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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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....tant. * 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. * Declaration from the FII/sub account to the effect that the individual FII / Sub account ceiling as prescribed has not been breached. Additional documents in respect of sale of shares / compulsorily and mandatorily convertible preference shares / debentures / others by a person resident outside India If the sellers are NRIs/OCBs, the copies of RBI approvals, if applicable, evidencing the shares held by them on repatriation/non-repatriation basis. No Objection/Tax Clearance      Certificate from    Income Tax Authority/ Chartered Account.   1 Name of the company     Address (including e-mail , telephone Number, Fax no)                    Activity             NIC Code No.   2 Whe....

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.... declare that i.      The particulars given above are true and correct to the best of my/our knowledge and belief. ii.     I/ We, was/were holding the shares compulsorily and mandatorily convertible preference shares / debentures/ other as per FDI Policy under FERA/ FEMA Regulations on repatriation/non repatriation basis. iii.    I/ We, am/are eligible to acquire the shares compulsorily and mandatorily convertible preference shares / debentures /other of the company in terms of the FDI Policy. It is not a transfer relating to shares compulsorily and mandatorily convertible preference shares / debentures /others of a company engaged in financial services sector or a sector where general permission is not available. iv.    The Sectoral limit under the FDI Policy and the pricing guidelines have been adhered to. Signature of the Declarant or his duly authorised agent Date: Note: In respect of the transfer of shares / compulsorily and mandatorily convertible preference shares / compulsorily and mandatorily convertible debentures/ others from resident to non resident the declaration has to be sign....

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....er from resident to non-resident   [Amount in Rs.] Date Name Activit NIC Name Consti Name Consti No. of Face Sale Total of of the y Code of the tution/ of the tution/ Share Value price Inflo Trans actio n Comp any     Buyer Natur e of Busin ess of the Seller Natur e of Busin ess of the s transf erred   per share w           Buyer   Seller         (1) (2) (3) (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....

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....p;   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 company, registered partnership etc            Date and Place of  Incorporation         Address of the seller (including  e-mail ,telephone Number Fax no)             6 Particulars of earlier Reserve Bank/FIPB ....

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....eipt /payment for the  transaction  is in accordance FEMA Regulations/ Reserve Bank guidelines                                                                                                           Signature   Name and Designation of the Officer   Date:                                                                   ....

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....e submitted to the designated AD branch in quadruplicate within 60 days from the date of receipt of funds) The following documents are enclosed For sale of shares/compulsorily and mandatorily convertible preference shares/ debentures/others by a person resident in India İ. ii. iii. iv. V. vi. vii. 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. Declaration from the FII/sub account to the effect that the individual FII / Sub account ceiling as prescribed has not been breached. Additional documents in respect of sale of shares/compulsorily and mandatorily convertible prefere....

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....cation No. FEMA.20/2000-RB dated May 3, 2000. д SWF mean a Government investment vehicle which is funded by foreign exchange assets, and which manages those assets separately from the official reserves of monetary authorities. 8 Foreign Investments in the No. of shares Percentage company Before the transfer After the transfer 9. Where the shares/CMCPS/ debentures / others are listed on Stock Exchange Name of the Stock Exchange Price Quoted on the Stock exchange Where the shares/CMCPS/ debentures / others are Unlisted Price as per Valuation guidelines* Price as per Chartered Accountants * / ** Valuation report (CA Certificate to be attached) Declaration by the transferor/transferee i. I/We hereby declare that The particulars given above are true and correct to the best of my/our knowledge and belief. ii. I/We, was/were holding the shares compulsorily and mandatorily convertible preference shares / debentures/ other as per FDI Policy under FERA/ FEMA Regulations on repatriation/non repatriation basis. iii. I/ We, am/are eligible to acquire the shares compulsorily and mandatorily convertible preference shares / debentures /other of the company in....