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





Ozg FEMA Consultant

Phone # 09811415831-37-61-72-84-92-94

Website: fema.in 


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


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

(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

:
Before Issue          After Issue
























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





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

Website: fema.in