SCHEDULE - I - Application Form for Grant of Certificate of Registration as Foreign portfolio investor (FPI) - Securities and Exchange Board of India (Foreign Portfolio Investors) Regulations, 2014

FIRST SCHEDULE FORMS FORM A SECURITIES AND EXCHANGE BOARD OF INDIA (FOREIGN PORTFOLIO INVESTORS) REGULATIONS, 2014 [See regulation 3(2) and regulation 8] Application Form for Grant of Certificate of Registration as Foreign portfolio investor (FPI) 1.0 Details of the Applicant: 1.1 Name of the applicant: 1.2 Address of the Applicant: Address Postal Code Country Telephone No. Fax No Web-site 1.3 Date of Birth/ incorporation/establishment / formation: dd/mm/yyyy 1.4 Place and Country of Birth/ incorporation/establishment / formation: Place Country In case of Foreign Individual applicant, please specify the nationality and passport no. of the applicant: Nationality Passport No. 1.5 Legal form of the applicant and the law under which it is incorporated, established or registered, if any: (not applicable to individuals ) 1.6 Brief description of the principal activities: (not applicable to individuals): 1.7 Name and Brief description of the group, if any, to which the applicant belongs: (not applicable to individuals)(if applicable): 1.8 Information pertaining to the Compliance officer (not applicable to individuals): Name Job Title Telephone No. Fax No E-mail id 2 Category of the applicant 2.1 Classification of applicant (please select the most appropriate category)* Type of Category Name of Category (Please select only the most appropriate out of the categories specified) Category-I Category-II** Category-III *The applicant should select only one category, which is most appropriate for it. If the applicant selects more than one category or selects an incorrect category, the application form shall be deemed to be defective and is liable to be rejected. The brief description for the above categories is given below for guidance: **To indicate the name of the investment manager, if the applicant belongs to Category II (proviso to clause c) mentioned in the table below. In such case, the investment manager shall undertake that it shall be responsible and liable for all acts of commission and omission of all its underlying broad based funds and other deeds and things done by such broad based funds under these regulations: Category Eligible Foreign Investors I Government and Government related investors such as Central Banks, Governmental Agencies, Sovereign Wealth Funds, International/ Multilateral Organizations/ Agencies II a) Appropriately regulated broad based funds such as Mutual Funds, Investment Trusts, Insurance/Reinsurance Companies. b) Appropriately regulated entities such as Banks, Asset Management Companies, Investment Managers/ Advisors, Portfolio Managers. c) Not appropriately regulated broad based funds whose investment manager is appropriately regulated and is registered on behalf of the Board by the designated depository participant as Category II foreign portfolio investor: Provided that the investment manager shall be responsible and liable for all acts of commission and omission of all its underlying broad based funds and other deeds and things done by such broad based funds under these regulations. d) University Funds and Pension Funds e) University related Endowments already registered with SEBI as FII/Sub Account III All other FPIs not eligible under Category I and II such as Endowments, Charitable Societies/ Trust, Foundations, Corporate Bodies, Trusts, Individuals, Family Offices. 2.2 Information regarding foreign investor groups S No. Name of the reporting entity Registration no. of reporting entity Name of foreign portfolio investor with whom the applicant shares common end beneficial owners Registration no. of foreign portfolio investor Demat Account No. of foreign portfolio investor mentioned at col. C A B C D E F 3. Details of Regulatory authority by which the applicant is regulated (If applicable) 3.1 Contact details: Name Country Web-site 3.2 Registration Number/Code, If any: 4. Disciplinary History Whether there has been any instance of violation or non-adherence to the securities laws, code of ethics/conduct, code of business rules, for which the applicant, or its parent / holding company or affiliate may have been subjected to economic or criminal liability or suspended from carrying out its operations or the registration, has been revoked, temporarily or permanently. Yes No If yes, please furnish details in annexure 5. Details of the designated depository participant, custodian of securities and designated bank appointed 5.1 Details of the DDP Name Date of SEBI approval 5.2 Details of Custodian of Securities Name SEBI Registration number of custodianof securities 5.3 Details of designated bank: Name of the Bank and Branch Address 6. Details of prior association with the Indian securities market. (this section not applicable to individuals ) 6.1 Whether the applicant was anytime registered as FII or Sub-account with the Securities and Exchange Board Of India Yes No If yes, then please provide details: Name of the entity Registered as SEBI Registration No. Period of registration From To dd/mm/yyyyy dd/mm/yyyy 7. Declaration and Undertaking. We declare that: a. We are authorized to make investments in India. b. The income and the source of funds of the applicant is from known and legitimate sources. c. The applicant is not a non-resident Indian. d. The applicant did not make any other application for grant of registration as foreign portfolio investor with any other designated depository participant. e. No winding up orders have been passed against the applicant. f. No order suspending or debarring the applicant from permanently carrying on activities in the financial sector has been passed by any regulatory authority. g. No order withdrawing or refusing to grant any license/approval to the applicant which has a bearing on the securities market has been passed by any authority in the preceding five years. h. Any penalty imposed (including monetary penalty) by any regulatory authority has been undergone or paid. i. The information supplied in the application, including the attached sheets, is complete and true. Undertaking. We undertake to: 1. Notify any change in the information provided in the application promptly. 2. Abide by operational instructions/ directives as may be issued by Securities and Exchange Board of India, Reserve Bank of India or any other authority from time to time under provisions of the Act or any other law for the time being in force. For and on behalf of applicant _______________________________________________ Signature of Authorized Signatory Name Designation ( not applicable to individual persons ) Date Dd/mm/yyyy FORM B SECURITIES AND EXCHANGE BOARD OF INDIA (FOREIGN PORTFOLIO INVESTORS) REGULATIONS, 2014 [See regulation 7(1)] CERTIFICATE OF REGISTRATION I. In exercise of the powers conferred by sub-section (1A) of section 12 of the Securities and Exchange Board of India Act, 1992, read with the regulations made thereunder the Board hereby grants a certificate of registration to _________________________________ as a foreign portfolio investor, subject to the conditions specified in the Act and in the regulations made thereunder. II. The category of the foreign portfolio investor is __________________. III. Registration Number for the foreign portfolio investor is /.../.../.../.... IV. This certificate shall be valid till it is suspended, cancelled or surrendered in accordance with the regulations. Date: Place: By Order Name and Designation of the Authorized Signatory of Designated depository participant