CK CLIENT CODE: EBOM451862 BSE B ID ID: 4754796

APPLICATION FORM EDELWEISS FINANCIAL SERVICES LIMITED ASBA APPLICATION ISSUE OPENS ON: MONDAY, OCTOBER 7, 2024
Credit Rating: ‘CRISIL A+/Watch Negative (placed on ‘Rating Watch with
(FOR RESIDENT APPLICANTS) FORM ISSUE CLOSES ON: FRIDAY, OCTOBER 18, 2024#


Negative Implications’) by CRISIL Ratings Limited
For details of Early Closure or extension of the Issue refer to page 15 of the attached Abridged Prospectus
#

To, The Board of Directors, Application

EDELWEISS FINANCIAL SERVICES LIMITED Form No. 46328115
TEAR HERE

PUBLIC ISSUE BY EDELWEISS FINANCIAL SERVICES LIMITED (“COMPANY” OR THE “ISSUER”) OF SECURED REDEEMABLE NON-CONVERTIBLE DEBENTURES OF
FACE VALUE OF ` 1,000 EACH, (“NCDS”), VIDE PROSPECTUS DATED SEPTEMBER 30, 2024 (“PROSPECTUS”).
I/we hereby confirm that I/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 given overleaf.
I/we hereby confirm that I/we have read the instructions for filling up the Application Form given overleaf.
LEAD MANAGERS / CONSORTIUM MEMBERS SUB CONSORTIUM MEMBERS AGENT’S / TRADING MEMBERS / SCSB BRANCH STAMP REGISTRAR’S / SCSB BRANCH DATE OF RECEIPT
STAMP & CODE STAMP & CODE CRTA / CDP STAMP & CODE & CODE SERIAL NO.

23/13116-31 MOFSL - 23/10412-38

1. APPLICANT’S DETAILS - PLEASE FILL IN BLOCK LETTERS (Please refer to Page 19 of the attached 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 Category IV Sub Category Code (Please see overleaf)
3. PLEASE PROVIDE APPLICANT’S DEPOSITORY DETAILS
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 XI XII
Frequency of Interest Payment Annual NA Monthly Annual NA Monthly Annual NA Annual Monthly Annual Annual
Minimum Application ` 10,000 (10 NCDs) across all Series
Face Value/ Issue Price of NCDs (`/ NCD) ` 1,000
In Multiples of thereafter (`) ` 1,000 (1 NCD)
Tenor 24 months 24 months 36 months 36 months 36 months 60 months 60 months 60 months 60 months 120 months 120 months 120 months
Coupon (% per annum) for NCD Holders in Category I, II, III & IV 9.50% NA 9.57% 10.00% NA 10.04% 10.50% NA 10.50% 10.49% 11.00% 11.00%
Effective Yield (per annum) for NCD Holders in Category I, II, III & IV 9.50% 9.50% 10.00% 10.00% 10.00% 10.51% 10.49% 10.50% 10.50% 11.00% 10.99% 10.99%
Mode of Interest Payment Through various mode available
Staggered Redemption in Three (3) annual Staggered Redemption in Five (5) annual
Amount (` / NCD) on Maturity for NCD Holders in Category I, II, III & IV ` 1,000 ` 1,199.10 ` 1,000 ` 1,000 ` 1,331.00 ` 1,000 ` 1,000 ` 1,647.90 payments of `250.00 each in 3rd and 4th ` 1,000 ` 1,000 payments of ` 200.00 each, starting from
Anniversary and ` 500.00 on 5th Anniversary* 6th Anniversary* until Maturity
120
Maturity / Redemption Date (Months from the Deemed Date of Allotment) 24 months 24 months 36 months 36 months 36 months 60 months 60 months 60 months 60 months months 120 months 120 months
Staggered Redemption by Face Value as Staggered Redemption by Face Value as
PLEASE FILL IN BLOCK LETTERS

Redemption Date / Redemption Schedule 120

24 months 24 months 36 months 36 months 36 months 60 months 60 months 60 months per “Principal Redemption Schedule and months 120 months per “Principal Redemption Schedule and
Redemption Amounts” Redemption Amounts”
Put and Call Option NA
Total No. of NCDs Applied for
Total Amount Payable (`)
Grand Total (`) : Total No. of NCDs : Total Amount Payable (`) :
**The Company shall allocate and allot Series IV NCDs wherein the Applicants have not indicated the choice of the relevant NCD Series.
*of Deemed Date from Allotment
5. PAYMENT DETAILS
Amount Paid (` in figures) (` in words)
ASBA
Bank A/c No.
ASBA A/c. Holder Name ______________________________________________________________________________________________________________
(in case Applicant is different from ASBA A/c. Holder)
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 HOLDER(S) LEAD MANGERS’ / CONSORTIUM MEMBER’S
SOLE/FIRST APPLICANT SECOND APPLICANT THIRD APPLICANT (AS PER BANK RECORDS) / SUB-CONSORTIUM MEMBER’S / BROKER’S
I/We authorize the SCSB to do all acts as are / TRADING MEMBER’S / CRTA / CDP / SCSB
PAN PAN PAN necessary to make the Application in the Issue BRANCH’S STAMP (Acknowledging upload of
Application in Stock Exchange System) (Mandatory)
1)
2)
Furnishing of PAN of the Applicant is mandatory, including Minor’s PAN in case of
Date : _________________________ Application by Minor, please refer page 22 of the attached Abridged Prospectus. 3)
TEAR HERE
Acknowledgment Slips for Lead Manager / Consortium Application
EDELWEISS FINANCIAL Members / Sub-Consortium Members / Applicant / 46328115
Form No.
SERVICES LIMITED Brokers / Trading Members / SCB(s) / CRTA / CDP
PUBLIC ISSUE BY EDELWEISS FINANCIAL SERVICES LIMITED (“COMPANY” OR THE “ISSUER”) OF SECURED REDEEMABLE NON-CONVERTIBLE DEBENTURES OF FACE VALUE OF ` 1,000 EACH, (“NCDS”), VIDE PROSPECTUS DATED SEPTEMBER 30, 2024 (“PROSPECTUS”).
DPID
/ PAN
CLID

Amount Paid (` in figures) Date, Stamp & Signature of SCSB Branch (Mandatory)
Bank & Branch
ASBA Bank A/c No./UPI ID Dated

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

Telephone / Mobile Email

TEAR HERE
PUBLIC ISSUE BY EDELWEISS FINANCIAL SERVICES LIMITED (“COMPANY” OR THE “ISSUER”) OF SECURED REDEEMABLE NON-CONVERTIBLE DEBENTURES OF FACE VALUE OF ` 1,000 EACH, (“NCDS”), VIDE PROSPECTUS DATED SEPTEMBER 30, 2024 (“PROSPECTUS”).
EDELWEISS FINANCIAL

Options/NCD Series I II III IV V VI VII VIII IX X XI XII Date Stamp & Signature of Lead Name of Sole / First Applicant (Mr./Ms./M/s.)
SERVICES LIMITED

Face Value/Issue Price (`/NCD) ` 1,000 Managers/Consortium Members/ Broker /

TEAR HERE

Trading Members / SCSB / CRTA / CDP

No. of NCDs applied for All future communication in connection with this application should
Amount Payable (`) be addressed to the Registrar to the Issue. For details, please refer
Grand Total (`) overleaf. Acknowledgment Slip for Applicant
+91 22

ASBA Bank A/c No./UPI ID Dated Acknowledgement is subject to realisation of

Name of Bank & Branch Availability of Funds in the ASBA account. Application 46328115
Form No.


While submitting the Application Form, the Applicant should ensure that the date stamp being put on the Application Form by the Lead Managers / Consortium Members / Trading Members
/ CRTA / CDP / SCSB matches with the date stamp on the Acknowledgement Slip. Applications submitted without being uploaded on the terminals of the Stock Exchange will be rejected.

CLIENT CODE: EBOM451862 BSE B ID ID: 4754796 CK