Sub-Broker Application Form for Primary Markets

To apply, please enter the following information:
* indicates required fields
Your Information
* Name:
Contact Person:
Office Address:
Tel No:
Fax No:
* Email:
Residential Address:
Tel No:
Telephone/Cell No:
1)No of years in Marketing:
2)Any other agencies:
Mobilisation during last years for other agencies:
Courier Co in your town/city:
Are you interested in becoming sub-broker/franchise of Axis Direct Ltd :
Which of the following instruments you are interested in marketing
(Tick whichever is applicable)

Local News paper in your town/city:
AXIS CAPITAL reserves the right to screen every applicant to ensure that it falls within the parameters of selection process.Successful applicants will be intimated of their applications in the due course.All Sub-brokers/Agents appointed will have to follow ethical marketing practices as laid by the organisation,SEBI & other regulatory authority.Failure to implement the same will lead to appropriate action & termination of the Sub-brokership.In all disputes AXIS CAPITALs decision will be final & binding on the sub-brokers/Agent & within MUMBAIs jurisdication of law.
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AXIS CAPITAL LTD. ::    NSE Cash - INB231387235 | NSE F&O - INF231387235 | NSE CD - INE231387235 | BSE Cash - INB011387330 | BSE (F&O) - INF011387330 |
Merchant Banking - INM000012029 | AMFI - ARN-0008 | MSEIL Cash - INB011387330 Single Reg - Clg #11020