Ozg FEMA Consultant
Phone # 09811415831-37-61-72-84-92-94
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
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1.
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Name of the Company
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2.
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Address of Registered Office
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3.
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Address for correspondence
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4.
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Existing Business (Please give the NIC Code of the
activity in which the company is predominantly engaged)
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5.
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Details of the purposes for which GDRs/ADRs have been
raised.
If funds are deployed for overseas investment, details
thereof.
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6.
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Name and address of the Depository abroad
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7.
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Name and Address of the Lead/Manager Investment/Merchant
Banker
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8.
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Name and addresses of the Sub-Managers to the issue
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9.
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Name and address of the Indian custodians
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10.
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Details of FIPB approval (Please quote the relevant NIC
Code if the GDRs are being issued
under the Automatic Route)
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11.
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Whether any overall sectoral cap for foreign investment is
applicable. If yes, please give details.
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12.
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Details of the Equity Capital
(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
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Before Issue After Issue
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13.
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Whether issue was on private placement basis. If yes,
please give details of the investors and ADRs/GDRs issued to each of them.
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14.
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Number of GDRs/ADRs issued
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15.
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Ratio of GDRs/ADRs to underlying shares
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16.
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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
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17.
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Whether funds are kept abroad. If yes, name and address of
the bank.
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18.
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Details of the listing arrangement :
Name of Stock Exchange
Date of commencement of trading
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Certified that all the conditions laid down by Government of
India and Reserve Bank of India have been complied with.
Sd/- Sd/-
Chartered Accountant Authorised
Signatory of
the
Company
Ozg FEMA Consultant
Phone # 09811415831-37-61-72-84-92-94
