(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):4Legal Entity Identifier (LEI):5Type of IssuerBased on ownership : 01Public Sector Undertaking (PSU)02Non PSU03Issuer Under ILMD Regulations6Sector of business (relevant option may be selected) (√):Macro- Economic SectorSectorIndustryBasic Industry(√)CommoditiesChemicalsChemicals & PetrochemicalsCommodity ChemicalsSpecialty ChemicalsCarbon BlackDyes And PigmentsExplosivesPetrochemicalsPrinting InksTrading - ChemicalsIndustrial GasesFertilizers & AgrochemicalsFertilizersPesticides & AgrochemicalsConstruction MaterialsCement & Cement ProductsCement & Cement ProductsOther Construction MaterialsOther Construction MaterialsMetals & MiningFerrous MetalsFerro & Silica ManganesePig IronSponge IronIron & SteelNon - Ferrous MetalsAluminiumCopperZincPrecious MetalsDiversified MetalsDiversified MetalsMinerals & MiningIndustrial MineralsMetals & Minerals TradingTrading - MetalsTrading - MineralsForest MaterialsPaper, Forest & Jute ProductsPaper & Paper ProductsForest ProductsJute & Jute ProductsConsumer DiscretionaryAutomobile and Auto ComponentsAutomobilesPassenger Cars & Utility Vehicles2/3 WheelersTrading - AutomobilesAuto ComponentsAuto Components & EquipmentsBatteries -AutomobileFastenerGas CylindersTrading - Auto AncillariesTyres & Rubber ProductsConsumer DurablesConsumer DurablesAir ConditionerCyclesConsumer ElectronicsFurniture, Home Furnishing, FlooringGems, Jewellery And WatchesGlass -ConsumerHousehold AppliancesHousewareLeather And Leather ProductsLeisure ProductsPlastic Products - ConsumerPlywood Boards/ LaminatesSanitary WareToysPaintsDiversified Consumer ProductsTextilesTextiles & ApparelsGarments & ApparelsOther Textile ProductsTrading - Textile ProductsMedia, Entertainment & PublicationMediaAdvertising & Media AgenciesElectronic MediaWeb based media and servicePrint MediaEntertainmentFilm Production, Distribution & ExhibitionDigital EntertainmentMedia & EntertainmentTV Broadcasting & Software ProductionPrinting & PublicationPrinting & PublicationRealtyRealtyResidential, Commercial ProjectsReal Estate related servicesReal Estate Investment Trusts (REITs)Consumer ServicesLeisure ServicesHotels & ResortsRestaurantsAmusement Parks/ Other RecreationWellnessTour, Travel Related ServicesOther Consumer ServicesEducationE-LearningFood Storage FacilitiesOther Consumer ServicesRetailingSpecialty RetailPharmacy RetailDiversified RetailE-Retail/ E- CommerceInternet & Catalogue RetailDistributorsEnergyOil, Gas & Consumable FuelsGasGas Transmission/ MarketingIndustrial GasLPG/CNG/PNG/LNG SupplierTrading – GasOilOil Exploration & ProductionOffshore Support Solution DrillingOil Storage & TransportationOil Equipment & ServicesPetroleum ProductsRefineries & MarketingLubricantsConsumable FuelsCoalFast Moving Consumer GoodsFast Moving Consumer GoodsAgricultural Food & other ProductsEdible OilSugarTea & CoffeeOther Agricultural ProductsBeveragesBreweries & DistilleriesOther BeveragesCigarettes & Tobacco ProductsCigarettes & Tobacco ProductsFood ProductsAnimal FeedDairy ProductsOther Food ProductsPackaged FoodsPersonal ProductsPersonal CareHousehold ProductsHousehold ProductsBatteriesPhotographic ProductsStationaryDiversified FMCGDiversified FMCGFinancial ServicesFinancial ServicesFinanceFinancial InstitutionHousing Finance CompanyInvestment CompanyNon-Banking Financial Company (NBFC)Other Financial ServicesHolding CompanyBanksPublic Sector BankPrivate Sector BankOther BankCapital MarketsAsset Management CompanyDepositories, Clearing Houses and Other IntermediariesFinancial Products DistributorRatingsExchange and Data PlatformStockbroking & AlliedOther Capital Market related ServicesInsuranceGeneral InsuranceLife InsuranceOther Insurance CompaniesInsurance DistributorsFinancial Technology (Fintech)Financial Technology (Fintech)HealthcareHealthcarePharmaceuticals & BiotechnologyPharmaceuticalsBiotechnologyHealthcare Equipment & SuppliesMedical Equipment & SuppliesHealthcare ServicesHospitalHealthcare Service ProviderHealthcare Research, Analytics & TechnologyIndustrialsConstructionConstructionCivil ConstructionEngineering, Designing & ConstructionCapital GoodsAerospace & DefenseAerospace & DefenseAgricultural, Commercial & Construction VehiclesTractorsCommercial VehiclesConstruction VehiclesElectrical EquipmentHeavy Electrical EquipmentOther Electrical EquipmentIndustrial ManufacturingElevatorsEngineering & Construction productsIndustrial ElectronicsIndustrial EquipmentsRailway WagonsShip Building & Allied ServicesIndustrial MachineryIndustrial ProductsAbrasivesBearingsCables - ElectricalsCastings & ForgingsCompressors & PumpsDiesel EnginesElectrodesPackagingPlastic Products - IndustrialRefractoriesRubberOther Industrial ProductsGlass -IndustrialAluminium,Copper & Zinc ProductsIron & Steel ProductsInformation TechnologyInformation TechnologyIT - SoftwareComputers -Software & ConsultingSoftware ProductsIT - ServicesIT Enabled ServicesIT - HardwareComputers Hardware & EquipmentsServicesServicesEngineering ServicesDredgingTransport ServicesAirlineLogistics Solution ProviderRailwaysRoad TransportShippingTransport Related ServicesTransport InfrastructureAirport & Airport servicesPort & Port servicesToll bridge operatorCommercial Services & SuppliesTrading & DistributorsConsulting ServicesData Processing ServicesDiversified Commercial ServicesBusiness Process Outsourcing (BPO)/Knowledge Process Outsourcing (KPO)TelecommunicationTelecommunicationTelecom - ServicesTelecom -Cellular & Fixed line servicesTelecom - InfrastructureOther Telecom ServicesTelecom - Equipment & AccessoriesTelecom - Equipment & AccessoriesUtilitiesPowerPowerElectric UtilitiesPower TradingPower -TransmissionUtilitiesOther UtilitiesWater Supply & ManagementWaste ManagementEmergency ServicesMulti UtilitiesOther UtilitiesDiversifiedDiversifiedDiversifiedDiversified 7Address of Registered Office of the IssuerAdd1:Add2:Add3:City:Zip Code:State:Country: 8Name and Email Address of the Compliance Officer / Company SecretaryCompliance Officer:Company Secretary:9Details of the Group CompaniesName of the Companies010203CIN010203LEI010203Nature of RelationshipSubsidiaryAssociateHolding CompanyCommon DirectorsOthers (if any, provide the details)010203Instrument Details:10Type of Instrument:01Plain Vanilla Debentures02Structured/Market Linked Debentures (MLDs)03Municipal Bonds04Green Debt Securities(As defined under SEBI Circular No. CIR/IMD/DF/51/2017 on Disclosure Requirements for Issuance and Listing of Green Debt Securities)05Perpetual Debt Instruments06Others (Please specify)11ISIN (If available):12Mode of Issue:01Public Issue02Private Placement – indicate whether EBP / Non EBP03Bonus Issue04Scheme of Arrangement05Others, please specify13Whether ISIN is required for Letter of Allotment (LOA):01Yes02No03Not Applicable14Whether issued in the Form of:01Promissory Note02Debenture15Whether 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:01Name of Guarantor02Percentage of Guarantee03Other details of Guarantee16Credit Enhancement Facility availed::01Yes02NoIf Yes, provide complete details regarding the credit enhancement01Nature of Credit Enhancement02Amount of Credit Enhancement03Other details of Credit Enhancement17Principal Protected01Yes02No18Type of ConvertibilityA):01Fully Convertible02Partly Convertible03Non-ConvertibleB):01Optionally Convertible02Compulsorily ConvertibleIf convertible, kindly provide the details thereof:19Seniority in Repayment:01Senior02Subordinate – Tier 103Additional – Tier 104Subordinate – Tier 205Subordinate – Tier 2 – Upper06Subordinate – Tier 2 – Lower07Subordinate – Tier 308Perpetual09Unsubordinated20Whether tax free:01Yes02No21If Tax Free, quote the section of the Income Tax Act, 1961 under which it is tax free:22Whether bonds / debentures fall under ‘Infrastructure’ category as perGovernment Notification:01Yes02No23Coupon Basis(Fixed or Variable – If variable, please specify the benchmark and the spread over/under the benchmark; mention floor value and cap value if any):01Fixed02Variable01Index Linked02Equity Linked03Commodity Linked04Mibor Linked05Inflation Linked06G-Sec Linked07Credit Linked08Bank MCLR Linked09Others03Zero Coupon24Coupon RateIf Fixed:If Variable:BenchmarkSpread over/ under the BenchmarkFloor ValueCap Value25Coupon Type:01Simple02CompoundingIf compounding, provide details of frequency of compounding :26Whether 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:27Day 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*28Frequency of Interest Payment with specified dates:FrequencyDate(s)29Whether Put Option available:01Yes02NoIf yes, Put option with specified dates Put OptionDate(s)30Indicate whether Put option will be exercised at Discount / Premium / Par:01Discount02Premium03ParIf yes, details thereof:31Whether Call Option available:01Yes02NoIf yes, Call option with specified datesCall OptionDate(s)32Indicate whether Call option will be exercised at Discount / Premium / Par:01Discount02Premium03ParIf yes, details thereof:33Whether Debentures/Bonds are perpetual in nature:01Yes02No34Redemption 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 feature: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 feature: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):11Perpetual with put feature 12Extendible13Others35Indicate whether Partly Paid:If Yes, specify the Paid up Value :36Instrument Description (Long):37Instrument Description (Short):38Series/ Tranche (if any):39Tranche No. (if any)40Face Value (per instrument):41Issue price (per instrument):42Date of Allotment:43Redemption Date/Last Conversion Date (if convertible):44Tenure of the instrument at the time of Issuance:YearsMonthsDays45Total Allotment Quantity:46Issue Size including Green Shoe Option, if applicable (Total allotment Quantity X Face Value) (Rs. In Crores):Green Shoe Option01Yes02NoAmount Raised (Total allotment Quantity X Issuer Price (Rs. In Crores)47Certificate Nos. / Distinctive Nos.:FromTo48Scheduled Opening Date (if applicable; mandatory in case of Private Placement and Public Issue):49Scheduled Closing Date (if applicable; mandatory in case of Private Placement and Public Issue):50Actual Closing Date (if applicable; mandatory in case of Private Placement and Public Issue):51Redemption premium details (if any):52Redemption Type:01Full Redemption02Partial Redemption (including details, if redemption is due to exercise of call or put option)ABy Face Value RedemptionBBy Quantity Redemption53Details 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)010203040554Quantity/Value Redeemed (In case of Partial Redemption) $:Sr. No.Redemption Method (i.e. by Face Value Redemption/ Quantity Redemption)Partial Redemption DatesQuantity RedeemedValue RedeemedReason for redemption (Call, Put, Premature redemption, Maturity, Buyback, conversion)0102030405Total Quantity/Value Redeemed55Net Quantity (Total Allotment Quantity – Total Quantity Redeemed)$ - To be provided by issuer at the time of Redemption:56Indicate whether the instrument is rated:01Yes02No:Name of the Credit Rating AgencyCredit RatingDate of Credit RatingRating OutlookDate of Rating ChangeEarlier rating and date of rating (if any):Name of the Credit Rating AgencyCredit RatingDate of Credit RatingDate of Rating ChangeRating OutlookRating Action (New, Upgrade, Downgrade, Reaffirm)Date of Verification57Registrar (Name, Address & Contact Details)Organization Name:Contact Person:Designation:Add1:Add2:Add3:City:Zip Code:State:Country:Phone – 1:Phone – 2:Fax:Email:58Lead 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:59Arranger 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:60Debenture Trustee Name, Address, Contact Details including grievance/complaints email address & website address):12Organization Name:Contact Person:Designation:Add1:Add2:Add3:City:Zip Code:State:Country:Phone – 1:Phone – 2:Fax:Email:61Status of Listing:01Listed02Unlisted03To be listedStock Exchange Details (Applicable, if Listed / To be Listed):Sr.No.Name of Stock Exchange in which Listed or Proposed to be ListedListed / Proposed to be ListedDate of Listing (If Listed)Whether, under, Permitted to Trade category01020362Term Sheet (access to Stock Exchange website):63Annual report (URL to Stock Exchange website):64Any Other Information:65Further Issuance under same ISIN:01Yes 02NoIf Yes, provide the following details of all the previous issuances under the same ISIN. Sr.No.Date of AllotmentAllotment Qty.Cumulative Qty.Issue Price (In Rs.)Issue Size(In Rs. Crs.)Cumulative Issue Size (In Rs. Crs.)Total Amount Raised (in Rs. Crs.)Cum. Amount raised (in Rs. Crs.)66Objects of the Issue (Details):DEFAULT HISTORY INFORMATIONWhether there have been any defaults / delays in servicing any other debt security issued by the issuer? If yes details thereof.67ISINNature of the IssueIssue SizeDue Date of Interest / Redemption on (DD/MM/YYYY)Actual payment date details (DD/MM/YYYY)Default detailsVerification Status of Debenture Trustee (Yes / No)Date of VerificationSignature of Authorized SignatoryName:Designation:Place:Date:DDMMYYYY ................
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