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INDIAN RENEWABLE ENERGY DEVELOPMENT AGENCY LIMITED COMMON APPLICATION FORM


APPLICATION FORM
(A GOVERNMENT OF INDIA ENTERPRISE)
FOR ASBA / NON ASBA
(FOR RESIDENT APPLICANTS) Credit Rating : [ICRA] AA+ [pronounced ICRA Double A Plus] (Outlook: Stable) by ICRA Limited and IND AA+ by India Ratings & Research Private Limited
Application
Form No.

To, The Board of Directors,


INDIAN RENEWABLE ENERGY DEVELOPMENT AGENCY LIMITED

ISSUE OPENS ON : JANUARY 8, 2016


ISSUE CLOSES ON* : JANUARY 22, 2016
*For early closure or extension of the issue, refer overleaf

55009267

PUBLIC ISSUE OF TAX FREE, SECURED, REDEEMABLE, NON-CONVERTIBLE BONDS IN THE NATURE OF DEBENTURES VIDE SHELF PROSPECTUS & PROSPECTUS TRANCHE-I DATED DECEMBER 31, 2015
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 Applicants Undertaking as given overleaf. I/we hereby confirm
that I/we have read the instructions for filling up the Application Form given overleaf.
ESCROW BANK / SCSB BRANCH
BANK BRANCH
REGISTRARS / SCSB
DATE OF
SUB- CONSORTIUM MEMBER /BROKERS
SUB BROKER/AGENT
LEAD MANAGER/ CONSORTIUM MEMBER/TRADING MEMBER STAMP & CODE
SERIAL NO.
RECEIPT
CODE
STAMP & CODE
STAMP & CODE
SERIAL NO.

155929

23/13116-31

Edelweiss Securities Ltd. 01/121

1. APPLICANTS DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to point no. 28 of the attached Abridged Prospectus)
First Applicant (Mr./ Ms./M/s.)
Date of Birth D D M M Y Y Y Y
Address

Name of Guardian (if applicant is minor) Mr./Ms.


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 (Please refer overleaf) Category I

Category II

Category III

Category IV

Sub Category Code (Please refer overleaf)

3. PLEASE PROVIDE APPLICANTS DEPOSITORY DETAILS


(Please Refer To Point No. 28 Of The Attached Abridged Prospectus) For NSDL Enter 8 Digit DP Id Followed By 8 Digit Client Id / For CDSL Enter 16 Digit Client ID
NSDL /
CDSL
4. IN CASE OF APPLICATION TO HOLD THE BONDS IN PHYSICAL FORM, PLEASE PROVIDE FOLLOWING DETAILS
(Please enclose self attested copies of the KYC Documents along with the Application Form. For list of KYC documents, please refer overleaf)
Bank Details for payment of Refund / Interest / Maturity Amount (Mandatory)
NOMINATION (Please see Page 25 of this Abridged Prospectus)
Name of the Nominee : _____________________________________________________ Bank Name : _____________________________________ Branch : ____________________
If Nominee is Minor, Guardians Name : ____________________________________________ Account No.: __________________ IFSC Code : _____________ MICR Code: ____________

PLEASE FILL IN BLOCK LETTERS

5. INVESTMENT DETAILS (For details, please refer Issue Structure overleaf)


Options / Series of Bonds
Series 1A
Coupon rate / Annualised yield (%) per annum for Category I, II, III
7.28%
Options/ Series of Bonds
Series 1B
Coupon rate / Annualised yield (%) per annum For Category IV
7.53%

Series 2A
Series 3A
7.49%
7.43%
Series 2B
Series 3B
7.74%
7.68%
For Category I, II, III & IV
10 years
15 years
20 years
10 years from the Deemed Date of Allotment.
15 years from the Deemed Date of Allotment.
20 years from the Deemed Date of Allotment.
Repayment of the face value amount of Bonds plus any interest at the applicable coupon/ interest rate that may have accrued on the Maturity Date/Redemption Date
` 1,000 per Bond
` 1,000 per Bond
` 1,000 per Bond
Annual
None.
5 Bonds (` 5,000) (individually or collectively, across all Series of Bonds) and in the multiple of One Bond (` 1,000) thereafter

Tenor
Redemption Date
Redemption Amount (`/ Bond)
Face Value/Issue Price
Frequency of Coupon / Interest Payment
Put and call option
Minimum Application and in the multiple of thereafter
No. of Bonds applied
Amount Payable (`)
Grand Total (`)

6. PAYMENT DETAILS (Please tick () any one of payment option A or B below)


Please write a Sole/First Applicants Name, Phone No. and Application No. on the reverse of Cheque/DD.

Amount Paid (` in figures)

(` in words)

A. CHEQUE/ DEMAND DRAFT (DD) to be drawn in favour of Escrow Account IREDA Public Issue II
Dated D D M M Y Y

Cheque/DD No.
Drawn on (Bank Name & Branch)

(B) ASBA
Bank A/c No.
ASBA A/c. Holder Name ________________________________________________
(in case Applicant is different from ASBA A/c. Holder)
Bank Name & Branch ___________________________________________________
____________________________________________________________________________________________________

6A. PAN & SIGNATURE OF


SOLE/ FIRST APPLICANT

6B. PAN & SIGNATURE OF


SECOND APPLICANT

6C. PAN & SIGNATURE OF


THIRD APPLICANT

PAN

PAN

PAN

6D. Signature of ASBA Bank Account Holder(s)


(as per Bank Records)(for ASBA Option only)
I/We authorize the SCSB to do all acts as are necessary to
make the Application in the Issue

1)
2)

Furnishing PAN of the Applicant is mandatory including minors PAN in case of


Application by minor. Please refer point no. 28 of the attached Abridged Prospectus

Date : ___________________, 2016

INDIAN RENEWABLE ENERGY


DEVELOPMENT AGENCY LIMITED
(A Government of India Enterprise)

3)

TEAR HERE

Application
Form No.

Acknowledgement Slip for Lead Managers/


Consortium Member/Sub-Consortium Member/
Brokers/Sub-Brokers/Trading Members / SCSBs

DPID/
CLID

LEAD MANAGERS / CONSORTIUM /


SUBCONSORTIUM MEMBERS /BROKER S/
SUBBROKERS/ TRADING MEMBERS /SCSB
BRANCHS STAMP
(ACKNOWLEDGING UPLOAD OF APPLICATION IN
STOCK EXCHANGE SYSTEM) (MANDATORY)

55009267

PAN

Amount Paid (` in figures)

Date, Stamp & Signature of Escrow


Bank (Mandatory)

Bank & Branch

Cheque / DD/ASBA Bank A/c No.

Dated___________,2016

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


Telephone / Mobile

Email

(A Government of India Enterprise)

INDIAN RENEWABLE ENERGY


DEVELOPMENT AGENCY LIMITED

TEAR HERE

TEAR HERE
PUBLIC ISSUE OF TAX FREE, SECURED, REDEEMABLE, NON-CONVERTIBLE BONDS IN THE NATURE OF DEBENTURES VIDE SHELF PROSPECTUS & PROSPECTUS TRANCHE-I DATED DECEMBER 31, 2015
Options/Series of Bonds
Issue Price (`/Bond)
No. of Bonds applied for
Amount Payable (`)
Grand Total (`)

Series 1A / 1B
` 1,000

Cheque / DD/ASBA Bank A/c No.


Drawn on (Name of Bank & Branch)

Series 2A / 2B
` 1,000

Series 3A / 3B
` 1,000

Date Stamp & Signature of Lead Manager/ Name of Sole / First Applicant
Consortium Members/Sub-Consortium
___________________________________________
Members/Trading Members/SCSB

___________________________________________

Applications submitted without being uploaded on the terminals of the Stock Exchanges
will be rejected.

Acknowledgement Slip for Applicant


Dated

,2016

All future communication in connection with this application


should be addressed to the Registrar to the Issue. For
details, pleaser refer overleaf. Acknowledgement is subject
to realization of Cheque / Demand Draft.

Application
Form No.

55009267

While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Manager/Consortium /Sub-Consortium Member/Broker/Sub Broker/Trading Member/SCSB matches with the date stamp on the Acknowledgement Slip

155929

M K

APPLICANTS UNDERTAKING

I/We hereby agree and confirm that:


1. I/We have read, understood and agreed to the contents and terms and conditions of INDIAN RENEWABLE ENERGY DEVELOPMENT AGENCY LIMITED Shelf Prospectus & Prospectus Tranche -I dated December 31, 2015 (Prospectus)
2. I/We hereby apply for allotment of the Bonds to me/us and the amount payable on application is remitted herewith.
3. I/We hereby agree to accept the Bonds 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 IL&FS TRUST COMPANY LIMITED to act as my/our trustees and for doing such acts as are necessary to carry out their 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 Bonds as nominee(s) of any person resident outside India and/or Foreign National(s).
6. The application made by me/us do not exceed the investment limit on the maximum number of Bonds 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 the company 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 Bonds applied for.
9. 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/Consortium Members/Sub-Consortium Members and Trading Members (in Specified cities only) 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, transfer of funds to the Public Issue Account on receipt of instruction from the Lead Manager,
Registrar to the Issue, after finalization of Basis of Allotment; and (b) the Registrar to the Issue 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.
10. Additional Undertaking in case the Applicant wishes to hold the Bonds in physical form:
1) In terms of Section (8)(1) of the Depositories Act, 1996, I/we wish to hold the Bonds in physical form. 2) I/We confirm that the Information provided in this form is true and correct and I/We enclose herewith self attested copies of the
KYC Documents. 3) I/We confirm that we do not hold any Demat Account.

ISSUE RELATED INFORMATION FOR FILLING THE APPLICATION FORM

KYC Documents: (To be submitted only for holding Bonds in Physical Form): Please provide the following documents along with the Application Form: (a) Self-attested copy of the PAN card (in case of
a minor, the guardian shall also submit the self-attested copy of his/her PAN card); (b) Self-attested copy of your proof of residence. Any of the following documents shall be considered as a verifiable proof of residence: ration
card issued by the GoI; or valid driving license issued by any transport authority of the Republic of India; or electricity bill (not older than three months); or landline telephone bill (not older than three months); or valid passport
issued by the GoI; or voters identity card issued by the GoI; or passbook or latest bank statement issued by a bank operating in India; or registered leave and license agreement or agreement for sale or rent agreement or fl at
maintenance bill; or AADHAR letter; or life insurance policy. Self-attested copy of a cancelled cheque of the bank account to which the amounts pertaining to payment of refunds, interest and redemption, as applicable, should
be credited. (c) In absence of the cancelled cheque, our Company may reject the Application or it may consider the bank details as given on the Application Form at its sole discretion. In such case the Company, Lead Managers
and Registrar shall not be liable for any delays/ errors in payment of refund and/ or interest. For information pertaining to KYC Documents, please refer on page 15 of this Abridged Prospectus
INVESTOR CATEGORIES:
Category I (Qualified Institutional Buyers)/(QIBs)#
Sub Category Code Category II (Corporates)# (contnd ........)
Sub Category Code
Public Financial Institutions
11
Statutory bodies/corporations
24
Alternative Investment Funds, subject to investment conditions applicable to them under the
12
Public/Private Charitable/Religious Trusts settled and/or registered in India
25
Securities and Exchange Board of India (Alternative Investment Funds) Regulations, 2012
Scheduled commercial banks
13
Partnership firms formed under applicable laws of India in the name of partners
26
Mutual Funds registered with SEBI
14
Association of Persons
27
State industrial development corporations
15
Co-operative banks incorporated in India
28
Insurance companies registered with the IRDA
16
Regional Rural Banks incorporated in India
29
17
Any other domestic legal entities/ persons as may be permissible under the CBDT
30
Provident funds with a minimum corpus of ` 25 crore
Notification and authorised to invest in the Bonds in terms of applicable laws.
Category III (High Networth Individuals)/(HNIs)
18
Pension funds with a minimum corpus of ` 25 crore
The National Investment Fund set up by resolution F. No. 2/3/2005-DD-II dated November
19
The following Investors applying for an amount aggregating to more than `10 lakhs
23, 2005 of the GoI, published in the Gazette of India
across all Series of Bonds in this Issue:
Insurance funds set up and managed by the army, navy, or air force of the Union of India
20
Resident Indian Individuals
31
Insurance funds set up and managed by the Department of Posts, India
55
Hindu Undivided Families through the Karta
32
Category IV (Retail Individual Investors) /(RIIs)
Indian Multilateral and bilateral development financial institutions
56
Category II (Corporates)#
The following Investors applying for an amount aggregating upto and including
Companies within the meaning of section 2 (20) of the Companies Act 2013
21
` 10 lakhs across all Series of Bonds in this Issue:
Limited Liability Partnerships registered under the provisions of the LLP Act
22
Resident Indian Individuals
41
Societies registered under the applicable laws in India
23
Hindu Undivided Families through the Karta
42
# See general circular (No. 6/2015), dated April 9, 2015 issued by the MCA clarifying that in cases where the effective yield (effective rate of return) on tax free bonds is greater than the prevailing yield of one year, three year, five year
or ten year government security closest to the tenor of the loan, there is no violation of Section 186(7) of the Companies Act, 2013.
Options / Series of Bonds*
Series 1A
Series 2A
Series 3A
Coupon rate (%) per annum for Category I, II, III#
7.28%
7.49%
7.43%
#
Annualised yield (%) per annum for Category I, II, III
7.28%
7.49%
7.43%
Options/ Series of Bonds*
Series 1B
Series 2B
Series 3B
Coupon rate (%) per annum for Category IV#
7.53%
7.74%
7.68%
Annualised yield (%) per annum For Category IV#
7.53%
7.74%
7.68%
For Category I, II, III & IV
Tenor
10 years
15 years
20 years
Redemption Date
10 years from the Deemed Date of Allotment.
15 years from the Deemed Date of Allotment.
20 years from the Deemed Date of Allotment.
Repayment of the face value amount of Bonds plus any interest at the applicable coupon/ interest rate that may have accrued on the Maturity Date/Redemption Date
Redemption Amount (`/ Bond)
Frequency of interest payment
Annual
Coupon Payment Dates
The date, which is the day falling one year from the Deemed Date of Allotment, in case of the first coupon/ interest payment and the same day every year, until the Redemption Date
for subsequent coupon/ interest payment.
Coupon / Interest Type
Fixed coupon rate
Minimum Application and in multiple thereafter
5 Bonds (` 5,000) (individually or collectively, across all Series of Bonds) and in the multiple of One Bond (` 1,000) thereafter
Face Value / Issue Price
` 1,000 per Bond
Modes of interest payment
See Terms of the Issue on page 19 of the attached Abridged Prospectus
Issuance mode of the Instrument
In dematerialised form or in physical form as specified by the Applicant in the Application Form.
Trading mode of the Instrument
In dematerialized form only
Put and call option
None.
Seniority
The claims of the Bondholders shall be superior to the claims of any unsecured creditors of our Company and subject to applicable statutory and/or regulatory
requirements, rank pari passu inter se to the claims of other secured creditors of our Company having the same security.
Security
The Bonds proposed to be issued will be secured by a first pari passu charge on present and future receivables of the Issuer to the extent of the amount mobilized under
the Issue and interest thereon. The Issuer reserves the right to deal with the receivables, both present and future in the ordinary course of business, including without
limitation to create a first/ second charge on pari-passu basis thereon for its present and future financial requirements, without requiring the consent of, or intimation to,
the Bondholders or the Debenture Trustee in this connection, provided that a minimum security cover of 1 (one) time is maintained on the outstanding principal amount
and interest due thereon.

* Our Company shall Allot Bonds of Tranche- I Series 1A/ Tranche- I Series 1B (depending upon the category of Applicants) for all valid Applications, wherein the Applicants have not indicated their choice of the relevant Series of Bonds.
# In pursuance of the CBDT Notification, and for avoidance of doubt, it is clarified that: (i) The coupon rates indicated under the Tranche -I Series 1B, the Tranche -I Series 2B and the Tranche -I Series 3B Bonds shall be payable only on the Bonds allotted to Category IV investors in the Issue. Such coupon is payable only if on the
Record Date for payment of interest, the Bonds are held by investors falling under Category IV. (ii) In case the Bonds allotted under Tranche -I Series 1B, the Tranche -I Series 2B and the Tranche -I Series 3B are transferred by Category IV investors to investors falling under Categories I, Category II or Category III, the coupon rate
on such Bonds shall stand at par with coupon rate applicable for Tranche -I Series 1A, the Tranche -I Series 2A and the Tranche -I Series 3A, respectively. (iii) If the Bonds allotted under Tranche -I Series 1B, the Tranche -I Series 2B and the Tranche -I Series 3B are sold/ transferred by Category IV investors to other investors falling
under Category IV as on the Record Date, the coupon rates on such Bonds shall remain unchanged. (iv) The Bonds allotted under Tranche -I Series 1B, Tranche -I Series 2B and the Tranche -I Series 3B shall continue to carry the specified interest rate if on the Record Date, such Bonds are held by Category IV Investors; (v) If on any
Record Date, the original Category IV Allottees/ transferee(s) hold the Bonds allotted under Tranche -I Series 1B, Tranche -I Series 2B,Tranche -I Series 3B,Tranche -I Series 1A, the Tranche -I Series 2A and the Tranche -I Series 3A for an aggregate face value amount of over ` 10 lakh, then the coupon rate applicable to such Category
IV Allottees/transferee(s) on Bonds under Tranche -I Series 1B, Tranche -I Series 2B and Tranche -I Series 3B shall stand at par with coupon rates applicable for Tranche -I Series 1A, the Tranche -I Series 2A and the Tranche -I Series 3A, respectively; (vi) Bonds allotted under Tranche -I Series 1A, Tranche -I Series 2A and Tranche -I
Series 3A shall carry coupon rates indicated above until the maturity of the respective Series of Bonds irrespective of Category of holder(s) of such Bonds; (vii) For the purpose of classification and verification of status of Category IV Bondholders, the aggregate face value of Bonds held by the Bondholders in all the Series of Bonds,
allotted under the relevant Tranche Issue shall be clubbed and taken together on the basis of PAN.
Early closure or Extension of the issue: The Issue shall remain open for subscription from 10 A.M. to 5 P.M (Indian Standard Time) during the period indicated above with an option for early closure/extension as may be decided by the board of directors of our Company or a duly constituted Bond committee. In the event of such
early closure or extension of the subscription list of the Issue, our Company shall ensure that public notice of such early closure/extension is published on or before such early date of closure or the Issue Closing Date, as applicable, through advertisement(s) in at least one leading national daily newspaper with wide circulation.
Basis of Allotment: For Basis of Allotment details, please refer point no. 41 of the attached Abridged Prospectus. For Grounds for Technical Rejection: Please refer to point no. 37 of the attached Abridged Prospectus.
For further information, please refer to section titled Terms of the Issue on page 19 of the attached Abridged Prospectus and on page 62 of the Prospectus Tranche-I.

TEAR HERE

In case of queries related to Allotment/ credit of Allotted Bonds/Refund, the Applicants should contact Registrar
to the Issue.
In case of ASBA Application submitted to the SCSBs, the Applicants should contact the relevant SCSB.
In case of queries related to upload of Applications submitted to the Lead Managers/ Consortium/SubConsortium Members/Brokers/Sub Brokers/Trading Member should contact the relevant Lead Managers/
Consortium /Sub-Consortium Members/Brokers/Sub Brokers/ Trading Member.
Acknowledgement is subject to realisation of Cheque/DD/Availability of Funds in the ASBA account
The grievances arising out of Applications for the Bonds made through Trading Members may be addressed
directly to BSE Ltd.

COMPANY CONTACT DETAILS

INDIAN RENEWABLE ENERGY DEVELOPMENT AGENCY LIMITED


(A Government of India Enterprise)

Registered Office: India Habitat Centre, East Court, Core 4 A,


1st Floor, Lodhi Road, New Delhi - 110003;
Tel No: +91 (11) 24682214; Facsimile: +91 (11) 24682202
Corporate Office: 3rd Floor, August Kranti Bhawan, Bhikaiji
Cama Place, New Delhi 110066; Tel No: +91 (11) 26717400-12;
Facsimile: +91 (11) 26717416; Website: www.ireda.gov.in

INDIAN RENEWABLE ENERGY DEVELOPMENT AGENCY LIMITED

REGISTRAR CONTACT DETAILS


KARVY COMPUTERSHARE PRIVATE LIMITED
Karvy Selenium Tower B, Plot No. 31-32, Gachibowli,
Financial District, Nanakramguda, Hyderabad 500032, India
Tel No.: +91 (40) 6716 2222; Facsimile: +91 (40) 2343 1551; Email:
einward.ris@karvy.com; Investor Grievance Email: ireda.bonds@
karvy.com Website: http://karisma.karvy.com Contact Person:
Mr. M Murali Krishna; SEBI Registration No.: INR000000221