SCHEDULE - III - Form - Securities and Exchange Board of India (Settlement of Administrative and Civil Proceedings) Regulations, 2014

1 [Schedule III (See regulation 14A) Form To Date . Address Sub: Notice of settlement in the matter of ..................................... Securities and Exchange Board of India (SEBI) during the investigation/ inspection/ inquiry/ examination in the matter of .has prima facie observed that you have violated the following provisions of the securities laws: (i) .. (ii) .. (iii) .. (iv) .. Extracts of the findings are enclosed. 2. In view of the aforesaid you are liable to be proceeded against under .(relevant provisions under which the proceedings may be initiated or continued) 3. The aforesaid proceedings (to be) initiated may, be settled and disposed of upon filing of a settlement application under the SEBI (Settlement of Administrative and Civil Proceedings) Regulations, 2014 alongwith remittance of a settlement amount of Rs. ..to SEBI in terms of .. (provision) of SEBI (Settlement of Administrative and Civil Proceedings) Regulations, 2014 within 30 calendar days from the date of receipt of this notice and upon complying with the following non-monetary terms: (i) . (ii) ...................... (please specify any other terms, if any) 4. If remittance of the settlement amount is not made and/ or any of the non-monetary terms are not complied or undertaken to be complied within the specified time, the Board may initiate or continue any specified proceedings against you in accordance with law. Notwithstanding anything contained in this notice, the Board reserves the right to modify the proceedings and charges (to be) brought against you and this notice shall not confer any right to seek settlement or avoid any action initiated by the Board. 5. If the settlement application is not filed or the settlement amount is not remitted and/or undertaking in respect of other non-monetary terms is not furnished or other non-monetary terms are not complied to the satisfaction of the Board or the settlement application is withdrawn, the specified proceedings may be initiated or continued, as the case may be and you shall be permitted to file a settlement application only in respect of proceedings pending before a Court or tribunal after conclusion of proceedings before the Adjudicating Officer or the Board, as the case may be. Name, designation and signature Encl: As above] ******** 1 Inserted vide the Securities and Exchange Board of India (Settlement of Administrative and Civil Proceedings) (Second Amendment) Regulations,2017 w.e.f. 27.12.2017.