SELF DECLARATION LETTER 
                  To,                                                                                          Date: ___/___/_____ 
                  Patel Wealth Advisors Pvt. Ltd. 
                  “Oxygen”, M/2/3 Gaurav Park, 
                  Opp. Vasant Kunj, Pushkardham Road, 
                  Off Kalawad Road, RAJKOT-360005. 
                   
                  SUB: SELF DECLARATION LETTER FOR COMMODITY DERIVATIVE MARKET 
                   
                  Dear Sir, 
                   
                  Pursuant  to  SEBI  circular  No.  SEBI/HO/CDMRD/DNPMP/CIR/P/2019/08  dated  January  04,  2019 
                  transparency  in  the  commodity  derivative  market  is  paramount  for  price  signals  as  well  as  its 
                  correlation with underlying physical market activities. In order to enhance transparency to public in 
                  Commodity Derivative  market,  additional  disclosure  for  open  interest  and  turnover  for  various 
                  categories of participants of commodities as well as market level is required.  
                   
                  With a view to understand the extent of involvement of the physical market participants and to 
                  identify the nature of participants in the Commodity Derivative Market, I/We declare and confirm 
                  that I/We shall fall under following category – Commodity wise. 
                   
                  (Fill the Category Code for Each Commodity Type in the blank columns; In case, you are not dealing 
                  in any commodity type, then write N.A) 
                   
                      A)  BUILLION:                                    D) Agriculture Commodities: 
                  GOLD  SILVER   DIAMOND                   GUAR  KAPAS  CASATER  SOYABEAN  COTTON  RUBBER 
                                                                                                                        
                   
                      B)  BASE METAL: 
                  COPPER  ZINC  ALLUMINIUM  NICKLE    CHANA  BARLY                          CORIANDER  JEERA           TERMERIC 
                                                                                                                        
                                                                                                                        
                  LEAD       STEEL  BRASS                            PALM       MOONG  PADDY                SUGAR  PEPPER 
                                                                                                                        
                 
                      C)  ENERGY: 
                  Crude Oil    Natural Gas        
                                                  
                                                                                I  hereby declare that the details furnished 
                  CATEGORY                     CATEGORY CODE                   above are true and correct to the best of my 
                   FPOs/Farmers                1                               knowledge and belief and I/We undertake 
                  VCPs/Hedgers                 2                               to  inform  you  of  any  changes  therein, 
                  Proprietary Traders          3                               immediately.  In  case  any  of  the  above 
                  Domestic        Financial    4                               information is found to be false or untrue or 
                  Institutional Investors                                      misleading or misrepresenting, I/We am/are 
                  Foreign Participants         5                               aware that I/We may be held liable for it. 
                  Others                       6                       
                Client Code: ______________                   Client Name: _______________________________ 
                Client Signature: ________________________