Ipo Bid Form Sample

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in the nature of ABRIDGED PROSPECTUS - MEMORANDUM CONTAINING SALIENT FEATURES OF THE RED HERRING PROSPECTUS

BIDDER’S UNDERTAKING For BId Cum Application Form


(IN CASE OF A JOINT APPLICATION, THE CONFIRMATIONS, AUTHORISATIONS, UNDERTAKINGS AND REPRESENTATIONS MADE BY THE FIRST BIDDER WILL BE DEEMED TO HAVE BEEN MADE ON
BEHALF OF ALL JOINT BIDDERS. THE FIRST BIDDER SHALL BE LIABLE FOR ALL THE OBLIGATIONS ARISING OUT OF THE ISSUE OF EQUITY SHARES.)
On the basis of the Red Herring Prospectus dated September 22, 2017 filed with the Registrar of Companies, Maharashtra at Mumbai (“RHP”), the General Information Document for Investing in Public Issues (“GID”) and having
studied the attached details as per the Abridged Prospectus, I/we hereby apply for Allotment to me/us of the Equity Shares in the Issue upto my/our Bids for maximum number of Equity Shares at or above the Issue Price, to be
discovered through the Book Building Process. I/We hereby confirm that I am/We are eligible person(s) to invest in the Issue in accordance with applicable laws. I/We agree to accept the Equity Shares Bid for, or such lesser number
as may be allotted to me/us subject to the terms of the RHP, Abridged Prospectus, the GID, the Bid cum Application Form and other applicable laws. The amount payable on bidding has been blocked with the relevant SCSB. I/We
undertake that I/we will sign all such other documents and do all such acts, if any, necessary on my/our part to enable me/us to be registered as the holder(s) of the Equity Shares which may be allotted and to register my/our address
as given in the depository records. I/We note that in case of QIB Bidders, the (i) SCSBs (for Bids other than the Bids by Anchor Investors); and (ii) the BRLMs and their affiliate Syndicate Members (only in the Specified Locations)
have the right to reject Bids (including technical rejections) at the time of acceptance of Bid cum Application Form provided that the reasons for rejecting the same shall be provided to such Bidder in writing, whereas it has a right to
reject it from Non-Institutional Bidders and Retail Individual Bidders based only on technical grounds and/or as specified in the Abridged Prospectus, GID and the RHP. I/We authorise the Company to make the necessary changes
in this Bid cum Application Form and the RHP for filing of the Prospectus with the Registrar of Companies, Maharashtra at Mumbai without intimation to me/us and use this Bid cum Application Form as the Application Form for
the purpose of this Issue.
I/WE CONFIRM THAT: EITHER I am/We are Indian national(s) resident in India and I am/we are not applying for the said Equity Shares as nominees of any person resident outside India or foreign nationals OR I am/we are
Indian national(s) resident in India and I am/we are applying for the said Equity Shares as power of attorney holder(s) of Non-Resident Indian(s) as mentioned on Non-Repatriation basis OR I am/we are Indian national(s) resident
outside India and I am/we are applying for the said Equity Shares on my/our own behalf through NRO account on Non Repatriation basis. I am/We are, or at any time the Equity Shares are purchased will be, the beneficial owner of
such Equity Shares and I/ We and any customer I/we represent, (a) am/are located outside the United States within the meaning of Regulation S under the U.S. Securities Act of 1933, as amended (“U.S. Securities Act”) and am/are
purchasing the Equity Shares in an “offshore transaction” as defined in Regulation S and (b) I/We am/are not an affiliate of the Company or a person acting on behalf of such affiliate.
FOR QIB BIDDERS: We confirm that the Bid size/maximum Equity Shares applied for by us do not exceed the relevant regulatory approvals/limits. I/We am/are not prohibited from accessing capital markets under any order/ruling/
judgment of any regulatory, judicial or any other authority, including SEBI or under the provisions of any law, regulation or statute.
Further: 1) In accordance with ASBA process provided in SEBI ICDR Regulations and as disclosed in the RHP, I/We authorise (a) the members of the Syndicate (in Specified Locations only) or the Registered Brokers (at Broker
Centers) or the SCSBs or the RTAs or the CDPs to do all acts as are necessary to make the application in the Issue, including uploading my/our Bid, blocking or unblocking of funds in the bank account maintained with the SCSB as
specified in the Bid cum Application Form, transfer of funds to the Public Issue Account on receipt of instruction from Registrar to the Issue, after finalisation of Basis of Allotment; and (b) the Registrar to the Issue to issue instruction
to the SCSBs to unblock the funds in the specified bank account upon finalisation of the Basis of Allotment. 2) In case the amount available in the specified bank account is insufficient as per the highest Bid option, the SCSB shall
reject the application. 3) I/We hereby authorise the members of the Syndicate (in Specified Locations only) or the Registered Brokers (at Broker Centres) or the SCSBs or CDPs or the RTAs, as the case may be, to make relevant
revisions as may be required to be done in the Bid, in the event of a revision of the Price Band.
In accordance with the FDI Policy, participation by non-residents in the Issue is allowed to the extent of participation by (i) FPIs through the portfolio investment scheme under Schedule 2A of the FEMA Regulations, subject to limit
of the individual holding of an FPI below 10% of the post-Issue paid-up capital of our Company and the aggregate limit for FPI investment up to 24% of the post-Issue paid-up capital of our Company; and (ii) Eligible NRIs only on
non-repatriation basis under Schedule 4 of the FEMA Regulations, subject to limit of the individual holding of an Eligible NRI below 5% of the post-Issue paid-up capital of our Company and the aggregate limit for NRI investment
to 10% of the post-Issue paid-up capital of our Company. Further, other non-residents such as FVCIs, multilateral and bilateral development financial institutions are not permitted to participate in the Issue. As per the
existing policy of the Government of India, OCBs cannot participate in this Issue.
Instructions for Filling up the Bid Cum Application Form
1. Name of sole/ First Bidder should be exactly the same as it appears in the Depository records. In case of joint Bids, only the name of the First Bidder (which should also be the first name in which the depository account is held)
should be provided in the Bid cum Application Form. The Bid means an ‘Indication to make an Issue’ and not ‘an Issue’.
2. The First Bidder, should mention his/ her PAN allotted under the Income Tax Act, except for Bids by or on behalf of the Central or State Government and the officials appointed by the Courts and by investors residing in the state
of Sikkim, the Bidders, or in the case of Bid in joint names, the First Bidder (the first name under which the depository account is held), should mention his/ her PAN allotted under the Income Tax Act. Any Bid cum Application
Form without the PAN is liable to be rejected.
3. Based on the PAN, DP ID and Client ID provided by the Bidders, the Registrar will obtain Demographic Details registered with Depository Participants to be used for Allotment or technical rejections or unblocking of ASBA
Account. Hence, Bidders are advised to immediately update any change in their details as appearing on the records of the Depository Participant. Please note that failure to do so could result in failure in Allotment of Equity
Shares, delay in unblocking of ASBA Account, at the Bidder’s sole risk and neither the Syndicate or the Registered Brokers or the Registrar or RTAs/CDPs or the SCSBs nor the Company shall have any responsibility and
undertake any liability for the same.
4. Price Band and Bid Lot: The Price Band for the Issue will be decided by our Company by seeking and ensuring alignment with the Selling Shareholders, in consultation with the BRLMs, in the manner as agreed upon in the
Issue Agreement. The minimum Bid Lot size for the Issue will be decided by our Company in consultation with the BRLMs and will be advertised at least five Working Days prior to the Bid/Issue Opening Date, in all editions of
the English national newspaper the Financial Express, all editions of the Hindi national newspaper Jansatta and Mumbai edition of the Marathi newspaper Navshakti (Marathi being the regional language of Maharashtra, where
the Registered Office is located),where our Registered Office is located) at least five working days prior to the Bid/Issue Opening Date and shall be made available to BSE Limited (“BSE”) and National Stock Exchange Of India
Limited (“NSE”, and together with BSE, the “Stock Exchanges”) for the purpose of uploading on their websites. In case of revision of the Price Band, the Bid/Issue Period will be extended for at least three additional Working
Days after revision of Price Band subject to the Bid/ Issue Period not exceeding 10 Working Days. Any revision in the Price Band and the revised Bid/Issue Period, if applicable, will be widely disseminated by notification to the
Stock Exchanges, by issuing a press release and also by indicating the changes on the websites of the BRLMs and on the terminals of the Syndicate Members and by intimation to SCSBs, Registered Brokers, CDPs and RTAs.
Maximum and Minimum Bid Size: In case of resident Retail Individual Bidders, bids must be such number of Equity Shares such that the Bid Amount does not exceed ` 200,000 (in case of Eligible Employees ` 500,000). Bids
at the Cut-Off Price indicate their agreement to purchase the Equity Shares at the Issue Price, as determined at the completion of the Book Building Process. In case of Non-Institutional Bidders and QIB Bidders, the minimum
Bid size shall be such number of Equity Shares such that Bid Amount exceeds ` 200,000. The maximum Bid by any investor should not exceed the investment limits prescribed for them by applicable laws.
5. Please tick Category as applicable to ensure proper upload of Bid in Stock Exchange system.
6. Please tick investor status as applicable. Please ensure investor status is updated in your Depository records.
7. Total Bid Amount payable must be calculated for the highest of three options, at Bid Price, at the time of the submission of the Bid cum Application Form. “Cheques/Demand Draft/Cash/stock invest/money orders/postal
orders will not be accepted”. All NRI Bidders bidding on a non-repatriation basis by using Resident forms are required to authorise their SCSB to block their Non-Resident Ordinary (NRO) accounts for the full Bid Amount,
at the time of the submission of the Bid cum Application Form. The NRI Bidders can obtain the Bid cum Application Form from the Company’s Registered Office or from any of the members of the Syndicate or CDPs or RTAs
or Registered Brokers from their offices. Bidders to please ensure that your Bank has notified an SCSB Branch in the city where Bid cum Application Form is being submitted.
8. Only the First Bidder is required to sign the Bid cum Application Form /Revision Form. Thumb impressions and signatures other than in the languages specified in the Eighth Schedule to the Constitution of India must be attested
by a Magistrate or a Notary Public or a Special Executive Magistrate under official seal. Signature of ASBA Account holder is mandatory. If the First Bidder is not the account holder, ensure that the Bid cum Application Form
is signed by the account holder (necessary revisions in the Bidders undertaking and institution will be required depending upon the jurisdiction in which the sale of shares in proposed).
9. Other Instructions: a. Bids must be made only in the prescribed Bid cum Application Form. b. Bids must be completed in full, in BLOCK LETTERS in ENGLISH. Bidders should note that the members of the Syndicate,
Registered Broker, CDPs, RTAs, and/or SCSBs will not be liable for errors in data entry due to incomplete or illegible Bid cum Application Forms. c. Ensure that all applicable documents in support of the Bid are attached with
the Application Form.
10. The Bidders may note that in case the DP ID, Client ID and PAN mentioned in the Bid cum Application Form and entered into the electronic bidding systems of the Stock Exchanges do not match with the DP ID, Client ID and
PAN available in the Depository database, the Bid Cum Application Form is liable to be rejected.
11. The Equity Shares Issueed in the Issue have not been and will not be registered under the U.S. Securities Act or any state securities laws in the United States, and unless so registered may not be offered or sold within the United
States, except pursuant to an exemption from, or in a transaction not subject to, the registration requirements of the U.S. Securities Act and applicable state securities laws. Accordingly, such Equity Shares are being offered
and sold (i) outside of the United States in offshore transactions in reliance on Regulation S under the U.S. Securities Act and the applicable laws of the jurisdiction where those Issues and sales occur; and (ii) to “qualified
institutional buyers” (as defined in Rule 144A (“Rule 144A”) under the Securities Act), pursuant to the private placement exemption set out in Section 4(a) of the U.S. Securities Act. The Equity Shares have not been and will
not be registered, listed or otherwise qualified in any other jurisdiction outside India and may not be offered or sold, and Bids may not be made by persons in any such jurisdiction, except in compliance with the applicable laws
of such jurisdiction.
Note : Terms used but not defined herein shall have the meaning assigned to such terms in the RHP. For detailed instructions for filling the various fields of this Bid cum Application Form, please refer to the GID, which is available
on the websites of the BRLMs and Stock Exchanges.

TEAR HERE
● In case of queries related to Allotment/ credit of Allotted Company contact details Registrar contact details
Equity Shares, the Bidders should contact Registrar to the GODREJ AGROVET LIMITED Karvy Computershare Private Limited
Issue Registered and Corporate Office: Godrej One, 3rd Floor, Karvy Selenium Tower B, Plot 31-32 Gachibowli,
● In case of Bids submitted to the SCSBs, the Bidders should Pirojshanagar, Eastern Express Highway, Vikhroli (East), Financial District Nanakramguda,Hyderabad 500 032
contact the relevant SCSB Mumbai 400 079 Tel: (91 40) 6716 2222; Fax: (91 40) 2343 1551
Contact Person: Vivek Raizada,Company Secretary and Email: einward.ris@karvy.com
● In case of queries related to upload of Bids submitted to Compliance Officer;
the Syndicate Members/RTAs/Registered Brokers/CDPs, Tel: (91 22) 2519 4416; Fax: (91 22) 2519 5124 Investor grievance email: godrej.agrovet@karvy.com
as applicable the Bidders should contact the relevant E-mail: gavlinvestors@godrejagrovet.com; Website: https://karisma.karvy.com
Designated Intermediary. Website: www.godrejagrovet.com Contact person: M. Murali Krishna
Corporate Identity Number: U15410MH1991PLC135359 SEBI registration number: INR000000221
2 GODREJ AGROVET LIMITED

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