[HEADER — replace with your organisation’s letterhead, if used]
Notice of Exercise of Stock Options
Under the [COMPANY NAME] Employee Stock Option Scheme [YEAR]
Exercise is the point at which an option becomes a share and a tax liability crystallises. Before signing, be sure you know three things: how many options have actually vested, what the total cash cost will be including tax, and whether you will be able to sell the shares. If any of the three is unclear, ask before you sign.
To,
The Board of Directors
[COMPANY NAME]
[REGISTERED OFFICE ADDRESS]
Date: [DATE]
Subject: Exercise of vested stock options
Dear Sirs,
I refer to the options granted to me under the grant letter dated [DATE] pursuant to the [COMPANY NAME] Employee Stock Option Scheme [YEAR] (the "Scheme"). I hereby give notice that I wish to exercise the vested options set out below and to subscribe for the corresponding equity shares of the Company.
Part A — Particulars of the option holder
| Item | Detail |
|---|
| Name | [NAME] |
| Employee ID | [ID] |
| Designation and department | [DESIGNATION], [DEPARTMENT] |
| Date of joining | [DATE] |
| Current status | [In employment / Under notice, last working day ______ / Former employee, last working day ______ / Legal heir or nominee of the late ______] |
| PAN | [PAN] |
| Residential status for tax purposes | [Resident / Non-resident] |
| Address for correspondence | [ADDRESS] |
| Email and telephone | [EMAIL] / [PHONE] |
| Demat account — DP ID and Client ID | [DETAILS / Not applicable, shares to be issued in physical form] |
Part B — Options being exercised
| Grant letter dated | Options granted | Vested to date | Previously exercised | Available to exercise | Being exercised now | Exercise price (₹) | Amount payable (₹) |
|---|
| [DATE] | [NUMBER] | [NUMBER] | [NUMBER] | [NUMBER] | [NUMBER] | [PRICE] | [AMOUNT] |
| [DATE] | [NUMBER] | [NUMBER] | [NUMBER] | [NUMBER] | [NUMBER] | [PRICE] | [AMOUNT] |
| Total | [NUMBER] | [NUMBER] | [NUMBER] | [NUMBER] | [NUMBER] | | [AMOUNT] |