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Revised Contents of Application-Cum-Bidding Form and Manner of disclosure

ars to an Issue and Share Transfer Agents All Registered Bankers to an Issue Dear Sir / Madam, Sub.: 1. SEBI vide Circular no. CIR/CFD/POLICYCELL/11/2015 dated November 10, 2015 has streamlined the process of public issue of equity shares and convertibles. Among several measures, all the investors applying in a public issue are required to use only Application Supported by Blocked Amount (ASBA) facility for making payment. 2. Considering the above, format for application-cum-bidding-form and manner of disclsoure as specified vide SEBI Circular no. CIR/CFD/DIL/4/2011 dated September 27, 2011 has been revised. Full text of data fields required in Application-Cum-Bidding-Form is given at Annexure I and an illustrative format for application-cu .....

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aded. B. Main 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 3. Stamp/Serial Number/Code of Syndicate Member, Broker/ SCSB/ Sub-Agent /Sub-broker/ escrow bank/Bank Branch/ DP/RTA 4. Name & Contact Details of First/Sole Applicant {Name, Address, Email (optional), Telephone 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 Re .....

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er 17. Acknowledgement Slip for Bidder a. Columns for Bid Options (Option 1, Option 2 or Option 3), rows for Number of equity shares bid, Bid price, Total Amount blocked b. 8 digit Application Number c. Name of First/Sole Applicant d. Acknowledgement of Broker / SCSB / RTA / DP e. Payment Details (ASBA Bank Account No., Bank & Branch) C. Overleaf of main Application Form 1. Bidder s Undertaking and Confirmations 2. Instructions corresponding to each item of main application form and specific instruction regarding : a. Name (Name should be given exactly as appearing in DP records) b. Instruction regarding PAN c. Information regarding use of demographic details d. Terms of Present Issue viz. Minimum & Maximum bid Size, Bid lot & P .....

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ty shares (sub-columns for Bid price, discount, if any and Net price) ii. Check-Box for Cut-Off iii. Watermark in background indicating Revised Bid c. Instruction that i. Bids must be in multiple of bid lot as advertised ii. Price in multiples of Re 1 only iii. Number of shares and price per share be given in figures only 8. Payment Detail: a. Additional Amount Blocked in figures & in words b. ASBA: Bank Account Number & Bank Name and Branch 9. A confirmation by the Applicant (on behalf of joint bidders) that he/she has read, understood and agrees to such confirmations 10. Signature of First/Sole Applicant (with date) 11. Signature of ASBA Account holder(s) upto 3 (in case of joint accounts) 12. Authorization for necessary action by .....

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