To:
Name: JR Holding Private Limited Address:
Issue Opens On : 1st May 2022
Issue Closes On : 30th December 2022
Issue of 7500 (Seven Thousand Five Hundred) Redeemable, Un-rated, Unlisted, Unsecured,
NonConvertible Debentures of Rs.100,000/- each aggregating Rs.75,00,00,000/- to common applicants
and promoters with a fixed monthly commitment of Rs.3600/- per Debenture of the face value Rs.
100,000/-
APPLICATION FORM
Folio No …………… Application No………
Name & Address of the Applicant:
PAN Card Number
Aadhar Card / Passport Number
PIO / OCI Number (as applicable)
OFFER
(1) (2) (3) (4)
Folio No. Number of NCDs Number of NCDs Amount paid @ Rs.100,000/- per
offered applied for NCD applied for as per column (3)
7500
To
The Board of Directors
JR Holding Private Limited,
Bangalore
1. I/we hereby confirm that I/we have read and understood the terms and conditions of this application
form as per prospectus and have read the instructions for filling up the application form given
overleaf.
2, I / we apply for Unrated, Unsecured, and Non Convertible Debentures (NCDs).
3. I / we agree to abide by the terms, conditions, rules and regulations of the Issue.
4. I / we tender herewith a Demand Draft / Cheque No……………. dated………… for Rs.-----------
drawn on ------------------------Bank ---------------------Branch, being the amount payable on
application in respect of the NCDs applied.
5. I / we authorize you to place my / our name( s) on the Register of Debenture Holders in respect of
the NCDs allotted to me / us and I / we agree to hold such NCDs upon the terms of the said
Prospectus and subject to the provisions of the Memorandum and Articles of Association of the
Company.
6. I / we declare that I am / we are resident in India and are not applying for the above mentioned
NCDs as nominee(s) of any person(s) resident outside India.
7. I / we declare that the amount invested is through legitimate sources only and is not designed for
the purpose of contravention or evasion of any Act, Regulation, Rule, Notification, directions or any
other applicable laws enacted by the Government of India or any Statutory Authorities.
(Signature)
(Please fill in and sign in the columns below in the order of your existing shareholding.
Name(s) Signature
Applicant PAN/GIR No.
IT Circle
Ward/District
Present address of the
Sole/First Applicant
(Any change of
address is to be
notified)
Telephone / Mobile No…………………………………………..E mail ID……………………….
CIN (for corporates)
Bank details for payment of refund / interest
Name of Bank, Branch …………………………………..MICR Code …………………..
Account No. …………………………………………….IFSC Code ……………………
Instructions:
1, The application form must be signed as per the specimen signature(s) registered with the Company.
2. In case of joint holding, the application forms must be signed by all joint holders in the order in
which their names appear in the Register of Members.
3. In the case of a body corporate, the form must be signed on its behalf by a duly authenticated
person attaching a copy of Board Resolution authorizing him to sign.
4. Applicant signing under a Power of Attorney must attach a copy of self-attested Power of Attorney
along with the application.
5. No NCDs shall be allotted in the names of partnership firms, minors (except through legal guardian)
foreign nationals or the nominees of any of them.
6. Thump impressions must be authenticated by a Magistrate or Justice of Peace or Notary Public
under his official seal.
7. In case a shareholder does not receive the application form in time, he may apply for the NCD either
by taking a print out of the application given on our website or on a plain paper with the following
details:
(a) Name (including joint names, if any) (b) Ledger Folio No. (c) Number of NCDs applied for
(d) Amount paid with application (e) Particulars of cheque/Demand Draft stating its number,
date and its drawee/paying bank. (f) Particulars of bank account like account number, name of
bank and branch (g) PAN
8. The Issue opens on 1st May 2022, and closes on 30th December 2022.
9. NCDs carry an Annual Coupon Rate of 43.2%.
10. The Maturity Date shall be Three years from the date of allotment (excluding the two months
repayment holiday period).
11. In the event of under subscription, the unsubscribed portion may be disposed of by the Board of
Directors in such manner as they think most beneficial to the Company.
12. The application money can be sent through Bank Transfer
13. No separate receipt will be issued for the application money.
Definitions:
(a) Debenture: A debenture is a redeemable security (a type of investment) issued by a business
or other organization to raise money for long-term activities and growth. It is a form of debt
capital so it is accounted for as debt on the balance sheet of the issuing company. It is issued
under the seal of the company. It earns an interest component, payable monthly or in other
frequency as committed.
(b) Non-convertible Debenture: An NCD is redeemable only as the financial equivalent of the face
value and can not be converted as the equity or shares of the company issuing the same.
(c) Repayment Holiday: The Company takes a span of 60 days to deploy the funds in a revenue
yielding cycle and such 60 days is treated as a repayment holiday for interest.
(d) Interest or Coupon Rate: The debentures are offered with a Coupon Rate or a committed interest
value of Rs.3600/- per unit of face value Rs.1,00,000/- per month, payable monthly from the 90th
day, factoring the repayment holiday.
(e) Redemption: The debentures are offered with a tenure of 37 months, 1 months of non-interest
bearing repayment holiday and 36 months of interest bearing tenure. The debentures shall be
redeemed at the end of the 38th month.
(f) Service Charge: At the juncture of redemption, a service charge of 10% will be levied on the
face value of the debenture as book keeping charges.
(g) Returns: For purpose of clarity the scheme can be defined as follows:
a. Company invites debenture subscription in tranches of either 25 or 40, amounting to
either 25 lakhs or 40 lakhs
b. Company will take a repayment holiday of 30 days towards effective deployment of the
funds into revenue streams
c. Company agrees to pay a coupon rate of 3.6% per month for 36 months (after the
repayment holiday), translating to a sum of Rs.90,000/- per month to a 25 lakh debenture
holder and a sum of Rs.1,44,000/- per month to a 40 lakh debenture holder.
d. Company agrees to redeem the debenture at a 90% value in the end of the 38th month
along with the last interest payment. The 90% of the debenture value translates to
Rs.22,50,000/- for a 25 lakh debenture holder and Rs.36,00,000/- for a 40 lakh
debenture holder.
(h) The Registry will be maintained by the Company – JR Holding Private Limited and any name
transfer, assignment or bequeathment will be applied to the records on official representation.
(i) Security: There is no underlying asset that is being offered on lien for every debenture of the
face value Rs.1,00,000/- However, a charging station of two different configurations are
purchased with an investment of 25 lakh and 40 lakh from the subscription.
(j) For purpose of clarity, two tabular columns of the returns and the tentative months have been
attached below. The changes on account of the actual effective subscription will be made in the
final application form on a case to case basis.
For a 25 Lakh Debenture Holder
Month 1 NA - RH Month 17 90000 Month 33 90000
Month 2 NA-RH Month 18 90000 Month 34 90000
Month 3 90000 Month 19 90000 Month 35 90000
Month 4 90000 Month 20 90000 Month 36 90000
Month 5 90000 Month 21 90000 Month 37 90000
Month 6 90000 Month 22 90000 Month 38 90000
Month 7 90000 Month 23 90000 Month 39 2250000
Month 8 90000 Month 24 90000
Month 9 90000 Month 25 90000
Month 10 90000 Month 26 90000
Month 11 90000 Month 27 90000
Month 12 90000 Month 28 90000
Month 13 90000 Month 29 90000
Month 14 90000 Month 30 90000
Month 15 90000 Month 31 90000
Month 16 90000 Month 32 90000
For a 40 Lakh Debenture Holder
Month 1 NA - RH Month 17 144000 Month 33 144000
Month 2 NA – RH Month 18 144000 Month 34 144000
Month 3 144000 Month 19 144000 Month 35 144000
Month 4 144000 Month 20 144000 Month 36 144000
Month 5 144000 Month 21 144000 Month 37 144000
Month 6 144000 Month 22 144000 Month 38 144000
Month 7 144000 Month 23 144000 Month 39 3800000
Month 8 144000 Month 24 144000
Month 9 144000 Month 25 144000
Month 10 144000 Month 26 144000
Month 11 144000 Month 27 144000
Month 12 144000 Month 28 144000
Month 13 144000 Month 29 144000
Month 14 144000 Month 30 144000
Month 15 144000 Month 31 144000
Month 16 144000 Month 32 144000
