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“Interested persons are entitled to a Prospectus, if they so desire, and copies of the Prospectus may be obtained from the

Issuer and Issue Manager.”

Grameenphone Ltd.
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 or applications failing to comply
with any of the instructions therein may be rejected.
Banker’s SL No.
The Chief Executive Officer
Grameenphone Ltd. Broker’s SL No.
Celebration Point
Plot# 3 & 5, Road #113/A
Gulshan-2, Dhaka-1212, Bangladesh
Dear Sir,
I/We apply for and request you to allot me/us the .................... number of ordinary shares and I/we agree to accept the same or any smaller number that may be
allotted to me/us upon the terms of the Company’s Prospectus approved by the Securities and Exchange Commission and 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 Members 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 applicant’s address stated below:
1. No. of Ordinary Shares ................... of Tk 10.00 each par value at an Issue Price of Tk. 70.00 per share (including a premium of Tk 60.00 per share).
2. Total subscription money of the amount of Tk. (in figures) ........................................, Taka (in words) ............................................................................ only deposited vide
Cash/Cheque/Draft/Pay Order No. .......................................................................................................... dated ................................................... on
........................................................................................................................... Bank ...............................................................................Branch
3. Beneficiary Owner/(BO) Account Number

(If you do not mention your valid BO account number, your application will be treated as invalid.)
4. I/We agree to fully abide by the instructions given herein
5. Particulars of Applicant(s):
a) Sole/First Applicant
Name:
Father’s/Husband’s Name:
Mother’s Name:
Postal Address:
Phone Number*:
Occupation: Nationality:
For refunds: Please write the correct and full name of bank and branch. (Applications will not be treated as valid if anyone uses a non-scheduled bank.
Applicants are requested not to use the name of a non-scheduled bank.)
Applicant’s Bank A/C No.:
Name of the bank: Branch:
b) Second Applicant
Name:
Father’s/Husband’s Name:
Mother’s Name:
Postal Address:
Phone Number*:
Occupation: Nationality:
6. I/We hereby declare that I/we have read the Prospectus of Grameenphone Ltd., and have willingly subscribed for ....................................................... ordinary
shares of Tk. 10.00 each par value at an Issue Price of Tk. 70.00 per share (including a premium of Tk. 60.00 per share) on this form.
7. Specimen Signature(s):

i) Name (in Block Letters): Signature:

ii) Name (in Block Letters): Signature:

*For contacting the applicant afterwards if required.

BANKERS’ ACKNOWLEDGEMENT
Certified that this Bank has received Tk. (in figures) ................................. (in words) ...................................................................................................... only from
Mr./Mrs./Ms. ............................................................................................................................, being the application money for .................... of ordinary shares of
Grameenphone Ltd.

Authorized Signature
Banker’s Sl. No. ……………… Seal & Date (Name & Designation)
INSTRUCTIONS
1. As per the provisions of the Depository Act, 1999 and regulations made thereunder, the shares will only be issued in dematerialized condition. Please mention your BO account number
in Item No. 3 of the application form. If you do not mention your valid BO account number, your application will be treated as invalid.
2. All information must be typed or written in full (in block letters) in English or in Bengali and must not be abbreviated.
3. Applications must be made on the Company’s printed form/photocopy or on typed copy/hand written form thereof.
4. Applications must not be for less than 200 ordinary shares and must be for a multiple of 200 ordinary shares. Any application not meeting these criteria will not be considered for
allotment purposes.
5. Remittance for the full amount of the shares must accompany each application and must be forwarded to any of the bankers to the issue. Remittance should be in the form of
cash/cheque/bank draft/pay order payable to one of the bankers to the issue favoring “Grameenphone Ltd.” and crossed “A/C Payee only” and must be drawn on a bank in the same
town as the bank to which the application form has been sent.
6. In the case of a joint application form, the allotment letter will be dispatched to the person whose name appears first on this application form and where any amount is refundable in
whole or in part the same will be refunded by Account Payee cheque by post/courier service to the person named first on this application form in the manner prescribed in the Prospec-
tus.
7. Joint application forms for more than two persons will not be accepted. In case of joint applications, each party must sign the application form.
8. Applications must be in the full name of individuals or companies or societies or trusts and not in the name of firms, minors or persons of unsound mind. Applications from financial
and market intermediary companies must be accompanied by their respective Memorandum of Association, Articles of Associations and Certificate of Incorporation.
9. An applicant shall not submit more than two applications, one in his/her own name and another jointly with another person. In the event an applicant makes more than two
applications, all applications will be treated as invalid and will not be considered for allotment purposes. In addition, part or the whole of the application money may be
forfeited by the Securities and Exchange Commission.
10. No receipt will be issued for the payments made with the applications, but the bankers to the issue may issue a provisional acknowledgement to the issue for applications lodged with
them.
11. In the case of non-allotment of the ordinary shares, if the applicants’ bank accounts as mentioned in their application forms are maintained with the bankers to the issue, the amount
refunded to those applicants will be directly credited into their respective bank accounts as mentioned in their application forms. Otherwise, refunds will be made only through
“Account Payee” cheque(s)/refund warrants with the bank account number and name of bank branch as mentioned in the application form, payable at Dhaka, Chittagong, Khulna,
Barisal, Rajshahi or Sylhet, as the case may be.
12. Allotments shall be made solely in accordance with the instructions of the Securities and Exchange Commission.
13. Making of any false statement in the application or supplying of incorrect information therein or suppressing any relevant information shall make the application liable to rejection
and subject to forfeiture of application money and/or forfeiture of the ordinary shares before or after the issuance of the same by the issuer. The said forfeited application money or
ordinary shares will be disposed of in the manner as may be specified by the Securities and Exchange Commission. This may be in addition to any other penalties as may be provided
for by the law.
14. Applications which do not meet the above requirements or are incomplete shall not be considered for allotment purposes.
15. The bankers to the issue shall be obliged to receive the Account Payee cheque(s) on the closing day of the subscription.
16. No sale of securities shall be made nor shall any money be taken from any person, in connection with such sale until 25 days after the Prospectus has been published.

Bankers to the Issue


Bank Asia Limited Tongi Branch Motijheel Branch Comilla Branch Nayabazar Branch Savar Bazar Branch DSE Nikunja Branch Agrabad Branch Madhabdee Branch
Principal Branch Uttara Branch Agrabad Branch Cox’s Bazar Branch Noagaon Branch Sheikh Mujib Road Branch Foreign Exchange Branch CDA Avenue Branch Madunaghat Branch
Agrabad Branch Zindabazar Branch Banani Branch Dhanmondi Branch O.R. Nizam Road Branch Sirajgonj Branch Gulshan Branch Comilla Cantonment Branch Maizdee Court Branch
Anderkilla Branch Citibank, N.A. Basundhara Branch Dinazpur Branch Rajshahi Branch Sylhet Branch Imamgonj Branch Dhanmondi Branch Malibagh Branch
Bashundhara Branch Bishwanath Branch Elephant Road Branch Rangpur Branch Tangail Branch Islami Banking Branch Dilkusha Corporate Branch Mirpur Branch
Motijheel Branch Bogra Branch Faridpur Branch Satmasjid Road Branch Uttara Branch Islampur Road Branch Gulshan Corporate Branch Mohakhali Branch
Bogra Branch Agrabad Branch
CDA Avenue Branch Chandgaon Branch Feni Branch Sylhet Branch Z H Sikder M.C. Branch Jessore Branch Karwan Bazar Branch Mohammadpur Branch
Dhanmondi Branch Chawk Mughultuly Branch Gulshan Branch Uttara Branch Zinda Bazar Branch Johnson Road Branch Millenium Corporate Branch Moulvibazar Branch, Dhaka
Corporate Branch Gulshan Branch
Dhanmondi Branch Chouhatta Branch Islampur Branch National Bank Limited ONE Bank Limited Jubilee Road Branch Mirpur Branch Moulvibazar Branch
Gulshan Branch Dutch-Bangla Bank Limited Dhanmondi Branch Jessore Branch Kawran Bazar Branch Narayangonj Branch Muradpur Branch
English Road Branch Kawran Bazar Branch Agrabad Branch Principal Branch Khatungonj Branch Naval Base Branch Mymensing Branch
Jessore Branch Local Office Anderkillah Branch Agrabad Branch
Khatunganj Branch Gulshan Branch Khatunganj Branch Khulna Branch SenaKalyan Bhaban Branch Naogaon Branch
Motijheel Foreign Ex. Branch Babubazar Branch Banani Branch
Khulna Branch Jessore Branch Khulna Branch Kushtia Branch Sylhet Corporate Branch Narayangonj Branch
Agrabad Branch Bangshal Road Branch Bogra Branch
MCB Banani Branch Jubilee Road Branch Kushtia Branch Madhabdi Branch Uttara Corporate Branch Narsingdi Branch
B.B. Road Branch Barisal Branch Chandragonj Branch
MCB Dilkusha Branch Khatunganj Branch Lalmatia Branch Mirpur Branch United Commercial Bank Ltd. Natore Branch
Baburhat Branch Bogra Branch Chowmuhuni Branch
MCB Sk. Mujib Road Branch Khulna Branch Malibagh Branch Mouchak Branch Nawabpur Branch
Banani Branch Brahman Baria Branch Cox’s Bazar Branch Principal Branch
Mirpur Branch Mirpur Branch Moulvi Bazar Branch Moulvi Bazar Branch Nayabazar Branch
Barisal Branch Chaktai Branch Dagon Bhuiyan Branch Agrabad Branch
Mitford Branch Moulvi Bazar Branch Mymensing Branch Narsingdi Branch Nazirhat Branch
Basundhara Branch Chandpur Branch Dhanmondi Branch Amborkhana Branch
Mohakhali Branch Narayangonj Branch Narayanganj Branch Nawabgonj Branch Noapara Bazar Branch
Biswanath Branch Chauddagram Branch Elephant Road Branch Anderkilla Branch
North South Rd. Branch O.R. Nizam Road Branch Narsingdi Branch New Market Branch Noapara Branch
Board Bazar Branch Chowmuhani Branch Feni Branch Bahaddarhat Branch
Rajshahi Branch Panchlaish Branch Naya Paltan Branch O.R. Nizam Road Branch Nobigonj Branch
Bogra Branch Comilla Branch Ganakbari (EPZ) Branch Bangshal Branch
Scotia Branch Rajshahi Branch North Brook Hall Road Rajshahi Branch North Brook Hall Road Branch
CDA Avenue Branch Cox’s Bazar Branch Gulshan Branch Barisal Branch
Station Road Branch Raozan Branch Pabna Branch Shaymoli Branch O.R. Nizam Road Branch
Comilla Branch Dagan Bhuiyan Branch Imamganj Branch Barolekha Branch
Sylhet Main Branch Shantinagar Branch Pallabi Branch Tanbazar Branch Pabna Branch
Cox’s Bazar Branch Dhanmondi Branch Islampur Branch Beanibazar Branch
Sylhet Uposhahar Branch Shyamoli Branch Rajshahi Branch Tongi Branch Paglabazar Branch
Dania Branch Dilkusha Branch Jatrabari Branch Bhulta Branch
Uttara Branch Sonargaon Road Branch Rangpur Branch Uttara Branch Port Branch
Dhaka EPZ Branch Elephant Road Branch Jessore Branch Biswanath Branch
Station Road Branch Shantinagar Branch VIP Road Branch Rajshahi Branch
BRAC Bank Limited Dhanmondi Branch Faridpur Branch Joypara Branch Bogra Branch
Upashahar Branch Sheikh Mujib Road Branch Zinda Bazar Branch Rangpur Branch
Elephant Road Branch Feni Branch Jubilee Road Branch Brahmanbaria Branch
Gulshan Branch Uttara Branch Sylhet Branch Zinzira Branch Serajgonj Branch
Feni Branch Foreign Exchange Branch Kakrail Branch Chandpur Branch
Agrabad Branch EXIM Bank Uposhohor Branch The Premier Bank Limited Sherpur Branch
Gazipur Chowrasta Branch Gazipur Branch Kawran Bazar Branch Chapainawabgonj Branch
Banani Branch Uttara Branch Shibgonj Branch
Golapgonj Branch Panthapath Branch Gulshan Branch Khatunganj Branch Dilkusha Branch Chawk Bazar Branch
Barisal Branch Investment Corporation of Station Road Branch
Gulshan Branch Agrabad Branch Habigonj Branch Mirpur Branch Agrabad Branch Chokoria Branch
Beani Bazar Branch Bangladesh Sylhet Branch
Hathazari Branch Khatungonj Branch Imamganj Branch Motijheel Branch Ashugonj Branch Chowmuhani Branch
Biswanath Branch Tangail Branch
Imamgonj Branch Imamgonj Branch Head Office, Dhaka Islampur Branch Narayanganj Branch Banani Branch Chuadanga Branch
Bogra Branch Tongi Branch
Islampur Branch Gulshan Branch Local Office, Naya Paltan, Dhaka Jatrabari Branch Progoti Sharani Branch Bangsal Branch Comilla Branch
CDA Avenue Branch Uttara Branch
Joypara Branch Sylhet Branch Chittagong Branch Jessore Branch Raipur Branch Barisal Branch Cox’s Bazar Branch
Comilla Branch Zindabazar Branch
Jubilee Road Branch Nawabpur Branch Rajshahi Branch Jubilee Road Branch Sherpur Branch Bhairab Bazar Branch Dhanmondi Branch
Cox’s Bazar Branch Zinzira Branch
Kadamtali Branch Narayangonj Branch Sylhet Branch Kawran Bazar Branch Sirajgonj Branch Dhanmondi Branch Dhohazari Branch
Dhanmondi Branch Kawran Bazar Branch
Dohar Branch Shimrail Branch Bogra Branch KDA Branch Sylhet Branch Elephant Road Branch Dinajpur Branch
Khulna Branch Rajuk Avenue Branch Khulna Branch Khatunganj Branch Uttara Branch Gulshan Branch Elephant Road Branch
Ganakbari, Savar Branch Lohagara Branch
Graphics Building Br. New Eskaton Branch Barisal Branch Khulna Branch Standard Chartered Bank Imamgonj Branch Faridpur Branch
Manikgonj Branch Uttara Branch Kushtia Branch Islami Banking Fatikchari Branch
Motijheel-2 Mirpur Branch Mercantile Bank Limited Motijheel OPC
Halisohor Branch Mirpur Branch Lake Circus Branch Br. Mohakhali Feni Branch
Mirzapur Branch Jubilee Road Branch Main Branch Malibagh Branch Mirpur OPC Islami Banking Br. Sylhet Foreign Exchange Branch
Jessore Branch Mohakhali Branch Agrabad Branch Nasirabad Branch
Keraniganj Branch Elephant Road Branch Mirpur Branch Joydebpur Branch Goalabazar Branch
Moulavi Bazar Branch Malibagh Branch Banani Branch Mohakhali Branch Agrabad Branch Kakrail Branch Gohira Branch
Mirpur Branch Muradpur Branch Bijoy Nagar Branch Khulna Branch
Moghbazar Branch CDA Avenue Branch Mohammadpur Branch Kawran Bazar Branch Gulshan Branch
Nababpur Branch Satmasjid Road Branch Board Bazar Branch Motijheel Branch Bogra Branch Khatunjonj Branch Hasbnabad Branch
Momin Road Branch Narayangonj Branch Dhanmondi Branch Sylhet Branch
Monohordi Branch Basundhara Road Branch Moulvi Bazar Branch Khulna Branch Islampur Branch
Naya Bazar Branch Moulvibazar Branch Elephant Road Branch Mymesing Branch The City Bank Limited Meghnaghat Branch Jessore Branch
Motijheel Branch Netaiganj Branch Green Road Branch
Moulovi Bazar Branch IFIC Bank Limited Nagoan Branch Motijheel Branch Jhenaidah Branch
Patherhat Branch Gulshan Branch Principal Office
Nabiganj Branch Narayanganj Branch Moulovi Bazar Branch Jubilee Road Branch
Rajshahi Branch Federation Branch Joypara Branch Agrabad Branch
Narayangonj Branch Narsingdi Branch Narayangonj Branch Kadamtali Branch
Ring Road Branch Agrabrad Branch Jubilee Road Branch Amberkhana Branch
Nawabpur Branch North Brook Hall Branch O.R. Nizam Road Branch Kamal Bazar Branch
Savar Bazar Branch Banani Branch Kawran Bazar Branch B.B. Avenue Branch
Patiya Branch Pabna Branch Savar Branch Kawran Bazar Branch
Shantinagar Branch Barisal Branch Khatunganj Branch Bandar Bazar Branch
Rajshahi Branch Pagla Bazar Branch Tongi Branch Khan Jahan Ali Road Branch
Simrail Branch Bogra Branch Khulna Branch Beani Bazar Branch
Rampura Branch Pahartali Branch Uttara Branch Khatungonj Branch
Sylhet Branch Boro Bazar Branch Mirpur Branch Bogra Branch
Satmasjid Road Branch Pragati Sarani Branch Zinzira Branch Khulna Branch
Uttara Branch Brahmanbaria Branch Mogbazar Branch Comilla Branch
Shamoli Branch Rajshahi Branch Trust Bank Limited Kushtia Branch
Chawk Bazar Branch Mohakhali Branch Cox’s Bazar Branch
Sonagaji Branch Eastern Bank Ltd. Rangpur Branch Lakshmipur Branch
Choumuhani Branch Motijheel Branch Dhaka Chamber Branch Principal Branch
Sylhet Branch Satkhira Branch Lohagara Branch
Principal Branch Dhanmondi Branch

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