We enclose herewith the certificate received from RTA in Compliance under Regulation 74(5) of SEBI (DP) Regulations,2018 for the quarter ended 30th September,2026.

KOVAi MEDICAL CENTER AND HOSPITAL LIMITED NABH Accredited Hospital Excellence in Healthcare 99, Avanashi Road, Coimbatore -641 014. INDIA I Phone: (0422) 4323800, 4324000, 6803000 Email: kmch@kmchhospitals.com I Web: www.kmchhospitals.com I GIN No: L85110TZ1985PLC001659 Ref: KMCI-I/SEC/SE/2026-27/.218.3 OS.I 0.2026 Corporate Relationship Department BSE Limited I st rtoor, New Trading Ring Rotunda Building, P.J.Towers Dalal Street, Fort Mumbai -400 00 I. Dear Sir/Madam, Sub: Certificate under Regulation 74(5) of SEl3I (Depositories and Participants) Regulations. 2018 for the Quarter ended 30th September, 2026 - reg. Ref: Security ID: KOY J\I Security Code: 523323 !SIN No. INE I 77F0 IO 17 We attach hcrcwith the Certificate received from our Registrar and Share Transl'er /\gent - M/s GNS/\ lnfotcch (P) Ltd., Chcnnai in compliance under Regulation 74(5) of SEl31 (Depositories and Participants) Regulations, 2018 for the Quarter ended 30th September, 2026. We request you to take note of the above. Thanking you, Yours truly, For KoLcnte< and Hospital Limited rnnikandan Company Secretary • _,, ... GNSA Infotech Private Ltd. STA Department, Nelson Chambers, F-Block, 4th Floor, #115, Nelson Manickam Road, Aminthakarai, Chennai – 600 030. Tel : +91-44-42962025 Email : sta@gnsaindia.com Website: gnsaindia.com CIN-U65993TN1994PTC027878 REF: SECT\Kovai\BSE.2026-27-2 Oct 03, 2026 The Manager Listing Department Bombay Stock Exchange Limited Phiroze Jeejeebhoy Towers Dalal Street Mumbai- 400001 Scrip Code: 523323 Dear Sir / Madam, Subject: Certificate under Regulation 74(5) of SEBI (Depository and participants) Regulations, 2018 In accordance with Regulation 74(5) of the SEBI (Depositories and Participants) Regulations, 2018 for the quarter ended 30th Sept, 2026 w.r.t 30 physical share certificates (4200 Shares) received for dematerialisation of securities (Equity Shares) of the Company, “KOVAI MEDICAL CENTER AND HOSPITAL LIMITED” we hereby confirm and certify the following: a) The securities comprised in the said certificate(s) have been listed on the Stock Exchanges and b) The said certificate(s) after due verification have been mutilated and cancelled and the name of depository has been substituted in our records as registered owner. This is for your information and records. Thanking You, For GNSA INFOTECH PRIVATE LIMITED. Authorized Signatory