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APPLICATION FORM (FOR RESIDENT APPLICANTS)

MUTHOOT FINANCE LIMITED

Credit Rating : [ICRA]AA-/Negative by ICRA and CRISIL AA-/Negative by CRISIL

To, The Board of Directors, MUTHOOT FINANCE LIMITED

COMMON APPLICATION FORM ISSUE OPENS ON : SEPTEMBER 2, 2013 FOR ASBA/NON ASBA ISSUE CLOSES ON* : SEPTEMBER 16, 2013 * For early closure/ extension of the Issue, refer page [] of the Abridged Prospectus Application Form No.

TEAR HERE

PUBLIC ISSUE OF SECURED AND UNSECURED REDEEMABLE NON CONVERTIBLE DEBENTURES ("NCDs") VIDE PROSPECTUS DATED AUGUST 28, 2013
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. REGISTRARS / SCSB SERIAL NO. DATE OF RECEIPT ESCROW BANK / SCSB BRANCH STAMP & CODE BANK BRANCH SERIAL NO. LEAD /CO -LEAD MANAGERS /LEAD BROKERS/TRADING MEMBERS STAMP & CODE SUB-BROKER/AGENTS STAMP & CODE

72033420

Muthoot Securities Ltd -3226


1. APPLICANTS DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to instruction no. [] of this Abridged Prospectus) First Applicant (Mr./ Ms./M/s.) Date of Birth D D M M Y Y Y Y Address Tel. No/ Mobile Second Applicant (Mr./ Ms./M/s.) Third Applicant (Mr./ Ms./M/s.)
2. Investor Category (Please refer overleaf) Category I Category II Category III Sub Category Code (Please refer overleaf) 3. IN CASE OF APPLICATION IN DEMATERIALISED FORM, PLEASE PROVIDE APPLICANTS DEPOSITORY DETAILS For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID NSDL / CDSL 4. IN CASE OF APPLICATION TO HOLD THE NCDs IN PHYSICAL FORM, PLEASE PROVIDE FOLLOWING DETAILS (Please enclose self attested copies of the KYC Doccuments along with the Application Form. For list of KYC documents, please refer overleaf) Bank Details for payment of Refund / Interest / Maturity Amount (Mandatory) NOMINATION (Please see point no. [] of this Abridged Prospectus ) Name of the Nominee : Bank Name : Branch : If Nominee is Minor, Guardians Name : Account No.: IFSC Code : Applicants cannot apply for Allotment of NCDs under Options VII, VIII, IX, X and XI in physical form. 5. INVESTMENT DETAILS (For details, please refer Issue Structure overleaf) Option Issue Price (` /NCD) Frequency of Interest Payment Tenor Coupon (% per annum) for all categories Amount (`/ NCD) on Maturity Effective Yield (Per annum) for all categories Minimum Application No. of NCDs applied Amount Payable (` ) Grand Total Total No. of NCDs: Total Amount Payable: * Our Company would allot Option IV Secured NCDs to all valid applications, wherein the applicants have selected only Secured NCDs, but have not indicated their choice of the relevant options of the Secured NCDs. Our Company would allot Option XI Unsecured NCDs to all valid applications, wherein the applicants have selected only Unsecured NCDs. Our Company would allot Option IV Secured NCDs to all valid applications, wherein the applicants have neither selected Secured NCDs nor Unsecured NCDs. 6. PAYMENT DETAILS*** (Please tick (3) any one of payment option A or B below) Please write a Sole/First Applicants Name, Phone No. and Application No. on the reverse of Cheque/DD. PAYMENT OPTION : Full Payment I ` 1,000/Monthly 24 Months 11.50% ` 1000/11.50% II ` 1,000/Monthly 36 Months 12.00% ` 1000/12.00% III ` 1,000/Monthly 60 Months 11.50% ` 1000/11.50% IV ` 1,000/Annually 24 Months 12.00% ` 1000/12.00% V ` 1,000/Annually 36 Months 12.25% ` 1000/12.25% VI ` 1,000/Annually 60 Months 12.00% ` 1000/12.00% VII ` 1,000/Not Applicable 400 Days Not Applicable `1121.71/11.00% VIII ` 1,000/Not Applicable 24 Months Not Applicable ` 1254.52/12.00% IX ` 1,000/Not Applicable 36 Months Not Applicable `1425.76/12.55% X ` 1,000/Not Applicable 60 Months Not Applicable ` 1762.78/12.00% XI ` 1,000/Not Applicable 72 Months Not Applicable ` 2000/12.25%

Name of Guardian (if applicant is minor) Pin Code (Compulsory) Email

PLEASE FILL IN BLOCK LETTERS

` 10,000 (10 NCDs) (for all options of NCDs, namely Option I, Option II and Option III either taken individually or collectively)

Amount Paid (` in figures) (` in words) (A) CHEQUE/ DEMAND DRAFT (DD) in favour of Escrow Account Muthoot Finance NCD Public Issue Cheque/DD No. Dated D D M M Y Y Drawn on (Bank Name & Branch)
7A. PAN & SIGNATURE OF SOLE/ FIRST APPLICANT 7B. PAN & SIGNATURE OF SECOND APPLICANT

(B) ASBA Bank A/c No. ASBA A/c. Holder Name __________________________________________________ (in case Applicant is different from ASBA A/c. Holder) Bank Name & Branch ____________________________________________________
Please note that you cannot apply for the NCDs through the ASBA process if you wish to be Allotted the NCDs in physical form. 7D. SIGNATURE OF ASBA BANK ACCOUNT HOLDER(s) (AS PER BANK LEAD MANAGERS/CO-LEADMANAGER/LEAD BROKERS/ RECORDS) (For ASBA option ONLY) SUB BROKERS/ TRADING MEMBERS / I/We authorize the SCSB to do all acts as are necessary to make SCSB BRANCHS STAMP the Application in the Issue (Acknowledging upload of Application 1) in Stock Exchange system) (Mandatory)

7C. SIGNATURE OF THIRD APPLICANT

2)
Date : ___________________, 2013
PAN is mandatory including Minors PAN in case of Application by Minor. Please refer point [] on page [] of the Abridged Prospectus

3)

MUTHOOT FINANCE LIMITED


DPID / CLID Amount Paid (` in figures) Cheque / DD/ASBA Bank A/c No. Received from Mr./Ms. Telephone / Mobile

Acknowledgement Slip Application for Lead Managers/Co-Lead Managers/Lead Brokers/ Form No. Sub Brokers/Trading Members/SCSB

TEAR HERE

72033420

PAN Bank & Branch Dated Stamp & Signature of Banker

Email

TEAR HERE
Series Issue Price ( `)/ per NCDs No. of NCDs applied for Amount Payable (`) Grand Total (`)
All future communications in connection with this application should be addressed to the Register to the Issue. For details, please refer overleaf. Acknowledgement is subject to relaisation of Cheque/DD/Availability at Funds in the ASBA account. Applications submitted without being uploaded on the terminals of the Stock Exchanges will be rejected.

MUTHOOT FINANCE LIMITED

PUBLIC ISSUE OF SECURED AND UNSECURED REDEEMABLE NON CONVERTIBLE DEBENTURES ("NCDs") VIDE PROSPECTUS DATED [], 2013 Date Stamp & Signature of Lead/ Name of Sole / First Applicant I II III IV V VI VII VIII IX X XI
` 1,000/-

TEAR HERE

Co-Lead Managers/Lead Brokers/Sub Brokers/Trading Members/SCSB

Acknowledgement Slip for Applicant


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

Cheque / DD/ASBA Bank A/c No. Bank & Branch

Dated

Application Form No.

72033420

While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Managers / Co-Lead Managers / Lead Brocker / Sub Brockers / Trading Members / SCSB matches with the date stamp on the Acknowledgement Slip.

I/We hereby agree and confirm that: 1. I/We have read, understood and agreed to the contents and terms and conditions of MUTHOOT FINANCE LIMITED Prospectus dated August 28, 2013 (Prospectus) 2. I/We hereby apply for allotment of the NCDs to me/us and the amount payable on application is remitted herewith. 3. I/We hereby agree to accept the NCDs applied for or such lesser number as may be allotted to me/us in accordance with the contents of the Prospectus subject to applicable statutory and/or regulatory requirements. 4. I/We irrevocably give my/our authority and consent to IDBI Trusteeship Services Limited, to act as my/our trustees and for doing such acts as are necessary to carry out their duties in such capacity. 5. I am/We are Indian National(s) resident in India and I am/ we are not applying for the said NCDs as nominee(s) of any person resident outside India and/or Foreign National(s). 6. The application made by me/us do not exceed the investment limit on the maximum number of NCDs which may be held by me/us under applicable statutory and/or regulatory requirements. 7. In making my/our investment decision I/We have relied on my/our own examination of the company and the terms of the issue, including the merits and risks involved and my/our decision to make this application is solely based on disclosures contained in the Prospectus. 8. I/We have obtained the necessary statutory and/or regulatory permissions/approvals for applying for, subscribing to, and seeking allotment of the NCDs applied for. 9. Additional Undertaking, in case of ASBA Applicants: 1) I/We hereby undertake that I/We am/are an ASBA Applicant(s) as per applicable provisions of the SEBI Regulations; 2) In accordance with ASBA process provided in the SEBI Regulations and disclosed in the Prospectus, I/We authorize (a) the Lead Managers/ Co-Lead Manager/ Lead Brokers/Sub Brokers and Trading Members (in Specified cities only) or the SCSBs, as the case may be, to do all acts as are necessary to make the Application in the Issue, including uploading my/our application, blocking or unblocking of funds in the bank account maintained with the SCSB as specified in the Application Form, transfer of funds to the Public Issue Account on receipt of instruction from the Registrar to the Issue, after finalization of Basis of Allotment; and (b) the Registrar to the Issue to issue instruction to the SCSBs to unblock the funds in the specified bank account upon finalization of the Basis of Allotment. 3) In case the amount available in the specified Bank Account is insufficient as per the Application, the SCSB shall reject the Application. 10. Additional Undertaking in case the Applicant wishes to hold the Bonds in physical form: 1. In terms of Section (8)(1) of the Depositories Act, 1996, I/we wish to hold the NCDs in physical form. 2. I/We confirm that the Information provided in this form is true and correct and I/We enclose herewith self attested copies of the KYC Documents. 3. I/We confirm that we do not hold any Demat Account. KYC Documents: (To be submitted only for holding NCDs in Physical Form) Self-attested copies of the following documents are required to be submitted by the Applicants as KYC Documents: 1. PAN card; 2. Proof of identification in case of Applications by or on behalf of the Central or State Government and the officials appointed by the courts and by the Applicants residing in the State of Sikkim; 3. Proof of residence: Any of the following documents shall be considered as a verifiable proof of residence: l ration card issued by the GoI;or l valid driving license issued by any transport authority of the Republic of India; or l electricity bill (not older than three months); or l landline telephone bill (not older than three months); or l valid passport issued by the GoI; or l voters identity card issued by the GoI; or l Government ID Card; or l Defence ID Card; or l passbook or latest bank statement issued by a bank operating in India; or l registered lease and license agreement or agreement for sale or rent agreement or flat maintenance bill; or l Aadhaar Letter issued by Unique Identification Authority of India (UIDAI); 4. Self-attested copy of a cancelled cheque of the bank account to which the amounts pertaining to payment of refunds, interest and redemption as applicable, should be credited For further details pertaining to KYC Documents, see the section titled Applications for Allotment of NCDs in the Physical and Dematerialized Form on page 10 of this Abridged Prospectus.

APPLICANT'S UNDERTAKING

ISSUE RELATED INFORMATION FOR FILLING THE APPLICATION FORM

Investor Categories: Category I (Institutional Investors) Sub Category Code Resident Public Financial Institutions, 11 Statutory Corporations including State Industrial Development Corporations, Commercial Banks, Co-operative Banks and Regional Rural Banks 12 Indian Provident Funds, Pension Funds, Superannuation Funds, Gratuity Fund 13 Indian alternative investment funds registered with SEBI 14 Indian Insurance Companies registered with the IRDA 15 National Investment Fund 16 Indian Mutual Funds registered with SEBI 17 Insurance funds set up and managed by the Indian army, navy or the air force 18 or Department of Posts India. Category II (Non Institutional Investors) Sub Category Code Companies, Bodies Corporate, Societies 21 Public/private/charitable/religious trusts 22 Resident Indian Scientific and/or industrial research organizations 23

Category II (Non Institutional Investors) Sub Category Code Partnership firms in the name of the partners 24 Limited liability partnerships 25 Resident Indian individuals and Hindu Undivided Families through the Karta applying for NCDs aggregating to a value exceeding ` 1,000,000.00 Category III Sub Category Code Resident Indian individuals and Hindu Undivided Families through the Karta applying for NCDs aggregating to a value not more than ` 1,000,000.00

#Category III investors are collectively referred as Individuals


Issue Structure Option Issue Price (` /NCD) Frequency of Interest Payment Tenor Coupon (% per annum) for all categories Amount (`/ NCD) on Maturity Effective Yield (Per annum) for all categories Minimum Application Mode of Payment Amount ( ` / NCD) on Maturity ** for all categories Maturity Date (From Deemed Date of Allotment) for all categories Nature of Indebtedness Deemed Date of Allotment Security I ` 1,000/Monthly 24 Months 11.50% ` 1000/11.50% II ` 1,000/Monthly 36 Months 12.00% ` 1000/12.00% III ` 1,000/Monthly 60 Months 11.50% ` 1000/11.50% IV ` 1,000/Annually 24 Months 12.00% ` 1000/12.00% V ` 1,000/Annually 36 Months 12.25% ` 1000/12.25% VI ` 1,000/Annually 60 Months 12.00% ` 1000/12.00% VII ` 1,000/Not Applicable 400 Days Not Applicable ` 1121.71/11.00% VIII ` 1,000/Not Applicable 24 Months Not Applicable `1254.52/12.00% IX ` 1,000/Not Applicable 36 Months Not Applicable ` 1425.76/12.55% X ` 1,000/Not Applicable 60 Months Not Applicable ` 1762.78/12.00% XI ` 1,000/Not Applicable 72 Months Not Applicable ` 2000/12.25%

` 10,000 (10 NCDs) (for all options of NCDs, namely Option I, Option II and Option III either taken individually or collectively) Through various option available ` 1000/24 Months ` 1000/36 Months ` 1000/60 Months ` 1000/24 Months ` 1000/36 Months ` 1000/60 Months ` 1121.71/400 Days ` 1254.52/24 Months ` 1425.76/36 Months ` 1762.78/60 Months ` 2000/72 Months Unsecured & Non-convertible

Secured & Non-Convertible.

The Deemed Date of Allotment shall be the date as decided by the Board or the NCD Public Issue Committee, and as mentioned on the Allotment Advice. First pari passu charge on the identified immovable property and a first pari passu charge on current assets, book debts, loans and advances, and receivables including gold loan receivables,both present and future, of our Company.

Note: a. Our Company would allot Option IV Secured NCDs to all valid applications, wherein the applicants have selected only Secured NCDs, but have not indicated their choice of the relevant options of the Secured NCDs. Our Company would allot Option XI Unsecured NCDs to all valid applications, wherein the applicants have selected only Unsecured NCDs. Our Company would allot Option IV Secured NCDs to all valid applications, wherein the applicants have neither selected Secured NCDs nor Unsecured NCDs. b . Applicants cannot apply for Allotment of NCDs under Options VII, VIII, IX, X and XI in physical form. c. Please note that you cannot apply for the NCDs through the ASBA process if you wish to be Allotted the NCDs in physical form. d . Escrow Collection Banks for the Issue are ICICI Bank Limited and IndusInd Bank Limited e. Basis of Allotment: For details, please refer to page no. [o] of the Abridged Prospectus and page [o] of the Prospectus. f. For Grounds for Technical Rejection. Please refer to page no. [o] of the Abridged Prospectus. g . The Members of the Syndicate and the Trading Members of the Stock Exchange shall ensure they shall accept Application Forms only in such cities/ towns where the banking branches (escrow banks) are available. h . Applicants to ensure that they are competent to contract under the Indian Contract Act, 1872 including minors applying through guardians. i. Based on the information provided by the Depositories, the Company shall have the right to accept Applications belonging to an account for the benefit of a minor (under guardianship) j. The details of the collection centres of the Escrow Collection Banks shall be available on the website of BSE at www.bseindia.com k. For further details please refer to the Prospectus.

z z z

While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Managers/Lead Brokers/Sub Brokers/Trading Member/SCSB matches with the date stamp on the Acknowledgement Slip In case of queries related to allotment/ credit of Allotted NCD/Refund, the Applicants should contact Registrar to the Issue. In case of ASBA Application submitted to the SCSBs, the Applicants should contact the relevant SCSB. In case of queries related to upload of ASBA Aapplications submitted to the Lead Managers/Lead Brokers/Sub Brokers/Trading Members Applicants should contact the relevant Lead Managers/Lead Brokers/Sub Brokers/Trading Members. The grievance arising out of Applications for NCDs made through Trading Members may be addressed directly to BSE

TEAR HERE COMPANY CONTACT DETAILS


MUTHOOT FINANCE LIMITED Registered and corporate office: Muthoot Chambers, Opposite Saritha Theatre Complex, 2nd Floor, Banerji Road, Kochi 682 018, India. Telephone: (+91 484) 239 4712; Facsimile: (+91 484) 239 6506; Website: www.muthootfinance.com; Email: ncd@muthootgroup.com; Company Secretary and Compliance Officer: Anjana Varghese; Telephone: (+91 484) 353 5533; Facsimile: (+91 484) 239 6506; E-mail: cs@muthootgroup.com

REGISTRAR CONTACT DETAILS


LINK INTIME INDIA PRIVATE LIMITED C-13, Pannalal Silk Mills Compound, L.B.S. Marg, Bhandup (West), Mumbai 400 078, India Tel: (91 22) 2596 7878, Fax: (91 22) 2596 0329 Investor Grievance Email:mfl5.ncd@linkintime.co.in Email: mfl5.ncd@linkintime.co.in Website: www.linkintime.co.in Contact Person: Dinesh Yadav SEBI Registration No.: INR000004058

MUTHOOT FINANCE LIMITED

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