Central Government hereby notifies the Common Application Form for the purpose of registration, opening of bank and demat accounts, and application for Permanent Account Number by Foreign Portfolio Investors (FPIs) in India.
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.... [Single Combined Application form for registration of Foreign Portfolio Investor (FPI) with SEBI, Allotment of Permanent Account Number (PAN) and Know Your Customer (KYC) for opening Bank & Demat Account.] To avoid mistake(s), please follow the accompanying instructions and examples before filling up the form [PART I-SEC. 1] Only 'Individuals to affix recent photograph (3.5 cm x 2.5 cm) Signature/Left Thumb Impression Sir, I/We hereby request that a Permanent Account Number & FPI registration number be allotted to me/us. In this context, I/We give below necessary particulars: PART A- KYC INFORMATION 1) Name of the Applicant (Full expanded name to be mentioned as appearing in proof of identity/ address documents: initials are not permitted) Please select title, ☑ as applicable Shri/Mr. Smt/Mrs. Kumari/Ms. M/s Last Name/Surname First Name Middle Name 2) Abbreviation of the Name, as you would like it, to be printed on the PAN card 3) Have you ever been known by any other name? If yes, please give that other name Yes No (Please tick as applicable) Please select title, ☑ as applicable ....
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....hold than prescribed, based on their independent evaluation and risk classification of the respective FPI applicants on the basis of multiple parameters such as home jurisdiction, type of entity, nature of business etc. We declare that there is no natural person/individual who are ultimately holding > ☑ % beneficial ownership directly/indirectly into the entity as well as on controlling basis for companies, Trust & General Partner/Limited Partnership structure. We therefore provide details of the senior managing official of the FPI as under. The list of beneficial owners as per materiality threshold for controlling ownership interest and / or on control basis is provided as under: S. No Name & Address Date of Tax of the Beneficial Birth Owner (Natural Person) Residency Jurisdiction (1) (2) (3) (4) Nationality Whether acting alone or together, or through one or more natural person as group with their name & address (6) BO Group Percentage Shareholding / Capital/Profit Ownership in the FPIs (7) Tax Residency Number/Social Security Number/Passport Number of BO/ any other Gove....
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....ng through Global Custodian? If yes, please provide name of Global custodian Name of Regulator Registration Number/ code with regulator, if any 29 29 Yes No Address 20) Details of the designated depository participant, custodian of securities and designated AD Category I bank appointed a) Name of the DDP/ Custodian of Securities / Depository Participant Name SEBI Registration number b) Details of designated AD category I bank (approved by RBI) Name of the Bank and Branch Address 21) Disciplinary History Whether there has been any instance of violation or non-adherence to the securities laws, code of ethics/conduct, code of business rules, for which the applicant or its parent/holding company or associate/or promoter/investment manager may have been subjected to criminal liability or suspended from carrying out its operations or the registration, has been revoked, temporarily or permanently or any regulatory actions that have resulted in temporary or permanent suspension of investment related operations in the applicant's home jurisdiction and has a bearing on obtaining FPI registration for investing in India? Y....
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....os and Betting Syndicates) Money Lending, Pawning Yes No Yes No 31) Documents submitted as a proof of Identity (POI) & Proof of Address (POA) for PAN I/We have enclosed I as a proof of Identity, as proof of address, & as mandatory certified documents [please refer to the instructions (as specified in Rule 114 of I.T. Rules, 1962) for list of mandatory certified documents to be submitted as applicable] Part D - Additional Information Applicable Only for Individuals 32) Gender: 33) Marital Status: 34) Citizenship Status: In case of Foreigner, country of citizenship : 35) Details of Parents: (Applicable only for individual applicants) Whether mother is a single parent and you wish to apply for PAN by furnishing the name of your mother only? ☠Yes ☠No ( please tick as applicable) If yes, please fill in the mother's name in the appropriate space provide below. Father's Name (Mandatory except where mother is a single parent and PAN is applied by furnishing the name of mother only) Last Name/Surname First Name Middle Name Mother's Name (optional except where mother is a single parent and PAN is app....
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....change Board of India (Foreign Portfolio Investors) Regulations, 2019, circulars issued thereunder, its operating guidelines, reply to frequently asked questions on FPI regime provided by SEBI and shall abide with any other terms and conditions specified by SEBI from time to time. I/We hereby declare that I/we fulfill the eligibility criteria under the FPI Regulations and I/we am/are eligible to register as a FPI. Further, I/we hereby declare that I/we do not hold PAN issued by Income Tax Department currently and shall be liable for penalty of Rs. 10,000/- as per provision of section 272(B) of Income Tax Act, 1961 for possession of more than one PAN. Place_ For and on behalf of applicant Signature of Authorized Signatory Name Date: Designation (not applicable to individual persons) Date Signature/Left Thumb Impression of Applicant (Inside the box) Signature of the Applicant. DD/MM/YYYY 32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART I SEC. 1] FOR OFFICE USE ONLY Name of Depository Participant Address of Depository Participant DP ID Client ID Applicant Bank Account Information (To be captured in the depository ....
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....a Code, AO Type, Range Code and AO Number) of the Jurisdictional Assessing Officer must be filled up by the applicant. These details can be obtained from the Income Tax Office or PAN Centre or websites of PAN Service Providers on www.tin-nsdl.com and www.utiitsl.com. Once the form is duly filled in by the applicant in electronic mode and supporting documents uploaded on the inter-face of NSDL, the same shall flow to the Designated Depository Participant (DDP) in electronic manner. The applicant shall thereafter have to take a print of the duly filled form. The duly filled printed form should be signed by applicant and be submitted in physical mode along with requisite documents in original to the Designated Depository Participant (DDP). Applicant should sign on each page of the Form before sending. The applicant should submit the applicable fees for SEBI registration and issuance of PAN along with the form to concerned DDP in Dollar terms. The application without fees shall be rejected, The DDP shall thereafter transmit appropriate amount to SEBI (in Dollar terms) and Income Tax department (in INR). The DDP shall upload the copy of SEBI registration....
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....ATLAL DAVE (HUF) First Name Middle Name Abbreviation of the full name to be printed on the PAN card In case of Company, the name should be provided without any abbreviations. For example, different variations of 'Private Limited' viz. Pvt Ltd, Private Ltd, Pvt Limited, P Ltd, P. Ltd., Ltd are not allowed. It should be 'Private Limited' only. In case of sole proprietorship concern, the proprietor should apply for PAN in his/her own name. Name should not be prefixed with any title such as Shri, Smt, Kumari, Dr., Major, M/s etc. Individual applicants should provide full/ abbreviated name to be printed on the PAN card. Name, if abbreviated, should necessarily contain the last name. For example: SATYAM VENKAT M. K. RAO which is written in the Name field as Last Name/ RAO Surname First Name Middle Name V SATYAM â˜ENKA T M K Can be written as in 'Name to be printed on the PAN card' column as: SATYAM VENKAT M.K. RAO or S.V.M. K. RAO or SATYAM V. M. K. RAO Have you ever been known by any other name? For non-individual applicants, this should be same as last name field ....
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....ts, it is necessary to mention complete address and the details of Town/City/District, State/Union Territory and PINCODE are mandatory. In case, a foreign address is provided then it is mandatory to provide Country Name along with ZIP Code of the country. Individuals/HUFs/AOP/BOI/AJP may indicate either 'Residence' or 'Office' and other applicants should necessarily indicate 'Office' as the Address for Communication/Correspondence. All communication/Correspondence will be sent at the address indicated in this field. 1) Telephone number should include country code (ISD code) and STD code and Mobile No. should include Country code (ISD Code). For example: (n)Telephone number 23555705 of Delhi should be written as Country code +91 STD code 11 Telephone Number 23555705 Where '91' is the country code of India and 11 is the STD Code of Delhi. (ii) Mobile number 9102511111 of India should be written as Country code +91 Mobile Number 9102511111 Where '91' is the country code of India [à¤à¤¾à¤— I-खणà¥à¤¡ 1] à¤à¤¾à¤°à¤¤ का राजपतà¥à¤° : ....
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.... 04 Chartered Accountant/ Accountancy Members of Stock Exchange, Share Brokers and Sub-Brokers 05 Interior Decoration 15 06 Technical Consultancy 56 Performing Arts and Yatra Operation of Ships, Hovercraft, Aircrafts or Helicopters Plying Taxis, Lorries, Trucks, Buses or other Commercial Vehicles 10 07 Company Secretary 17 8 8 8 Ownership of Horses or Jockeys Cinema Halls and Other Theatres Legal Practitioner and Solicitors 18 Government Contractors 19 Insurance Agency 20 866 Others 38 10 THE GAZETTE OF INDIA: EXTRAORDINARY This field is mandatory for all categories of applicants. [PART I-SEC. 1] Occupation Details List of values in ‘Occupational Details' For Individuals (drop down box) 1) Service Private sector 2) Service Public Sector - 3) Service Govt. service 4) Business 5) Professional 6) Agriculturist 7) Retired 8) Housewife 9) Student 10) Others Non-Individuals (drop down box) 1) Private Company (R) 2) Public Company (U) 3) Body Corporate (D) 4) Financial Institution (S) 5) Non-Government Organisa....
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.... Utility bill, which is not more than two months old, of any service provider (landline or electricity); Bank account statement, Not more than 3 months old 5) Document with address, issued by Central/State Government and its Departments, Statutory/Regulatory Authorities, Tax Authorities. Clarification / Guidelines on filling 'Proof of Address [POA]-section 1. One copy of any one of the mentioned PoA needs to be submitted. i. Copies of all the documents submitted by the applicant should be self-attested and accompanied by originals for verification OR ii. Copies should be properly attested by entities authorized for attesting the documents. 2. PoA to be submitted only if the submitted Pol does not have an address or address as per Pol is invalid or not in force. 3. Name & address of the applicant mentioned on the KYC form, should match with the documentary proof submitted. 4. 5. If correspondence & permanent address are different, then proofs for both have to be submitted. If any proof of address is in a foreign language, then translation into English is required. 12 Politically exposed Politically Exposed Persons (PEP)....
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....applicants seeking registration under this sub-clause. b. "Category II foreign portfolio investor" shall include all the investors not eligible under Category I foreign portfolio investors such as - (i) appropriately regulated funds not eligible as Category-I foreign portfolio investor; (ii) endowments and foundations; (iii) charitable organisations; (iv) corporate bodies; (v) family offices; (vi) Individuals; (vii) appropriately regulated entities investing on behalf of their client, as per conditions specified by the Board from time to time; (viii) Unregulated funds in the form of limited partnership and trusts; Explanation: An applicant incorporated or established in an International Financial Services Centre shall be deemed to be appropriately regulated. In case of Investment manager proposed to be registered under Category I, it may be clarified whether it is investing entity or not. FPIs are required to provide name of its Investment Manager wherever applicable 16 Whether applicant 17 the has provided with valid self-certification/ FATCA/CRS declaration. Information pertaining to the complianc....
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....tity and proof of address with PAN application. Documents should be in the name of applicant. List of documents which will serve as proof of identity and address for each status of applicant is as given below: Document acceptable as proof of identity and address as per Rule 114(4) of Income Tax Rules, 1962 For Individuals and HUF Proof of Identity (Copy of) Proof of address (copy of) 1. Copy of passport, or 1. Copy of passport, or 2. Copy of Person of Indian Origin (PIO) 2. card issued by Government of India, or 3. Copy of Overseas Citizen of India (OCI) card issued by Government of India, or Copy of Person of Indian Origin (PIO) card issue Government of India, or 3. Copy of Overseas Citizen of India (OCI) card issue Government of India, or Number or Taxpayer Identification Number duly attested by "Apostille" (in respect of the countries which are signatories to the Hague Convention of 1961) or by the Indian Embassy or High Commission or Consulate in the country where the applicant is located or authorised officials of overseas branches of Scheduled Banks registered in India, or 4. Copy of other ....
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....is mandatory for Individuals List of values in 'Marital Status' (drop down box) 34 Citizenship Status 35 1) Single 2) Married 3) Divorced 4) Widow/Widower This field is mandatory for individual applicants. List of values in 'Citizenship Status' (drop down box) 1) Foreigner 2) Person of Indian origin 3) [PART I-SEC. 1] Details of Parents (Applicable to Individuals only) Signature/ impression Thumb Overseas citizen of India For FPI applicants, only Foreigner (Citizenship Status) shall be applicable. In case of Foreigner, please specify country of citizenship as applicable. Instructions in Item No.1 with respect to name apply here. Whether mother is a single parent and you wish to apply for PAN by furnishing mother's name only? It is mandatory for Individual applicants to select the flag (i.e. 'Yes' or 'No'). This flag should be selected as 'Yes' only if (i) Mother is a single parent, and (ii) You wish to apply for PAN using mother's name only. Father's name should be left blank. If the flag is selected as 'No', then father's name is mandatory. For such cases, mother's name is optiona....
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