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Contents of Application-Cum-Bidding Form and Manner of disclosure 1. SEBI has reviewed the structure, design, format, contents and order of information of Application-Cum-Bidding-Form to make it investor friendly and also to ensure uniformity in bidding and accuracy

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....ctus) would be printed in a booklet form of A4 size paper. 3. In order to ensure uniformity and to facilitate easier identification, it has been decided to standardize the colour of the Application-Cum-Bidding Form as under: • White form for Resident Indian, Eligible NRIs applying on a non repatriation basis • Blue form for Eligible NRIs, FVCIs, FIIs, their Sub-Accounts (other than Sub-Accounts which are foreign corporates or foreign individuals bidding under the QIB Portion), on a repatriation basis 4. The full text of data fields required in Application-Cum-Bidding-Form is given in the Annexure-A hereto. A gist of major changes is given below: a) the placement of the data fields has been done keeping in mind the ease of reference to investors/intermediaries for identification of name of the issue. b) company specific information is now included in abridged prospectus. c) information/instruction(s) which are required to fill the form have been placed overleaf of the Application Form. Remaining information/instruction(s) which are generic in nature have been incorporated in General Information Document. d) the pre-....

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....on Form). 2. 8 digit Application Number 3. Stamp/Serial Number/Code of Syndicate Member, Broker/Agent/Sub-Broker/Sub-Agent, Escrow Bank/Bank Branch/SCSB & Registrar to the issue 4. Name & Contact Details of First/Sole Applicant {Name, Address, Email (optional), Tel No/Mobile (optional)} 5. PAN of First/Sole Applicant 6. Bidders Depository Account Details - Check Box for NSDL and CDSL & single 16-digit field (consisting of DP ID and Client ID) 7. Investor Category (Retail Individual, Non Institutional or QIB) 8. Investor Status (Separate Status for Repatriation/Non-Repatriation Form). 9. Bid Options - a. Columns for Bid Options (Option 1, Option 2 or Option 3), Number of equity shares bid, Price per equity shares (sub-columns for Bid price, discount(if any) and Net price) b. Attention of investors to be drawn to instruction that only retail individual investors can bid at Cut-off. c. Check-Box for Cut-Off d. Instruction that i. Bids must be in multiple of bid lot as advertised ii. Price in multiples of Rs. 1 only iii. Number of shares and price per share be given in figures only 10. Payment Opt....

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....at the back of Acknowledgement Slip for Bidder i. Company Contact Details ii. Registrar Contact Details iii. Contact persons in case of queries pertaining to allotment/credit of shares, submission and upload of ASBA bids C. Bid Revision Application Form 1. Top of the application form shall have a Colored identifier strap incorporating the name of the issuer, ISIN number & type of form (Repatriation/Non-Repatriation Form). 2. 8 digit Application Number (Same as that of Main Application form) 3. Stamp/Serial Number/Code of Syndicate Member, Broker/Agent/Sub-Broker, Escrow Bank/Bank Branch/SCSB & Registrar to the issue (as applicable) 4. Name of First/Sole Applicant 5. PAN of First /Sole Applicant 6. Bidders Depository Account Details - Check Box for NSDL and CDSL & single 16-digit field (consisting of DP ID and Client ID) 7. Options for change of Bid a. From i. Columns for Bid Options (Option 1, Option 2 or Option 3), Number of equity shares bid, Price per equity shares (sub-columns for Bid price, discount, if any and Net price) ii. Check-Box for Cut-Off iii. Watermark in background indicating Old ....

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....revised form and specific instruction regarding : a. Bid Price Revision clearly specifying that only excess amount (if any) is payable b. Attention of investors to be drawn to instruction that only retail individual investors can bid at Cut-off. 3. Issue Structure highlighting for different category of investors (Retail, Non Institutional and QIBs) a. Number of equity shares (reservation if applicable) b. Percentage of Issue available for allotment/allocation c. Basis of allocation in case of oversubscription d. Mode of allotment e. Allotment lot f. Who can apply (Summary) g. Terms of payment ============= Document 1 PLEASE FILL IN BLOCK LETTERS TEAR HERE - - GB भारतीय प्रतिभूति और विनिमय बोर्ड Securities and Exchange Board of India Annexure-B COMMON BID CUM APPLICATION FORM FOR ASBA/NON-ASBA Logo To, The Board of Directors XYZ Limited XYZ LIMITED - PUBLIC ISSUE - R BOOK BUILDING ISSUE Bid cum Applicati....

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....B. SIGNATURE OF ASBA BANK ACCOUNT HOLDER(s) (AS PER BANK RECORDS) (For ASBA option ONLY) I/We authorize the SCSB to do all acts as are necessary to make the Application in the Issue 1) BROKER'S/SCSB BRANCH'S STAMP (Acknowledging upload of Bid in Stock Exchange system) Date: 2011 XYZ LIMITED TEAR HERE Acknowledgement Slip for Syndicate Member / SCSB Bid cum Application Form No. C/D PAN Amount Paid (in figures) Cheque/DD/ASBA Bank A/c No. Received from Mr./Ms. Telephone/Mobile Bank & Branch -TEAR HERE XYZ LIMITED Email Option 1 Option 2 Option 3 No. of Equity Shares Bid Price Amount Paid () Cheque/DD/ASBA Bank A/c No. Bank & Branch, Stamp & Signature of Banker TEAR HERE Stamp & Signature of Syndicate Member / SCSB Name of Sole/First Applicant Acknowledgement Slip for Bidder Bid cum Application Form No. GB भारतीय प्रतिभूति और विनिमय बोर्ड Securities and Exchange Board of India IN THE NATURE OF ABRIDGED PROSPECTUS-MEM....

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....and I am/we are not applying for the said Equity Shares as nominees of any person resident outside India or Foreign Nationals OR I am/We are Indian National (s) resident in India and I am/we are applying for the said Equity Shares as Power of Attorney holder(s) of Non-Resident Indian(s) as mentioned on Non-Repatriation basis OR I am/We are Indian National(s) resident outside India and I am/we are applying for the said Equity Shares on my/our own behalf through NRO account on Non Repatriation basis. I am/ we are, or at the time the Equity Shares are purchased will be, the beneficial owner of such shares and (a) I/we and any customer I/we represent, am/are located outside the United States within the meaning of Regulation S under the United States Securities Act of 1933, as amended, and (b) am/are not an affiliate of the Company or a person acting on behalf of such affiliate. FOR QIB BIDDERS: We confirm that the Bid Size/Maximum Equity Shares applied for by us do not exceed the relevant regulatory approvals/limits. I/We am/are not prohibited from accessing capital markets under any order/ ruling judgment of any regulatary, judicial or any other authority including S....

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....on Banks or the SCSBs nor the Company shall have any responsibility and undertake any liability for the same. 4 Bid Lot and Price Band: The price band, discount offered, if any, and the minimum bid lot will be decided by the Company in consultation with the BRLMS and will be advertised at least two working days prior to the Bid/Issue Opening Date, in English national daily, Hindi national daily and regional language news paper each with wide circulation. In case of revision of the Price Band, the Bid/ Issue Period will be extended for at least three additional working days after revision of Price Band subject to the Bid/ Issue Period not exceeding 10 working days. Any revision in the Price Band and the revised Bid/ Issue Period, if applicable, will be widely disseminated by notification to the Stock Exchanges, by issuing a press release and also by indicating the changes on the websites of the BRLMS and at the terminals of the Syndicate. Maximum and Minimum Bid Size: In case of resident Retail Individual Bidders, such number of shares such that the Bid Amount does not exceed 2,00,000, net of discount, if any. Bids at the Cut-Off Price indicate their agreement to p....

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....ignatures other than in the languages specified in the Eighth Schedule to the Constitution of India must be attested by a Magistrate or a Notary Public or a Special Executive Magistrate under official seal. Signature of Bank Account Holder is applicable only in case of ASBA option, where Applicant and Bank Holder are different Other Instructions: a. Bids must be made only in the prescribed Bid cum Application Form. b. Bids must be completed in full, in BLOCK LETTERS in ENGLISH. Bidders should note that the Syndicate Members will not be liable for errors in data entry due to incomplete or illegible Bid cum Application Forms. c. Ensure that all applicable documents in support of the Bid are attached with the Bid cum Application Form In case of queries related to allotment! credit of a lotted equity shares/refund, the Bidders should contact Registrar to the Issue In case of ASBA Bids submitted to the SCSBs, the Bidders should contact the relevant SCSB In case of queries related to upload of ASBA bids submitted to the Syndicate Members, the Bidders should contact the relevant Syndicate Member XYZ LIMITED XYZ Limited TEAR HERE COMPANY CONTACT....

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....ice could either (i) revise their Bid or (i) shall make additional payment based on the cap of the revised Price Band (such that the total amount ie., original Bid Amount less discount, if any, plus additional payment does not exceed 2,00,000 if the Bidder wants to continue to Bid at Cut-off Price), with the members of the Syndicate to whom the original Bid was submitted. In case the total amount (ie., original Bid Amount less discount, if any, plus additional payment) exceeds 2,00,000/-, the Bid will be considered for allocation under the Non-Institutional Portion in terms of the RHP. If, however, the Bidder does not either revise the Bid or make additional payment and the Issue Price is higher than the cap of the Price Band prior to revision, the number of Equity Shares Bid for shall be adjusted downwards for the purpose of Allotment, such that no additional payment would be required from the Bidder and the Bidder is deemed to have approved such revised Bid at Cut-off Price. (i) In case of a downward revision in the Price Band, announced as above, Retail Individual Bidders, who have bid at Cut-off Price could either revise their Bid or the excess amount pa....

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....ole discretion in consultation with the BRLMS and the Designated Stock Exchange Compulsorily in dematerialised form. One Equity Share. A minimum of Compulsorily in dematerialised form. Equity Shares and thereafter in multiples of Public financial institutions as in Section 4A of the Companies Act, Fils and their sub-accounts registered with SEBI, other than a sub-account which are foreign corporates or foreign individuals, scheduled commercial banks, Mutual Funds, multilateral and bilateral development financial institutions, state industrial development corporations, insurance companies registered with the Insurance Regulatory and Development Authority, NIF provident funds with minimum corpus of 250 million and pension funds with minimum corpus of 250 million in accordance with applicable law and insurance funds set up and managed by army, navy or air force of Union of India and Insurance funds setup and managed by the Department of Posts, Inda Compulsorily in dematerialised form. Share. One Equity Share. One Equity Share. Eligible NRIs, Resident Indian individuals, Resident Indian individuals and HUFS HUF (in....