ISD (R) [Paragraph 10C.9A, 10C.11, 10C.11A, 10 C.12, 10 C.13 10C.14 and 10 C.16A] APPLICATION FOR INVESTMENT BY NON-RESIDENT INDIANS/OVERSEAS CORPORATE BODIES IN THE INDIAN PARTNERSHIPS/COMPANIES ON REPATRIATION BASIS UNDER 24%/51%/100% SCHEMES/ (AUTOMATIC APPROVALS/AIR TAXI/HOUSING AND REAL ESTATE DEVELOPMENT SCHEMES) Instructions: 1. Application in duplicate should be submitted to the Chief General Manager, Exchange Control Department, Reserve Bank of India, Central Office, Foreign Investment Division (II), NRI Cell, Mumbai - 400 001. 2. This application should be made before receiving funds from prospective investors. Documentation: 3. Please submit certified copies of the following documents wherever applicable: (i) Letter issued by the Secretariat for Industrial Approvals (SIA), Ministry of Industry, Government of India, allowing investment. (ii) A certified copy of the Memorandum and Articles of Association. (iii) A certified copy of the Board Resolution regarding issue of equity shares/convertible debentures. (iv) Certified copy of Government's approval for Air Taxi Operations. (v) An undertaking that the company will not carry on agricultural/plantation activities. (vi) In case the proposed investment is to be made by an overseas corporate body under NRI Investment Scheme, an original certificate in form OAC/OAC-1 of a recent date from an overseas auditor/Chartered Accountant/Certified Public Accountant. I (a)Name and Address of the Applicant/Company in full (BLOCK LETTERS) Name of the Applicant Company Address Pin Code Telephone (b)Date of Incorporation/Registration Date Mth. Year II (1)Capital Structure of the Indian Company (Amount in Rupees) Equity (Amount) Preference (Amount) (a) Authorised (b) Subscribed (c) Paid-up (d) Face Value per share (2)Pattern of share holding in existing paid-up capital (Amount in Rupees) Equity Percentage (a) Foreign holding Preference Percentage (b) Holdings of non-resident Indians / Overseas Corporate Bodies predominantly owned by NRIs. Equity Percentage (i) Repatriable Preference Percentage Equity Percentage (ii) Non-Repatriable Preference Percentage Equity Percentage (c) Resident holding Preference Percentage (d) Total {a+b(i+ii)+c}: Equity Preference III Particulars of the New Issues (Amount in Rupees) A. Equity/Preference Shares Face value per unit Premium, if any Category Amount (Face Value) Percentage i) NRIs ii) OCBs iii) Foreigners iv) Residents v) Total B. Convertible Debentures Face value per unit Category Amount (Face Value) Percentage i) NRIs ii) OCBs iii) Foreigners iv) Residents v) Total IV For Investment In Partnership Firms (1) Existing Capital (Amount in Rupees) Name Capital ContributionPercent Profit Sharing Ratio (a) Non Residents 1. 2. 3. 4. (b) Residents 1. 2. 3. 4. (2) Proposed Additional Capital (Amount in Rupees) (a) Non Residents 1. 2. 3. 4. (b) Residents 1. 2. 3. 4. V Rupee equivalent of foreign exchange component in the CIF value of capital goods to be imported VI Existing Activity(ies), if any, of the Indian company (to be given in brief) (a) Item Code [Indian Trade Classification (Harmonised System)] [Please see note at the end of the form] (b) Item Description VII Item(s) of manufature or activity(ies) proposed to be undertaken (in case of more than one item, supplementary sheets may be used). (a) Item Code [Indian Trade Classification (Harmonised System)] (b) Item Description VIII Location and full address of the proposed factory if known. Loaction Village/Town Tehsil/Taluk District State Pin Code IX Expected date of commencement of commercial production. Date Mth. Year DECLARATION I / We hereby certify that the above statements are true and correct to the best of my / our knowledge and belief. (Signature of applicant) (Name in block letters) (Designation of the signatory) Place Date Date Mth. Year Note : Copies of the Indian Trade Classification (based on Harm ised Commodity Description and coding System), published by the Ministry of Commerce, Directorate General of Commercial Intelligence and Statistics, Calcutta, can be obtained on payment from the Controller of Publications, 1, Civil Lines, Delhi 110 054 or from any of the agents authorisedto sell Government of India Publications.
