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    BSE

    IPO FACT SHEET(to be completed wherever applicable and be submitted along with the offer document.

    Incomplete Fact Sheet will not be accepted)Name of Company

    Regd. Office Address

    Corporate Office Address

    Phone Numbers

    Email ID

    Change of Name, if any (with dates of such changes and reasons thereof)

    Issue Details

    Book Building/ Fixed Price

    InstrumentFor Fixed Price Issues: Face Value Premium

    No.of Shares Offered through IPO

    Issue Amount( Rs.million) (for bookbuilt issues,tick the appropriate box below)

    25000

    Listing Proposed at

    Designated Stock Exchange

    If Rated, Details of Ratings

    If Offer for Sale

    Names of Selling Shareholders Number of Sharesprior to the Issue

    Number of Sharesbeing Sold

    Key Intermediaries

    Lead Managers

    Appraised By

    Monitoring Agency

    Registrars

    Issue Objects

    Objects of the Issue

    Details Of Project Cost

    Means Of Financing

    Proposed Utilisation of Issue Funds pending Deployment)

    Promoters

    Promoters Background

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    Companys Business

    Brief History of the Company

    Present Business

    Proposed Business

    Market

    Colloborations/TieUps, if any

    Board of Directors

    Name Fathers/

    Spouses

    Name

    Designation in

    Board

    (IndicateIndependent

    Directors

    specifically)

    Age,

    Nationality,

    Occupation

    Residence

    Address

    Other

    Directorships

    Shareholding PatternAll pre-issue holdings shall be treated asControlling/Strategic/In-Concert Holdings

    Pre-Issue Likely Post Issue

    No. of Shares % No. of Shares %BASED IN INDIA

    Indian Individuals & their Relatives/HUFs

    Indian Corporate Bodies/ Trusts/ Partnerships

    Persons Acting in Concert

    Non-promoter Directors and their Relatives

    (other than those covered above)

    Employee Welfare Trusts/ESOPs

    Banks/Financial Institutions

    Central/ State Governments/Institutions

    Venture Funds/ Private Equity Funds

    Others (Please specify

    here______________________)

    Sub Total

    BASED OVERSEAS

    Foreign Individuals/ Corporate Bodies (including

    FDI)

    Foreign Banks/Financial Institutions

    Non Resident Indians/Corporate Bodies

    Others (Please specify

    here______________________)

    Sub Total

    Public

    Sub Total

    Grand Total

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    Key Financial Indicators for Last 5 Years

    Profit & Loss Account (Rs.million)

    Year I( )

    Year II( )

    Year III( )

    Year IV( )

    Year V( )

    Sales/ RevenueOther Income

    Total Income

    Total Expenditure

    Net Profit before Tax

    Net profit after Tax

    Adjusted Net Profit after Tax

    Assets & Liabilities

    Total Fixed Assets(Net Block)

    Investments

    Total Current Assets, Loans &Advances

    Total Liabilities

    Performance Ratios

    Earnings per Share (Rs)

    Return on Networth (%)

    Book Value per Share(Rs)

    D. Networth

    E. Segment Revenues

    Networth (Rs million) Pre-Issue(as on _______) Post Issue

    Top 10 Sundry Debtors

    As on the immediate period preceding the filing of the offer document(specify as on datehere _______)

    Name Address Relationship withCompany/ Promoters/

    Directors

    Amount(Rs.

    million)

    ,% ofTotal

    PeriodOutstanding

    Top 10 Customers in the preceding 3 Financial Years

    Name Address Relationship withCompany/ Promoters/

    Directors

    Amount(Rs.

    million)

    ,% ofTotal

    PeriodOutstanding

    Top 10 Sundry Creditors

    As on the immediate period preceding the filing of the offer document(specify as on datehere _______)

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    Name Address Relationship withCompany/ Promoters/

    Directors

    Amount(Rs.

    million)

    ,% ofTotal

    PeriodOutstanding

    Investments made by the CompanyAs on the immediate period preceding the filing of the offer document(specify as on datehere _______)

    Name Amount

    (Rs. million)

    Capital Issues made by Group Companies in the preceding 5 Years(From the date of filing of the Offer Document)

    Name of Company Issue Type(e.g.public/rights etc.)

    Issue Date Amount Raised(Rs. million)

    Status Of Income Tax

    of Company, its promoters and all directors, for the preceding 5 assessment years (and of

    such past years where assessment has not been completed)

    Assessment Year Income Tax Amount Status of Assessment

    Risk Factors

    CompanySpecific Risk Factors (do not reproduce all risk factors here; list only key company-

    specific risk factors)

    Other Issues

    Salient Features Of Outstanding & Proposed Secured & Unsecured LoansGovernment Regulations of Concern

    Details of any other Shareholders Agreements and Restrictive Clauses if any

    Ownership of Copyright/Trade Marks/Brands

    Other Group Companies -Listed

    (required for each company separately)

    Name of Company Year OfIncorpor

    ation

    Nature ofActivity

    Turnover(Rs.

    million)

    Year----

    PBT(Rs.

    million)

    Year----

    Dividend%

    Year----

    Listedat

    Other Group Companies -Unlisted

    (required for each company separately)

    Name of Company Year Of

    Incorporation

    Nature of Activity Turnover

    (Rs.million)

    Year----

    PBT

    (Rs.million)

    Year----

    Dividend %

    Year----

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    Defaults with Stock Exchanges/Regulators

    Details, if any, if the company/promoters/ promoting company / group companies / subsidiary

    companies/ companies promoted by the promoters/ promoting company(ies) have been in

    default in payment of listing fees to any stock exchange in the last three years or have faced

    any disciplinary action or have been delisted or suspended in the past or have been proceededagainst by SEBI or other regulatory authority

    Defaults in Payment of Interest/Principal

    Defaults by Company/Promoters/ promoting company / group company / subsidiary company/companies promoted by the promoters/ promoting company(ies) in respect of payment of

    interest and/or principal to the debenture/ bond/ fixed deposit holders if any.

    Compliances at Stock Exchanges

    i) Confirmation that the all group companies are fully compliant with the listing agreement at all

    stock exchanges where these are listed

    ii) Confirmation that all instruments issued by all group companies are listed

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    Disciplinary Actions/Litigation/Defaults (include the following, whether in India or

    abroad)

    litigations /disputes;

    non-payment of statutory dues, overdues to banks/ financial institutions/ lenders, defaultsagainst banks/ financial institutions/ lenders, defaults in dues payable to holders of

    debentures/ bonds/ fixed deposits/ preference shares(including willful default); defaults in compliance with statutory and listing regulations;

    non-payment of statutory dues;

    economic offences;

    cases of suspension/delisting or other disciplinary action taken by stock exchanges;

    cases of actions by Securities and Exchange Board of India(SEBI) , Department of

    Company Affairs (DCA) and other government organisations/bodies like Reserve Bank of

    India(RBI);

    cases relating to income tax and indirect taxes;

    other civil prosecutions (e.g. by suppliers, customers, employees etc);

    issues of moral turpitude or criminal culpability;

    winding up/ under liquidation/ sick company/ names strike off from Registrar of

    Companies(ROC);

    cases of investor grievances;

    any other cases where penalties were imposed.

    The disclosures should cover the following:

    all such cases of the past where conviction has taken place/adverse order has been issued

    all cases which are presently outstanding

    The entities for which these disclosures should be made should cover:

    issuer company directors

    promoters

    persons acting in concert

    companies and firms promoted by the promoters

    companies in which promoters were associated in the past as a promoter but are no longer

    associated

    subsidiaries and associates of the issuer company

    any other entity where outcome of a case could have a materially adverse effect on the

    issuer company

    key managerial personnel of the issuer company

    With regard to the items, the disclosures, wherever applicable, should cover brief description ofthe case, amounts involved, present status and likely adverse effect on the issuer company

    For brevity purposes, the grouping may be done for some types of negative information, which

    are large by number but small by amount even in the aggregate (like litigations by employees).

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    SHAREHOLDING DISCLOSURE FORMS

    GUIDELINES FOR FILLING THE SHAREHOLDING DISCLOSURE FORMS

    General Instructions

    1. Information should be filled in the prescribed forms only. Information submitted in

    any other format shall not be accepted.2. Information should be filled in the columns provided and the column names should

    not be changed.3. All forms and all columns should be filled.A should be filled to show nil.

    4. The shareholding pattern must cover 100% of the shareholding. Data should not

    contain any calculation errors in sub- totals or in the grand total.

    5. Forfeited shares should not be included in the shareholding pattern. Forfeiture of

    shares leads to reduction of capital and as such the same should be excluded from

    the main format and can be disclosed by way of a footnote.6. No shareholder should be included under 2 categories. For example, if a Bank has

    promoted a company and presently has controlling interest in the company, its

    shareholding should appear under Banks/ Financial Institution (IA6) and not underIndian Corporate Bodies/Trusts/Partnerships (IA2).

    What is Controlling/ Strategic/In-concert Holding ?

    Holdings of founders/directors/ acquirers and their relatives which has a control

    element

    Holdings of persons/ bodies and by their relatives who are associated with entities

    whose holding has a control element.

    Holdings of such entities on which the Controlling Body has a managerial controlor in which it has a significant investment (??)

    Holdings of such entities where the right of first refusal on shares rests with the

    Controlling Body

    Holdings of the Government as a promoter/acquirer

    Holdings under FDI and also such FII holdings where the parent is related to the FDI

    Strategic stakes ofcorporate bodies/ individuals

    Holdings of associate/group companies (cross-holdings)

    Holdings of Employee Welfare Trusts

    All locked-in shares

    Holdings of any entity which would not trade in the shares of the company without

    the advice or consent of the entities in control

    If there is any shareholder who has a relationship (see note on What isControlling/Strategic/In-Concert holding above) with the holders of Controlling/

    Strategic Interest, then its shareholding should not be put under Public/Free-float, but be

    included in the Controlling/ Strategic Interest Section.

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    To elaborate, Controlling Interest/ Strategic Holding/In-concert Holding refers to

    entities who are in control of the company, directly or indirectly, whether as a

    shareholder , director or otherwise and includes all such holdings that would be coveredin the categories listed above (and control is defined as right to appoint /

    reapoint/remove any director on the Board of Directors or to control the management or

    policy decisions exercisable by a person or persons acting individually or in concert,directly or indirectly, including by virtue of their shareholding or management rights or

    shareholders agreements or voting agreements or in any other manner and including

    persons who are instrumental in the formulation or implementation of a plan or programme or who are guarantors to the borrowings of the company or who can

    influence the investment and/or borrowing powers of the company) or person or persons

    named as promoters in any offer document filed with SEBI, stock exchange, ROC or any

    other body for the offer of securities to the public or existing shareholders and whocontinue to be presently associated with the controlling entity.

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    SHAREHOLDING PATTERN SUMMARY

    CATEGORY CODES & DESCRIPTION

    FORM A

    I: CONTROLLING/STRATEGIC/IN-CONCERT HOLDINGS

    Category Type Description

    IA BASED IN INDIA

    IA1 Indian Individuals/ & their

    Relatives/HUFs

    All Indian individuals and their relatives/ HUFs who

    promoted/ founded the company and/ or whoacquired the company or its shares subsequently

    and/ or are in control of the company and/ or arepresently associated with the persons holding the

    controlling stake .All shares presently under lock-

    in should also be included. (The term Relatives is

    defined in the Companies Act.) Indian Relatives of

    NRIs listed under 1B3 should also be included here.

    IA2 Indian Corporate Bodies/ Trusts/

    Partnerships

    All Indian corporate bodies/ trusts/ partnership or

    any other type of entity which promoted/ founded

    the company and/ or who acquired the company or

    its shares subsequently and/or are in control of

    the company and/or are presently associated with

    the persons holding controlling stake. All shares

    presently under lock-in should also be included.

    IA3 Persons Acting in Concert All individuals/HUFs and their relatives and

    corporate bodies/trusts/partnerships/ organizations/

    suppliers/ customers/ dealers who are presently in

    concert with the Controlling body or were in

    concert at the time of acquiring shares of the

    company and/or are likely to presently vote along

    with the Controlling body on matters affectiing thecontrolling body (This also includes all PACs sonamed in an acquisition, if any, made under SEBIs

    Takeover Regulations who are likely to vote along

    with the Controlling body).

    IA4 Other Directors and their Relatives

    (other than those covered in IA1, IA3

    and IIA3)

    Directors (and their relatives)other than thosecovered under IAI, IA3 and IIA3 who are associated

    with persons holding the controlling stake. (The

    term Relatives is defined in the Companies Act.)

    IA5 Employee Welfare Trusts/ESOPs Employees Welfare Trusts holding shares as also

    shares allotted to employees under ESOP which are

    presently under lock-in.

    IA6 Banks/Financial Institutions Banks (scheduled, co-operative, rural, private,

    foreign etc.) and financial institutions, with acontrolling interest.

    IA7 Central/ State Governments Central Government or any State Government, with

    a controlling interest.

    IA8 Central/ State Government Institutions Any organization/ undertaking/ enterprise/

    institution which is controlled by the Central

    Government or any State Government, with a

    controlling interest.

    IA9 Venture Funds/ Private Equity Funds Venture funds/ private equity funds, irrespective of

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    registration with SEBI, with a controlling interest.

    IB BASED OVERSEAS

    IB1 Foreign Individuals (including FDI) All foreign individuals who hold shares with a

    controlling interest, including all FDIs.

    IB2 Foreign Corporate Bodies (including

    FDI) other than IB3

    All foreign corporate bodies (other than IB3) who

    hold shares with a controlling interest, including allFDIs and also such FII holdings where the parent is

    related to the FDI.

    IB3 Foreign Banks/Financial Institutions All foreign banks/financial institutions who hold

    shares with a controlling interest, including all FDIs.

    IB4 Non Resident Indians (Individuals) All NRIs (individuals) who promoted/founded the

    company and/or who acquired the company or its

    shares subsequently and/or are in control of the

    company and/ or are presently associated with the persons holding controlling stake. All shares

    presently under lock-in should also be included.

    IB5 Non Resident Indian Corporate Bodies All NRI-owned corporate bodies who hold shares

    with a controlling interest.

    IC1 OTHERS Any other category of shareholders, not listed above,

    with a controlling interest

    ID1 ANY OTHER LOCKED-IN SHARES All shares which have a lock-in should be covered in

    category IA to ID above. If such shares cannot be

    classified in any of the above category, then these

    should be listed here.

    II: FREE FLOAT/PUBLIC HOLDINGS

    IIA BASED IN INDIA

    IIA1 Indian Individuals/HUFs Indian Individuals/ HUFs holding shares, withoutany controlling interest.

    IIA2 Indian Corporate Bodies/ Trusts/

    Partnerships

    Indian corporate bodies/ trusts/ partnership or any

    other type of organization, holding shares and not

    act in concert with or advice of the

    Controlling body.

    IIA3 Other Directors & their Relatives (other

    than those covered in IA1, IA3 and IA4)

    Directors (including Independent Directors) and

    their relatives other than those covered in IA1, IA3

    and IA4 holding shares and not act in concert with

    or advice of the

    Controlling body.

    IIA4 Present Employees Present employees holding shares on a preferential

    allotment basis and under an ESOP scheme and not

    carrying any lock-in.IIA5 Banks/Financial Institutions Banks (scheduled, co-operative, rural, private,

    foreign etc) and financial institutions holding shares

    as a portfolio investment.

    IIA6 Central/State Governments Central Government or by any State Government,

    holding shares as a portfolio investment.

    IIA7 Central/ State Government Institutions Organizations/ undertakings/ enterprises/

    institutions, which are controlled by the CentralGovernment or any State Government, holding

    shares as a portfolio investment.

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    IIA8 Insurance Companies IRDA-approved insurance companies holding shares

    as a portfolio investment.

    IIA9 Mutual Funds SEBI-registered mutual funds holding shares

    IIA10 Venture Funds/ Private Equity Funds Venture funds/ private equity funds, irrespective of

    registration with SEBI, holding shares as a portfolioinvestment.

    IIA11 Customers/ Dealers Customers/ Dealers of the Company, if identifiable,holding shares as a portfolio investment.

    IIA12 Suppliers Suppliers of the Company, if identifiable, holdingshares as a portfolio investment.

    IIB BASED OVERSEAS

    IIB1 Foreign Individuals/ Non-Corporate

    Bodies

    All foreign individuals / non-corporate bodies who

    hold shares as a portfolio investment.

    IIB2 Foreign Corporate Bodies All foreign corporate bodies, including foreign

    banks, who hold shares as a portfolio investment.

    IIB3 Foreign Institutional Investors All FIIs registered with SEBI who hold shares as a

    portfolio investment.

    IIB4 Non Resident Indians (Individuals) All NRIs (individuals) who hold shares as a

    portfolio investment.IIB5 Non Resident Indian Corporate Bodies All NRI-owned corporate bodies who hold shares as

    a portfolio investment.

    IIC OTHERS Any other category of shareholders, not listed above,without a controlling interest.

    BROAD SUMMARY OF HOLDINGS

    Total Controlling/ Strategic/In-concert Holdings

    The figure to be reported pertaining to Total Controlling/ Strategic / In-concert Holding should be the

    sum of all entities under Category I above.Total Free-float/Public Holdings

    The figure to be reported pertaining to Total Free-float/Public Holding should be the sum of all entities

    under Category II above.

    SUMMARY OF DOMESTIC/FOREIGN HOLDINGS

    Total Domestic Holding

    The figure to be reported pertaining to Total Domestic Shareholding should be the sum of all domestic

    entities, whether exercising control or not.Total Foreign Holding

    The figure to be reported pertaining to Total Foreign Shareholding should be the sum of all foreign entities,

    whether exercising control or not.

    FORM BCONTROLLING/STRATEGIC/IN-CONCERT HOLDERS (LIST ALL HOLDERS)

    Every single shareholder, who is classified under Category I in Form A, should be individually listed here.

    FORM C

    FREE-FLOAT /PUBLIC HOLDERS (DISCLOSE HOLDINGS OF ONLY 1% & ABOVE)

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    Only such shareholders who hold 1% and above shares and are not covered in Form B should be

    individually listed here.

    FORM D

    FREE-FLOAT/PUBLIC HOLDERS (DISCLOSE ALL HOLDINGS OF LESS THAN 1%)

    All shareholders who hold less than 1% each should be individually listed here.

    FORM E

    LOCKED-IN SHARES

    Every single shareholder whose holding is under a lock-in should be individually listed here.

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    FORM A

    SHAREHOLDING PATTERN SUMMARY

    Name of the Company :

    Category

    Code

    Category No.of Shares Held % of Shareholding

    I CONTROLLING/STRATEGIC/IN-CONCERT HOLDINGS

    IA BASED IN INDIA

    IA1 Indian Individuals & their Relatives/HUFs

    IA2 Indian Corporate Bodies/ Trusts/ Partnerships

    IA3 Persons Acting in ConcertIA4 Other Directors and their Relatives (other than those covered in 1A1

    and 1A3 and IIA3)

    IA5 Employee Welfare Trusts/ESOPs

    IA6 Banks/Financial Institutions

    IA7 Central/ State Governments

    IA8 Central/ State Government Institutions

    IA9 Venture Funds/ Private Equity Funds

    Sub Total IA

    IB BASED OVERSEAS

    IB1 Foreign Individuals (including FDI)

    IB2 Foreign Corporate Bodies (including FDI) other than covered in IB3

    IB3 Foreign Banks/Financial Institutions

    IB4 Non Resident Indians (Individuals)

    IB5 Non Resident Indian Corporate Bodies

    Sub Total IB

    IC OTHERS (Please specify here______________________)

    Sub Total IC

    ID ANY OTHER LOCKED-IN SHARES (except those covered under IA

    to IC)

    Sub Total ID

    Sub Total I

    II FREE FLOAT/PUBLIC HOLDINGS

    IIA BASED IN INDIA

    IIA1 Indian Individuals/HUFs

    IIA2 Indian Corporate Bodies/Trusts/Partnerships

    IIA3 Other Directors & their Relatives (other than those covered in IA1, IA3

    and IA4)

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    IIA4 Present Employees

    IIA5 Banks/Financial Institutions

    IIA6 Central/State Governments

    IIA7 Central/ State Government Institutions

    IIA8 Insurance Companies

    IIA9 Mutual Funds

    IIA10 Venture Funds/ Private Equity FundsIIA11 Customers/ Dealers

    IIA12 Suppliers

    Sub Total IIA

    IIB BASED OVERSEAS

    IIB1 Foreign Individuals/ Non-Corporate Bodies

    IIB2 Foreign Corporate Bodies

    IIB3 Foreign Institutional Investors

    IIB4 Non Resident Indians (Individuals)

    IIB5 Non Resident Indian Corporate Bodies

    Sub Total IIB

    IIC OTHERS (Please specify here _________________)

    Sub Total IIC

    Sub Total II

    Grand Total I & II

    BROAD SUMMARY OF HOLDINGS No.of Shares Held % of Shareholding

    Total Controlling/ Strategic/In-concert Holdings

    Total Free-float/Public Holdings

    Grand Total

    SUMMARY OF DOMESTIC/FOREIGN HOLDINGS No.of Shares Held % of Shareholding

    Total Domestic Holding

    Total Foreign Holding

    Grand Total

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    FORM B

    CONTROLLING/STRATEGIC/IN-CONCERT SHAREHOLDERS

    INCLUDE EVERY SINGLE SHAREHOLDER

    WHETHER BELOW OR ABOVE 1% HOLDING

    (List Shareholders Categorywise)

    Name of the Company :

    Sl.

    No.

    Shareholders Name Name of

    Father/Spouse(in case

    of individuals)

    Address No.of

    Shares Held

    % of

    Shareholdin

    g

    Category

    Code

    TOTAL*

    * The Total here should tally with the Total of I in Form A.

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    FORM C

    FREE-FLOAT/PUBLIC SHAREHOLDERS

    DISCLOSE ALL SHAREHOLDERS WITH HOLDINGS OF

    1% & ABOVE

    (List Shareholders Categorywise)

    Name of the Company :

    Sl.

    No.

    Shareholders Name Name of Father/Spouse

    (in case of individuals)

    Address No.of Shares

    Held

    % of

    Shareholding

    Category

    Code

    Relation

    if any, w

    anyone

    Catego

    Code

    (Descr

    relations

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    FORM D

    FREE-FLOAT/PUBLIC SHAREHOLDERS

    DISCLOSE ALL SHAREHOLDERS

    WITH HOLDINGS OF LESS THAN 1%

    (List Shareholders Categorywise)

    Name of the Company :

    Sl.

    No.

    Shareholders Name Name of Father/Spouse

    (in case of individuals)

    Address No.of Shares

    Held

    % of

    Shareholding

    Category

    Code

    Relationship

    any, with

    anyone in

    Category Co

    I

    (Describe

    relationship

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    FORM E

    LOCKED-IN SHARES

    Name of the Company :

    Sl.

    No.

    Shareholders Name No.of Shares

    Held

    % of

    Shareholding

    Category Code Relationship, if any, with

    anyone in Category Code I

    (Describe relationship)

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