For the half year ended March/ September

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....ited balance sheet As on date (Please mention date) ix Whether the IE is listed Yes / No x Contact person (name & designation) xi Mobile number xii E-mail ID A. OPI by Indian entity (Please refer to Schedule II & Proviso 2(iii) of Schedule V of OI Rules) USD INR i Net Amount of Investment held abroad (opening balance) at cost basis ii Investments made during the half year (including reinvestment) iii Sale/disinvestment made during the half year * iv Net amount of Investment held abroad (closing balance) (I+II-III) Remittance amount Repatriation amount B. OPI by resident individuals by way of ESOP/ Employee Benefits Scheme (EBS) (Please refer to Para 1 (2) (iii)(h) and para 3 of Schedule III of OI Rules) (reporting t....

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....;……………..………. (foreign company) has repurchased …….. (nature) equity capital from our employees /directors under ESOP/ Employee Benefits Scheme during the half year as under: (i) equity capital repurchased: (ii) Number of employees / Directors who sold equity capital/ interest: C. OPI by Mutual Funds (please refer to Para 2 of Schedule IV of OI Rules) Opening balance Purchase/ acquired Sale/ disinvested* Closing balance Remittance from India Repatriation to India USD INR USD INR USD INR USD INR USD INR USD INR i Equity ii Debt Instruments iii ADR/GDR iv ETF (Securities) v Mutual Funds vi Others (Specify) Total (C) * The disinvestment amou....

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....(Amount in actuals in USD) IV OPI by VCF/AIF (please refer to Para 2 of Schedule IV of OI Rules) Opening balance Purchase/ acquired Sale/ disinvested Closing balance Remittance from India Repatriation to India USD INR USD INR USD INR USD INR USD INR USD INR i Equity ii Equity linked instrument iii Other permissible instrument (furnish the details of instrument) Total Section C Certificate from Indian entity/ Mutual Fund/AIF/VCF (Strike out whichever is not applicable) We, the Indian entity/ Mutual Fund/ AIF/ VCF further confirm that the investment made as above are in compliance with the provisions contained in OI Rules. All the transactions effected during the half year are included above and we hereby certify....