ICDR – SCHEDULE XII

[See regulation 45(10)]
FORMAT OF REPORT FOR GREEN SHOE OPTION

The report for Green Shoe Option shall be filed in the following format:-

(1) Name of the issuer:

(2) Name of the Stabilising Agent (Registration No. as merchant banker with SEBI):

(3) Issue size (No. of equity shares) :

(4) Issue opened on :

(5) Issue closed on :

(6) Over-allotment in issue (%):

(7) Date of commencement of trading :

(8) Amount in the ‘Green Shoe Option Bank Account‘ (in rupees) :

(9) Details of promoter(s) from whom shares borrowed (Name & Number of shares borrowed):

(10) Date on which the stabilisation period ended :

(11) Number of shares bought during the stabilization period :

(12) Date on which issuer allotted further shares to the extent of shortfall:

(13) Date when the shares in the Green Shoe Option Demat Account were returned to the
promoter(s):

(14) Date when the money in the Green Shoe Option Bank Account was remitted to the issuer:

(15) Details of the Depository account (Special account for Green Shoe Option securities) where shares purchased from the market were kept inter-alia the following:

(a) Depository Participant
(b) Account No.
(c) Number of shares purchased, date wise.
(d) Number of shares taken out, date wise.

(16) Details of amount transferred to the Investor Protection and Education Fund established by the Board.

Amount (in rupees)                                                                                   Cheque/Pay Order details