Australian Derivative Trade Repository Licence Application Form The following application form (Parts 1 to 13 as follows) is the prescribed form for an application to ASIC for an ADTR licence as specified in s905B of the Corporations Act. An application form for an ADTR licence must be lodged with ASIC in the prescribed form and must include the information, statements, explanations or other matters required by the form and must be accompanied by any other material required by the prescribed form. Checklist Part 1 Application Cover Sheet – Answer all information requests Legal and Application cross Regulation references references Give us enough information so we have a complete picture of how Refer to the Tab, page, paragraph your derivative trade repository operates. If you think any item reference below on the application doesn't apply to your facility, explain why it is irrelevant. for guidance and where the question/ more information item is addressed. Page 1 of application: "We, [name of ADTR operator] are applying Entity Name for an Australian derivative trade repository licence for our facility [name of facility] Tell us who is acting on behalf of your body Lead Person / corporate for your application: Agent [Name], [Address], [Phone], [Email] If applicable, tell us who is your legal Legal representative for this application: Representative [Name], [Address], [Phone], [Email] Page 2 of application: Write a one-page summary listing the Why licence reasons why you believe your derivative should be trade repository should be licensed granted Page 3 of application: Write a one-page summary explaining how The public the granting of a licence for your derivative interest trade repository would be in the public's interest.
Australian Derivative Trade Repository Licence Application Form The following application form (Parts 1 to 13 as follows) is the prescribed form for an application to ASIC for an ADTR licence as specified in s905B of the Corporations Act. An application form for an ADTR licence must be lodged with ASIC in the prescribed form and must include the information, statements, explanations or other matters required by the form and must be accompanied by any other material required by the prescribed form. Part 1 – Application Cover Sheet Checklist Answer all information requests Legal and Regulation references Application cross references Give us enough information so we have a complete picture of how your derivative trade repository operates. If you think any item doesn't apply to your facility, explain why it is irrelevant. Refer to the reference below for guidance and more information Tab, page, paragraph on the application where the question/ item is addressed. Page 1 of application: Entity Name "We, [name of ADTR operator] are applying for an Australian derivative trade repository licence for our facility [name of facility] Lead Person / Agent Tell us who is acting on behalf of your body corporate for your application: [Name], [Address], [Phone], [Email] Legal Representative If applicable, tell us who is your legal representative for this application: [Name], [Address], [Phone], [Email] Page 2 of application: Why licence should be granted Write a one-page summary listing the reasons why you believe your derivative trade repository should be licensed Page 3 of application: The public interest Write a one-page summary explaining how the granting of a licence for your derivative trade repository would be in the public's interest.