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FEM (Transfer or issue of security by a person resident outside India) Regulations, 2000 

Pg. 6

1[Annexure C

[Refer to paragraph 4(2) of Schedule I]

Return to be filed by an Indian company who has arranged issue of GDR/ADR

Instructions :  

The form should be completed and submitted to the Reserve Bank of India, Foreign Investment Division, Central Office, Mumbai.

1.

Name of the Company

:

 

 

2.

Address of Registered Office

:

 

 

3.

Address for correspondence

:

 

 

4.

Existing Business (Please give the NIC Code of the activity in which the company is predominantly engaged)

:

 

 

5.

Details of the purposes for which GDRs/ADRs have been raised

If funds are deployed for overseas investment, details thereof

:

 

 

6.

Name and address of the Depository abroad

:

 

 

7.

Name and Address of the Lead/Manager Investment/Merchant Banker

:

 

 

8.

Name and addresses of the Sub-Managers to the issue

:

 

 

9.

Name and address of the Indian custodians

:

 

 

10.

Details of FIPB approval

(Please quote the relevant NIC Code if the GDRs are being issued under the Automatic Route)

:

 

 

11.

Whether any overall sectoral cap for foreign investment is applicable. If yes, please give details

:

 

 

12.

Details of the Equity Capital

:

Before Issue

After Issue

 

(a) Authorised Capital

 

 

 

 

(b) Issued and Paid-up Capital

 

 

 

 

    (i) Held by persons Resident in India

 

 

 

 

    (ii) Held by foreign investors other than FIIs/NRIs/PIOs/OCBs (A list of foreign investors holding more than 10 per cent of the paid-up capital and number of shares held by each of them should be furnished)

 

 

 

 

   (iii) Held by NRIs/PIOs/OCBs

 

 

 

 

   (iv) Held by FIIs

 

 

 

 

    Total Equity held by non-residents

 

 

 

 

(c) Percentage of equity held by non-residents to total paid-up capital

 

 

 

13.

Whether Issue was on private placement basis. If yes, please give details of the investors and ADRs/GDRs issued to each of them

:

 

 

14.

Number of GDRs/ADRs issued

:

 

 

15.

Ratio of GDRs/ADRs to underlying shares

:

 

 

16.

Issue Related Expenses

:

 

 

 

(a) Fee paid/payable to Merchant Bankers/Lead Manager

 

 

 

 

   (i) Amount (in US $ etc.)

 

 

 

 

   (ii) Amount as percentage to the total issue

 

 

 

 

(b) Other Expenses

 

 

 

17.

Whether funds are kept abroad.

If yes, name and address of the bank

:

 

 

18.

Details of the listing arrangement

Name of Stock Exchange

Date of commencement of trading

:

 

 

19.

The date on which ADRs/GDRs issue was launched

:

 

 

20.

Amount raised (in US $)

:

 

 

21.

Amount repatriated (in US $)

:

 

 

Certified that all the conditions laid down by Government of India and Reserve Bank of India have been complied with.

1.

Name of the Company

:

 

 

2.

Address of Registered Office

:

 

 

3.

Address for correspondence

:

 

 

4.

Existing Business (Please give the NIC Code of the activity in which the company is predominantly engaged)

:

 

 

5.

Details of the purposes for which GDRs/ADRs have been raised

If funds are deployed for overseas investment, details thereof

:

 

 

6.

Name and address of the Depository abroad

:

 

 

7.

Name and Address of the Lead/Manager Investment/Merchant Banker

:

 

 

8.

Name and addresses of the Sub-Managers to the issue

:

 

 

9.

Name and address of the Indian custodians

:

 

 

10.

Details of FIPB approval

(Please quote the relevant NIC Code if the GDRs are being issued under the Automatic Route)

:

 

 

11.

Whether any overall sectoral cap for foreign investment is applicable. If yes, please give details

:

 

 

12.

Details of the Equity Capital

:

Before Issue

After Issue

 

(a) Authorised Capital

 

 

 

 

(b) Issued and Paid-up Capital

 

 

 

 

    (i) Held by persons Resident in India

 

 

 

 

    (ii) Held by foreign investors other than FIIs/NRIs/PIOs/OCBs (A list of foreign investors holding more than 10 per cent of the paid-up capital and number of shares held by each of them should be furnished)

 

 

 

 

   (iii) Held by NRIs/PIOs/OCBs

 

 

 

 

   (iv) Held by FIIs

 

 

 

 

    Total Equity held by non-residents

 

 

 

 

(c) Percentage of equity held by non-residents to total paid-up capital

 

 

 

13.

Whether Issue was on private placement basis. If yes, please give details of the investors and ADRs/GDRs issued to each of them

:

 

 

14.

Number of GDRs/ADRs issued

:

 

 

15.

Ratio of GDRs/ADRs to underlying shares

:

 

 

16.

Issue Related Expenses

:

 

 

 

(a) Fee paid/payable to Merchant Bankers/Lead Manager

 

 

 

 

   (i) Amount (in US $ etc.)

 

 

 

 

   (ii) Amount as percentage to the total issue

 

 

 

 

(b) Other Expenses

 

 

 

17.

Whether funds are kept abroad.

If yes, name and address of the bank

:

 

 

18.

Details of the listing arrangement

Name of Stock Exchange

Date of commencement of tradin