Professional Documents
Culture Documents
CIFCL - Two Page Form
CIFCL - Two Page Form
CIFCL - Two Page Form
23/12695-32 6677
1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to page no.19 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.)
Redemption Amount (` / NCD) on Maturity for NCD Holders in all Categories of Investors `1,000 `1,156.64 `1,000 `1,279.15 `1,000 `1,497.40
Maturity / Redemption Date (from the Deemed Date of Allotment) 22 months 22 months 37 months 37 months 60 months 60 months
No. of NCDs applied
Amount Payable (`)
Grand Total (`) Total No. of NCDs: Total Amount Payable (`) :
*Our Company shall allocate and allot Series III NCDs wherein the Applicants have not indicated the choice of the relevant NCD Series.
5. PAYMENT DETAILS
Amount paid ( ` in figures) (` in words)
ASBA Bank A/c. No. LEAD MANAGER'S / CONSORTIUM MEMBER'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. 22 of the Abridged Prospectus.
TEAR HERE
Options I II III* IV V VI Date Stamp & Signature of Lead Name of Sole / First Applicant (Mr./Ms./M/s.)
INVESTMENT AND FINANCE
Manager/Consortium Member/
Issue Price/Face Value/NCD’s ` 1,000.00
CHOLAMANDALAM
COMPANY LIMITED
• Applicants may contact the Registrar to the Issue in case of any pre-Issue or post-Issue COMPANY CONTACT DETAILS REGISTRAR CONTACT DETAILS
related problems (non-receipt of Allotment Advice, refunds or credit of NCDs). CHOLAMANDALAM INVESTMENT AND FINANCE COMPANY LIMITED, KFin Technologies Limited (formerly known as KFIN Technologies Private Limited)
• In case of ASBA Application submitted to the SCSBs, the Applicants should contact (CIN: L65993TN1978PLC007576) CIN: L72400TG2017PLC117649
Registrar to the Issue with copy to the relevant SCSB. Registered and Corporate Office: Dare House, No. 2, N.S.C. Bose Road, Selenium, Tower B, Plot No- 31 & 32, Financial District, Nanakramguda,
• In case of queries related to upload of ASBA Applications submitted to the Lead Manager / Parrys, Chennai 600 001, Tamil Nadu, India Serilingampally, Hyderabad Rangareddi 500 032, Telangana, India.
Consortium Member / Trading Members / CRTA / CDP / SCSB, Applicants should contact Tel: +91 44 4090 7172; Tel: +91 40 6716 2222 Facsimile: +91 40 6716 1563
Email: chola.ncdipo@kfintech.com
the,relevant Lead Manager / Trading Members/ CRTA / CDP / SCSB. Website: www.cholamandalam.com; Email: investors@chola.murugappa.com
Investor Grievance Email: einward.ris@kfintech.com Website: www.kfintech.com
• The grievance arising out of Applications for NCD’s made through Trading Members may Company Secretary and Compliance Officer: P. Sujatha;
Contact Person: M Murali Krishna
be addressed directly to Stock Exchanges. Tel:+91 44 4090 7172; E-mail: sujathap@chola.murugappa.com SEBI Registration No.: INR000000221