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FOR RESIDENT INDIAN, QIB, ELIGIBLE NRIs

APPLYING ON A NON-REPATRIATION BASIS

VRL LOGISTICS LIMITED


PUBLIC ISSUE - R

To,
The Board of Directors

TEAR HERE

COMMON BID CUM APPLICATION


FORM FOR ASBA / NON-ASBA

INE 366I01010

VRL LOGISTICS LIMITED

BROKERS/AGENTS STAMP & CODE

SYNDICATE MEMBER'S STAMP & CODE

Bid cum Application


Form No.

BOOK BUILDING ISSUE

90000473

1. NAME & CONTACT DETAILS of Sole / First Applicant


Mr. / Ms.

ESCROW BANK / SCSB BRANCH STAMP & CODE SUB-BROKERS/SUB-AGENT'S STAMP & CODE

Address
Email

BANK BRANCH SERIAL NO.

Tel. No (with STD code) / Mobile

REGISTRARS / SCSB SERIAL NO.

2. PAN OF SOLE / FIRST APPLICANT

NSDL

3. BIDDERS DEPOSITORY ACCOUNT DETAILS

CDSL

For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID

4. BID OPTIONS (Only Retail Individual Bidders can Bid at "Cut-off ")
Bid Options

Bid Price
4

195 - 205

5. Category
Retail
Individual

(Price in multiples of ` 1/- only) (In Figures)

(Bids must be in multiples of


Bid Lot as advertised)
6

Price per Equity Share (`)/ "Cut-off"

No. of Equity Shares Bid (In Figures)

PRICE BAND

Discount, if any
1

Net Price
4

"Cut-off"
1

(Please tick)
NonInstitutional

PLEASE FILL IN BLOCK LETTERS

Option 1
(OR) Option 2

QIB

(OR) Option 3

) any one of payment option A or B below)


7. PAYMENT DETAILS (Please tick (
Amount Paid (` in figures)

PAYMENT OPTIONS

6. Investor Status
Individual(s) - I N D
Hindu Undivided Family# - H U F
Bodies Corporate - CO
Banks & Financial Institutions - F I
Mutual Funds - M F
Non-Resident Indians - N R I
(Non-Repatriation basis)
National Investment Fund - NIF
Insurance Funds - IF
Insurance Companies - I C
Venture Capital Funds - V C
Others (Please specify) - O T H
#
HUF should apply only through Karta
(Application by HUF would be treated on par
with Individual)

Full Payment

(` in words)
(B) ASBA

(A) CHEQUE/ DEMAND DRAFT (DD)


Cheque/DD No.

Dated

Bank A/c No.

Drawn on (Bank Name & Branch)

Bank Name & Branch

I/WE (ON BEHALF OF JOINT APPLICANTS, IF ANY) HEREBY CONFIRM THAT I/WE HAVE READ AND UNDERSTOOD THE TERMS AND CONDITIONS OF THIS BID CUM APPLICATION FORM AND THE ATTACHED FORM 2A AND HEREBY
AGREE AND CONFIRM THE BIDDERS UNDERTAKING AS GIVEN OVERLEAF. I/We (on behalf of joint applicants, if any) hereby confirm that I/We have read the Instructions for Filling up the Bid Cum Application Form given overleaf.
8B. SIGNATURE OF ASBA BANK ACCOUNT HOLDER(s)
(AS PER BANK RECORDS) (For ASBA option ONLY)

8A. SIGNATURE OF SOLE/ FIRST APPLICANT

I/We authorize the SCSB to do all acts as are necessary to make the Application in the Issue

BROKERS / SCSB BRANCHS STAMP


(Acknowledging upload of Bid in
Stock Exchange system)

1)
2)
Date : ________________, 2015

3)

TEAR HERE
VRL LOGISTICS LIMITED

PUBLIC ISSUE - R

Acknowledgement Slip
for Syndicate Member / SCSB

DPID
/
CLID

Bid cum
Application
Form No.

90000473

PAN

Amount Paid (` in figures)

Stamp & Signature of Banker

Bank & Branch

Cheque / DD/ASBA Bank A/c No.

Email
Option 1

PUBLIC ISSUE - R

VRL LOGISTICS LIMITED

TEAR HERE

Received from Mr./Ms.


Telephone / Mobile
Option 2

Option 3

TEAR HERE
Stamp & Signature of Syndicate Member / SCSB Name of Sole / First Applicant

No. of Equity Shares


Bid Price
Amount Paid (`)

Cheque / DD/ASBA Bank A/c No.


Bank & Branch

Acknowledgement Slip for Bidder


Bid cum
Application
Form No.

90000473

IN THE NATURE OF ABRIDGED PROSPECTUS - MEMORANDUM CONTAINING SALIENT FEATURES OF THE RED HERRING PROSPECTUS

BIDDERS UNDERTAKING FOR BID CUM APPLICATION FORM


(IN CASE OF A JOINT APPLICATION, THE CONFIRMATIONS, AUTHORIZATIONS, UNDERTAKINGS AND REPRESENTATIONS MADE BY THE FIRST APPLICANT WILL BE DEEMED TO HAVE BEEN MADE
ON BEHALF OF ALL JOINT APPLICANTS. THE FIRST APPLICANT SHALL BE LIABLE FOR ALL THE OBLIGATIONS ARISING OUT OF THE ISSUE OF EQUITY SHARES.)
On the basis of the Red Herring Prospectus dated April 3, 2015 (the RHP) and having studied the attached details as per the Abridged Prospectus in the manner prescribed under the Companies Act, 2013 and the rules made thereunder,
I/we hereby apply for Allotment to me/us of the Equity Shares in the Issue upto my/our Bid for maximum number of Equity Shares at or above the Issue Price, to be discovered through the book building process. I/We hereby confirm
that I am an/we are eligible person(s) to invest in this Issue in accordance with applicable laws. The amount payable on bidding, is remitted herewith. I/We agree to accept the Equity Shares Bid for, or such lesser number as may
be Allotted to me/us subject to the terms of the RHP, Abridged Prospectus, the GID, the Bid cum Application Form and other applicable laws. I/We undertake that I/we will sign all such other documents and do all such acts, if any,
necessary on my/our part to enable me/us to be registered as holder(s) of the Equity Shares which may be Allotted to me/us. I/We authorise you to place my/our name on the register of members of the Company as holder(s) of the
Equity Shares that may be Allocated/ Allotted and to register my/our address as given in the Depository records. I/We note that in case of QIB Bidders, only the (i) SCSBs (for Bids other than the Bids by Anchor Investors); and (ii)
GCBRLMs and their affiliate Syndicate Members (only in the Specified Locations) have the right to accept the Bid or reject it and such rejection shall be made at the time of receiving the Bid cum Application Form and only after
assigning a reason for such rejection in writing. I/We note that QIB Bids can also be rejected on technical grounds. I/We further note that in case of Non-Institutional Investors and Retail Individual Investors, Bids will be rejected on
technical grounds as specified in the Bid cum Application Form, the GID, Abridged Prospectus, and the RHP. I/We authorize the Company to make the necessary changes in this Bid cum Application Form and the RHP for filing of
Prospectus with the Registrar of Companies without intimation to me/us and use this Bid cum Application Form as the Application Form for the purpose of this Issue. I/WE CONFIRM THAT: EITHER I am/we are Indian National(s)
resident in India and I am/we are not applying for the said Equity Shares as nominees of any person resident outside India or Foreign Nationals OR I am/We are Indian National(s) resident in India and I am/we are applying for the
said Equity Shares as Power of Attorney holder(s) of Non-Resident Indian(s) as mentioned on Non - Repatriation basis OR I am/We are Indian National(s) resident outside India and I am/We are applying for the said Equity Shares on
my/our own behalf through NRO account on Non Repatriation basis.
FOR QIB BIDDERS: We confirm that the Bid Size/Maximum Equity Shares applied for by us do not exceed the relevant regulatory approvals/limits. We are not prohibited from accessing capital markets under any order/ ruling/
judgment of any regulatory, judicial or any other authority including the Securities and Exchange Board of India (SEBI) or under the provisions of any law, regulation or statute.
In case of ASBA Bidders in addition: 1) I/We hereby undertake that I/we am/are an ASBA Investor(s) as per the applicable provisions of the Securities and Exchange Board of India (Issue of Capital and Disclosure Requirements)
Regulations, 2009, as amended (SEBI Regulations), 2) In accordance with ASBA process provided in the SEBI Regulations and as disclosed in the RHP, I/We authorize (a) the members of the Syndicate (in Specified Locations only)
or the Registered Brokers (at Broker Centers) or the SCSB, as the case may be, to do all acts as are necessary to make the Application in the Issue, including uploading my/our Bid, blocking or unblocking of funds in the bank account
maintained with the SCSB as specified in the Bid Cum Application Form, transfer of funds to the Public Issue Account on receipt of instruction from Registrar to the Issue and the GCBRLMs after finalization of Basis of Allotment;
and (b) the Registrar to the Issue and the GCBRLMs to issue instruction to the SCSBs to unblock on 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 highest Bid option, the SCSB shall reject the Application, and 4) I/we hereby authorize the members of the Syndicate (in Specified Locations only) or the Registered Brokers (at Broker Centres)
or the SCSB, as the case may be, to make relevant revisions as may be required to be done in the Bid, in the event of a revision of the Price Band.

INSTRUCTIONS FOR FILLING UP THE BID CUM APPLICATION FORM


1. Name of Sole/ First Applicant should be exactly the same as it appears in the Depository records. In case of joint Bids, only the name of the first Bidder (which should also be the first name in which the beneficiary account is held) should be provided in the Bid cum
Application Form.
2. Except for Bids by or on behalf of the Central or State Government and the officials appointed by the courts and by investors residing in the State of Sikkim, the Bidders, or in the case of Bid in joint names, the first Bidder (the first name under which the beneficiary account
is held), should mention his/her PAN allotted under the Income Tax Act, 1961. Any Bid cum Application Form without the PAN is liable to be rejected.
3. Bidders should note that on the basis of PAN, DP ID and Client ID as provided in the Bid cum Application Form, the Bidder may be deemed to have authorized the Depositories to provide to the Registrar to the Issue, any requested Demographic Details of the
Bidder as available on the records of the Depositories. These Demographic Details may be used, among other things, for giving refunds and Allotment Advice (including through physical refund warrants, direct credit, NECS, NEFT and RTGS), or unblocking of
ASBA Account or for other correspondence(s) related to the Issue. Bidders are, advised to update any changes to their Demographic Details as available in the records of the Depository Participant to ensure accuracy of records. Any delay resulting from failure
to update the Demographic Details would be at the Bidders sole risk and neither the GCBRLMs nor the Syndicate Members or the Registrar to the Issue or the Escrow Collection Banks or the SCSBs or the Registered Brokers or the Company or the Selling
Shareholders shall have any responsibility and undertake any liability for the same.
4. Bid Lot and Price Band: The Price Band and the Minimum Bid Lot size will be decided by the Company and the Selling Shareholders, in consultation with the GCBRLMs, and advertised in an English national daily newspaper, a Hindi national daily newspaper
and a Kannada daily newspaper (Kannada being the regional language of Karnataka, the state where our Registered Office is located), each with wide circulation, at least five Working Days prior to the Bid/Issue Opening Date. The Price Band, along with the
relevant financial ratios calculated at the Floor Price and at the Cap Price, shall be pre-filled in the Bid cum Application Forms available at the websites of the Stock Exchanges. Any revision in Price Band and the revised Bid/Issue Period, if applicable, will be
widely disseminated by notification to the Stock Exchanges, by issuing a press release, and also by indicating the changes on the websites of GCBRLMs, Syndicate Members and the SCSBs.
Maximum and Minimum Bid Size: In case of resident Retail Individual Investors, the maximum bid size shall be such number of shares such that the Bid Amount does not exceed ` 2,00,000. Bids at the Cut-off Price indicate their agreement to
purchase the Equity Shares at the Issue Price, as determined on the completion of the Book Building Process. In case of Non-Institutional Investors and QIBs, the minimum Bid size shall be such number of shares such that Bid Amount exceeds
` 2,00,000. The maximum Bid by any bidder should not exceed the investment limits prescribed for them under applicable laws.
5. Please tick Category as applicable to ensure proper upload of Bid in the Stock Exchange system.
6. Please tick investor status as applicable. Please ensure investor status is updated in your Depository records.
7. All Bidders are required to make payment of the full Bid Amount, along with the Bid cum Application Form. In case of Bidders specifying more than one Bid Option in the Bid cum Application Form, the total Bid Amount payable must be calculated for the
highest of three options, i.e., Bid Price, to Bidders category. The payment instruments for payment into the Escrow Accounts should be drawn in favour of Escrow Account VRL IPO - R in the case of resident Retail Individual Investors. Payments should
be made by cheque, or a demand draft drawn on any bank (including a co-operative bank), which is situated at, and is a member of or sub-member of the bankers clearing house located at the centre where the Bid cum Application Form is submitted.Cheques/
bank drafts drawn on banks not participating in the clearing process will not be accepted and applications accompanied by such cheques or bank drafts are liable to be rejected. Cash/ stockinvest/moneyorders/postal orders will not be accepted. In case of Bids
by Eligible NRIs applying on non-repatriation basis, the payments must be made through Indian Rupee drafts purchased abroad or cheques or bank drafts,for the amount payable on application remitted through normal banking channels or out of funds held in
Non-Resident External (NRE) Accounts or Foreign Currency Non-Resident (FCNR) Accounts, maintained with banks authorised to deal in foreign exchange in India, along with documentary evidence in support of the remittance or out of a Non-Resident Ordinary
(NRO) Account on a non-repatriation basis. Payment by drafts should be accompanied by a bank certificate confirming that the draft has been issued by debiting an NRE or FCNR or NRO Account. Bidders should mention their Bid cum Application Form
Number on the reverse of the cheque/ demand draft to avoid misuse of payment instrument submitted along with the Bid cum Application Form. Bids by ASBA Bidders will have to be submitted at the Designated Branches of the SCSBs or to the members of
the Syndicate at the Specified Locations or to the Registered Brokers at the Broker Centres. Please ensure that the SCSB where your ASBA Account is maintained has named at least one branch at the Specified Location or the Broker Centre for the members of
the Syndicate or the Registered Broker to deposit the Bid cum Application Form. The ASBA Bidder shall specify the bank account number in the Bid cum Application Form and the SCSB shall block an amount equivalent to the Bid Amount in the bank account
specified in the Bid cum Application Form.
8. Only the first Bidder is required to sign the Bid cum Application Form / Revision Form. Thumb impressions and signatures other than in the languages specified in the Eighth Schedule to the Constitution of India must be attested by a Magistrate or a Notary
Public or a Special Executive Magistrate under official seal. Signature of bank account holder is applicable only in case of ASBA option, where applicant and bank account holder are different or have different signature.
9. Other instructions: (a) Bids must be made only in the prescribed Bid cum Application Form; (b) Bid cum Application Form must be completed in full, in BLOCK LETTERS in ENGLISH; (c) Bidders should note that the members of the Syndicate, Registered
Brokers and/or SCSBs will not be liable for errors in data entry due to incomplete or illegible Bid cum Application Forms; (d) Ensure that all applicable documents in support of the Bid are attached with the Bid cum Application Form; (e) QIBs and NonInstitutional Investor must participate in the Issue only through the ASBA process. Retail Individual Investor can participate in the Issue, and submit their Bids either through submitting a Bid cum Application Form to the members of the Syndicate or Registered
Brokers or through the ASBA process by submitting Bid cum Application Forms to the members of the Syndicate (in Specified Locations only) or Registered Brokers (at Broker Centers) or the SCSB with whom the ASBA Account is maintained.
10. A Bid shall mean an indication to make an Issue during the Bid/Issue Period by a prospective investor pursuant to submission of Bid cum Application Form or during the Anchor Investor Bid/Issue Period by the Anchor Investors, to purchase the Equity Shares
of our Company from the Selling Shareholders at a price within the Price Band, including all revisions and modifications thereto.
11. The applicants may note that in case the DP ID, Client ID and PAN mentioned in the Bid cum Application Form and entered into the electronic bidding systems of the Stock Exchanges do not match with the DP ID, Client ID and PAN available in the Depository
database, the Bid cum Application Form is liable to be rejected.
12. The Equity Shares have not been and will not be registered under the U.S. Securities Act of 1933, as amended (the U.S. Securities Act) or any state securities laws in the United States, and may not be offered or sold within 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 and applicable state securities laws. The Equity Shares are being offered and sold only outside the United States in reliance on Regulation S. No public offering of securities is
contemplated in the United States or any other jurisdiction outside India. As such, please read the Preliminary Offering Memorandum available with the GCBRLMs before making an investment decision.
Note : Terms used but not defined herein shall have the meaning assigned to such terms in the RHP. For detailed instructions for filling the various fields of this Bid cum Application Form, please refer to the GID, which is available on the websites of the GCBRLMs
and Stock Exchanges.

TEAR HERE
COMPANY CONTACT DETAILS
l. In case of queries related to Allotment / credit of allotted Equity
Shares/ refund, the Bidders should contact the Registrar to the Issue. VRL LOGISTICS LIMITED

2. In case of ASBA Bids submitted to the SCSBs, the Bidders


should contact the relevant SCSB.
3. In case of queries related to upload of ASBA bids submitted to
the member of Syndicate, the Bidders should contact the relevant
member of Syndicate.
4. In case of queries relating to uploading of Bids by a Registered
Broker, the Bidders should contact the relevant Registered Broker.
2

VRL LOGISTICS LIMITED

Registered Office: R.S. No. 351/1, Varur Post Chabbi Taluk


Hubli, District Dharwad, Hubballi 581 207
Karnataka, India
Telephone: +91 836 2237 607
Facsimile: +91 836 2237 614
Email: investors@vrllogistics.com
Website: www.vrlgroup.in

REGISTRAR CONTACT DETAILS

KARVY COMPUTERSHARE PRIVATE LIMITED


Plot no. 17 - 24, Vittal Rao Nagar, Madhapur
Hyderabad 500 081
Tel: +91 (40) 4465 5000, Fax: + 91 (40) 2343 1551
E-mail/Investor grievance ID: vrl.ipo@karvy.com
Website: http:\\karishma.karvy.com
Contact Person: Mr. M Murali Krishna
SEBI Registration No.: INR000000221

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