SCHEDULE - 17 - FORMAT OF UNDERWRITING DEVOLVEMENT STATEMENT - Securities and Exchange Board of India (Issue of Capital and Disclosure Requirements) Regulations, 2009

SECURITIES AND EXCHANGE BOARD OF INDIA (ISSUE OF CAPITAL AND DISCLOSURE REQUIREMENTS) REGULATIONS, 2009 SCHEDULE XVII [See regulation 67(4) and 105] FORMAT OF UNDERWRITING DEVOLVEMENT STATEMENT (1) Name of the merchant banker : (2) Name of the issuer : (3) Issue size : (4) Issue-wise statement of non-acceptance of underwriting devolvement : Sr. No. Name of the Underwriter Amount underwritten Amount devolved Date of issue of notice of devolvement, if any Reasons for not accepting devolvement