Transpek Industry Limited

Registered Office : Marble Arch, Race Course Circle, Vadodara - 390 007.

6th Floor, Ph. : +91 265 2335444, 2342264, 2334141, 2335757Fax : 2335758 E-mail : fd@transpek.com

UNSECURED FIXED DEPOSIT SCHEMES

SCHEME ANON CUMULATIVE DEPOSITS

SCHEME ANON CUMULATIVE DEPOSITS

SCHEME ANON CUMULATIVE DEPOSITS

RATE OF INTEREST

P.A. (%)Period

MinimumDeposit(from

Shareholders)Amt. Rs Shareholders

2

3 Years

Years 10,000/-

10,000/-

9.00%

9.25%

MATURITY AMOUNT RS.

SHAREHOLDERS

MaturityAmt Rs.

EffectiveReturn P.A.

11,948/-

13,157/-

9.74%

10.52%

Period

MinimumDeposit(from

Shareholders)Amt. Rs

2

3 Years

Years 10,000/-

10,000/-

SCHEME BCUMULATIVE DEPOSITS

SCHEME BCUMULATIVE DEPOSITS

SCHEME BCUMULATIVE DEPOSITS

CRISIL RATING 'FA-/Stable'CRISIL RATING 'FA-/Stable'CRISIL RATING 'FA-/Stable'

CIN : L2305GJ1965PLC001343

THE INTEREST RATES ARE EFFECTIVE FROM 24TH MAY, 2016

APPLICATION FORMS CONTAINING TERMS AND CONDITIONS SUBJECT TO WHICH APPLICATION WILL BE

ACCEPTED ARE AVAILABLE AT THE FIXED DEPOSIT DEPT. OF THE COMPANY OR AT THE FOLLOWING

OFFICES OF BROKERS.

BARODA.BARODA.

MUMBAI.MUMBAI.

UPENDRA DALAL & ASSOCIATES

MRS. MEENAXI M. SAMPAT

:

:

17, Rajgir Chember, 2nd Floor, Opp. C/o. Custom House, Sahid Bhagat Singh Road,Mumbai - 400 023, Mo. 0981986840

Juhu, Vishal HSG Society, BLD No.1st Floor # 4, Gulmohar Cross Road No. 5, Juhu Scheme Vile Parle, Mumbai Mo. 09820925044

27, Suvas Colony, Opp. Fatehsagar Appt, Checkmet Gali, Fatehgunj, Baroda-02, Mo. 9724201540

Behind G.P.O. Raopura, Baroda - 390 001, Phone No. : 0265-2422860 / 2431136

C/o. Nandubhai S. Patel, 215 Fortune Tower Vadodara Stock Exchange, Sayajigunj,

Baroda 05 Ph. : 0265-2362866

Rajas Sadan 1st Floor, Nr. Siddhivinayak Temple Jambubet, Dandia Bazar,

Baroda-01, Ph. : 0265-2416219/2416025

"Ambica", 17 Anand Nagar Society, B/h. New India Mills, Baroda - 390 007.

C-204, 2nd Floor, Payal Complex, Dalal Street Sayajigunj, Baroda - 390 005. Ph. 0265-2363057

101, Paradise Complex, Sayajigunj, Baroda - 390 005. Ph. : 0265-2225779/22225121

Maharastra Boardingline, Brahmpuri, Dandia Bazar, Baroda- 390 001. Ph. : 2421041

Behind G.P.O. Raopura, Baroda - 390 001, Phone No. : 0265-2427920/2427299

215, Ashwamegh Complex, Opp. Sayaji Vihar Club, Rajmahal Road, Baroda - 390 001,

Ph. : 0265-2417779

120, Siddharth Complex, R.C. Dutt Road, Alkapuri, Baroda - 390 007. Ph. : 2340211

F-40/41, 1st Floor National Plaza, R.C. Dutt Road, Alkapuri, Baroda - 390 007. Ph. : 2343677/2323783

1st Floor, 136/137, Paradise Complex, Sayajigunj, Baroda - 390 005.

Ph. : 0265-2361096/2362027

46, Avenue 4 Street No. 1 Banjara Hills Hyderabad - 500 034 Ph. : 2322864

6, Matruka Society, Vasna Road, Vadodara - 390 015. Ph : 2361525

188, Anand Nagar Society, Nr. Water Tank Karelibaug, Baroda - 390 018,

Ph. : 0265- 2397539

2nd Floor, 218 Fortune Tower, Sayajigunj, Baroda-05 Mo. 9824765560 :

:

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:

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:S. R. PATEL

NEETA P. LANDGE

YOGISWAMI FINANCE

ISHWAR FINANCIAL SERVICES

INDRAVADAN I. PATEL

SALIL S. DALAL

NAVINCHANDRA FIN.CONS

YOGI FINANCIAL CONSU.

PRASHANT B. LANDGE

JAY INVESTMENT

BAJAJ CAPITAL LTD.

INTERGRATED ENT (I) LTD.

JHAVERI SECURITIES LTD.

KARVY STOCK BROK. LTD.

SUDIP FIN. SERVICES PVT LTD.

GAURANG FIN. SERVICES

GAYATRI FINANCIAL CONSU

(Only For Share Holder)

Transpek Industry LimitedReg. Office : 6th Floor, Race Course Circle, Vadodara - 390 007. Marble Arch, Ph. : +91 265 2335444, 2342264, 2334141, 2335757 Fax : 2335758

APPLICATION FORM FOR FIXED DEPOSIT SCHEMES No.

Estimated income to be received

SCHEME

DEPOSIT

NOTE

(A) NON-CUMULATIVE

NEW

Please write in block letter and tick ( ____) in appropriate box

(B) CUMULATIVE

RENEWAL

AMOUNT OF DEPOSIT _______________Rupees (in words)______________________________________________________

By Cheque / Demand Draft No. _______________ Dated _____________ Drawn _____________________________________

(Cheque / Demand Draft should be made payable to Transpek Industry Limited and crossed A/C Payee' Only)

Renewal FDR No. __________ Date _______________ Maturity on ______________________

PERIOD OF DEPOSIT 2 YEARS 3 YEARS

TAX STATUS OF FIRST APPLICANT 1 Res. Individual 2 Domestic Company 3 HUF

SUBMITTED TAX EXEMPTION FORM FORM 15G / FORM 15 H (ATTACH PHOTOCOPY OF PAN)

CATEGORY SHARE HOLDER - FOILO/DP ID CL ID.

DEPOSIT REPYABLE TO 1 FIRST NAMED DEPOSITOR 2 EITHER OR SURVIVOR. 3 ANY ONE OR SURVIVIOR

DETAILS OF OTHER DEPOSIT WITH THE COMPANY NO YES FDR NO. DATE

APPLICANTS FULL NAME (SURNAME LAST) IN BLOCK LETTERS PAN NO.

1. Mr/Mrs/Miss

2. Mr/Mrs/Miss

3. Mr/Mrs/Miss

NOMINEE'S NAME RELATION SHIP

NAME OF GUARDIAN (In case of minor) BIRTH DATE OF MINOR

Please fill in the Bank Details of First Applicant for Interest purpose (Please enclose Photocopy of your Cancelled Cheque-Mandatory)

Bank Account No. SB/CA

Bank Name _____________________________________________________________________________________________________________________

Branch & Locality______________________________________________________________________________Pin code __________________________

MICR Code IFCS Code

Authorized broker's name and address APPLICANT'S SPECIMEN SIGNATURE

1

2

3

PIN Mobile / Tel. No. E-mail ID :

FOR OFFICE USE ONLYFDR NO& DATE

L.F.NO. DATE OFREALISATION

PAY INSLIP NO. & DT.

BROKERCODE NO.

AMOUNT ONMATURITY

DATE OFMATURITY

Cheques and Bank Drafts are Subject to Realisation

TRANSPEK INDUSTRY LIMITED(to be filled by the Applicant)First Applicant's Name and Address

For TRANSPEK INDUSTRY LIMITED

..................................................................................................................................................................................................................................................................................................................

PIN

ACKNOWLEDGEMENT SLIPReceived with thanks Fixed Deposit

Application Form with Cheque/Draft/FDR

No.____________ Dt. _______________ Drawn On _______________________

_________________________________ For Rs. _________________________

for a period of 2 / 3 years

NO.

GUARDIAN'S FULL NAME (IN CASE OF MINOR)

Affix a latestphotograph

with signature(DO NOT STAPLE)

Dear sirs

I/We request you to keep the sum stated below in Fixed Deposit with you in accordance with the terms and conditions governing the Fixed DepositSchemes which I/We have read, understood and agreed to abide by.

I/We decalre that I/We are resident(s) in India and am/are not depositing this amount as nominee(s) of any person residing outside, I/We DECLARE THAT THE AMOUNT IS NOT BEING DEPOSITED OUT OF THE FUNDS ACQUIRED BY ME/US BY WAY OF BORROWING ORACCEPTING DEPOSITS FROM ANY PERSON. I/We declare that the first named depositor is the beneficial owner of the deposit and is to be treated as the payee for the purpose of deduction of tax under Section 194A of the Income-Tax Act, 1961, I/We also declare that what is stated in this application is true and correct.

ADDRESS OF THE FIRST NAMED DEPOSITORS

PART II [To be filled by the person responsible for paying the income referred to in column 16 of Part I]

Place: ………................…

1.Name of the person responsible for paying 2 Unique Identification No.11

3.PAN of the person responsible for paying 4 Complete Address

5 TAN of the person responsible for paying

6. Email 7. Telephone No. (with STD Code) and Mobile No. 8. Amount of Income Paid12

9. Date on which Declaration is received

(DD/MM/YYYY)

10. Date on which the income has been paid/credited

Date: …………………………

Signature of the person responsible for paying

the income referred to in Column 16 of Part I

FORM NO. 15G[See section 197A (1), 197A (1A) and rule 29C]

Declaration under section 197A (1) and section 197A (1A) to be made by an individual or person (not being a company or firm) claiming certain receipts without deduction of tax

PART I

1*Delete whichever is not applicable. As per provisions of section 206AA(2), the declaration under section 197A(1) or 197A(1A) shall be invalid if the declarant fails to furnish his valid 2 3Permanent Account Number (PAN). Declaration can be furnished by a resident individual under 197A(1) and a person (other than a company or a firm) under section 197A(1A). The

4 5financial year to which the income pertains. Please mention the residential status as per the provisions of section 6 of the income-tax Act,1961. Please mention “Yes” if assessed to tax 6under the provisions of Income-tax Act, 1961 for any of the assessment year out of six assessment years preceding the year in which the declaration is filed. Please mention the amount of

7estimated total income of the previous year for which the declaration is filed including the amount of income for which this declaration is made. In case any declaration(s) in Form No. 15G is filed before filing this declaration during this previous year, mention the total number of such Form No. 15G filed along with the aggregate amount of income for which said declaration(s) have

8been filed. Mention the distinctive number of shares, account number of term deposit, recurring deposit, National Savings Schemes, life insurance policy number, employee code, etc. 9 10 Indicate the capacity in which the declaration is furnished on behalf of a HUF,AOP etc. Before signing the declaration/verification, the declarant should satisfy himself that the information furnished in this form is true, correct and complete in all respects. Any person making a false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961 and on conviction be punishable-(i) in a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment which shall not be less than six months but which may extend to seven years and with fine; (ii) in any other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fine. 11 The person responsible for paying the income referred to in column 16 of Part I shall allot a unique identification number to all the Form No. 15G received by him during a quarter of the financial year and report this reference number along with the particulars prescribed in rule 31(A)(4)(vii) of the Income-tax Rules, 1962 in the TDS statement furnished for the same quarter. In case the person has also received Form No. 15H during the same quarter, please allot separate series of serial number for Form No. 15G and Form No. 15H. (12) The person responsible for paying the income referred to in column 16 of Part I shall not accept the declaration where the amount of income of the nature referred to in section (1) or sub-section (1A) of section 197A or the aggregate of the amounts of such income credited or paid or likely to be credited or paid during the previous year in which such income is to be included exceeds the maximum amount which is not chargeable to tax. For deciding the eligibility, he is required to verify income or the aggregate amount of incomes, as the case may be, reported by the declarant in columns 16 and 18;

*I/We do hereby declare that to the best of *my/our knowledge and belief what is

stated above is correct, complete and is truly stated. *I/We declare that the incomes referred to in this form are not includible in the total income of

any other person u/s 60 to 64 of the Income-tax Act,1961. *I/We further declare that the tax *on my/our estimated total income including

*income/incomes referred to in Column 16 *and aggregate amount of *income/incomes referred to in column 18 computed in accordance with the

provisions of the Income-tax Act, 1961, for the previous year ending on relevant to the assessment year will

be nil. *I/We also declare that *my/our *income/incomes referred to in Column 16 *and the aggregate amount of *income/incomes referred to in

column 18 for the previous year ending on relevant to the assessment year will not exceed the

maximum amount which is not chargeable to income-tax.

Place: ×…………………………………………………………….9Date : Signature of the Declarant

1. (Declarant)

Name of Assessee 2.PAN of the Assessee1

Status2

ndividual 4. Previous Year (P.Y.)

3

(for which declaration is being made) 5. Residential Status

4 Residence

6. Flat / Door / Block No. 7. Name of Premises 8.Road/Street/Lane 9. Area/Locality

0. Town/City/District 11. State 12. PIN 13. Email

4.Telephone No. (with STD Code) and Mobile No. 15.(a) Whether assessed to tax under the Income-tax Act,1961.

9

(b) If yes, latest assessment year for which assessed

Yes No.

6.

Estimated Income for which this declaration is made

17 Estimated total income of the P.Y in which income mentioned in

column 16 to b be included6

18 Details of Form No.15G other than this form filed during the previous year , if any7

Total No. of Form No. 15G filed Aggregate amount of income for which Form No.15G filed

19 Details of income for which the declaration is filed

3. I

1

1

1

Sl.No Identification number of relevant investment/account , etc8. Nature of income Section under which tax is deductible Amt of Income

Transpek Industry Limited 6

TH Floor, Marble Arch, Race Course, Vadodara 390 007

Interest other than security 194A 1

×................................................................Declaration/Verification Signature of the Declarant

10

TRANSPEK INDUSTRY LIMITED

AAACT8639B

fd@transpek.com

Race Course Circle, Vadodara-3900076th floor, Marble Arch,

(0265) 2335444

BRDT00491B

(DD/MM/YYYY)

Place: ………… Date: ………………………… Signature of the person responsible for paying

the income referred to in Column 15 of Part I

×................................................................

Declaration/Verification8

Signature of the Declarant

PART I

1.Name of the person responsible for paying 2.PAN of the Assessee1

3. Date of Birth

2

(DD/MM/YYYY)

4. Previous Year (P.Y.)3

(for which declaration is being made)

5. Flat / Door / Block No. 6. Name of Premises

7.Road/Street/Lane 8. Area/Locality 9. Town/City/District

10. State

11. PIN

12. Email

13.Telephone No. (with STD Code) and Mobile No.

14 .(a) Whether assessed to tax4 : Yes No (b) If yes, lates assessment year for which assessed

15. Estimated Income for which this declaration is made 16 Estimated total income of the P.Y. in which income mentioned in column 15 to be included

5

17 Details of Form No.15H other than this form filed for the previous year , if any6

Total No. of Form No. 15H filed Aggregate amount of income for which Form No.15H filed

18 Details of income for which the declaration is filed

FORM NO. 15H[See section 197A (1C), and rule 29C (1A)]

Declaration under section 197A (1C) to be made by an individual who is of the age of sixty years or more claiming certain incomes without deduction of tax

1*Delete whichever is not applicable. As per provisions of section 206AA(2), the declaration under section 197A(1C) shall be invalid if the declarant fails to furnish his valid Permanent 2 3Account Number (PAN). Declaration can be furnished by a resident individual who is of the age of 60 years or more at any time during the previous year. The financial year to which the

4income pertains. Please mention “Yes” if assessed to tax under the provisions of Income- tax Act, 1961 for any of the assessment year out of six assessment years preceding the year in which 5the declaration is filed. Please mention the amount of estimated total income of the previous year for which the declaration is filed including the amount of income for which this declaration

6is made. In case any declaration(s) in Form No. 15H is filed before filing this declaration during this previous year, mention the total number of such Form No. 15H filed along with the 7aggregate amount of income for which said declaration(s) have been filed. Mention the distinctive number of shares, account number of term deposit, recurring deposit, National Savings

8Schemes, life insurance policy number, employee code, etc. Before signing the declaration/verification, the declarant should satisfy himself that the information furnished in this form is

true, correct and complete in all respects. Any person making a false statement in the declaration shall be liable to prosecution under section 277 of the Income-tax Act, 1961 and on

conviction be punishable-(i) in a case where tax sought to be evaded exceeds twenty-five lakh rupees, with rigorous imprisonment which shall not be less than six months but which may 9extend to seven years and with fine; (ii) in any other case, with rigorous imprisonment which shall not be less than three months but which may extend to two years and with fine. The person

responsible for paying the income referred to in column 15 of Part I shall allot a unique identification number to all the Form No. 15H received by him during a quarter of the financial year and

report this reference number along with the particulars prescribed in rule 31(A) (4)(vii) of the Income-tax Rules, 1962 in the TDS statement furnished for the same quarter. In case the person

has also received Form No. 15G during the same quarter, please allot separate series of serial number for Form No. 15H and Form No. 15G. 10 T he person responsible for paying the income

referred to in column 15 of Part I shall not accept the declaration where the amount of income of the nature referred to in section 197A(1C) or the aggregate of the amounts of such income

credited or paid or likely to be credited or paid during the previous year in which such income is to be included exceeds the maximum amount which is not chargeable to tax after allowing for

deduction(s) under Chapter VI-A, if any, or set off of loss, if any, under the head “income from house property” for which the declarant is eligible. For deciding the eligibility, he is required to

verify income or the aggregate amount of incomes, as the case may be, reported by the declarant in columns 15 and 17.”

I ________________________________________________ do hereby declare that I am resident in India within the meaning of section 6 of the

Income- tax Act,1961. I also hereby declare that to the best of my knowledge and belief what is stated above is correct, complete and is truly stated

and that the incomes referred to in this form are not includible in the total income of any other person under sections 60 to 64 of the Income-tax

Act,1961. I further declare that the tax on my estimated total income including *income/incomes referred to in column 15 *and aggregate amount

of *income/incomes referred to in column 17 computed in accordance with the provisions of the Income-tax Act,1961, for the previous year ending

on _______________________ relevant to the assessment year _______________ will be nil.

: DPlace

ate :

PART II

×……………………………………………………………. Signature of the Declarant

[ to be filled by the person responsible for paying the income referred to in column 15 of Par I]

1.Name of the person responsible for paying 2 Unique Identification No.9

3.PAN of the person responsible for paying

4 Complete Address 5 TAN of the person responsible for paying

6. Email 7. Telephone No. (with STD Code) and Mobile No. 8. Amount of Income Paid10

9. Date on which Declaration is received (DD/MM/YYYY)

10. Date on which the income has been paid/credited (DD/MM/YYYY)

Sl.No Identification number of relevant investment/account , etc8. Nature of income Section under which tax is deductible Amt of Income

Transpek Industry Limited 6

TH Floor, Marble Arch, Race Course, Vadodara 390 007

Interest other than security 194A 1

TRANSPEK INDUSTRY LIMITED

AAACT8639B

fd@transpek.com

6th floor, Marble Arch, Race Course Circle, Vadodara-390007

(0265) 2335444

BRDT00491B