Form No.

- III Reply by the Respondent to Arbitration Application

In the matter of an Arbitration under the Bye laws, Rules and Regulations of the Indian
Commodity Exchange of India Ltd., Arbitration Matter No. __________/20

BETWEEN
M/s./ Mr /Mrs./Ms. ________________________________________________________________
Office/Residence Address_______________________________________Applicant Tel
Office_______________Res.________________Fax: Office_________Res.___________ Mobile
No.______________________________
AND
M/s./ Mr /Mrs./Ms. _________________________________________________ Registered
office__________________________________________________Respondent Tel
Office_______________Res.________________Fax: Office_________Res.___________ Mobile
No.______________________________
To
Arbitration Department,
Indian Commodity Exchange of India Limited.
Reliable Tech Park, 403-A, B-Wing, 4th Floor,
Thane-Belapur Road, Airoli (E), Navi Mumbai – 400708, India.
Sir/s,

In connection with the application for arbitration submitted by Mr./Mrs./Ms./M/s.

_______________ ____________________________________the Applicant above named, I/We
enclose herewith three/Six copies of my reply along with the enclosures.

Please also find enclosed a Cheque/Pay order/Demand Draft No. ___________dated_________

issued by ______________bank in favour of Indian Commodity Exchange of India Limited for
an amount of Rs.___________(Rupees __________________________only) payable at Mumbai
towards Arbitration deposit for defraying cost and expense of arbitration.

I/We state that I do want a hearing from the arbitrator/I do not want a hearing from the
arbitrator.

Yours faithfully,

Signature of Respondent/s

Date: Place:

Note: The Respondent shall affix the rubber stamp of the company on all the pages. The authorized representative of
the Respondent has to submit the authority letter/board resolution as the case may be along with this form.

*Strike whichever is not relevant.