THE SOUTH INDIAN BANK LIMITED– RIGHTS ISSUE

Issue Opening Date: Wednesday, March 6, 2024

PLAIN PAPER APPLICATION - ASBA Issue Closing Date: Wednesday, March 20, 2024

FOLIO NO. / DP/CLIENT ID: 1208160084291139 CAF. No. 1208160084291139 SRL No. 737127

NAME OF 1ST SHARE HOLDER: SIVAPRAKASAM

THIYAGARAJAN NAME2:

ADDRESS: S/O SIVAPRAKASAM 45 NORTH EAST STREET TH NAME3:

POST

KARAIKAL - 609607

Number of Equity Share(s) Number of Rights Number of Rights Equity Number of additional Total Number of Rights
held on Record Date i.e., Equity Share(s) Share(s) applied for within Rights Equity Share(s) Equity Share(s) applied
entitled to Rights Entitlements
Tuesday, February 27, 2024 applied for for

100 25

Amount Payable on application @ ₹22 Per Rights Equity Share. Permanent Account No (PAN)
Sole /First Applicant
Second Joint Applicant
Third Joint Applicant
Note:
 An Eligible Equity Shareholder in India who is eligible to apply under the ASBA process may make an application to subscribe to this Issue on plain paper in case of
non-receipt of Application Form as detailed above. In such cases of non-receipt of the Application Form through e-mail or physical delivery (where applicable) and the
Eligible Equity Shareholder not being in a position to obtain it from any other source may make an application to subscribe to this Issue on plain paper with the same
details as per the Application Form that is available on the website of the Registrar, Stock Exchanges or Lead Managers. An Eligible Equity Shareholder shall submit the
plain paper Application to the Designated Branch of the SCSB for authorising such SCSB to block Application Money in the said bank account maintained with the same
SCSB. Applications on plain paper will not be accepted from any Eligible Equity Shareholder who has not provided an Indian address or is a U.S. Person or in the
United States.
 Eligible Equity Shareholder applying under the ASBA process may please note that the Equity Shares under the ASBA process can be Allotted only in
dematerialized form and to the same depository account in which the Equity Shares are held by such ASBA Applicant on the Record Date or the Issue Closing
Date, as the case may be. Please see the section titled “Terms of the Issue” beginning on page 273 of the Letter of Offer dated February 21, 2024, (“Letter of
Offer”).
 Do not submit plain paper Application using third party ASBA bank account.
 In cases where multiple applications are submitted, including cases where an investor submits an Application Form along with a plain paper Application or multiple
plain paper Applications, such applications shall be liable to be rejected.
 An Applicant being an OCB is required not to be under the adverse notice of the RBI and to obtain prior approval from RBI for applying in this Issue as an incorporated
non-resident must do so in accordance with FDI Circular and FEMA Rules.
Capitalised terms used and not specifically defined herein shall have the same meaning as ascribed to them in the Letter of Offer.
PAYMENT DETAILS:
I/We Choose to Apply Through the ASBA Process

(
Self-Certified Syndicate Bank (SCSB) Details
Bank Account Number Bank Name and Branch Address

Total Amount to Be Blocked: (In figures) ________________________________________________

(In Words) _________________________________________________________________________
I/We authorise the SCSB to block the amount specified above as part of the ASBA process. I/ We confirm that I/ we are making the payment towards my/our application
through my/ our bank account only and not using any third-party bank account for making such payment. Further, I/we confirm that the ASBA Account is held in my/our
own name. I/We understand that on Application, Investors will have to pay ₹22.00/- per Rights Equity Share, as determined by the Board of Directors of the Company at its
sole discretion. Further, I/we understand that Rights Equity Shares in respect of which the Call payable remain unpaid may be forfeited, at any time after the due date for
payment of the balance amount due in accordance with the Companies Act, 2013, as amended and the Articles of Association.

__________________ __________________ __________________

Sole/First Applicant Second Joint Applicant Third Joint Applicant

REQUEST FOR SHARES IN DEMAT FORM (Details of my/our Beneficiary (Demat) account are as given below:)
Depository Name (please tick ()) NSDL CDSL
DEPOSITORY PARTICIPANT (DP) NAME

BENEFICIARY ACCOUNT NUMBER

(DPID & CLIENT ID)

(In case of joint shareholders, all joint shareholders must sign in the same sequence as per specimen recorded with the Company / Depository)

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 Representations, Warranties, Acknowledgments and Agreements

All Eligible Equity Shareholders making application on Plain Paper are deemed to have accepted the following:

“I/ We understand that neither the Rights Entitlements nor the Rights Equity Shares have been, or will be, registered under the U.S.
Securities Act of 1933, as amended (U.S. Securities Act), or any United States state securities laws, and may not be offered, sold,
resold or otherwise transferred within the United States or to the territories or possessions thereof (United States), except pursuant to
an exemption from, or in a transaction not subject to, the registration requirements of the U.S. Securities Act. I/ we understand the
Rights Equity Shares referred to in this application are being offered and sold only in offshore transactions outside the United States in
compliance with Regulation S under the U.S. Securities Act (Regulation S) to existing shareholders who are located in jurisdictions
where such offer and sale of the Rights Equity Shares is permitted under laws of such jurisdictions. I/ we understand that the Issue is
not, and under no circumstances is to be construed as, an offering of any Rights Equity Shares or Rights Entitlements for sale in the
United States, or as a solicitation therein of an offer to buy any of the said Rights Equity Shares or Rights Entitlements in the United
States. I/ we confirm that I am/ we are (a) not in the United States and eligible to subscribe for the Rights Equity Shares under
applicable securities laws, (b) complying with laws of jurisdictions applicable to such person in connection with the Issue, and (c)
understand that neither the Company, nor the Registrar, the Lead Managers or any other person acting on behalf of the Company will
accept subscriptions from any person, or the agent of any person, who appears to be, or who the Company, the Registrar, the Lead
Managers or any other person acting on behalf of the Company have reason to believe is in the United States or is outside of India and
ineligible to participate in this Issue under the securities laws of their jurisdiction.

I/ We will not offer, sell or otherwise transfer any of the Rights Equity Shares which may be acquired by us in any jurisdiction or under
any circumstances in which such offer or sale is not authorized or to any person to whom it is unlawful to make such offer, sale or
invitation. I/ We satisfy, and each account for which I/ we are acting satisfies, (a) all suitability standards for investors in investments
of the type subscribed for herein imposed by the jurisdiction of my/our residence, and (b) is eligible to subscribe and is subscribing for
the Rights Equity Shares and Rights Entitlements in compliance with applicable securities and other laws of our jurisdiction of
residence.

I/we hereby make the representations, warranties, acknowledgments and agreements set forth in “Restrictions on Purchases and
Resales” on page of the Letter of Offer.

I/ We understand and agree that the Rights Entitlements and Rights Equity Shares may not be reoffered, resold, pledged or otherwise
transferred except in an offshore transaction in accordance with Regulation S to a person outside the United States.

I/We (i) am/are, and the person, if any, for whose account I/we am/are acquiring such Rights Entitlement, and/or the Equity Shares,
is/are outside the United States or a Qualified Institutional Buyer (as defined in the U.S. Securities Act), and (ii) is/are acquiring the
Rights Entitlement and/or the Equity Shares in an offshore transaction meeting the requirements of Regulation S or in a transaction
exempt from, or not subject to, the registration requirements of the U.S. Securities Act.

I/ We acknowledge that we, the Company, the Lead Managers, its affiliates and others will rely upon the truth and accuracy of the
foregoing representations and agreements.”

LIST OF SELF CERTIFIED SYNDICATE BANKS (SCSBs) - FOR ASBA APPLICANTS

Please note that ASBA Applications may be submitted at all designated branches of the SCSBs available on the SEBI website at
https://www.sebi.gov.in/sebiweb/other/OtherAction.do?doRecognisedFpi=yes&intmId=34, updated from time to time, or at such
other website as may be prescribed by SEBI from time to time. For a list of branches of the SCSBs named by the respective SCSBs to
receive the ASBA Forms from the Designated Intermediaries, please refer to the above-mentioned link.

Investors may contact the Registrar to the Issue / Company Secretary and Compliance Officer in case of any pre-Issue/ post -Issue related
problems such as non-receipt of Allotment Advice / Demat Credit of Securities / Refund / Unblocking of ASBA Accounts etc.
REGISTRAR TO THE ISSUE
Link Intime India Private Limited
(Unit: The South Indian Bank Limited– Rights Issue)
C-101, 1st Floor 247 Park, L B S Marg, Vikhroli (West), Mumbai 400083,
Telephone: +91 8108114949,
E-mail: sib.rights2024@linkintime.co.in
Website: www.linkintime.co.in,
Investor Grievance E-Mail: sib.rights2024@linkintime.co.in
Contact Person: Shanti Gopalkrishnan
SEBI Registration No: INR000001385
CIN: U67190MH1999PTC118368

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