Caf 291220221543
Caf 291220221543
Caf 291220221543
• I/We authorise you to place my/our name(s) on the register of shareholders/register of beneficial owners of the Company. All such Eligible Equity Shareholders are deemed to have accepted the
following:
“I/ We understand that neither the Rights Entitlements nor the Rights Equity Shares have been, or will be, registered under the U.S. Securities Act of 1933, as amended (the “U.S. 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 U.S. Securities Act. I/ we understand the Righ ts Equity Shares referred to in this
application are being offered and sold (i) in offshore transactions outside the United States in compliance with Regulation S under the U.S. Securities Act (“Regulation S”). 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. I/ we confirm that I am/ we are (a) not in the United States and eligible to subscribe for the
Rights Equity Shares under applicable securities laws, (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 Lead Managers or any other person acting on behalf of the Company will accept subscriptions from any person, or the agent of any person, who appears to
be, or who the Company, the Registrar, the Lead Managers or any other person acting on behalf of the Company have reason to believe is in the United States or if such person is outside of
India and United States, such person is not a foreign corporate or institutional shareholder, or is ineligible to participate in this Issue under the securities laws of their jurisdiction.
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/ we are acting satisfies, (a) all suitability standards for
investors in investments of the type subscribed for herein imposed by the jurisdiction of my/our residence, and (b) is eligible to subscribe and is subscribing for the Rights Equity Shares and
Rights Entitlements in compliance with applicable securities and other laws of our jurisdiction of residence.
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.
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 titled “Restriction on Foreign Ownership of Indian
Securities” on page 238 of the Letter of Offer.
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 Regulations 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 (i) am/are, and the person, if any, for whose account I/we am/are acquiring such Rights Entitlement, and/or the Equity Shares, is/are outside the United States or a Qualified Institutional
Buyer (as defined in the U.S. Securities Act), and (ii) is/are acquiring the Rights Entitlement and/or the Equity Shares in an offshore transaction meeting the requirements of Regulation S or
in a transaction exempt from, or not subject to, the registration requirements of the U.S. Securities Act.
I/We acknowledge that we, the Lead Managers, its 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
Indian Address:
Email:
Telephone/Mobile No.
Second Applicant
Third Applicant
Fourth Applicant
Total amount payable on application at ₹ 2.75/- per Rights Equity Share [ Block II] = [ Block I] x ₹ 2.75
(₹ in Figures) (₹ in Words)
I/We authorise the SCSB to block the amount specified above as part of the ASBA process. I/ We confirm that I/ we are making the payment towards my/ourApplication through my/ our bank
account only and not using any third party bank account for making such payment. Further, I/we confirm that the ASBA Account is held in my/our own name.
I/We understand that on Application, Investors will have to pay ₹2. 75 per Rights Equity Share, which constitutes 100% of the Issue Price, as determined by the Board of Directors of the
Company at its sole discretion.
SIGNATURE OF ASBA BANK ACCOUNT HOLDER
Sole/First Account Holder Second Joint Account Holder Third Joint Account Holder Fourth 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 / Letter of Offer dated
December 27, 2022. 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 Equity Shares to
me/us, my/our beneficiary account as mentioned in this Application Form would get credited to the extent of allotted Equity Shares.
Sole/First Applicant Second Joint Applicant Third Joint Applicant Fourth Joint Applicant
Note: Signature(s) as per the specimen recorded with the Depositories. In case of joint shareholders, all the joint shareholders must sign in the same sequence as per specimen recorded with the
Depositories.
---------------------------------------------------------------------------------------------------Tear Here-----------------------------------------------------------------------------------------------------------
GYSCOAL ALLOYS LIMITED – RIGHTS ISSUE ACKNOWLEDGEMENT SLIP FOR APPLICANT
Received from APPLICATION FORM NO.
PAN
DP ID and Client ID Collecting SCSB’s Sign & Seal
Amount blocked (₹ in figures) Bank & Branch
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GENERAL INSTRUCTIONS
a) Please read the Letter of Offer and the instructions carefully to understand the Application process and applicable settlement process.
b) Please read the instructions on the Application Form sent to you. Application should be complete in all respects. The Application Form found incomplete with regard to any of the particulars
required to be given therein, and/or which are not completed in conformity with the terms of this Letter of Offer, the Abridg ed Letter of Offer, the Rights Entitlement Letter and the Application
Form are liable to be rejected. The Application Form must be filled in English. For accessing the Letter of Offer, the Abridged Letter of Offer and the Application Form, please refer below
links provided on page 4 of this Application Form.
c) The Application Form can be used by both the Eligible Equity Shareholders and the Renouncees.
d) In accordance with Regulation 76 of the SEBI ICDR Regulations, SEBI Rights Issue Circulars and ASBA Circulars, all Investors desiring to make an Application in this Issue are
mandatorily required to use the ASBA process. Investors should carefully read the provisions applicable to such Applications before making their Application through ASBA. For
details, see “Terms of the Issue - Process of Making an application in the Issue - Making an Application through the ASBA process” on page 205 of the Letter of Offer.
e) Applications should be submitted to the Designated Branch of the SCSB or made online/electronic through the website of the SCSBs (if made available by such SCSB) for authorising
such SCSB to block Application Money payable on the Application in their respective ASBA Accounts. 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 .
Please note that in accordance with Regulation 77A of the SEBI ICDR Regulations read with the SEBI Rights Issue Circulars, the credit of Right s Entitlements and Allotment of Equity Shares
shall be made in dematerialised form only. Accordingly, Eligible Equity Shareholders holding Equity Shares in physical form a s on Record Date and desirous of subscribing to Equity Shares
in this Issue are advised to furnish the details of their demat account to the Registrar or our Company at least two clear Working Days prior to the Issue Closing Date, to enable the credit of their
Rights Entitlements in their respective demat accounts at least one day before the Issue Closing Date. For further details, see “PROCESSOF MAKING AN APPLICATION IN THE ISSUE”
beginning on page 205 of the Letter of Offer.
f) An Investor wishing to participate in this Issue through the ASBA facility, is required to have an ASBA enabled bank account with an SCSB, prior to making the Application and is required to
provide necessary details, including details of the ASBA Account, authorizing the SCSB to block an amount equal to the Application Money in the ASBA Account mentioned in the Application
Form.
g) The Application should be complete in all respects. The Application Form found incomplete with regard to any of the particula rs required to be given therein, and/or which are not completed
in conformity with the terms of the Letter of Offer, Abridged Letter of Offer, the Rights Entitlement Letter and this Application Form are liable to be rejected. This Application Form must
be filled in English only.
h) In case of non-receipt of Application Form, Application can be made on plain paper mentioning all necessary details as mentioned under the section “Terms of the Issue - Process of making
an application in the Issue - Making of an Application by Eligible Equity Shareholders on Plain Paper under ASBA process ” on page 214 of the Letter of Offer. An Eligible Equity
Shareholder shall submit the plain paper Application to the Designated Branch of the SCSB for authorising such SCSB to block Application Money in the said bank account maintained with
the same SCSB. Applications on plain paper will not be accepted from any address outside India.
i) Applications should not to be submitted to the Banker to the Issue (assuming that such Escrow Collection Banks are not SCSBs), our Company or the Registrar or the Lead Managers.
j) All Applicants, and in the case of Application in joint names, each of the joint Applicants, should mention their PAN allotted under the Income Tax Act, 1961 irrespective of the amount
of the Application. Except for Applications on behalf of the Central or the State Government, the residents of Sikkim and the officials appointed by the courts, Applications without
PAN will be considered incomplete and are liable to be rejected. With effect from August 16, 2010, the demat accounts for Investors for which PAN details have not been verified
shall be “suspended for credit” and no Allotment and credit of Equity Shares pursuant to this Issue shall be made into the accounts of such Investors. Investors must ensure that
their PAN is linked with Aadhaar and are in compliance with CBDT notification dated Feb 13, 2020 and press release dated June 25, 2021.
k) In case of Application through ASBA facility, all payments will be made only by blocking the amount in the ASBA Account. Cash payment or payment by cheque or demand draft or pay
order or NEFT or RTGS or through any other mode is not acceptable for application. In case payment is made in contravention of this, the Application will be deemed invalid and the
Application Money will be refunded and no interest will be paid thereon.
l) For physical Applications through ASBA at Designated Branches of SCSB, signatures should be either in English or Hindi or in any other language specified in the Eighth Schedule to
the Constitution of India. Signatures other than in any such language or thumb impression must be attested by a Notary Public or a Special Executive Magistrate under his/her official seal. The
Investors must sign the Application as per the specimen signature recorded with the SCSB.
m) In case of joint holders and physical Applications through ASBA process, all joint holders must sign the relevant part of thi s Application Form in the same order and as per the specimen
signature(s) recorded with the SCSB. In case of joint Applicants, reference, if any, will be made in the first Applicant’s name and all communication will be addressed to the first Applicant.
n) All communication in connection with Applications for the Equity Shares, including any change in address of the Investors should be addressed to the Registrar prior to the date of Allotment in
the Issue quoting the name of the first/sole Applicant and folio numbers/ DP ID and Client ID. In case of any change in addre ss of the Eligible Equity Shareholders,the Eligible Equity
Shareholders should also send the intimation for such change to the respective depository participant or to our Company or the Registrar in case of Eligible Equity Shareholders holding Equity
Shares in physical form.
o) Please note that Applications through ASBA may be submitted at all designated branches of the SCSBs available on the SEBI website at
https://www.sebi.gov.in/sebiweb/other/OtherAction.do?doRecognisedFpi=yes&intmId=35, updated from time to time, or at such other website as may be prescribed by SEBI from time to time.
In addition, Applicants should consult with the relevant SCSB to ensure that there is no statutory / regulatory action restricting the Application being submitted through them.
p) Applicants are required to ensure that the number of Equity Shares applied for by them do not exceed the prescribed limits under the applicable law.
q) The Applicants shall submit only one Application Form in respect of the same 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 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.
r) Please note that Applications without depository account details shall be treated as incomplete and shall be rejected.
s) 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.
t) Only Eligible Equity Shareholders who are eligible to subscribe for Rights Entitlement and Equity Shares in their respective jurisdictions under applicable securities laws are eligible to
participate.
u) Only the Investors holding Equity Shares in demat form or the Physical Shareholders who furnish the details of their demat accounts to the Registrar not later than two Working Days prior to
the Issue Closing Date, are eligible to participate through the ASBA process. In accordance with the SEBI Rights Issue Circul ars, the Eligible Equity Shareholders, who hold Equity Shares in
physical form as on Record Date and who have not furnished the details of their demat account to the Registrar or our Company at least two Working Days prior to the Issue Closing Date shall
not be eligible to apply in this Rights Issue.
v) Our Company, in consultation with the Lead Managers reserves the right to treat as invalid any Application Form which: (i) ap pears to our Company or its agents to have been executed in,
electronically transmitted from or dispatched from the United States or other jurisdictions where the offer and sale of the Equity Shares and/or the Rights Entitlements is not permitted under laws
of such jurisdictions; (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
is not in the United States and eligible to subscribe for the Equity Shares and/or the Rights Entitlements under applicable securities laws, and such person is complying with laws of jurisdictions
applicable to such person in connection with this Issue and have obtained requisite approvals before applying in 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 Equity Shares
and/or the Rights Entitlements in respect of any such Application Form.
w) In place of Application number, Investors can mention the reference number as provided in the e-mail received from Registrar informing about their Rights Entitlement or the reference
number of Rights Entitlement Letter or last eight digits of their demat account.
x) PLEASE NOTE THAT CREDIT OF THE RIGHTS ENTITLEMENTS IN THE DEMAT ACCOUNT DOES NOT, PER SE, ENTITLE THE INVESTORS TO THE
RIGHTS EQUITY SHARES AND THE INVESTORS HAVE TO SUBMIT APPLICATION FOR THE RIGHTS EQUITY SHARES ON OR BEFORE THE ISSUE
CLOSING DATE AND MAKE PAYMENT OF THE APPLICATION MONEY. FOR DETAILS, SEE “TERMS OF THE ISSUE - PROCESS OF MAKING AN
APPLICATION IN THE ISSUE” ON PAGE 205 OF THE LETTER OF OFFER.
y) Please note that the Rights Entitlements which are neither renounced nor subscribed by the Investors on or before the Issue Closing Date shall lapse and shall be extinguished after
the Issue Closing Date.
LAST DATE FOR APPLICATION
The last date for submission of the duly filled in the Application Form or a plain paper Application is Thursday, 12 January, 2023, 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, 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 Equity Shares hereby offered, as provided under the section, “Terms of the Issue - Basis of Allotment” on page 230 of the Letter of Offer.
Please note that on the Issue Closing Date, 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.
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WITHDRAWAL OF APPLICATION
An Investor who has applied in this Issue may withdraw their Application at any time during Issue Period by approaching the S CSB where application is submitted or sending the e-mail withdrawal
request to [email protected]. However, no Investor, whether applying through ASBA 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?doRecognised%20Fpi=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 Mahara shtra 7. Barclays Bank PLC 8. BNP Paribas
9. Canara Bank 10. Catholic Syrian Bank Limited 11. Central Bank of India 12. CITI Bank 1 3. 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. M ehsana 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. Th e 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 61. IDFC First Bank 62. Equitas Small Finance Bank.
In accordance with the SEBI ICDR Regulations, the Letter of Offer, the Abridged Letter of Offer, the Application Form, the Ri ghts Entitlement Letter and other Issue material will be sent/
dispatched only to the Eligible Equity Shareholders who have provided Indian address to our Company and who are located in jurisdictions where the offer and sale of the Rights Entitlement or
Rights Equity Shares is permitted under laws of such jurisdiction and does not result in and may not be construed as, a publi c offering in such jurisdictions. In case such Eligible Equity Shareholders
have provided their valid e-mail address, the Abridged Letter of Offer, the Application Form, the Rights Entitlement Letter and other Issue material will be sent only to their valid e-mail address
and in case such Eligible Equity Shareholders have not provided their e-mail address, then the Abridged Letter of Offer, the Application Form, the Rights Entitlement Letter and other Issue material
will be dispatched, on a reasonable effort basis, to the Indian addresses provided by them.
Further, this Letter of Offer will be sent/ dispatched to the Eligible Equity Shareholders who have provided Indian address a nd who have made a request in this regard. In case such Eligible Equity
Shareholders have provided their valid e-mail address, the Letter of Offer will be sent only to their valid e-mail address and in case such Eligible Equity Shareholders have not provided their e -
mail address, then the Letter of Offer will be dispatched, on a reasonable effort basis, to the Indian addresses provided by them.
Investors can access this Letter of Offer, the Abridged Letter of Offer and the Application Form (provided that the Eligible Equity Shareholder is eligible to subscribe for the Rights Equity Shares
under applicable laws) on the websites of:
(i) our Company at www.gyscoal.com;
(ii) the Registrar at [email protected];
(iii) the Lead Manager, Fedex Securities Private Limited at www.fedsec.in;
(iv) the Stock Exchanges at www.bseindia.com and www.nseindia.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:
[email protected] ;
a) Updation of Indian address/ e-mail address/ phone or mobile number in the records maintained by the Registrar or our Company: [email protected]; or www.gyscoal.com;
b) Updation of demat account details by Eligible Equity Shareholders holding shares in physical form: [email protected];
c) Submission of self-attested PAN, client master sheet and demat account details by non- resident Eligible Equity Shareholders: [email protected];
Investors who have not received the Application Form may apply, along with the requisite Application Money, by using the Application Form available on the websit es above, or on plain paper, with the same details as
mentioned in the Application Form available online.
Investors may contact the Registrar to the Issue or our Company Secretary and Compliance Officer for any pre-Issue or post-Issue related matters. All grievances relating to the ASBA process may be addressed to the Registrar to
the Issue, with a copy to the SCSB (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 of Rights
Equity Shares applied for, amount blocked (in case of ASBA process), ASBA Account number and the Designated Branch of the SCSB where the Application Forms, 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).