Note: This sheet is applicable for uploading the particulars related to the amount credited to Investor Education and Protection Fund. Make sure that the details are in accordance with the information already provided in e-form IEPF-1 CIN/BCIN L39877MH1986PLC039877 Prefill Company/Bank Name GALAXY SURFACTANTS LTD Sum of unpaid and unclaimed dividend 133450.00 Sum of interest on matured debentures 0.00 Validate Sum of matured deposit 0.00 Sum of interest on matured deposit 0.00 Sum of matured debentures 0.00 Clear Sum of interest on application money due for refund 0.00 Sum of application money due for refund 0.00 Redemption amount of preference shares 0.00 Sales proceed for fractional shares 0.00 Sum of Other Investment Types 0.00 Date of event (date of declaration of dividend/redemption date Is the of preference shares/date Date of Birth(DD-MON- Investment Investor First Investor Middle Investor Last Father/Husband Father/Husband Father/Husband Last DP Id-Client Id- Amount of maturity of Joint Holder Address Country State District Pin Code Folio Number Investment Type PAN YYYY) Aadhar Number Nominee Name Remarks (amount / Name Name Name First Name Middle Name Name Account Number transferred bonds/debentures/applica Name shares )under tion money any litigation. refundable/interest thereon (DD-MON-YYYY) SHRIRAM CHITS & INVESTMENTS ADMN OFFICE 1 CLUB HOUSE RD GALA000000000000 Amount for unclaimed and A JOSEPH IRUDAYARAJ NA MADRAS INDIA Tamil Nadu 600002 0901 unpaid dividend 200.00 06-Sep-2013 No C/O GALAXY ORGANICS P LTD N 46 1 2 M I D C TARAPUR BOISAR GALA000000000000 Amount for unclaimed and ANKITAABHAYPI ABHAY DAMODAR PISAL NA THANA INDIA Maharashtra 401506 0010 unpaid dividend 600.00 06-Sep-2013 SAL No C/O V P DHEER POKHER GALA000000000000 Amount for unclaimed and ABHIMANYU SINGH NA QUARTERS RANI BAZAR BIKANER INDIA Rajasthan 334001 0908 unpaid dividend 200.00 06-Sep-2013 No 20-A THOPPAI PILLAI ST PERIAMET GALA000000000000 Amount for unclaimed and AIYSHA RAFIA NA MADRAS INDIA Tamil Nadu 600003 0911 unpaid dividend 200.00 06-Sep-2013 No C/O RAGAAV JEWELERS PVT LTD THRILL PLAZA NEAR S B T COURT GALA000000000000 Amount for unclaimed and PRADEEPKUMA AJAY SHANKAR SINGHAL NA ROAD SAHARANPUR 247001 INDIA Uttar Pradesh SAHARANPUR 0918 unpaid dividend 200.00 06-Sep-2013 RPHUTELA No C/O SICOM LTD 2ND FLOOR GOVINDDATTATRA NIRMAL NARIMAN POINT GALA000000000000 Amount for unclaimed and AJIT GOVIND DANGE YADANGE MUMBAI INDIA Maharashtra 400021 2318 unpaid dividend 400.00 06-Sep-2013 No C/O M/S SAJAWAT 908-A GALA000000000000 Amount for unclaimed and AJIT MANDOT NA ASHWANI BAZAR UDAIPUR RAJ INDIA Rajasthan 313001 0920 unpaid dividend 200.00 06-Sep-2013 No BLOCK NO 38 H NO 23 NATIONAL GALA000000000000 Amount for unclaimed and AKHIL KUMAR SINHA NA STADIUM NEW DELHI INDIA Delhi 110001 0922 unpaid dividend 100.00 06-Sep-2013 No C/O HEBE FIN SERV P LTD BUDH GALA000000000000 Amount for unclaimed and AMAR NATH GUPTA NA MG ASHIANA PLAZA 211-A INDIA Bihar 800001 0928 unpaid dividend 200.00 06-Sep-2013 No KAPUR MAHAL MARINE DRIVE GALA000000000000 Amount for unclaimed and MANHARLALRA AMEETA MANHARLAL MANIAR NA BOMBAY INDIA Maharashtra 400020 0931 unpaid dividend 200.00 06-Sep-2013 TILALMANIAR No GALA000000000000 Amount for unclaimed and AMIT KUMAR AGARWAL NA 124 COTTON STREET CALCUTTA INDIA West Bengal 700007 0934 unpaid dividend 200.00 06-Sep-2013 No 15-18 TILAK ROAD GUDIVADA DT GALA000000000000 Amount for unclaimed and AMRIT B NA KRISHNA A P INDIA Andhra Pradesh 521301 0940 unpaid dividend 200.00 06-Sep-2013 No BLDG NO A/26 HAPPY VALLEY COMPLEX FLAT NO 302 MANPADA NEAR TIKUJINI WADI THANE GALA000000000000 Amount for unclaimed and SUBHASHTCHAV ANANDI SUBHASH CHAVAN NA WEST INDIA Maharashtra 400607 0943 unpaid dividend 100.00 06-Sep-2013 AN No B-29 PHASE -III PREM NAGAR GALA000000000000 Amount for unclaimed and ANIL KHOLA NA NAJAFGARH NEW DELHI INDIA Delhi 110043 0946 unpaid dividend 200.00 06-Sep-2013 No H NO 2084 SECTOR 21-C GALA000000000000 Amount for unclaimed and ANIL KUMAR SANGHI NA CHANDIGARH INDIA Chandigarh 160022 0949 unpaid dividend 200.00 06-Sep-2013 No 1022 SHUKRAWAR PETH TILAK GALA000000000000 Amount for unclaimed and RITESHANILDIVE ANIL NARSINHA DIVEKAR NA ROAD PUNE INDIA Maharashtra 411002 0029 unpaid dividend 3000.00 06-Sep-2013 KAR No TC-2/248 NIKUNJAM KESAVADASAPURAM GALA000000000000 Amount for unclaimed and ANNIE T PAUL NA TRIVANDRUM KERALA INDIA Kerala 695004 0957 unpaid dividend 200.00 06-Sep-2013 PAULTISAC No GALA000000000000 Amount for unclaimed and RAVINDRARAM ANUJA RAVINDRA RAJADNYA NA Adwait N3-162 Cidco Aurangabad INDIA Maharashtra 431003 2317 unpaid dividend 1600.00 06-Sep-2013 RAORAJANDYA No IN302365-10189825- Amount for unclaimed and ANUP AGGARWAL NA H.NO. DP-160, PITAM PURA, DELHI INDIA Delhi 110088 0000 unpaid dividend 100.00 06-Sep-2013 No 59/15 GODOWN STREET 2ND GALA000000000000 Amount for unclaimed and ARCHANA NAHAR NA FLOOR INDIA Tamil Nadu 600001 0969 unpaid dividend 50.00 06-Sep-2013 No FLAT NO. 601, GODAVARI, KASHINATH DHURU STREET, OFF VEER SAVARKAR ROAD, DADAR GALA000000000000 Amount for unclaimed and PRABHAKARSAL ARCHANA SALASKAR NA WEST, MUMBAI INDIA Maharashtra 400028 0970 unpaid dividend 200.00 06-Sep-2013 ASKAR No 30 GORKHA BASI ROAD 1ST FLOOR GALA000000000000 Amount for unclaimed and DEEPSHIKHASH ARJUN SHAW NA N BAZAR CALCUTTA INDIA West Bengal 700028 0972 unpaid dividend 200.00 06-Sep-2013 AW No A GR FLR AMBAR PRASAD 23 RECLAMATION BANDRA WEST GALA000000000000 Amount for unclaimed and ASHA ANANT SONDE NA BOMBAY INDIA Maharashtra 400050 0055 unpaid dividend 3000.00 06-Sep-2013 ANANTGSONDE No BARRACK 824 ROOM-3 SECTION- GALA000000000000 Amount for unclaimed and ASHA WADHWANI NA 17 ULHASNAGAR INDIA Maharashtra 421003 0982 unpaid dividend 200.00 06-Sep-2013 No BHAGAWATI NAGAR GULBARGA GALA000000000000 Amount for unclaimed and ASHOK B GUTTEDAR NA KARNATAKA INDIA Karnataka 585102 0985 unpaid dividend 200.00 06-Sep-2013 No SANJANA 5TH FLOOR 49 VITHAL NAGAR SOCIETY 13TH RD JUHU GALA000000000000 Amount for unclaimed and ASHWIN PATEL NA SCHEME BOMBAY INDIA Maharashtra 400049 0994 unpaid dividend 200.00 06-Sep-2013 ARUNAPATEL No 5/265 SION EAST ROAD BHARAT GALA000000000000 Amount for unclaimed and ATURA KAMDAR NA BOMBAY INDIA Maharashtra 400022 0072 unpaid dividend 3000.00 06-Sep-2013 HITENKAMDAR No 103-104 BRIGADE MM ANNEXE K GALA000000000000 Amount for unclaimed and B R NANJUNDIAH NA R ROAD BANGALORE INDIA Karnataka 560082 1005 unpaid dividend 200.00 06-Sep-2013 No ACME SHOPPING ARCADE 2ND FLR SONA TALKIES COMP T ROAD GALA000000000000 Amount for unclaimed and RAMABENKANA BABUBHAI KANAKIA NA KANDIVALI W BOMBAY INDIA Maharashtra 400067 1008 unpaid dividend 200.00 06-Sep-2013 KIA No 2 MITTAL PARK RUIA PARK JUHU GALA000000000000 Amount for unclaimed and DILIPBABURAOK BABURAO V KOTHARI VRIJLAL MUMBAI INDIA Maharashtra 400049 0892 unpaid dividend 800.00 06-Sep-2013 OTHARI No B-132 KIRAN GARDEN NEAR GALA000000000000 Amount for unclaimed and BAL KRISHAN GUPTA NA NAWADA STAND NEW DELHI INDIA Delhi 110059 1012 unpaid dividend 200.00 06-Sep-2013 No CHANDRAKANTSH 51 MAHESHWAR JOYTI R B MEHTA GALA000000000000 Amount for unclaimed and BHANUMATI CHANDRAKANT SHAH AH MARG GHATKOPAR EAST BOMBAY INDIA Maharashtra 400077 2216 unpaid dividend 400.00 06-Sep-2013 SAMIRCSHAH No 11-A VIYOG SADAN 2ND FLR SHANTILAL MODY ROAD GALA000000000000 Amount for unclaimed and RUXMANIBENBS BHAVANIDAS J SHAH NA KANDIVALI W BOMBAY INDIA Maharashtra 400067 1034 unpaid dividend 200.00 06-Sep-2013 HAH No 909 RUSHIRAJ APARTMENT GALA000000000000 Amount for unclaimed and BHAVESH M SHAH NA DIWALIBAG ATHWA LINCE SURAT INDIA Gujarat 395001 1035 unpaid dividend 200.00 06-Sep-2013 No 502 RIDDHI APARTMENT OPP GURUKUL SCHOOL TILAK RD GALA000000000000 Amount for unclaimed and BHAVIKA SURESH MEHTA NA GHATKOPAR EAST BOMBAY INDIA Maharashtra 400077 1036 unpaid dividend 200.00 06-Sep-2013 No GALA000000000000 Amount for unclaimed and BHAWARLAL A JAIN NA 425 MINT STREET MADRAS INDIA Tamil Nadu 600079 1041 unpaid dividend 200.00 06-Sep-2013 No C-2 MATRU ASHISH 12TH FLOOR NEPEANSEA ROAD AGRIPADA GALA000000000000 Amount for unclaimed and BHOGILAL D SHAH NA BOMBAY INDIA Maharashtra 400036 1043 unpaid dividend 800.00 06-Sep-2013 No DAS CHAMBERS IV FLOOR 25 GALA000000000000 Amount for unclaimed and BIDDLE SAWYER LIMITED NA DALAL STREET FORT BOMBAY INDIA Maharashtra 400023 1046 unpaid dividend 200.00 06-Sep-2013 No 302, NILKANTH APARTMENT, NEAR SARGA SHOPPING CENTRE, OLD UMARA JAKAT NAKA, SURAT, GALA000000000000 Amount for unclaimed and BIJAL K MEHTA NA GUJARAT, INDIA Gujarat 395007 1048 unpaid dividend 200.00 06-Sep-2013 KIRANNMEHTA No C/O CHOTANAGPUR MOTORS GALA000000000000 Amount for unclaimed and BISHWA NATH SABOO NA BARIATU ROAD RANCHI BIHAR INDIA Jharkhand 834009 1056 unpaid dividend 200.00 06-Sep-2013 No C/5 KRISHNALAYA BLDG, DUNCAN CAUSWAY ROAD, SION GALA000000000000 Amount for unclaimed and BRAZLINE FERNANDES LOUIS CHUNABHATTI, MUMBAI INDIA Maharashtra 400022 0873 unpaid dividend 2000.00 06-Sep-2013 No 32 JAI SAVITRI PLOT 353-B/8 & 9 VALLABH BAUG ROAD GALA000000000000 Amount for unclaimed and KNTHANKAMM C P SUBRAMANIAN NA GHATKOPAR EAST MUMBAI INDIA Maharashtra 400077 2050 unpaid dividend 400.00 06-Sep-2013 AL No NP - 37 [ GROUND FLOOR ] LIG FLAT ,MAURYA ENCLAVE PITAM GALA000000000000 Amount for unclaimed and CHANDAN BALA JAIN NA PURA DELHI INDIA Delhi DELHI 1063 unpaid dividend 200.00 06-Sep-2013 No C 49/2 T T C INDUSTRIAL AREA GALA000000000000 Amount for unclaimed and CHANDRAKALA RANU KALE RANUKALE PAWNE INDIA Maharashtra 400703 2582 unpaid dividend 200.00 06-Sep-2013