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FOLIO NO. / DP/CLIENT ID: 1208160021124631 CAF. No. 1208160021124631 SRL No. 73333
PURBA MEDINIPUR -
721139
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
Tuesday, April 12, 2022. entitled to Rights Entitlements applied for for
175 215
Amount Payable on application @ ₹63 Per Rights Equity Share (includes Permanent Account No (PAN)
Face Value: ₹ 10 and Premium: ₹53) Sole /First Applicant
(
Self-Certified Syndicate Bank (SCSB) Details
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
(In case of joint shareholders, all joint shareholders must sign in the same sequence as per specimen recorded with the Company / Depository)
All Eligible Equity Shareholders making application on Plain Paper are deemed to have accepted the following:
I/We agree to accept the Rights Equity Shares Allotted to me/us and to hold such Rights Equity Shares upon the terms and
conditions of the Abridged Letter of Offer/Letter of Offer, and any addendum thereto, this Application Form, Rights Entitlement
Letter and subject to the provisions of the Companies Act, 2013, SEBI ICDR Regulations, SEBI Rights Issue Circulars as
applicable and the rules made thereunder and the Memorandum and Articles of Association of the Company.
I/We undertake that I/we will sign all such other documents and do all other such acts, if any, necessary on my/our part to enable
me/us to be registered as the holder(s) of the Rights Equity Shares in respect of which this application may be accepted.
I/We also agree to accept the Rights Equity Shares subject to laws, as applicable, guidelines, circulars, notifications and
regulations relating to the issue of capital and listing of securities issued from time to time by SEBI/Government of India/RBI
and/or other authorities.
I/We hereby solemnly declare that I am/we are not applying for the Rights Equity Shares in contravention of section 269SS of the
Income-Tax Act, 1961.
I/We authorise you to place my/our name(s) on the Register of Members / Register of Beneficial Owners of the Company.
I/We hereby make the following representations, warranties and agreements (which are set forth in the section of the Letter of
Offer entitled “Restrictions on Purchases and Resales-Representations, Warranties and Agreements by Purchasers” on behalf of
myself/ourselves and, if I am/we are acquiring the Rights Equity Shares as a fiduciary or agent for one or more investor accounts,
on behalf of each owner of such account (such person being the “purchaser”, which term shall include the owners of the investor
accounts on whose behalf I/am we are acting as fiduciary or agent):
• The purchaser has the full power and authority to make the acknowledgements, representations, warranties and
agreements contained herein and to exercise the Rights Entitlements and subscribe for the Rights Equity Shares, and, if
the purchaser is exercising the Rights Entitlements and acquiring the Rights Equity Shares as a fiduciary or agent for one
or more investor accounts, the purchaser has the full power and authority to make the acknowledgements,
representations, warranties and agreements contained herein and to exercise the Rights Entitlements and subscribe for the
Rights Equity Shares on behalf of each owner of such account.
• If any Rights Entitlements were bought by the purchaser or otherwise transferred to the purchaser by a third party (other
than our Company), the purchaser was in India at the time of such purchase or transfer;
• The purchaser is aware and understands (and each account for which it is acting has been advised and understands) that
an investment in the Rights Entitlements and the Rights Equity Shares involves a considerable degree of risk and that the
Rights Entitlements and the Rights Equity Shares are a speculative investment.
• The purchaser understands (and each account for which it is acting has been advised and understands) that no action has
been or will be taken to permit an offering of the Rights Entitlements or the Rights Equity Shares in any jurisdiction
(other than the filing of the Letter of Offer with SEBI and the Stock Exchanges); and it will not offer, resell, pledge or
otherwise transfer any of the Rights Entitlements except in India or the Rights Equity Shares which it may acquire, or any
beneficial interests therein, in any jurisdiction or in any circumstances in which such offer or sale is not authorised or to
any person to whom it is unlawful to make such offer, sale, solicitation or invitation except under circumstances that will
result in compliance with any applicable laws and/or regulations.
• The purchaser (or any account for which it is acting) is an Eligible Equity Shareholder and has received an invitation
from our Company, addressed to it and inviting it to participate in this Issue.
• None of the purchaser, any of its affiliates or any person acting on its or their behalf has taken or will take, directly or
indirectly, any action designed to, or which might be expected to, cause or result in the stabilization or manipulation of
the price of any security of the Company to facilitate the sale or resale of the Rights Entitlements or the Rights Equity
Shares pursuant to the Issue.
• Prior to making any investment decision to exercise the Rights Entitlements and subscribe for the Rights Equity Shares,
the purchaser (i) will have consulted with its own legal, regulatory, tax, business, investment, financial and accounting
advisers in each jurisdiction in connection herewith to the extent it has deemed necessary; (ii) will have carefully read
and reviewed a copy of the Letter of Offer and its accompanying documents; (iii) will have possessed and carefully read
and reviewed all information relating to our Company and our Group and the Rights Entitlements and the Rights Equity
Shares which it believes is necessary or appropriate for the purpose of making its investment decision, including, without
limitation, the Exchange Information (as defined below); (v) will have conducted its own due diligence on our Company
and this Issue, and will have made its own investment decisions based upon its own judgement, due diligence and advice
from such advisers as it has deemed necessary and will not have relied upon any recommendation, promise,
representation or warranty of or view expressed by or on behalf of our Company, the Lead Manager or its affiliates
(including any research reports) (other than, with respect to our Company and any information contained in the Letter of
Offer); and (vi) will have made its own determination that any investment decision to exercise the Rights Entitlements
__________________ __________________ __________________
• The purchaser acknowledges that the Company, the Lead Manager, its affiliates and others will rely upon the truth and
accuracy of the foregoing acknowledgements, representations and agreements.
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 this Issue, following banks would be acting as SCSB: 1. Allahabad Bank 2. Andhra Bank 3. Axis Bank Ltd 4. Bank of Baroda.5. Bank of India 6.
Bank of Maharashtra 7. Barclays Bank PLC 8. BNP Paribas 9. Canara Bank 10. CSB Bank 11. Central Bank of India 12. CITI Bank 13. City Union
Bank Ltd. 14. Corporation Bank 15. DBS Bank Ltd. 16. Dena Bank 17. Deutsche Bank 18. Dhanlaxmi Bank Limited 19. HDFC Bank Ltd. 20.
HSBC Ltd. 21. ICICI Bank Ltd 22. IDBI Bank Ltd. 23. Indian Bank 24. Indian Overseas Bank 25. IndusInd Bank 26. J P Morgan Chase Bank,
N.A. 27. Janata Sahakari Bank Ltd. 28. Karnataka Bank Ltd. 29. Karur Vysya Bank Ltd. 30. Kotak Mahindra Bank Ltd. 31. Mehsana Urban
Co-operative Bank Limited 32. Nutan Nagarik Sahakari Bank Ltd. 33. Oriental Bank of Commerce 34. Punjab & Sind Bank 35. Punjab
National Bank 36. Rajkot Nagarik Sahakari Bank Ltd 37. RBL Bank Limited 38. South Indian Bank 39. Standard Chartered Bank 40. State
Bank of India 41. SVC Co-operative Bank Ltd. 42. Syndicate Bank 43. Tamilnad Mercantile Bank Ltd. 44. The Ahmedabad Mercantile Co-
Op. Bank Ltd. 45. The Federal Bank 46. The Jammu & Kashmir Bank Limited. 47. The Kalupur Commercial Cooperative Bank Ltd. 48.
The Lakshmi Vilas Bank Ltd. 49. The Saraswat Co-Opearative Bank Ltd 50. The Surat Peoples Co-op Bank Ltd 51. TJSB Sahakari Bank Ltd 52. UCO
Bank 53. Union Bank of India 54. United Bank of India 55. Vijaya Bank 56. YES Bank Ltd 57. DCB Bank 58. Bandhan Bank. 59. GP Parsik Sahakari
Bank Limited 60. AU Small Finance Bank 61. IDFC First Bank 62. Equitas Small Finance Bank.
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: ASIAN GRANITO INDIA LIMITED – Rights Issue)
C-101, 247 Park, L B S Marg, Vikhroli (West), Mumbai 400 083,
Telephone: +91 (22) 4918 600,
E-mail: agl.rights2022@linkintime.co.in Website: www.linkintime.co.in,
Investor Grievance E-Mail: agl.rights2022@linkintime.co.in
Contact Person: Sumeet Deshpande SEBI Registration No: INR000004058
CIN: U67190MH1999PTC118368