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APPLICATION FORM Application Serial No: 01 Date: The Company Secretary/Compliance Officer Indiabulls Real Estate Limited Indiabulls Finance Centre, 14thFloor, Tower-1, Elphinstone Mills, S.B. Marg, Elphinstone Road (West), Mumbai- 400 013 Phone: 022-61899700; Fax 022-61891712 Compliance Officer: Mr. Ravi Telkar; E-mail: [email protected] Dear Sirs, Having read and understood the contents of the Disclosure Document/Private Placement Offer Letter to the issue, dated June 23, 2017, we apply for allotment of the Debentures to us. The amount payable on application as shown below is remitted herewith. On allotment, please place our name(s) on the Register of Debenture holder(s). We bind ourselves to the terms and conditions as contained in the Disclosure Document. (Please read carefully the instructions on the next page before filling this form) (Secured Redeemable Non-Convertible Tradable Taxable Debentures)

No. of Debentures Applied for

No. in Figures No. in Words

Amount (Rs) in figures:

Amount (Rs) in words: Cheque/Demand Draft/RTGS Details Date Drawn on Bank

Applicant’s Name & Address in full (please use capital letters)

Pin Code:

Telephone: Fax: Email:

Contact Person Mobile No. Email

Sign: Seal:

mailto:[email protected]

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Status: Banking Company ( ) Insurance Company ( ) Others ( ) – please specify Name of Authorised Signatory Designation Signature Details of Bank Account of Applicant

Bank Name & Branch Nature of Account Account No.: IFSC/NEFT Code Depository Details of Applicant

DP Name

DP ID Client ID (*) We understand that in case of allotment of debentures to us, our Beneficiary Account as mentioned above would be credited to the extent of debentures allotted.

PAN / GIR No. of the applicant

IT Circle/Ward/District ( ) Not Allotted

Tax Deduction Status ( ) Fully Exempt ( ) Tax to be deducted at Source ( ) Yes ( ) No

Sign Seal --------------------------------------- (Tear here) ------------------------------------------

ACKNOWLEDGEMENT SLIP

Application No: 01 Date: _____________

Received From __________________________________________________________________________

Rs.__________________ (Rupees _______________________________) By cheque /Demand Draft / RTGS

No. _____________________ drawn on ______________________________________________ towards

subscription money for ______________ Debentures. (Cheques /Demand Drafts are subject to realization)

For all further correspondence please contact: Indiabulls Real Estate Limited Indiabulls Finance Centre, 14th Floor, Tower-1, Elphinstone Mills, S.B. Marg, Elphinstone Road (West), Mumbai- 400 013, Phone: 022-61899700; Fax 022-61891712 Compliance Officer: Mr. Ravi Telkar; E-mail: [email protected]

mailto:[email protected]

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INSTRUCTIONS

1. You must complete application in full in BLOCK LETTERS IN ENGLISH. 2. Your Signatures should be made in English or in any of the Indian languages.

Application forms duly completed in all respects, together with Cheques/Pay Order/Demand Draft, must be lodged at the office of Indiabulls Real Estate Limited.

3. In case of payments through RTGS, the payments may be made as follows: Beneficiary Name Indiabulls Real Estate Limited Bank Account No. 00030340022200 Bank Name HDFC Bank Limited

Branch Address G-3/4, Surya Kiran Bldg., 19, Kasturba Gandhi Marg, new Delhi-110 001.

Account Type Current Account IFSC Code HDFC0000003

4. The transfer Cheque(s) should be drawn in favour of "Indiabulls Real Estate Limited" and payable at

Mumbai. 5. Outstation cheques, cash, money orders, postal orders and stock invest will NOT be accepted. 6. As a matter of precaution against possible fraudulent encashments of interest warrants due to

loss/misplacement, you are requested to mention the full particulars of the bank account, as specified in the application form.

7. Interest warrants will then be made out in favour of the bank for credit to your account. In case the full particulars are not given, cheques will be issued in the name of the applicant at their own risk.

8. Indiabulls Real Estate Limited, in the “Acknowledgement Slip” appearing below the Application Form, will acknowledge receipt of applications. No separate receipt will be issued.

9. You should mention your Permanent Account Number or the GIR number allotted under Income-Tax Act, 1961 and the Income-Tax Circle/Ward/District. In case where neither the PAN nor GIR number has been allotted, the fact of non-allotment should be mentioned in the application form in the space provided.

10. The application would be accepted as per the terms of the issue outlined in the Information Document / Disclosure Document.

11. Documents to be provided by investors Investors need to submit the following documentation, along with the application form, as

applicable: Memorandum and Articles of Association/ Documents Governing Constitution; Resolution authorizing investment; Certified True Copy of the Power of Attorney; Form 15 AA for investors seeking exemption from Tax deduction at source from interest on the

application money; Specimen signatures of the authorised signatories duly certified by an appropriate authority; SEBI Registration Certificate (for Mutual Funds); PAN to be submitted

Karvy Computershare Private Limited

“Karvy Selenium Tower-B”, Plot No. 31 & 32, Financial District, Gachibowli, Hyderabad – 500 032. T: +91-40-67161700, F: +91-40-67161680, e-mail: [email protected]

Registered Office: Karvy House, 46, Avenue 4, Street No.1, Banjara Hills, Hyderabad – 500 034

T: +91-40-2331-2454/2332-0751/752/251 | F: +91-40-2331-1968 | www.karvy.com | www.karvycomputershare.com | CIN: U74140TG2003PTC041636

Australia | Bahrain | Canada | Channel Islands | Germany | Hong Kong | Ireland | New Zealand | Philippines | South Africa | United Kingdom | USA

June 21, 2017

NCDs/QUOTE/2017

Indiabulls real Estate Limited Indiabulls House, Indiabulls Finance Centre, 14th Floor, Senapati Bapat Marg, Elphinstone Road, Mumbai 400 013

Kind Attn: Mr. Shashank Katre

Dear Sir,

Sub: Offer to act as Registrars & Transfer Agent for NCD’s of 500 crs. This has reference to your e-mail today on the subject matter.

At the outset, we express our sincere thanks for your continued patronage. We hereby offer our

services to act as registrars and transfer agents to provide electronic connectivity for the purpose of

issue of NCD’s.

Karvy Computershare Private Limited is a 50:50 joint venture between Karvy Consultants Limited

and Computershare Limited. Computershare Limited is a global registrar head quartered in

Australia with presence in 15 other countries. They are currently servicing more than 7000

corporate entities and 60 million investors. The registry business earlier handled by Karvy

Consultants Limited has been hived off to the new entity. SEBI has since made over the Registration

Certificate issued in the name of Karvy Consultants Limited to the above joint venture. The

joint venture with Computershare Limited is expected to help adopt international practices in

client and investor servicing and absorption of better technology.

Karvy Computershare Pvt. Ltd. (KARVY) has been the leading Registrars to Issues and Share

Transfer Agents, registered with SEBI. KARVY has, since inception, handled over 800 issues as

Registrar to Issue/Offer. The assignments include IPOs through both Book Building and Fixed Price

mechanisms. In the process, we had associated and interacted with a large number of

professionals, regulatory authorities, and all the major active stock exchanges, other financial

sector intermediaries and has become a repository of the most precious thing in business - rich

knowledge and experience.

KARVY is presently servicing over 28 million investor accounts spread over 360 corporate clients

including banks, PSUs and mutual funds. The Company has a work force of over 1600 experienced

personnel drawn from various disciplines.






(Cont’d)

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KARVY has emerged as a market leader in Investor Servicing in the country by offering its

services through its network of 530+ Branches in 350+ cities spread across the country,

undoubtedly the largest in the country. KARVY is poised to set new benchmarks in Investor

Servicing by establishing performance standards for Service Delivery and development and

enhancement of Service delivery competence through structured and custom built training and

development initiatives.

In its quest for quality and excellence in Investor Servicing, KARVY has been conferred the

prestigious ISO 9002 certificate by DNV for all its business divisions-the first Registrar in the

country to receive this coveted recognition. Our association with prominent international players

has highlighted the importance of service performance and has led to quantitative measurement

and monitoring of Service delivery.

Thanking you,

Yours faithfully, forKarvy Computershare Private Limited

S P Venugopal DGM-Corporate Registry






SCHEDULE OF FEE-

Sr. No

Particulars Charges

01 Facilitation charges for obtaining ISIN from Depository Rs.10,000/- (for each ISIN per annum)

02 Charges per Corporate Action for allotments & redemption for both tranches.

2000/-

03 Taxes As Applicable