Indian PSU MNC (Multinational) Others (pl specify) Public Limited Listed Private Limited Unlisted E. Registered Office Address : Address – 1 Address – 2 Address – 3 City PIN State Country – 1 – 2 Fax Mobile Email ID (s) F. Administrative/Corporate/Correspondence Office Address (Put √ at the appropriate box): Same as Registered Office Address : Other Address (if any) : Other Address (Applicable if ticked on Other Address): Address – 1 Address – 2 Address – 3 City PIN Country Phone – 1 – 2 Fax Mobile Email ID (s) G. Billing Address (Put √ at the appropriate box): Same as Registered Office Address : Same as Correspondence Address : Address (if any) : Other Address (Applicable if ticked on Other Address):
Sr. No. Name PAN 1 PAN UID 2 PAN UID 3 PAN UID 4 PAN UID 5 PAN UID K. Particulars of the Company Secretary: Name Employee Practicing Designation [If Employee] – 1 Phone – 2 Fax Mobile PAN Email ID (s) L. Particulars of the Compliance Officer (Put √ at the appropriate box): Same as Company Secretary : Personnel (if any) : Personnel (Applicable if ticked on Other Personnel): Name Designation – 1 Phone – 2 Fax Mobile PAN ID (s) M. R & T Work of the Company: R & T Agent Details: Name Address – 1 Address – 2 Address – 3 City PIN State Country Phone – 1 Phone – 2 Fax Mobile ID (s)
04 Rights Issue Whether ISIN is required for Letter of Allotment (LOA) : 01 Yes 02 No 03 Not Applicable Whether issued in the Form of : 01 Promissory Note 02 Debenture Whether Secured or Unsecured : 01 Secured 02 Unsecured If secured, provide complete details regarding the assets Secured / Hypothecated / Mortgaged etc. : Whether Guaranteed or Partially Guaranteed : 01 Guaranteed 02 Partially guaranteed 03 Not guaranteed If Guaranteed, provide complete details regarding the Guarantee : Type of Convertibility A) : 01 Fully Convertible 02 Partly Convertible 03 Non-Convertible B) : 01 Optionally Convertible 02 Compulsorily Convertible If convertible, kindly provide the details thereof : Seniority in Repayment : 01 Senior 02 Subordinate – Tier 1 03 Additional – Tier 1 04 Subordinate – Tier 2 05 Subordinate – Tier 2 – Upper 06 Subordinate – Tier 2 – Lower 07 Subordinate – Tier 3 08 Perpetual Whether tax free : 01 Yes 02 No If Tax Free, quote the section of the Income Tax Act, 1961 under which it is tax free : Whether bonds / debentures fall under Infrastructure Category as per Government Notification : 01 Yes 02 No Coupon Basis : 01 Fixed 02 Variable 01 Index Linked 02 Equity Linked 03 Commodity Linked 04 Mibor Linked 05 Inflation Linked 06 Others 03 Zero Coupon Rate If Fixed : If Variable : Benchmark Spread over
Floor Value Cap Value Coupon Type : 01 Simple 02 Compounding If compounding, provide the compounding frequency details : Whether Step up / Step down coupon basis is available : 01 Step up 02 Step down If yes, kindly provide the details thereof with details of coupon reset value(s) and date(s) of reset : Day Count Convention (*) Note: As per SEBI Circulars, the day count convention of Actual/Actual shall be followed for calculating interest rates. However, the said field is provided for capturing historical Information : 01 30/360* 02 Actual/360* 03 Actual/actual 04 Actual/365* Frequency of Interest Payment with specified dates : Frequency Date(s) Put option with specified dates : Put Option Date(s) Indicate whether Put option will be exercised at Discount / Premium / Par : 01 Discount 02 Premium 03 Par If yes, details thereof : Call option with specified dates : Call Option Date(s) Indicate whether Call option will be exercised at Discount / Premium / Par : 01 Discount 02 Premium 03 Par If yes, details thereof : Whether Debentures/Bonds are perpetual in nature : 01 Yes 02 No Redemption Details (For issue of CFI Code) : Fixed maturity (i.e. the principal amount is repaid in full at maturity) : maturity with call feature (i.e. the issue may be called for redemption prior to the fixed maturity date) : Fixed maturity with put (i.e. the holder may request the reimbursement of his bonds prior to the maturity date) : Fixed maturity with put and call : Amortization plan (i.e. reduction of principal by regular payments) : Amortization plan with call feature (i.e. the redemption of principal may occur as the result of the outstanding portion : 2 1
Add1 : Add2 : Add3 : City : Zip Code : : Country : Phone – 1 : Phone – 2 : Fax : Email : Lead Manager to the issue (Name, Address & Contact Details) : 1 Organization Name : Contact Person : Designation : Add1 : Add2 : Add3 : City : Zip Code : State : Country : Phone – : Phone – 2 : Fax : Email : Arranger to the issue (Name, Address & Contact Details) : 1 2 Organization Name : Contact Person : Designation : Add1 : Add2 : Add3 : City : Zip Code : : Country : Phone – 1 : – 2 : Fax : Email : Debenture Trustee (Name, Address, Contact Details including email address & website address) : 1 2 Organization Name : Contact Person : Designation : Add1 : Add2 : Add3 : City :