990373_single

Acknowledgement Slip for Lead Managers/Consortium Member/Sub-Consortium Member/

Brokers/Sub-Brokers/Trading Members / SCSB’s

RURAL ELECTRIFICATION CORPORATION LIMITED

(A Government of India Undertaking)

Application Form No.


Name of Sole / First Applicant______________________________________________________________________________________

Cheque / DD/ASBA Bank A/c No. Drawn on (Name of Bank & Branch)

TEAR HERE

Date, Stamp & Signature of Escrow Bank (Mandatory)

Cheque / DD/ASBA Bank A/c No. Dated___________,2015

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

Telephone / Mobile Email

Amount Paid (` in figures) Bank & Branch

PANDPID/ CLID

TEAR HERE

Acknowledgement Slip for Applicant

Date Stamp & Signature of Lead Manager/Consortium Members/Sub-Consortium

Members/Trading Members/SCSB

2. Investor Category (Please refer overleaf) Category I Category II Category III Category IV Sub Category Code (Please refer overleaf)

3. PLEASE PROVIDE APPLICANT’S DEPOSITORY DETAILS

NSDL / CDSL

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

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Dated ,2015

application form (for resident applicants)

ISSUE OPENS ON : OCTOBER 27, 2015ISSUE CLOSES ON* : NOVEMBER 4, 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 ‘Applicant’s Undertaking’ as given overleaf. I/we hereby confirm that I/we have read the instructions for filling up the Application Form given overleaf.

pUBlic issUe of taX free, secUred, redeemaBle, non-conVertiBle Bonds in tHe natUre of deBentUres Vide sHelf prospectUs and prospectUs trancHe i dated octoBer 21, 2015

To, The Board of Directors, rUral electrification corporation limited

lead manaGer/ consortiUm memBer/tradinG memBer stamp & code sUB BroKer/aGentcode

SUB- CONSORTIUM MEMBER /BROKER’Sstamp & code

escroW BanK / scsB BrancHstamp & code

BanK BrancHserial no.

1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to point no. 29 of the attached Abridged Prospectus)

D D M M Y Y Y Y

First Applicant (Mr./ Ms./M/s.) Date of Birth Name of Guardian (if applicant is minor) Mr./Ms. Address

Pin Code (Compulsory) Tel No. (with STD Code) / Mobile Email

Second Applicant (Mr./ Ms./M/s.)

RURAL ELECTRIFICATION CORPORATION LIMITED(A Government of India Undertaking)

Credit Rating : “[CRISIL] AAA” (stable) by CRISIL Limited, “CARE AAA” by CARE Limited, “ICRA AAA” by ICRA Limited and “IND AAA / Stable” by India Ratings & Research Private Limited

common application formfor asBa / non asBa

REGISTRAR’S / SCSBserial no.

date ofreceipt

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

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

(Please Refer To Point No. 29 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

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

7D. Signature of ASBA Bank Account Holder(s) (as per Bank Records)(for ASBA Option only)

1)

I/We authorize the SCSB to do all acts as are necessary to make the Application in the Issue

2)

3)

7a. pan & siGnatUre of sole/ first applicant

7B. pan & siGnatUre of second applicant

date : ___________________, 2015Furnishing PAN of the Applicant is mandatory including minor’s PAN in case of

Application by minor. Please refer point no. 31 of the attached Abridged Prospectus

LEAD MANAGER’S / CONSORTIUM /SUBCONSORTIUM MEMBER’S /BROKER’ S/SUBBROKER’S/ TRADING MEMBER’S /SCSB

BRANCH’S STAMP(acKnoWledGinG Upload of application in

stocK eXcHanGe system) (mandatory)

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

pUBlic issUe of taX free, secUred, redeemaBle, non-conVertiBle Bonds in tHe natUre of deBentUres Vide sHelf prospectUs and prospectUs trancHe i dated octoBer 21, 2015

7c. pan & siGnatUre of tHird applicant

All future communication in connection with this application should be addressed to the Registrar to the Issue. For details, please refer overleaf. Acknowledgement is subject to realization of Cheque / Demand Draft availability of funds in the ASBA account.

Please note that you cannot apply for the bonds through the ASBA process if you wish to be allotted bonds in physical form

Third Applicant (Mr./ Ms./M/s.)

Amount Paid (` in figures) (` in words)

(A) CHEQUE/ DEMAND DRAFT (DD) to be drawn in favour of “REC Tax Free Bonds 2015 – Escrow Account – R”

Cheque/DD No. Dated

Drawn on (Bank Name & Branch)

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

4. IN CASE OF APPLICATION TO hOLD ThE NCDs 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)

M K

M K

*For early closure or extension of the issue, refer overleaf

pan pan pan

Options / Series of Bonds Tranche I Series 1A Tranche I Series 2A Tranche I Series 3ACoupon rate (%) per annum for Category I, II, III 6.89% 7.09% 7.18%Annualised yield (%) per annum for Category I, II, III 6.89% 7.09% 7.18%

Options/ Series of Bonds Tranche I Series 1B Tranche I Series 2B Tranche I Series 3BCoupon rate (%) per annum for Category IV 7.14% 7.34% 7.43%Annualised yield (%) per annum For Category IV 7.14% 7.34% 7.43%

For Category I, II, III & IVTenure 10 years 15 years 20 yearsFace Value/Issue Price ` 1,000 per Bond ` 1,000 per Bond ` 1,000 per BondFrequency of Coupon / Interest Payment AnnualMinimum Application and in the multiple of thereafter 5 Bonds (` 5,000) (individually or collectively, across all Series of Bonds) and in the multiple of 1 Bond (` 1,000) thereafterNo. of Bonds appliedAmount Payable (`)Grand Total (`)

Our Company shall allocate and allot Tranche I Series 1A/ Series 1B (depending upon the category of applicants) to all valid applications, wherein the Applicants have not indicated their choice of the relevant Series of Bond.

Options/Series of Bonds Tranche I Series 1A / 1B

Tranche I Series 2A / 2B

Tranche I Series 3A / 3B

Issue Price (`/Bond) ` 1,000 ` 1,000 ` 1,000No. of Bonds applied forAmount Payable (`)Grand Total (`)


NOMINATION (Please see point no. 83 of this Abridged Prospectus)Name of the Nominee :_________________________________________________________________If Nominee is Minor, Guardian’s Name :____________________________________________________

Bank Details for payment of Refund / Interest / Maturity Amount (Mandatory)Bank Name & Branch :____________________ MICR Code :_____________________Account No.: __________________________ IFSC Code : ______________________

23/12695-32 990373

990373 990373