THE CANNING INDUSTRIES COCHIN LIMITED

[CIN: U01122KL1947PLC000257]

Regd. Office : No.C-234-32, CAICO Road, Valarkavu, Trissur-680 006

Telephone: 0487-2420685, 2442036

E-mail: :: Web.

Issue of 1,92,900 (one lakh ninety two thousand and nine hundred) 10 % (ten percent) unsecured mandatorily fully convertible debentures of Rs.250 each aggregating Rs.4,82,25,000 (Rupees four crores eighty two lakhs and twenty five thousand) TO THE MEMBERS OF THE COMPANY AT THE RATE OF 100 DEBENTURES PER MEMBER.

APPLICATION FORM

Folio No……………

Name & Address of Member : Application No………

OFFER
(1)
Folio No. / (2)
Number of FCDs offered / (3)
Number of FCDs applied for / (4)
Amount paid @ Rs.250/- per FCD applied for as per column (3)
100

To

The Board of Directors

The Canning Industries Cochin Limited

No.C-234-32, CAICO Road, Valarkavu

Trissur-680 006

1. I/we hereby confirm that I/we have read and understood the terms and conditions of this application

formas per prospectus and have read the instructions for filling up the application form given overleaf.

2, I / we apply for Unsecured, Mandatorily and Fully Convertible Debentures (FCDs).

3. I / we agree to abide by the terms, conditions, rules and regulations of the Issue.

4. I / we tender herewith a Demand Draft / Cheque No……………. dated………… for Rs.------drawn on ------Bank ------Branch, being the amount payable on application in respect of the FCDs applied.

5. I / we authorize you to place my / our name( s) on the Register of Debenture Holders in respect of the FCDs allotted to me / us and I / we agree to hold such FCDs upon the terms of the said Prospectus and subject to the provisions of the Memorandum and Articles of Association of the Company.

6.I / we declare that I am / we are resident in India and are not applying for the above mentioned FCDs as nominee(s) of any person(s) resident outside India.

7. I / we declare that the amount invested is through legitimate sources only and is not designed for the purpose of contravention or evasion of any Act, Regulation, Rule, Notification, directions or any other applicable laws enacted by the Government of India or any Statutory Authorities.

(Signature)

(Please fill in and sign in the columns below in the order of your existing shareholding.

Name(s) Signature

Sole / First Applicant / PAN/GIR No.
IT Circle
Ward/District
Second Applicant / PAN/GIR No.
IT Circle
Ward/District
Third Applicant / PAN/GIR No.
IT Circle
Ward/District
Present address of the
Sole/First Applicant
(Any change of address is to be notified)
Telephone / Mobile No…………………………………………..E mail ID……………………….
CIN (for corporates)
Bank details for payment of refund / interest
Name of Bank, Branch …………………………………..MICR Code …………………..
Account No. …………………………………………….IFSC Code ……………………

Instructions:

1, The application form must be signed as per the specimen signature(s) registered with the Company.

2. In case of joint holding, the application forms must be signed by all joint holders in the order in which their names appear in the Register of Members.

3. In the case of a body corporate, the form must be signed on its behalf by a duly authenticated person attaching a copy of Board Resolution authorizing him to sign.

4. Applicant signing under a Power of Attorney must attach a copy of self-attested Power of Attorney along with the application.

5. No FCDs shall be allotted in the names of partnership firms, minors (except through legal guardian) foreign nationals or the nominees of any of them.

6. Thump impressions must be authenticated by a Magistrate or Justice of Peace or Notary Public under his official seal.

7. In case a shareholder does not receive the application form in time, he may apply for the FCD either by taking a print out of the application given on our website or on a plain paper with the following details:

(a) Name (including joint names, if any) (b) Ledger Folio No. (c) Number of FCDs applied for (d) Amount paid with application (e) Particulars of cheque/Demand Draft stating its number, date and its drawee/paying bank. (f) Particulars of bank account like account number, name of bank and branch (g) PAN

8. The Issue opens on 11th November, 2015 and closes on 25th November, 2015.

9. Every Member of the Company holding equity shares on the Record Date i.e. 7th November, 2015,

shall be entitled for 100 Debentures of the face value of Rs.250/-.

10. FCDs carry an Annual Coupon Rate of 10%.

11. The Maturity Date shall be five years from the date of allotment.

12. Every FCD will be compulsorily converted into two equity shares of Rs.30/- each at a premium of Rs.95/- on maturity or earlier, if the Call option is exercised by the Company.

13. The FCDs are freely transferable.

14. The Members will have no right to renounce the offer in favour of any person.

15. In the event of under subscription, the unsubscribed portion may be disposed of by the Board of Directors in such manner as they think most beneficial to the Company.

16. No Put option is available to the FCD holders and the Company is free to exercise Call option and convert the FCDs into equity at any time before its maturity

17.The application forms together with Demand Draft / local cheque drawn in favour of “The Canning Industries Cochin Limited FCD Issue” must be delivered at the Registered Office of the Company on or before the closure of Issue, i.e. 25th November, 2015.

18. The Company will not be liable for any postal delay and the applications received through post after the date of closure of the Issue will be rejected.

19. No separate receipt will be issued for the application money.

20. The Company has put copy of its Prospectus in its web site at The Company has sent through e-mail an electronic copy of Prospectus filed with the Registrar to all those Members who have informed their e-mail ID to the Company. In the case of other Members, we shall send the hard copy of Prospectus on receiving a request to this effect.