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BidForm IPL

This document is a bidder's undertaking and confirmation form for applying to purchase shares in an initial public offering. It contains the bidder's confirmations and representations including that they have read the relevant offering documents, meet eligibility criteria, will accept allotted shares, and understand restrictions on reselling shares. For qualified institutional bidders, it includes confirmations regarding bid size and regulatory approvals, as well as authorizations for application and payment processing.

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0% found this document useful (0 votes)
101 views

BidForm IPL

This document is a bidder's undertaking and confirmation form for applying to purchase shares in an initial public offering. It contains the bidder's confirmations and representations including that they have read the relevant offering documents, meet eligibility criteria, will accept allotted shares, and understand restrictions on reselling shares. For qualified institutional bidders, it includes confirmations regarding bid size and regulatory approvals, as well as authorizations for application and payment processing.

Uploaded by

paramguru
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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IN THE NATURE OF ABRIDGED PROSPECTUS - MEMORANDUM CONTAINING SALIENT FEATURES OF THE RED HERRING PROSPECTUS

DATED JUNE 16, 2021, (THE “RHP ”). YOU ARE ENCOURAGED TO READ GREATER DETAILS AVAILABLE IN THE RHP.
BIDDER’S UNDERTAKING AND CONFIRMATION 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 OFFER OF EQUITY SHARES.)
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. On the basis of the RHP filed with the Registrar of Companies, Uttar Pradesh located at Kanpur (the “RoC”) (if I am/we are in India) or the preliminary international wrap dated June 16, 2021, together with the RHP
(the “Preliminary Offering Memorandum”) (if I am/we are outside India), General Information Document for Investing in Public Offers (“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 Offer upto my/ our Bids for maximum number of Equity Shares at or above the Offer 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 Offer in accordance with applicable laws.
The amount payable on Bidding has been blocked in the ASBA Account with the relevant SCSB or the bank account linked with the UPI ID (in case of Retail Individual Bidders using UPI Mechanism) as mentioned in the Bid Cum Application Form, as the case may be.
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 (if I am/we are in India), Preliminary Offering Memorandum (if I am/we are outside India), Abridged Prospectus, the GID, the Bid cum
Application Form and other applicable laws. 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 and to place my/our name on the register of members of the Company. I/We acknowledge that in case of QIB Bidders, only (i) the SCSBs (for Bids other than the Bids by Anchor Investors) and (ii) the Book Running Lead Managers
(the “BRLMs”) and their affiliated Syndicate Member (only in the Specified Locations) have the right to reject Bids (including on technical grounds) 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 RoC without intimation to me/us and use this Bid cum Application Form as the application form for the purpose of this Offer. I/We confirm that I/we have read the RHP (if I am/we are in India) or the Preliminary Offering Memorandum
(if I am/we are outside India). The investment decision cannot be based solely on the RHP/ Preliminary Offering Memorandum and should be based on independent verification and external advice.
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-re-
patriation basis. I/We and any person we represent or the accounts on whose behalf we are purchasing the Equity Shares confirm that 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 either (i) located outside the United States within the meaning of Regulation S under the U.S. Securities Act of 1933, as amended, (the “U.S. Securities Act”) and am/are purchasing the Equity Shares in an “offshore transaction” as defined in Regulation S; or (ii) a “qualified
institutional buyer” as defined in Rule 144A under the U.S. Securities Act; (B) I/we have received a copy of the RHP (if we are in India) or the Preliminary Offering Memorandum (if we are outside India) and that my/our investment decision is based solely on the RHP or the Preliminary
Offering Memorandum, as applicable; (C) I/we have read and agree to the representations, warranties and agreements contained in the section “Legal and Other Information - Other Regulatory and Statutory Disclosures – Eligibility” and “Transfer Restrictions-Offer Procedure” of the RHP
or the sections “Distribution and Solicitation Restrictions” and “Transfer Restrictions” of the Preliminary Offering Memorandum, as applicable; (D) I am/we are purchasing the Equity Shares pursuant to the laws of the jurisdictions applicable to me/us; (E) I am/we are not an affiliate of
the Company or a person acting on behalf of such affiliate; (F) if I/we are making an application to acquire any of the Equity Shares as fiduciary or agent for one or more investor accounts, I/we have has sole investment discretion with respect to each such account and I/we have full power
to make the foregoing representations, warranties, acknowledgments and agreements on behalf of each such account; and (G) if I/we are making an application to acquire any of the Equity shares for one or more managed accounts, I am /we are authorized in writing by each such managed
account to subscribe to the Equity shares for each such managed account and to make (and I/we hereby make) the representations, warranties, acknowledgments and agreements herein for and on behalf of each such account, reading the reference to “I/we” to include such accounts. I am/
We are and any person we represent or the accounts on whose behalf we are purchasing the Equity Shares understand the Equity Shares 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. 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. This Bid cum Application Form is being issued to you on basis that you (i)
agree to abide by (1) this Bid cum Application Form and (2) the RHP (if you are in India) or the Preliminary Offering Memorandum (if you are outside India), together with the terms and conditions contained therein.
FOR QIB BIDDERS: I/We confirm that the Bid size/maximum Equity Shares applied for by me/us do not exceed the relevant regulatory approvals/limits. I am/We are not prohibited from accessing capital markets under any order/ruling/judgment of any regulatory, judicial or any other
authority, including Securities and Exchange Board of India (“SEBI”) or under the provisions of any law, regulation or statute.
Further: 1) In accordance with ASBA process provided in the Securities and Exchange Board of India (Issue of Capital and Disclosure Requirements) Regulations, 2018, as amended (“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 (at Designated SCSBs Branches) or the RTAs (at the Designated RTA Locations) or the CDPs (at Designated CDP Locations), as the case may be, to do all acts as are necessary to make the application
in the Offer, including uploading my/our Bid, blocking, unblocking of funds in the bank account of the applicant maintained with the SCSB as specified in the Bid cum Application Form or in the bank account of the Applicant linked with the UPI ID provided in the Bid cum Application
Form, as the case may be, transfer of funds to the Public Offer Account on receipt of instruction from Registrar to the Offer or the Sponsor Bank, as the case may be, after finalisation of Basis of Allotment; and (b) the Registrar to the Offer or Sponsor Bank, as the case may be, 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/Registrar to the Offer 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 (at Designated SCSBs Branches) or CDPs (at Designated CDP locations) or the RTAs (at Designated RTA locations), 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.
I/We hereby provide my/our consent to the Stock Exchanges / Sponsor Banks / NPCI / Registrar to the Offer for collecting, storing and usage validating my/our PAN details from the bank account where my / our amount is blocked by the relevant SCSBs.
I/We acknowledge that as per existing policy of the Government of India, OCBs cannot participate in the Offer. I am/We are not an OCB. For further details, see “Offer Procedure” and “Restrictions on Foreign Ownership of Indian Securities” on pages 335 and 348 respectively of the RHP.

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 beneficiary account is held) should be provided in the Bid cum Application Form.
The Bid means an ‘indication to make an offer’ during the Bid/Offer period by a Bidder and not ‘an offer’.
2. The First Bidder should mention his/ her PAN allotted under the Income-tax Act, 1961, DP ID, Client ID and UPI ID (as applicable). Except for Bids by or on behalf of the Central or State Government and the officials appointed by the courts and by investors who are exempt from
the requirement of obtaining/ specifying their PAN for transacting in the securities market and by persons residing in the state of Sikkim and any other category of Bidders or in the case of Bid in joint names, the First Bidder (the first name under which the beneficiary account is held),
should mention his/ her PAN allotted under the Income-tax Act, 1961. Any Bid cum Application Form without the PAN is liable to be rejected other than as specified above.
3. Based on the PAN, DP ID and Client ID provided by the Bidders, the Registrar to the Offer will obtain Demographic Details registered with Depository Participants to be used, among other things, for Allotment, technical rejections or unblocking of ASBA Account. Hence, Bidders
are advised to immediately update any change in their Demographic Details as appearing on the records of the Depository Participant to ensure accuracy of records. Please note that failure to do so could result in failure in Allotment and delays in unblocking of ASBA Account at the
Bidders’ sole risk and neither the Members of the Syndicate nor the Registered Brokers nor the Registrar to the Offer or RTAs/CDPs or the SCSBs nor the Company nor the Selling Shareholders shall have any responsibility and undertake any liability for the same.
4. Bid Lot and Price Band: The face value of Equity Shares of the Company is ` 1/- each. The Price Band and the minimum Bid Lot size for the Offer will be decided by our Company and the Promoter Selling Shareholder in consultation with the BRLMs and will be advertised in all
editions of Financial Express, an English National daily newspaper, all editions of Jansatta, a Hindi national daily newspaper and the Bareilly edition of Amrit Vichar, a Hindi daily newspaper (Hindi being the regional language of Uttar Pradesh, where our registered office is located)
each with wide circulation at least two (2) working days prior to the Bid/Offer Opening Date and will 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 respective websites in accordance with SEBI ICDR Regulations. In case of any revision to the Price Band, the Bid/Offer Period will be extended, by at least three (3) additional Working Days after such revision of the Price Band, subject to the Bid/Offer Period not exceeding ten
(10) Working Days. In case of a force majeure, banking strike or similar circumstances, the Company and the Selling Shareholders, in consultation with the BRLMs, may for reasons to be recorded in writing extend the Bid/Offer Period for minimum three (3) working days subject
to the Bid/Offer Period not exceeding 10 working days. Any revision in the Price Band and the revised Bid/Offer Period, if applicable, will be widely disseminated by notification to the Stock Exchanges, by issuing a public notice and also by indicating the changes on the respective
websites of the BRLMs and at the terminals of the Syndicate Members and by intimation to the Sponsors Bank & Designated Intermediaries.
5. Maximum and Minimum Bid Size: In case of Retail Individual Bidders, such number of Equity Shares in multiples of the minimum Bid Lot such that the Bid Amount does not exceed ` 200,000. Bids at the Cut-Off Price indicate their agreement to purchase the Equity Shares at
the Offer 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 in multiples of the minimum Bid Lot 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 and mentioned in the RHP or Preliminary Offering Memorandum.
6. Please tick Category as applicable to ensure proper upload of Bid in Stock Exchange system.
7. Please tick investor status as applicable. Please ensure investor status is updated in your Depository records.
8. Cheques/Demand Draft/Cash/stock invest/money orders/postal orders will not be accepted. Eligible NRIs bidding on a non-repatriation basis by using the Resident Bid cum Application Form are required to authorise their SCSB to confirm or accept the UPI Mandate Request (in
case of Retail Individual Bidders Bidding through the UPI Mechanism), block their Non-Resident Ordinary (NRO) Accounts for the full Bid Amount, at the time of the submission of the Bid cum Application Form. All Bidders including the Eligible NRIs Bidding on a non-repatriation
basis can obtain the Bid cum Application Form from the Registered and Corporate Office of the Company or from any of the members of the Syndicate or CDPs or RTAs or Registered Brokers from the Bidding centers. In accordance with applicable law and UPI Circulars, Bidders
to please ensure that SCSB where the ASBA Account is maintained has notified at least one branch in the location where Bid cum Application Forms will be deposited by Designated Intermediaries.
9. ● Please note that application made using third party UPI ID or third party ASBA Bank A/c are liable to be rejected.
● QIBs and Non-Institutional Investors cannot use UPI Mechanism to apply.
● For Retail Individual Bidders applying using UPI.
- Please ensure that your Bank is offering UPI facility for Public Offers.
- Please mention UPI ID clearly in CAPITAL LETTERS only.
- Ensure that the: (a) bank where the bank account linked to their UPI ID is maintained; and (b) Retail Individual Bidders Bidding using the UPI Mechanism may apply through the SCSBs and mobile applications whose names appears on the website of the SEBI (https://
www.sebi.gov.in/sebiweb/other/OtherAction.do?doRecognisedFpi=yes&intmId=40) and (https://www.sebi.gov.in/sebiweb/other/OtherAction.do?doRecognisedFpi=yes&intmId=43) respectively, as updated from time to time.
- Eligible NRIs applying in the Offer through the UPI Mechanism, are advised to enquire with the relevant bank where their account is UPI linked prior to submitting their Bid cum Application Form.
- UPI ID cannot exceed 45 characters.
- Please ensure that you are using your UPI ID only and not the UPI ID of any third party.
- Retail Individual Bidders Bidding using the UPI Mechanism shall ensure that details of the Bid are reviewed and verified by opening the attachment in the UPI Mandate Request and then proceed to authorise the UPI Mandate Request using his/her UPI
PIN. For further details, see “Offer Procedure” on page 335 of the RHP.
10. 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 instructions will be required
depending upon the jurisdiction in which the sale of shares is proposed.
11. 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; and c. Ensure that all applicable documents in support of the Bid are attached with the Bid cum Application Form.
12. 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.
13. The Equity Shares have not been and will not be registered under the U.S. Securities Act or any other applicable law of 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, the Equity Shares are being offered and sold (a) in the United States only to persons reasonably believed to be “qualified institutional buyers” (as defined in Rule 144A under
the U.S. Securities Act and referred to in the Red Herring Prospectus as “U.S. QIBs”) in transactions exempt from the registration requirements of the U.S. Securities Act and (b) outside the United States in compliance with Regulation S and the applicable laws of the jurisdiction
where those offers and sales are made. For the avoidance of doubt, the term “U.S. QIBs” does not refer to a category of institutional investors defined under applicable Indian regulations and referred to in the Red Herring Prospectus as “QIBs”.
You may be sent the RHP (if you are in India) or the Preliminary Offering Memorandum (if you are outside India) either in physical form or electronic form or both. You shall not distribute or forward these documents and these documents are subject to the disclaimers and restrictions
contained in or accompanies in them.
Note : Terms used but not defined herein shall have the meaning assigned to such terms in the RHP or the Preliminary Offering Memorandum, as applicable. For detailed instructions for filling the various fields of this Bid cum Application Form, please refer to the GID, which is also
available on the respective websites of the BRLMs and the Stock Exchanges.
TEAR HERE
● In case of queries related to Allotment/ credit of Allotted Equity COMPANY CONTACT DETAILS REGISTRAR TO THE OFFER CONTACT DETAILS
Shares, the Bidders should contact Registrar to the Offer. INDIA PESTICIDES LIMITED KFin Technologies Private Limited
● In case of Bids submitted to the SCSBs, the Bidders should contact Registered Office: 35-A, Civil Lines, Bareilly 243 001, Uttar Pradesh, Selenium Tower-B, Plot 31 & 32, Gachibowli
the relevant SCSB. India; Tel: +91 0581 2567459 Financial District, Nanakramguda, Serilingampally
● In case of queries related to upload of Bids submitted to the Corporate Office: Swarup Cold Storage Compound, Water Hyderabad 500 032, Telangana, India
relevant members of the Syndicate / RTAs / Registered Brokers Tel: +91 40 6716 2222
Works Road, Aishbagh, Lucknow 226 004, Uttar Pradesh, India; E-mail: ipl.ipo@kfintech.com
/ CDPs, as applicable, the Bidders should contact the relevant Tel: +91 0522 2653602; Website: www.indiapesticideslimited.com;
Designated Intermediary. Investor Grievance e-mail: einward.ris@kfintech.com
● For UPI related queries, investors can contact NPCI at the toll free Contact Person: Ajeet Pandey, Company Secretary and Compliance Website: www.kfintech.com
number:- 18001201740 and E-mail ID:- ipo.upi@npci.org.in. Officer; E-mail: investor@indiapesticideslimited.com Contact Person: M Murali Krishna
Corporate Identity Number: U24112UP1984PLC006894 SEBI Registration Number: INR000000221

2 INDIA PESTICIDES LIMITED

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