Fema Forms CA. Anshuman Chaturvedi 23June 12

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5 Name of the sellerConstitution / Nature of thedisinvesting entitySpecify whether1. Individual2. Company3. FII4. FVCI5. Foreign Trust6. Private Equity Fund7. Pension/ ProvidentFund8. Sovereign WealthFund (SWF )9. Partnership/Proprietorship firm10. Financial Institution11. NRIs/PIOs<strong>12</strong>. othersDate and Place ofIncorporationAddress of the seller(including e-mail, telephoneNumber Fax no)6 Particulars of earlierReserve Bank / FIPBapprovals7 Details regarding shares / compulsorily and mandatorily convertiblepreference shares (CMCPS) / debentures to be transferredDate of the transactionNumber ofsharesCMCPS /debenturesFacevaluein Rs.NegotiatedPrice forthetransfer**inRs.Amount ofconsiderationin Rs.SWF means a Government investment vehicle which is funded by foreign exchange assets, and which manages thoseassets separately from the official reserves of the monetary authorities.Website :www.fema.rbi.org.in84Email : fedcofid@rbi.org.in
98 Foreign Investments in thecompanyWhere the shares / CMCPS/ debentures are listed onStock ExchangeName of the Stock exchangePrice Quoted on the StockexchangeWhere the shares / CMCPS/ debentures are UnlistedPrice as per Valuationguidelines*Before thetransferAfter thetransferPrice as per CharteredAccountants* / ** Valuation report (<strong>CA</strong>Certificate to be attached)Declaration by the transferor / transfereeI / We hereby declare that :No. of sharesPercentagei. The particulars given above are true and correct to the best of my/our knowledgeand belief.ii.iii.iv.I/ We, was/were holding the shares compulsorily and mandatorily convertiblepreference shares / debentures as per FDI Policy under FERA/ FEMA Regulationson repatriation/non repatriation basis.I/ We, am/are eligible to acquire the shares compulsorily and mandatorilyconvertible preference shares / debentures of the company in terms of the FDIPolicy. It is not a transfer relating to shares compulsorily and mandatorilyconvertible preference shares / debentures of a company engaged in financialservices sector or a sector where general permission is not available.The Sectoral limit under the FDI Policy and the pricing guidelines have beenadhered to.Signature of the Declarant orhis duly authorised agentDate:Website :www.fema.rbi.org.in85Email : fedcofid@rbi.org.in
Page 1 and 2: CONTENTSSr.No.Name of Form1 Advance
Page 3 and 4: 6. Name of the AD through whom ther
Page 5: FC-GPRAnnex - 8[PART I, Section V,
Page 8 and 9: @ please specify the nature(d)Total
Page 10 and 11: ORShares are issued under ESOP and
Page 12 and 13: Annex - AFORM ODIPART IFor office u
Page 14 and 15: For Reserve Bank use onlyUnique Ide
Page 16 and 17: Section D - Funding for JV / WOS(Am
Page 18 and 19: Section F: Certificate by the Statu
Page 20 and 21: limit on account of loan extended o
Page 22 and 23: Income-Tax DepartmentFORM NO. 15CA(
Page 24 and 25: Part BPARTICULARS OFREMITTANCE ANDT
Page 26 and 27: Officer who issued the order/ certi
Page 28 and 29: 12. If the remittance is for royalt
Page 30 and 31: Annex - 9-I[PART I, Section V, para
Page 34 and 35: Note:In respect of the transfer of
Page 36 and 37: (Use code as per Box1)Multi Currenc
Page 38 and 39: Please tick in appropriate Boxes if
Page 40 and 41: MACHINERY & TOOLS (440) TEXTILE MAC
Page 42 and 43: 10 ME Modernisation /expansion ofex
Page 44 and 45: TrancheNo.6. Debt Servicing during
Page 46 and 47: 4RESERVE BANK OF INDIAAnnual Return
Page 48 and 49: 6Section IIFOREIGN LIABILITIES2. In
Page 50 and 51: 8Section -IIIFOREIGN ASSETS1. Pleas
Page 52 and 53: 10Block 6: Equity Capital, Free Res

Fema Forms CA. Anshuman Chaturvedi 23June 12

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