(On the Letter-Head of the Company)



(On the Letter-Head of the Company)Letter of Intent cum Master Creation Form (Part – B)Particulars of Bonds/Debentures to be admitted with CDSLKindly ensure that all the columns are properly filled. Write “N.A.” wherever not applicable. Fill up the form in BLOCK LETTERS only. Affix stamp and initials in each page of the form.DateDDMMYEARTo, The Managing DirectorCentral Depository Services (India) LimitedA Wing, ?25th Floor, Marathon Futurex, Mafatlal Mills Compounds, N M Joshi Marg, Lower Parel (E)Mumbai – 400013Dear Sir,We are interested in offering demat option to our security holders. Kindly admit the securities as per the details given below and allot an International Securities Identification Number/s (ISIN/s) for the same. We confirm that the information provided is true and correct to the best of our knowledge and we will be solely responsible for any false or incorrect information or failing to furnish the relevant information along with the required documents.The details of our securities are as given below:Issuer Details:1Issuer Name:2Issuer Former Name(s):NameWith Effect From0102033Corporate Identity Number (CIN):4Type of IssuerBased on ownership:01Public Sector Undertaking (PSU)02Non PSUNature:01Bank02NBFC03Other5Business Sector:01Basic Materials02Consumer Goods including FMCG03Consumer Services04Energy05Finance06Healthcare07Industrial08Technology09Telecommunications10Utilities6Address of Registered Office of the IssuerAdd1:Add2:Add3:City:Zip Code:State:Country:7Name of the Compliance Officer / Company SecretaryCompliance Officer:Company Secretary:Instrument Details:8Type of Instrument:01Bonds02Debentures9Mode of Issue:01Public Issue02Private Placement03Bonus Issue04Rights Issue10Whether ISIN is required for Letter of Allotment (LOA):01Yes02No03Not Applicable11Whether issued in the Form of:01Promissory Note02Debenture12Whether Secured or Unsecured:01Secured02UnsecuredIf secured, provide complete details regarding the assets Secured / Hypothecated / Mortgaged etc.:Whether Guaranteed or Partially Guaranteed:01Guaranteed02Partially guaranteed03Not guaranteedIf Guaranteed, provide complete details regarding the Guarantee:13Type of ConvertibilityA):01Fully Convertible02Partly Convertible03Non-ConvertibleB):01Optionally Convertible02Compulsorily ConvertibleIf convertible, kindly provide the details thereof:14Seniority in Repayment:01Senior02Subordinate – Tier 103Additional – Tier 104Subordinate – Tier 205Subordinate – Tier 2 – Upper06Subordinate – Tier 2 – Lower07Subordinate – Tier 308Perpetual15Whether tax free:01Yes02No16If Tax Free, quote the section of the Income Tax Act, 1961 under which it is tax free:17Whether bonds / debentures fall under Infrastructure Category as perGovernment Notification:01Yes02No18Coupon Basis:01Fixed02Variable01Index Linked02Equity Linked03Commodity Linked04Mibor Linked05Inflation Linked06Others03Zero19Coupon RateIf Fixed:If Variable:BenchmarkSpread overFloor ValueCap Value20Coupon Type:01Simple02CompoundingIf compounding, provide the compounding frequency details:21Whether Step up / Step down coupon basis is available:01Step up02Step downIf yes, kindly provide the details thereof along with details of coupon reset value(s) and date(s) of reset:22Day 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:0130/360*02Actual/360*03Actual/actual04Actual/365*23Frequency of Interest Payment with specified dates:FrequencyDate(s)24Put option with specified dates:Put OptionDate(s)25Indicate whether Put option will be exercised at Discount / Premium / Par:01Discount02Premium03ParIf yes, details thereof:26Call option with specified dates:Call OptionDate(s)27Indicate whether Call option will be exercised at Discount / Premium / Par:01Discount02Premium03ParIf yes, details thereof:28Whether Debentures/Bonds are perpetual in nature:01Yes02No29Redemption Details (For issue of CFI Code):01Fixed maturity (i.e. the principal amount is repaid in full at maturity):02Fixed maturity with call feature (i.e. the issue may be called for redemption prior to the fixed maturity date):03Fixed maturity with put (i.e. the holder may request the reimbursement of his bonds prior to the maturity date):04Fixed maturity with put and call:05Amortization plan (i.e. reduction of principal by regular payments):06Amortization plan with call feature (i.e. the redemption of principal may occur as the result of the outstanding portion of the bond being called):07Amortization plan with put:08Amortization plan with put and call:09Perpetual (i.e. the debt instrument has no fixed maturity date and is only due for redemption in the case of the issuer's liquidation):10Perpetual with call feature (i.e. the issue may be called for redemption at some time in the future):30Indicate whether Partly Paid:If Yes, specify the Paid up Value :31Instrument Description (Long):32Instrument Description (Short):33Series (if any):34Face Value:35Issue price (per instrument):36Date of Allotment:37Redemption Date/Last Conversion Date (if convertible):38Tenure of the instrument at the time of Issuance:YearsMonthsDays39Total Allotment Quantity:40Issue Size (Total allotment Quantity X Issue Price) (Rs. In Crores):41Certificate Nos. / Distinctive Nos.:FromTo42Scheduled Opening Date (for Public Issue only):43Scheduled Closing Date (for Public Issue only):44Actual Closing Date (for Public Issue only):45Redemption premium details (if any):46Redemption Type:01Full Redemption02Partial Redemption (including details, if redemption is due to exercise of call or put option)ABy Face Value RedemptionBBy Quantity Redemption47Details of Partial Redemption:Sr. No.Partial Redemption DatesFace Value/Quantity RedemptionIf Redemption is based on Quantity (specify whether on lot basis or pro-rata basis)010203040548Quantity/Value Redeemed (In case of Partial Redemption) $:Sr. No.Redemption Method (i.e. by Face Value Redemption/ Quantity Redemption)Partial Redemption DatesQuantity RedeemedValue RedeemedReason for redemption (Call, Put, Premature redemption, Maturity, Buyback, conversion)0102030405Total Quantity/Value Redeemed49Net Quantity (Total Allotment Quantity – Total Quantity Redeemed)$ - To be provided by issuer at the time of Redemption:50Indicate whether the instrument is rated:01Yes02No51Credit Rating with name of Credit Rating Agency and Date of Credit RatingCurrent rating (if rated by multiple Credit Rating Agencies, include all such ratings):Nameof the Credit Rating AgencyCredit RatingDate of Credit RatingEarlier rating and date of rating (if any):Name of the Credit Rating AgencyCredit RatingDate of Credit RatingDate of Rating change52Registrar (Name, Address & Contact Details)Organization Name:Contact Person:Designation:Add1:Add2:Add3:City:Zip Code:State:Country:Phone – 1:Phone – 2:Fax:Email:53Lead Manager to the issue (Name, Address & Contact Details):12Organization Name:Contact Person:Designation:Add1:Add2:Add3:City:Zip Code:State:Country:Phone – 1:Phone – 2:Fax:Email:54Arranger to the issue (Name, Address & Contact Details):12Organization Name:Contact Person:Designation:Add1:Add2:Add3:City:Zip Code:State:Country:Phone – 1:Phone – 2:Fax:Email:55Debenture Trustee (Name, Address, Contact Details including email address & website address):12Organization Name:Contact Person:Designation:Add1:Add2:Add3:City:Zip Code:State:Country:Phone – 1:Phone – 2:Fax:Email:56Status of Listing:01Listed02Unlisted03To be listedStock Exchange Details (Applicable, if Listed / To be Listed):Sr NoName of Stock Exchange in which Listed or Proposed to be ListedListed / Proposed to be ListedDate of Listing (If Listed)Whether, under, Permitted to Trade category01020357Term Sheet (access to Stock Exchange website):58Annual report ( URL to Stock Exchange website):59Any Other Information: Signature of Authorized SignatoryName:Designation:Place:Date:DDMMYYYY ................
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