TMI BlogFORM ODIX X X X Extracts X X X X X X X X Extracts X X X X ..... pany__________________ (3) Public Sector Undertaking______________ (4) Registered Partnership ___________________ (5) Proprietorship_______________________ (6) Unregistered Partnership__________________ (7) Trust______________________________ (8) Society_______________________________ (9) Others____________________________ (VI) Activity code of Indian Party*_____________________ *NIC code at 3-digit level [If the Indian Party is engaged in Financial sector or falls under the category of Proprietorship, Unregistered Partnership or Financial sector, please furnish the details In Item VII below]. (VII) Financial particulars of the Indian Party for the last 3 years (Amt. in Rs. 000s) Particulars Year 1 31-3- Year 2 31-3 Year 3 31-3 Foreign exchange earnings (excluding equity exports to JV/WOS) Net profit Paid-up Capital Net worth of (a) Indian Party (b)Group Company@ @ In terms of Expl ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... digit Unique Identification Number issued by Reserve Bank (I) Purpose of Supplementary Investment (Please tick appropriate category) (a) Enhancement of Equity in existing JV/WOS overseas__________________________________ (b) Enhancement of Preference Equity/Convertible Debt__________________________________ (c) Grant! Enhancement of Loan in existing JV/WOS_____________________________________ (d) Extension/Enhancement of Guarantees _____________________________________________ (e) Remittances to Unincorporated Entity______________________________________________ (e) Others _____________________________________________________________________ (II) Capital Structure [a] indian Party (ies) % stake [b] Foreign partners(s) % stake (1) (1) (2) (2) (3) (3) Section D - Funding for JV/WOS (Amount in FCY 000's) I Full Value of the Overseas A ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... tion/adjudication/manner of disposal of the case. ( b ) Whether the promoter Indian party (ies) is (are) presently on Exporters' Caution List of Reserve Bank for non-realization of export proceeds or on the list of defaulters to the Banking System circulated by Reserve Bank. If so, status of the Indian party (ies): ( c ) Any other information relevant to this proposal, including any special benefits/incentives available in the host country for setting up/acquiring the proposed concern. ( d ) Wherever applicable, the Annual Performance Report, as required in terms of regulation 15(iii) of the Notification No. FEMA 120/RB - 2004, dated July 7, 2004 , as amended from time to time, in respect of all the existing JV/WOS of the Indian party has been submitted. I/We hereby certify that the information furnished above are true and correct. Place: __________________ ____________________________ Date __________________ (Signature of authorised official) Name __________________ Stamp/Seal Designation __________________ List of enclosures: 1. 4. 2. ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... In case investment is in the existing JV/WOS please indicate Unique Identification No. already allotted: No. (I) Name of Indian Company: ______________________________________________________ (II) Is there any change in Company name since last reporting? (Y/N)___________________________ If Yes, specify Old Company Name __________________________________ DETAILS OF CURRENT REMITTANCES EFFECTED (Amount in 000's of FCY) Code of Reporting AD___________ foreign currency **:_________________ (a) From EEFC A/c. Equity Loan Guarantee (Invoked) Date of Remittance (b)By Market Purchases Equity Loan Guarantee (Invoked) Date of Remittance (c) From the ADR/GDR funds Equity Loan Guarantee (Invoked) Date of Remittance (d)By Swap of Shares Equity Loan Guarantee (Invoked) Date of Swap ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... Previous Year Current Year i) Net Profit / (Loss) ii) Dividend iii) Net worth V. Repatriation from the JV/WOS Foreign exchange earnings from Joint Ventures (JV) and Wholly Owned Subsidiaries (WOS) During the last year ended Since commencement of business (i) Profit (ii)Dividend (iii) Retained Earnings* (iv) Investment into India (v) Others** (Please specify) *(Represent part of the profits of the JV/WOS which is retained and reinvested in the JV/WOS). ** (Royalties, technical know-how fees, consultancy fees, etc.) VI Investment in step down subsidiaries since last reporting Country Name of JVM/OS Amount of Investment Place: _________ Date: __________ (Signature of authorised official) Stamp/Seal Name:___________________________________________________________ Designation:_______________________________________________________ (Signature of the Statutory Au ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... y CBI/ED/SEBI/IRDA or any other regulatory authority in India. Place:_________________________ Date:__________________________ (Signature of authorised official of the bank) Name:_____________________________________ Designation:_________________________________ Tel No.____________________________________ FAX No.___________________________________ Stamp/Seal:_________________________________ -------------------- Notes:- 1. Substituted Revised vide Notification No. FEMA 249/RB-2012, dated 22-11-2012 , before it was read as:- Section E: Declaration by the Indian Party I (a) Whether the applicant party(ies), its promoters, directors, etc., are under investigations by any investigative/enforcement agency or regulatory body. If yes, the brief details thereof, including present stage of investigation/adjudication/manner of disposal of the case ______________________________________________________________________ ______________________________________________________________________ (b) Whether the promoter Indian party(ies) is(are) presently on Exporters' Caution List of Reserve Bank for non-realization of export proceeds or on t ..... X X X X Extracts X X X X X X X X Extracts X X X X
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