APPENDIX II
OFF-EXCHANGE
TRADE VALIDATION
& REPORTING
SYSTEM
REGISTRATION FORM IN RESPECT OF
INDIRECT PARTICIPATION IN THE
OFF-EXCHANGE TRADE VALIDATION
& REPORTING SYSTEM
How to use this Registration
Form
1.
Authorised
Intermediaries wishing to access indirectly the Off-Exchange Trade Validation
and Reporting System must submit a competed Registration Form together with any
supporting documents and fees to:
The General Manager
Garrison Chapel
2.
The
Registration Form should be read in conjunction with the Financial Markets Act
[Chapter 345 of the Laws of Malta] and the Bye-laws of the Malta Stock Exchange
[available on www.borzamalta.com.mt].
3.
Registration
will only be considered provided all relevant Sections have been completed and
supporting documents and fees have been appended thereto.
4.
Should
space provided not be sufficient, additional information may be entered on
separate sheets with the heading “Continuation to Section __” duly signed and dated.
5.
Misleading
or incorrect information on any material point shall render the Registration
Form invalid.
6.
All
information submitted in the Registration Form is for the sole use of the
Exchange and shall not be divulged to third parties other than the Competent
Authority as deemed appropriate.
1.00 SECTION 1 – AUTHORISED
INTERMEDIARY
1.01
Applicant’s
Name : ___________________________________________
1.02
ISA
Licence Ref*: _____________________________________________
·
In
cases where the authorised intermediary is not licensed under the ISA but
authorised by the MFSA kindly attach a copy of such authorisation.
1.03
Registered
Address *
Address
:_________________________________________
__________________________________________
__________________________________________
Contact
Person :
__________________________________________
Design :
___________________________________________
No. :
___________________________________________
Tel No :
___________________________________________
Fax No :
___________________________________________
E-mail : ___________________________________________
·
The above information will appear on the
Exchange’s List of Direct and Indirect Participants and all communications will
be addressed accordingly.
_____________________________________________________________________
1.04 Member of the Exchange YES NO
[Please tick as appropriate]
2.00 SECTION 2
– INDIRECT PARTICIPATION
Direct
Participant through whom Off-Exchange Trade Validation and Reporting System
business shall be routed:
Direct
Participant :___________________________________________
Direct
Participant
Confirmation :
______________________________________________
Signature & Rubber Stamp
(Note: Indirect participants may
opt to route such business through more than one direct participant. In such
cases Section 3 must completed for each designated direct participant)
3.00 SECTION 3 –
FEES
Attached please find :
Cheque No : __________________________
Bank : __________________________
Dated : __________________________
Amount : __________________________
in respect of applicable fees in terms of
Council Notice 1.
4.00 SECTION 5 –
DECLARATION BY APPLICANT
4.1 We/I declare that the information
contained in this application is complete and correct.
4.2 We/I declare that the Authorised
Intermediary, his officers and employees are aware of the provisions of the
Act, Statute and Bye-laws and any other rules that may be in force from time to
time and will comply with and be bound by all such relevant provisions.
4.3 We/I declare that the Authorised
Intermediary will be responsible for and be bound by all the actions and
omissions of its officers and employees in their activities in connection with
the Exchange.
4.4 We/I declare that the Authorised
Intermediary shall keep the Exchange notified of any significant changes in the
information supplied in this application which occur after the date of
submission of the application.
4.5 We/I declare that the applicant
has obtained all relevant regulatory approvals.
Signature :
_____________________ Signature :
_______________________
Designation :
___________________ Designation :
_____________________
Signed on behalf of [name
of applicant] _____________________
on [date] ___________