Specimen application form for making the offer (on letterhead of the individual/ corporate entity along with the earnest money of Rs. 5 Lakhs)

The Managing Director & CEO,
Bombay Stock Exchange Ltd.,
Mumbai

Sir,

Sub: " Offer for Deposit Based Membership "

Amount of Offer: (In figures): Rs. 100,00,000/-
(In words): Rupees One hundred lakhs only

Please acquaint the Board of Directors of Bombay Stock Exchange Ltd. (BSE ) that I/We am/are desirous of being admitted as a Member with only trading rights on the "Cash Segment of BSE " on the terms and subject in all respects to the Rules, Bye-laws & Regulations of the Exchange, including in particular the provisions of Rule 35B of the Rules, Bye-Laws & Regulations of BSE,which now are or hereafter may be, for the time being in force.

I/We have read & understood the aforesaid Rules.

I/We, the applicant company am/are agreeable to the selection and admission procedure, and further agree that the discretion of the Board of Directors of BSE shall be final and binding upon me/us.

Yours faithfully,

Name:

Signature:

Date:

Enclosed: Rs.5 lacs DD/P.O./cheque payable at par