Registered Office : 301, Center Point, Dr. Babasaheb Ambedkar Road, Parel, Mumbai - 400 012. Form A2 Application Number APPLICATION FORM FOR GOVERNMENT OF INDIA 8 % SAVINGS (TAXABLE) BONDS, 2003 Broker s name & Code Sub Broker s name & Code SHCIL branch Name & stamp, Officers initials Date and Time of Application Receipt. Credit Bond Ledger Account T B S H C 5 4 Applicant(s) name (s) (in block letters) 1st Applicant: Mr/Mrs/Ms 2nd Applicant: Mr/Mrs/Ms 3rd Applicant: Mr/Mrs/Ms Guardian: Mr/Mrs/Ms Guardian s relationship with minor [ ] Father [ ] Mother [ ] Legal Guardian Birth : lst Applicant.../... /... Mother s maiden name... Communication address of applicant : Transaction No. Birth : 2nd Applicant.../... /... Mother s maiden name...... Birth : 3rd Applicant.../... /... Mother s maiden name...... Telephone (Office I Residence) No.: Email ID Mobile No. Pin Code Status: [ ] Resident Individual [ ] HUF [ ] On behalf of minor [ ] Power of Attorney holder [ ] Charitable Institution [ ] University Investment details: [ ] Open a new Bond Ledger Account [ ] Credit to my Bond Ledger Account No... I/We hereby declare that I/We have not invested in 8% GOI Taxable bonds through any other Bond Ledger Account in the same name order with SHCIL Mode of Holding : [ ] Single [ ] Joint [ ] Anyone or Survivor Interest Option : [ ] Cumulative (Payable on maturity) [ ] Non-cumulative ( Payable on half-yearly basis) Mode of investment : [ ] Cheque/DD Cheque/DD No... dated... /... /... Cheque / DD drawn on... (bank/branch) Amount: Rs... Amount (in words)... Bank details of First Applicant : ( Please provide the following details for Interest I Redemption payment) Interest Payment Options : [ ] Issue Interest warrant [ ] Directly credit interest amount to my bank Signature and PAN/GIR Number 1 st Applicant account No...with (bank/branch)...... (For all applicants where redemption amount exceeds Rs. one lac) PAN/GIR Number I.T. Circle/Ward/District Number Signature / Thumb Impression@ 2 nd Applicant 3 rd Applicant @ Thumb impression/nomination to be attested by two witnesses on 2 nd page.... 1
ECS Mandate Form Name of the First Applicant 1st Applicant: Mr/Mrs/Ms 2 Particulars of the Bank account : Bank Name...Branch... Nine digit MICR number of the Bank & Branch appearing on the Cheque issued by the bank (please attach a photocopy of the Cheque or a cancelled cheque issued by the bank for verification of the Code number) 3. Account Type [ ] S. B. account [ ] Current Account [ ] Cash Credit Account 4. Account Number 5. Ledger Number 6. Ledger Folio No. I hereby authorize Stock Holding Corporation of India Ltd. to credit my interest I redemption amounts through ECS. I hereby declare that the particulars given above are correct and complete. If the transaction is delayed at all for reasons of incomplete or incorrect information, I would not hold the user institution responsible. I hereby agree to discharge the responsibility expected of me as a participant under the scheme. Place... Date... (Signature of the Applicant)... Bank Certification (Not required if photocopy of the cheque is submitted)... Certified that the particulars furnished above are correct as per our records ( Date, Bank Stamp & Signature of Authorised Official) Note : ECS has been replaced by National Electric Clearing Service (NECS) by RBI. Please provide your core banking Complaint bank account number along with a copy of your cheque or a cancelled cheque issued by the bank for receipt of payment through NECS. H.U.F. declaration form ( mandatory if applicant is Karta of HUF); I,...,residing at the address given against First Applicant, do solemnly affirm that I am the Karta of the Hindu Undivided Family and as such have full powers to sell, endorse, transfer or otherwise deal in the 8 % Savings (Taxable) Bonds, 2003 standing in the name of the HUF. Specimen signature for and on behalf of the HUF (name of the HUF)... Place... Date... (Signature of the Karta with seal of HUF) Nomination facility (optional) (Please note that nomination facility is not available in case of minors) I/We,... residing at...... the holder of Bond Ledger Account No.......nominate the following person/s who shall on my/our death have the right to the bond I receive payment of the amount for the time being due on the bond(s) specified below : Particulars of Nominee /s Sr No. issue Amount (Rs. ) Repayment Full Name with expanded initials and address of Nominee birth Relationship to holder Particulars of bank account If nominee is minor, please fill in the line below: As...the sole nominee above is a minor on this date, I appo int Mr I Mrs I Ms... to receive the amount for the time being due on the above bond(s) in the event of my death during the minority of the said nominee...(name of the nominee who is a minor), Signature/Thumb impression of the 1st Applicant Name of 1 st Witness... Name of 2 nd Witness... Address... Address... Signature... Signature... Change of Nomination : This nomination is in substitution of the nomination dated.../.../... made by me and registered on your books at... which shall stand cancelled on registration of this nomination. Place... Date.../.../... @ Thumb impression / Nomination to be attested by two witnesses Signature / Thumb impression @ of the Ist Applicant 3
Stock Holding Corporation of India Ltd. JOINT HOLDER POWER OF ATTORNEY (Exempt from Stamp Duty) BLA No. Date : I / We the undersigned ( )* hereby Autthorise (Name of 1 st Holder : of the joint holders of the Government securities, the particulars of which are appended, to give a valid discharge in our name for maturity of proceeds on the said Securities and we hereby request that Payment Order on the same securites may be Issued in his / her name alone. This authority will, in the case of two or more signatories, be binding on the survivor or Survivors of us until formally revoked. * Here enter one two three etc. as the case may be BLA No BLA Date (s) BLA Amount ) Signature and address of witnesses 1. Signature(s) 2. IMPORTANT The execution to be attested by two credible witnesses, one of whome should, if possible be either a Banker, a Treasury Officer or a Magistrate. PAN No. Signature / Thumb Impression 1 st Applicant 2 nd Applicant 3 rd Applicant... 5
Acknowledgement of Application Form SHCIL branch... Date... /... /... Application No. received from Mr/Mrs/Ms...... Draft / Pay Order / Cheque No.... Dated... /.../... drawn on... Bank... branch for Rs.... (Rupees...... only) for the purchase of 8% Savings (Taxable) Bonds, 2003 for a period of 6 years, interest [ ] payable on cumulative [ ] Non-cumulative basis of the nominal value of Rs... (Rupees...... only) Date, Stamp & Signature of the authorized official of SHCIL INFORMATION FOR INVESTORS IN 8% SAVINGS (TAXABLE) BONDS, 2003 Government of India had introduced 8% Savings (Taxable) Bonds, 2003 vide their notification No. F.4 (10)- W & M/2003 dated 21.03.2003 for the benefit of the Resident Indians. The main features of the Scheme are as under :- Item 1) Category of Investor 2) Limit of investment 3) Issue of bonds 4) Forms of Bonds 5) Option Individual University HU F Charitable Institution Minimum Rs. 1000/- and in multiples of Rs. 1000/- On the date of realisation of cheque/draft. ate of receipt of subscription Bond Ledger Account 8% Savings (Taxable) Bonds, 2003 Non-cumulative / Cumulative Non Resident Indians are not eligible to invest in these bonds No maximum limit Remarks Change of option is generally not permitted 6) Interest 7) Post Maturity Interest 8) Bank Account In case of non-cumulative option, interest is payable on half yearly basis. In case of Cumulative option, interest is payable at the time of maturity Post Maturity Interest is not available Interest / Redemption Half yearly interest is payable on 1st February/1st August To Facility direct credit of internally redeption, it is advised to provide the Bank details. 9) Tax benefits 10) Nomination facility 11) Maturity period 12) Premature redemption 13) Transferability 14) Loans from banks against the security of these Savings bonds 15) Application forms 16) PAN Income from the bonds is taxable. Wealth tax is exempted Available to Sole/Joint Holders ( Nomination facility is not available in case of minor) After 6 years NOT AVAILABLE NOT TRANSFERABLE The bonds can be pledged as security for availing of loans from scheduled commercial banks only Available at all branches of Stock Holding Corporation of (I) Ltd.I PAN to be provided for all applicants if redemption amount exceeds Rs. One lac. In case of non submission of PAN TDS will be deducted as per previously I.T. rules. Please ensore to Provide the PAN in order to avail the TDS benefit as per rules. Tax will be deducted at source as per prevailing rules of the I.T. Act-1961 Non-Resident Indians can also be nominated. However, remittance of the interest / maturity proceeds will be subject to the Exchange Control regulations prevailing at the time of remittance.... 6
INFORMATION TO INVESTORS 1. Cheque / draft towards subscription should be drawn in favour of SHCIL GOI 8% Savings Bond 2003 and payable at the place where the application is tendered. 2. The Certificate of Holding (COH) will be mailed directly to the first holder. 3. SHCIL reserves the right to refuse delivery of the certificate of holding until this receipt is returned properly discharged (signed by each applicant). 4. This receipt is valid subject to realization of the payment instrument. 5. Application in the name of Hindu Undivided Family - the Karta should furnish a declaration as contained in the application form. 6. If the person other than the investors sign the application, a Power of Attorney (P.O.A.) authorizing the signatory should be submitted alongwith the application. The P.O.A. should contain express clause to invest in securities and receive interest and the principal amount due under the bonds. In case of P.O.A. Is executed abroad, it should be attested by a notary public of the place where it is executed and notarized afresh in India (duly stamped). 7. In case application made in the joint names of more than 2 person, the bond/s interest warrants and payment order/s will be issued in the name of the first applicant (without mentioning the other joint holders name). 8. Maturity value of cumulative Bonds shall be Rs. 1601/- (being principal and interest) for every Rs. 1000/- (Nominal). DUTIES OF INVESTOR APPLICANTS A) Please fill up the application in all respects. B) Incomplete applications are liable to result in delay of issue of the bonds and at the cost of the applicant. C) In case the application is submitted by a Power of Attorney (POA) holder, please submit original POA for verification, along with an attested copy. D) In case the application is on behalf of a minor, please submit the original birth certificate from the School or Municipal Authorities for verification, together with an attested copy. E) Please note that nomination facility is available to Sole / Joint Holder. F) In case nominee is a minor, please indicate the date of birth of the minor and a guardian can be appointed. G) Nomination facility is not available in case the investment is on behalf of minor. H) Please exercise the option (CUMULATIVE / NON-CUMULATIVE) for issue of bonds carefully. Change of option is generally not permitted. I) Please notify the change of address or ECS detail immediately. J) POST MATURITY INTEREST IS NOT PAYABLE AFTER DA TE OF MATURITY. HENCE PLEASE OBTAIN REDEMPTION PROCEEDS ON THE DUE DATE. K) Indicate your date of birth/age, in case you are a Senior Citizen (above 65 years of age). RIGHTS OF THE INVESTOR a) The Bond will be issued on the realization of cheque, if subcription is recevied through cheque. b) The Certificate of holding will be issued within 5 days from the date of realization of cheque. c) The interest on the bond accrues from the date of realisation of cheque. The half-yearly interest Warrants will be despatched on month in advance from the due date. d) The interest on the date of 1 st February/ 1 st August will be credited to the bank account or remitted by an interest warrant at the last registered address. e) An advice of payment of interest will be issued to the investor one month in advance from the due date. f) Maturity intimation advice will be issued one month before the due date of the bond g) Facility of payment of interest and principal be demand draft free of cost or at par cheques for up country customers is available. h) The facility of intra-bank branch and inter bank branch transfer of the bond is available. I) Preforma of application form for investments, redemption NECS mandate, etc. in respect of saving bonds are available on the website at N www.shcil.com j) A sole holder or all the joint holders of the bond together may nominate one or more persons who would be entitled to the rig ht of the right of the bonds. Non -Resident Indians can also be nominated. k) The nomination will be registered at the office of the issue and a certificate of Registration will be issued to the holder. l) The nomination can be varied by registering a fresh nomination m) The existing nomination can be cancelled by a request to the office of issue. n) The redemption is due on the expiry of six years from the date of investment. o) The investor is entitled to receive repayment amount automatically on the due date, if NECS mandate is given or within five clear working days from the date of tender of acquittance. p) Facility for payment of half yearly interest / redemption proceeds can be availed through electronic payment products (NECS / NEFT/RTGS), where such facility is available. Applicants may indicate their choice to avoid delay in receipt of interest/ redemption proceeds. q) Investors are entitled for compensation at current savings bank rate for delayed payments. r) In case of any grievances, please contact us at below mentioned address :- STOCK HOLDING CORPORATION OF (I) LTD. (SHCIL) P-51, TTC INDUSTRIAL AREA, MIDC, MAHAPE, NAVI MUMBAI - 400 710. s) In case SHCIL does not comply with the above, you may lodge a complaint in writing in the form provided at the counter and address the same to the nearest office of Reserve Bank of India as under : THE REGIONAL DIRECTOR, RESERVE BANK OF INDIA, GRIEVANCES REDRESSAL CELL, (LOCATION) ----------------------------------------------- YOU MAY ALSO ADDRESS YOUR COMPLAINT TO : THE CHIEF GENERAL MANAGER RESERVE BANK OF INDIA, CENTRAL OFFICE DEPARTMENT OF GOVERNMENT AND BANK ACCOUNTS BYCULLA (OPP. BOMBAY CENTRAL RLY STATION) MUMBAI 400 008. (MAHARASHTRA)... 8