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Annexure C - Report by the Indian company receiving amount of consideration for issue of shares as per Foreign Direct Investment Scheme:

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..... , with the Regional Office of the Reserve Bank under whose jurisdiction the Registered Office of the company making the declaration is situated, not later than 30 days from the date of receipt of the amount of consideration, as specified in para 9(I)(A) of Schedule I to Notification No. FEMA 20/2000- RB dated May 3, 2000 ) Permanent Account Number (PAN) of the investee company given by the IT Department .....

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..... currency In Indian Rupees 5. Whether investment is under Automatic Route or Approval Route Automatic Route / Approval Route If Approval Route, give details (ref. no. of approval and date) 6. Name of the AD through whom the remittance is received 7. Address of the AD A Copy of the FIRC evidencing the receipt of consideration for .....

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..... remitter *Passport No., Social Security No. or any Unique No. certifying the bonafides of the remitter as prevalent in the remitter's country We confirm that all the information furnished above is true and accurate as provided by the overseas remitting bank of the non-resident investor. (Signature of the Authorised Official of the AD bank receiving the remittance) Date: Place: Stamp: ] **************** Note: 1. Substituted vide Notification No. FEMA. 242/2012-RB Dated 19-10-2012 earlier it was i nserted vide Notification No. 179/ .....

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..... Date of receipt of funds 4. Amount In foreign currency In Indian Rupees 5. Whether investment is under Automatic Route or Approval Route If Approval Route, give details (ref.no. of FIPB approval and date) Automatic Route/ Approval route 6 Name of the AD through whom the remittance is received 7. Address of the AD A copy of .....

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