ASBA APPLICATION
FORM
ISSUE OPENS ON :
FRIDAY, AUGUST 23, 2024
ISSUE CLOSES ON :
THURSDAY, SEPTEMBER 05, 2024
MUTHOOT MERCANTILE LIMITED
“IND BBB/STABLE BY INDIA RATINGS & RESEARCH PRIVATE LIMITED”)
Application
Form No.
50401839
PLEASE FILL IN BLOCK LETTERSTEAR HERE
TEAR HERE
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (“NCDs”) VIDE THE PROSPECTUS DATED AUGUST 07, 2024
I/we hereby conrm 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 conrm that I/we have read the instructions for lling up the Application Form given overleaf.
LEAD MANAGER/LEAD BROKERS/
STAMP & CODE
BROKER/AGENTS
STAMP & CODE
TRADING MEMBERS/SUB BROKER/
CRTA/CDP/SCSB STAMP & CODE
SCSB BRANCH STAMP
& CODE
SCSB BRANCH
SERIAL NO.
DATE OF RECEIPT
1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to Page 13 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 __________________________________________________________________________________________________________________________
Pin Code
(Compulsory)
__________________ Tel. No.
(with STD code)
/ Mobile _____________________ Email _____________________________________________
Second Applicant
(Mr./ Ms./M/s.)
Third Applicant
(Mr./ Ms./M/s.)
DPID / CLID PAN
Acknowledgement Slip for Lead Manager/ Lead Brokers/
Applicant/ Brokers/ Trading Members/ SCSB(s)/ CRTA/ CDP
Application
Form No.
50401839
Series
I II III IV V
VI VII VIII IX
Face Value / Issue Price (
`
/NCD)
`
1,000/-
No. of NCDs applied for
Amount Payable
(
`
)
Grand Total
(
`
)
Total No. of NCDs
Total Amount Payable (`)
Date Stamp & Signature of Lead Manager /
Lead Brokers/ Brokers / Trading Members /
SCSB(s) / CRTA/ CDP
Acknowledgment is subject to realisation
of Availability of Funds in the ASBA account.
Name of Sole/First Applicant (Mr./ Ms./ M/s.):
______________________________________
Application
Form No.
50401839
APPLICATION FORM
(FOR RESIDENT APPLICANTS)
**For details of Early Closure or extension of the Issue refer to page 4 of the Abridged Prospectus
While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Manager/ Lead Brokers/ Brokers/ Trading Members/ SCSB(s)/
CRTA/ CDP matches with the date stamp on the Acknowledgement Slip. Application submitted without being uploaded on the terminals of the Stock Exchange will be rejected.
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Note: The Company would allot Series I NCDs to all valid applications, wherein the applicants have not indicated their choice of the relevant series of the NCDs.
5A. PAN & SIGNATURE OF
SOLE/ FIRST APPLICANT
5B. PAN & SIGNATURE OF
SECOND APPLICANT
5C. PAN & SIGNATURE OF
THIRD APPLICANT
PAN PAN PAN
5D. SIGNATURE OF ASBA BANK ACCOUNT
HOLDER(s) (AS PER BANK RECORDS)
I/We authorize the SCSB to do all acts as are
necessary to make the Application in the Issue
1
2
3
Date: ______________
Furnishing of PAN of the Applicant is mandatory, including Minor’s PAN in case of Application by Minor,
Please refer page 14 of the Abridged Prospectus.
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (“NCDs”) VIDE THE PROSPECTUS DATED AUGUST 07, 2024
ASBA Bank A/c No. / UPI ID ____________________________________ Dated ________________________
Name of Bank & Branch ___________________________________________________________________
3.
PLEASE PROVIDE APPLICANT’S DEPOSITORY DETAILS
(Please refer to Page 13 of the Abridged Prospectus) For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID
NSDL / CDSL
MUTHOOT MERCANTILE LIMITED
MUTHOOT MERCANTILE LIMITED
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Amount Paid (` in gures)
Bank & Branch
ASBA Bank A/c No. / UPI ID Dated
Received from Mr./Ms./M/s.
Telephone/Mobile Email
2. Investor Category (Please refer overleaf)
Category I Category II Category III Sub Category Code (Please see overleaf)
All future communication in connection with this Application
should be addressed to the Registrar to the Issue. For details,
please refer overleaf. Acknowledgement Slip for Applicant
Printed by : www.westernpress.in
ASBA Bank A/C. No.
ASBA A/c Holder Name____________________________________________________________________________________________________________________________________
(in case Applicant is dierent from ASBA A/c. Holder)
Bank Name & Branch _____________________________________________________________________________________________________________________________________
UPI ID
(Maximum
45 characters)
or
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (“NCDs”) VIDE THE PROSPECTUS DATED AUGUST 07,2024
To, The Board of Directors,
MUTHOOT MERCANTILE LIMITED
LEAD MANAGER/LEAD BROKERS/ BROKERS/
TRADING MEMBERS/ SCSB(s)/CRTA/CDP STAMP
(Acknowledging upload of Application in Stock
Exchange(s) system) (Mandatory)
Date, Stamp & Signature of
SCSB Branch (Mandatory)
5. PAYMENT DETAILS
Amount Paid (` in gures)
(
`
in words)
4. INVESTMENT DETAILS (For Details, please refer Issue Structure overleaf)
Series I II III IV V VI VII VIII IX
Frequency of interest Payment Monthly Cumulative Monthly Cumulative Monthly Cumulative Monthly Cumulative Cumulative
Minimum Application 10 NCDs i.e. ₹ 10,000 (across all series of NCDs)
In multiples, of One NCD after the minimum application
Face Value / Issue Price of NCDs (₹/NCD) ₹1,000
Nature Secured
Tenure 400 Days 400 Days 20 Months 20 Months 36 Months 36 Months 60 Months 60 Months 73 Months
Coupon rate % Per Annum 10.70% NA 10.80% NA 11.25% NA 11.50% NA NA
Eective Yield % Per Annum 11.24% 10.80% 11.35% 10.77% 11.85% 11.08% 12.13% 11.03% 12.07%
Mode of Interest Payment/ Redemption Through Various options available
Redemption Amount of ₹ 1,000 ₹ 1,000.00 ₹ 1,118.95 ₹ 1,000.00 ₹1,185.83 ₹ 1,000.00 ₹1,370.50 ₹ 1,000.00 ₹1,687.50 ₹2,000
No. of NCDs applied
Amount Payable (₹)
Grand Total (₹) Total No. of NCDs: Total Amount Payable (₹)
The initial allottees under Category II and Category III in the proposed Issue who are Senior Citizens as on the Deemed Date of Allotment shall be eligible for additional incentive of 0.25% p.a. provided
the NCDs issued under this Issue are continued to be held by such investors under Category II and Category III on the relevant Record Date for the relevant Interest Payment date for Series V and VI.
Accordingly, the interest payable for the coupon rate to such Senior Citizens under Series V is 11.50% and for the amount payable on redemption to such Senior Citizens under Series VI is ₹1,376.50, per NCD.
2
MUTHOOT MERCANTILE LIMITED
IN THE NATURE OF FORM 2A - MEMORANDUM CONTAINING SALIENT FEATURES OF THE PROSPECTUS
- Applicants may contact Registrar to the Issue in case of any pre-issue
or post issue related problems (non-receipt of Allotment Advice, refunds
or credit of NCDs)
- In case of ASBA Application submitted to the SCSBs, the Applicants
should contact Registrar to the Issue with copy to the relevant SCSB.
- In case of queries related to upload of Applications submitted to the
Lead Manager's / Lead Brokers/ Brokers / Trading Member/ CRTA/CDP
should contact the relevant Lead Manager / Lead Brokers/ Brokers /
Trading Member/CRTA/CDP.
- The grievances arising out of Applications for the NCDs made through
Trading Members may be addressed directly to Stock Exchanges.
COMPANY CONTACT DETAILS
REGISTRAR CONTACT DETAILS
Muthoot Mercantile Limited
Registered Oce: 1st Floor, North Block, Muthoot Floors,
Opposite W&C Hospital, Thycaud,
Thiruvananthapuram 695 014, Kerala, India
Tel: +91-471-277-4800
Email: info@muthootenterprises.com
Website: www.muthootenterprises.com
Compliance Ocer and Company Secretary: Neethu C. Biju
CIN: U65921KL1997PLC011260;
PAN: AABCM5297K
KFin Technologies Limited
Selenium, Tower-B, Plot No – 31 & 32,
Financial District, Nanakramguda,
Serilingampally, Hyderabad,
Rangareddi –500 032, Telangana, India
Telephone: +91 40 6716 2222;
Facsimile: +91 40 6716 1563
Email: mml.ncdipo@kntech.com;
Website: www.kntech.com
Contact Person: M Murali Krishna
Investor Grievance id: einward.ris@kntech.com
SEBI Registration Number: INR000000221
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APPLICANT’S UNDERTAKING
I/We hereby agree and conrm that:
1. I/We have read, understood and agreed to the contents and terms and conditions of the Prospectus dated August 07,2024 (“Prospectus”) of Muthoot Mercantile Limited
2 I/We hereby apply for allotment of the NCDs to me/us and the amount payable on application is remitted herewith.
3. I/We hereby agree to accept the NCDs applied for or such lesser number as may be allotted to me/us in accordance with the contents of the Prospectus subject to applicable statutory and/or regulatory requirements.
4. I/We irrevocably give my/our authority and consent to Mitcon Credentia Trusteeship Services Limited (the “Debenture Trustee”), to act as my/our trustees and for doing such acts as are necessary to carry out their duties in such capacity.
5. I am/We are Indian National(s) resident in India and I am/ we are not applying for the said NCDs as nominee(s) of any person resident outside India and/or Foreign National(s).
6. The application made by me/us does not exceed the investment limit on the maximum number of NCDs which may be held by me/us under applicable statutory and/or regulatory requirements.
7. In making my/our investment decision I/We have relied on my/our own examination of Muthoot Mercantile Limited and the terms of the issue, including the merits and risks involved and my/our decision to make this application is solely
based on disclosures contained in the Prospectus.
8. I/We have obtained the necessary statutory and/or regulatory permissions/approvals for applying for, subscribing to, and seeking allotment of the NCDs applied for, as applicable.
9. UPI Mechanism for Blocking Fund would be available for Resident Individual Investors, who have submitted bid for an amount not more than ` 5,00,000 in any of the bidding options in the Issue (including HUFs applying through their
Karta and does not include NRIs)
10. Additional Undertaking, in case of ASBA Applicants: 1) I/We hereby undertake that I/We am/are an ASBA Applicant(s) as per applicable provisions of the Securities and Exchange Board of India (Issue and Listing of Non-Convertible
Securities) Regulations, 2021 (“SEBI NCS Regulations”); 2) In accordance with ASBA process provided in the SEBI NCS Regulations and disclosed in the Prospectus, I/We authorize (a) the Lead Manager(s), Lead Brokers, Trading
Members (in Specied cities only), Broker, CRTA, CDP or the SCSBs as the case may be, to do all acts as are necessary to make the Application in the Issue, including uploading my/our application, blocking or unblocking of funds in the
bank account maintained with the SCSB as specied in the Application Form or in the bank account of the Applicant linked with UPI ID provided in the Application Form as the case may be, transfer of funds to the Public Issue Account
on receipt of instruction from the Lead Manager and Registrar to the Issue or the Sponsor Bank, after nalization of Basis of Allotment; and (b) the Registrar to the Issue or Sponsor Bank, as the case may be, to issue instruction to the
SCSBs to unblock the funds in the specied bank account upon nalization of the Basis of Allotment. 3) In case the amount available in the specied Bank Account is insucient as per the Application, the SCSB shall reject the Application.
11. I/We conrm that I/We shall be allocated and alloted Option I NCDs wherein I/We have not indicated the choice of the relevant option of NCDs.
IMPERSONATION
Attention of the applicants is specically drawn to the provisions of sub-Section (1) of Section 38 of the Companies Act, 2013, relating to punishment for ctitious applications. Section 38(1)
of the Companies Act, 2013 provides that:
“Any person who: (a) makes or abets making of an application in a ctitious name to a company for acquiring, or subscribing for its, securities; or (b) makes or abets making multiple
applications to a company in dierent names or in dierent combinations of his name or surname for acquiring or subscribing for its securities; or (c) otherwise induces directly or indirectly a
company to allot, or register any transfer of, securities to him, or to any other person in a ctitious name, shall be liable for action under Section 447 of the Companies Act, 2013, as amended.”
ISSUE RELATED INFORMATION FOR FILING THE APPLICATION FORM
Investor Category
Sub Category
Code
Investor Category Sub Category
Code
Investor Category Sub Category
Code
Category I (“Institutional Portion”) Category II (“Non Institutional Portion”) Category III*
#
(“Retail Individual
Portion”)
Resident public nancial institutions as dened in Section 2(72)
of the Companies Act 2013, statutory corporations including
state industrial development corporations.
11 Companies falling within the meaning of Section 2(20)
of the Companies Act 2013; bodies corporate and
societies registered under the applicable laws in India
and authorised to invest in the NCDs
21 Resident Indian individuals 31
Scheduled commercial Banks, co-operative Banks and regional
rural Banks, and multilateral and bilateral development nance
institutions which are authorised to invest in the NCDs
12 Educational institutions and associations of persons
and/or bodies established pursuant to or registered
under any central or state statutory enactment, which
are authorised to invest in the NCDs.
22 Hindu Undivided Families through
the Karta
32
Provident funds of minimum corpus of ` 2,500 lakhs, Pension
funds of minimum corpus of ` 2,500 lakhs, Superannuation funds
and gratuity fund which are authorised to invest in the NCDs.
13 Trust including public/private charitable/religious trusts
which are authorised to invest in the NCDs
23
Alternative investment funds, subject to investment conditions
applicable to them under the Securities and Exchange Board
of India (Alternative Investment Funds) Regulations, 2012
14 Association of persons 24
Resident venture capital funds registered with SEBI 15 Scientic and/or industrial research organisations,
which are authorised to invest in the NCDs
25
Insurance Companies registered with the IRDAI 16 Partnership rms in the name of the partners 26
National Investment Fund (set up by resolution no. F. No.
2/3/2005-DDII dated November 23, 2005 of the Government
of India and published in the Gazette of India)
17 Limited Liability Partnership formed and registered
under the provisions of the Limited Liability Partnership
Act, 2008 (No. 6 of 2009)
27
Insurance funds set up and managed by the Indian army, navy
or the air force of the Union of India or by the Department
of Posts, India;
18 Resident Indian individuals and Hindu undivided
families through the Karta aggregating to a value
exceeding ` 5 lakhs.
28
Mutual Funds registered with SEBI 19
Systemically Important NBFC registered with RBI and having a
net-worth of more than ` 50,000 lakh as per the last audited
nancial statements
20
*applications aggregating to a value not more than `5 lakhs
#
applications upto a value of ` 5 lakhs can be made under the UPI Mechanism.
ISSUE STRUCTURE
Series I II III IV V VI VII VIII IX
Frequency of interest Payment Monthly Cumulative Monthly Cumulative Monthly Cumulative Monthly Cumulative Cumulative
Minimum Application 10 NCDs i.e. ₹ 10,000 (across all series of NCDs)
In multiples, of One NCD after the minimum application
Face Value of NCDs (₹/NCD) ₹1,000
Issue Price (₹/NCD) ₹1,000
Nature Secured
Tenure 400 Days 400 Days 20 Months 20 Months 36 Months 36 Months 60 Months 60 Months 73 Months
Coupon rate % Per Annum 10.70% NA 10.80% NA 11.25% NA 11.50% NA NA
Eective Yield % Per Annum 11.24% 10.80% 11.35% 10.77% 11.85% 11.08% 12.13% 11.03% 12.07%
Mode of Interest Payment/ Redemption Through Various options available
Amount (₹/ NCD) on Maturity ₹ 1,000.00 ₹ 1,118.95 ₹ 1,000.00 ₹1,185.83 ₹ 1,000.00 ₹1,370.50 ₹ 1,000.00 ₹1,687.50 ₹2,000
Maturity / Redemption Date 400 Days 400 Days 20 Months 20 Months 36 Months 36 Months 60 Months 60 Months 73 Months
Put and Call Option Not Applicable
Nature of Indebtness Secured
The initial allottees under Category II and Category III in the proposed Issue who are Senior Citizens as on the Deemed Date of Allotment shall be eligible for additional incentive of 0.25% p.a. provided the NCDs issued under this Issue are continued to
be held by such investors under Category II and Category III on the relevant Record Date for the relevant Interest Payment date for Series V and VI. Accordingly, the interest payable for the coupon rate to such Senior Citizens under Series V is 11.50%
and for the amount payable on redemption to such Senior Citizens under Series VI is ₹1,376.50, per NCD.
On any relevant Record Date, the Registrar and/or our Company shall determine the list of the holder(s) of the Issue and identify such Investors/ NCD Holders, (based on their DP identication and /or PAN and/or entries in the Register of NCD Holders)
and make the requisite payment of additional incentive.
The additional incentive will be given only on the NCDs allotted in this Issue i.e., to Senior Citizens. In case if any NCD is bought/acquired from secondary market or from open market, additional incentive will not be paid on such bought/acquired NCDs.
In case Senior Citizens sells/ gifts/ transfer any NCDs allotted in this Issue, additional incentive will not be paid on such sold/ gifted/ transferred NCD except in case where NCDs are transferred to the joint holder/nominee in case of death of the initial allottee.
Our Company would allocate and allot Series I NCDs wherein the applicants have not indicated the choice of the relevant NCD Series.
For further information please refer to section titled “Issue Related Information” on page 165 of the Prospectus.
If the Deemed Date of Allotment undergoes a change, the coupon payment dates, redemption amounts and cash ow workings shall be changed accordingly. Please refer to section titled “Issue Related Information” on page 165 of the Prospectus. Also for further
details of the interest payment please refer to “Manner of Payment of Interest/Redemption Amounts” on page 178 of the Prospectus.
For further details, please refer to the Prospectus.
All capitalised terms not specically dened therein shall have the meaning given to such terms in the Prospectus.
For Rejection of Applications : Please refer to page 15 of the Abridged Prospectus.
Basis of Allotment : For details, please refer to page 16 of the Abridged Prospectus.
