Kindly furnish the following details along with the services desired from NBHC. We shall contact you in due course.
Category of Depositor (Select Applicable Options)
MCX MemberTraders FarmersProcessors ExportersImporters Overseas BuyersOverseas Sellers LenderCo-operative Societies Government Agencies & Others
Commodity Details
* Name of Commodity for storage:
*Location for storage:
*Quantity in MT (Approximate):
No. of Bags:
Likely Date of Deposit:	(mm/dd/yyyy)
Storage Period:	--Select-- Days Months
(Please specify minimum period for storage in Days/Months)
Please mention if any value added Services are required?
Quality Testing and Certification ServicesDemat Warehouse Receipt Pest Management and Fumigation ServicesWarehouse Receipt Financing Logistics and transportation Other Services (Please Specify)
Contact Details
* Name of Company/Person:
Address 1:
Address 2:
City:
Postal Code:
State:
* Tel. No. [with STD Code]
* Mobile No.:
Fax No.:
* E-mail:
Name of company representative nominated for the purpose of communication:
Representative Tel. No. [with STD Code]:
Kindly fill up the following (If applicable)
MCX Membership Code:
NBHC Membership Code:
By submitting this form, we hereby apply for the warehousing and / or other special services of National Bulk Handling Corporation Ltd., and agree to abide by Rules, Regulations and Byelaws of the Company subject to such terms and conditions as the Management may prescribe from time to time. We hereby declare that information given above are true to the best of our knowledge and our application for the above services shall stand cancelled in case of misrepresentation or otherwise proved to be false.
Name of Applicant:
Designation of Applicant:
Contact No. (with STD Code):
Date:	(mm/dd/yyyy)
Place:
Disclaimer - Kindly note that submission of this Online Deposit Application Form does not indicate acceptance of application by NBHC. This will be subject to further processing & due diligence of clients' documents by NBHC and the NBHC reserves the right of acceptance or rejection of the Deposit Application without assigning any reason for the same.