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4. P age 4 o f 8 P AR T II [ T o be fil led b y the person r esponsible f or pa ying the inc ome r ef err ed t o in c olumn 11 of P ar t I ] N a m e o f t h e p e r s o n r e s p o n s i b l e f o r p a y i n g B A J A J F I N A N C E L I M I T E D E m a i l I D P l a c e D a t e S i g n a t u r e o f t h e p e r s o n r e s p o n s i b l e f o r p a y i n g t h e i n c o m e r e f e r r e d t o i n c o l u m n 1 0 o f P a r t I Unique Identifica tion No . P AN of the person r esponsible f or pa ying AABCB1518L C omplet e Addr es s: 4TH FL OOR , BA JA J FINSERV C ORPORA TE OFFICE , OFF PUNE AHMEDNA GAR R O AD , VIMAN NA GAR , PUNE - 411014 T AN of the person r esponsible f or pa ying: PNEB00001B T e l e p h o n e N o . ( w i t h S T D C o d e ) a n d M o b i l e N o . 0 2 0 - 3 0 4 0 5 0 6 0 A m o u n t o f i n c o m e p a i d G r o s s I n t e r e s t f o r F Y D a t e o n w h i c h D e c l a r a t i o n i s r e c e i v e d D a t e o n w h i c h t h e i n c o m e h a s b e e n p a i d / c r e d i t e d ( D D / M M /Y Y Y Y ) A s p e r p r o v i s i o n s o f s e c t i o n 2 0 6 A A (2 ) , t h e d e c l a r a t i o n u n d e r s e c t i o n 1 9 7 A ( 1 ) o r 1 9 7 A ( 1 A ) s h a l l b e i n v a l i d i f t h e d e c l a r a n t f a i l s t o f u r n i s h h i s v a l i d P e r m a n e n t A c c o u n t N u m b e r ( P A N ) . D e c l a r a t i o n c a n b e f u r n i s h e d b y a n i n d i v i d u a l u n d e r s e c t i o n 1 9 7 A ( 1 ) a n d a p e r s o n ( o t h e r t h a n a c o m p a n y o r a fi r m ) u n d e r s e c t i o n 1 9 7 A ( 1 A ) . 1 . E n t e r t h e n a m e o f t h e d e c l a r a n t 2. E n t e r t h e P A N o f t h e d e c l a r a n t 3 . T i c k w h i c h e v e r s t a t u s i s a p p l i c a b l e 4 . T h e fi n a n c i a l y e a r t o w h i c h t h e i n c o m e p e r t a i n s . 5 . P l e a s e m e n t i o n t h e r e s i d e n t i a l s t a t u s a s p e r t h e p r o v i s i o n s o f s e c t i o n 6 o f t h e I n c o m e- t a x A c t, 1 9 6 1 . 6 - 8 . E n t e r r e s i d e n t i a l a d d r e s s a n d c o n t a c t d e t a i l s 9 . P l e a s e m e n t i o n ‘Y e s ’ i f a s s e s s e d t o t a x u n d e r t h e p r o v i s i o n s o f I n c o m e- t a x A c t, 1 9 6 1 f o r a n y o f t h e a s s e s s m e n t y e a r o u t o f s i x a s s e s s m e n t y e a r s p r e c e d i n g t h e y e a r i n w h i c h t h e d e c l a r a t i o n i s fi l e d . 1 0 . P l e a s e m e n t i o n t h e a m o u n t o f e s t i m a t e d t o t a l i n c o m e o f t h e p r e v i o u s y e a r f o r w h i c h t h e d e c l a r a t i o n i s fi l e d i n c l u d i n g t h e a m o u n t o f i n c o m e f o r w h i c h t h i s d e c l a r a t i o n i s m a d e . 1 1 . E n t e r i n c o m e f r o m a l l s o u r c e s , i n c l u d i n g i n c o m e fi l l e d i n 1 0 . a b o v e 1 2. I n c a s e a n y d e c l a r a t i o n ( s ) i n F o r m N o . 1 5 G i s fi l e d b e f o r e fi l i n g t h i s d e c l a r a t i o n d u r i n g t h e p r e v i o u s y e a r , m e n t i o n t h e t o t a l n u m b e r o f s u c h F o r m N o . 1 5 G fi l e d a l o n g w i t h t h e a g g r e g a t e a m o u n t o f i n c o m e f o r w h i c h s a i d d e c l a r a t i o n ( s ) h a v e b e e n fi l e d . 1 3 . M e n t i o n t h e d i s t i n c t i v e n u m b e r o f s h a r e s , a c c o u n t n u m b e r o f t e r m d e p o s i t, r e c u r r i n g d e p o s i t, N a t i o n a l S a v i n g s S c h e m e s , l i f e i n s u r a n c e p o l i c y n u m b e r , e m p l o y e e c o d e , e t c. 1 4 . I n d i c a t e t h e c a p a c i t y i n w h i c h t h e d e c l a r a t i o n i s f u r n i s h e d o n b e h a l f o f a H U F , A O P , e t c. B e f o r e s i g n i n g t h e d e c l a r a t i o n / v e r i fi c a t i o n , t h e d e c l a r a n t s h o u l d s a t i s fy h i m s e l f t h a t t h e i n f o r m a t i o n f u r n i s h e d i n t h i s f o r m i s t r u e , c o r r e c t a n d c o m p l e t e i n a l l r e s p e c t s . A n y p e r s o n m a k i n g a f a l s e s t a t e m e n t i n t h e d e c l a r a t i o n s h a l l b e l i a b l e t o p r o s e c u t i o n u n d e r s e c t i o n 2 7 7 o f t h e I n c o m e- t a x A c t, 1 9 6 1 a n d o n c o n v i c t i o n b e p u n i s h a b l e- a . I n a c a s e w h e r e t a x s o u g h t t o b e e v a d e d e x c e e d s t w e n t y - fi v e l a c r u p e e s , w i t h r i g o r o u s i m p r i s o n m e n t w h i c h s h a l l n o t b e l e s s t h a n s i x m o n t h s b u t w h i c h m a y e x t e n d t o s e v e n y e a r s a n d w i t h fi n e ; b . I n a n y o t h e r c a s e , w i t h r i g o r o u s i m p r i s o n m e n t w h i c h s h a l l n o t b e l e s s t h a n t h r e e m o n t h s b u t w h i c h m a y e x t e n d t o t w o y e a r s a n d w i t h fi n e . T h e p e r s o n r e s p o n s i b l e f o r p a y i n g t h e i n c o m e r e f e r r e d t o i n c o l u m n 1 0 o f P a r t I s h a l l a l l o t a u n i q u e i d e n t i fi c a t i o n n u m b e r t o a l l t h e F o r m N o . 1 5 G r e c e i v e d b y h i m d u r i n g a q u a r t e r o f t h e fi n a n c i a l y e a r a n d r e p o r t t h i s r e f e r e n c e n u m b e r a l o n g w i t h t h e p a r t i c u l a r s p r e s c r i b e d i n r u l e 3 1 A ( 4 ) ( v i i ) o f t h e I n c o m e- t a x R u l e s , 1 9 6 2 i n t h e T D S s t a t e m e n t f u r n i s h e d f o r t h e s a m e q u a r t e r . I n c a s e t h e p e r s o n h a s a l s o r e c e i v e d F o r m N o . 1 5 H d u r i n g t h e s a m e q u a r t e r , p l e a s e a l l o t s e p a r a t e s e r i e s o f s e r i a l n u m b e r f o r F o r m N o . 1 5 G a n d F o r m N o . 1 5 H . T h e p e r s o n r e s p o n s i b l e f o r p a y i n g t h e i n c o m e r e f e r r e d t o i n c o l u m n 1 0 o f P a r t I s h a l l n o t a c c e p t t h e d e c l a r a t i o n w h e r e t h e a m o u n t o f i n c o m e o f t h e n a t u r e r e f e r r e d t o i n s u b- s e c t i o n ( 1 ) o r s u b- s e c t i o n ( 1 A ) o f s e c t i o n 1 9 7 A o r t h e a g g r e g a t e o f t h e a m o u n t s o f s u c h i n c o m e c r e d i t e d o r p a i d o r l i k e l y t o b e c r e d i t e d o r p a i d d u r i n g t h e p r e v i o u s y e a r i n w h i c h s u c h i n c o m e i s t o b e i n c l u d e d e x c e e d s t h e m a x i m u m a m o u n t w h i c h i s n o t c h a r g e a b l e t o t a x. F o r d e c i d i n g t h e e l i g i b i l i t y , h e i s r e q u i r e d t o v e r i fy i n c o m e o r t h e a g g r e g a t e a m o u n t o f i n c o m e s , a s t h e c a s e m a y b e , r e p o r t e d b y t h e d e c l a r a n t i n c o l u m n s 1 0 a n d 1 2. [ See sec tion 197A(1), 197A(1A) and rule 29C ] Declar a tion under sec tion 197A (1) and sec tion 197A(1A) t o be made b y an individual or a person ( not being a c ompany or firm ) claiming c er tain inc omes without deduc tion of ta x . C ust omer ID : Applica tion F orm No .: ‘ F ORM NO . 15G’ 1 . N a m e o f A s s e s s e e ( D e c l a r a n t ) P A R T I 7 . E m a i l : 8 . T e l e p h o n e / m o b i l e n o : 9 ( a ) . W h e t h e r a s s e s s e d t o t a x u n d e r t h e I n c o m e - t a x A c t , 1 9 6 1 : 1 0 . E s t i m a t e d i n c o m e f o r w h i c h t h i s d e c l a r a t i o n i s m a d e 1 1 . E s t i m a t e d t o t a l i n c o m e o f t h e P . Y . i n w h i c h i n c o m e m e n t i o n e d i n c o l u m n 1 0 t o b e i n c l u d e d 1 2 . D e t a i l s o f F o r m N o . 1 5 G o t h e r t h a n t h i s f o r m fi l e d d u r i n g t h e p r e v i o u s y e a r , i f a n y 1 4 . D e c l a r a t i o n /V e r i fi c a t i o n * I / W e ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . d o h e r e b y d e c l a r e t h a t t o t h e b e s t o f * m y / o u r k n o w l e d g e a n d b e l i e f w h a t i s s t a t e d a b o v e i s c o r r e c t , c o m p l e t e a n d i s t r u l y s t a t e d . * I / W e d e c l a r e t h a t t h e i n c o m e s r e f e r r e d t o i n t h i s f o r m a r e n o t i n c l u d i b l e i n t h e t o t a l i n c o m e o f a n y o t h e r p e r s o n u n d e r s e c t i o n s 6 0 t o 6 4 o f t h e I n c o m e - t a x A c t , 1 9 6 1 . * I / W e f u r t h e r d e c l a r e t h a t t h e t a x * o n m y / o u r e s t i m a t e d t o t a l i n c o m e i n c l u d i n g * i n c o m e / i n c o m e s r e f e r r e d t o i n p o i n t 1 0 * a n d a g g r e g a t e a m o u n t o f * i n c o m e / i n c o m e s r e f e r r e d t o i n p o i n t 1 3 c o m p u t e d i n a c c o r d a n c e w i t h t h e p r o v i s i o n s o f t h e I n c o m e - t a x A c t , 1 9 6 1 , f o r t h e p r e v i o u s y e a r e n d i n g o n 3 1 . 0 3 ... ... ... . . . ... ... . r e l e v a n t t o t h e a s s e s s m e n t y e a r 2 0 ... . . . . . ... - 2 0 ... . . . . . ... . . w i l l b e n i l . * I / W e a l s o d e c l a r e t h a t * m y / o u r * i n c o m e / i n c o m e s r e f e r r e d t o i n c o l u m n 1 1 * a n d t h e a g g r e g a t e a m o u n t o f * i n c o m e / i n c o m e s r e f e r r e d t o i n c o l u m n 1 3 f o r t h e p r e v i o u s y e a r e n d i n g o n 3 1 . 0 3 ... ... ... ... ... ... . r e l e v a n t t o t h e a s s e s s m e n t y e a r 2 0 ... . . . . ... - 2 0 ... . . ... . . w i l l n o t e x c e e d t h e m a x i m u m a m o u n t w h i c h i s n o t c h a r g e a b l e t o i n c o m e - t a x . P l a c e D a t e * D e l e t e w h i c h e v e r i s n o t a p p l i c a b l e 1 3 . D e t a i l s o f i n c o m e f o r w h i c h t h e d e c l a r a t i o n i s fi l e d T o t a l n o . o f F o r m N o . 1 5 G fi l e d A g g r e g a t e a m o u n t o f i n c o m e f o r w h i c h F o r m N o . 1 5 G fi l e d Y e s N o 9 ( b ) . I f y e s , l a t e s t a s s e s s m e n t y e a r f o r w h i c h a s s e s s e d 6 . C o m p l e t e a d d r e s s i n c l u d i n g P I N c o d e : First Las t Midd le 5 . R e s i d e n t i a l S t a t u s ( t i c k w h i c h e v e r a p p l i c a b l e ) : I n d i a n / O t h e r 4 . P r e v i o u s y e a r ( P . Y . ) ( f o r w h i c h d e c l a r a t i o n i s b e i n g m a d e ) : 2 0 - 2 0 2 . P AN of the A s ses see S r . n o . I d e n t i fi c a t i o n n u m b e r o f r e l e v a n t i n v e s t m e n t / a c c o u n t , e t c . 8 N a t u r e o f i n c o m e S e c t i o n u n d e r w h i c h t a x i s d e d u c t i b l e A m o u n t o f i n c o m e 1 2 3 4 F i x e d D e p o s i t I n t e r e s t F i x e d D e p o s i t I n t e r e s t F i x e d D e p o s i t I n t e r e s t F i x e d D e p o s i t I n t e r e s t 1 9 4 A 1 9 4 A 1 9 4 A 1 9 4 A 3 . S t a t u s ( t i c k w h i c h e v e r a p p l i c a b l e ) : I N D I V I D U A L Signa tur e of declar ant ( First applicant )

5. P AR T II [ T o be fil led b y the person r esponsible f or pa ying the inc ome r ef err ed t o in c olumn 11 of P ar t I ] N a m e o f t h e p e r s o n r e s p o n s i b l e f o r p a y i n g B A J A J F I N A N C E L I M I T E D E m a i l I D P l a c e D a t e S i g n a t u r e o f t h e p e r s o n r e s p o n s i b l e f o r p a y i n g t h e i n c o m e r e f e r r e d t o i n c o l u m n 1 0 o f P a r t I Unique Identifica tion No . P AN of the person r esponsible f or pa ying AABCB1518L C omplet e Addr es s: 4TH FL OOR , BA JA J FINSERV C ORPORA TE OFFICE , OFF PUNE AHMEDNA GAR R O AD , VIMAN NA GAR , PUNE - 411014 T AN of the person r esponsible f or pa ying: PNEB00001B T e l e p h o n e N o . ( w i t h S T D C o d e ) a n d M o b i l e N o . 0 2 0 - 3 0 4 0 5 0 6 0 A m o u n t o f i n c o m e p a i d G r o s s I n t e r e s t f o r F Y D a t e o n w h i c h D e c l a r a t i o n i s r e c e i v e d D a t e o n w h i c h t h e i n c o m e h a s b e e n p a i d / c r e d i t e d ( D D / M M /Y Y Y Y ) A s p e r p r o v i s i o n s o f s e c t i o n 2 0 6 A A (2 ) , t h e d e c l a r a t i o n u n d e r s e c t i o n 1 9 7 A ( 1 ) o r 1 9 7 A ( 1 A ) s h a l l b e i n v a l i d i f t h e d e c l a r a n t f a i l s t o f u r n i s h h i s v a l i d P e r m a n e n t A c c o u n t N u m b e r ( P A N ) . D e c l a r a t i o n c a n b e f u r n i s h e d b y a n i n d i v i d u a l u n d e r s e c t i o n 1 9 7 A ( 1 ) a n d a p e r s o n ( o t h e r t h a n a c o m p a n y o r a fi r m ) u n d e r s e c t i o n 1 9 7 A ( 1 A ) . 1 . E n t e r t h e n a m e o f t h e d e c l a r a n t 2. E n t e r t h e P A N o f t h e d e c l a r a n t 3 . T i c k w h i c h e v e r s t a t u s i s a p p l i c a b l e 4 . T h e fi n a n c i a l y e a r t o w h i c h t h e i n c o m e p e r t a i n s . 5 . P l e a s e m e n t i o n t h e r e s i d e n t i a l s t a t u s a s p e r t h e p r o v i s i o n s o f s e c t i o n 6 o f t h e I n c o m e- t a x A c t, 1 9 6 1 . 6 - 8 . E n t e r r e s i d e n t i a l a d d r e s s a n d c o n t a c t d e t a i l s 9 . P l e a s e m e n t i o n ‘Y e s ’ i f a s s e s s e d t o t a x u n d e r t h e p r o v i s i o n s o f I n c o m e- t a x A c t, 1 9 6 1 f o r a n y o f t h e a s s e s s m e n t y e a r o u t o f s i x a s s e s s m e n t y e a r s p r e c e d i n g t h e y e a r i n w h i c h t h e d e c l a r a t i o n i s fi l e d . 1 0 . P l e a s e m e n t i o n t h e a m o u n t o f e s t i m a t e d t o t a l i n c o m e o f t h e p r e v i o u s y e a r f o r w h i c h t h e d e c l a r a t i o n i s fi l e d i n c l u d i n g t h e a m o u n t o f i n c o m e f o r w h i c h t h i s d e c l a r a t i o n i s m a d e . 1 1 . E n t e r i n c o m e f r o m a l l s o u r c e s , i n c l u d i n g i n c o m e fi l l e d i n 1 0 . a b o v e 1 2. I n c a s e a n y d e c l a r a t i o n ( s ) i n F o r m N o . 1 5 H i s fi l e d b e f o r e fi l i n g t h i s d e c l a r a t i o n d u r i n g t h e p r e v i o u s y e a r , m e n t i o n t h e t o t a l n u m b e r o f s u c h F o r m N o . 1 5 H fi l e d a l o n g w i t h t h e a g g r e g a t e a m o u n t o f i n c o m e f o r w h i c h s a i d d e c l a r a t i o n ( s ) h a v e b e e n fi l e d . 1 3 . M e n t i o n t h e d i s t i n c t i v e n u m b e r o f s h a r e s , a c c o u n t n u m b e r o f t e r m d e p o s i t, r e c u r r i n g d e p o s i t, N a t i o n a l S a v i n g s S c h e m e s , l i f e i n s u r a n c e p o l i c y n u m b e r , e m p l o y e e c o d e , e t c. 1 4 . I n d i c a t e t h e c a p a c i t y i n w h i c h t h e d e c l a r a t i o n i s f u r n i s h e d o n b e h a l f o f a H U F , A O P , e t c. B e f o r e s i g n i n g t h e d e c l a r a t i o n / v e r i fi c a t i o n , t h e d e c l a r a n t s h o u l d s a t i s fy h i m s e l f t h a t t h e i n f o r m a t i o n f u r n i s h e d i n t h i s f o r m i s t r u e , c o r r e c t a n d c o m p l e t e i n a l l r e s p e c t s . A n y p e r s o n m a k i n g a f a l s e s t a t e m e n t i n t h e d e c l a r a t i o n s h a l l b e l i a b l e t o p r o s e c u t i o n u n d e r s e c t i o n 2 7 7 o f t h e I n c o m e- t a x A c t, 1 9 6 1 a n d o n c o n v i c t i o n b e p u n i s h a b l e- a . I n a c a s e w h e r e t a x s o u g h t t o b e e v a d e d e x c e e d s t w e n t y - fi v e l a c r u p e e s , w i t h r i g o r o u s i m p r i s o n m e n t w h i c h s h a l l n o t b e l e s s t h a n s i x m o n t h s b u t w h i c h m a y e x t e n d t o s e v e n y e a r s a n d w i t h fi n e ; b . I n a n y o t h e r c a s e , w i t h r i g o r o u s i m p r i s o n m e n t w h i c h s h a l l n o t b e l e s s t h a n t h r e e m o n t h s b u t w h i c h m a y e x t e n d t o t w o y e a r s a n d w i t h fi n e . T h e p e r s o n r e s p o n s i b l e f o r p a y i n g t h e i n c o m e r e f e r r e d t o i n c o l u m n 1 0 o f P a r t I s h a l l a l l o t a u n i q u e i d e n t i fi c a t i o n n u m b e r t o a l l t h e F o r m N o . 1 5 H r e c e i v e d b y h i m d u r i n g a q u a r t e r o f t h e fi n a n c i a l y e a r a n d r e p o r t t h i s r e f e r e n c e n u m b e r a l o n g w i t h t h e p a r t i c u l a r s p r e s c r i b e d i n r u l e 3 1 A ( 4 ) ( v i i ) o f t h e I n c o m e- t a x R u l e s , 1 9 6 2 i n t h e T D S s t a t e m e n t f u r n i s h e d f o r t h e s a m e q u a r t e r . I n c a s e t h e p e r s o n h a s a l s o r e c e i v e d F o r m N o . 1 5 H d u r i n g t h e s a m e q u a r t e r , p l e a s e a l l o t s e p a r a t e s e r i e s o f s e r i a l n u m b e r f o r F o r m N o . 1 5 G a n d F o r m N o . 1 5 H . T h e p e r s o n r e s p o n s i b l e f o r p a y i n g t h e i n c o m e r e f e r r e d t o i n c o l u m n 1 0 o f P a r t I s h a l l n o t a c c e p t t h e d e c l a r a t i o n w h e r e t h e a m o u n t o f i n c o m e o f t h e n a t u r e r e f e r r e d t o i n s u b- s e c t i o n ( 1 ) o r s u b- s e c t i o n ( 1 A ) o f s e c t i o n 1 9 7 A o r t h e a g g r e g a t e o f t h e a m o u n t s o f s u c h i n c o m e c r e d i t e d o r p a i d o r l i k e l y t o b e c r e d i t e d o r p a i d d u r i n g t h e p r e v i o u s y e a r i n w h i c h s u c h i n c o m e i s t o b e i n c l u d e d e x c e e d s t h e m a x i m u m a m o u n t w h i c h i s n o t c h a r g e a b l e t o t a x. F o r d e c i d i n g t h e e l i g i b i l i t y , h e i s r e q u i r e d t o v e r i fy i n c o m e o r t h e a g g r e g a t e a m o u n t o f i n c o m e s , a s t h e c a s e m a y b e , r e p o r t e d b y t h e d e c l a r a n t i n c o l u m n s 1 0 a n d 1 2. [ See sec tion 197A(1), 197A(1A) and rule 29C ] Declar a tion under sec tion 197A(1C ) t o be made b y an individual who is of the age of sixty y e ars or mor e claiming c er tain inc omes without deduc tion of ta x . C ust omer ID : Applica tion F orm No .: ‘ F ORM NO . 15H’ 1 . N a m e o f A s s e s s e e ( D e c l a r a n t ) P A R T I 7 . E m a i l : 8 . T e l e p h o n e / m o b i l e n o : 9 ( a ) . W h e t h e r a s s e s s e d t o t a x u n d e r t h e I n c o m e - t a x A c t , 1 9 6 1 : 1 0 . E s t i m a t e d i n c o m e f o r w h i c h t h i s d e c l a r a t i o n i s m a d e 1 1 . E s t i m a t e d t o t a l i n c o m e o f t h e P . Y . i n w h i c h i n c o m e m e n t i o n e d i n c o l u m n 1 0 t o b e i n c l u d e d 1 2 . D e t a i l s o f F o r m N o . 1 5 H o t h e r t h a n t h i s f o r m fi l e d d u r i n g t h e p r e v i o u s y e a r , i f a n y 1 4 . D e c l a r a t i o n /V e r i fi c a t i o n * I / W e ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... . d o h e r e b y d e c l a r e t h a t t o t h e b e s t o f * m y / o u r k n o w l e d g e a n d b e l i e f w h a t i s s t a t e d a b o v e i s c o r r e c t , c o m p l e t e a n d i s t r u l y s t a t e d . * I / W e d e c l a r e t h a t t h e i n c o m e s r e f e r r e d t o i n t h i s f o r m a r e n o t i n c l u d i b l e i n t h e t o t a l i n c o m e o f a n y o t h e r p e r s o n u n d e r s e c t i o n s 6 0 t o 6 4 o f t h e I n c o m e - t a x A c t , 1 9 6 1 . * I / W e f u r t h e r d e c l a r e t h a t t h e t a x * o n m y / o u r e s t i m a t e d t o t a l i n c o m e i n c l u d i n g * i n c o m e / i n c o m e s r e f e r r e d t o i n p o i n t 1 1 * a n d a g g r e g a t e a m o u n t o f * i n c o m e / i n c o m e s r e f e r r e d t o i n p o i n t 1 3 c o m p u t e d i n a c c o r d a n c e w i t h t h e p r o v i s i o n s o f t h e I n c o m e - t a x A c t , 1 9 6 1 , f o r t h e p r e v i o u s y e a r e n d i n g o n 3 1 . 0 3 ... ... ... . . . ... ... . r e l e v a n t t o t h e a s s e s s m e n t y e a r 2 0 ... . . . . . ... - 2 0 ... . . . . . ... . . w i l l b e n i l . * I / W e a l s o d e c l a r e t h a t * m y / o u r * i n c o m e / i n c o m e s r e f e r r e d t o i n c o l u m n 1 1 * a n d t h e a g g r e g a t e a m o u n t o f * i n c o m e / i n c o m e s r e f e r r e d t o i n c o l u m n 1 3 f o r t h e p r e v i o u s y e a r e n d i n g o n 3 1 . 0 3 ... ... ... ... ... ... . r e l e v a n t t o t h e a s s e s s m e n t y e a r 2 0 ... . . . . ... - 2 0 ... . . ... . . w i l l n o t e x c e e d t h e m a x i m u m a m o u n t w h i c h i s n o t c h a r g e a b l e t o i n c o m e - t a x . P l a c e D a t e * D e l e t e w h i c h e v e r i s n o t a p p l i c a b l e 1 3 . D e t a i l s o f i n c o m e f o r w h i c h t h e d e c l a r a t i o n i s fi l e d T o t a l n o . o f F o r m N o . 1 5 H fi l e d A g g r e g a t e a m o u n t o f i n c o m e f o r w h i c h F o r m N o . 1 5 H fi l e d Y e s N o 9 ( b ) . I f y e s , l a t e s t a s s e s s m e n t y e a r f o r w h i c h a s s e s s e d 6 . C o m p l e t e a d d r e s s i n c l u d i n g P I N c o d e : First Las t Midd le 5 . R e s i d e n t i a l S t a t u s ( t i c k w h i c h e v e r a p p l i c a b l e ) : I n d i a n / O t h e r 2 . P AN of the A s ses see S r . n o . I d e n t i fi c a t i o n n u m b e r o f r e l e v a n t i n v e s t m e n t / a c c o u n t , e t c . 8 N a t u r e o f i n c o m e S e c t i o n u n d e r w h i c h t a x i s d e d u c t i b l e A m o u n t o f i n c o m e 1 2 3 4 F i x e d D e p o s i t I n t e r e s t F i x e d D e p o s i t I n t e r e s t F i x e d D e p o s i t I n t e r e s t F i x e d D e p o s i t I n t e r e s t 1 9 4 A 1 9 4 A 1 9 4 A 1 9 4 A 4 . P r e v i o u s y e a r ( P . Y . ) ( f o r w h i c h d e c l a r a t i o n i s b e i n g m a d e ) : 2 0 - 2 0 3 . S t a t u s ( t i c k w h i c h e v e r a p p l i c a b l e ) : I N D I V I D U A L Signa tur e of declar ant ( First applicant ) P age 5 o f 8

3. P age 3 o f 8 Mode o f Deposit ^Debit car d NEFT / R T GS B ank name B ank ac c ount number I w ant t o r ec eiv e int er est and ma turity pr oc eeds in belo w B ank ac c ount ( canc el led cheque r equir ed ) Cheque ( funds t o be deposit ed in f a v our of Beneficiary Name: B a ja j Financ e L t d, B ank Ac c oun t Number: 0 0 0 7 0 3 50 0 06 738, Ac c oun t type: curr ent ac c ount , B ank Name: HDF C B ank L t d, IFSC : HDF C0 0 0 0 0 0 7 , B ank br anch: 885 , Bhandarkar R oad, Pune -4110 04 ) ( RRN No . ) Name of debit car d holder Br anch IFSC Ac c ount type ^S ta t ement sho wing debit of funds is manda t ory . B ank ac c ount sta t ement is r equir ed in case the ac c ount holder ’ s name is not mentioned on the cheque . ( UTR No . ) (Cheque no. ) T r ans ac tion da t e D D M M Y Y Y Y T r ans ac tion da t e D D M M Y Y Y Y B ank and br anch name Applicants' C onsent and C onfirma tion I/ W e her eb y sta t e tha t al l par ticulars , inf orma tion and details pr o vided abo v e t ogether with documents submitt ed t o B a ja j Financ e Limit ed ("BFL") ar e true , c orr ec t and up t o da t e and I/ W e am/ ar e obliged t o k eep BFL immedia t ely upda t ed of any change in the inf orma tion pr o vided b y me in this Applica tion F orm. I/ W e her eb y authoriz e BFL t o pa y the int er est and Deposit amount upon ma turity or upon the pa yment fr equenc y selec t ed b y me/ us , as the case ma y be , using the a v ailable online banking pa yment syst em, t o the bank ac c ount sta t ed b y me/ us in this Applica tion or int o such other bank ac c ount as ma y be instruc t ed b y me/ us ( jointly ) in writing t o BFL during the t erm of the Deposit . I/ W e sta t e tha t the amount being deposit ed is not out of borr o w ed funds or funds ac quir ed b y ac c epting deposits fr om any other person or thr ough any il legal or wr ongful me ans. I/ W e c onfirm tha t I/ w e ha v e r e ad and underst ood the detailed t erms and c onditions anne x ed t o this Applica tion including the int er est r a t e and other char ges , the financials and other sta t ements/ par ticulars/ r epr esenta tions furnished b y BFL and a f t er car eful c onsider a tion, I/ w e am/ ar e making the deposit with the BFL a t my / our o wn risk and v olition. I/ W e sta t e tha t the first named deposit or mentioned in this applica tion should be tr e a t ed as the pa y ee f or the purpose of deduc tion of ta x , under Sec tion 19 4 A / 195 of the Inc ome T a x Ac t , 196 1 , as ma y be applicable . I/ W e agr ee tha t any and al l inf orma tion pr o vided b y me/ us in this applica tion or thr ough separ a t e KY C f orm or pr e viosly submitt ed KY C, al l deposit( s ) held b y me/ us with BFL ma y be disclosed b y BFL t o any sta tut ory / r egula t ory authorities as and when r equir ed and t o pr o vide any additional document and/ or inf orma tion as ma y be pr escribed b y BFL / s aid authorities in r ela tion t o this applica tion. I/ w e agr ee tha t in case of joint fix ed deposit with a surviv orship clause , in the e v ent of de a th of one of the deposit ors , BFL shal l be dischar ged b y pa ying the Fix ed Deposit pr oc eeds pr ema tur ely t o the surviv or / s on r equest . I/ W e fur ther a f firm tha t the pa yment of pr oc eeds of such deposits t o either one of us r epr esents a v alid dischar ge of the BFL's liability . T he F A T C A / CRS declar a tion wil l be c onsider ed as per the KY C f orm submitt ed separ a t ely. I ha v e r e ad and underst ood the BFL W ha tsApp T erms and C onditions a v ailable a t http :/ / bit .ly / 2tf2rHH and I her eb y e xpr es sly c onsent t o r ec eiv e B a ja j Financ e Limit ed r ela tionship r ela t ed impor tant upda t es on W ha tsApp . Signa tur e/ thumb impr es sion o f all applican ts with da t e: M anda t ory M anda t ory f or sec ond applicant M anda t ory f or thir d applicant First Applicant Sec ond Applicant T hir d Applicant *T w o Witnes ses Name & Signa tur e *Witnes s r equir ed in case if thumb impr es sion is a f fix ed b y Applicant( s ), Name of nominee should be s ame as tha t appe aring on v alid ID Pr oof of the nominee . T he c ont ents of the applica tion f orm w er e e xplained t o the applicant / c o applicant in ............................... language . 1 . 2 . signa tur e and emplo y ee c ode of sour cing emplo y ee

2. ^In case of any amount r ec eiv ed fr om a r elativ e of dir ec tor of the B a ja j Financ e L td, declaration to be submitted, in this r egar d. Senior Citiz en B a ja j Al lianz Lif e Insur anc e e xisting polic yholder ( P olic y No . ) B a ja j Gr oup Emplo y ee Existing Cust omer P age 2 o f 8 R ef er point No .1 in Terms and Conditions f or details Special Ca t egory R ela tiv e of Dir ec t or^ Dir ec t or or Pr omot er of BFL Shar eholder ( F olio No . ) Nomina tion t o Deposit : F orm D A 1 : u/ s 45 QB o f RBI Ac t 19 34 1 . 2 . # Name & Addr es s of the Nominee *A s the Nominee is minor on this da t e , I/ W e appoint ( Name , addr es s and age of guar dian ) R ela tionship with deposit or t o r ec eiv e amount of the s aid deposit on behalf of the nominee in e v ent of my / our / minor ’ s de a th during the minority of the nominee *T w o Witnes ses Name & Signa tur e *Witnes s r equir ed in case if thumb impr es sion is a f fix ed b y Applicant( s ), Name of nominee should be s ame as tha t appe aring on v alid ID Pr oof of the nominee . T he c ont ents of the applica tion f orm w er e e xplained t o the applicant / c o applicant in ............................... language . Ple ase ent er Da t e of Bir th of the Nominee in DD / MM / YYYY D D M M Y Y Y Y 1 . 2 . Signa tur e/ thumb impr es sion o f all applican ts with da t e: First Applicant Sec ond Applicant M anda t ory M anda t ory f or sec ond applicant T hir d Applicant M anda t ory f or thir d applicant I/ W e abo v e named deposit ors a t curr ent addr es s in y our r ec or ds , nomina t e the f ollo wing person t o whom in the e v ent o f m y / our / minor's de a th the amount o f this deposit ma y be r eturned b y B a ja j Financ e Limit ed: First Applicant Details ( manda t ory) Ne w C ust omer ( ple ase fil l in a ttached KY C f orm ) Name CKY CR No ./ KIN Guar dian's Name (if applicant is minor ) Mr . Ms. Mrs. TDS w aiv er Y es ( a ttach applicable f orm 15 G /H ) Existing Cust omer ( C ust omer ID / Deposit No ./L oan Ac c ount No. ) Ple ase fill in attached KY C f orm in case of change in pr e viously submitted inf ormation F I R S T F I R S T M I D D L E M I D D L E L A S T L A S T Da t e o f bir th D D M M Y Y Y Y Mobile No . P AN/F orm 60 (in absenc e of allotment of P AN ) Sec ond Applicant Details ( Can no t be minor ) Ne w C ust omer ( ple ase fil l in a ttached KY C f orm ) Name CKY CR No ./ KIN Mr . Ms. Mrs. Existing Cust omer ( C ust omer ID / Deposit No ./L oan Ac c ount No. ) Ple ase fill in attached KY C f orm in case of change in pr e viously submitted inf ormation F I R S T M I D D L E L A S T Da t e o f bir th D D M M Y Y Y Y Mobile No . P AN/F orm 60 (in absenc e of allotment of P AN ) ( mandatory ) Thir d Applicant Details ( Can no t be minor ) Ne w C ust omer ( ple ase fil l in a ttached KY C f orm ) Name CKY CR No ./ KIN Mr . Ms. Mrs. Existing Cust omer ( C ust omer ID / Deposit No ./L oan Ac c ount No. ) Ple ase fill in attached KY C f orm in case of change in pr e viously submitted inf ormation F I R S T M I D D L E L A S T Da t e o f bir th D D M M Y Y Y Y Mobile No . P AN/F orm 60 (in absenc e of allotment of P AN ) ( mandatory ) Email Email Email signa tur e and emplo y ee c ode of sour cing emplo y ee No additional benefits Special ca t egory benefit a v ailable

7. P age 7 o f 8 *T his Pr o visional R ec eipt is v alid only till the is suanc e / r ejec tion of the Fix ed Deposit R ec eipt W rite to us at w ecar e@bajajfinserv .in or call our IVR on 86 9 8 01 01 01 R OI T enor Deposit details: R ef er enc e No . (Applicable f or deposit amount elec tr onically transf err ed thr ough Net banking) ___________________________________________ 1) _________% 1) _________Months 2 ) _________% 2 ) _________Months 3 ) _________% 3 ) _________Months 4 ) _________% 4 ) _________Months 5 ) _________% 5 ) _________Months B ank name _________________________________________ Amount (inser t total amount in case of multi deposit ) INR ____________________________________________ B ank ac c ount number ____________________________________________ Branch______________________________________________ IFSC ___________________________________ Ac c ount type _______________________________ T ransac tion date ______________________________ Cheque (Cheque no. __________________________________) Pr o visional R ec eip t Applica tion Number 1 . A C CEPT ANCE OF DEPOSITS: (I) Bajaj Financ e Limited ( her einafter r eferr ed to as the ' C ompany '/'BFL') shall ac c ept fix ed deposit (“ Deposit ”) at its sole and absolute discr etion and subject to the terms and c onditions c ontained her ein. (ii) The applicant agr ees and acknowledges that the applicant ( a ) is 18 ( eighteen ) y ears of age; ( b ) is of sound mind; ( c ) can understand, r ead and write in English language , ( d ) has r ead, understood and agr ees to be bound by these terms. Wher e the applicant is a minor , the C ompany ma y ac c ept the Application pr o vided the Application is signed by the natural or c our t appointed guar dians of the minor on behalf of the minor and upon submission of such documents as ma y be r equir ed by the C ompany . (iii) The C ompany does not ac c ept deposits fr om for eign nationals e x c ept P erson of Indian Origin. The entities inc orporated/ r egister ed/ c onstituted in India and carrying business in India ar e eligible for placing Deposit with BFL . (iv ) The C ompany shall ac c ept Deposits subject to the minimum amount of deposit pr escribed by the C ompany under the Fix ed Deposit Application Form (“ Application ”). In the ev ent amount r ec eiv ed by the C ompany for placing Deposit is less than the minimum amount pr escribed in this r egar d, the C ompany r eserv es the right to r eject the application for placing the Deposit . No inter est shall be pa y able by the C ompany in r elation to such deposits. ( v ) Deposits shall not be ac c epted in cash. ( vi) The applicant agr ees to submit all documents and information as ma y be r equir ed by the C ompany in r elation to the Deposit , in such form and manner as ma y be pr escribed by the C ompany . ( vii) The C ompany r eserv es the right to ac c ept or r eject any application r ec eiv ed for opening or placing the Deposit without assigning any r eason whatsoev er . The amount in r elation to such r ejected Application will not earn any inter est and the said amount will be r efunded as is within 30 ( thir ty ) business da ys. ( viii) The minimum amount , period and rate of inter est of the scheme ar e indicated on c o v er page of the Deposit Application Form. 2 . JOINT DEPOSITS: (I) Application ma y be made in joint names subject to a maximum of thr ee applicants. The Deposit will be opened in joint names subject to the c ondition that all the applicants ( a ) sign the Application in their individual capacities ( b ) submit KY C and other documents as specified by the C ompany and ( c ) meet the eligibility criteria specified by the C ompany . (ii) All c ommunications in r elation to the Deposit will be addr essed in the name of the first applicant appearing in the Application. (iii) All the pa yments in r elation to the Deposit plac ed in joint names including inter est and maturity pr oc eeds, will be made in the name of the first applicant in the Application including for the purpose of deduction of tax at sour c e and any dischar ge giv en by such first applicant in r espect to any pa yments made by the C ompany will be binding on the other joint applicant( s ). The pr oc eeds will be transferr ed to guar dian, if the FD is opened in minor's name . 3. FIXED DEPOSIT RECEIPTS (I) Fix ed Deposit R ec eipts (“ FDR ”) will be c ourier ed to the depositor( s ) within a period of thr ee weeks fr om the date of Deposit . (ii) In case of change in KY C documents/ status of any of the Applicant , the Applicant shall immediately inform BFL r egar ding the said change and submit the r evised KY C documents/ updated status to BFL , f ailing which BFL shall not be held r esponsible for any c onsequenc es, actions, claims, loss due to the said change in KY C . (iii) Deposit( s ) ar e not transferable and non- assignable . Thir d par ty lien on deposit is NO T permitted under any cir cumstanc e e x c ept in f a v our of the holding / subsidiary and / or Gr oup C ompanies of BFL . (iv ) In the ev ent of loss or destruction or mutilation of an FDR ( for any r eason ) and upon r equest r ec eiv ed by BFL , FDR will be r e -issued by BFL in lieu of lost FDR . Notwithstanding the r e -issuanc e of FDR( s ), the obligation of BFL is limited to the single FDR only , against which the money has been r ec eiv ed by BFL . Under all cir cumstanc es, mer e r e -issuanc e of FDR( s ) by BFL against single deposit of money will not r esult in duplication of pa yment or higher liability on the par t of BFL . All e xpenses, if any , incurr ed in this c onnection will be borne by the depositor( s ). 4. INTERES T : (I) Individual applicants or primary applicants f alling under special category of Senior citiz ens (i.e . persons mor e than 60 y ears of age , subject to pr o vision of pr oof of age ) will be eligible for additional inter est at the rate of 0 . 25% p .a. on Deposit amount of up to ` 5 ( fiv e ) cr or e; (II) Individual depositor applying for deposit thr ough online mode ( wher e entir e journey is c oncluded thr ough online mode ) will be eligible for additional inter est at the rate of upto 0 . 10% p .a. on Deposit amount of upto ` 5 ( fiv e ) cr or e; The applicant will be eligible for only one of the abo v e -mentioned benefits per deposit transaction (III) Depositor ( s ) (individual depositor only and does not include entities ) intending to r enew the FDR upon maturity will be eligible for additional rate of upto 0 . 10% p .a. for deposit siz e up to ` 5 cr or e . Additional rate of inter est will be o v er and abo v e the applicable rate of inter est / car d rate . In case of online r enew al, only r enew al benefit will be applicable (iii) Rate of inter est for bulk deposits for mor e than ` 5 cr or e per deposit ma y v ary fr om the published car d rate and will be decided on case to case basis but within the cap on Rate of Inter est specified by the R eserv e Bank of India. (iv ) Inter est pa y able on a Deposit will be calculated fr om the date of r ec eipt of the funds by the C ompany in r elation to the Deposit . The dates for inter est pa yments ar e as follows: a. In case of non- cumulativ e Deposits: 1. Monthly inter est pa yments: Last date of month 2. Quar terly inter est pa yments: 31st Mar ch, 30th June , 30th September and 31st Dec ember 3. Half y early inter est pa yments: 31st Mar ch and 30th September 4. Annual inter est pa yments: 31st Mar ch b. In case of Cumulativ e Deposits: Date of maturity of the Deposit c . Inter est for par t period (i.e . other than c omplete month/ quar ter / half y ear / y ear ) under Non- Cumulativ e Deposit Schemes will be calculated fr om the date of Deposit till the last da y of the immediate ne xt inter est pa yment date . If a Deposit is made within a period of 30 ( thir ty ) da ys prior to any of the inter est pa yment dates, the inter est for the par t period will be paid on the ne xt inter est pa yment date . ( v ) Onc e the applicant selects the Deposit scheme specified in the Application at the time of opening the Deposit i.e . the scheme , tenor and inter est pa y out fr equenc y , the applicant will not ha v e the option to subsequently r evise the Deposit scheme . In the ev ent the scheme is not indicated in the Application r ec eiv ed by the C ompany , the Deposit will suo moto be opened under cumulativ e deposit scheme for a period of 60 ( sixty ) months. In case the applicant opts for non- cumulativ e deposit option but the inter est pa y out fr equenc y is not indicated in the Application, the Deposit will be tr eated as plac ed under the annual inter est pa y out fr equenc y scheme . ( vi) The inter est will be paid thr ough National Electr onic Funds T ransfer (NEFT )/ R eal Time Gr oss Settlement ( R T GS ) only . In case of any r ejection of such instruction for NEFT / R T GS due to any r eason, the C ompany will dispatch inter est cheque , in f a v our of the first applicant in the Application, within 10 ( ten ) da ys of the r ec eipt of intimation by the C ompany fr om its bank about such r ejection ( vii) Customer ma y be offer ed an additional inter est rate on a case to case basis ( within the sc ope of R egulatory guidelines ) at the discr etion of BFL management . ( viii) For funds r ec eiv ed by BFL on or after 0 7 Dec 2019 , new rates will be applicable . In cases wher e applications ar e r ec eiv ed by BFL befor e 0 7 Dec 2019 , while c orr esponding funds ar e r ec eiv ed by BFL on or after 0 7 Dec 2019 , customer will ha v e to sign a declaration of ac c eptanc e of new rates of inter est or ma y also send us a declaration of ac c eptanc e fr om his r egister ed email ID . 5. NOMINA TION: (I) Nomination f acility is a v ailable to the applicants. For a v ailing the nomination f acility , the applicant( s ) is/ ar e r equir ed to furnish the nominee details in this application form or applicant will be r equir ed to submit a duly filled 'Form D A 1' as pr escribed by R eserv e Bank of India. The “ Form D A 1” is a v ailable in the branches of the C ompany & C ompany's website at https:/ / www .bajajfinserv .in/ fix edagr eements - termsand- c onditions (“ W ebsite ”). Nomination made by the depositor / applicant( s ) in the manner pr escribed by the C ompany , shall be binding on all the joint depositor / applicant( s ). (ii) Upon r equest of the depositor( s ), the C ompany will arrange to send forms for canc ellation of nomination (Form D A 2 ) and v ariation of nomination (Form D A 3 ). (iii) Wher e ther e is no nomination made by the depositor , either the Indian C our t's or der / judgement / decr ee will be obtained ( as the case ma y be ), dir ecting BFL to pa y the deposit to the legal heir . 6. P A Y MENT AND RENEW AL OF DEPOSIT (I) P a yments on ac c ount of inter est and r edemption of the Deposit , will be made in the bank ac c ount mentioned in the Application or such other bank ac c ount intimated by the deposit holder( s ) ( jointly , if applicable ), in writing , to the C ompany fr om time to time or by w a y of cheque in f a v our of the first applicant appearing in the Application. (ii) The C ompany will mak e r epa yment of Deposit on the date of maturity of such Deposit unless it r ec eiv es any r equest for r enew al within the pr escribed period befor e the date of maturity . The pa yment will be made thr ough NEFT /R T GS and cheque (in case of r ejection of transfer by NEFT / R T GS ), to the bank ac c ount of the depositor mentioned in the Application. (iii) In the ev ent of death of the sole depositor and/ or all the joint depositors, all pa yment( s ) in r elation to the Deposit including inter est ther eon will be made to the nominee appointed by the depositor( s ) on pr oduction of pr oof of identity and on e x ecution of such other documents as ma y be r equir ed by the C ompany in this r egar d. In the ev ent ther e is no nomination by the sole depositor , the Deposit amount including inter est ther eon will be transferr ed to the legal heirs or legal r epr esentativ es of the dec eased depositor( s ), as the case ma y be , upon submission of Suc c ession C er tificate/L etter of Administration/Pr obate of the Will to the satisf action of the C ompany . In the case of joint depositors, the nominee's right to r ec eiv e the amount of Deposit including inter est shall arise only after the death of all the depositors. The nominee , in the ev ent of death of the depositor( s ) would r ec eiv e such amounts in trust for the legal heirs. (iv ) The depositor should submit a written r equest for r enew al of the Deposit ( or a por tion ther eof ) so as to r each BFL atleast 3 ( thr ee ) business da ys befor e maturity date of the Deposit . The written r equest can be submitted at near est branch of the C ompany or sending by post / c ourier to the C ompany or to the independent financial advisors or national distributors empaneled with the C ompany . No r equests for r enew al of Deposit shall be ac c epted post the abo v e -mentioned period. R equest for r enew al should be ac c ompanied by the Deposit application form duly filled in and signed by all the Deposit holders. R enew al of Deposits will be subject to the rate of inter est and other terms & c onditions pr ev ailing on the date of r enew al. FDR of the e xisting deposit ma y not be r equir ed at the time of r enew al of deposits as it stands null & v oid post its maturity date . ( v ) In case wher e the depositor has opted for r enew al of deposit thr ough this application form, howev er , wishes to canc el the r enew al r equest , the depositor should submit a specific written r equest so as to r each the C ompany atleast 3 ( thr ee ) business da ys befor e maturity date of the Deposit . The written r equest can be submitted at near est branch of the C ompany or sending by post / c ourier to the C ompany or to the independent financial advisors or national distributors empaneled with the C ompany . No r equests shall be ac c epted post the abo v e -mentioned period. 7 . PREMA TURE WITHDRA W AL : (I) Pr ematur e withdra w al is permitted for either one or mor e deposit pr o vided the FD has c ompleted mor e than 3 months fr om the date of issuanc e . The death claims will be settled in ac c or danc e with the terms and c onditions applicable to Fix ed Deposit . (II) A r equest form for pr ematur e withdra w al will ha v e to be giv en by depositor( s ). (III) Deposits ma y be withdra wn prior to the date of maturity subject to the r egulations of the R eserv e Bank of India in this r egar d. Please note that pr ematur e withdra w al of Deposit (including death cases ) is subject to the following c onditions: ( a ) Up to 3 ( thr ee ) months fr om date of Deposit : Withdra w al of the Deposit is not permitted. Howev er , in the ev ent of death of a depositor , the C ompany ma y r epa y the Deposit pr ematur ely (irr espectiv e of the lock in period ) to the surviving depositor ( which in the case of joint holders will be the first in the sequenc e of applicants in the Application ) or to the nominee/ legal heir( s ) of the dec eased depositor , upon the r equest of surviving depositor / s/ nominee/ legal heir , as the case ma y be , and only subject to submission of pr oof of death and other r equisite documents to the satisf action of the C ompany . ( b ) After 3 ( thr ee ) months but befor e 6 ( six) months fr om the date of the Deposit : Inter est shall not be pa y able . ( c ) After 6 ( six) months but befor e the date of maturity of the Deposit : Inter est shall be pa y able at a rate which is 2% lower than the rate specified for the period during which the deposit plan has run. In case no rate is specified for the Deposit period, inter est rate pa y able shall be 3% lower than the lowest rate being offer ed by the C ompany . ( d ) Inc ome tax wher ev er applicable and deducted at sour c e and r emitted to the applicable tax authority by the C ompany on behalf of the depositor , befor e pr ematur e withdra w al of Deposit( s ), shall not be r efunded in any cir cumstanc e whatsoev er . 8. L O AN A GAINS T PUBLIC DEPOSIT : 'L oan against the public deposit' f acility ma y be pr o vided to depositors against the Deposit( s ) plac ed with the C ompany , subject to fulfilment by depositor( s ) of the eligibility criteria and other c onditions, as ma y be pr escribed by the C ompany in this r egar d. L oan can be giv en against deposit only after 3 months fr om the date of Deposit . The inter est rate on such loans shall be 2% higher than the rate of inter est pr o vided on the depositor's Deposit . Please note that the loan to deposit v alue for such loan f acility cannot e x c eed 7 5%. 9 . O THER TERMS (I) Inc ome - tax , wher ev er applicable , will be deducted at sour c e on the Deposit in ac c or danc e with Section 19 4 - A of the Inc ome T ax Act , 196 1 e x c ept wher e appr opriate C er tificate/form as pr escribed under the Inc ome T ax Act , 196 1 ( r efer to Form 15G/H enclosed with the deposit application form ) is furnished to C ompany's r egister ed offic e at least 2 ( two ) months prior to the due date of pa yment of inter est . A t pr esent tax is deductible if the aggr egate amount of inter est paid or pa y able during the financial y ear e x c eeds ` 5 , 000 / - ( Rupees fiv e thousand only ). It is the sole r esponsibility of the applicant to pr o vide the C ompany with a fr esh Form 15G/H for ev ery assessment y ear . Non-submission of r elev ant form or submission of inc omplete/inc orr ect form ma y r esult in tax deduction and BFL will not be r esponsible for the same . Applicant can also fill Form 15 G/H thr ough Experia. Howev er , if the aggr egate amount of inter est paid or pa y able during the financial y ear e x c eeds ` 2 , 50 , 000 ( Rupees two lacs fifty thousand only ) for non senior citiz ens, ` 3 , 00 , 000 ( Rupees thr ee lacs only ) for senior citiz ens and ` 5 , 00 , 000 ( Rupees fiv e lacs only ) for super senior citiz ens ( aged 80 y ears and abo v e ), then form 15 G/H will not be v alid and tax will be deductible . In this r espect the e xtant guidelines as amended fr om time to time will be applicable . Form 15G/H submitted vide this application will be applicable for all the deposits made under this plan during the financial y ear . For each financial y ear , Applicant will ha v e to submit separate Form 15G/H. (ii) In the ev ent of cheque bounc e , the cheque will be sent back to applicant's addr ess mentioned on the Application within 15 ( fifteen ) da ys. For all R T O ( R eturn to Origin ) cheque cases, the cheque will be held by the C ompany until the v alidity of the instrument , post which it will be destr o y ed without fur ther notic e to the applicant . (iii) In the ev ent of death of any of the joint depositors, any modification in the names of the deposit holders appearing on the FDR and/ or change in the bank ac c ount wher e inter est and/ or maturity pr oc eeds ar e to be cr edited, shall be effected only upon submission of a notariz ed c op y of the death c er tificate in the name of the dec eased depositor along with appr opriate instruction, to the C ompany , issued jointly by all the surviving deposit holder( s ), in writing , to carry out such modifications. (iv ) The C ompany will send all c ommunications to the deposit holder( s ) in electr onic form fr om time to time at the email ID mentioned in the Application and thr ough SMS on the r egister ed mobile number . In case of f ailur e in transmission of such c ommunication, the C ompany will send physical c op y of such c ommunication within 10 ( ten ) da ys of such f ailur e of transmission. ( v ) Any change in the addr ess, email ID , bank ac c ount etc ., mentioned in the Application shall be effected by the C ompany only on the basis of written instruction signed by all the c onc erned deposit holder( s ). ( vi) The C ompany r eserv es the right to alter , amend or delete any or all the c onditions stipulated abo v e or to v ary them in special cases or to ac c ept Deposits only for such periods as it ma y decide fr om time to time and to r epa y the Deposits pr ematur ely befor e the date of maturity . ( vii) The ac c ompanying adv er tisement inviting fix ed deposits forms par t of the Deposit Application form. ( viii) Disputes, if any , arising in c onnection with the Deposit , will be subject to the e x clusiv e jurisdiction of C our ts at Pune . (ix) By submitting this Application, the Applicant( s ) her eby e xpr essly c onsent and authorise BFL / its r epr esentativ es/its agents/ its business par tners/its gr oup c ompanies*/its affiliates to send the Applicant any c ommunication r egar ding pr oducts/ servic es offer ed by them using v arious c ommunication channels, such as, telephone , calls/SMS/ bitly / bots/ emails/ post etc ., irr espectiv e of r ejection of this Application. (x) R equests r elated to any change in bank details should r each us at least 7 da ys prior to the inter est or maturity pa yment 10 . HO W T O APPL Y (I) Applicant( s ) ar e r equested to go thr ough the terms and c onditions as mentioned abo v e . These terms and c onditions form par t of the Application. (ii) The attached deposit application form should be duly filled and signed by the applicant( s ). The amount should be deposited only by online transfer or by a CTS c ompliant ac c ount pa y ee cheque dra wn in f a v our of 'Bajaj Financ e L td Fix ed Deposit Ac c ount Number 000 7 0 350006 738' clearly stating the deposit amount alongwith the application number on the r ear side of the cheque . (iii) In case of inv estment thr ough cheque , application form alongwith the cheque and r equir ed documents ma y be submitted with any of C ompany's branch or authorised distributors. In case of inv estment thr ough dir ect cr edit to the BFL inv estment ac c ount , application form alongwith c op y of bank statement showing debit of funds and other r equir ed documents ma y be submitted with any of C ompany's branch or authorised distributors. Applications can also be made online by visiting www .bajajfinserv .in/fix ed- deposit or any of our affiliated par tner websites. For any inv estment queries or information about our affiliated par tner websites, write to us at fd@bajajfinserv .in (iv ) Intr oduction of all the applicants is c ompulsory . Such intr oduction ma y be by any one of the following methods: ( a ) The applicant can also obtain intr oduction fr om any other fix ed deposit holder with BFL . The said e xisting depositor will be r equir ed to disclose his/ her name and fix ed deposit r ec eipt number and pr o vide his/ her signatur e , as per specimen signatur e in BFL r ec or ds; ( b ) The applicant can also intr oduc e himself / herself by pr oducing original of any one of the documents ( which c ontains the photograph of the applicant ) mentioned in the list of Mandatory and Officially V alid Documents pr o vided in the Application and a r ec ent c olour ed photograph to BFL for v erification. The afor esaid c olour ed photograph and a c op y of such document pr oduc ed is r equir ed to be attached with the Application. 11 . IMPOR T ANT INFORMA TION (I) In the ev ent of non-r epa yment of the Deposit or par t ther eof as per the terms and c onditions of such Deposit , the depositor ma y appr oach National C ompany La w T ribunal, Mumbai Bench at : 6th Floor , Fountain T elec om, Building 1 , Mahatma Gandhi R oad, For t , Mumbai, Maharashtra 400001 . (ii) In case of any deficienc y by the C ompany in servicing its Deposit , the depositor ma y appr oach the National C onsumers Disputes R edr essal Forum, the S tate L ev el C onsumers Disputes R edr essal Forum or the District L ev el C onsumers Disputes R edr essal Forum for r elief. Name of Applicant _____________________________________________________________________

6. P age 6 o f 8 T he abo v ementioned r a tings indica t e highest degr ee of s a f ety with r egar d t o timely pa yment of int er est and principal on the instrument . Annualised ra t e o f Int er est per annum v alid up t o ` 5 Cr or es per deposit ( w .e .f . July 04, 2 02 0) CIN-L6 5 910MH19 87PL C04296 1 . FIXED DEPOSIT SCHEMES Minimum deposit (in Rs. ) 6 . 6 9% 6 . 73% 6 . 79% 6.90% 6 . 79% 6 .82% 6 .88% 7 . 00% 6 .88% 6 . 9 2% 6 . 9 8% 7 . 10% 6.90% 7 . 00% 7 . 10% 25 , 000 a ) Minimum deposit siz e is as specified abo v e . b ) (I) Individual depositor or primary depositor , f alling under special category of Senior citiz ens (i.e . persons mor e than 60 y e ars of age , subjec t to pr o vision of pr oof of age ) will be eligible for additional inter est at the rate of upto 0 . 25% p .a. on per Deposit amount of up to ` 5 ( fiv e ) cr or e; (ii) Individual depositor applying for deposit thr ough online mode ( wher e entir e journey is c oncluded thr ough online mode ) will be eligible for additional inter est at the rate of upto 0 . 10% p .a. on Deposit amount of upto ` 5 ( fiv e ) cr or e; Depositor will be eligible f or only one of the special category benefits mentioned abo v e in point no .( b )( I) to (ii). c ) Depositor( s ) (individual depositors only and does not include entities ) intending to r enew the FDR upon maturity will be eligible for additional rate of upto 0 . 10% p .a. for deposit siz e up to ` 5 Cr or e . Additional rate will be o v er and abo v e the applicable rate of inter est / car d rate . In case of online r enew al, only r enew al benefit will be applicable . d )Rate of inter est for bulk deposits f or mor e than ` 5 Cr or e per deposit ma y v ary fr om the published car d rate and will be decided on case to case basis but within the cap on Rate of Inter est specified b y the R eserv e B ank of India. e ) The C ompany will mak e r epa yment of deposit on the date of maturity of such deposit unless it r ec eiv es any r equest f or r enew al within the pr escribed period befor e the date of maturity . The pa yment will be made thr ough NEFT or R T GS or ac c ount pa y ee cheque (in case of r ejec tion of transfer b y NEFT /R T GS ) to the bank ac c ount of the depositor mentioned in the deposit application form. f ) The depositor( s ) should submit a written r equest for r enew al of the Deposit ( or a por tion ther eof ) so as to r e ach BFL atle ast 3 ( thr ee ) business da ys befor e maturity date of the Deposit . The written r equest can be submitted at ne ar est branch of the C ompany or sending b y post / c ourier to the C ompany or to the independent financial advisors or national distributors empaneled with the C ompany . No r equests f or r enew al of Deposit shall be ac c epted post the abo v e -mentioned period. R equest for r enew al should be ac c ompanied b y the Deposit application form duly filled in and signed b y all the Deposit holders. R enew al of Deposits will be subjec t to the rate of inter est and other terms & c onditions pr ev ailing on the date of r enew al. FDR of the e xisting deposit ma y not be r equir ed at the time of r enew al of deposits as it stands null & v oid post its maturity date . g)In case wher e the depositor( s ) has opted for r enew al of deposit thr ough FD application f orm, howev er , wishes to canc el the r enew al r equest , the depositor( s ) should submit a specific written r equest so as to r e ach the C ompany atle ast 3 ( thr ee ) business da ys befor e maturity date of the Deposit . The written r equest can be submitted at ne ar est branch of the C ompany or sending b y post / c ourier to the C ompany or to the independent financial advisors or national distributors empaneled with the C ompany . No r equests shall be ac c epted post the abo v e -mentioned period. P ar ticulars to be furnished as per the Non-B anking Financial C ompanies & M i s ce l l a n e o u s N o n - B a n k i n g Co m p a n i e s ( A d ve r t i s e m e n t) R u l e s, 1 9 7 7 a s amended. A . Name of the C ompany: BA JA J FINANCE L TD . B. Date of Inc orpor ation: 25th Mar ch, 19 87 C. Pr ofits/Dividends: Pr ofits of the C ompany befor e and after making pr o visions for tax , for the thr ee financial years immediately pr ec eding the date of the adver tisement and the dividends declar ed by the C ompany in r espect of the said y ears. D. Brief par ticulars of the management of the C ompany: The C ompany is managed by the Managing Dir ector , subject to the c ontr ol and supervision of the Boar d of Dir ectors. The Managing Dir ector is entrusted with nec essary powers for managing the business and aff airs of the C ompany . ( ` in Cr or e ) Dividend % Financial Y ear ended on Pr ofit ( S tandalone ) Befor e T ax After T ax 31 . 0 3. 2017 31 . 0 3. 2018 31 . 0 3. 2019 180 200 300 2 ,817 . 52 4, 056. 36 6 , 0 35. 30 1 ,836. 55 2 ,646. 7 0 3 ,8 90 . 34 E. Names , addr es ses and oc cupations of Dir ec tors: NAME ADDRES S OC CUP A TION Shri Rahul Bajaj (Chairman) Shri Sanjiv Bajaj (Vic e Chairman ) Shri Rajeev Jain ( Managing Dir ector) Shri Madhur Bajaj (Non-Ex ecutive Dir ector) Shri Rajiv Bajaj (Non-Ex ecutive Dir ector) Shri Dipak Poddar (Non-Ex ecutive and Independent Dir ector) Shri Ranjan Sanghi (Non-Ex ecutive and Independent Dir ector) Bajaj Vihar C olony , Mumbai-Pune R oad, Akur di, Pune 411 0 35. Bajaj Vihar C olony , Mumbai-Pune R oad, Akur di, Pune 411 0 35. D- 2 , Ivy Glen, Marigold Pr emises, Kaly ani Nagar , Pune 411 014. Bungalow No . 3 , Bajaj Vihar C olony , Mumbai-Pune R oad, Akur di, Pune 411 0 35. 34/ 35 , Y og K or egaon P ark , Lane No . 2 , Pune 411 001. Brij Kutir , Rungta Lane, 17th floor , Off Nepean Sea Road, Mumbai 400 0 26. Flat No. 21 , Mistry C ourt, 4th Floor , Dinshaw V achha R d; Mumbai 400 0 20. Industrialist Industrialist Servic e Industrialist Industrialist Industrialist Business F. Summarised Financial P osition of the C ompany ( standalone ) as appearing in the tw o latest audited balanc e sheets: ( ` in Cr or e ) A s at 31 Mar ch 2019 A s at 31 Mar ch 2018 ASSETS Financial assets Cash and cash equiv alents Bank balanc es other than ( a ) abo v e R ec eiv ables T rade r ec eiv ables Other r ec eiv ables L oans Inv estments Other financial assets T otal financial assets Non-financial assets Curr ent tax assets ( net ) Deferr ed tax assets ( net ) Pr oper ty , plant and equipment Intangible assets Other non- financial assets T otal non-financial assets T otal assets LIABILITIES AND EQUIT Y Liabilities Financial liabilities P a y ables T rade pa y ables - T otal outstanding dues of micr o enterprises and small enterprises - T otal outstanding dues of cr editors other than micr o enterprises and small enterprises Other pa y ables - T otal outstanding dues of micr o enterprises and small enterprises - T otal outstanding dues of cr editors other than micr o enterprises and small enterprises Debt securities Borr owings ( other than debt securities ) Deposits Subor dinated debts Other financial liabilities T otal financial liabilities Non-financial liabilities Curr ent tax liabilities ( net ) Pr o visions Other non- financial liabilities T otal non-financial liabilities Equity Equity shar e capital Other equity T otal assets T otal liabilities and equity 0 .44 547 . 25 - 218. 64 3 9 , 048. 97 29 , 97 0 . 6 7 13 , 19 3. 01 4, 13 9 . 0 7 1 ,411 .81 88 , 5 29 .86 22 . 3 7 68.88 315. 13 406. 38 115. 3 7 19 ,448. 26 19 , 56 3.6 3 1 , 08 , 4 99 .87 0 .43 438.8 9 - 16 9 . 9 4 31 , 528. 9 4 20 , 16 9 . 36 7 , 79 2 .87 4, 138. 16 1 , 2 4 9 . 38 65 , 487 . 97 2 4 .87 6 1 . 71 223. 6 7 310 . 25 115. 0 3 15 , 7 0 2 . 18 15 ,817 . 21 81 ,6 15.43 2 40 . 00 1 . 6 9 805. 38 86. 5 9 95 , 181 . 26 10 , 3 7 0 .41 297 . 04 1 , 06 , 9 8 2 . 37 147 .80 660 .83 4 95.84 158.4 9 54 . 54 1 , 517 . 50 1 , 08 , 4 99 .87 227 . 3 3 1 .4 9 585. 21 53. 64 7 5 , 53 2 .88 3 ,653.46 254 . 79 80 , 308.80 2 4 . 28 7 62 . 9 8 343.87 120 . 79 54 . 71 1 , 306.6 3 81 ,6 15.43 Disputed claims against the C ompany not acknowledged as debts V A T matters under appeal ESI matters under appeal Servic e tax matters under appeal - On inter est subsidy C ontingent Liabilities ( S tandalone ) A s at 31 Mar ch 2019 A s at 31 Mar ch 2018 P ar ticulars 28. 04 4 . 3 9 5. 14 1 , 340 .4 9 31 . 27 2 . 3 9 5. 14 1 , 2 43.80 The C ompany has adopted Indian Ac c ounting S tandar ds ('Ind AS') notified under Section 13 3 of the C ompanies Act 2013 ('the Act') r ead with the C ompanies (Indian Ac c ounting S tandar ds ) Rules, 2015 fr om 1 April 2018 and the effective date of such transition is 1 April 2017 . Such transition has been carried out fr om the erstwhile Ac c ounting S tandar ds notified under the Act , r ead with r elev ant rules issued ther eunder and guidelines issued by the R eserve Bank of India ('RBI') ( c ollectively r eferr ed to as 'the Pr evious GAAP'). Ac c or dingly , the c orr esponding figur es pr esented for balanc e sheet as at 31 Mar ch 2018 have been r estated / r eclassified G. a ) Amount which the C ompany can raise by w ay of Deposits as per Non Banking Financial C ompanies Ac c eptanc e of Public Deposits ( R eserve Bank) Dir ections, 2016 : ` 28, 116.47 Cr or e b ) The aggr egate of deposits actually held as on 31 . 0 3. 2019 : ` 13 , 19 3. 01 Cr or e H . The aggr egate dues fr om the f acilities, both fund and non- fund based, e xtended to , the c ompanies in the same gr oup or other entities or business ventur es in which the Dir ector / C ompany ar e holding substantial inter est ar e ` 6 1 . 95 cr or e ( Bajaj Allianz General Insuranc e C ompany – ` 11 . 77 Cr , Bajaj Allianz Life Insuranc e C ompany L td. – ` 2 . 99 Cr , Bajaj Auto L td. – ` 2 . 11 Cr , Bajaj Electricals L td – ` 0 . 01 Cr , Bajaj Housing Financ e L td. - ` 2 . 25 Cr , Jamnalal Sons P vt . L td – ` 0 . 19 Cr and Mukand L td. – ` 42 .63 Cr ). I . The C ompany has no over due deposits other than unclaimed deposits. J . The C ompany declar es as under: i) The C ompany has c omplied with the pr ovisions of the dir ections applicable to it . ii) The c omplianc e with the dir ections does not imply that the r epayment of Deposits is guaranteed by the R eserve Bank of India. iii) The deposits ac c epted by the C ompany ar e unsecur ed and rank pari passu with other unsecur ed liabilities. iv ) The deposits solicited by the C ompany ar e not insur ed. v ) The Financial position of the C ompany as disclosed and the r epr esentations made in the deposit application form ar e true and c orr ect . The C ompany and its Boar d of Dir ectors ar e r esponsible for the c orr ectness and veracity ther eof . The financial activities of the C ompany ar e r egulated by R eserve Bank of India. It must , however , be distinctly understood that R eserve Bank of India does not undertak e any r esponsibility for the financial soundness of the C ompany or for the c orr ectness of any of the statements or the r epr esentations made or opinion e xpr essed by the C ompany and for r epayment of deposits / dischar ge of liabilities by the C ompany . K . The deposits shall also be subject to the terms and c onditions as per the deposit application form. L . Deposits may be withdrawn prior to the date of maturity subject to the r egulations of the R eserve Bank of India in this r egar d. Please note that pr ematur e withdraw al of Deposit (including death cases ) is subject to the following c onditions: a ) Upto 3 months fr om date of deposit : Withdraw al is not permitted b ) After 3 months but befor e 6 months: Inter est shall not be pay able c ) After 6 months but befor e the date of maturity: The rate of inter est shall be 2% lower than the rate specified for the period during which the scheme has run. In case of no rate being specified for the deposit period, inter est rate pay able shall be 3% lower than the lowest rate offer ed by BFL . M . The Business carried on by the C ompany and its subsidiaries with details of branches or units if any: 1 . Business carried on by the C ompany and its branches: Providing consumer finance ranging from vehicle loans, consumer durable financing , personal loans, loan against proper ty , Home Loans, construc tion e q u i p m e n t fi n a n c i n g , s m a l l b u s i n e s s l o a n s , l o a n a g a i n s t s e c u r i t i e s a n d infrastructur e financing. The C ompany is having its Branches at Agra, Ahmedabad, Ahmednagar , A jmer , Ak ola, Ak ot , Alappuzha, Allahabad, Ambala, Amrav ati, Amr eli, Amritsar , Anand, Anantpur , and Ankaleshw ar , Asansol, Aurangabad, Bagalk ot , Bangalor e, Baramati, Bar doli, Bar eilly , Bar oda, Barshi, Belgaum, Bellary , Bhandara, Bharuch, Bhatinda, Bhavnagar , Bhilai, Bhiw andi, Bhopal, Bhubaneshw ar , Bhuj, Bidar , Bijapur , Bikaner , Bilaspur , Bokar o , Bolpur , Borsad, Calicut , Chalisgaon, Chandigarh, Chandrapur , Chennai, Chhindw ara, Chikhli, Chiplun, Chitradurga, Chittaranjan, Chopda, C ochin, C oimbator e, Cuddalor e, Cuttack , Dabhoi, Dahod, Dav anger e, Dehradun, Dew as, Dhanbad, Dharapuram, Dharw ad, Dhule, Dindigul, Dur gapur , Eluru, Er ode, Gandhidham, Goa, Gokak , Gulber ga, Guna, Guntur , G w ailor , Haldia, Halol, Hassan, Haveri, Himatnagar , Hoshangabad, Hoshiarpur , Hospet , Hubli, Hy derabad, Indor e, Jabalpur , Jagadhri, Jaipur , Jalandhar , Jalgaon, Jalpaiguri, Jammu, Jamnagar , Jamner , Jamshedpur , Jodhpur , Junagadh, Kadi, Kaithal, Kakinada, Kalka, Kannur , Kanpur , Kapurthala, Karad, Karaikudi, Karnal, Karunagappally , Karur , Karv ar , Katni, Khamgaon, Khandw a, Kharagpur , K olar , K olhapur , K olkata, K ollam, K oper gaon, K orba, K ota, K ottay am, Kurnool, Kurukshetra, Latur , Lucknow , Ludhiana, Machilipatnam, Madurai, Mandy a, Mangalor e, Mapusa, Mar gao , Mehsana, Moga, Morbi, Mumbai, M ysor e, Nabha, Nadiad Nagar c oil, Nagpur , Namakkal, Nanded, Nandurbar , Nashik , Navsari, Nellor e, New Delhi, P alanpur , P andharpur , P anipat , P atiala, P atna, Pen, Phagw ada, Pimpalgaon, Pollachi, Pondicherry , Pune, Puttur , Raichur , Raipur , Rajahmundry , Rajgurunagar , Rajk ot , Rajnandangaon, Rajpura, Ranaghat , Ranchi, Ratlam, Ratnagiri, R ew a, R ohtak , R opar , R ourk ela, Salem, Sangli, S a t a r a , S a t n a , S e h o r e , S h i m l a , S h i m o g a , S i l i g u r i , S i r s a , S o l a p u r , S u r a t , Surendranagar , T enali, T hiruval la, Tirunelveli, Tirupati, Tirupur , T richur , T richy , T riv andrum, T umakuru, T utic orin, Udaipur , Udipi, Ujjain, V adakara, V alsad, V api, V aranasi, V idisha, V ijayaw ada, V izag , V izianagram, W ani, W arangal, W ard ha, W arud, W ashim, Y av atmal and all other branches mentioned on the official website page www .bajajfinserv .in=> Scr oll to bottom of the webpage=>C ontact us=>Visit our branch or by dir ectly clicking https:/ / www .bajajfinserv .in/ branch-locator 2 . Business carried on by the subsidiaries of the C ompany: Sr . No . Name of subsidiary Addr ess of r egister ed offic e Activity Bajaj Housing Financ e Limited 1 . Bajaj Auto L td c omple x , Mumbai-Pune R oad, Akur di, Pune 4110 35 Housing Financ e Business Bajaj Financial Securities Limited 2 . Bajaj Auto L td c omple x , Mumbai-Pune R oad, Akur di, Pune 4110 35 S tock br oking and depository par ticipant The abo v e te xt of adv er tisement has been issued on the authority and in the name of the Boar d of Dir ectors and has been appr o v ed by the Boar d of Dir ectors at its Meeting held on 25 July 2019 and c op y of the same signed by the majority of Dir ectors has been deliv er ed to the R eserv e Bank of India for r egistration. By or der of the Boar d of Dir ectors for Bajaj Financ e Limited Rajeev Jain, Managing Dir ector DIN: 01550158 NAME ADDRES S OC CUP A TION Shri D J Balaji Rao (Non-Ex ecutive and Independent Dir ector) Dr . Omkar Gosw ami (Non-Ex ecutive and Independent Dir ector) Dr . Gita Piramal (Non-Ex ecutive and Independent Dir ector) Dr Naushad Forbes (Non-Ex ecutive and Independent Dir ector) Shri Anami Naray an R oy (Non-Ex ecutive and Independent Dir ector) D - 10 3 Adarsh R esidency, 47 Cr oss, 2nd Main, 8th Block , Jay anagar , Bangalor e 560 082 . E- 121, Masjid Moth, First Floor , Gr eater Kailash 3, New Delhi - 110 048. Piramal House, 6th Floor , 6 1 , Pochkhanw ala R oad, W orli, Mumbai 400 0 25. 7 4 K or egaon P ark ,Pune - 411 001 62 Sagar T arang , W orli Sea F ac e, Mumbai 400 0 30 . Pr ofessional Ec onomist Business Business Social Entr epr eneur , R etir ed Civil Serv ant Pune 19 June 20 20 T enor in months C umula tiv e Monthly Quar t erly Half Y e arly Annual Non- C umula tiv e 12 – 23 2 4 – 35 36 - 60 HO W T O INVES T : The amount should be deposited only by cheque or debit car d made pa y able to 'BA JA J FINANCE L TD - A C C OUNT NUMBER 000 7 0 350006 738' and cr ossed 'Ac c ount P a y ee only' . The cheques should be pa y able at par and CTS c ompliant . Application Form along with the nec essary r emittanc e should be sent to the Distributors of the Fix ed Deposit Schemes of BFL or be submitted at any of the BFL branches. For NEFT /R T GS , please use the following details: Beneficiary Name: Bajaj Financ e L td, Bank ac c ount no .: 000 7 0 350006 738, Ac c ount type: curr ent ac c ount , Bank Name: HDFC Bank L td, IFSC : HDFC000000 7 , Bank branch: 885 , Bhandarkar R oad, Pune -411004 . Applications can also be made online by visiting www .bajajfinserv .in/fix ed- deposit or any of our affiliated par tner websites. F or any inv estment queries or information about our affiliated par tner w ebsites, write to us at fd@bajajfinserv .in or call us on 0 20 71505108 - On penal inter est / char ges - On others Inc ome tax matters: - Appeals by the C ompany - Appeals by the Inc ome tax depar tment A s at 31 Mar ch 2019 A s at 31 Mar ch 2018 P ar ticulars 2 45. 19 5.45 0 . 3 2 0 . 2 4 - 3. 11 8. 90 3 2 . 9 8

1. T enur e in mon ths Minimum deposit (in ` ) C umula tiv e Non C umula tiv e Mon thly Quar t erly Half Y e arly Annual 12 - 23 25 , 000 6. 90% 6. 6 9% 6. 73% 6. 79% 6. 90% 2 4 - 3 5 7 . 00% 6. 79% 6.82% 6.88% 7 . 00% 36-60 7 . 10% 6.88% 6. 9 2% 6. 9 8% 7 . 10% T enur e in mon ths Minimum deposit (in ` ) C umula tiv e Non C umula tiv e Mon thly Quar t erly Half Y e arly Annual 12 - 23 25 , 000 7 . 15% 6. 9 3% 6. 97% 7 . 0 3% 7 . 15% 2 4 - 3 5 7 . 25% 7 . 0 2% 7 . 06% 7 . 12% 7 . 25% 36-60 7 . 3 5% 7 . 11% 7 . 16% 7 . 22% 7 . 3 5% T enur e in mon ths Minimum deposit (in ` ) C umula tiv e Non C umula tiv e Mon thly Quar t erly Half Y e arly Annual 12 - 23 25 , 000 7 . 00% 6. 79% 6.82% 6.88% 7 . 00% 2 4 - 3 5 7 . 10% 6.88% 6. 9 2% 6. 9 8% 7 . 10% 36-60 7 . 2 0% 6. 97% 7 . 01% 7 . 0 8% 7 . 2 0% Annual r a t e of int er est v alid f or deposits up t o Rs. 5 cr or e ( w .e .f 04 July 2 0 2 0) F or : ne w cust omers Minimum deposit is Rs. 25 , 000 / - Rates f or abo v e Rs. 5 cr or e ma y v ary fr om the published car d r ate R ene w al r ate benefit of 0 . 10% o v er and abo v e the published car d r ate ( not f or online ) FIXED DEPOSIT S APPLIC A TION F ORM ONL Y F OR RESIDENT INDIVIDU AL F or senior citiz ens : F or online cust omers: R ene w principal+ int er est R ene w only principal P a y out H I G F E D=A X B C B A M a x 5 No . o f Deposit ors 1 . In v estment details Deposit Op tion No. o f FDs Deposit Amt ( Rs. ) per FD Deposit Amt (in w or ds ) per FD T o tal deposit Amt ( Rs. ) T enor ( months ) M a turity Instruc tion Int er est pa y out fr equenc y ( manda t ory f or non- cumula tiv e op tion ) Scheme ( to be filled in b y BFL r epr esentativ e ) C umula tiv e Or Multiple deposit^ OR 1 2 3 Da t e Br ok er C ode Sub Br ok er C ode Sour cing Channel: SFDC R ef . No . Applica tion F orm No . ^Applicable only f or pa yment made thr ough a single cheque only . Single deposit ( Depositor needs to fill in inf ormation only in the first r o w and write "1" in c olumn A) 4 . Non- cumula tiv e Monthly Quar t erly Half y e arly Annually P age 1 o f 8 3 . Deposit pa y able t o First Holder or Surviv or ( First Holder in case of deposit in single name ) Either or Surviv or %p .a. %p .a. %p .a. R ene w principal+ int er est R ene w only principal P a y out C umula tiv e Or Non- cumula tiv e Monthly Quar t erly Half y e arly Annually R ene w principal+ int er est R ene w only principal P a y out C umula tiv e Or Non- cumula tiv e Monthly Quar t erly Half y e arly Annually R ene w principal+ int er est R ene w only principal P a y out C umula tiv e Or Non- cumula tiv e Monthly Quar t erly Half y e arly Annually R ene w principal+ int er est R ene w only principal P a y out C umula tiv e Or Non- cumula tiv e Monthly Quar t erly Half y e arly Annually FDR deliv ery 2 . Hand deliv ery C ourier on m y addr es s r egist er ed with BFL 37212609 2 5 8 7 2

8. P age 8 o f 8 R esident Individual Application Form ( 8 page ) - Urban KY C DOCU MENT A TION F OR OPENING A C C OUNT Sr . No . Pr oo f o f Identity ( P oI ) Pr oo f o f Addr es s ( P oA) I V alid P as spor t V alid P as spor t ii V alid Driving Lic ense V alid Driving Lic ense iii V oter's Identity C ar d is sued b y Elec tion C ommis sion of India V oter's Identity C ar d is sued b y Elec tion C ommis sion of India iv Pr oof of pos ses sion of A ad haar Number (i.e . A ad haar letter do wnloaded fr om UID AI w ebsite , A ad haar car d ) ** Pr oof of pos ses sion of A ad haar Number (i.e . A ad haar letter do wnloaded fr om UID AI w ebsite , A ad haar car d ) ** v Job C ar d is sued b y NREGA duly signed b y an of fic er of the S tate Go v ernment Job C ar d is sued b y NREGA duly signed b y an of fic er of the S tate Go v ernment vi - L etter is sued b y the National P opulation R egister c ontaining details of Name , Addr es s of the customer * Obtaining a C er tified C op y b y R epor ting Entity ( this includes our C ompany ) me ans c omparing the c op y of Of ficially V alid Document ( O VD ) so pr oduc ed b y the client (i.e . customer ) with its Original and r ec or ding the same on the c op y b y the authorised of fic er of the R epor ting Entity ” Ple ase note that these guidelines ar e based on the RBI M aster Dir ec tions - Kno w Y our C ustomer ( KY C ) Dir ec tion, 2 016 updated as on July 12 , 2 018 and the P ML A and UID AI Notifications is sued ther e af ter . (A) KY C Documents f or an Ac c ount o f INDIVIDU AL , and f or BENEFICIAL O WNER / A UTHORIZED SIGNA T ORY / PO WER OF A T T ORNEY HOLDER : (1) One r ec ent Pho t ogr aph ( 2 ) P AN or F orm 60 if P AN is not allotted ( 3 ) C er tified C op y * of one of the Of ficially V alid Documents ( O VDs ) listed belo w: Sr . No . Pr oo f o f Addr es s ( P oA) I Utility bill , in the name of the client , which is not mor e than tw o months old of any servic e pr o vider ( Elec tricity , T elephone , P ost -paid Mobile Phone , Piped Gas , W ater bill ) ii Pr oper ty or Municipal tax r ec eipt iii P ension or F amily P ension P a yment Or ders ( PPOs ) is sued to r etir ed emplo y ees b y Go v ernment Depar tments or Public -Sec tor Under takings , if the y c ontain the addr es s iv L etter of Allotment of Ac c ommodation fr om Emplo y er is sued b y S tate Go v ernment or C entral Go v ernment Depar tments , S tatutory or R egulatory Bodies , Public Sec tor Under takings , Scheduled C ommer cial B anks , Financial Institutions and Listed C ompanies , and L e a v e & Lic ense Agr eements with such emplo y ers allotting of ficial ac c ommodation In case a client submits Deemed to be O VD ( DO VD ) to w ar ds C urr ent Addr es s , client must submit an O VD mentioned in (A)( 3 ) , updated with C urr ent Addr es s , within thr ee months of submis sion of the DO VD . ( 4 ) In case O VD does not ha v e C urr ent Addr es s of the client , obtain belo w listed documents which ar e tr e ated as Deemed t o be Of ficially V alid Documents ( DO VD ) f or the limited purpose of Pr oo f o f Addr es s : V ernacular Declar a tion F orm I/ W e c onfirm tha t the c ont ent of this Applica tion / Agr eement / L ett er / T erms and C onditions w er e r e ad out and e xplained t o me / us in English and I/ W e c onfirm t o ha v e underst ood the s ame . English म /हम यह प ु ि करता ँ /करती ँ /करत े ह िक इस आव े दन/अन ु ब ं ध/प/िनयम एव ं शत की सामी को िह ं दी म पढ़ कर म ु झ े /हम समझाया गया था और म /हम उनक े समझन े की प ु ि करता ँ /करती ँ /करत े ह । Hindi আিম / আমরা িনত করিছ য এই আেবদন / চ / প / িনয়ম এবং শতা বলী সেক িবািরত সামীট পেড়িছ এবং আমােক / আমােদর সটা বাংলায় বাখা কের বাঝােনা হেয়েছ এবং আিম / আমরা এটেক বুেঝিছ বেল িনয়তা দান করিছ Bengali இந ் த ண ் ணப ் பம ் /ஒப ் பந ் தம ் /க தம ் /வைரயைறகள ் மற ் ம ் நிபந ் தைன களிள ் ள பரங ் கைள எ ன க ் / எங ் கக ் தல ் ப த ் க ் காட ் ள க ் கப ் படட ் எ ன ் ம ் அவற ் ைற நா ன ் /நாங ் கள ் ரிந ் ெகா ண ் க ் ேறன ் /ரிந ் ெகா ண ் க ் ேறாம ் எ ன ் நா ன ் /நாங ் கள ் உ அளிக ் ேறாம ் . T amil ਮ/ਅਸ ਪੁਸ਼ਟੀ ਕਰਦੇ ਹਾਂ ਿਕ ਇਸ ਿਬਨ ੈ -ਪੱਤਰ/ਇਕਰਾਰਨਾਮੇ/ਪੱਤਰ/ਿਨਯਮ ਅਤੇ ਸ਼ਰਤਾਂ ਦੀ ਸਮੱਗਰੀ ਮੈਨ ੂ ੰ/ਸਾਨ ੂ ੰ ਪੰਜਾਬੀ ਿਵੱਚ ਪੜ ਕੇ ਸੁਣਾਈ ਗਈ ਅਤੇ ਸਮਝਾਈ ਗਈ ਸੀ ਅਤੇ ਮ/ਅਸ ਪੁਸ਼ਟੀ ਕਰਦੇ ਹਾਂ ਿਕ ਸਾਨ ੂ ੰ ਇਸ ਦੀ ਸਮਝ ਲੱਗ ਗਈ ਹੈ। Punjabi میں/ہم تصدیق کرتا ہوں/کرتے ہیں کہ اس درخواست/اقرارنامہ/خط/ شرائط و ضوابط کے متن کو مجھے/ہمیں انگریزی میں پڑھ کر سنا دیا گیا ہے اور اس کی وضاحت کردی گئی ہے اور میں/ہم تصدیق کرتا ہوں/کرتے ہیں کہ میں/ہم نے اسے سمجھ لیا ہے۔ Ur du ഈ അേപ / ഉടടി / ക് / നിബനകളും വ വകളും എിവയിെല ഉടം എനി്/ഞൾ് വായി്തരികയും മലയാളിൽ എനി്/ഞൾ് വ ിശദീകരി്തരികയും െ ചതായി ഞാൻ / ഞൾ ിരീകരിുു. എനി്/ഞൾ് അവ മനിലായി എ് ഞാൻ / ഞൾ ിരീകരിുകയും െ ചുു. M ala y alam આથી હ ુ ં /અમે એ વાતની પુિ કરીએ છીએ ક ે , આ અર /કરાર/પ/િનયમો અને શરતોના લખાણને મારી/અમારી સમ ગ જ ુ રાતીમાં વાંચી સંભળાવવામાં આ યું હતું અને અમને સમ વવામાં આ યું હતું અને મ/અમે તેને સમ લીધું હોવાની હ ુ ં /અમે પુિ ક ં છ ુ ં /કરીએ છીએ. Gujar a ti ఈ అ ష/అం/ఖ/యమ బంధన షయం / చ ంచబంద మ ర వంచబంద మ / అ ం మ / ధృక ం. T elugu ମ/ ୁ ଁ ଆେ ୀକାର କର ୁ ଅଛୁ େଯ ଏହ ି ଦରଖା/ଚ ୁ ି ନାମା/ପ/ନିୟମ ଓ ସା ବଳୀର ବିଷୟବ ୁ ଆମକୁ ଇଂରାଜୀେର ପଢ଼ି ଶଣ ୁ ାଇ ଦିଆଯାଇଛ ି ଏବଂ ବ ୁ ଝାଯାଇଛ ି ଏବଂ ମ/ ୁ ଁ ଆେ ତାହାକୁ ବ ୁ ଝଥ ି ବ ା ସତି ଜଣାଉଛୁ । Oriy a ಈ ಲಕ / ಢಪಂದ ಈ ಅ/ಒಪ ಂದ/ಪತ ದ ವ ಮಯ ಮ ಷರ ಗಳ ನಮ ಕನ ಡದ ಓ ಳ ಮ / ಅದ ಅ ಂ ೕ. Kannada मी/आी यास प ु ी द े तो/द े त े की या अजा ती/करारनााती/पाती/िनयम व अटीम ं धी मजक ू र मा/आाा मराठीत वाच ू न दाखवात आा आिण समजाव ू न द े ात आा आिण मा/आाा तो समजा अस ् याची मी/आी प ु ी द े तो/द े त े . M ar a thi মই/আিম িনিত কিৰেছা য এই আেৱদন / চপ / প / নীিত আ চতা ৱলীত থকা সিবেশষ তথ আিম ভালদেৰ পিঢ়েছা আ মাক / আমাক এই িবষেয় সিবেশষ অসমীয়াত বাখা কিৰ বুেজাৱা হেছ আ মই / আিম এই িবষেয় সম কথা বুজ পাইেছা বুিল িনিত দান কিৰেলা৷ A s s amese ा अजा ची/कबलातीची/ पाची/ न े म आनी अटीच ं ी साम ु ी कोक ं णी ं भाश तान वाच ू न दाखोवन, ाका/आमका ं वणत क े ा हाची हा ं व/आमी खाी िदता ं /िदतात आनी हा ं व/आमी ती समजला ं /समजात ण खाी िदता ं /िदतात. K onkani Signa tur e of First Applicant ** T o Ensur e that the A adhaar No . ( on c op y of A ad haar L etter / A ad haar C ar d obtained ), must be r edac t ed or black ened and it is no t legible and the A ad haar No . should no t be ent er ed/ st or ed in an y syst em . Signa tur e of Sec ond Applicant Signa tur e of T hir d Applicant

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