TMI BlogApplication Form for Grant of Certificate of Registration as Foreign portfolio investor (FPI)X X X X Extracts X X X X X X X X Extracts X X X X ..... Postal Code Country Telephone No. Fax No Web-site 1.3 Date of Birth/ incorporation/establishment / formation: dd/mm/yyyy 1.4 Place and Country of Birth/ incorporation/establishment / formation: Place Country In case of Foreign Individual appl ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... st appropriate for it. If the applicant selects more than one category or selects an incorrect category, the application form shall be deemed to be defective and is liable to be rejected. The brief description for the above categories is given below for guidance: **To indicate the name of the investment manager, if the applicant belongs to Category II (proviso to clause c) mentioned in the table below. In such case, the investment manager shall undertake that it shall be responsible and liable for all acts of commission and omission of all its underlying broad based funds and other deeds and things done by such broad based funds under these regulations: Category Eligible Foreign Investors ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ty Name of foreign portfolio investor with whom the applicant shares common end beneficial owners Registration no. of foreign portfolio investor Demat Account No. of foreign portfolio investor mentioned at col. C A B C D E F 3. Details of Regulatory authority by which the applicant is regulated (If applicable) 3.1 Contact details: Name ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... k and Branch Address 6. Details of prior association with the Indian securities market. (this section not applicable to individuals ) 6.1 Whether the applicant was anytime registered as FII or Sub-account with the Securities and Exchange Board Of India Yes No If yes, then please provide details: Name of the entity Registered as SEBI Registration No. Period of registration ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... serve Bank of India or any other authority from time to time under provisions of the Act or any other law for the time being in force. For and on behalf of applicant _______________________________________________ Signature of Authorized Signatory Name Designation ( not applicable to individual persons ) Date Dd/mm/yyyy FORM B SECURITIES AND EXCHANGE BOARD OF INDIA (FOREIGN PORTFOLIO INVESTORS) REGULATIONS, 2014 [See regulation 7(1)] CERTIFICATE OF REGISTRATION I. In exercise of the powers conferred by sub-section (1A) of section 12 of the Secu ..... X X X X Extracts X X X X X X X X Extracts X X X X
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