I / We confirm that I am / We are Indian National(s) Resident in India and I am / We are not applying for the Equity Shares as Nominee(s) of any person(s) Resident aborad or any Foreign National(s).
I/We hereby apply for allotment to me / us the Equity Shares in your company. The amount payable for allotting the shares is remitted herewith. I / We note that the Board of Directors are entitled in their absolute discretion to accept or reject the application in whole or in part without assigning any reason whatsoever. I / We agree to accept the Equity Shares applied for or such lesser number as may be allotted to me/us subject to the terms of this application form and the Memorandum and Articles of Association of the company. I/We undertake that I/We will sign all such other documents and do all such other acts, if any, necessary on my/our part to enable me / us to be registered as the holder(s) of the Equity Shares which may be allotted to me/us. I / We authorise you to place my/our name(s) on the Register of Members of the company as the holder(s) of Equity Shares and to register my / our address(es) as given below.
Nationality and Residentship (Tick whichever is application)
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(s) mentioned below on Non-Repatriation basis.
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 on Non-Repatriation basis.