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Indiabulls Housing Finance Limited: D D M M Y Y Y Y

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APPLICATION FORM INDIABULLS HOUSING FINANCE LIMITED ASBA APPLICATION TRANCHE I ISSUE OPENS ON : SEPTEMBER 6, 2021

(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

Received from Mr./ Ms./ M/s.


Telephone/Mobile ___________________________ Email ____________________________________________________
--------------------------------------------------------------------------------------------------------TEAR HERE----------------------------------------------------------------------------------------------------
Printed by : www.mgmprinttech.com

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

Manager / Consortium Member / Broker /


Issue Price/Face Value/NCD’s ` 1,000.00
INDIABULLS

Trading Member / SCSB / CRTA / CDP


HOUSING

No. of NCD’s applied for


Acknowledgement Slip for Applicant
Amount Payable ( `) Applications submitted without being uploaded on the terminals of the
Stock Exchanges will be rejected.
Grand Total ( `)
Acknowledgement is subject to realisation of Availability of Funds in the ASBA account.
All future communication in connection with this
ASBA Bank A/c. No. / UPI ID Dated application should be addressed to the Registrar of
Application
(Names of Bank & Branch)
Issue. For details, please refer overleaf.
Acknowledgment Slip for Applicant Form No.
53962160
While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Manager / Consortium Member / Brokers / Trading Members / SCSB(s) / CRTA / CDP
matches with the date stamp on the Acknowledgement Slip. Applications submitted without being uploaded on the terminals of the Stock Exchange will be rejected.
APPLICANT’S UNDERTAKING
I/We hereby agree and confirm that:
1. I/We have read, understood and agreed to the contents and terms and conditions of INDIABULLS HOUSING FINANCE LIMITED’s Shelf Prospectus dated September 1, 2021 and Tranche I Prospectus dated September 1, 2021
(Collectively the “Prospectus”).
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 IDBI TRUSTEESHIP SERVICES LIMITED, (the “Debenture Trustee”) to act as my/our trustee and for doing such acts as are necessary to carry out its 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 Indiabulls Housing Finance Limited the Issuer 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.
9. UPI Mechanism for Blocking Fund would be available for Retail Individual Investors, who have submitted bid for an amount not more than `200,000 in any of the bidding options in the Issue (including HUFs applying through their
Karta and does not include NRIs).
- Please ensure that your Bank is offering UPI facility for Public Issues
- Please mention UPI Id clearly in CAPITALLETTERS only
- Ensure that the: (a) bank where the bank account linked to their UPI ID is maintained; and (b) the Mobile App and UPI handle being used for making the Bid, are listed on the website of SEBI at
https://www.sebi.gov.in/sebiweb/other/OtherAction.do?doRecognisedFpi=yes&intmId=43
- UPI Id cannot exceed 45 characters.
- Applicants 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. For further
details, see "Issue Procedure" on page 111 of the Tranche I Prospectus.
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 SEBI Regulations; 2) In accordance with ASBA process provided in the SEBI Regulations and disclosed in the Prospectus, I/We authorize
(a) the Lead Manager(s), Consortium Member, Trading Members (in Specified 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 specified in the Application Form or in the bank account of the Applicant linked with the 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, as the case may be, after finalization 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 specified bank account upon finalization of the Basis of Allotment. 3) In case the amount available in the specified Bank Account is insufficient as
per the Application, the SCSB shall reject the Application.
11. I/We confirm that I/We shall be allocated and allotted Series IV NCDs wherein I/We have not indicated the choice of the relevant Series of NCDs.
IMPERSONATION
Attention of the Applicants is specifically drawn to the provisions of sub-section (1) of section 38 of the Companies Act, 2013, which is reproduced below: “Any person who: (a) makes or abets making of an application in a fictitious name to a
company for acquiring, or subscribing for, its securities; or (b) makes or abets making of multiple applications to a company in different names or in different 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 fictitious name, shall be liable for action under section 447.”
ISSUE RELATED INFORMATION FOR FILLING THE APPLICATION FORM
INVESTOR CATEGORIES:
Category I (Institutional Investors) Sub-category Category II (Non-Institutional Investors) Sub-category
code code
Public financial institutions, scheduled commercial banks, and Indian multilateral and bilateral development 10 Companies within the meaning of section 2(20) of the Companies Act, 2013; 21
financial institutions which are authorised to invest in the NCDs; Statutory bodies/ corporations and societies registered under the applicable laws in India and authorised to 22
Provident funds and pension funds with minimum corpus of `25 crore, and superannuation funds and gratuity invest in the NCDs;
11
funds, which are authorised to invest in the NCDs; Co-operative banks and regional rural banks; 23
Alternative Investment Funds subject to investment conditions applicable to them under the Securities and 12 Public/private charitable/ religious trusts which are authorised to invest in the NCDs; 24
Exchange Board of India (Alternative Investment Funds) Regulations, 2012, as amended; Scientific and/or industrial research organisations, which are authorized to invest in the NCDs; 25
Resident Venture Capital Funds registered with SEBI; 13 Partnership firms in the name of the partners; 26
Limited liability partnerships formed and registered under the provisions of the Limited Liability Partnership 27
Insurance Companies registered with IRDA; 14 Act, 2008 (No. 6 of 2009);
State industrial development corporations; 15 Association of Persons; and 28
Insurance funds set up and managed by the army, navy, or air force of the Union of India; 16 Any other incorporated and/ or unincorporated body of persons 29
Category III (“High Networth Individuals”)/(“HNIs”)
Insurance funds set up and managed by the Department of Posts, the Union of India; 17
High Net-worth individuals which include Resident Indian individuals or Hindu Undivided Families through the 31
National Investment Fund set up by resolution no. F. No. 2/3/2005-DDII dated November 23, 2005 of the 18 Karta applying for an amount aggregating to above `10 Lakh across all series of NCDs in this Tranche I Issue
Government of India published in the Gazette of India;
Category IV (“Retail Individual Investors”) /(“RIIs”)
Systemically important non-banking financial companies being non-banking financial companies registered
with the Reserve Bank of India and having a net worth of more than `500 crores as per its last audited
19 Resident Indian individuals or HUFs applying through the Karta, for NCDs for an amount aggregating up to and 41
financial statements; and including `10 Lakh, across all series of NCDs in this Tranche I Issue and shall include Retail Individual Investors,
who have submitted bid for an amount not more than `200,000 in any of the bidding options in this Tranche I
Mutual Funds registered with SEBI 20 Issue (including HUFs applying through their Karta and does not include NRIs) through UPI Mechanism
The specific terms of each instrument are set out below:
ISSUE STRUCTURE
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
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
*Our Company shall allocate and allot Series IV NCDs wherein the Applicants have not indicated the choice of the relevant NCD Series.
With respect to Series where interest is to be paid on an annual basis, relevant interest will be paid on each anniversary of the Deemed Date of Allotment on the face value of the NCDs. The last interest payment under annual Series will be
made at the time of redemption of the NCDs. In the event, the interest / pay-out of total coupon / redemption amount is a fraction and not an integer, such amount will be rounded off to the nearest integer.
Subject to applicable tax deducted at source, if any
Applicants are advised to ensure that they have obtained the necessary statutory and/or regulatory permissions/consents/approvals in connection with applying for, subscribing to, or seeking Allotment of NCDs pursuant to the Tranche I Issue. For
further details, see “Issue Procedure” on page 111 of the Tranche I Prospectus.
Please refer to Annexure D of Tranche I Prospectus for details pertaining to the cash flows of the Company in accordance with the SEBI Circular bearing number SEBI/HO/DDHS/P/CIR/2021/613 dated August 10, 2021.
Category III and IV of Investors in the proposed Issue who are also NCD(s)/bond(s) previously issued by our Company, and/ or our Subsidiaries as the case may be, and/or are equity shareholder(s) of Indiabulls Housing Finance Limited as the case
may be (“Primary Holder(s)”) on the Deemed Date of Allotment and applying in Series I, Series III, Series IV, Series VI, Series VII Series VIII, Series IX and/or Series X shall be eligible for additional incentive of 0.25% p.a. provided the NCDs issued
under the proposed Issue are held by the investors on the relevant Record Date applicable for payment of respective coupons, in respect of Series I, Series III, Series IV, Series VI, Series VII Series, VIII, Series IX and/or Series X.
Category III and IV of Investors in the proposed Issue who are also Primary Holder(s) on the Deemed Date of Allotment applying in Series II and/or V, the maturity amount at redemption along with the additional yield would be `1,811.10 per NCD
and/or `1,304.30 per NCD respectively provided the NCDs issued under the proposed Issue are held by the investors on the relevant Record Date applicable for redemption in respect of Series II and/or Series V.
Note: a. Basis of Allotment : For details, please refer to page no. 23 of the Abridged Prospectus. b. For Grounds for Technical Rejection. “Please refer to page no. 21 of the Abridged Prospectus”. c. The Company shall allocate and
allot Series IV NCD’s wherein the Applicants have not indicated their choice of the relevant NCD Series. d. If the Deemed Date of Allotment undergoes a change, the coupon payment dates, redemption dates, redemption amounts
and other cash flow workings shall be changed accordingly. For details of the interest payment please refer to "Interest / Premium and Payment of Interest/ Premium" at page no. 98 of the Tranche I Prospectus. For further
information please refer to section titled “Issue Related Information” on page 79 of the Tranche I Prospectus. For further details please refer to the Shelf Prospectus dated September 1, 2021 and Tranche I Prospectus dated
September 1, 2021.
--------------------------------------------------------------------------------------------------------TEAR HERE----------------------------------------------------------------------------------------------------

• 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

2 INDIABULLS HOUSING FINANCE LIMITED

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