CONTRACT NOTE CUM
BILL
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NAME OF THE
MEMBER, LOGO of THE MEMBER
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name of COMPLIANCE
officer his/ HER email & telephone no.,
Email ID for Investor complaint
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Dealing officeS
address, Telephone no, Fax no
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CONTRACT NOTE NO.
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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TRADE DATE
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SETTLEMENT NO.
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SETTLEMENT DATE
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Name of the Client
Address of the Client
PAN of Client
UCC of Client
Trading Back office code*
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GIVE EXCHANGE-WISE / SEGMENTWISE SETTLEMENT NO. & DATES
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Name Of Exchange
& Segment
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Name Of Exchange
& Segment
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Name Of Exchange
& Segment
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Name Of Exchange
& Segment
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*Trading/ Back Office Code (If Different from
UCC)
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Sir/ Madam,
I / We have this day done by your order and on
your account the following transactions:
Order
No.
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Order
Time
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Trade
No.
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Trade
Time
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Security/ Contract
description
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Buy (B)/
Sell (S)
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Quantity
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Gross
Rate/ Trade Price Per unit
(Rs)
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Brokerage per Unit
(Rs)
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Net Rate per Unit
(Rs)
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Closing Rate per
Unit(only for Derivatives)
(Rs.)
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Net Total (Before
Levies)
(Rs)
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Remarks
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Name Of
Exchange & Segment
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Position
Brought Forward in case of Derivatives (Where applicable)
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Trade 1
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Trade 2
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Trade N
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Name Of
Exchange & Segment
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Position
Brought Forward in case of Derivatives (Where applicable)
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Trade 1
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Trade 2
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Trade N
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Name Of Exchange & Segment
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Position
Brought Forward in case of Derivatives (Where applicable)
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Trade 1
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Trade 2
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Trade N
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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Name Of Exchange & Segment
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TOTAL (Net)
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PAY IN/ PAY OUT
OBLIGATION
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Securities Transaction Tax
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Service Tax (@____% of
Brokerage)
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Exchange Transaction
Charges
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SEBI turnover Fees.
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Stamp Duty
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Net
amount receivable by Client / (payable by Client)
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Details of trade-wise levies
shall be provided on request.
Transactions mentioned in this contract note cum bill shall
be governed and subject to the Rules, Bye-laws and Regulations and Circulars of
the respective Exchanges on which trades have been executed and Securities and
Exchange Board of India from time to time. The Exchanges provide Complaint
Resolution, Arbitration and Appellate arbitration facilities at the Regional
Arbitration Centres (RAC). The client may approach its nearest centre, details
of which are available on respective Exchange’s website. Please visit www.bseindia.com
for BSE, www.mcx-sx.com for MCX-SX, www.nseindia.com for NSE and
www.useindia.com for USE.
Date:
Place: Yours faithfully,
For ________________(Name of Trading Member)
(PAN No. and Service Tax No. of Trading Member)
Name & Signature of Partner / Proprietor / Authorized Signatory
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