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SCHEDULE - I - FORMS - Securities and Exchange Board of India (Portfolio Managers) Regulations, 1993Extract SCHEDULE I FORMS FORM A Securities and Exchange Board of India (Portfolio Managers) Regulations, 1993 1 [Application for grant of certificate of registration] Name of Applicant: ___________________________________________ Name of Person to Contact: ____________________________________ Designation: ________________________________________________ Telephone No: _______________________________________________ Instruction: 1. Applicants must submit a completed application form together with appropriate supporting documents to the Board. 2. It is important that this application form should be filled in accordance with the regulations. 3. Application for registration will be considered provided it is complete in all respects. 4. Answers must be typed/ printed. 5. Information which needs to be supplied in more details may be given on separate sheets which should be attached to the application form. 6. All signatures must be original. PART: I GENERAL INFORMATION 1.0 PARTICULARS OF THE APPLICANT 1.1 Name of the Applicant: 1.2 Address - Principal place of business/registered office: Pin code: _____________________ Telephone No: ______________ Telex No: _____________________ Fax No: ___________________ 1.3 Address for Correspondence: Pin code: ______________________ Telephone No: _____________ Telex No: ______________________ Fax No: __________________ Address of Branch Offices (in India Abroad): 1.4 Application to Board for any other intermediary activity: ___________ 2.0 ORGANISATION STRUCTURE (Organisation Chart separately showing functional responsibilities of portfolio management activities to be enclosed) 2.1 Objectives: In brief. (Memorandum and Articles of Association to be enclosed). 2.2 Date and Place of Incorporation/Establishment: Day Month Year Place 2.3 Status of the Applicant: (e.g. limited company-Private/Public, unlimited company, 2 [***] others. If listed, names of the stock exchanges and latest share price: to be given.) 2.4 Organisation Chart: General Organisation specific Activity. (i.e. Applied for registration) also state the functional responsibility. 2.5 Particulars of all Directors 3 [***] and key management personnels: [Name; Qualification; Experience; (General and specific Intermediaries activity); Ownership details; (Date of Appointment) Other directorship; (Name Date of Appointment); Previous positions held.] 2.6 Number of employees (General and for Specific Intermediaries activity) 2.7 Name and activities of associate companies/ concerns Name of company /firm Address/ phone numbers Type of activity handled Ownership details Nature /Quantum of financial dealing Nature of interest of promoter /director Nature of interest of applicant company 2.8 List of major shareholders (holding 5% or more voting shares) Name; Share holding pattern i.e., no of share to its % to total capital) 3.0 DETAILS OF INFRASTRUCTURAL FACILITIES 3.1 Office Space 3.2 Office Equipment 3.3 Furniture Fixtures 3.4 Communication Facilities 3.5 Data Processing Capacity (a) In-house: (b) Others: 3.6 Computer facility: (a) Hardware configuration (b) Software Environment 4.0 BUSINESS PLAN (FOR THREE YEARS) (a) History, Major events and present activities (b) Proposed business plan means of achieving the same. (c) Projected Profitability (Next three years) (Physical targets, modus operandi to achieve targets, Resultant Income) 5.0 FINANCIAL INFORMATION 5.1 Capital Structure (Rs. in lakhs) Year prior to the preceding year of current year Preceding year Current year (a) Paid-up capital (b) Free reserves (excluding evaluation reserves) (c) Total (a) + (b) Note: 4 [* * *} 5.2 Deployment of Resources (Rs. in lakhs) Year prior to the preceding year of current year Preceding year Current year (a) Fixed Assets (b) Plant Machinery and office equipment (c) Investments (Details should be given separately) (d) Others Major Sources of Income: (Rs. in lakhs) Year prior to the preceding year of current year Preceding year Current year * Fees charged as % of issue 5.4 Net Profit (Rs. in lakhs) Year prior to the preceding year of current year Preceding year Current year 5.5 Name and Address of the Principal Bankers 5.6 Name and Address of the Auditors 6.0 OTHER INFORMATION 6.1 Details of all settled and pending disputes: Nature of dispute Name of the party Pending/settle 6.2 Indictment of involvement in any economic offences in the last three years. 6.3 Indicate dealing/ trading with any Intermediary who has defaulted with or suspended by any stock exchange authorities or any other authorities. 6.4 Any other information considered relevant to the nature of services rendered by the company. 6.5 Names of two references from bankers (For applicants other than financial institutions banking companies) PART II SPECIFIC INFORMATION 7.0 BUSINESS INFORMATION 7.1 Indicate type of activity carried on/ proposed to be carried on. 7.2 Indicate the facilities for making decision on portfolio investment. 7.3 5 [* * *] 7.4 Enclose a copy of list of approved share brokers, involved for Portfolio Management 6 [* * *] activities and state whether any of them were suspended/had defaulted with any Stock Exchange authority.] 7.5 Describe Accounting system followed/to be followed for Portfolio Management Services 7 [* * *]. 7.6 Indicate various research database facilities provided. 8.0 EXPERIENCE 8.1 Experience in Portfolio management activities. Indicate period also. 8.2 Experience in other financial services rendered: (Period, Area and Date of Commencement of Activity). 8.3 Business handled during the last year: (a) Portfolio Management (DISCRETIONARY NATURE) For Resident/Non- Resident Individual Client Corporate Client 1. Types of services offered 2. No. of portfolio clients 3. Total amount of funds managed 4. Average size of portfolio 5. Average return to the client 6. 8 [* * *] (NON-DISCRETIONARY NATURE) FOR Resident/Non- Resident Individual Client: Corporate Client: 1. Types of services offered 2. Number of portfolio clients 3. Total amount of funds managed 4. Average size of portfolio 5. Average return to the client 6. 9 [* * *] (b) Only Portfolio Advisory Services (Indicate for both Resident/Non-resident clients) (c) List of Clients (Corporate clients only) Name Amount of portfolio Fund managed Services Rendered DECLARATION 10 [This declaration must be signed by two directors,] ___________________________________________________________ I/We hereby, apply for Registration. I/We warrant that I/We have truthfully and fully answered the questions above and provided all the information which might reasonably be considered relevant for the purposes of my/our registration. For and on behalf of __________________________________________________________ (Name of Applicant) _____________________________ __________________________ Director/ 11 [* * *] Director/ 12 [* * *] ____________________________ __________________________ Name in Block Letters Name in Block Letters Place: Place: Date: Date: FORM B Securities and Exchange Board of India (Portfolio Managers) Regulations, 1993 [Regulation 8] Certificate of Registration I. In exercise of the powers conferred by sub-section (1) of section 12 of the Securities and Exchange Board of India Act, 1992, read with the regulations made thereunder for the portfolio managers the Board hereby grants a certificate of registration to _____________ as a portfolio manager subject to the conditions in the rules and in accordance with the regulations. II. Registration Code for the portfolio manager is PM / / III. 13 [This certificate of registration shall be valid till it is suspended or cancelled by the Board.] Place: Date: By Order For and on behalf of Securities and Exchange Board of India Authorised signatory 14 [FORM C Securities and Exchange Board of India (Portfolio Managers) Regulations, 1993 [Regulation 14] _______________________________________________________ (Name of the Portfolio Manager) (Address of the Portfolio Manager (including phone numbers, fax, email etc.) We confirm that: i) the Disclosure Document forwarded to the Board is in accordance with the SEBI (Portfolio Managers) Regulations, 1993 and the guidelines and directives issued by the Board from time to time; ii) the disclosures made in the document are true, fair and adequate to enable the investors to make a well informed decision regarding entrusting the management of the portfolio to us / investment in the Portfolio Management 15 [* * *]; iii) the Disclosure Document has been duly certified by an independent chartered accountant (Indicate name, address, phone number and registration number of the chartered accountant)on ________ (date). (Enclose a copy of the chartered accountants' certificate to the effect that the disclosures made in the document are true, fair and adequate to enable the investors to make a well informed decision) Date: Signature of the Principal Officer Place: Name and address of the Principal Officer] ************ 1 Substituted for the words Application for grant of certificate/renewal of certificate by the Securities and Exchange Board of India (Change In Conditions Of Registration Of Certain Intermediaries) (Amendment) Regulations,2016 w.e.f. 08-12-2016. 2 Words and commas partnership, proprietary, omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. 3 Words and marks /partners/proprietor omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. 4 Notes omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. Prior to their omission, notes read as under: 1. In case of partnership or proprietary concerns, please indicate capital minus drawings. 2. In case of partnership or proprietary concerns, please indicate the financial position, means and 5 Omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. Prior to omission, clause 7.3 read as under: 7.3 Describe portfolio management schemes floated during last years/ proposed to float during next year. (Enclose a copy of typical contract entered with the client for Portfolio Management Services) 6 The word scheme omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. 7 The words and brackets (Clientwise and Schemewise) omitted, ibid. 8 The words Average period of Portfolio Management Schemes omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. 9 The words Average period of Portfolio Management Schemes omitted, ibid. 10 Substituted by the SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. Prior to substitution, the it read as under: This Declaration must be signed by two Directors, Two Partners or the Sole Proprietor, as the case may be . 11 The words and marks /Partner or Sole Proprietor omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008. 12 The words and marks /Partner or Sole Proprietor omitted, ibid. 13 Substituted for the words Unless renewed, the certificate of registration is valid from ________ to _________. by the Securities andExchange Board ofIndia (Change In Conditions Of Registration Of Certain Intermediaries) (Amendment) Regulations,2016 w.e.f. 08-12-2016. 14 Inserted by the SEBI (Portfolio Managers) (Amendment) Regulations, 2002, w.e.f. 11-10-2002. 15 The word Scheme omitted by SEBI (Portfolio Managers) (Amendment) Regulations, 2008, w.e.f. 11-08-2008.
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