(Amount in FC )

X.

(a)

Estimated cost of the project

(i)

Cost of capital equipment

(A)

to be supplied from India

:

(B)

to be procured from host country

:

(C)

to be procured from third country

:

(ii)

Cost of land

:

(iii)

Cost of civil works

:

(iv)

Cost of miscellaneous fixed assets

:

(v)

Preliminary & pre-operative expenses

:

(vi)

Contingencies

:

(vii)

Margin for working capital

:

(viii)

Others ( )

:

Please specify

Total*

:

(b)

Equity share capital

(i)

Contribution by Indian promoter (s)

:

Sr.No.

Name

Percentage of

Amount

total equity

1.

2.

3.

4.

5.

Total :

(ii)

Contribution by foreign collaborator (s)

:

Sr.No.

Name

Percentage of

Amount

total equity

1.

2.

3.

4.

5.

Total :

*

In case of acquisition of an existing foreign concern only the acquisition price may be indicated here.

(c)

Debt Finance

:

Type of Debt

Amount

If approved in principle by a Bank/

Financial Institution(FI), indicate the

name of the Bank/FI

(i)

Term Loans

(ii)

Working capital loans

Note

:

[Equity share capital plus term loan should be equal to the total cost of the project as at X (a) above]

(d)

Whether the Indian promoter intends to give loan/provide guarantee to/on behalf of the foreign concern, apart from subscription to equity capital ? If yes, give details :

(i)

Term/working capital loan

Amount

Rate of

Repayment

interest

period

(ii)

Details of Guarantee

Nature of Guarantee

Amount

Period of

guarantee