Letter of Intent cum Master Creation Form

1. Please forward this form together with a forwarding letter on the letter head of the company signed by authorized signatory 2. Kindly ensure that all columns are properly filled. Write “N.A.” wherever not applicable Fill up the form in BLOCK LETTERS only. 3. Company’s shares will not be available for Demat unless complete information/details are furnished 4. All Financial figures to be given in Rs Cr Date : To, The Managing Director, National Securities Depository Limited. th Trade World, 4 floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel, Mumbai - 400 013

Dear Sir,

We are interested in offering demat option to our shareholders. The details of our Company are as given below:

A. Full name of the Company :

Address of the Regd. office including telephone, fax nos., and email address:

Year of Incorporation : ______

B. Old name(s) of the company, in case company has previously changed its name:

Old Name Year of name change

National Securities Depository Limited 1 1. 2.

Share certificates bearing old name(s) of the company be accepted for dematerialisation? (Please tick (ü) the relevant option) : Yes / No

C. Main Business of the company: ______

Type of entity : Tick (ü) the relevant type Joint Stock Company/ Statutory Company/ Mutual Fund/ Government

D. Board of Directors: (Please clearly identify The Chairman, MD and The Wholetime Director(s).)

Name Designation

E. Financial Details as per the Latest Annual Report / Audited Accounts as on ______

Paid up Capital * Networth calculated as follows: Paid up Capital Add: Reserve & Surplus (excluding revaluation reserves) Less: Accumulated losses if any - Less: Miscellaneous Expenditure - Total Networth** * Give details of capital issued after the date specified above. ** If networth is less than Paid-up Capital , state whether the company is a sick company under the SICA? If yes, give details in a separate sheet.

If security is UNLISTED, AUDITED BOOK VALUE PER SHARE Rs. ______as on ______. (Please attach auditors certificate)

National Securities Depository Limited 2 F. Details of the Equity Share Capital:

Share Capital No. of Shares Value (Rs.) Authorised Issued A: C: Paid up B: D: Difference if [A-B] [C-D] any* Distinctive Nos. From: to:** *Reason for difference of shares, if applicable: A-B: ______C-D: ______** If last Distinctive no. [DNRs to] IS NOT EQUAL TO issued no. of shares, then mention reason(s) for difference: G. Were any new shares issued during the current financial year ? Yes / No

Year end of the company : ______

Nature of the Date of Allotment Distinctive Partly/ Fully Issue(Bonus/Righ Number Range paidup ts/Public Offer)

H. Number of folios: ______as on (date): ______Number of transfers: ______as per last book closure (date): ______

I. Security details: Face Value per Security Paid-up Value per Security Marketable Lot size (Rs.) (Rs.)

J. Share holding pattern as of the last book closure on ______.

Held By % age of Holdings National Securities Depository Limited 3 UTI LIC GIC & its Subsidiaries IDBI IFCI ICICI Other FIs Mutual Funds Banks Corporate Bodies Promoters, Directors and Relatives FIIs Foreign collaborators NRIs, OCBs Central/State Government Individuals/Public Venture Capital Others (not classified above; please specify)

K. Stock Exchange details where the security is listed/Proposed to be listed: (Please start with the Primary Stock Exchange):

Name of Stock Listed (ü) Permitted Stock Exchange Exchange to trade (ü) Security code (if any)

Last traded price Rs. ______on ______(name of Stock Exchange) as on ______(date)

DEPOSITORY OPERATION:

National Securities Depository Limited 4 L. Address of the registry operations where the physical securities for dematerialisation are to be delivered by the Depository Participants (DPs) : Name of Organisation Name of contact person Designation/Dept. Address:

City: Pin: Contact nos.: Std code: Tel.: Fax: Email address:

M. Registrar Details: Name of Registrar (for electronic connectivity with NSDL):

Contact Person: Designation: Address:

City: Pin: Tel: Fax: Email: Type of Service

Electronic only: 1 Full connectivity: 1

N. Contact persons of the Company ( For correspondence with the company):

Compliance Officer Designation/Department Address:

Contact nos.: Tel: Fax: Email address: Investor Relations officer National Securities Depository Limited 5 Designation/Department Address:

Contact nos.: Tel : Fax: Email address:

We understand and agree that : 1. Shares on which calls have been made and are unpaid will not be eligible for demat. 2. Partly paid shares, if traded separately on the Stock Exchanges(s), need to be identified separately with a separate ISIN.

We hereby certify that the above information is correct to the best of our knowledge and that we have attached all the enclosures mentioned above.

Date: Signature:

Company Stamp Name & Designation:

For Office Use Only (to be filled up by NSDL) ISIN Allotted I N Short Name Security Type & Code BP Id of Registrar I N Name of Registrar Latest Trading Price Captured by Verified & Activated by Date of Activation Authorisation

Remarks

National Securities Depository Limited 6 Format for Undertaking by Private Companies joining NSDL

(ON THE LETTER HEAD OF THE COMPANY)

Date:

To

National Securities Depository Ltd. Trade World, 4th Floor, Kamala Mills Compound, Senapati Bapat Marg, Lower Parel, Mumbai – 400 013

Dear Sirs,

This is in connection with our application for admitting our securities on National Securities Depository Ltd. (NSDL) to enable our shareholders to hold their shares in dematerialised form.

We hereby undertake that once the shares are admitted in NSDL depository system, all the transactions in the shares in demat form, will be conducted in accordance with the provisions of The Depositories Act, 1996 and SEBI (Depositories and Participants) Regulations, 1996 and Bye Laws of NSDL. So long as the Company is a Private Limited Company, the Company covenants and takes full responsibility for (i) any National Securities Depository Limited 7 transfer of shares in violation of the restrictions on transfer and lien on shares as incorporated in the Articles of Association and (ii) if number of members of the Company exceeds 50 due to transfer of shares.

The Company agrees and undertakes to indemnify and keep indemnified and harmless NSDL, its Directors and employees, from and against any and all liability resulting from claims, demands, penalties, suits and judgements and all costs, charges and expenses relating thereto as a result of a breach by the Company of its covenants as stated hereinabove.

Yours faithfully,

For (Name of the Company)

(Signature) Name : Designation:

Format for computation of book value required from the company on the letterhead of a practicing Chartered Accountant duly certified.

Paid Up Capital -______

Add. Reserves & Surplus ______(Excluding Revaluation Reserves)

Less: Accumulated Losses (if any)______

Less: Miscellaneous Expenditure______

Total Networth ______

Book Value per share – Total Networth / Total number of outstanding shares

National Securities Depository Limited 8