ALICE BLUE

FRANCHISEE ANNEXURES
Agreement Date:
A. Franchisee Code :
B. Franchisee Name :
C. Branch Name & code : PASSPORT SIZE PHOTO

D. Category of the Franchisee : AP BDR

E. Terminal Required : YES NO
F. Default Intraday Exposure : 5 Times
G. Segments Required : MCX NCDEX EQ F&O MCXSX NMCE
H. Contact Person Name :
I. Address Details (Full) :
City :
State :
PIN :
J. Branch Contact No :
K. Alternate Contact Name & No :
L. E Mail Id :
M. Pan Number :
N. Bank Name & Branch :
O. Account Number :
P. IFSC Code & MICR Code :
Q. Software Charges :0
R. Security Deposit Amount :0
S. Security Deposit Payment Type : (Please select from the below)
Cheque Mode : Cheque No. _______________ Dated: ____________________
Bank Name: _______________________ _____
Monthly Payment : Amount Per month: ____________
T. Auto Square Off % : 80 % (May vary time to time according to market volatility)

Branch Manager Name:

Signature:

Date
SHARING RATIO:
PERCENTAGE WISE Lot wise
VOLUME WISE SHARING MINIMUM Sharing
SHARING BORKERAGE (Option
SEGMENTS Towards Towards
[ Towards [ Towards Segment only)
Franchisee Company
Company] Company] Per Lot Per
Sharing Sharing
Side

MCX Not Applicable

NCDEX Not Applicable

NMCE Not Applicable

MCX-SX Future Not Applicable

MCX-SX Option Not Applicable Not Applicable

NSE EQ Intraday Not Applicable

NSE EQ Delivery Not Applicable

NSE Future Not Applicable

NSE Option Not Applicable Not Applicable

5

Note: Option sharing will work towards company or franchisee based on the future sharing
selected. (Example if future sharing selected towards franchisee, option sharing also will go to
Franchisee only)

Branch Manager Name:

Signature:

Date
1. First Part

For Alice Blue Commodities (P) Ltd

(Represented By: Mr.M.Sidhavelayudham)

For Alice Blue Financial Services

(Represented By: Mr. Rajesh & Mr. Muthuraj Prabhu)

For Alice Blue Financial Services (p) Ltd

(Represented By: Mrs. Chitra & Mrs. Devi)

Witness:

2. Second Part

Franchisee Person:

Witness:

INSTRUCTIONS:

1. Franchisee Annexure should be filled by the franchisee personal in consultation with Branch
Manager.

2. Do not leave any column blank and strike out whichever is not applicable.

3. NISM Certificate is mandatory for NSE FO and Currency Terminals.

4. Overwriting on the Annexure not allowed and will be rejected.

Branch Manager Name:

Signature:

Date