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Declaration regarding transfer of shares / compulsorily and mandatorily convertible preference shares (CMCPS) / debentures /others by way of sale from resident to non resident / non-resident to resident

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....ertible preference shares / debentures / others by a person resident in India * Consent Letter duly signed by the seller and buyer or their duly appointed agent and in the latter case the Power of Attorney Document. * The shareholding pattern of the investee company after the acquisition of shares by a person resident outside India. * Certificate indicating fair value of shares from a Chartered Accountant. * Copy of Broker's note if sale is made on Stock Exchange. * Declaration from the buyer to the effect that he is eligible to acquire shares / compulsorily and mandatorily convertible preference shares / debentures/others under FDI policy and the existing sectoral limits and Pricing Guidelines have been complied with. * Dec....

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.... Pension/ Provident Fund * Sovereign Wealth Fund (SWF) * Partnership/ Proprietorship firm * Financial Institution * NRIs/PIOs * Others Date and Place of Incorporation Address of the seller (including e-mail, telephone Number Fax no) 6 Particulars of earlier Reserve Bank / FIPB approvals 7 Details regarding shares / compulsorily and mandatorily convertible preference shares (CMCPS) / debentures/ others (such as FDI compliant instruments like participating interest rights in oil fields, etc.) to be transferred Date of the transaction Number of shares CMCPS / debentures /others Face value in Rs. Negotiated Price for the transfer**in Rs. Amount of consideration in Rs. 8 Foreign Investments in the company No. of....

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....thers from resident to non resident the declaration has to be signed by the non resident buyer, and in respect of the transfer of shares / compulsorily and mandatorily convertible preference shares / compulsorily and mandatorily convertible debentures/ other from non-resident to resident the declaration has to be signed by the non-resident seller. Certificate by the AD Branch It is certified that the application is complete in all respects. The receipt / payment for the transaction are in accordance with FEMA Regulations / Reserve Bank guidelines. Signature Name and Designation of the Officer Date : Name of the AD Branch AD Branch Code Know Your Customer (KYC) Form in respect of the non-resident investor Registered Name of....

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.... (4) (5) (6) (7) (8) (9) (10) (11) (12) Outflow - Transfer from non-resident to resident [Amount in Rs.] Date Name Activity NIC Name Consti Name Consti No. of Face Sale Total of of the Code of the tution/ of the tution/ Share Value price Inflow Trans action Comp any Seller Natur e of Busin ess of the Buyer Natur e of Busin ess of the s transf erred per share Seller Buyer (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) ## The initial investment/s was/were made by FVCI under FDI Scheme in terms of Schedule 1 to Notification No. FEMA.20/2000-RB dated May 3, 2000 ¶ SWF mean a Government investment vehicle which is funded by foreign exchange assets, and which manages....

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.... Activity NIC Code No. 2 Whether FDI is allowed under Automatic route Sectoral Cap under FDI Policy 3 Nature of transaction Transfer from resident to non resident Transfer from non resident to resident 4 Name of the buyer Category (please tick appropriate category) Individual Company FII Others In case of Company/FII etc please indicate the constitution of the company i.e. Limited company, registered partnership etc Date and Place of Incorporation Address of the buyer (including e-mail ,telephone Number Fax no) 5 Name of the seller Category (Please tick appropriate category) Individual Company FII Others(please specify) In case of Company/FII etc please indicate the constitution of the company i.e. Limited co....