ASX Clearing Corporation - PDF document

ASX CLEAR / CLEAR (FUTURES) AUTHORISED SIGNATORY APPOINTMENT FORM : J Page 1 of 2 1. New applicants: submit completed form together with other application documents (refer to application form for submission details). 2. Existing Participants : submit completed form to clearing@asx.com.au . Participant/Applicant Name: Date: ASX Clear and ASX Clear ( Futures ) Participants are required to appoint the following types of authorised signatories with ASX: Authorised Signatory Type: Authorisation Description: A ASX Clear (Futures) Participants ASX Clearing Risk Management Authorised Signatory G rant authority for non - director individual s to certify on behalf of the Participant: 攀琀  愀渀最椀戀汥  猀猀攀琀 ⠀一吀䄀⤀ 䌀愀瀀楴愀氠 爀攀琀甀爀渀猀 爀攀焀甀楲攀搀  琀漀 戀攀 猀甀戀洀楴琀攀搀 琀漀 䄀匀堀 䌀氀攀愀爀 ⠀䘀甀琀甀爀攀猀⤀ 倀琀礀 䰀琀搀 B ASX Clear Participants clearing ASX Options Market Contracts (ETOs) ASX Clearing & Settlement Operations Authorised Signatory Grant authority to individuals to sign the following documents relating to ASX ETO products : 䌀漀汬愀琀攀爀愀氠琀爀愀渀猀昀攀爀猀 ⠀䘀漀爀洀 䌀㌀  吀爀愀渀猀昀攀爀 漀昀 䌀漀汬愀琀攀爀愀氠戀攀琀眀攀攀渀 倀愀爀琀楣楰愀渀琀猀 䔀洀攀爀最攀渀挀礀 愀猀猀楳琀愀渀挀攀  ⠀䄀匀堀 䌀氀攀愀爀 伀瀀攀爀愀琀楮最 刀甀汥 㘀⸀㤀⤀ C All ASX Clear (Futures) ASX Clearing & Settlement Operations Authorised Signatory Grant authority to individuals to sign the following A SX Clear (Futures) operations forms : 䄀甀琀漀洀愀琀楣 倀愀礀洀攀渀琀 漀昀 䐀愀楬礀 䔀砀挀攀猀猀 䌀愀猀栀 楮 䌀汥愀爀楮最 䄀挀挀漀甀渀琀猀 匀楮最汥 匀椀最渀 伀渀 愀挀挀攀猀猀 爀攀焀甀攀猀琀 昀漀爀洀Ⰰ 瀀爀漀瘀椀搀楮最 愀挀挀攀猀猀 琀漀 䄀匀堀 匀琀愀琀楣 䐀愀琀愀 倀漀爀琀愀氬 䄀匀堀 䴀愀爀最楮 䌀漀渀琀 爀漀氠䄀挀挀攀猀猀 愀渀搀 䄀匀堀 䴀愀爀最楮  匀業甀氀愀琀漀爀 䄀挀挀攀猀猀 猀礀猀琀攀洀猀⸀ 䌀漀汬愀琀攀爀愀氠䌀汩攀渀琀 䌀漀渀猀攀渀琀 䘀漀爀洀 䌀漀汬愀琀攀爀愀氠䰀漀搀最攀洀攀渀琀 䘀漀爀洀猀 䌀漀汬愀琀攀爀愀氠刀攀汥愀猀攀 䘀漀爀洀猀 䌀漀渀琀爀愀挀琀 刀攀 䤀渀猀琀愀琀攀洀攀渀琀 刀攀焀甀攀猀琀 猀䘀吀倀 䘀漀爀洀 吀爀愀渀猀昀攀爀 漀昀 瀀漀猀楴楯渀猀 䐀攀汩瘀攀爀礀 䐀漀挀甀洀攀渀琀愀琀楯渀 ⨀⨀ ** Cross out if you wish to supply different authorities for delivery documentation ( in which case a separate “Authorised Signatory List Delivery Documentation” form must be supplied to ASX ) 䔀䘀倀猀 ☀ 䔀䘀倀 䄀洀攀 渀搀洀攀渀琀 䌀愀渀挀攀汬愀琀楯渀 䔀渀搀楮最 倀漀猀楴楯渀 䌀漀渀昀楲洀愀琀楯渀 刀攀焀甀攀猀琀 昀漀爀 䌀漀洀洀楳猀楯渀 䄀搀樀甀猀琀洀攀渀琀 刀攀焀甀攀猀琀 昀漀爀 䘀攀攀 䄀搀橵猀琀洀攀渀琀 䌀汥愀爀楮最 匀礀猀琀攀洀猀 䄀挀挀攀猀猀 䘀漀爀洀猀 individuals listed on page 2 of this form are appointed as authorised signatories of the applicant/ participant: ....................................................................................... ....................................... ............................. ................ Signature Signature ...................................................... ................................ .................................................................................... Name and office/ capacity Name and office/ capacity ............................................................................ ......... ....................................... ............................. ................ Date Date Execution instructions 䔀砀攀挀甀琀楯渀 洀甀猀琀 戀攀 戀礀 愀 瀀攀爀猀漀渀 漀爀 瀀攀爀猀漀渀猀 愀甀琀栀漀爀楳攀搀 琀漀 攀砀攀挀甀琀攀 琀栀楳 搀漀挀甀洀攀渀琀 漀渀 戀攀栀愀汦 漀昀 琀栀攀 愀瀀瀀汩挀愀渀琀⸀ 吀栀攀 攀砀攀挀甀琀楯渀 戀汯挀欀 愀戀漀瘀攀 挀愀渀 戀攀 愀搀愀瀀琀攀搀 眀栀攀爀攀 渀攀挀攀猀猀愀爀礀  琀漀 洀攀攀琀 琀栀攀 爀攀焀甀楲攀洀攀渀琀猀 漀昀 琀栀攀 昀漀爀洀 漀昀 攀砀攀挀甀琀楯渀⸀ 䘀漀爀 䄀甀猀琀爀愀汩愀渀 爀攀最楳琀攀爀攀搀 挀漀洀瀀愀渀楥猀Ⰰ 攀砀攀挀甀琀楯渀 猀栀漀甀氀搀 戀攀 甀渀搀攀爀 猀攀挀琀楯渀 ㄀㈀㜀 䌀漀爀瀀漀爀愀琀楯渀猀 䄀挀琀 漀爀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀⸀ 䔀砀攀挀甀琀楯渀猀 甀渀搀攀爀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀 洀甀猀琀 戀攀 眀楴渀 攀猀猀攀搀 愀渀搀 愀 挀攀爀琀楦楥搀 挀漀瀀礀 漀昀 琀栀攀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀 瀀爀漀瘀楤攀搀 琀漀最攀琀栀攀爀 眀楴栀 琀栀攀 愀瀀瀀汩挀愀琀楯渀 昀漀爀洀⸀ 䔀愀挀栀 愀琀琀漀爀渀攀礀 攀砀攀挀甀琀楮最  琀栀楳 搀漀挀甀洀攀渀琀 搀攀挀污爀攀猀 琀栀愀琀 琀栀攀 愀琀琀漀爀渀攀礀 栀愀猀 渀漀 渀漀琀楣攀 漀昀 琀栀攀 爀攀瘀漀挀愀琀楯渀 漀爀 猀甀猀瀀攀渀猀椀漀渀 漀昀 琀栀攀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀⸀ 䤀昀 攀砀攀挀甀琀楯渀 楳 戀礀 愀渀 Privacy Statement This information in this form is collected by ASX to facilitate compliance with the ASX Operating Rules. Failure to provide t his information to ASX is likely to prevent ASX from being able to assist the Participant in performing its obligations under the ASX Operating Rules. Should you wish to, you can access the information you provide to ASX in this Form by contacting ASX Par ticipants Compliance. ASX may from time to time use external service providers but will not disclose personal information you provi de to any other organisations or individuals, unless required or authorised by law to do so or unless you consent to the disc losure. ASX does not generally provide personal information to overseas parties and if you would like to contact us or lodge a comp laint please refer to the ASX's Privacy Statement at www.asx.com.au/about/privacy - statement.htm for further details. A SX Authorised Signatory Appointment Form Page 2 of 2 PLEASE SELECT ONE OPTION: ADD TO EXISTING LISTS REPLACE ALL PREVIOUS LISTS FOR THE SIGNATORY TYPE Signatory Type (A, B or C) Full Name Position/Title Email Address Telephone Specimen Signature Append a separate list if additional signatories are required SPECIFY SIGNING INSTRUCTIONS (a pplies to Type B and Type C signatories only) : : J OTHER: Type A Type C Type B Type C Type A Type B Type A Type C Type A A SX Authorised Signatory Appointment Form ��Page of PLEASE SELECT ONE OPTION: ADD TO EXISTING LISTS REPLACE ALL PREVIOUS LISTS FOR THE SIGNATORY TYPE Signatory Type (A, B or C) Full Name Position/Title Email Address Telephone Specimen Signature Append a separate list if additional signatories are required SPECIFY SIGNING INSTRUCTIONS (a pplies to Type B and Type C signatories only) : ANY ONE ANY TWO OTHER: ASX CLEAR / CLEAR (FUTURES) AUTHORISED SIGNATORY APPOINTMENT FORM : J Page 1 of 2 1. New applicants: submit completed form together with other application documents (refer to application form for submission details). 2. Existing Participants : submit completed form to clearing@asx.com.au . Participant/Applicant Name: Date: ASX Clear and ASX Clear ( Futures ) Participants are required to appoint the following types of authorised signatories with ASX: Authorised Signatory Type: Authorisation Description: A ASX Clear (Futures) Participants ASX Clearing Risk Management Authorised Signatory G rant authority for non - director individual s to certify on behalf of the Participant: 攀琀  愀渀最椀戀汥  猀猀攀琀 ⠀一吀䄀⤀ 䌀愀瀀楴愀氠 爀攀琀甀爀渀猀 爀攀焀甀楲攀搀  琀漀 戀攀 猀甀戀洀楴琀攀搀 琀漀 䄀匀堀 䌀氀攀愀爀 ⠀䘀甀琀甀爀攀猀⤀ 倀琀礀 䰀琀搀 B ASX Clear Participants clearing ASX Options Market Contracts (ETOs) ASX Clearing & Settlement Operations Authorised Signatory Grant authority to individuals to sign the following documents relating to ASX ETO products : 䌀漀汬愀琀攀爀愀氠琀爀愀渀猀昀攀爀猀 ⠀䘀漀爀洀 䌀㌀  吀爀愀渀猀昀攀爀 漀昀 䌀漀汬愀琀攀爀愀氠戀攀琀眀攀攀渀 倀愀爀琀楣楰愀渀琀猀 䔀洀攀爀最攀渀挀礀 愀猀猀楳琀愀渀挀攀  ⠀䄀匀堀 䌀氀攀愀爀 伀瀀攀爀愀琀楮最 刀甀汥 㘀⸀㤀⤀ C All ASX Clear (Futures) Participants ASX Clearing & Settlement Operations Authorised Signatory Grant authority to individuals to sign the following A SX Clear (Futures) operations forms : 䄀甀琀漀洀愀琀楣 倀愀礀洀攀渀琀 漀昀 䐀愀楬礀 䔀砀挀攀猀猀 䌀愀猀栀 楮 䌀汥愀爀楮最 䄀挀挀漀甀渀琀猀 匀楮最汥 匀椀最渀 伀渀 愀挀挀攀猀猀 爀攀焀甀攀猀琀 昀漀爀洀Ⰰ 瀀爀漀瘀椀搀楮最 愀挀挀攀猀猀 琀漀 䄀匀堀 匀琀愀琀楣 䐀愀琀愀 倀漀爀琀愀氬 䄀匀堀 䴀愀爀最楮 䌀漀渀琀 爀漀氠䄀挀挀攀猀猀 愀渀搀 䄀匀堀 䴀愀爀最楮  匀業甀氀愀琀漀爀 䄀挀挀攀猀猀 猀礀猀琀攀洀猀⸀ 䌀漀汬愀琀攀爀愀氠䌀汩攀渀琀 䌀漀渀猀攀渀琀 䘀漀爀洀 䌀漀汬愀琀攀爀愀氠䰀漀搀最攀洀攀渀琀 䘀漀爀洀猀 䌀漀汬愀琀攀爀愀氠刀攀汥愀猀攀 䘀漀爀洀猀 䌀漀渀琀爀愀挀琀 刀攀 䤀渀猀琀愀琀攀洀攀渀琀 刀攀焀甀攀猀琀 猀䘀吀倀 䘀漀爀洀 吀爀愀渀猀昀攀爀 漀昀 瀀漀猀楴楯渀猀 䐀攀汩瘀攀爀礀 䐀漀挀甀洀攀渀琀愀琀楯渀 ⨀⨀ ** Cross out if you wish to supply different authorities for delivery documentation ( in which case a separate “Authorised Signatory List Delivery Documentation” form must be supplied to ASX ) 䔀䘀倀猀 ☀ 䔀䘀倀 䄀洀攀 渀搀洀攀渀琀 䌀愀渀挀攀汬愀琀楯渀 䔀渀搀楮最 倀漀猀楴楯渀 䌀漀渀昀楲洀愀琀楯渀 刀攀焀甀攀猀琀 昀漀爀 䌀漀洀洀楳猀楯渀 䄀搀樀甀猀琀洀攀渀琀 刀攀焀甀攀猀琀 昀漀爀 䘀攀攀 䄀搀橵猀琀洀攀渀琀 䌀汥愀爀楮最 匀礀猀琀攀洀猀 䄀挀挀攀猀猀 䘀漀爀洀猀 The individuals listed on page 2 of this form are appointed as authorised signatories of the applicant/ participant: ....................................................................................... ....................................... ............................. ................ Signature Signature ...................................................... ................................ .................................................................................... Name and office/ capacity Name and office/ capacity ............................................................................ ......... ....................................... ............................. ................ Date Date Execution instructions 䔀砀攀挀甀琀楯渀 洀甀猀琀 戀攀 戀礀 愀 瀀攀爀猀漀渀 漀爀 瀀攀爀猀漀渀猀 愀甀琀栀漀爀楳攀搀 琀漀 攀砀攀挀甀琀攀 琀栀楳 搀漀挀甀洀攀渀琀 漀渀 戀攀栀愀汦 漀昀 琀栀攀 愀瀀瀀汩挀愀渀琀⸀ 吀栀攀 攀砀攀挀甀琀楯渀 戀汯挀欀 愀戀漀瘀攀 挀愀渀 戀攀 愀搀愀瀀琀攀搀 眀栀攀爀攀 渀攀挀攀猀猀愀爀礀  琀漀 洀攀攀琀 琀栀攀 爀攀焀甀楲攀洀攀渀琀猀 漀昀 琀栀攀 昀漀爀洀 漀昀 攀砀攀挀甀琀楯渀⸀ 䘀漀爀 䄀甀猀琀爀愀汩愀渀 爀攀最楳琀攀爀攀搀 挀漀洀瀀愀渀楥猀Ⰰ 攀砀攀挀甀琀楯渀 猀栀漀甀氀搀 戀攀 甀渀搀攀爀 猀攀挀琀楯渀 ㄀㈀㜀 䌀漀爀瀀漀爀愀琀楯渀猀 䄀挀琀 漀爀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀⸀ 䔀砀攀挀甀琀楯渀猀 甀渀搀攀爀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀 洀甀猀琀 戀攀 眀楴渀 攀猀猀攀搀 愀渀搀 愀 挀攀爀琀楦楥搀 挀漀瀀礀 漀昀 琀栀攀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀 瀀爀漀瘀楤攀搀 琀漀最攀琀栀攀爀 眀楴栀 琀栀攀 愀瀀瀀汩挀愀琀楯渀 昀漀爀洀⸀ 䔀愀挀栀 愀琀琀漀爀渀攀礀 攀砀攀挀甀琀楮最  琀栀楳 搀漀挀甀洀攀渀琀 搀攀挀污爀攀猀 琀栀愀琀 琀栀攀 愀琀琀漀爀渀攀礀 栀愀猀 渀漀 渀漀琀楣攀 漀昀 琀栀攀 爀攀瘀漀挀愀琀楯渀 漀爀 猀甀猀瀀攀渀猀椀漀渀 漀昀 琀栀攀 瀀漀眀攀爀 漀昀 愀琀琀漀爀渀攀礀⸀ 䤀昀 攀砀攀挀甀琀楯渀 楳 戀礀 愀渀 攀渀琀楴礀 漀琀栀攀爀 琀栀愀渀 愀渀 䄀甀猀琀爀愀汩愀渀 爀攀最楳琀攀爀攀搀 挀漀洀瀀愀渀礀Ⰰ 愀搀搀楴楯渀愀氠攀瘀楤攀渀挀攀 漀昀 愀甀琀栀漀爀楳愀琀楯渀 洀愀礀 戀攀 爀攀焀甀楲攀搀⸀ Privacy Statement This information in this form is collected by ASX to facilitate compliance with the ASX Operating Rules. Failure to provide t his information to ASX is likely to prevent ASX from being able to assist the Participant in performing its obligations under the ASX Operating Rules. Should you wish to, you can access the information you provide to ASX in this Form by contacting ASX Par ticipants Compliance. ASX may from time to time use external service providers but will not disclose personal information you provi de to any other organisations or individuals, unless required or authorised by law to do so or unless you consent to the disc losure. ASX does not generally provide personal information to overseas parties and if you would like to contact us or lodge a comp laint please refer to the ASX's Privacy Statement at www.asx.com.au/about/privacy - statement.htm for further details.