Annexure I Tender Form For Demat Shares 1
Annexure I Tender Form For Demat Shares 1
DEMATERIALIZED FORM
FORM OF ACCEPTANCE -CUM-ACKNOWLEDGEMENT
Bid Number: BUYBACK OPENS ON Friday, April 11, 2025
Date: BUYBACK CLOSES ON Wednesday, May 7, 2025
For Company / Registrar Use only
To, Inward No. Date Stamp
The Board of Directors
NAYARA ENERGY LIMITED, Status of shareholders (please tick appropriate box)
C/o MUFG Intime India Private Limited Resident Individual Body Corporate Mutual Funds
Unit: Nayara Energy Limited NRI-Non-Repat FII Banks / FI
C-101, 247 Park, L.B.S. Marg, Vikhroli (West), NRI Repat Others (Specify):
Mumbai – 400 083, Maharashtra, India. NRI shareholders mention Country of Residence:
Date of signing
PAN
Address of the Sole/First
Equity Shareholder
Mobile No. of the Sole/ Email ID of Sole/First
First Equity Shareholder Equity Shareholder
*Non-individual Shareholders must affix rubber stamp and sign under valid authority. The relevant corporate authorization
should be enclosed with the application form submitted.
Please refer detailed instructions for filling this Tender form as given on page no. 16 of this Letter of Offer.
All capitalised terms not defined herein shall have the meaning ascribed to them in the Letter of Offer.
ALL FUTURE CORRESPONDENCE IN CONNECTION WITH THIS BUYBACK, IF ANY, SHOULD BE ADDRESSED TO
MUFG INTIME INDIA PRIVATE LIMITED, REGISTRAR TO THE BUYBACK OFFER OF NAYARA ENERGY LIMITED
AT THE FOLLOWING ADDRESS QUOTING DEMAT ACCOUNT NO.: