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Annexure I Tender Form For Demat Shares 1

This document is the Tender Form for eligible shareholders of Nayara Energy Limited participating in a buyback offer for up to 2,59,08,262 equity shares at ₹731 each, open from April 11 to May 7, 2025. Shareholders must provide details of their shares, demat accounts, and bank accounts, and agree to terms regarding the buyback process, including tax compliance and document submission. The form includes sections for shareholder acknowledgment and necessary documentation for non-resident shareholders.

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0% found this document useful (0 votes)
97 views2 pages

Annexure I Tender Form For Demat Shares 1

This document is the Tender Form for eligible shareholders of Nayara Energy Limited participating in a buyback offer for up to 2,59,08,262 equity shares at ₹731 each, open from April 11 to May 7, 2025. Shareholders must provide details of their shares, demat accounts, and bank accounts, and agree to terms regarding the buyback process, including tax compliance and document submission. The form includes sections for shareholder acknowledgment and necessary documentation for non-resident shareholders.

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happypallav
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ANNEXURE - I - TENDER FORM FOR ELIGIBLE SHAREHOLDERS HOLDING SHARES IN

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:

Dear Sir/ Madam,


Subject: Letter of Offer dated March 25, 2025 in relation to Buyback of up to 2,59,08,262 fully paid-up Equity Shares of face value of
₹10/- each (“Equity Shares”) of Nayara Energy Limited (the “Company”) at a price of ₹ 731/- per Equity Share (“Buyback Price”),
through the tender offer process, pursuant to provisions of the Companies Act, 2013 (“Act”), as amended, payable in cash. (“Buyback”)
1. I / We, having read and understood the Letter of Offer dated March 25, 2025, hereby tender / offer my / our Equity Shares in response
to the Buyback Offer on the terms and conditions set out below and in the Letter of Offer.
2. I / We authorize the Company to Buyback the Equity Shares offered by me/us (as mentioned below) and to extinguish the Equity
Shares credited by me / us to the Escrow Demat Account of the Company.
3. I / We hereby affirm that the Equity Shares comprised in this tender / offer, as offered for Buyback by me / us, are free from all liens,
equitable interest, charges and encumbrance.
4. I / We declare that there are no restraints / injunctions or other order(s) / covenants of any nature which limits / restricts in any manner
my / our right to tender Equity Shares for Buyback and that I / we am / are legally entitled to tender the Equity Shares for Buyback.
5. I / We agree to ensure to keep my /our Demat account active and unblocked to receive credit in case of return of equity shares due to
rejection of Equity Shares tendered by me / us.
6. I / We agree that the Company will pay the Buyback Price for the shares tendered and credited by me / us to the Escrow Demat Account
of the Company and accepted by the Company. The consideration shall be paid through electronic fund transfer in the Bank Account
registered with the demat account of the first named Eligible shareholder. Further, I / we will ensure to keep the bank account registered
with my / our demat account active and updated to receive credit remittance due to acceptance of Buyback of shares of the Company.
7. I / We undertake to return to the Company any Buyback consideration that may be wrongfully received by me / us.
8. I / We undertake to ensure submission of relevant documents including PAN, Form 15G or Form 15H, other relevant document(s) etc.
to enable the Company to ensure correct deduction of tax at source on the Buyback consideration payable to me.
9. I / We undertake to execute any further documents and give any further assurances that may be required or expedient to give effect to
my / our tender / offer and agree to abide by any decision that may be taken by the Company to give effect to the Buyback in accordance
with the Act and the applicable rules and regulations under the Foreign Exchange Management Act, 1999, as amended (“FEMA”).
10. Details of Equity Shares held and tendered / offered for Buyback:
In Figures In Words
Number of Equity Shares held
Number of Equity Shares offered for Buyback
11. Details of Demat account held with Depository Participant:
Name of the Depository (Tick whichever is applicable) NSDL CDSL
Name of the Depository Participant
DP ID No. (8 digits)
Client ID No. (8 digits)
-------------------------------------------------------------------------Tear along this line------------------------------------------------------------------------------
Acknowledgement Slip: NAYARA ENERGY LIMITED - BUY- BACK 2025
(To be filled by the Equity Shareholder) (Subject to verification)
DP ID / Client ID
Received from Mr./ Ms./Mrs.
Form of Acceptance-cum-Acknowledgement
No. of Equity Shares offered for Buyback (In figures) (in words)
Stamp Company

Please quote DP ID and Client ID. for all future correspondence


NAYARA ENERGY LIMITED
12. Bank Account Details registered with Demat account:
Name of the Branch and City IFSC (11 digits) Account Number International Bank Ac- SWIFT No. for
Bank and MICR Code (9 (indicate type of count Number (IBAN)* foreign payment*
digits) account)

*required only in case of Non-Resident Shareholders holding shares on repatriation basis.


13. Details of other Documents (Please √ as appropriate, if applicable) enclosed:
Mandatory Additional Documents Previous RBI approvals for acquiring Form FC-TRS filed at the time of
in case of NRI Repat Shareholders shares. acquisition of shares.
(Tick on attachments applicable and : Copy of Form LEC (NRI) filed by the Any other relevant RBI reporting.
submitted as per clause 11.1 and 11.2 respective AD Bank or confirmation of
of the Letter of Offer). such filing from AD Bank.
In case of Corporates,
In case of FIIs, SEBI registration
Mandatory additional documents : Authorizations with specimen
certificate.
signature of authorized signatory.
14. Applicable for all Non-resident shareholders only -
i. I / We, being a Non-Resident Shareholder, agree to obtain and submit all necessary approvals, if any and to the extent required from
the concerned authorities including approvals from the Reserve Bank of India (“RBI”) under the Foreign Exchange Management
Act, 1999 (“FEMA”) and the rules and regulations framed there under, for tendering Equity Shares in the Buyback, and also un-
dertake to comply with the reporting requirements, if applicable, under the FEMA and any other rules, regulations and guidelines,
in regard to remittance of funds outside India.
ii. I / We, being a Non-Resident Shareholder, hereby provide my consent to the Company to transfer the buy-back consideration pay-
able to me for the shares tendered by me and accepted by the Company, to the Bank Account registered with the demat account held
by me and details of which are submitted by me in this tender form.
15. Equity Shareholders Details:
Particulars First/Sole Holder Joint Holder 1 (if any) Joint Holder 2 (if any) Joint Holder 3 (if any)
Full name(s) of the
shareholder
Signature(s)*

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.

-------------------------------------------------------------------------Tear along this line------------------------------------------------------------------------------

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.:

MUFG INTIME INDIA PRIVATE LIMITED


Unit: Nayara Energy Limited
C-101, 247 Park, L.B.S. Marg, Vikhroli (West), Mumbai – 400 083, Maharashtra, India
Tel. No.: +91 8108114949 | Email: nayara.buyback2025@in.mpms.mufg.com
NAYARA ENERGY LIMITED

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