TEAR HERE
ACKNOWLEDGEMENT SLIP FOR APPLICANT MUTHOOT FINANCE LIMITED - NON-CONVERTIBLE DEBENTURES (“NCDs”)
Received From Acknowledgement issubjecttorealization ofCheque/DemandDraft. DEPOSITORY PARTICIPANT DETAILS Dear Sirs, with applyingfor,subscribingto,orseekingallotmentofNCDspursuanttotheIssue. (iv) I/weam/arenotpersonsresidentoutsideIndiaand/orforeignnationalswithinthemeaningthereofunderForeignExcha NCDs asnominee(s)ofanypersonresidentoutsideIndiaand/orForeignNational(s).I/Wefurtherconfirmthatapplicationsmade I/We herebyagreetoaccepttheNCDsappliedfororsuchlessernumberasmaybeallottedme/usinaccordancewithconte Having read,understoodandagreedtothecontentstermsconditionsofMuthootFinanceLimited’sProspectusdated To, The BoardofDirectors, of theIssue,includingmeritsandrisksinvolved,(ii)our/mydecisiontomakethisapplicationissolelybasedondis Notwithstanding anythingcontainedinthisformandtheattachmentshereto,I/weconfirmthatIhavecarefullyreadunderst doing suchactsandsigningdocumentsasarenecessarytocarryouttheirdutiesincapacity.I/Weacknowledgethatt PAYMENT DETAILS APPLICANTS’ DETAILS OTHER DETAILS OFSOLE/FIRST APPLICANT THIRD APPLICANTMr./Mrs./Ms. CREDIT RATING:[ICRA]AA-/STABLEBYICRAANDCRISILFORANAMOUNTOFUPTO See GeneralInstructionno.42E PERMANENT ACCOUNTNUMBER AGGREGATING TOATOTALOFUPTO Category II Category I (“NCDs”), AGGREGATINGUPTO PUBLIC ISSUEBYMUTHOOTFINANCELIMITED,(“COMPANY”OR“ISSUER”)OFSECUREDNON-CONVERTIBLEDEBENTURESFACEVALUE ACKNOWLEDGEMENT SLIP NAME OFSOLE/FIRSTAPPLICANTMr./Mrs./Ms. City (of Sole/FirstApplicant) ADDRESS (In caseofminoronly) NAME OFGUARDIANMr./Mrs./Ms. Category III SECOND APPLICANTMr./Mrs./Ms. SIGNATURE(S) Options Lead Manager’s/Co-LeadManager’s/Broker’sName&Code Minimum Application Amount Payable( No ofNCDsappliedfor(B) Redemption Amount(PerNCD) Redemption Date Tenor Effective Yield(%)forNCDHoldersinCategoryIII Effective Yield(%)forNCDHoldersinCategoryII Effective Yield(%)forNCDHoldersinCategoryI Effective Yield(%)(perannum) Coupon Rate(%)forNCDHoldersinCategoryIII Coupon Rate(%)forNCDHoldersinCategoryII Coupon Rate(%)forNCDHoldersinCategoryI Coupon (%)perannum Credit Rating-CRISIL Credit Rating-ICRA In Multiplesof Face Value&IssuePrice( Frequency ofInterestPayment Options Grand Total (I+II+III+IV)( Total NumberofNCDs(I+II+III+IV) Grand Total(I+II+III+IV) ( I IV III II • PleaseNote: ( Beneficiary AccountNumber DP -ID Depository ParticipantName Depository Name(Please INVESTMENT DETAILS SMC GLOBALSECURITIESLTD SMC GLOBALSECURITIESLTD SMC GLOBALSECURITIESLTD SMC GLOBALSECURITIESLTD SMC GLOBALSECURITIESLTD While submitting theApplicationForm, theApplicantshouldensure thatthedatestamp beingputontheApplication Formbythe ` i iue)( infigures) Face Value ` ` ` `
Partnership Firmsinthenameofpartner Resident IndianIndividualwithaggregateApplicationAmt.upto 1000/- 1000/- 1000/- 1000/- Cheque/DDshouldbedrawninfavourof Public FinancialInstitution Statutory Corporation Companies /BodiesCorporateRegisteredSocieties 23/07714-31 23/07714-31 23/07714-31 23/07714-31 23/07714-31 A ple o ()(A x B) appliedfor(B) (A) ` ) (AxB) (See GeneralInstructionno.42G) 3 ` MUTHOOT FINANCELIMITED, Reg • `) /NCD)(A) Demographic details will be taken fromtherecordsofDepositoriesforpurposerefunds,ifany. Demographicdetailswillbetaken ) ` ) MUTHOOT FINANCELIMITED of theProspectus. and Lakshadweep.ForfurtherdetailsregardingchangestothenameregisteredofficeofourCompany,seesectiontitled“His Limited” andreceivedafreshcertificateofincorporationconsequenttochangeinstatusonDecember02,2008fromtheRegistr “Muthoot FinancePrivateLimited”.OurCompanywasconvertedintoapubliclimitedcompanyonNovember18,2008withthename name “TheMuthootFinancePrivateLimited”.Subsequently,byafreshcertificateofincorporationdatedMay16,2007,our Our CompanywasoriginallyincorporatedasaprivatelimitedcompanyonMarch14,1997undertheprovisionsofCompaniesAc Company SecretaryandComplianceOfficer: India. TotalPayable Amount IN (Mandatory) Tel National SecuritiesDepositoryLimited(NSDL) : (91484)2394712; ` No. of 3,000 4mnh rmte3 otsfo h 0mnh rmte66monthsfromthe 60monthsfromthe 36monthsfromthe 24 monthsfromthe Registered andCorporateOffice 4mnh 6mnh 0mnh 66months 60months 36months 24 months emdDt emdDt emdDt DeemedDate DeemedDate DeemedDate Deemed Date fAlteto lomn fAltetofAllotment ofAllotment ofAllotment of Allotment ` Repayment oftheFaceValue plusanyinterestthat 30%1.5 32%13.43% 13.43% 13.43% N.A 13.25% N.A 13.25% N.A 13.25% 13.25% 13.25% 13.25% 13.25% 13.25% 13.25% 13.00% 13.25% 13.00% 13.25% 13.00% 13.25% 13.00% 13.00% 13.00% nulAna nulN.A Annual Annual Annual
NCDs 1,000 Venture CapitalfundsregisteredwithSEBI Commercial /Co-operativeRegionalRuralBank MILLION IIIIV III II I ` Option II,IIIandIVeithertakenindividuallyorcollectively) may haveaccruedattheRedemptionDate. 6,000 MILLION,HEREINAFTERREFERREDTOASTHE“ISSUE”. (Compulsory) Pin Code CATEGORY (Please
` Limited liabiitypartnership Fax inwords) ` : (91484)2396506; ‘CRISIL AA-/Stable’foranamountofupto 5,000/-(5NCDs)(foralloptionsofNCDs,namelyOptionsI, ‘[ICRA] AA-/Stable’foranamountofupto SOLE/FIRST APPLICANT SECOND APPLICANT THIRD APPLICANT THIRD SECOND APPLICANT SOLE/FIRST APPLICANT “EscrowAccountMuthootFinanceNCDPublicIssue” istered andCorporateOffice: WITH ANOPTIONTORETAINOVER-SUBSCRIPTIONUPTO Sub-Broker’s/ Agent’sCode Amount Payable( Please fillintheFormEnglishusingBLOCKletters Rajesh A.; MUTHOOT FINANCELIMITED www.muthootfinance.com; Banerji Road,Kochi 682 018, India. Registered andCorporateOffice Officer: ` : MuthootChambers,OppositeSarithaTheatreComplex,2 1,000 Website
` Rajesh A.; Tel 500,000 3 : (91484)3535533; : www.muthootfinance.com;
) ` Public/Private Charitable/ReligiousTrusts 1,000(1NCD) Resident Indian Individual with aggregate Application Amt. above Amt. ResidentIndianIndividualwithaggregateApplication ` ) Tel : (91484)3535533; Drawn onBank______Branch______Cheque / Demand Draft No. ______Dated ______Dated Cheque /DemandDraftNo. Muthoot Chambers, Opposite Saritha Muthoot Chambers,OppositeSaritha Theatre Complex, 2 closures containedintheProspectus,(iii)my/ourapplicationforNCDsunderIssueissubjecttoapplicablestatutorya TEAR HERE Cheque/Demand DraftNo. Telephone Email submitted andCheque/Demand DraftNumberandnameoftheIssuingbank. options appliedfor,Numberof NCDsappliedfor,Date,BankandBranchwheretheapplication was INR000004058 QuotingfullnameofSole/FirstApplicant, ApplicationNo.,Typeof Registration No.: Sachin Achar,SEBI www.linkintime.co.in, Contact Person: Email: [email protected], Website: 0329, TollFree: 1-800-22-0320, (91 22)2596 (91 22)25960320,Fax: L.B.S. Marg,Bhandup(West), Mumbai400078,India.Tel: Registrar totheIssue All futurecommunicationin connectionwiththisapplicationshouldbeaddressed tothe Drawn on(NameoftheBankandBranch) nge ManagementAct,1999,asamendedandrulesregulations,notificationscircularsissuedthereunder,(v)I/wehaveob ` Fax 1,000 ood thecontents,termsandconditionsofProspectus,intheirentiretyfurtherconfirmthatmakingmy/ourinvestmen
December 16, HUF throughtheKartaaggregateApplicationAmt.upto : [email protected]. byme/usdonotexceedtheinvestmentlimitonmaximumnumberofNCDswhichmaybeheldunderapplicablestatutor : (91484)2396506; he NCDswillbeparipassuwithothersecuredcreditorsandhavepriorityoverunsecuredcreditors.I/Weconfirmthat:Ia : MuthootChambers,OppositeSarithaTheatreComplex,2 nts oftheProspectussubjecttoapplicablestatutoryand/orregulatoryrequirements.I/Weirrevocablygivemy/ourauthorityan Email Tel ` ` 6,000 Million 6,000 Million
: (91484)2394712; Insurance CompaniesregisteredwiththeIRDA Provident Fund,PensionSuperannuationFundandGratuity : [email protected]. Fax 2011, (“Prospectus”)I/Weherebyapplyforallotmenttome/us;oftheundermentionedNCDsoutIssue.Theamountpayable Bank BranchStamp : (91484)2396506; LINK INTIMEINDIAPRIVATE LIMITED, E-mail nd ` Floor,BanerjiRoad,Kochi682018, 1,000 : [email protected] ` by allapplicants.Itshouldbecrossed“A/cPayeeonly”. 2,000 Company SecretaryandCompliance (16 digitbeneficiaryA/c.No.tobementionedabove) Central DepositoryServices(India)Limited(CDSL) Fax E-mail ar ofCompanies,Kerala : (91484)2396506; tory andMainObjects” ` E-mail 6,000MILLION Email: [email protected] “Muthoot Finance waschangedto t, 1956,withthe ` 500,000 : [email protected] Allotment Advice/regret. Board constitutedbyresolutionofthedatedJuly25,2011,andasmentionedon Deemed DateofAllotment : realisation ofthecheques/demanddrafts,whicheverislater. : Pay-in Date General Instructionno.36. later, subjecttonotbeinganinvalidorwithdrawnapplication.Forfurtherdetailspleasesee demand draft(s)orafter3(three)daysfromthedateofreceiptapplication,whicheveris : Interest onRefundMoney later. ForfurtherdetailspleaseseeGeneralInstructionno.36. demand draft(s)orafter3(three)daysfromthedateofreceiptapplication,whicheveris : Interest onApplicationMoney advertisement/s inaleadingnationaldailynewspaper. given onorbeforethedayofsuchearlydateclosurethrough our Companyshallensurethatnoticeofsuchearlyclosureis In theeventofsuchearlyclosuresubscriptionlistIssue, Boardconstituted by resolutionoftheBoarddatedJuly 25, 2011. be decidedbythedulyauthorisedcommitteeof to aperiodof30daysfromdateopeningtheIssue,asmay with anoptionforearlyclosureorextensionbysuchperiod,up * Issue Schedule Rating : Structure of theDebenture Trust Deed. detailspleaserefer tothesectiontitled “ For further : Security COMMON TERMSOFTHEISSUE: Additional Applications : Additional Applications ofApplicationForms: Submission : Stock Exchangesproposed no. 45B. NCDs forthesameorotherseriesofNCDs.ForfurtherdetailspleaseseeGeneralInstruction made. ForfurtherdetailspleaseseeGeneralInstructionno.42A. pursuant toanApplication,shallbedeemedthedateonwhichApplicationwas purposes ofthebasisallotment,dateonwhichchequeisreceivedbyRegistrar payable atalocalbankinMumbaitotheRegistrarIssuebyregisteredpost.For branches ofcollectingbankscansendtheirformstogetherwithacheque/draftdrawnon/ may bespecifiedbeforetheclosureofIssue.Applicantsatcentresnotcoveredby of thesubscriptionlisttoanyBankersIssueorcollectioncentre(s)/agent(s)as cheque/bank draftfortheamountpayableonapplicationmustbedeliveredbeforeclosing : : MuthootFinanc : : Depositories Trading Lot Issuance andTrading for listingoftheNCDs Issuer ` Bankmatches withthedatestampon theAcknowledgement Slip. The subscriptionlistshallremainopenforaperiodasindicated, 3,000 MILLION 3,000 • Bank details willbeobtainedfromtheDepositoriesforpaymentofInterest/refundredemptionascase may be. Bankdetails (Compulsory forminor) DATE OFBIRTH