NCHORIA INVESTMENT & SECURITIES LTD.

SALE ORDER

NAMES:…………………………………………………………………………GSM NO:……………………………………

MAILING ADDRESS:…………………………………………………………………………………………………………...

PHONE NO:……………………………………………………………………………………………………………………..

Instrument:                    Certificate(s)                             Contract Note(s)/C.S.C.S. Statement

[Tick as appropriate]

                                                                        Contract Note Nos.

Stocks

Quantity

Price Limit (If any)

Remarks

Mandate

We authorize Anchoria Investment & Securities Limited to purchase above stated in the quantities and at the prices mentioned above and to debit our account with the proceed thereof. Anchoria Investment & Securities Limited is hereby authorized to (tick as appropriate):

I. Send all correspondences in respect of this order to us as the above indicated preferred mailing address

II. Send by registered mail/courier at our risk and expense all correspondences in respect of this order to us at the above indicated preferred mailing address.

III. Hold on your behalf all such correspondences till such a time that we wish collect them

IV. Issue cheque(s) for the sales proceed.

V. Please attach means of identification e.g. Driving Licence/International Passport/National I.D. Card

Order valid until……………………………………               Account Officer (Anchoria)………………………………….

Dated this……………..day of………………………            Name…………………………………………………………

…………………………………….                                      Signature……………………….Date……………………….

Signature                                             

Signing Instruction