario

(On the letter head of the Trading Member)

Date: _____________
To,
Membership Department,
National Stock Exchange of India Limited,
Exchange Plaza,
Bandra-Kurla Complex,
Bandra (East), Mumbai 400 051
Sub : Cancellation of Non-commissioned Scenario
Dear Sir/Madam,
We had applied for a Scenario _______ (Reference id: _____) vide application dated
_______ at the following location :
Address line 1
Address line 2
Address line 3
City/Town
District
Pin code
State
You are requested to cancel the above scenario as__________________________ (give
reason for the same).
Name & Contact Number of the Person at Site:
Mr. / Ms
Tel. No.: --------Fax No.: --------Mobile No.: -----Email ID: -----We understand that on the basis of our application the commissioning of connectivity is
under progress and on the basis of this application the commissioning of connectivity
would be terminated. In this regard charges if any would be borne by us.

Further, the processing fees as applicable (tick) in the below table can be debited from
our Exchange Dues Account towards processing fees for cancellation of each non
commissioned VSAT / leased line. (w.e.f July 1, 2009 a processing fee of Rs. 1,103/inclusive of service tax @ 10.30% is payable towards cancellation of each non
commissioned connectivity i.e VSAT / Leased Line,)
Sr. No. Scenario Particulars Amount to be debited
1.
A1
Rs. 1103.00
2.
A2
Rs. 1103.00
3.
A3
Rs. 2206.00
4.
A4
Rs. 2206.00
5.
A5
Rs. 3309.00
6.
B1
Rs. 1103.00
7.
B2
Rs. 2206.00
Thanking You,
Yours Faithfully,
For
Sd/
Director/Authorised Signatory