APPLICATION FORM MUTHOOT FINANCE LIMITED COMMON APPLICATION TRANCHE I ISSUE OPENS ON : APRIL 12, 2023

Credit Rating: [ICRA] AA+/Stable by ICRA FORM FOR ASBA TRANCHE I ISSUE CLOSES ON* : APRIL 26, 2023
To, *For details of early closure or extension of the Issue, please refer to page no. 14 of the Abridged Prospectus.
The Board of Directors,
MUTHOOT FINANCE LIMITED Application Form No. 46500162
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE OF ` 1,000/- EACH (“NCDS”) VIDE THE SHELF PROSPECTUS DATED MARCH 28, 2023 AND THE TRANCHE I PROSPECTUS
DATED MARCH 28, 2023.
TEAR HERE

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.
LEAD MANAGER'S / LEAD BROKER'S / AGENT'S / TRADING MEMBER'S / SCSB BRANCH STAMP BANK BRANCH REGISTRAR’S / SCSB DATE OF
STAMP & CODE CRTA / CDP / SCSB STAMP & CODE & CODE SERIAL NO. SERIAL NO RECEIPT

Bajaj Capital Ltd. INZ000007732

1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to page no.15 of the Abridged Prospectus)
First Applicant (Mr./ Ms./ M/s.)
Date of Birth D D M M Y Y Y Y Name of Guardian (if applicant is minor) (Mr./ Ms.)
Address (compulsory)
Pin Code (compulsory)_________________ Tel. No. (with STD Code) / Mobile ________________________ Email _____________________________________
Second Applicant (Mr./ Ms./ M/s.)
Third Applicant (Mr./ Ms./ M/s.)
2. INVESTOR CATEGORY (Pls. refer overleaf) Category I Category II Category III Category IV Sub Category Code (Pls. refer overleaf)
3. PLEASE PROVIDE APPLICANT’S DEPOSITORY DETAILS (For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID)
NSDL / CDSL
4. INVESTMENT DETAILS (For details, please refer Issue Structure overleaf)
(1) #
Terms and conditions in connection with Secured NCDs Options I II III IV V VI VII
Frequency of Interest Payment Monthly Monthly Annually Annually Annually NA NA
Minimum Application ` 10,000 (10 NCDs) across all Options
Face Value/ Issue Price of NCDs (`/ NCD) `1,000
In Multiples of thereafter (`) ` 1,000 (1 NCD) across all Options
Type of Instrument Secured NCDs
Tenor from Deemed Date of Allotment 37 Months 61 Months 25 Months 37 Months 61 Months 37 Months 61 Months
Coupon Rate (% per annum) for All Categories (A) 7.75% 7.85% 7.75% 8.00% 8.10% NA NA
Additional incentive above Coupon Rate (% per annum) on any Record Date as applicable to 0.50% 0.50% 0.50% 0.50% 0.50% NA NA
Category III and Category IV investors (B)
Aggregate of the Coupon Rate and the additional incentive above the Coupon 8.25% 8.35% 8.25% 8.50% 8.60% NA NA
Rate on any Record Date as applicable to Category III and Category IV investors {(A) + (B)}
PLEASE FILL IN BLOCK LETTERS

Effective Yield (per annum) for Category I and Category II 7.75% 7.85% 7.75% 8.00% 8.10% 8.00% 8.10%
Effective Yield (per annum) for Category III and Category IV 8.25% 8.35% 8.25% 8.50% 8.60% 8.50% 8.60%
Amount (` / NCD) on Maturity for NCD Holders in Category I & II `1,000 `1,000 `1,000 `1,000 `1,000 `1,268.11 `1,486.11
Amount (`/ NCD) on Maturity for NCD Holders in Category III & IV `1,000 `1,000 `1,000 `1,000 `1,000 `1,286.34 `1,521.42
Maturity Date (From Deemed Date of Allotment) 37 Months 61 Months 25 Months 37 Months 61 Months 37 Months 61 Months
No. of NCDs applied
Amount Payable (`)
Grand Total (`) Total No. of NCDs: Total Amount Payable (`) :
#
Our Company would allot the Option III NCDs, as specified in the Tranche I Prospectus to all valid Applications, wherein the Applicants have not indicated their choice of the relevant option of NCDs
5. PAYMENT DETAILS
Amount paid ( ` in figures) (` in words)
ASBA Bank A/c. No. LEAD MANAGER'S / LEAD BROKER'S/ TRADING MEMBER'S /
CRTA / CDP / SCSB BRANCH'S STAMP
(Acknowledging upload of Application in
ASBA A/c. Holder Name____________________________________________________________________________________________ Stock Exchange system) (Mandatory)
(in case Applicant is different from ASBA A/c. Holder)
Bank Name & Branch _____________________________________________________________________________________________
OR UPI ID (Maximum 45 characters)

5A. PAN & SIGNATURE OF 5B. PAN & SIGNATURE OF 5C. PAN & SIGNATURE OF 5D. SIGNATURE OF ASBA BANK ACCOUNT HOLDER( S)
SOLE/ FIRST APPLICANT SECOND APPLICANT THIRD APPLICANT (AS PER BANK RECORDS)
PAN PAN PAN I/We authorize the SCSB to do all acts as are necessary to make
the Application in the Issue
1

2
Furnishing PAN of the Applicant is mandatory, including Minor’s PAN in case of Application by Minor.
Date _________________ 3
Please refer page no. 17 of the Abridged Prospectus.

TEAR HERE
Acknowledgement Slip for Lead Manager/ Application
MUTHOOT FINANCE LIMITED Lead Brokers / Trading Members /
SCSBs/ CRTA / CDP Form No. 46500162
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE OF ` 1,000/- EACH (“NCDS”) VIDE THE SHELF PROSPECTUS DATED MARCH 28, 2023 AND THE TRANCHE I PROSPECTUS
DATED MARCH 28, 2023.
DPID / CLID PAN
Amount Paid (` in figures)______________________ Bank & Branch ____________________________________________ Date Stamp & Signature of SCSB
(Mandatory)
ASBA Bank A/c. No. / UPI ID_____________________________________________________________________________
Dated

Received from Mr./ Ms./ M/s.

Telephone/Mobile ___________________________ Email ____________________________________________________
--------------------------------------------------------------------------------------------------------TEAR HERE----------------------------------------------------------------------------------------------------
Printed by : www.mgmprinttech.com

PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE OF ` 1,000/- EACH (“NCDS”) VIDE THE SHELF PROSPECTUS DATED MARCH 28, 2023 AND THE TRANCHE I PROSPECTUS
TEAR HERE

DATED MARCH 28, 2023.

#
Options I II III IV V VI VII Date Stamp & Signature of Lead Name of Sole / First Applicant (Mr./Ms./M/s.)
MUTHOOT FINANCE

Manager/Lead Brokers/
Issue Price/Face Value/NCD’s ` 1,000.00
Trading Members/ CRTA / CDP / SCSB
No. of NCD’s applied for
LIMITED

Acknowledgement Slip for Applicant

Amount Payable (`) Applications submitted without being uploaded on the terminals of the
Stock Exchanges will be rejected.
Grand Total (`)
Acknowledgement is subject to realisation of Availability of Funds in the ASBA account.
ASBA Bank A/c. No. / UPI ID Dated All future communication in connection with this
Application
application should be addressed to the Registrar of
(Names of Bank & Branch)
#
Issue. For details, please refer overleaf. Form No.
Our Company would allot the Option III NCDs, as specified in the Tranche I Prospectus to all valid Applications, wherein the Applicants have not indicated their choice of the relevant option of NCD.
46500162
While submitting the Application Form, the Applicant should ensure that the date being put on the Application Form by the Lead Manager/Lead Brokers/Trading Members/CRTA/CDP/SCSB matches with the date
stamp on the Acknowledgement Receipt. Applications submitted without being uploaded on the terminals of the Stock Exchange will be rejected.