This document is an application form for individuals and Hindu Undivided Families to invest in long term infrastructure bonds issued by L&T Infrastructure Finance Company Limited. The application form provides details of the bond such as the issue dates, credit ratings, interest rates, maturity dates, and buyback terms. It requests information from applicants such as their name, address, bank details, and PAN number. Applicants must select the bond series they want to invest in and provide payment details in the form of a cheque or demand draft. Once completed, the form is to be submitted along with required documents to the bankers to the issue by the specified closing date.