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Fema Forms CA. Anshuman Chaturvedi 23June 12

Fema Forms CA. Anshuman Chaturvedi 23June 12

Fema Forms CA. Anshuman Chaturvedi 23June 12

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6. Name of the AD through whom theremittance is received7. Address of the ADA Copy of the FIRC evidencing the receipt of consideration for issue of shares/convertible debentures as above is enclosed.(Authorised signatory ofthe investee company)(Stamp)(Authorised signatory ofthe AD)(Stamp)FOR USE OF THE RESERVE BANK ONLY:Unique Identification Number for the remittancereceived:Website :www.fema.rbi.org.in73Email : fedcofid@rbi.org.in

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