SCHEDULE - FORM - G - PANCHNAMA - Securities And Exchange Board of India (Procedure For Search And Seizure) Regulations, 2014

FORM-G PANCHNAMA (See regulation 18) [To be prepared in duplicate] Party No. [A] Warrant in the case of : [B] Warrant to search : [Details Ownership of place of search] Telephone Numbers. [C] Search party consisting of : Authorised officers Name Full Designation 1. 2. 3. 4. 5. Other officials who assisted the authorised officers 6. 7. 8. 9. [D] Name and complete address of Panchas : 1. 2. On being called by Shri. __________on __________ at __________a.m. /p.m. we, the above named panchas, presented ourselves at the above place of search. The authorised officer, Shri __________ showed the warrant of authority dated__________ issued under issued in case of [A] above to search the place mentioned at [B] above and duly signed by the Chairman, Securities and Exchange Board of India, Mumbai to Shri/Smt. __________ who was present in the said place the time and who after reading the said authorisation/after the authorisation was explained in local language viz., __________ by Shri/Smt. __________ signed it in our presence and along with us, in token of having perused the same. 2. As today s search was in continuance of the proceedings on __________ we along with the aforesaid authorised officers before the commencement of proceedings today inspected the seals which had placed on that date and found them to be intact/tampered with as narrated in the enclosures. 3. The Above mentioned search party offered themselves for personal search before commencing the search which was taken / declined. 4. A search of the above mentioned place was carried out by the said party in our presence in an orderly manner without hurting the sentiments of any of the occupants of premises. 5. In the course of the search, (a) The following were found and seized: Books of accounts/register/other documents/records, etc., as per annexure A (___________Sheets) (b) The following were found but not seized : (i) Books of accounts and documents as per annexure Marks of identification were placed on these and the specimen of the marks and the pages where these have been are shown in the inventory prepared viz. Annexure 1. 6. In the course of the search, the authorised officer Shri______________________________ recorded the statement(s) of Shri_______________________________________________ on solemn affirmation/oath, in our presence No. coercion, threat, inducement, promise or other undue influence was brought to bear on the above deponent. The statement was read over/explained in the local language viz., ____________ to the deponent, who signed the statement in token of having understood its contents and of agreeing that it had been correctly recorded. 7. The following other important persons were present in the place of search and either took an active part in or helped the search proceedings. Name Relationship 8. The Search commenced on ___________ at ___________ a.m./p.m the proceedings were closed on ___________ at a.m/p.m. as finally concluded/as temporarily concluded for the day to be commenced subsequently for which purpose seal was placed on the entire place/on ___________ in our presence. 9. An order under regulation 14 of the Securities and Exchange Board of India(Procedure for Search and Seizure) Regulations, 2014 in respect of the sealed premises/___________________as served on Shri/Smt.__________________________ by the said authorised officers. 10. Before leaving the above mentioned placed of the search the entire search party again offered themselves for personal search which was taken/declined. The above panchanama has been read by us/ explained to us in local language __________ by Shri/Smt. _____________________ and is certified that it has been correctly recorded. Signature of the Panchas with dates. 1. _________________________ 2._________________________ Signature of the authorised officer Signature of the person receiving the copy of the panchnama Name : Name Designation: Position in/relationship to A Date : Seal Date : PROFORMA FOR REQUISITIONING POLICE ASSISTANCE FOR SEARCH ACTION [See Regulations 8(4), 9(7) and 10(2)] Date: The Commissioner of Police/Superintendent of Police . . Sir, 1. The Securities and Exchange Board of India is contemplating taking certain action under section 11C (8) of the SEBI Act, 1992 and applicable provisions of the Code of Criminal Procedure, 1973 r/w section 11C(11) of the SEBI Act, 1992. As the place proposed to be covered is in a sensitive locality and it is apprehended that the person occupying the premises may offer resistance, I am to request you to kindly make available police assistance to SEBI personnel carrying out the above duties. 2. ...................Sub Inspectors, ...............Head Constables and ................... all armed, may kindly be instructed to report to................... Shri ...................( name and designation) on................... at .................. (place). at ................... (time ) for necessary action 3. Kindly treat this information as very confidential. (Name and Designation) of Delegated Authority. At (place) Date