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For the half year ended March/ September

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..... s on date (Please mention date) ix Whether the IE is listed Yes / No x Contact person (name designation) xi Mobile number xii E-mail ID A. OPI by Indian entity (Please refer to Schedule II Proviso 2(iii) of Schedule V of OI Rules) USD INR i Net Amount of Investment held abroad (opening balance) at cost basis ii Investments made during the half year (including reinvestment) iii Sale/disinvestment made during the half year * iv Net amount of Investment held abroad (closing balance) (I+II-III) Remittance amount Repatriation amount B. OPI by resident individuals by way of ESOP/ Employee Benefits Scheme (EBS) (Please refer to Para 1 (2) (iii)(h) and para 3 of Schedule III of OI Rules) (reporting to be made by by the company/ branch/ office, as t .....

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..... hers (Specify) Total (C) * The disinvestment amount should correspond to the actual investment amount made and not the sale/market value on which disinvestment took place Form OPI: Section B Reporting of the Overseas Portfolio Investment (OPI) by Venture Capital Fund (VCF)/ Alternate Investment Fund (AIF) I Particulars of the Indian entity/ resident individual (RI) who has promoted/ invested in VCF/ AIF (Attach Separate sheet if there are multiple Indian entities/ RIs) i Name of the Indian entity/ RI ii LEI of Indian entity iii PAN iv Group to which the entity belongs v Activity code of the Indian entity (1987 NIC code at 3-digit level) (2008 NIC code at 5- digit level) vi Address of the Indian entity/ RI vii City viii State ix PIN code x N .....

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..... t. We also duly acknowledge that if any information furnished by us is found to be false and/or incorrect, it shall be construed that the reporting requirements under FEMA,1999 have not been complied with. Signature of the authorized official of the Indian entity approved by the Board or equivalent body, as the case may be/ Mutual Fund/ AIF/ VCF Stamp/Seal Name designation of the Authorized Official of the Indian entity/ Mutual Fund/ AIF/ VCF Place Date Telephone No. Email ID Instructions for filling up Form OPI 1) In the case of Mutual Funds, the details of Indian entity responsible for filing the Form OPI (i.e Promoter/ AMC of that Mutual Fund, as decided by the Mutual Fund), may be indicated in Section A (details of Indian entity), along .....

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