“Interested persons are entitled to a prospectus, if they desire, and that copies of prospectus may be obtained from the

issuer and the issue managers.”

APPLICATION FROM

GRAMEENPHONE LTD.
APPLICATION FOR SHARES BY INVESTORS OTHER THAN NON-RESIDENT BANGLADESHI(S)

Warning: Please read the instructions at the back of this form. Incorrectly filled applications or applications failing to comply with any of the instructions therein may be rejected.
The Chief Executive Officer

Bankers Sl. No. Brokers Sl. No.

GRAMEENPHONE LTD.
Celebration Point, Plot 3 & 5, Road 113/A, Gulshan-2, Dhaka-1212, Bangladesh.

Dear Sir , I/We apply for and request you to allot me/us the 200 number of ordinary Shares and I/We agree to accept the same or any smaller number that may be allotted to me/us upon the terms of the Company’s Prospectus approved by the Securities and Exchange Commission and Subject to the Memorandum and Articles of Association of the Company. Further, I/We authorize you to place my/our name(s) on the Register of Members of the Company and deposit the said ordinary shares in my Beneficiary Owner (“BO”) account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any application money refundable to me /us by post/courier at my/our risk to the first applicant’s address stated below: 1. No. of Ordinary Shares 200 of Tk. 10/- each per value at an Issue Price of Tk. 70/-per share (including a premium of Tk. 60.00 per share).

2. Total subscription money of the amount of Tk (in Figure) 14,000/= Taka. (in words) FOURTEEN THOUSAND only depositedvide Cash/Cheque/Draft/PayOrderNo……………………………..Dated………………………….…0n …………………..……..Bank ………............................….Branch…………………………………………………….. 3.Beneficiary Owner (B/O) Account Number
1 2 0 3 2 1 0 0 0 7 2 2 4 2 1 1

(If you do not mention your valid BO account number, your application will be treated as invalid)

4. I/We agree to fully abide by the instruction given herein.
5. Particulars of Applicant(s):
a) Sole/First Applicant Name :Mr./Mrs./Ms. FERDOUSI BEGUM Father’s/ Husband ‘s Name: LATE AZIZ AHMED Mother’s Name : ANOWARA BEGUM Postal Address: 244/1/A. NORTH GORAN, KHILGAON SHEPAHIBAG (3RD FLOOR), DHAKA-1219. Telephone No. (If any): 01552-369973 Occupation: HOUSE WIFE Nationality: BANGLADESHI For Refund Warrant: Applicant’s Bank A/C No: 4010 - 063525- 300 Name of the Bank: AB BANK LIMITED Branch: NORTH SOUTH ROAD b) Second Applicant Name: Mr./Mrs./Ms. Father’s/Husband’s Name: Mother’s Name: Postal Address: Occupation: 7.Specimen Signature(s): (¡) Name (in Block Letters) (¡¡) Name (in Block Letters) FERDOUSI BEGUM Signature: Signature: N/A

Nationality: BANGLADESHI

6. I/We hereby declare that I/We have read the Prospectus of GRAMEENPHONE LTD. And have willingly subscribed for 200 ordinary shares of Tk 10/- each par value at an Issue Price of Tk. 70.00 per share (including a premium of Tk. 60.00 per share) on this form.

BANKER’S ACKNOWLEDGEMENT

Certified that this Bank has received Tk.(in figure) 14,000/= (in word FOURTEEN THOUSAND Only from Mr./Mrs./Ms. FERDOUSI BEGUM being the applications money for 200 of Ordinary Shares of GRAMEENPHONE LTD.
Banker’s Sl.No. ………. Seal and Date Authorized Signature (Name & Designation)

“Interested persons are entitled to a prospectus, if they desire, and that copies of prospectus may be obtained from the issuer and the issue managers.”

APPLICATION FROM

.Specimen Signature(s): (¡) Name (in Block Letters) (¡¡) Name (in Block Letters) FERDOUSI BEGUM IFTEKHAR UDDIN Signature: Signature: BANKER’S ACKNOWLEDGEMENT Certified that this Bank has received Tk. FERDOUSI BEGUM Father’s/Husband ‘s Name: LATE AZIZ AHMED Mother’s Name : ANOWARA BEGUM Postal Address: 244/1/A. .. accept the same or any smaller number that may be allotted to me/us upon the terms of the Company’s Prospectus approved by the Securities and Exchange Commission and Subject to the Memorandum and Articles of Association of the Company. NORTH GORAN.. Bangladesh..00 per share (including a premium of Tk. your application will be treated as invalid) 4. Plot 3 & 5.NORTH GORAN.Bank ……….GRAMEENPHONE LTD. ……….../Ms./Ms. 2.Branch……………………………………………………. Dear Sir . No... 70.000/= Taka.…0n ………………….. Telephone No.. Total subscription money of the amount of Tk (in Figure) 14. 60...000/= (in word FOURTEEN THOUSAND Only from Mr. Banker’s Sl. I/We hereby declare that I/We have read the Prospectus of GRAMEENPHONE LTD. Bankers Sl. (If any): 01552-369973 Occupation: HOUSE WIFE Nationality: BANGLADESHI For Refund Warrant: Applicant’s Bank A/C No: 4010 -063525.. if they desire. 10/.” APPLICATION FROM GRAMEENPHONE LTD./Ms.... Incorrectly filled applications or applications failing to comply with any of the instructions therein may be rejected. And have willingly subscribed for 200 ordinary shares of Tk 10/. 70/-per share (including a premium of Tk./Mrs. I/We apply for and request you to allot me/us the 200 number of ordinary Shares and I/We agree to Brokers Sl. IFTEKHAR UDDIN Father’s/Husband’s Name: MD. of Ordinary Shares 200 of Tk. No.(in figure) 14.00 per share) on this form.. Occupation: SERVICE Nationality: BANGLADESHI 6. FERDOUSI BEGUM Postal Address: 244/1/A. I/We agree to fully abide by the instruction given herein. The Chief Executive Officer GRAMEENPHONE LTD.. Gulshan-2.. I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any application money refundable to me /us by post/courier at my/our risk to the first applicant’s address stated below: 1..Dated…………………………..DHAKA-1219.…./Mrs.Beneficiary Owner (B/O) Account Number 1 2 0 3 2 1 0 0 1 2 2 7 4 3 5 1 (If you do not mention your valid BO(Beneficiary Owners) account. I/We authorize you to place my/our name(s) on the Register of Members of the Company and deposit the said ordinary shares in my Beneficiary Owner (“BO”) account.each per value at an Issue Price of Tk.. DHAKA-1219. 3. KHILGAON SHEPAHIBAG (3RD FLOOR). 60.each par value at an Issue Price of Tk..……. 5. Further..300 Name of the Bank: AB BANK LIMITED Branch: NORTH SOUTH ROAD b) Second Applicant: Mr... (in words) FOURTEEN THOUSAND only depositedvide Cash/Cheque/Draft/PayOrderNo……………………………. FERDOUSI BEGUM being the applications money for 200 of Ordinary Shares of GRAMEENPHONE LTD. KUTUB UDDIN Mother’s Name: MRS.. Particulars of Applicant(s): a) Sole/First Applicant Name :Mr.. No.00 per share). Road 113/A... Dhaka-1212. 7./Mrs. Celebration Point. APPLICATION FOR SHARES BY INVESTORS OTHER THAN NON-RESIDENT BANGLADESHI(S) Warning: Please read the instructions at the back of this form. KHILGAON SHEPAHIBAG (3RD FLOOR). and that copies of prospectus may be obtained from the issuer and the issue managers.No.. Seal and Date Authorized Signature (Name & Designation) “Interested persons are entitled to a prospectus.

... Road 113/A. 3... NORTH GORAN. 5. I/We authorize you to place my/our name(s) on the Register of Members of the Company and deposit the said ordinary shares in my Beneficiary Owner (“BO”) account. Celebration Point...each par value at an Issue Price of Tk. ……. 60.. Father’s/Husband’s Name: Mother’s Name: Postal Address: Occupation: 7... Telephone No. No. The Chief Executive Officer GRAMEENPHONE LTD../Ms. 70.063525... Plot 3 & 5. I/We hereby declare that I/We have read the Prospectus of GRAMEENPHONE LTD.…0n ………………….Dated………………………….APPLICATION FOR SHARES BY INVESTORS OTHER THAN NON-RESIDENT BANGLADESHI(S) Warning: Please read the instructions at the back of this form.each per value at an Issue Price of Tk. DHAKA-1219.. of Ordinary Shares 200 of Tk. Incorrectly filled applications or applications failing to comply with any of the instructions therein may be rejected... Particulars of Applicant(s): a) Sole/First Applicant Name :Mr. ………. 10/./Mrs.Bank ……….(in figure) 14. BANKER’S ACKNOWLEDGEMENT Certified that this Bank has received Tk. 1. FERDOUSI BEGUM being the applications money for 200 of Ordinary Shares of GRAMEENPHONE LTD.Specimen Signature(s): (¡) Name (in Block Letters) (¡¡) Name (in Block Letters) IFTEKHAR UDDIN Signature: Signature: N/A Nationality: BANGLADESHI 6. Dhaka-1212. No.. Further./Ms..00 per share (including a premium of Tk.…... Gulshan-2....00 per share) on this form. Seal and Date Authorized Signature (Name & Designation) . Beneficiary Owner (B/O) Accoun Number 1 2 0 3 2 1 0 0 0 7 2 2 4 3 5 1 (If you do not mention your valid BO(Beneficiary Owners) account..No. Dear Sir .000/= (in word FOURTEEN THOUSAND Only from Mr. 70/-per share Brokers Sl. 2.000/= Taka../Ms. Bangladesh. Banker’s Sl.. (in words) FOURTEEN THOUSAND only depositedvide Cash/Cheque/Draft/PayOrderNo……………………………... (If any): 01711-081159 Occupation: SERVICE Nationality: BANGLADESHI For Refund Warrant: Applicant’s Bank A/C No: 4010 . KHILGAON SHEPAHIBAG (3RD FLOOR).. IFTEKHAR UDDIN Father’s/Husband ‘s Name: MD. And have willingly subscribed for 200 ordinary shares of Tk 10/. KUTUB UDDIN Mother’s Name : FERDOUSI BEGUM Postal Address: 244/1/A. I/We agree to fully abide by the instruction given herein. I/We apply for and request you to allot me/us the 200 number of ordinary Shares and I/We agree to accept the same or any smaller number that may be allotted to me/us upon the terms of the Company’s Prospectus approved by the Securities and Exchange Commission and Subject to the Memorandum and Articles of Association of the Company.00 per share). I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any application money refundable to me /us by post/courier at my/our risk to the first applicant’s address stated below: Bankers Sl. 60. Total subscription money of the amount of Tk (in Figure) 14. (including a premium of Tk.. No./Mrs.Branch……………………………………………………. your application will be treated as invalid) 4./Mrs.300 Name of the Bank: AB BANK LIMITED Branch: NORTH SOUTH ROAD b) Second Applicant: Mr..

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