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Application Form for seeking Registration

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..... FORM A APPLICATION FORM FOR SEEKING REGISTRATION Name of applicant....................................................................................... Contact person. .......................................................................................... Name of the Compliance officer............................................................................ Telephone No. : ......... .....

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..... s. E-mail address Website address 3. Name of the contact person- 4. Date and place of incorporation of the sponsor (Enclose a copy of certificate of incorporation) 5. Objects of the sponsor. (Enclose copy of the Memorandum and Articles of Association) Main objects- Ancillary objects- 6. Capital structure and shareholding pattern. 7. Present line of business activities- Number of years i .....

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..... of the sponsor. 15. Court cases/litigations in which the sponsor may have been involved in the last three years. CONDENSED FINANCIAL INFORMATION (A) Income statement Years (Rs.) 1 2 3 4 5 Income: Dividend Trading Management Fee Other income Total ___________________ Expenses: Director's remuneration Trusteeship fees Custodian fees Registrar's fees Other expenses Total ____________ .....

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..... sting of Securitised Debt Instruments) Regulations, 2008 made thereunder, the Board hereby grants registration to.................... as a trustee entitled to act as a trustee to a special purpose distinct entity offering securitised debt instruments to the public and / or seeking listing for such instruments on a recognised stock exchange. Date.................... By order Sd/- For and on beh .....

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