Letter of Intent Cum Masterfile Creation Form for Indian Depository Receipts with Underlying

Letter of Intent cum Masterfile Creation Form for Indian Depository Receipts with underlying as Debt

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.

3. Company’s IDRs will not be available for Demat unless complete information/details are furnished

4. All Financial figures to be given in US$

5. MCF should be stamped and signed on all pages.

To, Date :DD/MM/YYYY

The Managing Director,

National Securities Depository Limited.

Trade World, 4th floor,

Kamala Mills Compound,

Senapati Bapat Marg,

Lower Parel,

Mumbai - 400 013

Dear Sir,

We are interested in offering demat option to our Indian Depository Receipt (IDR with underlying as Debt) Holders. The details of our Company are as given below:

A. Full name of the Company :

Corporate Identity Number (CIN) : ______

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

Address
City / PIN
State / Country
Phone – 1 / Phone – 2
Fax / Mobile
Email ID (s)

In case the place of supply of services by NSDL to Issuer as per requirements of GST is not the registered office address, specify the alternative address to be recorded for place of supply of services by NSDL to Issuer:

Address
City / PIN
State / Country
Phone – 1 / Phone – 2
Fax / Mobile
Email ID (s)
Permanent Account Number (PAN)
Tax Deduction and Collection Account Number (TAN)
Goods and Services Tax Identification Number (GSTIN) #
State code for GST

# Kindly attach self-attested copy of GST Registration certificate/ARN Acknowledgment for verification purpose.

Year of Incorporation : ______

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

Old Names of the company / Year in which old name was changed to new name
1.
2.

IDR 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 ______

In $

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.

F. Details of the Equity Share Capital (In $)

Share Capital / No. of Shares / Value (Rs.)
Authorised
Issued / A: / C:
Paid up / B: / D:
Difference if any* / [A-B] / [C-D]
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 IDRs issued during the current financial year ? Yes / No

Financial Year End of the company : ______

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

H. Security details:

Face Value per IDR (Rs.) / Paid-up Value per IDR (Rs.)

Kindly indicate (Yes) against relevant row(s). Only one option can be selected from the given options in each group.

A) / Instrument dependency (Represent the ownership of an instrument provided in this table) / Indicate
i) / Bonds
ii) / Convertible bonds
iii) / Bonds with warrants attached
iv) / Medium-term notes
v) / Money market instruments
vi) / Mortgage-backed securities
vii) / Asset-backed securities
viii) / Municipal bonds
ix) / Others (miscellaneous)
B) / Type of interest/cash payment / Indicate
i) / Fixed rate (all interest payments are known at issuance and remain constant for the life of the issue)
ii) / Zero rate/discounted( No periodical interest payments are made: the interest charge (discount) is the difference between maturity value and proceeds at time of acquisition)
iii) / Variable ( The Interest rate is subject to adjustment trough the life of the issue: includes graduate, i.e. step-up/ step-down, floating and indexed interest rates)
iv) / Cash payment
C) / Guarantee or ranking (Indicates in the case of the issuers inability to settle, whether the debt issues is additionally secured) / Indicate
Guideline: The values Senior, Senior subordinated, Junior and Junior subordinated may only be used for unsecured securities. Negative may only be used for unsecured securities that are neither senior nor junior. Unsecured may be used only if one of these codes does not apply to the relevant security.
i) / Government guarantee [the debt instrument is guaranteed by a federal, state, (semi)- government, sovereigns, agencies]
ii) / Joint guarantee [the debt instrument is guaranteed by an entity(e.g. corporation) other than the issuer; not a federal or state government]
iii) / Secured (debt issue against which specific assets are pledged to ensure the obligation, e.g. mortgage or receivables)
iv) / Unsecured/unguaranteed (the direct obligation of the issuer rest solely on its general credit)
v) / Negative pledge (the borrower agrees not to pledge any assets if such pledging would results in less security for the agreement’s bondholders)
vi) / Senior (applies to senior debts that are placed before senior subordinated, junior and junior subordinated in the ranking in the event of liquidation)
vii) / Senior subordinated (applies to senior subordinated debts that are placed before junior and junior subordinated in the ranking in the event of liquidation)
viii) / Junior (applies to junior debts that are placed before junior subordinated in the ranking in the event of liquidation)
ix) / Junior subordinated (applies to junior subordinated debts in the ranking in the event of liquidation)
x) / Supranational (organization defined as being beyond the scope or borders of any one nation such as two or more central banks or two or more central governments. Examples of supranational includes the United Nations, the European Union, the European Investment Bank and the World Bank.)
D) / Redemption/reimbursement(Indicates the retirement provisions made for the debt issues): / Indicate
i) / Fixed maturity ( the principle amount is repaid in full at maturity)
ii) / Fixed maturity with call feature (The issuer may be called for redemption prior to the fixed maturity date)
iii) / Fixed maturity with put feature( The holder may request the reimbursement of his bonds prior to the maturity date)
iv) / Fixed maturity with put and call
v) / Amortization plan (Reduction of principal by regular payments)
vi) / Amortization plan with call feature ( The redemption of principal may occur as the results of the outstanding portion of the bond being called)
vii) / Amortization plan with put feature
viii) / Amortization plan with put and call
ix) / Perpetual( The debt instruments has no fixed maturity date and is only due for redemption in the case of the issuer’s liquidation)
x) / Perpetual with call feature( The issuer may be called for redemption at some time in the future)
xi) / Perpetual with put feature ( The issuer may be puttable for redemption at some time in the future)
xii) / Extendible

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

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

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

DEPOSITORY OPERATIONS:

J. 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:

K. Registrar Details:

Name of Registrar (for electronic connectivity with NSDL):
Registrar BP ID:
Contact Person:
Designation:
Address:
City: Pin:
Tel: Fax:
Email:
Type of Service
Electronic only: 1
Full connectivity: 1

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

Compliance Officer
Designation/Department
Address:
Contact nos.: / Tel: Fax:
Email address:
Investor Relations officer
Designation/Department
Address:
Contact nos.: / Tel : Fax:
Email address:

We understand and agree that :

1. Indian Depository Receipts on which calls have been made and are unpaid will not be eligible for demat.

2. Partly paid Indian Depository Receipts, 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:

National Securities Depository Limited