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Application Form for Grant of Certificate of Registration as Foreign portfolio investor (FPI)

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.... Fax No   Web-site         1.3 Date of Birth/ incorporation/establishment / formation:                                                  dd/mm/yyyy 1.4 Place and Country of Birth/ incorporation/establishment / formation: Place   Country   In case of Foreign Individual applicant, please specify the nationality and passport no. of the applicant: Nationality   Passport No.   1.5 Legal form of the appl....

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.... broad based funds and other deeds and things done by such broad based funds under these regulations: Category Eligible Foreign Investors I Government and Government related investors such as Central Banks, Governmental Agencies, Sovereign Wealth Funds, International/ Multilateral Organizations/ Agencies II a) Appropriately regulated broad based funds such as Mutual Funds, Investment Trusts, Insurance/Reinsurance Companies. b) Appropriately regulated entities such as Banks, Asset Management Companies, Investment Managers/ Advisors, Portfolio Managers. c) Not appropriately regulated broad based funds whose investment manager is appropriately regulated and is registered on behalf of the Board by the designated deposito....

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....code of business rules, for which the applicant, or its parent / holding company or affiliate may have been subjected to economic or criminal liability or suspended from carrying out its operations or the registration, has been revoked, temporarily or permanently.   Yes     No If yes, please furnish details in annexure 5. Details of the designated depository participant, custodian of securities and designated bank appointed 5.1 Details of the DDP Name   Date of SEBI approval   5.2 Details of Custodian of Securities Name   SEBI Registration number of custodianof securities   5.3 Details of designated bank: Name of the Bank and Branch   Addr....

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....n supplied in the application, including the attached sheets, is complete and true. Undertaking. We undertake to: 1. Notify any change in the information provided in the application promptly. 2. Abide by operational instructions/ directives as may be issued by Securities and Exchange Board of India, Reserve Bank of India or any other authority from time to time under provisions of the Act or any other law for the time being in force. For and on behalf of applicant _______________________________________________ Signature of Authorized Signatory   Name   Designation (not applicable to individual persons)   Date Dd/mm/yyyy FORM B SECURITIES AND EXCHANGE BOARD OF INDIA (FOREIGN POR....