Schedule IV - Application for confidentiality - Securities and Exchange Board of India (Settlement Proceedings) Regulations, 2018

SCHEDULE IV (see Regulation 19) Application for confidentiality 1. The application for confidentiality shall be in the format convenient to the applicant and shall inter-alia, include the following, - i. name and address of the applicant or its authorized representative as well as of all other known participants involved in the alleged default; ii. the address of the applicant for communication including the telephone numbers and the e- mail address, etc.; iii. a detailed description of the alleged arrangement, including its aims and objectives and the details of activities and functions carried out for securing such aims and objectives; iv. the commencement and duration of the default; v. the names, positions, office locations and, wherever necessary, home addresses of all persons who, in the knowledge of the applicant, are or have been associated with the alleged defaulters, including those persons who have been involved on behalf of the applicant; vi. the details of other authorities, forums or courts, if any, that have been approached or are intended to be approached in relation to the alleged violation; vii. a descriptive list of evidence regarding the nature and content of evidence provided in support of the application for confidentiality; and viii. any other material information as may be directed by the Board. (Signature of the applicant) (Stamp and Seal of body corporate applicant) Verification I, son/daughter/wife of (Name in block letters) Shri ..being the applicant/authorised representative (in case of body corporate) of . do hereby verify and affirm on oath that this application and the contents thereof are true to my knowledge and belief and as per the records and that I have not suppressed any material facts and shall keep the Board informed without delay, of any other relevant information that may come to my notice. (Signature of the applicant) Date: Place : 2. The undertaking and waiver as specified in Part C of Schedule-I shall be annexed to the application for confidentiality.