AUTHORISED PERSON APPROVAL FORM

(To be filled by the introducer/Franchisee coordinator in consultation with the prospective business associate)

SEGMENTS NSE CASH NSE F&O BSE MCX-SX MCX

Please tick
APPLICANT PARTICULARS
Name of Business Associate: PARESH SATISH PACHANKAR   
Type of Entity: ​(Please tick) [ ] Individual [ ] Proprietor [ ] Partnership [ ] Company
Contact Person PARESH SATISH PACHANKAR 
Name Middle Name Last Name
​ lat no 3, “Hrishikesh
F
Dham “ D P Road, Parihar
Chowk, Aundh
City: Pune
State: Maharashtra
Pin code: 411007
Land Tel No
Mobile no.: 9373364791
Email id.:
paresh.pachankar@gmail.com

AGREED TERMS

1. SECURITY DEPOSIT AND

REGISTRATION FEES DETAILS

Registration Fees Chq (Amount)

4412 /-

DETAILS OF SECURITIES (​In case of

collateral​)

Script

*NOTE​ ​:As per the terms & condition, the

below given brokerage is for the turnover
of 1 cr daily it means 21 cr per month, if
this requirement is not completed then the
brokerage would be charged as 800 Rs / cr
.Regarding Deposit ​25000/​- upfront rest
75000 /-​would be deducted as per ​25 %
from the brokerage generated every month.

2. BROKERAGE
 OPTION I Keynote Capital ​% ​ ASSOCIATE ​%

REVENUE SHARING (Pls. mention base slab below)

OPTION II KEYNOTE CAPITALS will charge the following brokerage to the business associate.
Brokerage charged over and above the following slab would be passed on to the
FIXED BROKERAGE SHARING business partner

(Pls. mention base slab below)

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Signat
ure of
Busin
ess
Associ
ate

APPR
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Ke Avinash Patil
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As Mohit Jain
st.
Vi
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Vi Ramnaresh Pippal
ce
Pr
esi
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