Application Form
Application Form
Application Form
APPLICATIONS' MONEY MAY BE FOREFEITED UNDER SECTION 87(8) OF THE SECURITIES ACT, 2015
INVESTMENT IN SECURITIES IS A HIGHLY RISKY BUSINESS. INVESTORS ARE, THEREFORE, ADVISED IN THEIR OWN INTEREST TO CAREFULLY READ THE CONTENTS OF THE PROSPECTUS ESPECIALLY THE RISK FACTORS BEFORE MAKING
ANY INVESTMENT DECISION.
SUBSCRIPTION DATES
From July 27, 2015 to July 29, 2015 during
banking hours
The Directors
Al Shaheer Corporation Limited
Suite G5/5 3rd Floor, Mansoor Tower Block 8,
Shahrah-e-Roomi, Clifton Karachi
OR
CDC INVESTOR ACCOUNT SERVICES
ID
KSE
01
ISE
03
1) I / We apply for the following number of Ordinary Shares at PKR 95.00/- per share for the value indicated below:
Banker's Stamp
For Bankers
LSE
02
Code
2) I / We agree to accept the same or any smaller number of Shares that may be allotted to me / us upon the terms as stated in the Prospectus Document. I / We authorize you to send the Shares to me / us
pursuant to this application and if no Shares or a smaller number of Shares are allotted to me / us you are hereby authorized to return to me / us by cheque or other means my / our application money for the
amount of shares not delivered by post at my / our risk to the address written below, or to the Banker to the Issue through which I / we have submitted this application.
Bank Code
For Pakistanis
3) DECLARATION
Resident
01
Non-resident
02
Branch Code
I / We declare that: i) I am / We are national(s) of ____________________________________________________________________________; ii) I am / We are not minor(s); iii) I / We have not made nor have I / we instructed any other person(s) / institution(s) to
make any other application(s) in my / our name(s) or in the name of any other person on my / our behalf or in any fictitious name; iv) I / We agree to abide by the instructions provided with this application and in case of any information given herein being incorrect I /
we understand that I / we shall not be entitled to the allotment of Shares if successful rather the application money shall be liable to confiscation if this declaration proves to be incorrect at any time.
Yours faithfully,
a)
Signature(s)
4) ALL DETAILS MUST BE WRITTEN IN
b)
O
Ms.
Mrs.
Co.
Please Tick
Phone No.
Occupation
Code
Bank Name
Muslim
Non Muslim
Yes
No
Nationality Code
Country of Residence
Ms.
Mrs.
Co.
Please Tick
Identity Number
(CNIC / Passport / Registration No.)
6) DIVIDEND MANDATE (Optional): Mark tick [ ] in the appropriate boxes Yes [
] No [
* Investors are encouraged to disclose their NTN numbers to facilitate the Company to check status of the shareholders as tax return filer or non-filer from the Active Taxpayers List (ATL) available on the website of FBR.
Please note that reduced tax rate of 10% applies to Filers instead of 15% for Non-Filers on payment of cash dividend declared, if any, by the companies.
Incase the Applicant intends that if shares applied for are issued to him / it and the dividend declared by the company, if any, is credited directly in his / its bank account, instead of issue of dividend warrants, then please fill in the following boxes:
Title of Account
Account Number
Bank Name
Branch Name and Address
Signature of the Applicant as per the
Bank account
NTN Number*
(TO BE FILLED IN BY THE APPLICANTS BANKER)
7) It is certified that the above-mentioned applicant(s) is / are maintaining account number as mentioned above at this bank branch and his / her / their particulars and signature(s) are correct and verified as
per the bank's record and their CNIC / Passport. It is further certified that only one application has been made in the name of the above account holder through this branch. We also confirm that the original
CNIC / Passport has been seen by us.
Note: In case the subscription money is paid through a bank other than the Bankers to the Issue (through pay order or bank draft), this certification shall be provided by the manager of the
bank where the applicant maintains his / her bank account.
SPECIMEN SIGNATURE(S) OF THE APPLICANT
NAME OF THE APPLICANT IN BLOCK LETTERS (AS PER CNIC)
a)
b)
----------------------------------------------------------------------------------------------------------------------------Banker's to the Issue - Provisional Acknowledgement of Application for Shares of Al Shaheer Corporation Limited
Branch Code
Date of Receipt
IMPORTANT: (i) This slip must be retained by the Applicant ii) Please read instructions provided with this application
a.
b.
c.
d.
e.
Pakistani citizens resident in or outside Pakistan or Persons holding two nationalities including Pakistani nationality;
Foreign Nationals whether living in or outside Pakistan;
Companies, bodies corporate or other legal entities incorporated or established in or outside Pakistan (to the extent permitted by their constitutive documents and existing regulations, as the case may be);
Mutual Funds, Provident / Pension / Gratuity Funds / Trusts (subject to the terms of the Trust Deed and existing regulations); and
Branches in Pakistan of companies and bodies corporate incorporated outside Pakistan.
2.
APPLICATION MUST BE MADE ON THE COMMISSIONS APPROVED APPLICATION FORM OR A LEGIBLE PHOTOCOPY THEREOF ON A PAPER OF A4 SIZE WEIGHING ATLEAST 62 GM.
3.
Copies of Prospectus and application forms can be obtained from the members of Karachi Stock Exchange Limited, Lahore Stock Exchange Limited, Islamabad Stock Exchange Limited, the Bankers to the Issue and their branches, the
Joint Lead Managers & Arrangers and the registered office of the Company. The Prospectus and the application forms can also be downloaded from the websites: www.alshaheer.net, www.akdsecurities.net & www.nextcapital.com.pk
4.
The applicants opting for scripless form of Shares are required to complete the relevant sections of the application. In accordance with provisions of the Central Depositories Act, 1997 and the CDC Regulations, credit of such Shares is allowed ONLY in
the applicants own CDC Account. In case of discrepancy between the information provided in the application form and the information already held by CDS, the Company reserves the right to issue shares in physical form.
5.
Name(s) and address(es) must be written in full block letters, in English and should not be abbreviated.
6.
All applications must bear the name and signature corresponding with that recorded with the applicants banker. In case of difference of signature with the bank and Computerized National Identity Card (CNIC) or National Identity Card for Overseas
Pakistanis (NICOP) or Passport both the signatures should be affixed on the application form.
7.
8.
(i)
In case of individual investors, an attested photocopy of CNIC (in case of RPs) / Passport (in case of NRPs and FIs) as the case may be, should be enclosed and the number of CNIC / Passport should be written against the name of the applicant.
Copy of these documents can be attested by any Federal / Provincial Government Gazetted Officer, Councilor, Oath Commissioner or Head Master of High School or bank manager in the country of applicants residence.
(ii)
Original CNIC / Passport, along with one attested photocopy, must be produced for verification to the Banker to the Issue and the applicants banker (if different from the Banker to the Issue) at the time of presenting the application. The attested
photocopy will, after verification, be retained by the bank branch along with the application.
Applications made by companies, corporate bodies, mutual funds, provident / pension / gratuity funds / trusts and other legal entities must be accompanied by an attested photocopy of their Memorandum and Articles of Association or equivalent
instrument / document. Where applications are made by virtue of Power of Attorney, the same should also be submitted along with the application. Any Federal / Provincial Government Gazetted Officer, Councilor, Bank Manager, Oath
Commissioner and Head Master of High School or bank manager in the country of applicants residence can attest copies of such documents.
(ii)
Attested photocopies of the documents mentioned in 8(i) must be produced for verification to the Banker to the Issue and the applicants banker (if different from the Banker to the Issue) at the time of presenting the application. The attested
copies, will after verification, be retained by the bank branch along with the application.
9.
Only one application will be accepted against each account, however, in case of joint account, one application may be submitted in the name of each joint account holder.
10.
Joint application in the name of more than two persons will not be accepted. In case of joint application each applicant must sign the application form and submit attested copies of their CNICs / Passport. The shares / certificates will be dispatched to the
person whose name appears first on the application form while in case of CDS, it will be credited to the CDS account mentioned on the face of the form and where any amount is refundable, in whole or in part, the same will be refunded by cheque or other
means by post, or through the bank where the application was submitted, to the person named first on the application form, without interest, profit or return. Please note that joint application will be considered as a single application for the purpose of
allotment of Shares / Certificates.
11.
Subscription money must be paid by cheque drawn on applicants own bank account or pay order / bank draft payable to one of the Bankers to the Issue IPO OF AL SHAHEER CORPORATION LIMITED and crossed A/C PAYEE ONLY.
12.
For the applications made through pay order / bank draft, it would be permissible for a Banker to the Issue to deduct the bank charges while making refund of subscription money to unsuccessful applicants through pay order/bank draft individually for each
application.
13.
The applicant should have at least one bank account with any of the commercial banks. The applicants not having a bank account at all (non-account holders) are not allowed to submit application for subscription of Shares.
14.
15.
Applicants should ensure that the bank branch, to which the application is submitted, completes the relevant portion of the application form.
16.
Applicants should retain the bottom portion of their application forms as provisional acknowledgement of submission of their applications. This should not be construed as an acceptance of the application or a guarantee that the applicant will be allotted the
number of Shares / Certificates for which the application has been made.
17.
Making of any false statements in the application or willfully embodying incorrect information therein shall make the application fictitious and the applicant or the bank shall be liable for legal action.
18.
Bankers to the Issue are prohibited to recover any charges from the subscribers for collecting subscription applications. Hence, the applicants are advised not to pay any extra charges to the Bankers to the Issue.
19.
It would be permissible for a Banker to the Issue to refund subscription money to unsuccessful applicants having an account in its bank by crediting such account instead of remitting the same by cheque, pay order or bank draft.
Applicants should, therefore, not fail to give their bank account numbers.
20.
Submission of false and fictitious applications is an offence under Section 87(7) of the Securities Act, 2015 and such applications money may be forfeited under section 87(8) of the Securities Act, 2015.
In case of foreign investors who are not individuals, applications must be accompanied with a letter on applicants letterhead stating the legal status of the applicant, place of incorporation and operations and line of business. A copy of memorandum of
association or an equivalent document should also be enclosed, if available. Where applications are made by virtue of Power of Attorney, the sa me must be lodged with the application. Copies of these documents can be attested by the bank manager in
the country of applicants residence.
22.
Applicants may also subscribe using their Special Convertible Rupee Account (SCRA) as set out under the State Bank of Pakistans Foreign Exchange Manual.
BASIS OF ALLOTMENT
1.
The minimum amount of application for subscription of 500 ordinary shares is PKR 47,500/- (PKR 95 x 500 Shares) for both CDC and Physical form of shares. Application for Shares below the respective amount mentioned in this paragraph shall not be
entertained.
2.
Application for Shares must be made for 500 Shares or in multiple thereof only. Applications which are neither for 500 Shares nor for multiple thereof shall be rejected.
3.
Allotment / Transfer of Shares to successful applicants shall be made in accordance with the allotment criteria / instructions disclosed in the Prospectus.
4.
Allotment of Shares shall be subject to scrutiny of applications in accordance with the criteria disclosed in the Prospectus and / or the instructions by the Securities & Exchange Commission of Pakistan.
5.
Applications, which do not meet the above requirements, or applications which are incomplete will be rejected. The applicants are, therefore, required to fill in all data fields in the Application Form.
6.
The Company will dispatch shares to successful applicants through their Bankers to the Issue or credit the respective CDS accounts of the successful applicants (as the case maybe).
7.
9.
OCCUPATION CODE
Code
Name of Banks
Code
Name of Banks
Code
01
02
03
04
05
06
07
08
09
10
11
01
02
03
04
05
Occupation
Business
Business Executive
Service
Housewife
Household
Code
06
07
08
09
10
Occupation
Professional
Student
Agriculturist
Industrialist
Other
*In order to facilitate investors, United Bank Limited UBL is offering electronic submission of application (e-IPO) to its account holders. UBL account holders can use UBL Net banking to submit their application online via link
http://www.ubldirect.com/corporate/ebank. Further, please note that online applications can be submitted 24 hours a day during the subscription period which will close at 12:00 midnight on July 29, 2015.
8.
Code
Name of Banks
Code
Name of Banks
Code
Name of Country
Code
Name of Country
01
02
03
04
05
N/A
N/A
N/A
N/A
N/A
06
07
08
09
10
N/A
N/A
N/A
N/A
N/A
001
002
003
004
005
U.S.A
U.K
U.A.E
K.S.A
Oman
006
007
008
009
Bangladesh
China
Bahrain
Other