APPLICATION FORM KLM AXIVA FINVEST LIMITED ASBA APPLICATION ISSUE OPENS ON : WEDNESDAY, JULY 09, 2025

(FOR RESIDENT APPLICANTS) “ACUITE BBB/STABLE”, BY ACUITÉ RATINGS & RESEARCH LIMITED FORM ISSUE CLOSES ON : TUESDAY, JULY 22, 2025**
**For details of Early Closure or extension of the Issue refer to page 4 of the Abridged Prospectus
To, The Board of Directors, Application
KLM AXIVA FINVEST LIMITED Form No. 35008227


PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (“NCDs”) VIDE THE PROSPECTUS DATED JULY 04, 2025
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
Application Form given overleaf.
LEAD MANAGER/LEAD BROKERS/ BROKER/AGENTS STAMP & TRADING MEMBERS/SUB BROKER/ SCSB BRANCH STAMP SCSB BRANCH
TEAR HERE

DATE OF RECEIPT
STAMP & CODE CODE CRTA/CDP/SCSB STAMP & CODE & CODE SERIAL NO.

DIRECT DIRECT
1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to Page 10 of the Abridged Prospectus)
First Applicant (Mr./ Ms./M/s.)
Date of Birth D D M M Y Y Y Y Name of Guardian (if Applicant is minor) (Mr./ Ms.)
Address __________________________________________________________________________________________________________________________
Pin Code (Compulsory)__________________ Tel. No. (with STD code) / Mobile _____________________ Email _____________________________________________
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 see overleaf)
3. PLEASE PROVIDE APPLICANT’S DEPOSITORY DETAILS
(Please refer to Page 10 of the Abridged Prospectus) For NSDL enter 8 digit DP ID followed by 8 digit Client ID / For CDSL enter 16 digit Client ID
NSDL / CDSL
4. INVESTMENT DETAILS (For details, please refer Issue Structure overleaf)
Series I II III IV V VI VII VIII IX X
Frequency of Interest Payment Monthly Cumulative Monthly Monthly Annually Monthly Annually Monthly Annually Cumulative
Minimum Application 5 NCDs ( ` 5,000) (across all Series of NCDs)
In Multiples of thereafter 1 NCD after the minimum application
Face Value / Issue Price of NCDs (` / NCD) ` 1,000
Nature Secured
Tenure 400 Days 16 Months 18 Months 2 Years 2 Years 3 Years 3 Years 5 Years 5 Years 79 Months
Coupon (% per annum) 9.50% NA 9.85% 10.00% 10.25% 10.25% 10.50% 10.75% 11.00% NA
9.92% 9.96% 10.31% 10.47% 10.25% 10.75% 10.50% 11.30% 11.00% 11.10%
Mode of Interest Payment Through various Series available
Redemption Amount (` /NCD) for Debenture Holders `1,000 `1,135 `1,000 `1,000 `1,000 `1,000 `1,000 `1,000 `1,000 `2,000
No. of NCDs applied
Amount Payable (`)
PLEASE FILL IN BLOCK LETTERS

Grand Total (`) Total No. of NCDs: Total Amount Payable (`)
Note: The Company would allot Series I NCDs to all valid applications, wherein the applicants have not indicated their choice of the relevant Series of the NCDs.
5. PAYMENT DETAILS
Amount Paid (` (` in words)

ASBA Bank A/C. No.

ASBA A/c Holder Name____________________________________________________________________________________________________________________________________

Bank Name & Branch _____________________________________________________________________________________________________________________________________

or
UPI ID (Maximum
45 characters)

5A. PAN & SIGNATURE OF 5B. PAN & SIGNATURE OF 5C. PAN & SIGNATURE OF 5D. SIGNATURE OF ASBA BANK ACCOUNT LEAD MANAGER/LEAD BROKERS/ BROKERS/
SOLE/ FIRST APPLICANT SECOND APPLICANT THIRD APPLICANT HOLDER(s) (AS PER BANK RECORDS) TRADING MEMBERS/ SCSB(s)/CRTA/CDP STAMP
I/We authorize the SCSB to do all acts as are (Acknowledging upload of Application in Stock
PAN PAN PAN necessary to make the Application in the Issue Exchange(s) system) (Mandatory)

Furnishing of PAN of the Applicant is mandatory, including Minor’s PAN in case of Application by Minor,
Date: ______________ Please refer page 10 of the Abridged Prospectus. 3

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Acknowledgement Slip for Lead Manager/ Lead Brokers/ Application
KLM AXIVA FINVEST LIMITED Applicant/ Brokers/ Trading Members/ SCSB(s)/ CRTA/ CDP Form No. 35008227
PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (“NCDs”) VIDE THE PROSPECTUS DATED JULY 04, , 2025

DPID / CLID PAN

Amount Paid (` Bank & Branch Date, Stamp & Signature of

SCSB Branch (Mandatory)
ASBA Bank A/c No. / UPI ID Dated

Received from Mr./Ms./M/s.

Printed by : [Link]

Telephone/Mobile Email
TEAR HERE

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PUBLIC ISSUE OF SECURED, REDEEMABLE, NON-CONVERTIBLE DEBENTURES OF FACE VALUE ` 1,000/- EACH (“NCDs”) VIDE THE PROSPECTUS DATED JULY 04, , 2025
Series I II III IV V VI VII VIII IX X Date Stamp & Signature of Lead Manager / Name of Sole/First Applicant (Mr./ Ms./ M/s.):
KLM AXIVA FINVEST LIMITED

Lead Brokers/ Brokers / Trading Members /

Face Value / Issue Price (`/NCD) ` 1,000/- SCSB(s) / CRTA/ CDP
______________________________________
No. of NCDs applied for
All future communication in connection with this Application
Amount Payable (`) should be addressed to the Registrar to the Issue. For details,


Grand Total (`) Total No. of NCDs Total Amount Payable (`) please refer overleaf. Acknowledgement Slip for Applicant

ASBA Bank A/c No. / UPI ID ____________________________________ Dated ________________________ Acknowledgment is subject to realisation Application
Name of Bank & Branch ___________________________________________________________________
of Availability of Funds in the ASBA account. Form No. 35008227
While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Manager/ Lead Brokers/ Brokers/ Trading Members/ SCSB(s)/
CRTA/ CDP matches with the date stamp on the Acknowledgement Slip. Application submitted without being uploaded on the terminals of the Stock Exchange will be rejected.
 APPLICANT’S
IN THE NATURE OF FORM 2A - MEMORANDUM UNDERTAKING
CONTAINING SALIENT FEATURES OF THE PROSPECTUS
I/We hereby agree and c
1. I/We have read, understood and agreed to the contents and terms and conditions of the Prospectus dated July 04, 2025 (“Prospectus”) of KLM Axiva Finvest Limited
2 I/We hereby apply for allotment of the NCDs to me/us and the amount payable on application is remitted herewith.
3. I/We hereby agree to accept the NCDs applied for or such lesser number as may be allotted to me/us in accordance with the contents of the Prospectus subject to applicable statutory and/or regulatory
requirements.
4. I/We irrevocably give my/our authority and consent to Vistra ITCL (India) Limited (the “Debenture Trustee”), to act as my/our trustees and for doing such acts as are necessary to carry out their duties in such capacity.
5. I am/We are Indian National(s) resident in India and I am/ we are not applying for the said NCDs as nominee(s) of any person resident outside India and/or Foreign National(s).
6. The application made by me/us does not exceed the investment limit on the maximum number of NCDs which may be held by me/us under applicable statutory and/or regulatory requirements.
7. In making my/our investment decision I/We have relied on my/our own examination of KLM Axiva Finvest Limited and the terms of the issue, including the merits and risks involved and my/our decision to
make this application is solely based on disclosures contained in the Prospectus.
8. I/We have obtained the necessary statutory and/or regulatory permissions/approvals for applying for, subscribing to, and seeking allotment of the NCDs applied for, as applicable.
9. UPI Mechanism for Blocking Funds shall only be used by Resident Individual Investors, who have submitted bid for an amount not more than ₹5,00,000 in any of the bidding options in the Issue (including
HUFs applying through their Karta and does not include NRIs).
10. Additional Undertaking, in case of ASBA Applicants: 1) I/We hereby undertake that I/We am/are an ASBA Applicant(s) as per applicable provisions of the Securities and Exchange Board of India (Issue
and Listing of Non-Convertible Securities) Regulations, 2021 (“SEBI NCS Regulations”); 2) In accordance with ASBA process provided in the SEBI NCS Regulations and disclosed in the Prospectus, I/We
authorize (a) the Lead Manager(s), Lead Brokers, Trading Members (in S
linked with UPI ID provided in the Application Form as the case may be, transfer of funds to the Public Issue Account on receipt of instruction from the Lead Manager and Registrar to the Issue or the Sponsor
3)
Series I NCDs wherein I/We have not indicated the choice of the relevant Series of NCDs.
IMPERSONATION
As a matter of abundant prec
applications. Section 38(1) of the Companies Act, 2013 provides that:

company to allot, or register any transfer

ISSUE RELATED INFORMATION FOR FILING THE APPLICAITON FORM
Investor Category Sub Category Investor Category Sub Category Investor Category Sub Category
Code Code Code
Category I (“Institutional Portion”) Category II (“Non Institutional Portion”) Category III* (“Retail
#

Individual Portion”)
11 Companies falling within the meaning of Section 2(20) 21 Resident Indian individuals 31
of the Companies Act 2013, statutory corporations including state of the Companies Act 2013; bodies corporate and
industrial development corporations. societies registered under the applicable laws in India
and authorised to invest in the NCDs
Scheduled commercial Banks, co-operative Banks and regional rural 12 Educational institutions and associations of persons 22 Hindu Undivided Families 32
and/or bodies established pursuant to or registered through the Karta
which are authorised to invest in the NCDs under any central or state statutory enactment, which
are authorised to invest in the NCDs.
Provident funds of minimum corpus of ` 2,500 lakhs, Pension funds of 13 Trust including public/private charitable/religious trusts, 23
minimum corpus of ` 2,500 lakhs, Superannuation funds and gratuity which are authorised to invest in the NCDs
fund which are authorised to invest in the NCDs.
Alternative investment funds, subject to investment conditions 14 Association of persons 24
applicable to them under the Securities and Exchange Board of
India (Alternative Investment Funds) Regulations, 2012
Resident venture capital funds registered with SEBI 15 25
are authorised to invest in the NCDs
Insurance Companies registered with the IRDAI 16 26
National Investment Fund (set up by resolution no. F. No. 2/3/2005- 17 Limited Liability Partnership formed and registered 27
DDII dated November 23, 2005 of the Government of India and under the provisions of the Limited Liability Partnership
published in the Gazette of India) Act, 2008 (No. 6 of 2009)
Insurance funds set up and managed by the Indian army, navy or the 18 Resident Indian individuals and Hindu undivided 28
air force of the Union of India or by the Department of Posts, India; families through the Karta aggregating to a value
Mutual Funds registered with SEBI 19 exceeding ₹ 5 lakhs.
Systemically Important NBFC registered with RBI and having a 20
net-worth of more than ₹ 50,000 lakh as per the last audited

*applications aggregating to a value not more than `5 lakhs

#
applications upto a value of ` 5 lakhs shall only be under the UPI Mechanism.
ISSUE STRUCTURE

Series I II III IV V VI VII VIII IX X

Frequency of Interest Payment Monthly Cumulative Monthly Monthly Annual Monthly Annual Monthly Annual Cumulative
Minimum Application 5 NCDs ( ` 5,000) (across all series of NCDs)
In Multiples of thereafter 1 NCD after the minimum application
Face Value of NCDs (` /NCD) ` 1,000
Issue Price (` /NCD) ` 1,000
Tenure 400 Days 16 Months 18 Months 2 Years 2 Years 3 Years 3 Years 5 Years 5 Years 79 Months
Coupon (%) per annum 9.50% NA 9.85% 10.00% 10.25% 10.25% 10.50% 10.75% 11.00% NA
9.92% 9.96% 10.31% 10.47% 10.25% 10.75% 10.50% 11.30% 11.00% 11.10%
Mode of Interest Payment/ Redemption Through various series available
Redemption Amount (` /NCD) for Debenture Holders `1,000 `1,135 `1,000 `1,000 `1,000 `1,000 `1,000 `1,000 `1,000 `2,000
Deemed Date of Allotment
NCDs shall be available to the Investors from the Deemed Date of Allotment. The actual Allotment of NCDs may take place on a date other than the
Deemed Date of Allotment
Put and Call Option Not applicable
Nature Secured
Our Company would allocate and allot Series I NCDs wherein the applicants have not indicated the choice of the relevant NCD Series.
For further information please refer to section titled “Issue Related Information” on page 281 of the Prospectus.
Issue Related Information” on
page 281 of the Prospectus. Also for further details of the interest payment please refer to “Manner of Payment of Interest/Redemption Amounts” on page 310 of the Prospectus.
For further details, please refer to the Prospectus.
the meaning given to such terms in the Prospectus.
For Rejection of Applications : Please refer to page 12 of the Abridged Prospectus.
Basis of Allotment : For details, please refer to page 13 of the Abridged Prospectus.
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- Applicants may contact Registrar to the Issue in case of any pre-issue COMPANY CONTACT DETAILS REGISTRAR CONTACT DETAILS
or post issue related problems (non-receipt of Allotment Advice, refunds KLM AXIVA FINVEST LIMITED KFIN TECHNOLOGIES LIMITED
or credit of NCDs) Door No. 8-13, Plot No. 39, First Floor, Ashoka Complex, 301, The Centrium, 3rd Floor,
Above Indian Bank, Mythripuram Colony, Gayathrinagar X Road,
- In case of ASBA Application submitted to the SCSBs, the Applicants 57, Lal Bahadur Shastri Road, Nav Pada,
Vaishalinagar P.O., Hyderabad, Telangana-500 079
should contact Registrar to the Issue with copy to the relevant SCSB. Telephone: +91-40-3516 2071 Kurla (West), Mumbai-400070, Maharashtra, India
KLM Grand Estate, Bypass Road, Edappally, Ernakulam, Kerala Telephone: +91 40 6716 2222
- In case of queries related to upload of Applications submitted to the -682024. Telephone: +91 -484-4281 111 Fax Number: 040-6716 1563
Lead Manager's / Lead Brokers/ Brokers / Trading Member/ CRTA/CDP : Naveena P. Thampi; Email:
should contact the relevant Lead Manager / Lead Brokers/ Brokers / E-mail: cs@[Link]; Telephone: +91-484-281182
Trading Member/CRTA/CDP. Thanish Dalee; E-mail: cfo@[Link] Investor Grievance Email:
Telephone: +91-484-281118 Website:
- The grievances arising out of Applications for the NCDs made through Corporate Identity Number: U65910TG1997PLC026983 Contact Person: M Murali Krishna
Trading Members may be addressed directly to Stock Exchanges. Permanent Account Number: AAACN7976P; Website: [Link]

2 KLM AXIVA FINVEST LIMITED