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"INTERESTED PERSONS ARE ENTITLED TO A PROSPECTUS, IF THEY SO DESIRE, AND THAT COPIES OF PROSPECTUS MAY BE OBTAINED FROM THE ISSUER AND THE ISSUE MANAGER"

BENGAL WINDSOR THERMOPLASTICS LIMITED

APPLICATION FORM
APPLICATION FOR SHARES BY INVESTORS OTHER THAN NON-RESIDENT BANGLADESHI(S)
Warning: Please read the instructions at the back of this form. Incorrectly filled applications may be rejected.

The Managing Director BENGAL WINDSOR THERMOPLASTICS LIMITED Bengal House, 75, Gulshan Avenue, Gulshan-1, Dhaka 1212. (Please fill in CAPITAL letters)

Banker's Sl. No.

Dear Sir, I/We apply for and request you to allot me/us 200 number of Shares and I/we agree to accept the same or any smaller number that may be allotted to me/us upon terms of the Companys Prospectus approved by the Securities and Exchange Commission subject to the Memorandum and Articles of Association of the Company. Further, I/we authorize you to place my/our name(s) on the Register of Member(s) of the Company and deposit the said ordinary shares in my Beneficiary Owner ("BO") account; I/we further authorize you to send a crossed (Account Payee only) cheque in respect of any Application money refundable to me/us by post/courier at my/our risk to the first applicants address stated below: 1. No. of Ordinary Shares 200 of Tk 25.00 each including a premium of Tk 15.00 per share. 2. Amount of Tk (in figure) 5000 Taka(in words)Tk Five Thousand only deposited vide cash/Cheque/Draft/Pay Order No. ..................Date ....................on.................................... Bank....................................Branch.
3. Beneficiary Owner (BO) Account Number:

1 2 0 3 9 4 0 0 3 3 2 7 5 3 8 2

{If you do not mention your valid Depository(BO) account number, your application will be treated as invalid.}

4. I/we agree to fully abide by the instruction given herein. 5. Particulars of

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