Indiabulls Housing Finance Limited: D D M M Y Y Y Y
Indiabulls Housing Finance Limited: D D M M Y Y Y Y
Indiabulls Housing Finance Limited: D D M M Y Y Y Y
(FOR RESIDENT APPLICANTS) Credit Rating: CRISIL AA/Stable by CRISIL Ratings Ltd., & BWR AA+ /Negative by Brickwork Ratings India Pvt. Ltd. FORM TRANCHE I ISSUE CLOSES ON* : SEPTEMBER 20, 2021
To, *For details of Early Closure or extension of the Issue, please refer to page No. 12 of the Abridged Prospectus.
The Board of Directors, Application
INDIABULLS HOUSING FINANCE LIMITED Form No. 53962160
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (”SECURED NCDs”) AND/OR UNSECURED, SUBORDINATED, REDEEMABLE NON-CONVERTIBLE DEBENTURES
TEAR HERE
OF FACE VALUE OF ₹1,000 EACH (“UNSECURED NCDs”, AND TOGETHER WITH THE SECURED NCDs, THE “NCDs”) VIDE THE SHELF PROSPECTUS AND TRANCHE I PROSPECTUS BOTH DATED SEPTEMBER 1, 2021
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 / CONSORTIUM MEMBER SUB CONSORTIUM MEMBERS/ AGENT’S SCSB BRANCH STAMP REGISTRAR’S / SCSB DATE OF
STAMP & CODE STAMP & CODE STAMP & CODE & CODE SERIAL NO RECEIPT
6677
1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to page no 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.)
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)
Series I II III IV V VI VII VIII IX X
Frequency of Interest Payment Annual Cumulative Monthly Annual Cumulative Monthly Annual Monthly Annual Monthly
Minimum Application ` 10,000 (10 NCDs) across all Series
Face Value/ Issue Price of NCDs (`/ NCD) `1,000
In Multiples of thereafter (`) ` 1,000 (1 NCD)
Type of Instrument (Secured NCDs / Unsecured NCDs) Secured NCDs Unsecured NCDs
Tenor 24 Months 24 Months 24 Months 36 Months 36 Months 36 Months 60 Months 60 Months 87 Months 87 Months
Coupon (% per annum) for NCD Holders in Category I & II 8.35% NA 8.05% 8.50% NA 8.20% 8.75% 8.43% 9.25% 8.89%
Coupon (% per annum) for NCD Holders in Category III & IV 8.75% NA 8.42% 9.00% NA 8.66% 9.25% 8.89% 9.75% 9.35%
Effective Yield (per annum) for NCD Holders in Category I & II 8.35% 8.35% 8.35% 8.50% 8.50% 8.50% 8.75% 8.75% 9.25% 9.25%
Effective Yield (per annum) for NCD Holders in Category III & IV 8.75% 8.75% 8.75% 9.00% 9.00% 9.00% 9.25% 9.25% 9.75% 9.75%
Mode of Interest Payment Through various mode available
PLEASE FILL IN BLOCK LETTERS
Amount (` / NCD) on Maturity for NCD Holders in Category I & II `1,000 `1,174.00 `1,000 `1,000 `1,277.60 `1,000 `1,000 `1,000 `1,000 `1,000
Amount (`/ NCD) on Maturity for NCD Holders in Category III & IV `1,000 `1,182.70 `1,000 `1,000 `1,295.35 `1,000 `1,000 `1,000 `1,000 `1,000
Maturity / Redemption Date (Years from the Deemed Date of Allotment) 24 Months 24 Months 24 Months 36 Months 36 Months 36 Months 60 Months 60 Months 87 Months 87 Months
Put and Call Option Not Applicable
No. of NCDs applied
Amount Payable (`)
Grand Total (`) Total No. of NCDs: Total Amount Payable (`) :
5. PAYMENT DETAILS
Amount paid (` in figures) (` in words)
LEAD MANAGER’S / CONSORTIUM MEMBER'S / SUB-
ASBA Bank A/c. No. CONSORTIUM MEMBER'S / BROKER'S / TRADING MEMBER'S
/SCSB BRANCH'S STAMP (ACKNOWLEDGING UPLOAD OF
ASBA A/c. Holder Name____________________________________________________________________________________________ APPLICATION IN 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
Furnishing PAN of the Applicant is mandatory, including Minor’s PAN in case of Application by Minor. 3
Date _________________ Please refer page 16 of the Abridged Prospectus.
TEAR HERE
Acknowledgement Slip for Lead Manager/ Application
INDIABULLS HOUSING Consortium Member / Sub-Consortium Members/ 53962160
FINANCE LIMITED Brokers / Trading Members / SCSBs/ CRTA / CDP Form No.
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (”SECURED NCDs”) AND/OR UNSECURED, SUBORDINATED, REDEEMABLE NON-CONVERTIBLE DEBENTURES
OF FACE VALUE OF ₹1,000 EACH (“UNSECURED NCDs”, AND TOGETHER WITH THE SECURED NCDs, THE “NCDs”) VIDE THE SHELF PROSPECTUS AND TRANCHE I PROSPECTUS BOTH DATED SEPTEMBER 1, 2021
DPID / CLID PAN
Amount Paid (` in figures)______________________ Bank & Branch ____________________________________________ Date Stamp & Signature of SCSB
(Mandatory)
ASBA Bank A/c. No. / UPI ID_____________________________________________________________________________
Dated
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (”SECURED NCDs”) AND/OR UNSECURED, SUBORDINATED, REDEEMABLE NON-CONVERTIBLE DEBENTURES
TEAR HERE
OF FACE VALUE OF ₹1,000 EACH (“UNSECURED NCDs”, AND TOGETHER WITH THE SECURED NCDs, THE “NCDs”) VIDE THE SHELF PROSPECTUS AND TRANCHE I PROSPECTUS BOTH DATED SEPTEMBER 1, 2021
Series I II III IV V VI VII VIII IX X Date Stamp & Signature of Lead Name of Sole / First Applicant (Mr./Ms./M/s.)
FINANCE LIMITED
• In case of queries related to allotment/ credit of Allotted NCD/Refund, the Applicants COMPANY CONTACT DETAILS REGISTRAR CONTACT DETAILS
should contact Registrar to the Issue or the Company.
INDIABULLS HOUSING FINANCE LIMITED Kfin Technologies Private Limited (CIN: U72400TG2017PTC117649 )
• In case of ASBA Application submitted to the SCSBs, the Applicants should contact
the relevant SCSB. Corporate Identity Number: L65922DL2005PLC136029 Selenium Tower B, Plot No – 31 and 32, Financial District, Nanakramguda,
• In case of queries related to upload of ASBA Applications submitted Registered Office: M 62&63, First Floor, Connaught Place, Serilingampally, Hyderabad Rangareddy, Telangana - 500 032 Hyderabad,
to the Lead Manager / Consortium Member / Trading Members / CRTA / CDP / New Delhi - 110 001, Delhi, India; Telephone No.: +91 11 4353 2950; Tel: +91 40 6716 2222 Facsimile No.: +91 40 2343 1551
SCSB, Applicants should contact the,relevant Lead Manager / Consortium Member Facsimile No.: +91 11 4353 2947 Email: ibhfl.ncdipo@kfintech.com
Trading Members/ CRTA / CDP / SCSB.
• The grievance arising out of Applications for NCD’s made through Trading Members
Company Secretary and Compliance Officer: Mr. Amit Kumar Jain Investor Grievance Email: einward.ris@kfintech.com
may be addressed directly to exchanges.. Telephone No.: +91 124 668 1199; Facsimile No.: +91 124 668 1240; Website: www.kfintech.com Contact Person: Mr. M Murali Krishna
• Acknowledgment is subject to availability of Funds in the ASBA account. E-mail: ajain@indiabulls.com SEBI Registration Number: INR000000221