Acknowledgement Slip for Lead Manager/ Consortium Member/Sub-Consortium Member/ Brokers/Sub-Brokers/Trading Members / SCSB Application Form No. Application Form No. Name of Sole / First Applicant Cheque/DD/ASBA Bank A/c No. Drawn on (Name of Bank & Branch) TEAR HERE Stamp & Signature of Escrow Bank Cheque / DD/ASBA Bank A/c No. Dated 2013 Received from Mr./Ms. Telephone / Mobile Email Amount Paid (` in figures) Bank & Branch PAN DPID / CLID TEAR HERE Options/Bond Series Tranche - II Series 1 Tranche - II Series 2 Acknowledgement Slip for Applicant Date Stamp & Signature of Lead Manager/ Consortium Member/Sub- Consortium Member /Brokers/Sub Brokers/ Trading Members / SCSB 6. PAYMENT DETAILS (Please tick (✓) “any one of the mode of payment out of option A or B given below”) Amount Paid (` in figures) (` in words) TEAR HERE TEAR HERE PLEASE FILL IN BLOCK LETTERS LEAD MANAGER’S / CONSORTIUM /SUB- CONSORTIUM MEMBER’S /BROKERS/ SUBBROKER’S/ TRADING MEMBER’S /SCSB BRANCH’S STAMP (Acknowledging upload of Application in Stock Exchange system) 7D. SIGNATURE OF ASBA BANK ACCOUNT HOLDER(s) (AS PER BANK RECORDS) (For ASBA option ONLY) 1) I/We authorize the SCSB to do all acts as are necessary to make the Application in the Issue 2) 3) PAN Date : _______________________, 2013 HOUSING AND URBAN DEVELOPMENT CORPORATION LIMITED Issue Price (`/Bond) ` 1,000 ` 1,000 No. of Bonds applied for Amount Payable (`) Grand Total (`) HOUSING AND URBAN DEVELOPMENT CORPORATION LIMITED 7B. SIGNATURE OF SECOND APPLICANT PAN PAN Furnishing of PAN of the applicant is mandatory including Minor's PAN in case of Application by Minor Please refer page 12 of this Abridged Prospectus (Please write Sole/First Applicants Name, Phone No. and Application No. on the reverse side of Cheque/DD.) (B) ASBA Bank A/c No. ASBA A/c. Holder Name __________________________________________________ D D M M Y Y (A) CHEQUE/ DEMAND DRAFT (DD) to be drawn in favour of Cheque/DD No. Dated 7C. SIGNATURE OF THIRD APPLICANT 7A. SIGNATURE OF SOLE/FIRST APPLICANT Drawn on (Bank Name & Branch) (in case Applicant is different from ASBA A/c. Holder) Bank Name & Branch ____________________________________________________ APPLICATION FORM (FOR RESIDENT APPLICANTS) Application Form No. ISSUE OPENS ON : FEBRUARY 21, 2013 ISSUE CLOSES ON* : MARCH 15, 2013 I/we hereby confirm that I/We have read and understood the terms and conditions of this Application Form and the attached Abridged Prospectus and agree to the ‘Applicant’s Undertaking’ as given overleaf. I/we hereby confirm that I/we have read the instructions for filling up the Application Form given overleaf. To, The Board of Directors, HOUSING AND URBAN DEVELOPMENT CORPORATION LIMITED LEAD MANAGER / CONSORTIUM MEMBER/ TRADING MEMBER’S STAMP & CODE ESCROW BANK / SCSB BRANCH STAMP & CODE SUB- CONSORTIUM MEMBER / BROKER’S STAMP & CODE BANK BRANCH SERIAL NO. REGISTRAR’S / SCSB SERIAL NO. 1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to page 12 of this Abridged Prospectus) First Applicant (Mr./ Ms.) 2. Investor Category (Please refer overleaf) Category I Category II Category III Category IV Sub Category Code (Please refer overleaf) COMMON APPLICATION FORM FOR ASBA/NON ASBA DATE OF RECEIPT HOUSING AND URBAN DEVELOPMENT CORPORATION LIMITED Credit Rating: ‘CARE AA+’ by CARE/ ‘IND AA+’ by IRRPL NOMINATION (Please see page 24 of this Abridged Prospectus) Name of the Nominee : If Nominee is Minor, Guardian’s Name : Bank Details for payment of Refund / Interest / Maturity Amount Bank Name, Branch : MICR No.: Account No.: IFSC Code : *For Early Closure or extension of the Issue refer to page 17 of this Abridged Prospectus SUB BROKER’S/ AGENT CODE Options / Series of Bonds* Tranche - II Series 1 Bonds Tranche - II Series 2 Bonds Issue Price (`/Bond) ` 1,000 ` 1,000 Coupon Rate (%) per annum for Category I, II & III 7.03% 7.19% Coupon Rate (%) per annum for Category IV** 7.53% 7.69% Frequency of Interest Payment Annual Annual Tenor/Maturity 10 years 15 years Minimum Application 5 Bonds (` 5,000) across all of the Series of Bonds. No. of Bonds applied Amount Payable (`) (No. of Bonds applied x ` 1000/-) Grand Total (`) 5. INVESTMENT DETAILS (For details, please refer Issue Structure overleaf) "HUDCO Tax Free Bonds 2012 - Escrow Account - R" “Our Company shall allocate and Allot Bonds of Tranche – II Series 2 Bonds to all valid Applications, wherein the Applicants have not indicated their choice of the relevant Series of Bonds”. **Please note that the additional interest of 0.50% p.a shall only be available to the original Allottees under Category IV for the Tranche - II Series 1 Bonds and the Tranche - II Series 2 Bonds. In the event the Bonds held by the original Allottees under Category IV are sold/ transferred (except in case of transfer of Bonds to legal heir in the event of death of the original Allottee), the coupon rate shall stand revised to the coupon rate applicable for Allottees falling under Category I, Category II and Category III. 4. IN CASE OF APPLICATION TO HOLD THE BONDS IN PHYSICAL FORM, PLEASE PROVIDE FOLLOWING DETAILS (Please enclose self attested copies of the KYC Documents along with the Application Form. For list of KYC documents, please refer overleaf) Date of Birth Name of Guardian (if applicant is minor) D D M M Y Y Y Y Address Pin Code (Compulsory) Tel. No/ Mobile Email Second Applicant (Mr./ Ms.) Third Applicant (Mr./ Ms.) Acknowledgement is subject to realisation of Cheque/DD/Availability of Funds in the ASBA account. Applications submitted without being uploaded on the terminals of the Stock Exchanges will be rejected. Dated 2013 While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Manager/Consortium/Sub-Consortium Member/Broker/Sub Broker/Trading Member/SCSB matches with the date stamp on the Acknowledgement Slip PUBLIC ISSUE OF TAX FREE BONDS IN THE NATURE OF SECURED REDEEMBLE NON CONVERTIBLE DEBENTURES VIDE SHELF PROSPECTUS DATED DECEMBER 13, 2012 AND PROSPECTUS TRANCHE - II DATED FEBRUARY 13, 2013 NSDL / CDSL 3. IN CASE OF APPLICATION IN DEMATERIALISED FORM, PLEASE PROVIDE APPLICANT’S DEPOSITORY DETAILS (Please refer to page 8 of this Abridged Prospectus) For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID All future communication in connection with this application should be addressed to the Registrar to the Issue. For details, pleaser refer overleaf. PUBLIC ISSUE OF TAX FREE BONDS IN THE NATURE OF SECURED REDEEMBLE NON CONVERTIBLE DEBENTURES VIDE SHELF PROSPECTUS DATED DECEMBER 13, 2012 AND PROSPECTUS TRANCHE - II DATED FEBRUARY 13, 2013 C K C K AXIS CAPITAL LTD. 01/6105 SMC GlOBAL SECURITIES 23/07714-31
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Acknowledgement Slip for Lead Manager/Consortium Member/Sub-Consortium Member/Brokers/Sub-Brokers/Trading Members / SCSB
ApplicationForm No.
ApplicationForm No.
Name of Sole / First Applicant
C h e q u e / D D / A S B A B a n k A / c N o .Drawn on (Name of B a n k & B r a n c h )
TEAR HERE
Stamp & Signature of Escrow Bank
Cheque / DD/ASBA Bank A/c No. Dated 2013
Received from Mr./Ms.
Telephone / Mobile Email
Amount Paid (` in figures) Bank & Branch
PANDPID
/CLID
TEAR HERE
Options/Bond Series Tranche - II Series 1 Tranche - II Series 2
Acknowledgement Slip for Applicant
Date Stamp & Signature of LeadManager/ Consortium Member/Sub-
Consortium Member /Brokers/Sub Brokers/Trading Members / SCSB
6. PAYMENT DETAILS (Please tick (✓✓✓✓✓) “any one of the mode of payment out of option A or B given below”)
Amount Paid (` in figures) (` in words)
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LEAD MANAGER’S / CONSORTIUM /SUB-CONSORTIUM MEMBER’S /BROKERS/
SUBBROKER’S/ TRADING MEMBER’S /SCSBBRANCH’S STAMP
(Acknowledging upload of Application inStock Exchange system)
7D. SIGNATURE OF ASBA BANK ACCOUNT HOLDER(s)(AS PER BANK RECORDS) (For ASBA option ONLY)
1)
I/We authorize the SCSB to do all acts as arenecessary to make the Application in the Issue
2)
3)
PAN
Date : _______________________, 2013
HO
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AN
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PM
EN
TC
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IMIT
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Issue Price (`/Bond) ` 1,000 ` 1,000
No. of Bonds applied for
Amount Payable (`)
Grand Total (`)
HOUSING AND URBAN DEVELOPMENTCORPORATION LIMITED
7B. SIGNATURE OFSECOND APPLICANT
PAN PAN
Furnishing of PAN of the applicant is mandatory including Minor's PAN in case ofApplication by Minor Please refer page 12 of this Abridged Prospectus
(Please write Sole/First Applicants Name, Phone No. and Application No. on the reverse side of Cheque/DD.)
(B) ASBABank A/c No.ASBA A/c. Holder Name __________________________________________________D D M M Y Y
(A) CHEQUE/ DEMAND DRAFT (DD) to be drawn in favour of
Cheque/DD No. Dated
7C. SIGNATURE OFTHIRD APPLICANT
7A. SIGNATURE OFSOLE/FIRST APPLICANT
Drawn on (Bank Name & Branch)(in case Applicant is different from ASBA A/c. Holder)
Bank Name & Branch ____________________________________________________
APPLICATION FORM
(FOR RESIDENT APPLICANTS)
ApplicationForm No.
ISSUE OPENS ON : FEBRUARY 21, 2013
ISSUE CLOSES ON* : MARCH 15, 2013
I/we hereby confirm that I/We have read and understood the terms and conditions of this Application Form and the attached Abridged Prospectus and agree to the ‘Applicant’s Undertaking’ as given overleaf. I/we herebyconfirm that I/we have read the instructions for filling up the Application Form given overleaf.
To, The Board of Directors,HOUSING AND URBAN DEVELOPMENT CORPORATION LIMITED
LEAD MANAGER / CONSORTIUM MEMBER/TRADING MEMBER’S STAMP & CODE
ESCROW BANK / SCSB BRANCHSTAMP & CODE
SUB- CONSORTIUM MEMBER /BROKER’S STAMP & CODE
BANK BRANCHSERIAL NO.
REGISTRAR’S / SCSBSERIAL NO.
1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to page 12 of this Abridged Prospectus)
First Applicant (Mr./ Ms.)
2. Investor Category (Please refer overleaf) Category I Category II Category III Category IV Sub Category Code (Please refer overleaf)
COMMON APPLICATION FORM
FOR ASBA/NON ASBA
DATE OFRECEIPT
HOUSING AND URBAN DEVELOPMENT CORPORATION LIMITEDCredit Rating: ‘CARE AA+’ by CARE/ ‘IND AA+’ by IRRPL
NOMINATION (Please see page 24 of this Abridged Prospectus)Name of the Nominee : If Nominee is Minor, Guardian’s Name :
Bank Details for payment of Refund / Interest / Maturity AmountBank Name, Branch : MICR No.:Account No.: IFSC Code :
*For Early Closure or extension of the Issue refer to page 17 of this Abridged Prospectus
SUB BROKER’S/AGENT CODE
Options / Series of Bonds* Tranche - II Series 1 Bonds Tranche - II Series 2 Bonds
Issue Price (`/Bond) ` 1,000 ` 1,000
Coupon Rate (%) per annum for Category I, II & III 7.03% 7.19%
Coupon Rate (%) per annum for Category IV** 7.53% 7.69%
Frequency of Interest Payment Annual Annual
Tenor/Maturity 10 years 15 years
Minimum Application 5 Bonds (` 5,000) across all of the Series of Bonds.
No. of Bonds applied
Amount Payable (`) (No. of Bonds applied x ` 1000/-)
Grand Total (`)
5. INVESTMENT DETAILS (For details, please refer Issue Structure overleaf)
"HUDCO Tax Free Bonds 2012 - Escrow Account - R"
“Our Company shall allocate and Allot Bonds of Tranche – II Series 2 Bonds to all valid Applications, wherein the Applicants have not indicated their choice of the relevant Series of Bonds”.**Please note that the additional interest of 0.50% p.a shall only be available to the original Allottees under Category IV for the Tranche - II Series 1 Bonds and the Tranche - II Series 2 Bonds. In the event the Bonds held by the original Allottees under Category IV are sold/ transferred (except incase of transfer of Bonds to legal heir in the event of death of the original Allottee), the coupon rate shall stand revised to the coupon rate applicable for Allottees falling under Category I, Category II and Category III.
4. IN CASE OF APPLICATION TO HOLD THE BONDS IN PHYSICAL FORM, PLEASE PROVIDE FOLLOWING DETAILS(Please enclose self attested copies of the KYC Documents along with the Application Form. For list of KYC documents, please refer overleaf)
Date of Birth Name of Guardian (if applicant is minor)D D M M Y Y Y Y
Address
Pin Code (Compulsory) Tel. No/ Mobile Email
Second Applicant (Mr./ Ms.)Third Applicant (Mr./ Ms.)
Acknowledgement is subject to realisation of Cheque/DD/Availabilityof Funds in the ASBA account. Applications submitted without beinguploaded on the terminals of the Stock Exchanges will be rejected.
Dated 2013
While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Manager/Consortium/Sub-Consortium Member/Broker/Sub Broker/Trading Member/SCSB matches with the date stamp on the Acknowledgement Slip
PUBLIC ISSUE OF TAX FREE BONDS IN THE NATURE OF SECURED REDEEMBLE NON CONVERTIBLE DEBENTURES VIDE SHELF PROSPECTUS DATED DECEMBER 13, 2012 AND PROSPECTUS TRANCHE - II DATED FEBRUARY 13, 2013
NSDL / CDSL
3. IN CASE OF APPLICATION IN DEMATERIALISED FORM, PLEASE PROVIDE APPLICANT’S DEPOSITORY DETAILS(Please refer to page 8 of this Abridged Prospectus) For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID
All future communicat ion in connect ion with th is appl icat ion should beaddressed to the Registrar to the Issue. For detai ls, p leaser refer over leaf.
PUBLIC ISSUE OF TAX FREE BONDS IN THE NATURE OF SECURED REDEEMBLE NON CONVERTIBLE DEBENTURES VIDE SHELF PROSPECTUS DATED DECEMBER 13, 2012 AND PROSPECTUS TRANCHE - II DATED FEBRUARY 13, 2013
C K
C K
AXIS CAPITAL LTD.01/6105
SMC GlOBAL SECURITIES23/07714-31
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