TMI BlogIssue of Shares/ Convertible debentures / Others to foreign investors - Reporting under FDI SchemeX X X X Extracts X X X X X X X X Extracts X X X X ..... / New company (Brownfield) ( Greenfield) If existing company, give registration number allotted by RBI for FDI, if any 2. Description of the main business activity NIC Code Location of the project and NIC code for the district where the project is located a)Detailed address including Name, City, District and State b) Code for District c) Code for State Percentage of FDI allowed as per FDI policy (Sectoral cap under FDI Policy) State whether FDI is allowed under Automatic Route or Approval Route (strike out whichever is not applicable) (If under approval route, give SIA/FIPB approval No. with date) Automatic Route / Approval Route 3 Details of the foreign investor / collaborator 1* (Details of foreign residence to be given. Indian address if any should not be given) Name Address Country Constitution / Nature of the investing Entity [Specify whether * Individual * Company (Please specify if erstwhile OCB) * FII * FVCI# * Foreign Trust * Private Equity Fund * Pension / Provident Fund * Sovereign Wealth Fund (SWF) 2 * Partnership / Proprietorship Firm * Financial Institution * NRIs / PIO * Others (please specify)] Date of incorporation: 4 ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... specify) Sub Total b) Resident Total DECLARATION TO BE FILED BY THE AUTHORISED REPRESENTATIVE OF THE INDIAN COMPANY: (Delete whichever is not applicable and authenticate) We hereby declare that: 1. We comply with the procedure for issue of shares / convertible debentures as laid down under the FDI scheme as indicated in Notification No. FEMA 20/2000-RB dated 3rd May 2000, as amended from time to time. 2. The investment is within the sectoral cap / statutory ceiling permissible under the Automatic Route of RBI and we fulfil all the conditions laid down for investments under the Automatic Route namely (strike off whichever is not applicable). a) Shares issued on rights basis to non-residents are in conformity with Regulation 6 of the RBI Notification No FEMA 20/2000-RB dated 3rd May 2000, as amended from time to time. OR b) Shares issued are bonus. OR c) Shares have been issued under a scheme of merger and amalgamation of two or more Indian companies or reconstruction by way of de-merger or otherwise of an Indian company, duly approved by a court in India. OR d)Shares are issued under ESOP and the conditions regarding this issue have been satisfied 3. Shares ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ipt of amount of consideration in accordance with paragraph 8 of Schedule 1 to Notification No. FEMA 20/2000-RB dated May 3, 2000. (Name & Signature of the Company Secretary) (Seal) FOR USE OF THE RESERVE BANK ONLY: Registration Number for the FC-GPR: Unique Identification Number allotted to the Company at the time of reporting receipt of remittance Notes: 1* If there is more than one foreign investor/collaborator, separate Annex may be included for items 3 and 4 of the Form. 2 SWF means a Government investment vehicle which is funded by foreign exchange assets, and which manages those assets separately from the official reserves of the monetary authorities. 3 If the company doesn't have full time Company Secretary, a certificate from practicing Company Secretary may be submitted. #The investment/s is/are made by FVCI under FDI Scheme in terms of Schedule I to Notification No. FEMA 20/2000-RB dated May 3, 2000. Notes: 1) Substituted vide Circular no. 102 of 11-02-2014 OLD Form FC-GPR PART - A (To be filed by the company through its Authorised Dealer Category - I bank with the Regional Office of the RBI under whose jurisdiction the Registered Office of the compan ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... ares to non-residents (including premium, if any) vide * Remittance through AD: * Debit to NRE/FCNR A/c with Bank_________ * Others Date of reporting of (i) above to RBI under Para 9 (1) A (i) of Notification No. FEMA 20/2000-RB dated May 3, 2000, as amended from time to time. (e) Disclosure of fair value of shares issued** We are a listed company and the market value of a share as on date of the issue is * We are an un-listed company; and the fair value of a share is* ** before issue of shares *(Please indicate as applicable) 5. Post issue pattern of shareholding Equity Preference Shares/Convertible Debentures Investor category No. of shares Amount (Face Value) Rs. % No. of shares Amount (Face Value) Rs. % a) Non-Resident Foreign Nationals Foreign Companies FIIs FVCIs NRIs/PIOs Sub Total b) Resident Total DECLARATION TO BE FILED BY THE AUTHORISED REPRESENTATIVE OF THE INDIAN COMPANY: We hereby declare that: * We comply with the procedure for issue of shares as laid down under the FDI scheme as indicated in Notification No. FEMA 20/2000-RB dated 3rd May 2000 as amended from time to time The investment is within the sectoral policy/ ..... X X X X Extracts X X X X X X X X Extracts X X X X ..... onsideration in accordance with paragraph 9 (1) (B) of Schedule 1 to Notification No. FEMA 20/2000-RB dated May 3, 2000. (Name & Signature of the Company Secretary) (Seal) *************************** [Annex to A. P. (DIR series) Circular No. 40 dated April 20, 2007] FC-GPR PART-B (i) This is an annual report to be submitted by 30th of June every year, pertaining to all investments by way of direct/portfolio/re-invested earnings/others in the Indian company made during the preceding financial year (April to March). (i.e. the report in Part B submitted by 30th June 2007 will pertain to the investments made during the financial year April 2006 to March 2007). (ii) To be submitted to the Director, Balance of Payment Statistical Division, Department of Statistical Analysis & Computer Services, Reserve Bank of India, C9, 8th Floor, Bandra-Kurla Complex, Bandra (E), Mumbai - 400051; Tel: 2657 1265, 2657 2513) -------------------------------------------------------------------------------------------------------------------------------- PAN Number Date No. Particulars (In Block Letters) 1. Name Address State Registration No. given by the Registrar of Companies 2. ..... 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