Private Bag 1921 Lilongwe Malawi Tel: +265 (0) 1753032 Email:[email protected] TRADING MEMBERSHIP APPLICATION FORM Please note that AHL Commodities Exchange Ltd. (“AHCX”) will only process a complete and accurate application. An application is regarded complete once the Exchange has received all the requisite items and any other documents which may be requested for the purpose of processing an application. All documents submitted must be in English and given in original or certified true copies. The signatures on all documents must be in ink. Completed application form and the relevant attachments may be submitted to the Exchange at the following address:Head of Operations AHL Commodities Exchange (AHCX) P /Bag 1921 Lilongwe Contact Number: +265 888 864 592 Email: [email protected] 1. Business Details Name: Principal Officers (for Organisations) Postal Address Telephone or Mobile Contact Email address Company Registration Number (for Organizations) Nature of Business (for Organizations) Physical address (if any) Declared of Net Worth The principal bankers of the applicant are The name and address of the applicant’s statutory auditor. (if Applicable) Mwk 2. Declarations I. Has the company/individual been involved in:- Tick Appropriate Yes No Details of role undertaken Period a. Commodity or Bullion trading b. Forex Trading or Money Markets Trading c. Stock Market or Securities Trading d. Derivatives or OTC markets e. Physical trading in commodities II. Please list any existing membership in other exchanges and furnish proof of membership. (Attach separate sheet) III. Has the company ever applied and been rejected for membership by any futures, commodity or securities exchange or market or has such membership ever been suspended or revoked? Circle appropriate Yes/ No If yes, state exchange’s name(s), date(s) and details (attach separate sheet) IV. Has the company ever been expelled or suspended by any exchange/professional association or any regulatory authority? Yes/ No If yes, state date(s) and details (attach separate sheet) V. Has the company ever been guilty of rule violations by any exchange/professional association or any regulatory authority? Yes/ No If yes, state date(s) and details (attach separate sheet) VI. Does the company have or had a petition presented for your bankruptcy? Yes/ No If yes, state date(s) and details (attach separate sheet) VII. A. Has the company ever been made a bankrupt? Yes /No B. is the company an undischarged bankrupt? Yes /No VIII. Is there any unsatisfied judgment, or pending or likely litigation against you? Yes /No If yes, state date(s) and details IX. Have you, or the firm in which you are a partner, or the company in which you are a principal/officer/director, ever been convicted of any criminal offence or guilty of contravening any rules or regulations of any government or governmental authority? Yes /No If yes, state date(s) and details(attach separate sheet) X. Have you ever been a partner of a firm or an officer/director of a corporation that has been ordered to dissolve or wind up? Yes/ No If yes, state date(s) and details (attach separate sheet) 3. Cover Letter template Date: _______________________ To: AHL Commodities Exchange Application for Membership: Trading Member I/We, ___________________________________________________ hereby apply for the above category of membership with AHCX and confirm that all information and documents contained in this application are true, accurate and complete. I further undertake to provide all such information and documents that may be required to process this application and warrant that such additional information and documents shall be true, accurate and compete in all respects. I acknowledge that in the event any information or documents given in this application is not true, accurate or complete, the Exchange may expel, suspend, terminate or take any other disciplinary action in accordance with the Exchange Rules. I/We authorise the Exchange to obtain information from sources that it deems appropriate in order to adequately evaluate and process this application. I/We further authorize the Exchange to share or reveal all or any of the information contained in this application form and the attachments or any other information concerning me/us as shall be received by the Exchange from time to time to my appointed Clearing Member or to such government or governmental authority or such other person as the laws and regulations permit for such purpose as the Exchange shall deem necessary. I/We note that there may be restrictions on jurisdictions from where AHCX Members may operate, and regulatory approvals may be required when conducting business in Malawi. I confirm that I/We have ensured that, where relevant, I/We have obtained the appropriate regulatory authorisation(s) to conduct business on the Exchange. I am aware that the Exchange Rules require that I/We satisfy the Guidelines on Fit and Proper Criteria (“Relevant Guidelines”) issued by the Monetary Authority of Malawi. In addition to the response to the questionnaire stated below, I/We confirm that I/We have examined the Relevant Guidelines and confirm that I/We satisfy the requirements under the Relevant Guidelines. Signature of Applicant : ________________________________ Name of Applicant : ________________________________ Official stamp: Application Check lists Please tick () in the relevant boxes for the supporting documents enclosed with the completed application form:For Organization based applications Business Profile with details of principal activities Copy of Business registration certificate Name(s) of individual(s) who has ultimate controlling interest in the company / firm including with their nationality, identification/passport number, occupation and executive directorship in any corporation. (A person having ultimate controlling interest is anyone other than those shown as director Shareholder or partner of the applicant who directly or indirectly exercises or has the power to exercise controlling influence over the management and policies of the applicant) Proof of membership to any association (if any) Copy of bankers reference of Bank statement valid within the last three months A copy of the license from the regulatory authority in its home country, if applicable Cover letter For Individual based applications A copy of your National Identity. If you are not a Malawi resident, this should be a copy of your passport. Affix one passport-size photograph at the end of the application form. Proof of net worth (e.g. a copy of your latest bank statements within the last 3 months, or a banker’s reference dated within the last 12 months). Proof of residential address (e.g. any current (not more than 3 months) utility bill to home address or business premises) A copy of the license from the regulatory authority in its home country, if applicable Cover letter Cost (Kwacha Equivalent of payment date) Application Fee USD100.00 Seat Fee USD 3000.00 Annual Fee USD 500.00