RELIANCE INDUSTRIES LIMITED-Application Form
RELIANCE INDUSTRIES LIMITED-Application Form
RELIANCE INDUSTRIES LIMITED-Application Form
To, Date:_____________________
The Board of Directors,
Reliance Industries Limited
Dear Sirs,
• I/We hereby accept and apply for Allotment of the Rights Equity Shares (including additional Rights Equity Shares, if applicable) mentioned in Block I below in response
to the Abridged Letter of Offer/Letter of Offer offering the Rights Equity Shares to me/us on rights basis.
• I/We agree to pay the amount specified in Block II below at the rate of ` 314.25 per Rights Equity Share payable on Application on the total number of Rights Equity
Shares specified in Block I below.
• 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, 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 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, rules, 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.
• I/We authorise you to place my/our name(s) on the Register of Shareholders / Register of Beneficial Owner.
• I/ We understand that neither the Rights Entitlements nor the Rights Equity Shares have been, or will be, registered under the United States Securities Act of 1933, as amended
(the “US Securities Act”), or any United States state securities laws, and may not be offered, sold, resold or otherwise transferred within the United States or to the territories
or possessions thereof (the “United States”), except pursuant to an exemption from, or in a transaction not subject to, the registration requirements of the US Securities Act.
• I/ we understand that the Rights Equity Shares are being offered and sold (i) in offshore transactions outside the United States in compliance with Regulation S under the
US Securities Act (“Regulation S”) to existing shareholders located in jurisdictions where such offer and sale of the Rights Equity Shares is permitted under applicable
laws of such jurisdictions and (ii) in the United States to “qualified institutional buyers” (as defined in Rule 144A under the US Securities Act) (“U.S. QIBs”) pursuant to
Section 4(a)(2) of the US Securities Act and other transactions exempt from the registration requirements of the US Securities Act. I/ we understand that the Issue is not,
and under no circumstances is to be construed as, an offering of any Rights Equity Shares or Rights Entitlements for sale in the United States, or as a solicitation therein
of an offer to buy any of the said Rights Equity Shares or Rights Entitlements in the United States, except in each case to persons in the United States who are U.S.QIBs.
• I/ we confirm that I am/ we are (a)(i) not in the United States and eligible to subscribe for the Rights Equity Shares under applicable securities laws or (ii) a U.S. QIB in
the United States, and (b) complying with laws of jurisdictions applicable to such person in connection with the Issue and (c) understand that neither the Company, nor the
Registrar, the Global Co-ordinators and Lead Managers, and the Lead Managers or any other person acting on their behalf will accept subscriptions from any person, or
the agent of any person, who appears to be, or who the Company, the Registrar, the Global Co-ordinators and Lead Managers, and the Lead Managers or any other person
acting on their behalf have reason to believe is in the United States (other than U.S. QIBs) or is outside of India and the United States and ineligible to participate in this
Issue under the securities laws of their jurisdiction.
• For Resident Applicants: I am/we are not applying for the Rights Equity Shares as nominee(s) of any Person who is/are resident outside India or foreign national(s) or
a foreign company or a foreign controlled company. I/We hereby make the representations, warranties, acknowledgments and agreements set forth in the section of the
Letter of Offer titled “Restrictions on Purchases and Resales” under the sub-heading “– United States – For Investors Outside of the United States” on page 316 of the
Letter of Offer (if I am/we are outside the United States).
• For Non-Resident Applicants I am/we are non-resident Investors and who have made payments by way of a valid bank account in compliance with relevant FEMA
regulations/circulars, rules and other applicable laws. I/We hereby make the representations, warranties, acknowledgments and agreements set forth in the section of the
Letter of Offer (together with the International Supplement) titled “Restrictions on Purchases and Resales” under the sub-heading “– United States – For Investors in the
United States” (if I am/we are in the United States) or under the sub-heading “– United States – For Investors Outside of the United States” (if I am/we are outside the
United States). I/We acknowledge that Global Co-ordinators and Lead Managers, and the Lead Managers are not participating or otherwise involved in any offer or sale
of the Rights Entitlements and/or Rights Equity Shares with respect to the Issue in the United States.
• I/ We will not offer, sell or otherwise transfer any of the Rights Equity Shares which may be acquired by us in any jurisdiction or under any circumstances in which such
offer or sale is not authorized or to any person to whom it is unlawful to make such offer, sale or invitation. I/ We satisfy, and each account for which I am/we are acting
satisfies, all suitability standards for investors in investments of the type subscribed for herein imposed by the jurisdiction of residence and are eligible to subscribe and
are subscribing for the Rights Equity Shares and Rights Entitlements in compliance with applicable securities and other laws of our jurisdiction of residence.
• I/ We understand and agree that the Rights Entitlements and Rights Equity Shares may not be reoffered, resold, pledged or otherwise transferred except in an offshore
transaction in compliance with Regulation S, or otherwise pursuant to an exemption from, or in a transaction not subject to, the registration requirements of the US
Securities Act.
• I/We acknowledge that the Company, Global Co-ordinators and Lead Managers, and the Lead Managers, their affiliates and others will rely upon the truth and accuracy
of the foregoing representations and agreements.
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1. NAME AND CONTACT DETAILS OF APPLICANT
Name of Sole/First Applicant
Email:
Telephone/Mobile No.
2. PERMANENT ACCOUNT NUMBER (PAN)
Sole/First Applicant
Second Applicant
Third Applicant
3. TYPE OF APPLICANTS (Please tick 3) : Resident Non-Resident
Note: Non-resident Applicants applying on non-repatriation basis should select “Resident”.
4. DEPOSITORY ACCOUNT DETAILS : please provide your DP ID and Client ID (Please tick 3 for NSDL or CDSL) : NSDL CDSL
For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID.
Note: Allotment of Rights Equity Shares shall be made in dematerialized form only.
5. APPLICATION DETAILS
Rights Equity Shares (Including additional Rights Equity Shares) applied for [ I ]
Total amount payable on application at ` 314.25 per Rights Equity Share[ II ] = [ I ] x ` 314.25
(` in Figures) (` in Words)
Sole/First Account Holder Second Joint Account Holder Third Joint Account Holder
Note: Signature(s) as per the specimen recorded with the SCSB. In case of joint shareholders, all the joint shareholders must sign in the same sequence as per
specimen recorded with the SCSB.
7. SIGNATURE OF APPLICANT(S)
I/We hereby confirm that I/we have read, understood and accept the terms and conditions of this Application Form, Rights Entitlement Letter, Abridged Letter
of Offer and Letter of Offer. I/we hereby confirm that I/we have read the Instructions for filling up this Application Form given overleaf. I/We understand that
in case of Allotment of Rights Equity Shares to me/us, my/our beneficiary account as mentioned in this Application Form would get credited to the extent of
allotted Rights Equity Shares.
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s) The Applicants shall submit only one Application Form for the Rights Entitlements available in a particular demat account. In case of Investors who
have provided details of demat account in accordance with the SEBI ICDR Regulations, such Investors will have to apply for the Rights Equity Shares from the
same demat account in which they are holding the Rights Entitlements and in case of multiple demat accounts, the Investors are required to submit a separate
Application Form for each demat account.
t) Please note that Applications without depository account details shall be treated as incomplete and shall be rejected, except in case of Eligible Equity
Shareholders who hold Equity Shares in physical form and are applying in this Issue in accordance with the SEBI Rights Issue Circulars through
R-WAP.
u) Any Investor being an OCB is required not to be under the adverse notice of the RBI and to obtain prior approval from RBI for applying in this Issue and such
approval should be submitted to Registrar to the Issue so that the same is received on or prior to the Issue Closing Date.
v) Our Company reserves the right to treat as invalid any Application Form which: (i) appears to our Company or its agents to have been executed in, electronically
transmitted from or dispatched from the United States (unless the Application Form is submitted by a U.S. QIB in the United States); (ii) does not include the
relevant certifications set out in the Application Form, including to the effect that the person submitting and/or renouncing the Application Form does not have
a registered address (and is not otherwise located) in the United States (unless the Application Form is submitted by a U.S. QIB in the United States), and such
person is complying with laws of jurisdictions applicable to such person in connection with this Issue; or (iii) where either a registered Indian address is not
provided or our Company believes acceptance of such Application Form may infringe applicable legal or regulatory requirements; and our Company shall not
be bound to issue or allot any Rights Equity Shares in respect of any such Application Form.
LAST DATE FOR APPLICATION
The last date for submission of the duly filled in the Application Form or a plain paper Application is Wednesday, June 3, 2020, i.e., Issue Closing Date. Our Board
or any committee thereof may extend the said date for such period as it may determine from time to time, subject to the Issue Period not exceeding 30 days from
the Issue Opening Date (inclusive of the Issue Opening Date).
If the Application Form is not submitted with an SCSB, uploaded with the Stock Exchanges and the Application Money is not blocked with the SCSB or if the
Application Form is not accepted at the R-WAP, on or before the Issue Closing Date or such date as may be extended by our Board or any committee thereof, the
invitation to offer contained in the Letter of Offer shall be deemed to have been declined and our Board or any committee thereof shall be at liberty to dispose of
the Rights Equity Shares hereby offered, as provided under the section, “- Basis of Allotment” on page 300 of the Letter of Offer.
Please note that on the Issue Closing Date, (i) Applications through ASBA process will be uploaded until 5.00 p.m. (Indian Standard Time) or such extended time
as permitted by the Stock Exchanges, and (ii) the R-WAP facility will be available until 5.00 p.m. (Indian Standard Time) or such extended time as permitted by
the Stock Exchanges.
WITHDRAWAL OF APPLICATION
An Investor who has applied in this Issue may withdraw their Application at any time during Issue Period by approaching the SCSB where application is submitted
or sending the email withdrawal request to [email protected] in case of Application through R-WAP facility. However, no Investor, whether applying through
ASBA facility or R-WAP facility, may withdraw their Application post the Issue Closing Date.
LIST OF SELF CERTIFIED SYNDICATE BANKS (SCSBs)
The list of banks who have registered with SEBI to act as SCSBs for the ASBA Process is
https://www.sebi.gov.in/sebiweb/other/OtherAction.do?doRecognisedFpi=yes&intmId=34
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. Catholic Syrian Bank Limited 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
In terms of SEBI Rights Issue Circulars and MCA clarification, Application Form, Rights Entitlement Letter and Abridged Letter of Offer was dispatched to the
Eligible Equity Shareholders, through email.
Eligible Equity Shareholders can obtain the details of their respective Rights Entitlements from the website of the Registrar (i.e., https://rights.kfintech.com) by
entering their DP ID and Client ID or Folio Number (in case of Eligible Equity Shareholders holding Equity Shares in physical form) and PAN. The link for the
same shall also be available on the website of our Company (i.e., www.ril.com).
Investors can access the Letter of Offer (together with the International Supplement for investors outside of India on websites of Company, Registrar, Global
Co-ordinators and Lead Managers and the Lead Managers), the Abridged Letter of Offer and the Application Form (provided that such Investor is eligible to
subscribe for the Rights Equity Shares under applicable securities laws) on the websites of:
(i) Company at www.ril.com;
(ii) the Registrar at https://rights.kfintech.com;
(iii) the Global Co-ordinators and Lead Managers i.e. JM Financial Limited at www.jmfl.com and Kotak Mahindra Capital Company Limited at www.
investmentbank.kotak.com; and the Lead Managers comprising (a) Axis Capital Limited at www.axiscapital.co.in, (b) BNP Paribas at www.bnpparibas.
co.in, (c) Citigroup Global Markets India Private Limited at www.online.citibank.co.in/rhtm/citigroupglobalscreen1.htm, (d) DSP Merrill Lynch Limited
at www.ml-india.com, (e) Goldman Sachs (India) Securities Private Limited at www.goldmansachs.com, (f) HDFC Bank Limited at www.hdfcbank.com,
(g) HSBC Securities and Capital Markets (India) Private Limited at www.hsbc.co.in/1/2/corporate/equities-global-investment-banking, (h) ICICI Securities
Limited at www.icicisecurities.com, (i) IDFC Securities Limited at www.idfc.com/capital/index.htm, (j) J.P. Morgan India Private Limited at www.jpmipl.
com, (k) Morgan Stanley India Company Private Limited at www.morganstanley.com/about- us/global-offices/asia-pacific/india, and (l) SBI Capital Markets
Limited at www.sbicaps.com;
(iv) the Stock Exchanges at www.bseindia.com and www.nseindia.com; and
(v) the R-WAP at https://rights.kfintech.com.
The Investors can visit following links for the below-mentioned purposes:
• Frequently asked questions and online/ electronic dedicated investor helpdesk for guidance on the Application process and resolution of difficulties faced by
the Investors: https://rights.kfintech.com
• Updation of Indian address/ email address/ mobile number in the records maintained by the Registrar or our Company: https://rights.kfintech.com
• Updation of demat account details by Eligible Equity Shareholders holding shares in physical form: https://rights.kfintech.com
• Submission of self-attested PAN, client master sheet and demat account details by non-resident Eligible Equity Shareholders: [email protected]
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GLOBAL CO-ORDINATORS AND LEAD MANAGERS TO THE ISSUE LEAD MANAGERS TO THE ISSUE
JM Financial Limited Kotak Mahindra Capital Company Axis Capital Limited BNP Paribas DSP Merrill Lynch Limited
7th Floor, Cnergy Limited 1st Floor, Axis House BNP Paribas House, Ground Floor, “A” Wing
Appasaheb Marathe Marg, 1st Floor, 27 BKC, Plot No. C-27 C-2 Wadia International Centre 1-North Avenue, Maker Maxity, One BKC, “G” Block
Prabhadevi, Mumbai 400 025 G Block, Bandra Kurla Complex Pandurang Budhkar Marg Bandra Kurla Complex Bandra Kurla Complex
Telephone: Bandra (East),Mumbai 400 051 Worli, Mumbai 400 025 Bandra (E), Mumbai 400 051 Bandra (East), Mumbai 400 051
+91 (22) 6630 3030; Telephone: +91 (22) 4336 0000 Telephone: +91 (22) 4325 2183 Telephone: +91 (22) 3370 4000 Maharashtra, India
+91 (22) 6630 3262 E-mail: [email protected] E-mail: [email protected] E-mail: dl.rights.ril@asia. Telephone: +91( 22) 6632 8000
E-mail: [email protected] Investor Grievance E-mail: kmccredressal@ Investor Grievance E-mail: bnpparibas.com E-mail: [email protected]
Investor Grievance E-mail: kotak.com [email protected] Investor Grievance E-mail: Investor Grievance E-mail:
[email protected] Contact Person: Ganesh Rane Contact Person: Sagar Jatakiya indiainvestors.care@asia. dg.india_merchantbanking@
Contact Person: Prachee Dhuri Website: www.investmentbank.kotak.com Website: www.axiscapital.co.in bnpparibas.com bofa.com
Website: www.jmfl.com SEBI Registration No.: INM000008704 SEBI Registration No.: Contact Person: Soumya Guha Contact Person: Rishabh Bhatt
SEBI Registration No.: INM000012029 Website: www.bnpparibas.co.in Website: www.ml-india.com
INM000010361 SEBI Registration No.: SEBI Registration No.:
INM000011534 INM000011625
Citigroup Global Markets India Goldman Sachs (India) HDFC Bank Limited HSBC Securities and Capital ICICI Securities Limited
Private Limited Securities Private Limited Investment Banking Group Markets (India) Private Limited ICICI Centre, H.T. Parekh Marg
1202, 12th Floor, First International 951-A Rational House Unit 401&402, 4th Floor, Tower B 52/60, Mahatma Gandhi Road, Churchgate
Financial Center , G-Block, Appasaheb Marathe Marg, Peninsula Business Park, Lower Fort Mumbai 400 001 Mumbai – 400 020
C 54 & 55, Bandra Kurla Complex Prabhadevi Parel, Mumbai 400 013 Maharashtra, India Maharashtra, India
Bandra (East) , Mumbai 400 098 Mumbai 400 025 Maharashtra, India Telephone: +91 (22) 2268 5555 Telephone: +91 (22) 2288 2460
Maharashtra, India Telephone: +91 (22) 6616 9000 Telephone: +91 (22) 3395 8233 E-mail: [email protected] E mail: ril.rights@icicisecurities.
Telephone: +91 (22) 6175 9999 E-mail: [email protected] E-mail: [email protected] Investor Grievance E-mail: com
E-mail: [email protected] Investor Grievance E-mail: Investor Grievance E-mail: [email protected] Investor Grievance E-mail:
Investor Grievance E-mail: [email protected] [email protected] Contact Person: Sanjana Maniar/ [email protected]
[email protected] Contact Person: Rishabh Garg Contact Person: Harsh Thakkar/ Dhananjay Sureka Contact Person: Arjun A Mehrotra/
Contact Person: Paritosh Bhandari Website: www.goldmansachs.com Ravi Sharma Website: https://www.business. Rupesh Khant
Website: www.online.citibank.co.in/ SEBI Registration No.: Website: www.hdfcbank.com hsbc.co.in/en-gb/in/generic/ipo- Website: www.icicisecurities.com
rhtm/citigroupglobalscreen1.htm INM000011054 SEBI Registration No.: open-offer-and-buyback SEBI Registration No.:
SEBI Registration No.: INM000011252 SEBI Registration No.: INM000011179
INM000010718 INM000010353
IDFC Securities Limited J.P. Morgan India Private Limited Morgan Stanley India Company SBI Capital Markets Limited Reliance Industries Limited
6th floor, One IndiaBulls Centre J.P. Morgan Towers Private Limited 202, Maker Tower ‘E’ 3rd Floor, Maker Chambers IV, 222,
Tower 1C, Senapati Bapat Marg Off CST Road, Kalina, 18F, Tower II, One Indiabulls Centre Cuffe Parade Nariman Point, Mumbai 400 021
Elphinstone Road, Santacruz East , Mumbai 400 098 841, Senapati Bapat Marg, Mumbai 400 005 Telephone: +91 (22) 3555 5000;
Mumbai 400013 Telephone: +91 (22) 6157 3000 Mumbai 400 013 Maharashtra, India Facsimile: +91 (22) 2204 2268
Telephone: +91 (22) 4202 2500 E-mail: RIL_RIGHTS_2020@ Telephone: +91 (22) 6118 1000 Telephone: +91 (22) 2217 8300 Contact Persons: Shri K.
E-mail: [email protected] jpmorgan.com E-mail: rilrightsissue@ E-mail: [email protected] Sethuraman, Group Company
Investor Grievance E-mail: Investor Grievance E-mail: morganstanley.com Investor Grievance E-mail: Secretary and Chief Compliance
[email protected] [email protected] Investor Grievance E-mail: [email protected] Officer, and Smt. Savithri Parekh,
Contact Person: Akshay Contact Person: Shagun Gupta [email protected] Contact Person: Sylvia Joint Company Secretary and
Bhandari/Kunal Thakkar Website: www.jpmipl.com Contact Person: Satyam Singhal Mendonca/Aditya Deshpande Compliance Officer
Website: www.idfc.com/capital/ SEBI Registration No.: Website: www.morganstanley.com/ Website: www.sbicaps.com E-mail: [email protected];
index.htm INM000002970 about-us/global-offices/asia-pacific/ SEBI Registration No.: Website: www.ril.com
SEBI Registration No.: MB/ india INM000003531
INM000011336 SEBI Registration No.:
INM000011203
Investors may contact the Registrar or our Group Company Secretary and Chief Compliance Officer or our Joint Company Secretary and Compliance Officer for any pre-Issue
or post-Issue related matter. All grievances relating to the ASBA process or R-WAP process may be addressed to the Registrar, with a copy to the SCSBs (in case of ASBA
process), giving full details such as name, address of the Applicant, contact number(s), E-mail address of the sole/ first holder, folio number or demat account number, number of
Rights Equity Shares applied for, amount blocked (in case of ASBA process) or amount debited (in case of R-WAP process), ASBA Account number and the Designated Branch
of the SCSBs where the Application Form or the plain paper application, as the case may be, was submitted by the Investors along with a photocopy of the acknowledgement
slip (in case of ASBA process), and copy of the e-acknowledgement (in case of R-WAP process).
REGISTRAR TO THE ISSUE