FAN PROPOSAL CUM EVALUATION FORM - Commodity

Type: FAN – P / I FAN P

Existing FAN of IIFL Existing Yes/ No. Fan Code : FJ561
Name of the FAN MR. SWAMI AMBRISH NAGESH
Status of the FAN (Individual / Sole
Proprietorship / Partnership / Corporate) INDIVIDUAL
Key contact person MR. AMBRISH N SWAMI
Business location address RAVIDARSHAN, B 402, PUNE SOLAPUR ROAD,
NEAR AKASHWANI, HADASAR PUNE
City: PUNE Taluka: HAVELI
Dist: PUNE State: MAHARASHTRA PIN Code: 411028
Residence address RAVIDARSHAN, B 402, PUNE SOLAPUR ROAD,
NEAR AKASHWANI, HADASAR PUNE
City: PUNE Taluka: HAVELI
Dist: PUNE State: MAHARASHTRA PIN Code: 411028
Contact detail Office :
Resi :
Mobile : 9822093098
E – Mail ID : ANSHSWAMI@GMAIL.COM
Whether business & residence address
same Yes / No
PAN Card No. AUAPS6916K
FAN Terms
Deposit Cheque : Rs.
Shares ( ‘A’ Category ) : Rs.
Sharing Terms 70:30

INFRASTRUCTURE DETAILS
Office (Owned / Rented) OWNED
Office Area Sq. ft. : 319
Current Broking Tie Ups
Yes / No (If Yes)
Specify the details of company with
existing Proposal
No. of Clients 25
Brokerage Structure
Brokerage sharing pattern 70:30
Gross Brokerage avg. per month (for 6
months) 1,00,000/-
Is there any IndiaiInfoline Branch
nearest to your office? Yes / No
(If Yes) NO
Specify the distance in kilometers with
complete address of Branch
Is there any other IndiaInfoline
Franchisee nearest to your office?
Yes / No (If Yes) YES
Specify the distance in kilometers with 6 KM
complete address of Franchisee

Meeting with FAN by Senior IIL official
other than FAN introducer or the RM
who is managing the FAN
Date of Meeting 10/08/2015 Location :PUNE
Name of the official meet: MOHIT JAIN
Employee code: C131949 | Designation: AVP-FD
Comments on Background and Business potential:

Signature
Financial Status / Net Worth
Educational Qualification SSC
FAN Referred by Name: ASHISH AGARWAL Emp. Code: C133892
FAN Introduced by Name: ASHISH AGARWAL Emp. Code: C133892
FAN Managed by Name: ASHISH AGARWAL Emp. Code: C133892
Location / Code of branch who handles
this FAN Name: LOHIA JAIN Branch Code: BM526

Name Employee Cell Email id

Code Number
RM who are ASHISH C133892 98819351 Ashish.agarwal@indiainfolin
managing FAN AGARWAL 56 e.com
Immediate MOHI JAIN C131949 80800873 Mohit.jain@indiainfoline.
Authority of 00 com
above RM
For Office use:

FAN code

Approved By Name :
Signature :
Date
Guideline for FAN Proposal filing:

 Brokerage sharing terms & deposit should be clearly written in FAN application
letter.
 FAN application letter should be signed by proprietor / all partners / all directors
with stamp.
 PAN card scan should clearly visible.
 If FAN office & residence address both are same then clearly write this in Fan
proposal form.
 Brokerage sharing of FAN should be clearly written. E.g. If Fan sharing is 55% then
it should be written as 55 % for Fan & 45% for company.
 Meeting with FAN by BM & above is mandatory and TM should visit FAN within
15 day of its activation.

Guidelines for FAN-P Infrastructure:

 Infra Requirement: - 3 Computers, Dot Matrix printer, Scanner, 3 Telephone

lines & UPS
 Manpower: - 2 Dealers / RM’s & 1 Support Staf
 NCFM Certificate required.
 SWAMI AMBRISH NAGESH
RAVI DARSHAN, B 402, PUNE SOLAPUR ROAD, NEAR AKASHWANI, HADAPSAR, PUNE -
411028S
MOBILE: 9822093098 | EMAIL: anshswami@gmail.com

Date:

To,
India Infoline Commodities Ltd.
India Infoline Towers
143, MGR Road, Perungudi,
Chennai – 600096

Sub: Application for Business Association with your company

Dear Sir,

With reference to the above, I am interested in associating with you for all
your products including MCX Authorised person, NCDEX Authorised
person, NSEL Authorised Person & Alliance Partner.

I am aware that proposal and commercial terms is recommended to

management which is brokerage sharing ratio as 70:30 & deposit
----------------------- acceptable to me/us & which is subject to approval of
management of IICL with same term or on modified term.
Yon can note my email id & phone number for future communication as
below:
Email Id:
Phone number:

Looking forward to a mutually beneficial relationship with you.

Thanking you,

Yours faithfully

Signature of the applicant

Proprietor/Partner/Director
with Rubberstamp