Eximkey - India Export Import Policy 2004 2013 Exim Policy
RBI Acts, Rules & Regulation Documents & Forms GDR/ADR - Annexure ‘D’
Annexure ‘D’
[Refer to paragraph 4(3) of Schedule I]

Quarterly Return

1.Name of Company: 
2.Address: 
3.GDR/ADR issue launched on: 
4.Total No. of GDRs/ADRs issued: 
5.Total amount raised: 
6.Total interest earned till end of quarter : 
7.Issue Expenses and commissions etc.: 
8.Amount repatriated: 
9.Balance kept abroadDetails :
    (i) Banks Deposits
    (ii) Treasury Bills
    (iii) Others (Please specify)
: 
10.No. of GDRs still outstanding: 
11.Company’s share price at the end of the quarter: 
12.GDR price quoted on overseas stock exchange  as at the end of the quarter: 

Certified that funds raised through ADRs/GDRs have not been invested in stock market or real estate.

Sd/-
Chartered Accountant
Sd/-
Authorised Signatory of the Company

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