Annexure 2(a)

APPLICATION FORM BY THE APPLICANT FOR REGISTRATION AS AUTHORISED PERSON

WITH TRADING MEMBER OF BSE LTD.
(As per Rules, Bye Laws & Regulation of the Exchange)

1 Name of applicant SUJATA DILIP GANDHI

(applying for registration of Authorised Person.)

2 Trade name : SUJATA DILIP GANDHI

(of Authorised Person/ Partnership firm/ Corporate body)

3 Segment BOTH

1. Cash Segment 2. Derivatives Segment 3. Both

3 Type of organization N.A

(sole proprietor/partnership/LLP/corporate body) [Kindly provide name/s of

proprietor /partners/directors]
4 Office address (with proof) FLAT NO.9 SHANTVAN SOCIATY 47/3
RG TAWARE ROAD TAWARE
(place from where authorised person will be operating - covering area,
street/road, city/dist., state & PIN etc., all fields are compulsory). COLONY PARWATI ​PUNE - 411009 ​200
sq. ft.

5 Contact Person Name, SUJATA DILIP GANDHI

9370383661/9403191708
Office Telephone,
[email protected]
Mobile Numbers,

Fax Numbers , Email ID

6 Residence address (with proof) with telephone number FLAT NO.9 SHANTVAN SOCIATY 47/3
RG TAWARE ROAD TAWARE
(i.e. of proprietor/all partners/all directors - covering area, street/road,
city/dist., state & PIN etc., all fields are compulsory). COLONY PARWATI​ ​PUNE - 411009

7 Education qualification & Date of Birth (with proof) SUJATA DILIP GANDHI​ ​– M.A.
(of proprietor / all partners / all directors with proof are compulsory)
DOB : 02/10/1955

8 PAN Number of the applicant & applicant firm and of

proprietor/all partners/all directors with proof is
compulsory. AADPT0027B
9 Name and clearing no. of main Trading Member to whom M/S. KEYNOTE CAPITALS LTD.
applicant is affiliated
120
10 Date of signing agreement with the Trading Member

11 Authorised person affiliated to a Trading Member in any No.

other stock exchange - if Yes,

provide details of Registration No. & Date with details of name of member
to whom he/she/they is/are affiliated.
 12 Whether any case/claim/arbitration pending against the No.
authorised person in any court/stock exchanges (provide
details)

13 In case applicant is member of a Regional/Multiple Stock N.A.

Exchange, details of SEBI Registration No. & Date of
Registration

I certify that the information given in this application form is true to the best of my/our knowledge and belief.

Date Signature of applicant

Place:
 SUJATA DILIP GANDHI
FLAT NO.9 SHANTVAN SOCIATY 47/3 RG TAWARE ROAD TAWARE COLONY PARWATI
PUNE - 411009
PHONE: 9370383661/9403191708 EMAIL: [email protected]

[An applicant should submit this confirmation/declaration/undertaking while

submitting an application for Authorized Person registration]

Dy. General Manager

Membership Compliance Dept.
Bombay Stock Exchange Ltd.
Mumbai

I/We ​SUJATA DILIP GANDHI ​hereby confirm/declare/undertake that (Name of

proprietor/all partners/all directors as applicable should be mentioned) have not been
convicted of any offence involving fraud or dishonesty and no trial is pending against above
applicant/s in any court of law.

I/We hereby confirm/declare/undertake that the SEBI has not taken any action like
cancellation of registration / or debarred or prohibited any of the applicant /s from dealing
in securities market/imposed penalty after adjudication/prosecution etc. against any of the
applicant/s (names as applicable)

In case of non-compliance on any of above or in case this

confirmation/declaration/undertaking is found to be false, the Exchange may take
necessary Disciplinary action as per the Rules, Byelaws and Regulations of BSE Limited

Signature of Applicant
Proprietor / Partner / Director
(with rubber stamp)

Date:
This agreement (“​Agreement​”) is made and executed at … … … … this … … 
.. day of … … … … … … , 2012  
  
Between: 
 
M/s ​Keynote  Capitals  Ltd. an individual/ a proprietary concern/ a partnership 
firm/  a  body  corporate,  registered/  incorporated  under  the  provisions  of 
Partnership  Act,  1932/  Companies  Act,  1956,  having  his/her/its 
office/registered  office  at  ​4th​   Floor,  Balmer  Lawrie  Bldg,  Ballard  Estate, 
Mumbai  –  400001.  (hereinafter  referred  to  as  ​“Member”  which  expression 
shall,  unless  repugnant  to  the  context  or  meaning  thereof,  be  deemed to mean 
and  include  his/her  heirs, legal representatives, the partners for the time being 
of  the  said  firm,  the  survivor  or survivors of them and the heirs, executors and 
administrators  of  such  last  survivor  /its  successors  and  assigns,  as  the  case 
may be) of the ​One Part​; 
 
And 
 
Mrs.  ​SUJATA DILIP GANDHI ​an  individual/a  partnership  firm  /  a  limited 
liability  partnership/a  body  corporate/a  company,  registered/incorporated 
under  the  Partnership  Act,  1932/Limited  Liability  Partnership  Act,  2008/ 
Companies  Act,  1956/having  its  registered  office  at  ​FLAT NO.9 SHANTVAN
SOCIATY 47/3 RG TAWARE ROAD TAWARE COLONY PARWATI ​PUNE - 411009  
(hereinafter called “A​ P”​  which expression shall, unless repugnant to the context 
or  meaning  thereof,  be  deemed  to  mean  and  include  his/her  heirs,  legal 
representatives,  executors  and  administrators/  the  partners for the time being 
of  the  said  firm,  the  survivor  or survivors of them and the heirs, executors and 
administrators  of  such  last  survivor  /its  successors  and  assigns,  as  the  case 
may be) of the ​Other Part​; 
 
Member  ​and ​AP  ​shall hereinafter be also jointly referred to as ​the "​Parties​” ​and 
severally as the "​Party​”.
WHEREAS 
 
i. The  Securities  and  Exchange  Board  of  India  (“SEBI”)  vide  its  circular 
No.  MRD/DR-1/Cir-16/2009  dated  November  06,  2009  (“said 
Circular”)  addressed  to  all  the recognised Stock Exchanges has issued 
the  framework  governing  the  market  access  through  authorised 
 persons. 
ii. SEBI vide said circular has inter alia directed that the stock broker and 
authorised  person  shall  enter  into  a  written  agreement  in  the  form 
specified by the stock exchange. 
 
iii. Member is (a) Trading Member with the cash Segment, (b) Trading cum 
clearing  Member  with  the  Derivatives  Segment,  (c)  Trading  cum 
Clearing Member with the Currency Derivatives Segment of the Bombay 
Stock Exchange Ltd. (“​BSE​”).  
 
iv. AP  approached  Member  and  Member  has  agreed  to  appoint  AP as the 
authorised  person  on  the  terms  and  conditions  specified  in  this 
Agreement.   
 
NOW,  THEREFORE,  THIS  AGREEMENT  WITNESSETH  AND  IT  IS  HEREBY 
AGREED BY AND BETWEEN THE PARTIES HERETO AS UNDER:  
 
1. ​Legal Framework 
 
1.1  The  provisions  of  the  SEBI  circular  No.  MRD/DR-1/Cir-16/2009 
dated  November  06,  2009  and  other  circulars  issued  by SEBI from 
time  to  time,  the  Rules,  Bye-laws  and  Regulations  and/or  relevant 
notices  of  BSE  shall  be  deemed  to  be  an  integral  part  of  this 
Agreement.  In  the  event  of  any  conflict  or  contradiction  between 
the  provisions  of  the  circulars,  notices,  directions  and  orders  of 
SEBI, Rules, Bye-laws and Regulations, notices of the BSE, and this 
Agreement,  the  provisions  of  the  statute,  rules,  bye-laws  or 
regulations  occurring  sequentially  earlier  in  the  above  list  shall 
prevail  over  the  one  occurring  sequentially subsequent thereto over 
this  Agreement.  The  provisions  of  this  Agreement  are  in  addition 
thereto and not in derogation thereof. 
 
2. ​CONDITIONS OF APPOINTMENT  
 
2.1  AP  shall not receive or pay any money or securities in its own name 
or  account.  All  receipts  and  payments of securities and funds shall 
be in the name or account of Member. 
2.2  ​AP shall receive his remuneration-fees, charges, commission, salary, 
etc.- for his services only from Member and he shall not charge any 
amount to the clients.  
2.3  AP  shall  not  be  appointed  as  authorized  person  by  more  than  one 
stock broker on BSE (including all the segments). 
 
 
3. OBLIGATIONS OF MEMBER  
 
3.1 If any trading terminal is provided by Member to AP, the place where 
such  trading  terminal  is  located shall be treated as branch office of 
Member. 
3.2  Member  shall  display  at  each  branch  office,  additional  information 
such  as  particulars  of  authorised  person  in  charge  of  that  branch, 
time  lines  for  dealing  through  authorised  person,  etc.,  as  may  be 
specified by BSE. 
3.3  Member  shall  notify changes, if any, in the authorised person to all 
registered  clients  of  that  branch  at  least  thirty  days  before  the 
change. 
3.4  Member  shall  conduct  periodic  inspection  of  branches  assigned  to 
authorised  persons  and  records  of  the  operations  carried  out  by 
them. 
3.5  The  clients  introduced  by  AP  shall  be registered with Member only. 
The  funds  and  securities  of  the  clients  shall  be  settled  directly 
between  Member  and  client  and  all  documents  like  contract  note, 
statement  of  funds  and  securities  shall  be  issued  to  client  by 
Member.  AP  may  provide  administrative  assistance  in  procurement 
of  documents  and  settlement,  but  shall  not  issue  any document to 
client  in  its  own  name.  No  fund/securities  of  clients  shall  go  to 
account of AP. 
3.6  On  noticing  irregularities,  if  any,  in  the  operations  of  AP,  Member 
shall  seek  withdrawal  of  approval  from  BSE,  withhold  all  moneys 
due  to  AP  till  resolution  of  investor  problems, alert investors in the 
location where AP operates, file a complaint with the police, and take 
all  measures  required  to  protect  the  interest  of  investors  and 
market. 
 
4. OBLIGATIONS OF AP 
 
4.1 Abide by Law & Acquaintance to Law   
 
AP  agrees  to  abide  by  and  comply  with  and  adhere  to  the  circulars, 
notices, directions, order etc. that may be promulgated or issued from time 
to time either by SEBI, BSE, Reserve Bank of India or any other regulatory 
authority. 
4.2 Insolvency
AP agrees to immediately furnish information to Member in writing, if any 
winding up petition or insolvency petition has been filed or any winding up 
or  insolvency  order  or  decree  or  award  is  passed  against him/it or if any 
litigation which may have material adverse bearing on him,  has been filed 
against him. 
5. ​CONFIDENTIALITY 

​Member and AP shall not disclose the Confidential Information 

(marked as such at the time of providing the information) of each 
other to any third party, without the written consent of the other 
Party. 
The provisions of this Clause 5 shall not prohibit disclosure of Confidential 
Information, if and to the extent: 
 
a. required by law or for the purpose of any judicial proceedings arising 
out of this Agreement; 
 
b. required by the SEBI or any other regulatory authority; 
 
c. it  becomes  publicly  available  (other  than  as  a  result  of  a  breach of 
an obligation of confidentiality); 
 
d. the  information  is  obtained  free  of  any  restrictions  on  use  or 
obligations of confidentiality from a third party which is itself free of 
any  restrictions  on  use or obligations of confidentiality with respect 
to that information; 
 
e. the information is already in the possession of that Party and is not 
subject to an obligation of confidentiality or a restriction on use; or 
 
f. the information is independently developed, 
 
6. CONSEQUENCES OF CESSATION OF MEMBERSHIP ON A SEGMENT   
In the event of membership of the Member on any segment of BSE coming 
to an end far any reason whatsoever, the relevant part of this Agreement 
pertaining to such segment shall come to an end.  
 
7.​ ​DISPUTE RESOLUTION AND ARBITRATION 
 
The  dispute  between  a  client  and  AP  shall  be  treated as dispute between 
such client and Member.  
 
All disputes and differences between AP and Member pertaining to subject 
 matter  of  this  Agreement,  shall  be  redressed  as  per  the  Rules  and 
Bye-laws  of  BSE  pertaining  to  Arbitration  other  than  between  Members 
and  in  the absence of any provision in the Rules, Bye-laws of BSE to this 
effect, such disputes and differences shall be referred to arbitration as per 
the provisions of Arbitration & Conciliation Act, 1996. 
8. GOVERNING LAW AND JURISDICTION 
 
8.1 This  Agreement  shall  be  governed  by  and  construed  in  all respects 
in accordance with the laws of India. The Agreement shall be subject 
to exclusive jurisdiction of Courts of Mumbai.  
  
9. TERMINATION  
 
1. This  Agreement  shall  forthwith  terminate  if  Member  ceases  to  be a 
trading/clearing member of BSE for any reason (including cessation 
of membership by reason of the Member’s default, death, resignation 
or expulsion) or if the SEBI Registration of Member is cancelled. 
 
2. Member  and  AP  shall  each  be  entitled  to  terminate  this Agreement 
without  giving  any  reasons  to  the  other Party, after giving notice in 
writing of not less than 30 days to the other Party. 
 
 
3. This  Agreement  will  be  terminated  forthwith  on  withdrawal  of 
approval given to AP by BSE and on receipt of request of Member to 
do  so  subject  to  compliance  with  the  requirement  prescribed  by 
BSE. 
 
 
 
IN  WITNESS  WHEREOF  the  Parties  to  this  Agreement  have  caused  these 
presents to be executed as of the day and year first above written. 
 
 
 
AP’s Signature/   The Member’s 
Authorised Signatory: Signature/Authorised Signatory:
Signed by:  Signed by: 
Title:  Title: 
 
 
Witness:  Witness: