Convertible Notes

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..... foreign investors : ________ Details of foreign investors : 1.3.1 General Details Name Address Country Constitution / Nature of the investing Entity [Specify whether i. Individual ii. LLP iii. Company (Please specify if erstwhile OCB) iv. FPI v. NRI vi. FVCI vii. Others (please specify)] 1.3.2 Remittance Details Name and Address of AD bank through whom the inflow is received. Mode of payment : (i) .....

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..... (in rupees) : _______________ 2 Transfer of convertible notes 2.1. Date of transfer : 2.2. Transfer Type : Transfer of from a person resident outside India to a person resident in India (Please provide the acknowledgement letter for the initial investment) Amount of outflow : Rs ________________ Transfer from a person resident in India to a person resident outside India Amount of inflow : Rs _____ .....

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