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Reporting under FDI Scheme - Revised Form FC-GPR

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..... R, enclosed as Annex. 3. As per the revised format, details of FDI are required to be furnished in Part A and Part B. Part A has to be filed by the Company, through AD Category - I bank, to the concerned Regional Office of RBI. Part B, which is an annual report of all investments made by the company during a financial year, is required to be submitted directly by the Company to the Director, Balance of Payment Statistical Division, Department of Statistical Analysis Computer Services, Reserve Bank of India, C 9, 8th floor, Bandra-Kurla Complex, Bandra (E), Mumbai 400 051, by 30th June every year. 4. The AD Category - I bank in India, receiving the remittance should obtain a KYC report in respect of the foreign investor from the overseas bank remitting the amount. If the AD Category - I bank receiving the remittance is different from the AD Category - I bank forwarding Form FC-GPR, the latter should file Form FC-GPR along with a certificate from the former of having received the inward remittance and the KYC report. 5. Necessary amendments to the Foreign Exchange Management (Transfer or Issue of Security by a Person Resident outside India) Regulations, 2000 notified vide N .....

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..... Existing company / New company Fax Telephone e-mail 2. Description of the main business activity NIC Code Location of the project and NIC code for the district where the project is located .....

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..... rence shares (PS) (a) Convertible PS (b) Non-Convertible PS Units of VCFs Others Total i) In case the issue price is greater than the face value please give break up of the premium received ii) * In case the issue is against conversion of ECB or royalty, a Chartered Accountant's Certificate certifying the amount of the outstanding on the date of conversion (c) Break up of premium Amount Control Premium Non competition fee Others* Total * please specify the nature (d) Total inflow (in Rupees) on account of issue of shares to non-residents (including premium, if any) vide (i) Remittance through AD: (ii) Debit to NRE/FCNR A/c with Bank_________ (iii) Others Date of reporting of (i) above to RBI under Para 9 (1) A (i) of Notification No. FEMA 20/2000-RB dated M .....

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..... d) Shares have been issued on rights basis and the shares are issued to non-residents at a price that is not lower than that at which shares have been issued to residents. OR e) Shares issued are bonus shares. OR f) Shares have been issued under a scheme of merger and amalgamation of two or more Indian companies or reconstruction by way of demerger or otherwise of an Indian company, duly approved by a court in India. OR g) Shares are issued under ESOP and the conditions regarding this issue have been satisfied 3. Shares have been issued in terms of SIA/FIPB approval No. --------------------- dated --------------------. (Delete whichever is not applicable under signature) (Signature of the Applicant)* :___________________________________________ (Name in Block Letters) :___________________________________________ (Designation of the signatory) :___________________________________________ Place: Date: (* To be signed by Authorised signatory of the Company) CERTIFICATE TO BE FILED BY THE COMPANY SECRETARY OF THE INDIAN COMPANY ACCEPTING THE INVESTMENT: (As per Para 9 (1) (B) (i) of Schedule 1 to Notification No. .....

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..... Amount in Lakhs of Rupees Foreign Liabilities In India # Foreign Assets Outside India ## Outstanding at March end of Previous Year Outstanding at March end of Current Year Outstanding at March end of Previous Year Outstanding at March end of Current Year 5.0 Equity Capital 5.1 Other Capital $ 5.2 Disinvestments during the year 5.3 Retained earnings during the year 6. Portfolio and Other Investment (PIS) [ Please furnish here the outstanding investments other than those mentioned under FDI above ] Amount in Lakhs of Rupees Foreign Liabilities In India Foreign Assets Outside India Outstanding at March end of Previous Year Outstanding at March end of Current Year Outstanding at March end of Previous Year Outstanding at March end of Current Year 6.0 Equity Securities 6.1 Debt Securities .....

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