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Application Form for Grant of Certificate of Registration as Foreign portfolio investor (FPI)

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..... ment / 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 appropria .....

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..... ository 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 w .....

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..... m/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 m .....

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