(i)

(A) the authorised, issued, subscribed and paid up capital (number of securities, description and aggregate nominal value);

(B) size of the present offer;

(C) paid up capital

(I) after the offer;

(II) after conversion of convertible instruments (if applicable);

(D) share premium account (before and after the offer);

(ii) the details of the existing share capital of the issuer company in a tabular form, indicating therein with regard to each allotment, the date of allotment, the number of shares allotted, the face value of the shares allotted, the price and the form of consideration:

(b) Profits of the company, before and after making provision for tax, for the three financial years immediately preceding the date of issue of private placement offer cum application letter;

(c) Dividends declared by the company in respect of the said three financial years; interest coverage ratio for last three years (cash profit after tax plus interest paid/interest paid)

(d) A summary of the financial position of the company as in the three audited balance sheets immediately preceding the date of issue of private placement offer cum application letter;

(e) Audited Cash Flow Statement for the three years immediately preceding the date of issue of private placement offer cum application letter;

(f) Any change in accounting policies during the last three years and their effect on the profits and the reserves of the company.

(i) Name

(ii) Father's name

(iii) Complete Address including Flat/House Number, Street, Locality, Pin Code

(iv) Phone number, if any

(v) email ID, if any

(vi) PAN Number

(vii) Bank Account Details: