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

TEAR HERE

COMMON APPLICATION FORM ISSUE OPENS ON : DECEMBER 27, 2013 FOR ASBA/NON ASBA ISSUE CLOSES ON* : JANUARY 27, 2014 * For early closure/ extension of the Issue, refer page 22 of this Abridged Prospectus Application Form No.

73533434

PUBLIC ISSUE OF SECURED AND UNSECURED REDEEMABLE NON CONVERTIBLE DEBENTURES ("NCDs") VIDE PROSPECTUS DATED DECEMBER 23, 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

Muthoot Securities Ltd -3226

1. APPLICANTS DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to instruction no. 27 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. 61 of this Abridged Prospectus) Name of the Nominee : Branch : Bank Name : 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* I II III IV V VI VII VIII IX X XI Issue Price (` / NCD) ` 1,000/` 1,000/` 1,000/` 1,000/` 1,000/` 1,000/` 1,000/` 1,000/` 1,000/` 1,000/` 1,000/Frequency of Interest Payment Monthly Monthly Monthly Annually Annually Annually NA NA NA NA NA Tenor 24 Months 36 Months 60 Months 24 Months 36 Months 60 Months 400 Days 24 Months 36 Months 60 Months 72 Months Coupon Rate (% per annum) for category I 10.75% 11.25% 10.75% 11.25% 11.50% 11.25% NA NA NA NA NA Coupon Rate (% per annum) for category II & III 11.50% 12.00% 11.50% 12.00% 12.25% 12.00% NA NA NA NA NA Effective Yield (Per annum) for category I 10.75% 11.25% 10.75% 11.25% 11.50% 11.25% 10.75% 11.25% 11.50% 11.25% 11.50% Effective Yield (Per annum) for category II & III 11.50% 12.00% 11.50% 12.00% 12.25% 12.00% 11.00% 12.00% 12.25% 12.00% 12.25% Amount (` / NCD) on Maturity for category I ` 1000/` 1000/` 1000/` 1000/` 1000/` 1000/- ` 1,118.92/- ` 1,237.66/- ` 1,386.20/- ` 1,704.12/- ` 1,921.54/Amount (` / NCD) on Maturity for category II & III ` 1000/` 1000/` 1000/` 1000/` 1000/` 1000/- ` 1,121.71/- ` 1,254.40/- ` 1,414.36/- ` 1,762.34/` 2000/Minimum Application ` 10,000 (10 NCDs) (for all options of NCDs, either taken individually or collectively) No. of NCDs applied Amount Payable ( ` ) Grand Total Total Amount Payable: Total No. of NCDs: *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. PAYMENT OPTION : Full Payment 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.

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

PLEASE FILL IN BLOCK LETTERS

Amount Paid (` in figures) (` in words) (A) CHEQUE/ DEMAND DRAFT (DD) in favour of Escrow Account Muthoot Finance NCD Public Issue Dated D D M M Y Y Cheque/DD No. 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.

7C. PAN & SIGNATURE OF THIRD APPLICANT

7D. SIGNATURE OF ASBA BANK ACCOUNT HOLDER(s) (AS PER BANK RECORDS) (For ASBA option ONLY) I/We authorize the SCSB to do all acts as are necessary to make the Application in the Issue

1) 2)
Date : ___________________, 20___
PAN is mandatory including Minors PAN in case of Application by Minor. Please refer point 28 on page 12 of the Abridged Prospectus

LEAD MANAGER/CO-LEADMANAGER/LEAD BROKERS/ SUB BROKERS/ TRADING MEMBERS / SCSB BRANCHS STAMP (Acknowledging upload of Application in Stock Exchange system) (Mandatory)

3)

TEAR HERE

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

73533434

PAN Bank & Branch Dated Stamp & Signature of Banker

Email

TEAR HERE PUBLIC ISSUE OF SECURED AND UNSECURED REDEEMABLE NON CONVERTIBLE DEBENTURES ("NCDs") VIDE PROSPECTUS DATED DECEMBER 23, 2013

MUTHOOT FINANCE LIMITED

TEAR HERE

Series Issue Price (`)/ per NCDs No. of NCDs applied for Amount Payable (`) Grand Total (`)

II

III

IV

VI VII ` 1,000/-

VIII

IX

XI

Date Stamp & Signature of Lead/ Name of Sole / First Applicant 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. 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.

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

Dated

Application Form No.

73533434

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

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